Ukwazi Izimpawu ze-Ankylosing Spondylitis Flare-Up

-Delile

• Izimpawu zokuqhuma
• Izimpawu zokuqala zokuqhuma
• Ubuhlungu emhlane ongezansi, okhalweni, nasezinqeni
• Ukuqina
• Ubuhlungu bentamo nokuqina
• Ukukhathala
• Ezinye izimpawu zokuqala
• Izimpawu zesikhathi eside zokuqhuma
• Ubuhlungu obungapheli emuva
• Ubuhlungu kwezinye izindawo
• Ukuqina
• Ukulahleka kokuguquguquka
• Ukuphefumula kanzima
• Kunzima ukuhamba
• Iminwe eqinile
• Ukuvuvukala kwamehlo
• Amaphaphu nokuvuvukala kwenhliziyo
• Ama-flare-ups ahlala isikhathi esingakanani
• Izimbangela nezimbangela zokuqubuka
• Ukuvimbela nokuphatha ama-flare-ups
• Uyini umbono?

I-Ankylosing spondylitis (AS) uhlobo lwesifo sokuqaqamba kwamalunga omzimba esivame ukuthinta umgogodla wakho nesinqe noma amalunga omhlane aphansi. Lesi simo sidala ukuvuvukala okuholela ebuhlungu, ukuvuvukala, ukuqina, nezinye izimpawu.

Njengezinye izinhlobo zesifo samathambo, i-ankylosing spondylitis kwesinye isikhathi ingavuleka. Ukuqhuma kwenzeka lapho izimpawu ziba zimbi. Ngesikhathi sokuqhuma, ungadinga ukunakekelwa nokwelashwa okungaphezulu kunalokho okudingayo ngezinye izikhathi. Ukuthethelelwa noma ukuthethelelwa okuyingxenye kulapho unezimpawu ezimbalwa, ezinamandla, noma ongenazo.

Ukwazi lapho ungahle ube ne-flare-up nokuthi yini ongayilindela kungakusiza ukuphatha impilo yakho. Khuluma nodokotela wakho mayelana nendlela engcono yokusiza ukuvimbela nokuthoba izimpawu. Kunezindlela eziningana zokunciphisa izimpawu nokwelapha i-ankylosing spondylitis.

Izimpawu zokuqhuma

Ama-flare-ups nezimpawu zawo kungahluka kakhulu kuwo wonke umuntu one-ankylosing spondylitis.

Iningi labantu abanalesi simo liyazibona izimpawu ezisukela eminyakeni eyi-17 kuye kwengama-45. Izimpawu nazo zingaqala ngesikhathi sobuntwana noma kubantu abadala. I-Ankylosing spondylitis iphindwe ka-2.5 emadodeni kunabesifazane.

Kunezinhlobo ezimbili eziyinhloko ze-ankylosing spondylitis flare-ups:

• kwasendaweni: endaweni eyodwa noma ezimbili kuphela
• jikelele: emzimbeni wonke

Izimpawu nezimpawu ze-ankylosing spondylitis flare-ups zingashintsha kuye ngokuthi unesikhathi esingakanani unesimo. Isikhathi eside i-ankylosing spondylitis flare-ups ngokuvamile ibangela izimpawu nezimpawu ezingxenyeni ezingaphezu kweyodwa zomzimba.

Izimpawu zokuqala zokuqhuma

Ubuhlungu emhlane ongezansi, okhalweni, nasezinqeni

Ubuhlungu bungaqala kancane kancane emasontweni ambalwa kuya ezinyangeni. Ungazizwa ungakhululekile ohlangothini olulodwa kuphela noma ezinhlangothini eziguqukayo. Ubuhlungu buvame ukuzwa buthuntu futhi busakazeka endaweni.

Imvamisa akububuhlungu obucijile. Ubuhlungu buba bubi kakhulu ekuseni nasebusuku. Ukuphumula noma ukungasebenzi kungabukhulisa ubuhlungu.

