Imibuzo Ebalulekile Ongayibuza Ngemuva Kokuxilongwa Kwesifo Samathambo se-Psoriatic

-Delile

• 1. Ingabe i-PsA iyelapheka?
• 2. Imaphi amalunga ajwayele ukuthinta i-PsA?
• 3. Yiziphi izimo ezihlotshaniswa ne-PsA?
• 4. Ngazi kanjani ukuthi yiluphi ukwelashwa olungifanele?
• 5. Ngingabuphatha kanjani ubuhlungu?
• 6. Ngabe ngizodinga ukuhlinzekelwa i-PsA yami?
• 7. Kukangaki ngidinga ukubona udokotela?
• 8. Yiziphi izinguquko engingazenza ukuze ngisize iPSA yami?
• Ngivocavoca kanjani i-PsA?
• 10. Ingabe kufanele ngenze ushintsho ekudleni kwami?
• 11. Ngingasebenza ne-PsA?
• Ukudla okudlela endlini

Ukubuka konke

Ukuxilongwa kwe-psoriatic arthritis (PsA) kungashintsha impilo. Cishe unemibuzo eminingi mayelana nokuthi kusho ukuthini ukuhlala ne-PsA nokuthi ungayiphatha kanjani kangcono.

Nayi imibuzo eyi-11 okungenzeka ukuthi uyazibuza yona, kanye nezimpendulo zayo. Sethemba ukuthi lokhu kungakusiza uqonde kangcono ukwelashwa, ukuguqulwa kwendlela yokuphila, nokuhlobene kakhulu ne-PsA.

1. Ingabe i-PsA iyelapheka?

I-PsA yisifo esingelapheki esithinta amalunga akho. Ngeshwa, alikho ikhambi.

Noma kunjalo, kubalulekile ukufuna ukwelashwa ukuze ugweme ukonakala emalungeni akho. Ukuziba izimpawu nokubambezela ukwelashwa kungadala umonakalo omkhulu emzimbeni wakho ngokuhamba kwesikhathi. Kunezindlela zokwelapha eziningi ezitholakalayo zokunciphisa ukuqhubeka kwalesi simo nokugwema ukulimala okuhlangene ngokuqinile.

Abanye abantu baba nokuxolelwa, okusho ukuthi abanazo izimpawu ze-PsA. Lokhu kwenzeka cishe kumaphesenti amahlanu amacala.

2. Imaphi amalunga ajwayele ukuthinta i-PsA?

I-PsA ingathinta noma yiliphi ilunga emzimbeni wakho, kufaka phakathi amalunga amakhulu njengamadolo akho namahlombe kanye namajoyinti amancane eminwe nasezinzwaneni zakho. Ungase ube nezimpawu emgogodleni wakho.

Ungathola ukuvuvukala ngokuhlangana okukodwa ngasikhathi, ezimbalwa ngasikhathi, noma eziningi ngasikhathi sinye. I-PsA nayo ingadala ukuvuvukala ezingxenyeni zomzimba wakho ezixhuma emathanjeni akho, njengamathambo nemisipha. Lokhu ukuvuvukala kubizwa ngokuthi i-enthesitis.

3. Yiziphi izimo ezihlotshaniswa ne-PsA?

Ungaba sengozini enkulu yokuthuthukisa esinye isimo sempilo uma une-PsA.

Kunezimo eziningi ezingeziwe ezingenzeka uma une-PsA, kufaka phakathi:

• i-anemia
• ukudana
• isifo sikashukela
• ukukhathala
• umfutho wegazi ophakeme
• cholesterol ephezulu
• isifo se-metabolic syndrome
• isifo sesibindi esingenawo utshwala
• ukukhuluphala ngokweqile
• ukukhumuzeka kwamathambo

Xoxa nodokotela wakho ngezingozi zalezi zimo. Kungase kudingeke ukuthi ulungise indlela ophila ngayo ukunciphisa ubungozi bokuthuthukisa lezi ezinye izimo.

4. Ngazi kanjani ukuthi yiluphi ukwelashwa olungifanele?

Ukwelapha i-PsA kuvame ukufaka imithi ehlukene kanye nokuguqulwa kwendlela yokuphila. Kuzodingeka usebenze nodokotela wakho ukunquma uhlelo oluhle kakhulu lwezokwelapha wena nezimpawu zakho. Ukwelashwa kwe-PsA kungafaka inhlanganisela yezindlela zokwelashwa.

