U-Lindsey Curtis ungumbhali wezempilo oneminyaka engaphezu kwengama-20 enolwazi lokubhala izindatshana ngezempilo, isayensi, nokuphila kahle.
ULaura Campedelli, PT, DPT ungumelaphi womzimba onolwazi ekunakekelweni kwezimo eziphuthumayo esibhedlela kanye nokunakekelwa kweziguli zangaphandle kwezingane nabantu abadala.
Uma une-ankylosing spondylitis (AS), cishe uzwile ukuthi ama-brace angasiza ekunciphiseni ubuhlungu beqolo futhi agcine ukuma okuhle.Nakuba i-brace yesikhashana ingase isekele umgogodla ukusiza ukuphatha ubuhlungu, akusona isisombululo sesikhathi eside sokunciphisa ubuhlungu noma ukulungisa izinkinga zokuma.
Ukuthola amathuluzi afanele okwelapha izimpawu ze-ankylosing spondylitis ngezinye izikhathi kungase kufane nokufuna inaliti esitokisini sotshani.Ziningi ongakhetha kuzo;ama-brace nezinye izisetshenziswa ezisizayo zezipikha akuzona idivayisi yendawo yonke.Kungase kuthathe ukuzama nephutha uze uthole ithuluzi elingcono kakhulu lezidingo zakho.
Lesi sihloko sikhuluma ngokusetshenziswa kwama-corsets, ama-orthoses nezinye izinsiza ekwelapheni i-ankylosing spondylitis.
Ubuhlungu obungapheli obuphansi beqolo kanye nokuqina, izimpawu ezivame kakhulu ze-AS, ngokuvamile ziba zimbi ngokuphumula isikhathi eside noma ukulala futhi kuvame ukuthuthuka ngokuzivocavoca.Ukugqoka i-brace yokusekela i-lumbar kungadambisa ubuhlungu ngokunciphisa ingcindezi emgogodleni (ama-vertebrae) kanye nokukhawulela ukunyakaza.Ukwelula nakho kungaphumuza imisipha eqinile ukuze kuvinjwe ukugogeka kwemisipha.
Ucwaningo mayelana nokusebenza kwama-corsets ezinhlungu eziphansi emuva kuxubile.Ucwaningo lwathola ukuthi ukuhlanganiswa kwemfundo yokuzivocavoca, imfundo yobuhlungu emuva, nokusekelwa emuva akuzange kunciphise ubuhlungu uma kuqhathaniswa nokuzivocavoca kanye nemfundo.
Kodwa-ke, ukubuyekezwa kocwaningo lwe-2018 kwathola ukuthi ama-lumbar orthoses (ama-braces) anganciphisa kakhulu ubuhlungu futhi athuthukise umsebenzi womgogodla uma ehlanganiswa nezinye izindlela zokwelapha.
Ngesikhathi sokukhushulwa, i-AS ngokuvamile ithinta amalunga e-sacroiliac, axhuma umgogodla ne-pelvis.Njengoba lesi sifo siqhubeka, i-AS ingathinta wonke umgogodla futhi ibangele ukukhubazeka kwe-postural okufana nalokhu:
Nakuba ama-brace abonakala esebenza ngempumelelo ekuvimbeleni noma ekwehliseni izinkinga zokuma, alukho ucwaningo olusekela ukusetshenziswa kwe-back brace ku-AS.I-Arthritis Foundation incoma ukugqoka i-corset ukuze kulungiswe izinkinga zokuma ezihambisana ne-AS, engasebenzi futhi engasebenzi.Ukuzivocavoca kwe-ankylosing spondylitis kungasiza ukuphatha izimpawu futhi kuthuthukise ukuma kwabantu abane-AS.
Ubuhlungu nokuqina kungenza imisebenzi yansuku zonke ibe nzima, ikakhulukazi ngesikhathi sokuqubuka kwe-AS (noma izikhathi zokuqubuka noma ukubhebhetheka kwezimpawu).Esikhundleni sokuhlupheka, cabanga ngezinto ezisizayo ukuze unciphise ukungakhululeki futhi wenze impilo yansuku zonke ilawuleke.
Izinhlobo eziningi zamagajethi, amathuluzi kanye nezinye izisetshenziswa ziyatholakala.Indlela ekufanele incike ezimfanelweni zakho, indlela yokuphila, nezidingo zakho.Uma usanda kuxilongwa, ungase ungawadingi la madivayisi, kodwa abantu abane-AS ethuthukisiwe bangathola lawa mathuluzi elusizo ekuthuthukiseni ukuzimela kanye nokugcina izinga lempilo elihle.
Naphezu kokuthuthuka kwe-AS, abantu abaningi baphila impilo ende futhi ekhiqizayo nalesi sifo.Ngamathuluzi alungile nokwesekwa, ungaphilisana kahle ne-AS.