Ukwelashwa:

• ukuzivocavoca okulula nokwelula
• ishawa noma ukugeza okufudumele
• ukwelashwa kokushisa, njenge-compress efudumele
• izidakamizwa ezingezona ukuvuvukala (ama-NSAID), njenge-aspirin, ibuprofen, noma i-naproxen
• ukwelashwa ngokomzimba

Ukuqina

Ungaba nokuqina endaweni engezansi emuva, ezinqeni, nasezinqeni. Umhlane wakho ungazizwa uqinile futhi kungaba nzima ukusukuma ngemuva kokuhlala noma ukulala phansi. Ukuqina kuvame ukuba kubi ekuseni nasebusuku, futhi kuthuthuke emini. Kungaba kubi kakhulu ngesikhathi sokuphumula noma sokungasebenzi.

Ukwelashwa:

• ukunweba, ukunyakaza, nokuvivinya umzimba okulula
• ukwelashwa ngokomzimba
• ukwelashwa kokushisa
• ukwelashwa kokubhucungwa

Ubuhlungu bentamo nokuqina

I-Spondylitis Association of America iphawula ukuthi abantu besifazane kungenzeka babe nezimpawu eziqala entanyeni hhayi emuva emuva.

Ukwelashwa:

• ukuzivocavoca okulula nokwelula
• ishawa noma ukugeza okufudumele
• ukwelashwa kokushisa
• Ama-NSAID
• ukwelashwa ngokomzimba
• ukwelashwa kokubhucungwa

Ukukhathala

Ukuvuvukala nobuhlungu kungaholela ekukhathaleni nasekukhathaleni. Lokhu kungabhebhetheka ngokulala okuphazamisekile ebusuku ngenxa yobuhlungu nokungahambi kahle. Ukulawula ukuvuvukala kusiza ukuphatha ukukhathala.

Ukwelashwa:

• Ama-NSAID
• ukwelashwa ngokomzimba

Ezinye izimpawu zokuqala

Ukuvuvukala, ubuhlungu nokungahambi kahle kungadala ukulahlekelwa isifiso sokudla, ukwehla kwesisindo, kanye nomkhuhlane omncane ngesikhathi sokuqhuma. Ukuphatha ubuhlungu nokuvuvukala kusiza ukunciphisa lezi zimpawu.

Ukwelashwa:

• Ama-NSAID
• ukwelashwa ngokomzimba
• imishanguzo kadokotela

Izimpawu zesikhathi eside zokuqhuma

Ubuhlungu obungapheli emuva

I-ankylosing spondylitis flare-up ingadala ubuhlungu obungapheli bokubuya emuva ngokuhamba kwesikhathi. Ungazizwa udangele kubuhlungu obuvuthayo ezinhlangothini zombili zomhlane ongezansi, izinqe, nezinqulu. Ubuhlungu obungapheli bungahlala izinyanga ezintathu noma ngaphezulu.

Ukwelashwa:

• Ama-NSAID
• imishanguzo kadokotela
• imijovo ye-steroid
• ukwelashwa ngokomzimba, njengokuzivocavoca phansi namanzi

Ubuhlungu kwezinye izindawo

Ubuhlungu bungadlulela kwamanye amalunga ngokuhamba kwezinyanga ezimbalwa kuye eminyakeni. Ungaba nobuhlungu nobumnene maphakathi kuya phezulu emuva, entanyeni, amahlombe, izimbambo, amathanga, nezithende.

Ukwelashwa:

• Ama-NSAID
• imishanguzo kadokotela
• imijovo ye-steroid
• ukwelashwa ngokomzimba, njengokuzivocavoca phansi namanzi

Ukuqina

Ungase futhi ube nokuqina okukhulu emzimbeni wakho ngokuhamba kwesikhathi. Ukuqina kungasakazeka nasemhlane ongaphezulu, entanyeni, emahlombe, nasezintanjeni. Ukuqina kungaba kubi kakhulu ekuseni bese kuba ngcono kancane emini. Ungase futhi ube nemisipha yokuphazamiseka noma ukudikiza.

