Nantsi into eyenzekayo xa unganyangi i-Ankylosing Spondylitis engapheliyo

Umxholo

• 1. Usenokugqibela ngokuba nomqolo okhubazekileyo
• 2. Amalungu amaninzi kunye nemisipha inokonakala
• 3. Unokuphuhlisa i-osteoporosis
• 4. Unokuba neengxaki ngamehlo akho
• 5. Usemngciphekweni omkhulu wesifo sentliziyo
• 6. Ukudumba okungapheliyo kunokubangela ukunciphisa amandla emiphunga
• 7. Kukho ukubakho kokukhubazeka okusisigxina
• Imibuzo: Vavanya ulwazi lwakho kwi-ankylosing spondylitis

Ngamanye amaxesha, unokucinga ukuba ukunyanga i-ankylosing spondylitis (AS) kubonakala ngathi yingxaki kunokuba kufanelekile. Kwaye siyaqonda. Kodwa kwangaxeshanye, ukuyeka unyango kunokuthetha umahluko phakathi kokuphila ubomi obunempilo, obunemveliso kunye nemvakalelo eshiye ebumnyameni. Nazi izinto ezisixhenxe ezinokwenzeka ukuba ugqithisa unyango.

1. Usenokugqibela ngokuba nomqolo okhubazekileyo

AS ikakhulu ichaphazela umqolo. Ngokuhlaselwa okuphindaphindiweyo kokudumba, umqolo wakho uqala ukuphulukana nokuguquguquka kwawo. Njengoko isifo siqhubeka, ukuhambisa umqolo wakho kuya kusiba nzima ngakumbi. Kancinci uhambisa umqolo wakho, ukungqina kunokufumana.

Kwiimeko ezinzima kakhulu, ukudumba okungapheliyo kubangela ukwenziwa kwethambo elongezelelweyo phakathi kwe-vertebrae yakho. Ngexesha, i-vertebrae inokudibana kunye. Nje ukuba oko kwenzeke, amandla akho okuhamba athintelwe ngokuqatha.

Cinga ngayo yonke imisebenzi yemihla ngemihla efuna ukugoba, ukolula, okanye ukujija. Ngokumalunga nokuma, ukugoba komqolo wakho kunokukushiya uzinze ngokusisigxina. Ukulungisa ngokupheleleyo umqolo wakho akusekho kunokwenzeka.

AS amayeza ayilelwe ukulawula ukudumba. Unyango lomzimba lunokunceda ukugcina umqolo wakho uguquguquka. Ukulandela isicwangciso esigqibeleleyo sonyango kunokunceda ukugcina umqolo wakho uguquguquka ukuze uphephe okanye ulibazise le ngxaki ye-AS.

Ngaphandle kweli nqaku, zimbalwa iindlela onokukhetha kuzo. Uhlobo lotyando olubizwa ngokuba yi-osteotomy lunokukwazi ukulungisa kunye nokuxhasa umqolo wakho. Yinkqubo apho ugqirha kufuneka asike umqolo wakho. Ngenxa yeso sizathu, ithathwa njengomngcipheko omkhulu kwaye kunqabile ukuba isetyenziswe.

2. Amalungu amaninzi kunye nemisipha inokonakala

I-AS ihlala ihleli kwaye iqhubela phambili. Ngokuhamba kwexesha, inokufakela umqolo wakho kunye namalungu e-sacroiliac (SI), asesinqeni sakho.

Kwipesenti ezili-10 zabantu abane-AS, ukudumba imihlathi yabo iba yingxaki. Inokuba buthathaka kuba yenza kube nzima ukuvula umlomo wakho ngokwaneleyo ukuba utye. Oku kungakhokelela kukungondleki kunye nokwehla kobunzima.

Malunga nesinye kwisithathu sabantu abane-AS bahlakulela iingxaki ezinqeni nasemagxeni abo. Abanye banokuba nomonakalo emadolweni abo.

Ukuvuvukala kunokwenzeka kwakhona apho iigaments zinamathele kwithambo. Oku kunokuchaphazela umqolo wakho, isifuba, amalungu e-SI, kunye namathambo e-pelvic. Inokudala iingxaki kwizithende zakho (Achilles tendonitis).

Le micimbi inokubangela iintlungu ezingapheliyo, ukudumba, kunye nokuthantamisa, kwaye ikugcine ungalali kakuhle ebusuku. Banokuphazamisana nayo yonke into ukusuka ukugoba nokungakwazi ukujika intloko xa uqhuba. Ukuhamba kuba yingxaki ekhulayo.

Iingxaki zomqolo ezinganyangekiyo zinokuba nefuthe elibi kubomi bakho.

Unyango lwe-AS lunokunceda ukuthintela ukonakala ngokudibeneyo kunye nokudityaniswa. Nje ukuba ube nomonakalo omkhulu esinqeni okanye emadolweni, ukhetho lwakho luthintelwe. Ungadinga utyando ukuze ubeke endaweni yomlenze wakho owonakeleyo okanye edolweni ngento yokufakelwa.

