Imibuzo eyi-10 I-Rheumatologist yakho Ifuna Uyibuze Nge-Ankylosing Spondylitis

-Delile

• 1. Ingabe unolwazi lokwelapha i-AS?
• 2. Ingabe kukhona ukuzivocavoca okuthile okufanele ngikwenze?
• 3. Yimiphi imithi ezosiza?
• 4. Ngabe ngidinga ukulandela uhlobo oluthile lokudla?
• 5. Kufanele ngibuye kaningi kangakanani ukuyohlolwa? Yiziphi izivivinyo ozozenza?
• 6. Ngabe kukhona engingakwenza ngokuma kwami?
• 7. Ingabe ukuphulula umzimba, ukutshopa noma ukwelashwa kwe-chiropractic kuphephile?
• 8. Uyini umbono wami?
• 9. Ngabe kukhona okungafanele ngikwenze?
• 10. Ngabe bakhona abanye ochwepheshe okufanele ngibabone?

Noma ngabe uzilungiselele ngokuphelele ukuqokwa kwakho okuzayo kwe-ankylosing spondylitis (AS) ngokwenza uhlu lwemithi yakho, uqaphele izimpawu ezintsha, futhi wenze nocwaningo lwakho lokwelashwa, maningi amathuba okuthi kunezinto ozilahlekile. Nayi imibuzo eyi-10 i-rheumatologist yakho efisa ukuyiveza.

1. Ingabe unolwazi lokwelapha i-AS?

Lona kungaba umbuzo obaluleke kunayo yonke oyibuzayo, futhi udokotela omuhle ngeke akuphathe kabi lokho.

Ama-Rheumatologists aqeqeshelwe ukwelapha i-arthritis, kepha kunezinhlobo eziningi ze-arthritis.

NJENGOBA kutholakala ukutholakala kubantu abasha, futhi kuthatha impilo yonke yokuphathwa kwezifo. Lokho kusho ukuthi uzofuna ukwakha ubambiswano nodokotela oqonda imininingwane ye-AS kanye nezinkinga zayo ezingaba khona, futhi usesikhathini ngezindlela zokwelashwa zakamuva.

Noma ngabe uke wabona le rheumatologist ethile phambilini, kuhlale kungumbono omuhle ukubuza mayelana nesipiliyoni sabo esihlobene ne-AS.

2. Ingabe kukhona ukuzivocavoca okuthile okufanele ngikwenze?

Ukuzivocavoca umzimba kuyingxenye ebalulekile yokwelashwa kwe-AS. Ukuzivocavoca umzimba kungasiza ekunciphiseni ubuhlungu, kwandise ukuguquguquka, futhi kuthuthukise impilo yonke. Vele, uzofuna ukuqinisekisa ukuthi wenza uhlobo olufanele lokuzivocavoca ngendlela efanele.

I-rheumatologist yakho ijwayelene nezimpawu zakho futhi izokwazi ukuncoma izivivinyo ezinhle kakhulu kuwe. Uhlobo lwakho cishe luzobandakanya ukuqiniswa kwemisipha nokuzivocavoca kokunyakaza.

Ungase futhi ufune ukucela ukuthunyelwa kuchwepheshe wezempilo ongakwazi ukuhlela uhlelo ukufanisa izidingo zakho. Izinhlelo ezigadiwe zitholakale zisebenza kangcono kunokuzihambela wedwa.

3. Yimiphi imithi ezosiza?

Imithi iyithuluzi elibalulekile ekwelapheni i-AS. Kunemithi eyenzelwe ukunciphisa ukuqhubeka, ukunciphisa izinhlungu, nokuqeda ukuvuvukala. Phakathi kwazo kukhona:

• izidakamizwa zokuguqula izifo (i-DMARDs)
• izidakamizwa ezingezona ukuvuvukala (ama-NSAID)
• ama-corticosteroids
• ama-biologic agents

I-rheumatologist yakho izokusiza ukuthi unqume ngemithi ngokususelwa kwizimpawu zakho, ukuqhubekela phambili kwezifo, nezinto ozithandayo.

Uzoxoxa ngezinzuzo ezingaba khona zomuthi ngamunye, kanye nemiphumela emibi engaba khona. Ungakhohlwa ukubuza ukuthi umuthi ngamunye uhlangana kanjani notshwala, kanye neminye imithi oyithathayo. Ukuqala ngomthamo ophansi kunayo yonke, imithi kufanele ilungiswe ukuhlangabezana nezidingo zakho.

Udokotela wakho uzoqapha impendulo yakho emithini ekuvakasheni okuzayo. Kepha unganqikazi ukubiza phakathi kokuvakasha uma kungasebenzi.

4. Ngabe ngidinga ukulandela uhlobo oluthile lokudla?

Akukho kudla okuqondene ngqo ne-AS, kepha kufanelekile ukubuza umbuzo. Udokotela wakho uzokwazi nganoma yiziphi ezinye izinkinga zezokwelapha, ukushoda kokudla, kanye nesimo sakho sempilo jikelele.

Ukuthwala isisindo esingeziwe kungeza ukucindezela emajoyintini akho, ngakho-ke bangakweluleka ngokuthi unganciphisa kanjani isisindo ngokuphepha noma ugcine isisindo esinempilo.

Uma ukulinganisela indlela odla ngayo kubonakala kuyinkinga, cela ukuthunyelwa kudokotela wezokudla noma isazi sokudla ukuze akusize uqalise.

