Ukwakha Ithimba Lakho Lokunakekelwa Kwezempilo le-Ankylosing Spondylitis

-Delile

• Isazi samathambo
• Udokotela ojwayelekile
• I-Physiatrist noma owelapha ngokomzimba
• I-Dietitian noma i-nutritionist
• Udokotela wezifo zamehlo
• Udokotela wezifo zesisu
• I-Neurosurgeon
• Therapist, psychologist, psychiatrist, kanye namaqembu okusekela
• Ochwepheshe bezokwelapha abahambisanayo

Impilo ene-ankylosing spondylitis (AS) ingaba yinselele, kepha ukhiye ukuthola ukwesekwa. Ungaba nguwe onesimo, kodwa lokho akusho ukuthi kufanele udlule ekuphathweni nasekwelashweni wedwa.

Nakhu okufanele ngabe useqenjini lakho le-AS lezokunakekelwa kwezempilo, nokuthi yini okufanele uyibheke kuchwepheshe ngamunye.

Isazi samathambo

Ama-Rheumatologists anokuqeqeshwa okubanzi ekwelapheni zonke izinhlobo zamathambo. Imfundo eqhubekayo ibagcina benolwazi ngocwaningo lwakamuva nentuthuko kwezokwelapha.

I-rheumatologist yakho izohola ohlelweni lwakho lokwelashwa kwe-AS. Izinhloso zokwelashwa ukunciphisa ukuvuvukala, ukunciphisa ubuhlungu, nokuvimbela ukukhubazeka. I-rheumatologist yakho izobuye ikuthumele kwabanye ochwepheshe njengoba kudingeka.

Ufuna i-rheumatologist:

• unesipiliyoni ekwelapheni i-AS
• ivumela isikhathi se-Q & A nezingxoxo ezingagunci
• wabelana ngolwazi nalo lonke iqembu lakho lokunakekelwa kwezempilo

Lapho ufuna i-rheumatologist entsha noma yiluphi uhlobo lodokotela wezokwelapha, nazi izinto ezimbalwa ezibalulekile ongazifuna:

• inezitifiketi ezifanele zebhodi
• wemukela iziguli ezintsha
• isebenza necebo lakho lomshuwalense
• inendawo yehhovisi namahora ahambisana neyakho
• uphendula izingcingo noma okunye ukuxhumana ngesikhathi esibekiwe
• inokubambisana kwezibhedlela kunethiwekhi yakho

Udokotela ojwayelekile

I-rheumatologist yakho izohola ukwelashwa kwakho kwe-AS, kodwa akufanele unganaki ezinye izici zokunakekelwa kwakho kwezempilo. Yilapho udokotela ojwayelekile engena khona.

Ufuna udokotela ojwayelekile:

• uzimisele ukukuphatha njengomuntu ophelele
• ivumela isikhathi semibuzo
• icabangela ukwelashwa kwe-AS ne-AS ngesikhathi sokuhlolwa njalo nalapho welapha ezinye izimo
• yazisa i-rheumatologist yakho nganoma yiziphi izinkinga ezisolwayo eziphathelene ne-AS

Kokubili i-rheumatologist yakho kanye nodokotela ojwayelekile bangakudlulisela kwabanye ochwepheshe njengoba kudingeka.

Ngaphakathi kokuzijwayeza kukadokotela wakho, ungahle ube nesikhathi sokuhlangana nabahlengikazi noma abasizi bakadokotela (PAs). Ama-PAs enza umuthi ngaphansi kweso elibukhali likadokotela.

I-Physiatrist noma owelapha ngokomzimba

Ama-Physiatrists kanye nabahlinzeki bomzimba basiza ekulawuleni ubuhlungu, ekwakheni amandla, nasekukhuliseni ukuguquguquka.

I-physiatrist ngudokotela oqeqeshwe kwezokwelapha ngokomzimba nasekuvuseleleni. Zisiza ekwelapheni izinhlungu ngenxa yezimo ezikhubaza njenge-AS, kufaka phakathi imijovo yamalunga, ukwelashwa kwe-osteopathic (okubandakanya ukuhamba kwemisipha yakho mathupha), kanye nemikhuba ehambisanayo efana nokukhopa. Bangakunikeza ukuqondiswa kumelaphi wakho womzimba.

Abelaphi bomzimba bakufundisa ukwenza izivivinyo ezifanele ngendlela efanele. Zikusiza ukuthi ufunde ukwakha amandla akho, uthuthukise ukuguquguquka, futhi ubheke intuthuko yakho.

Funa umuntu onolwazi nge-AS, ezinye izinhlobo zesifo samathambo, noma izinkinga ezinzima emuva.

I-Dietitian noma i-nutritionist

Akukho kudla okukhethekile kwabantu abane-AS, futhi kungenzeka ungaludingi usizo kule ndawo. Kepha ukudla kuyingxenye ebalulekile yempilo yakho yonke. Futhi, ukuthwala isisindo esiningi kakhulu kungabeka ubunzima obungeziwe emgogodleni wakho nakwamanye amalunga athintwe yi-AS.

Uma udinga ukwesekwa kokudla okunempilo, izazi zokudla kanye nezazi zokudla okunempilo zingakuqalisa ngendlela efanele.