Eminye imigomo yokwelapha i-PsA yakho yile:

• ukunciphisa ubuhlungu, ukuqina, nokuvuvukala kwamalunga akho
• khomba ezinye izimpawu ze-PsA
• misa noma unciphise ukuqhubeka kwe-PsA
• gcina ukuhamba emajoyintini akho
• gwema noma wehlise izinkinga ezingavela ku-PsA
• thuthukisa impilo yakho

Izici ezingathinta ukwelashwa zifaka ukuqina kwe-PsA yakho, umonakalo eyenzile emzimbeni wakho, ukwelashwa kwangaphambilini, nokuthi unazo yini ezinye izimo zezokwelapha.

Umqondo omusha wokwelapha i-PsA ukhonjwe njengendlela "yokwelapha ukukhomba", lapho umgomo wokugcina ungukuxolelwa kwe-PsA.

Lapho uxoxa nodokotela wakho ngezindlela zokwelashwa, cabanga ngale mibuzo elandelayo:

• Yini ukwelashwa okwenzayo?
• Ngizodinga kaningi kangakanani ukuthatha noma ukwelashwa?
• Ngabe ngidinga ukugwema noma yini lapho ngizama le ndlela yokwelashwa noma ngisebenzisa lo muthi?
• Ingabe kunemiphumela engemihle nezingozi zokwelashwa?
• Kuthatha isikhathi esingakanani ukuqaphela imiphumela yokwelashwa?

Kufanele ukhulume nodokotela wakho njalo mayelana nokwelashwa kwakho ukuze uqiniseke ukuthi uhlelo lwakho luyasebenza esimeni sakho samanje. Ungadinga ukulungisa izindlela zokwelashwa njengoba kudingeka ngokuya ngezimpawu zakho nendlela ophila ngayo.

5. Ngingabuphatha kanjani ubuhlungu?

Ukubhekana nobuhlungu kungaba yinto eza kuqala kuwe. Ukuvuvukala okuzungeze amalunga akho kungahle kungakhululeki. Lokhu kungathinta nenhlalakahle yakho yengqondo kanye nekhwalithi yempilo yonke.

Udokotela wakho angancoma ukusebenzisa izidakamizwa ezingezona ukuvuvukala (ama-NSAID) noma i-aspirin njengokwelashwa kokuqala kobuhlungu obubangelwa yi-PsA. Ubuhlungu obukhulu noma ubuhlungu obunganciphisi ngokusebenzisa lezi zindlela zokwelashwa zingadinga imishanguzo enamandla kakhulu. Isibonelo, i-biologics inikezwa ngomjovo noma ngemithambo.

Uma ubuhlungu bakho bungaphenduli kulezi zindlela, udokotela wakho angancoma imithi esiza ngobuhlungu bezinzwa noma ukuzwela kwakho ebuhlungwini.

Ungase futhi uthande ukuzama ezinye izindlela zokuqeda izinhlungu namasu okuphumula. Lokhu kungafaka ukuzindla, ukutshopa noma i-yoga.

6. Ngabe ngizodinga ukuhlinzekelwa i-PsA yami?

Ukwelapha i-PsA kusenesikhathi kungakusiza ukuthi ugweme ukwelashwa okuthe xaxa njengokuhlinzwa.

Ukuhlinzwa kungasiza ekunciphiseni ukungakhululeki, kuthuthukise ukusebenza, futhi kulungiswe amalunga omzimba awonakele. Ezimweni ezingavamile, udokotela wakho angancoma ukuhlinzwa ukuze kulungiswe umonakalo ezintanjeni zakho noma uze ufake elinye ilungu.

7. Kukangaki ngidinga ukubona udokotela?

Ukuphatha i-PsA kuzodinga ukuvakashelwa njalo kudokotela wakho. Udokotela wakho uzofuna ukuthi ungene njalo ezinyangeni ezimbalwa noma ezikhathini ezimbalwa ngonyaka ukuqapha i-PsA yakho. Inani lezikhathi lapho ubona udokotela wakho ziyahlukahluka kuye ngobukhulu besimo sakho kanye nemithi ethile oyithathayo, njengoba imishanguzo inamashejuli ahlukene wokuqapha.

Ukuvakashelwa njalo kudokotela kungabandakanya:

• ukuhlolwa ngokomzimba
• ingxoxo mayelana nokwelashwa kwakho kwamanje
• ukuhlolwa kwegazi ukukala ukuvuvukala
• Ama-X-ray, ama-MRIs, noma ama-ultrasound ukubona izinguquko kumalunga akho

Abanye ongoti ongadinga ukubabona bafaka okulandelayo:

• isazi samathambo
• owelapha ngokomzimba
• owelapha emsebenzini
• udokotela wesikhumba
• isazi sokusebenza kwengqondo
• udokotela wezifo zamehlo
• udokotela wesisu

Ithimba lakho lodokotela lingakusiza ukwelapha zonke izici ze-PsA. Lokhu kufaka phakathi izimpawu ezihlobene ne-psoriasis nezinye izimo ezi-comorbid, kanye nempilo yakho yengqondo.