5. Kufanele ngibuye kaningi kangakanani ukuyohlolwa? Yiziphi izivivinyo ozozenza?

Ayikho imithetho enzima futhi esheshayo yokuqapha i-AS ngoba ayifani kuwo wonke umuntu. I-rheumatologist yakho izohlola izimpawu zakho kanye nokuqhubekela phambili kwezifo ukuze kutholakale uhlelo lokusebenza.

Buza ukuthi ukuqokwa kwakho okulandelayo kufanele kube nini nokuthi kumele ubhukhe kusenesikhathi kangakanani. Uma udokotela wakho elindele ukwenza noma yiziphi izivivinyo ngaleso sikhathi, buza:

• Iyini inhloso yalolu vivinyo?
• Ingabe kudinga noma yikuphi ukulungiselela kimi?
• Ngingayilindela nini futhi kanjani imiphumela (ifoni, i-imeyili, ukuqokwa kokulandelela, ngqo okuvela kubhu, ngokusebenzisa uhlelo lokurekhoda lwezempilo online?

Isikhathi sakho sokuqapha izifo cishe sizohluka njengoba isimo sakho senza.

6. Ngabe kukhona engingakwenza ngokuma kwami?

Njengoba i-AS ithinta kakhulu umgogodla wakho, lo ngumbuzo omuhle kakhulu. Abanye abantu abane-AS ekugcineni baba nenkinga yokulungisa umgogodla wabo. Abanye baze babe nama-vertebrae ahlanganisiwe.

Lokhu akwenzeki kuwo wonke umuntu. Izindaba ezinhle ukuthi kunezindlela zokuthuthukisa ukuma kwakho nokugcina umgogodla wakho uguquguquke ngangokunokwenzeka isikhathi eside ngangokunokwenzeka.

Ngemuva kokuthi udokotela wakho ahlole umgogodla wakho, bazokwazi ukunikeza amathiphu angafaka:

• ukuma kwengqondo ngenkathi uhleli futhi umile
• izivivinyo zokuqinisa imisipha
• ukuzivocavoca umzimba
• amathiphu wokubeka isikhathi sokulala
• imikhuba emihle yokuhamba

7. Ingabe ukuphulula umzimba, ukutshopa noma ukwelashwa kwe-chiropractic kuphephile?

Ezinye izindlela zokwelapha ezihambisanayo zingasiza ekunciphiseni izimpawu nasekuthuthukiseni impilo yakho yonke. Ngoba i-AS iqhubeka ngokuhlukile kuwo wonke umuntu, izindlela zokwelapha ezinjenge-massage zingasiza abanye abantu, kepha zenze izimpawu zibe zimbi kwabanye.

Buza udokotela wakho ukuthi lezi zindlela zokwelapha zingakulimaza yini. Uma kungenjalo, cela ukuhanjiswa kubasebenzi abaqeqeshiwe, abanamalayisense.

8. Uyini umbono wami?

Kunzima ukusho ukuthi i-AS izothuthuka kanjani. Abanye abantu babhekana nenkambo emincane yalesi sifo. Abanye bajabulela nokuxolelwa okude phakathi kwezikhathi zokuvuvukala okusebenzayo. Kwabanye, ukukhula kwezifo kuyashesha futhi kuholela ekukhubazekeni.

Akekho osesimweni esingcono sokukunikeza umbono wokuthi yini ongayilindela kune-rheumatologist yakho.

Okuningi kuzoya ngemithi oyikhethayo, ukuthi uyisebenzisa kanjani, nokuthi iphumelela kangakanani. Ungathuthukisa umbono wakho ngoku:

• ukuhlala uvivinya umzimba ngangokunokwenzeka
• ukulandela ukudla okunomsoco
• ukugcina isisindo esinempilo
• ukuyeka ukubhema

9. Ngabe kukhona okungafanele ngikwenze?

Yize ukuzivocavoca kuyingxenye yokwelashwa kwakho, udokotela wakho angafuna ukuthi ugweme ukunyakaza okuthile noma ukuphakamisa izinto ngesisindo esithile. Lo kungaba ngumbuzo obaluleke kakhulu uma unomsebenzi odinga umzimba.

Futhi, akufanele ubheme ngoba kuxhunyaniswe nomphumela omubi wokusebenza kubantu abane-AS. Uma ubhema futhi ungakwazanga ukuyeka, khuluma nodokotela wakho mayelana nezinhlelo zokuyeka ukubhema.

10. Ngabe bakhona abanye ochwepheshe okufanele ngibabone?

I-rheumatologist yakho izohola ekwelapheni i-AS yakho. Kepha kungathinta cishe zonke izingxenye zomzimba wakho, ngakho-ke kungahle kube nezikhathi lapho udinga ukubona omunye uchwepheshe onjenge:

• owelapha ngokomzimba ukusiza ngokuzivocavoca umzimba kwakho
• udokotela wezifo zamehlo ukwelapha izinkinga ezingenzeka ngamehlo akho
• i-gastroenterologist yokwelapha izimpawu ezihlobene namathumbu (colitis)
• owelapha ukusiza ngezidingo zakho ezingokomzwelo
• isazi sokudla noma isazi sokudla okunomsoco ukukhuthaza imikhuba yokudla enempilo

Okuningi kuzoya ngezimpawu zakho ezithile. I-rheumatologist yakho izokwenza izincomo ngokufanele.

Udokotela wakho futhi anganikeza imininingwane ngamaqembu okusekela kanye nemithombo yolwazi olwengeziwe.