Izinsiza zokuhamba ezifana nalezi zingakusiza ukuthi uhambe kalula ekhaya, emsebenzini, nasemgwaqeni:
Ukuphathwa kobuhlungu kuyingxenye ebalulekile yokuphila kubantu abane-spondylitis e-ankylosing.Ngaphezu kokuthatha imithi enqunywe umhlinzeki wakho wezempilo, amakhambi athile, njengalawa alandelayo, angasiza ekunciphiseni ubuhlungu obuhlangene nokuqina:
Imisebenzi yansuku zonke ingaba yinselele uma ubhekene nama-AS flares.Imishini yokusiza ingakusiza wenze imisebenzi yansuku zonke ngobuhlungu obuncane, okuhlanganisa:
Ngezinketho eziningi kangaka, ukuthenga izinto ezisizayo kungaba nzima.Ungase ufise ukubonisana nodokotela wakho wokunakekela oyinhloko noma owelapha emsebenzini (OT) ngaphambi kokwenza noma yiziphi izinqumo.Bangakwazi ukuhlola izimpawu zakho futhi bakusize uthole amathuluzi afanele ezidingo zakho.
Izinsiza, amathuluzi, namagajethi nakho kungabiza.Ngisho nezinsiza ezingabizi ze-ankylosing spondylitis zingazikhokhela ngokushesha uma uzidinga.Ngenhlanhla, kunezindlela ezimbalwa zokukusiza ukumboza izindleko, okuhlanganisa:
I-Ankylosing spondylitis (AS) isifo samathambo esivuvukalayo esibonakala ngobuhlungu obuphansi beqolo nokuqina.Njengoba lesi sifo siqhubeka, i-AS ingaholela ekukhubazekeni komgogodla njenge-kyphosis (humpback) noma umgogodla we-bamboo.
Abanye abantu abane-AS bagqoka izisekelo zokuqondisa izinyawo ukuze banciphise ubuhlungu noma bagcine ukuma okuhle.Kodwa-ke, i-corset ayisona isisombululo sesikhathi eside sokunciphisa ubuhlungu noma ukulungisa izinkinga zokuma.
Izimpawu ze-AS zingenza kube nzima noma kungenzeki ukwenza imisebenzi yansuku zonke.Izinsiza, amathuluzi, namagajethi angakusiza ukuthi usebenze emsebenzini, ekhaya, nalapho usohambeni.Lawa mathuluzi enzelwe ukudambisa izinhlungu kanye/noma ukusekela ukuqondanisa kahle komgogodla ukusiza abantu abane-AS bahlale bezimele futhi baphile impilo enhle.
Umshwalense wezempilo, izinhlelo zikahulumeni kanye nezinhlangano ezisiza umphakathi zingasiza ekukhokheleni amadivayisi ukuqinisekisa ukuthi amathuluzi ayatholakala kulabo abawadingayo.
Eminye imikhuba ingenza izimpawu ze-spondylitis ze-ankylosing zibe zimbi kakhulu: ukubhema, ukudla ukudla okugayiwe, ukuma okungekuhle, indlela yokuphila yokungenzi lutho, ukucindezeleka okungapheli, nokungalali kahle.Ukukhetha indlela yokuphila enempilo nokulandela iseluleko somhlinzeki wakho wezempilo kungasiza ekulawuleni izimpawu futhi kubambezele ukuqhubeka kwesifo.
Akuwona wonke umuntu one-ankylosing spondylitis odinga isihlalo sabakhubazekile, izinduku, noma ezinye izinsiza zokuhamba ukuze ahambe.I-AS ithinta wonke umuntu ngendlela ehlukile.Nakuba izimpawu ezithile ezifana nobuhlungu be-back zivamile kubantu abane-AS, ukuqina kwezimpawu nokukhubazeka kuyahlukahluka kumuntu nomuntu.
I-Ankylosing spondylitis ayifaki ukuphila engozini, futhi abantu abane-AS banesikhathi sokuphila esivamile.Njengoba lesi sifo siqhubeka, kungase kube nezinkinga ezithile zempilo, njengesifo senhliziyo nemithambo yegazi kanye nesifo sobuchopho (imithambo yegazi ebuchosheni), okungandisa ingozi yokufa.
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I-American Spondylitis Association.Umphumela wobunzima bokushayela ekusebenzeni ezigulini ezine-axial spondyloarthritis.
I-National Institute of Disability and Rehabilitation.Yiziphi izinketho zakho zokukhokha zemishini yokusiza?
Izikhungo Zikazwelonke Zesayensi, Ubunjiniyela Nezokwelapha, Umnyango Wezempilo Nezokwelapha, Ikhomishini Yezinsizakalo Zezempilo.Imibiko ehlobene yomkhiqizo nobuchwepheshe.
Isikhathi sokuthumela: May-06-2023