8. Yiziphi izinguquko engingazenza ukuze ngisize iPSA yami?

Ukwelapha i-PsA kungabandakanya okungaphezu nje kokwelashwa nokuhlinzwa. Ukwenza ukuguqulwa kwendlela yakho yokuphila kungasiza ekunciphiseni izimpawu futhi kubambezele ukuqhubeka kwesimo.

Nazi izinguquko ezimbalwa ongazenza ukuphatha i-PsA yakho:

• gcina isisindo esinempilo
• ukuzivocavoca umzimba njalo, ulandela imiyalo evela kudokotela wakho
• ukuphumula lapho kudingeka
• phatha amazinga akho okucindezeleka
• yeka ukubhema
• qapha izimpawu zakho ukuze ugweme isimilo esandisa noma esivelisa izimpawu

Kufanele futhi uhlale uhlelekile uma une-PsA ukukusiza ukuthi ulandele ama-aphoyintimenti nemithi.

Ngivocavoca kanjani i-PsA?

Ungase ucabange ukuthi kufanele uphumule kuphela uma unenkani nobuhlungu emajoyintini akho. Kepha ukuzivocavoca kunganciphisa ubuhlungu futhi kukusize uhambe. Kungasiza futhi ngamazinga akho okuxineka, kuthuthukise umbono wakho wengqondo, futhi kunciphise ubungozi bakho bokuthola isimo sempilo esi-comorbid.

Udokotela wakho noma owelapha ngokomzimba angancoma izindlela ezinempilo zokuzivocavoca umzimba uma une-PsA. Ukuzivocavoca okunomthelela ophansi kungaba ngcono kuwe, njengokuhamba, ukuhamba ngebhayisikili, noma ukubhukuda. Ungathola nokuthi ukuqeqeshwa ngamandla kwe-yoga noma okungasindi kukulungele.

Uma kudingeka, udokotela wakho angancoma imishini yokuzivocavoca noma ukulungiswa ukuze kubhekane nezimpawu zakho ze-PsA.

10. Ingabe kufanele ngenze ushintsho ekudleni kwami?

Ukudla kwakho kungadlala indima kuzimpawu zakho ze-PsA. Ukushintsha okudlayo ngeke kuyiphathe i-PsA uqobo, kepha kungakwazi ukunciphisa ubunzima bezimpawu zakho.

Ukugcina isisindo esinempilo kuyisici esibalulekile sokuphatha i-PsA yakho. I-2018 ihlole izifundo ezingama-55 ngokudla ne-psoriasis ne-PsA. Abaphenyi bancoma ukuthi udle ukudla okuncishisiwe okunekhalori uma ukhuluphele noma ukhuluphele ngokweqile. Ukufinyelela isisindo esinempilo kunganciphisa izimpawu ze-PsA.

Ucwaningo luphinde lwasho nokuthi ukuthatha izengezo zikavithamini D kungaba nemiphumela emihle kwizimpawu zePsA.

Ungaqala ukudla okuncishisiwe-ikhalori ngokusika ama-carbohydrate angadingekile nokwenza ukulawula ingxenye. Ukuvivinya umzimba njalo nakho kungakusiza wehlise isisindo.

Awudingi ukusika ukolweni noma ezinye izinhlobo ze-gluten uma ungenaso isifo se-celiac noma ukuzwela kwe-gluten.

11. Ngingasebenza ne-PsA?

Kufanele ukwazi ukuqala kabusha imisebenzi yomsebenzi ngemuva kokuxilongwa kwe-PsA. Kepha ungahle uthande ukwenza ukulungisa emsebenzini ukuphatha izimpawu zakho.

Xoxa ngokuguqulwa nomphathi wakho. Isibonelo, ungahle udinge ukulungisa uhlelo lwakho lomsebenzi ukuze uhambele aphoyintimenti kadokotela noma usebenzise amadivayisi okusiza ukukusiza usebenze. Ukuhlela amakhefu avamile kungasiza ekunciphiseni ubuhlungu obuhlangene nokuqina.

Ukudla okudlela endlini

Ngemuva kokuxilongwa kwe-PsA, ungahle ube nemibuzo engapheli ngekusasa lakho. Khuluma nodokotela wakho futhi ufunde okuningi ngangokunokwenzeka ngokwakho mayelana nokwelashwa, ukuguqulwa kwendlela yokuphila, nokuphathwa kwezimpawu. Ukuba nolwazi nge-PsA kuyisinyathelo sokuqala sokuphila impilo enempilo nejabulisayo naphezu kwesimo sakho.