3. Unokuphuhlisa i-osteoporosis

Enye ingxaki enokubakho ye-AS yi-osteoporosis. Le yimeko apho amathambo akho esiba buthathaka kwaye aphuke. Ibeka onke amathambo akho emngciphekweni wokuqhekeka, nokuba ungawi okanye ungqubeke nzima. Oku kubaluleke ngakumbi xa kubandakanya umqolo wakho.

Nge-osteoporosis, kuya kufuneka unqande ezinye zezinto ozithandayo. Ukutyelela rhoqo i-rheumatologist yakho kuya kunceda ekuchongeni i-osteoporosis njengengxaki kwangoko. Kukho inani lonyango olusebenzayo ukunceda ukomeleza amathambo akho kunye nokunciphisa umngcipheko wokuqhekeka.

4. Unokuba neengxaki ngamehlo akho

Ukudumba kunokubangela iingxaki ngamehlo akho. I-Anterior uveitis (okanye i-iritis) yimeko apho umphambili wamehlo akho ebomvu kwaye edumbile. Ingaphezulu kwengxaki yokuthambisa. Inokubangela ukungaboni kakuhle okanye umbono onamafu, iintlungu zamehlo, kunye nemvakalelo yokukhanya (photophobia).

Ukungakhange kuhlolwe, i-uveitis yangaphakathi ingakhokelela ekulahlekelweni kombono ngokungagqibelelanga okanye ngokupheleleyo.

Ukuncamathisela kwirejimeni yonyango kunye nokutyelelwa rhoqo nogqirha wakho kuya kunceda ukubamba i-uveitis engaphambi kokuba iliso lakho libe nomonakalo osisigxina. Unyango olukhawulezileyo oluvela kwingcali yamehlo, okanye ugqirha wamehlo, lunokunceda ukukhusela umbono wakho.

5. Usemngciphekweni omkhulu wesifo sentliziyo

Ngenxa yokuba i-AS sisifo esingapheliyo sokudumba komzimba, sonyusa umngcipheko wesifo sentliziyo. Isifo sentliziyo sibandakanya:

• igazi elonyukayo
• ukubetha kwentliziyo ngokungaqhelekanga (i-fibrillation ye-atrial)
• ipleyiti kwimithambo yakho (atherosclerosis)
• ukuhlaselwa yintliziyo
• ukumelwa yintliziyo

Unokuwunciphisa umngcipheko wesifo sentliziyo ngokubambelela kunyango lwe-AS. Oku kufuneka kubandakanya ukutya okunesondlo, ukwenza umthambo rhoqo, kwaye ungatshayi.

Ngenxa yokuba usemngciphekweni ophezulu, yinto efanelekileyo ukubona ugqirha wakho rhoqo. Ngokukhawuleza xa ufumanisa iimpawu zesilumkiso sesifo sentliziyo, ngokukhawuleza ungaqala unyango olunokusindisa ubomi.

6. Ukudumba okungapheliyo kunokubangela ukunciphisa amandla emiphunga

Ukudumba okungapheliyo kunokubangela ukukhula kwamathambo amatsha kunye nezicwili ezibomvu apho kudibana khona iimbambo zakho kunye nethambo lesifuba. Kanye njengoko isenza kumqolo wakho, kunokubangela amathambo esifubeni sakho ukuba afake.

Oko kwenza ukuba kube nzima kakhulu ukuba isifuba sakho sandise ngokupheleleyo xa uphefumla. Ukunyanzelwa kwesifuba kunokubangela iintlungu eziba mandundu xa uthatha umoya. Ukungakwazi ukuphefumla ngokulula uxinzelelo nokuba ngowona msebenzi ulula.

Ungawehlisa amathuba akho kule ngxaki ngokuthatha amayeza ukulawula ukudumba. Ingcali yezomzimba inokukunceda wenze imithambo yokuphefumla ngokunzulu yokwandisa i-ribcage yakho.

7. Kukho ukubakho kokukhubazeka okusisigxina

Naziphi na iingxaki ezidweliswe ngaphambili zingakushiya ukhubazekile ngokusisigxina. Ukuba inye kuphela kunokukhokelela ku:

• ukungakwazi ukuthatha inxaxheba kwizinto ozithandayo zomzimba
• iingxaki zokuhamba
• kunciphise amandla okusebenza
• Ukuphulukana nenkululeko
• umgangatho wobomi osezantsi

Injongo yonyango lwe-AS kukucotha ukuqhubela phambili kwesifo kunye nokuthintela iintlobo zeengxaki ezinokukhokelela kukhubazeko olusisigxina. I-rheumatologist enamava ekunyangeni i-AS inokukunceda ukwenza isicwangciso sonyango ngokusekwe kwiimfuno zakho kunye nezinto ozikhethayo.

Imibuzo: Vavanya ulwazi lwakho kwi-ankylosing spondylitis