Ukwelashwa:

• Ama-NSAID
• imishanguzo kadokotela
• izidakamizwa zemisipha
• ukwelashwa ngokomzimba
• ukuzivocavoca phansi namanzi
• i-infrared sauna
• ukwelashwa kokubhucungwa

Ukulahleka kokuguquguquka

Ungalahlekelwa ukuguquguquka okujwayelekile kwamanye amalunga. Ukuvuvukala kwesikhathi eside emajoyini kungadibanisa noma ukuhlanganisa amathambo ndawonye. Lokhu kwenza amalunga aqine, kube buhlungu, futhi kube nzima ukunyakaza. Ungaba nokuguquguquka okuncane emhlane wakho nasezinqeni.

Ukwelashwa:

• Ama-NSAID
• imithi kadokotela
• izidakamizwa zemisipha
• imijovo ye-steroid
• ukuhlinzwa emuva noma okhalweni
• ukwelashwa ngokomzimba

Ukuphefumula kanzima

Amathambo embambo wakho wezintambo nawo angahlangana noma ahlangane. Izimbambo zenzelwe ukuguquguquka ukukusiza uphefumule. Uma amalunga ezimbambo eba aqinile, kungaba nzima ukuthi isifuba sakho namaphaphu akhule. Lokhu kungenza isifuba sakho sizizwe siqinile.

Ukwelashwa:

• Ama-NSAID
• imishanguzo kadokotela yokulwa nokuvuvukala
• imijovo ye-steroid
• ukwelashwa ngokomzimba

Kunzima ukuhamba

I-Ankylosing spondylitis ingathinta amalunga amaningi ngokuhamba kwesikhathi. Ungaba nobuhlungu nokuvuvukala ezinkalweni, emadolweni, emaqakaleni, ezithendeni nasezinzwaneni. Lokhu kungenza kube nzima ukuma, ukuhlala, nokuhamba.

Ukwelashwa:

• Ama-NSAID
• imithi kadokotela
• izidakamizwa zemisipha
• imijovo ye-steroid
• ukwelashwa ngokomzimba
• okokubopha idolo noma unyawo

Iminwe eqinile

Ama-Ankylosing spondylitis flare-ups nawo angasakazeka eminweni ngokuhamba kwesikhathi. Lokhu kungenza amalunga omunwe aqinise, avuvuke futhi abe buhlungu. Ungaba nobunzima bokuhambisa iminwe yakho, ukuthayipha, nokubamba izinto.

Ukwelashwa:

• Ama-NSAID
• imithi kadokotela
• imijovo ye-steroid
• ukwelashwa ngokomzimba
• ukubopha isandla noma isihlakala

Ukuvuvukala kwamehlo

Ngaphezu kwengxenye eyodwa kwezine yabantu abane-ankylosing spondylitis banokuvuvukala kwamehlo. Lesi simo sibizwa ngokuthi i-iritis noma i-uveitis. Kubangela ukubomvu, ubuhlungu, ukubona okungacacisi, kanye nama-float kwelinye noma womabili amehlo. Amehlo akho nawo angazwela ekukhanyeni okukhanyayo.

Ukwelashwa:

• amathonsi iso steroid
• amaconsi wamehlo ukukhulisa abafundi
• imithi kadokotela

Amaphaphu nokuvuvukala kwenhliziyo

Imvamisa, ukuqhuma kwe-ankylosing spondylitis kungathinta inhliziyo namaphaphu ngokuhamba kwesikhathi kwabanye abantu.