Izazi zokudla kanye nezazi zokudla okunomsoco akufani ncamashi. Ngokuvamile, kufanele ubheke isazi sokudla noma isazi sokudla okunesitifiketi sebhodi. Imithethonqubo yale mikhakha iyahlukahluka kakhulu kuye ngombuso. I-rheumatologist yakho noma udokotela ojwayelekile angakudlulisela kuchwepheshe ofanelekayo.

Udokotela wezifo zamehlo

Kuze kube ngamaphesenti angama-40 abantu abanesipiliyoni se-AS ukuvuvukala kweso (i-iritis noma i-uveitis) ngesikhathi esithile. Imvamisa iyinto yesikhathi esisodwa, kepha ibucayi futhi idinga ukunakekelwa ngokushesha kochwepheshe wamehlo.

Udokotela wezifo zamehlo udokotela owelapha izifo zeso.

Buza i-rheumatologist yakho noma udokotela womndeni ukuthi udlulisele ku-ophthalmologist oqinisekiswe ibhodi. Okungcono kakhulu uma ungathola onolwazi ekwelashweni ukuvuvukala kweso ngenxa ye-AS.

Udokotela wezifo zesisu

Ukuvuvukala ngenxa ye-AS kungaholela esifweni sokuvuvukala kwamathumbu noma kwi-colitis.

Ama-gastroenterologists athola ukuqeqeshwa okubanzi ekwelapheni izifo zamathumbu. Bheka isitifiketi sebhodi nesipiliyoni sokubhekana nesifo samathumbu esivuthayo (isifo sikaCrohn's, ulcerative colitis).

I-Neurosurgeon

Kungenzeka ukuthi awudingi i-neurosurgeon. Ngenkathi ukuhlinzwa kungasiza ekuqiniseni nasekuqondiseni umgogodla okhubazekile, akuvamile ukuthi kusetshenziswe ukwelapha i-AS. Kubhekwa njengengozi enkulu futhi kuvame ukusetshenziswa kuphela ngemuva kokuthi zonke ezinye izindlela zokwelapha zehlulekile.

Ama-Neurosurgeons aqeqeshelwe ukwelapha ukuphazamiseka okuthinta isistimu yezinzwa ephakathi, efaka umgogodla. Kuyinto ekhethekile edinga amakhono ayinkimbinkimbi.

I-rheumatologist yakho ingakudlulisela kwi-neurosurgeon eqinisekiswe ibhodi enolwazi nge-AS.

Therapist, psychologist, psychiatrist, kanye namaqembu okusekela

Ukuphila nokugula okungalapheki, kungenzeka ukuthi uzodinga uhlobo oluthile lokuxhaswa endleleni, noma ngabe kungokwesikhashana. Vele kunamazinga ahlukene osekelo, kuya ngezidingo zakho. Nakhu ukuhlukaniswa kobuchwepheshe:

• Udokotela: Izidingo ziyahlukahluka. Kwezinye izifundazwe, umelaphi kungenzeka angabi nazidingo zezinga elithile. Kwabanye, kungadinga i-Master of Psychology. Abelaphi basebenzisa indlela yokuziphatha ekwelashweni.
• Umeluleki oqeqeshiwe onelayisense: Izidingo ziyahlukahluka kuye ngezwe, kepha iningi lineziqu ze-master kanye nesipiliyoni somtholampilo. Abakwazi ukunikela ngemithi.
• Isazi sokusebenza kwengqondo: Ubambe iziqu zobudokotela futhi uqeqeshelwe imicabango, imizwa nokuziphatha.
• Udokotela wezifo zengqondo: Ubambe i-Doctor of Medicine noma i-Doctor of Osteopathic Medicine degree egxile kwezempilo yengqondo. Ungahlola, welaphe, futhi unikeze imithi yezinkinga zengqondo nokuphazamiseka kwempilo yengqondo.

Amaqembu okusekelwa ngaphakathi noma e-inthanethi angakusiza ukubhekana nezinkinga eziphathelene ne-AS noma ukuhlala nokugula okungamahlalakhona. Kunokwehluka okuningi emaqenjini okusekela. Ungazizwa ukuthi kufanele unamathele kowokuqala owutholayo. Qhubeka ubheke uze uthole eyodwa ehlangabezana nezidingo zakho. I-Spondylitis Association of America inohlu lwamaqembu okusekela ongawasebenzisa njengesiqalo.

Ochwepheshe bezokwelapha abahambisanayo

Kunezindlela eziningi zokwelapha ezihambisanayo ongazenza wedwa, njengokuzivocavoca okujulile nokuphefumula. Kwabanye, njenge-acupuncture, kufanelekile ukuhlola ubuqiniso.

Okokuqala, kusule nge-rheumatologist yakho. Ngokuya ngezinga lokuqhubeka kwesifo nokuthi udokotela unolwazi kangakanani, ezinye izindlela zokwelapha ezihambisanayo zingaba buhlungu kakhulu kunokuba zisize.

Buza odokotela bakho ngezincomo. Bese wenza umsebenzi wesikole uwedwa. Izimpawu zokucwaninga neminyaka yesipiliyoni. Hlola ukubona ukuthi ngabe kube khona yini izikhalazo ezibhekiswe kudokotela.

Ezinye izindlela zokwelapha ezihambisanayo zingambozwa ngumshuwalense wakho wezempilo, ngakho-ke qiniseka ukuthi ubheka lokho futhi.