Twese twigeze kugira ububabare bw'umugongo mu buzima bwacu, sibyo? Iyo wunamye gato cyangwa uteruye ikintu kiremereye, ububabare buzashira mu minsi mike. Ariko ... rimwe na rimwe ubu bubabare bw'umugongo ntibuba bworoshye cyane. Bushobora kuba intangiriro y'ikibazo gikomeye kimaze imyaka myinshi kikubangamiye kandi kidashobora gupimwa neza. Uyu munsi turimo kuvuga kuri imwe muri izo ndwara. Iyo ni Ankylosing Spondylitis, cyangwa AS mu magambo ahinnye.
Ankylosing Spondylitis (AS) ni iki?
Muri make, Ankylosing Spondylitis (AS) ni ubwoko bw'indwara y'imitsi ifata rubagimpande igihe kirekire, ikaba ifata cyane cyane uruti rw'umugongo . Icyaba gihari ni uko ubudahangarwa bw'umubiri bwibasira ingingo zo mu mugongo wawe mu buryo butari bwo. Uko igihe kigenda gihita, ubu bubyimba bushobora gutuma imitsi yo mu mugongo wawe yifatanya, bigabanura ubworoherane bigatuma umuntu ahagarara neza.
Abaganga bamwe bavuga ko gusuzuma iyi ndwara ari nko gushaka urushinge mu gishishwa cy'ibyatsi. Hari impamvu nyinshi zibitera.
Kuki AS bigoye kuyisuzuma?
Ubushakashatsi bwagaragaje ko ubusanzwe bifata imyaka 7-10 uhereye igihe ibimenyetso bya AS bitangiriye kugeza igihe umuntu abimenye neza. Tekereza igihe ibyo bimara! Impamvu nyamukuru zibitera ni izi:
- Kubabara umugongo ni ibisanzwe: Nkuko twabivuze mbere, kubabara umugongo ni ibisanzwe cyane. Kubwibyo, abantu benshi batekereza ko ari ibisanzwe kandi bakabyirengagiza.
- Gutinda kwa raporo za X-ray: Muri AS, kwangirika kw'ingingo za sacroiliac z'umugongo n'ikibuno bigaragara gusa kuri X-ray nyuma yuko indwara imaze kwiyongera gato.
- Ibimenyetso biratandukanye: AS igira ingaruka ku muntu mu buryo butandukanye. Hari abantu bagira ububabare bw'umugongo gusa, abandi bashobora no kugira ibibazo mu maso, mu gatsinsino no mu zindi ngingo.
- Kutagira ikizamini kimwe: Nta gipimo kimwe cy'amaraso cyangwa isuzuma gishobora kwemeza 100% ko ari AS.
Iyi mbonerahamwe izagufasha gusobanukirwa itandukaniro riri hagati y'ububabare busanzwe bw'umugongo n'ububabare buterwa na AS.
| Ibiranga | Ububabare bw'umugongo bwa mechanical | Kubabara umugongo muri AS (Ububabare bw'umugongo butera ububabare) |
|---|---|---|
| Ububabare ni bwo buruta ubundi bwose. | Nyuma y'akazi, mu mpera z'umunsi | Mu gitondo na nijoro, cyane cyane nyuma yo kuruhuka |
| Iyo uruhuka | Ububabare buri kugabanuka. | Ububabare n'ubukomere biriyongera. |
| Imyitozo ngororamubiri/Ingendo | Ububabare bushobora kwiyongera. | Ububabare n'ubukana biragabanuka |
| Gukomera mu gitondo | Bimara iminota iri munsi ya 30 | Bimara iminota irenga 30 (akenshi birenga isaha) |
Ubuzima bwamaze mu gihe habayeho isuzuma ritari ryo ...
Iyo twumvise ibyo abantu babana n'iyi ndwara bahura na byo, turushaho gusobanukirwa uburemere bw'iki kibazo.
Inkuru ya Don: "Ni nk'aho amaso atabona, ariko amaso aragaragara"
Byatwaye Don imyaka 7 kugira ngo amenye indwara. Ariko arebye inyuma, yumva ko byamutwaye imyaka 30. Ubwo yatangiraga kubabara mu ivi afite imyaka 10, abantu bose babyise "ububabare bwo gukura."
Ariko hafi y'imyaka 40, ubuzima bwe bwarahindutse cyane. Icyo gihe nibwo yarwaye indwara ya uveitis , indwara y'amaso itera ububabare ishobora kuba ikibazo gikomeye cya AS. Don agira ati: "Narahumye amaso. Nabonaga imiterere gusa, kandi nari mfite ibyiyumvo bikomeye ku rumuri. Byari bimeze nk'aho ndi impumyi, ariko ntabwo nari impumyi cyane."