Ukwelashwa:

• Ama-NSAID
• imithi kadokotela
• imijovo ye-steroid

Ama-flare-ups ahlala isikhathi esingakanani

Abantu abane-ankylosing spondylitis imvamisa bane-flares eyodwa kuya kwemihlanu ngonyaka. Ama-flare-ups angahlala ezinsukwini ezimbalwa kuya ezinyangeni ezintathu noma ngaphezulu.

Izimbangela nezimbangela zokuqubuka

Azikho izimbangela ezaziwayo ze-ankylosing spondylitis. Ama-flare-ups nawo awanakulawulwa ngaso sonke isikhathi. Abanye abantu abane-ankylosing spondylitis bangase babe nomuzwa wokuthi ama-flare-ups abo anezimbangela ezithile. Ukwazi izimbangela zakho - uma unakho - kungasiza ekuvimbeleni ukuqhuma.

Udokotela uthole ukuthi amaphesenti angama-80 abantu abane-ankylosing spondylitis bezwa ukuthi ukucindezelwa kwabangela ukuqhuma kwabo.

Ukuvimbela nokuphatha ama-flare-ups

Ukukhetha indlela yokuphila enempilo nakho kungasiza ekuphatheni ama-flare. Isibonelo, ukuzivocavoca umzimba njalo nokwelashwa ngokomzimba kungasiza ekunciphiseni ubuhlungu nokuqina.

Yeka ukubhema futhi ugweme intuthu kagwayi. Abantu abane-ankylosing spondylitis ababhemayo basengozini enkulu yokulimala komgogodla. Lesi simo sithinta nenhliziyo yakho. Ungaba nengozi enkulu yesifo senhliziyo nesifo sohlangothi uma ubhema.

Thatha yonke imishanguzo njengoba unqunyelwe ukusiza ukuvimbela nokudambisa ukuqhuma. Udokotela wakho angakunikeza umuthi owodwa noma eminingi esiza ukulawula ukuvuvukala. Lokhu kungasiza ukuvimbela noma ukunciphisa ukuqhuma. Izidakamizwa ezisetshenziselwa ukwelapha i-ankylosing spondylitis zifaka:

• i-adalimumab (Humira)
• i-etanercept (Enbrel)
• golimumab (Simponi)
• infliximab (i-Remicade)
• imishanguzo elwa ne-TNF
• izidakamizwa zamakhemikhali
• IL-17 inhibitor, efana ne-secukinumab (Cosentyx)

Uyini umbono?

Noma yikuphi ukuphazamiseka noma isimo kungaholela ezimpawu zomzwelo. Ku, cishe amaphesenti angama-75 abantu abane-ankylosing spondylitis babike ukuthi bazizwa becindezelekile, bethukuthele futhi behlukanisiwe. Khuluma nodokotela wakho ngemizwa yakho noma ufune usizo lochwepheshe bezempilo yengqondo.

Ukujoyina iqembu labasizi nokuthola eminye imininingwane kungakusiza uzizwe ulawula imishanguzo yakho. Joyina inhlangano ye-ankylosing spondylitis ukuze uhlale usesikhathini nocwaningo olusha lwezempilo. Khuluma nabanye abantu abanalesi simo ukuthola indlela engcono yokuphatha i-ankylosing spondylitis yakho.

Okuhlangenwe nakho kwakho nge-ankylosing spondylitis flare-ups ngeke kufane nomunye umuntu onalesi simo. Naka umzimba wakho. Gcina iphephabhuku lezimpawu nosuku lokwelashwa nsuku zonke. Futhi, rekhoda okungahle kwenzeke okungahle kukubone.

Tshela udokotela wakho uma ucabanga ukuthi ukwelashwa kusiza ukuvimbela ukuqhuma noma ukunciphisa izimpawu noma uma uzwa ukuthi ukwelashwa akukusizi. Okusebenzele wena ngaphambilini kungenzeka kungakusebenzeli ngokuhamba kwesikhathi. Udokotela wakho kungadingeka ukuthi ashintshe ukwelashwa kwakho njengoba i-ankylosing spondylitis yakho iguquka.