Nubwo abaganga b'amaso batashoboye kubona impamvu, bakekaga ko ishobora kuba ari "ubwoko runaka bw'indwara y'ubwiyongere bw'umubiri." Don atabonye igisubizo gisobanutse neza, yabishyize ku ruhande. Nyuma y'imyaka myinshi abona abaganga barenga 30 kandi avurwa ibintu byose kuva kuri kanseri kugeza ku ndwara z'imitsi, amaherezo byagaragaye ko yari afite AS nyuma yo kubonana n'umuganga w'indwara zo mu bwonko.
Inkuru ya Charis: "Si indwara yibasira abagabo gusa"
Charis yarezwe na nyina. Se yari afite AS. Charis agira ati: "Nta n'izina ry'iyi ndwara nari nzi. Ariko nari nzi ko ntazayirwara, kuko yari 'indwara y'abagabo'."
Ibi ni ibintu abantu benshi batekereza ko AS yibasira abagabo gusa, amakuru aheruka agaragaza ko abagore nabo bibasirwa n’iyi ndwara ku kigero gishimishije.
Kuva akiri muto, Charis yari afite ububabare mu ivi no mu ngingo, ariko yatekerezaga ko ari ikindi kibazo ubwo yakinaga siporo. Umuganga yamubwiye ko ari uguhangayika. Ariko Charis ntiyamwemeraga. Yatekerezaga ko ibimenyetso bisa n'ibya se. Amaherezo, amaze kubaza se, no gukurikiza inama ze, yagiye kwa muganga maze basanga afite AS.
Hafi 80%-95% by'abarwayi ba AS bafite gene yitwa HLA-B27 . Iyi gene ishobora kuragwa n'ababyeyi ku bana. Ariko, si buri wese ufite iyi gene uzakuramo AS, kandi birashoboka no gukuramo AS nta gene. Kubwibyo, ibi ntibishobora kugaragazwa no gupima gene gusa.
Charis asobanura ibyiyumvo bye muri ubu buryo:
"Ihungabana n'indwara zidakira ni nk'abavandimwe, bahora bamaranye igihe."
Urugendo rurerure rwo gusuzuma indwara rushobora kugorana cyane mu byiyumvo. Niba rero urimo uhura n'ibintu nk'ibi, ntugatinye kubivugaho kandi usabe ubufasha bw'inzobere mu by'ubuzima bwo mu mutwe niba bikenewe.
Kuki abaganga babura AS?
Impamvu imwe ni igihe gito cyo kubonana n'abarwayi. Inzobere imwe igira iti: "Iminota 15 gusa hamwe n'umurwayi ntabwo ihagije." Kugira ngo umenye indwara ikomeye nka AS, ugomba gutega amatwi witonze icyo umurwayi avuga no kubaza ibibazo bikwiye.
Nanone, ibimenyetso bya AS rimwe na rimwe bisa n'iby'izindi ndwara. Urugero:
- Ububabare mu matako no mu gatsinsino
- Psoriasis, indwara y'uruhu
- Indwara z'igogora nk'indwara ya Crohn cyangwa indwara y'ibisebe
Iyo umuganga mukuru (GP) atabonye abarwayi benshi ba AS mu ivuriro rye, ashobora kudakeka AS iyo abonye ibyo bimenyetso.Niyo mpamvu ari ingenzi cyane kubonana n'umuganga w'indwara za rubagimpande niba ufite ububabare bw'umugongo igihe kirekire, cyane cyane iyo burushijeho kuba bubi mu gitondo.
Inkuru nziza ni uko abaganga ubu basobanukiwe neza ibimenyetso bya AS kurusha mbere hose. Nanone, hari uburyo bushya bwo kuvura (nk'ubuvuzi bw'ibinyabuzima) bufite akamaro kanini mu kurwanya indwara. Bityo ntugomba kubabara nk'uko wabikoraga mbere. Icy'ingenzi ni ugusuzuma indwara ku gihe no gutangira ubuvuzi bukwiye.
Ubutumwa bwo kujyana mu rugo
- Niba umaze amezi arenga 3 ubabara umugongo, ntubyirengagize.
- Niba ububabare bw'umugongo bukabije cyane mu gitondo, bukarushaho kwiyongera iyo uruhuka, kandi bukagabanuka iyo ugenda n'amaguru cyangwa ugakora imyitozo ngororamubiri, bishobora kuba ikimenyetso cya AS.
- Menya neza ko umugongo wawe n'ingingo zawe byagoranye mu gitondo, bikamara igihe kirenga iminota mirongo itatu .
- Uretse ububabare bw'umugongo, niba ufite ibimenyetso nko gutukura cyangwa kubabara mu maso (uveitis), kubabara agatsinsino, cyangwa kubyimba mu zindi ngingo, bibwira muganga wawe.
- Vugana n'umuganga wawe ku bimenyetso by'indwara zawe. Niba bibaye ngombwa, saba koherezwa kwa muganga w'indwara zo mu bwonko .
- Ntugacike intege kugeza igihe uzasuzumwa neza. Icy'ingenzi ni ugutega amatwi umubiri wawe.
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