Sonke siyazi ukuba kunzima kangakanani ukuphila ne-Ankylosing Spondylitis, okanye i-AS ngamafutshane. Akulula ukujongana nentlungu engapheliyo yomqolo kunye nokuqina kwasekuseni. Kodwa ubusazi na ukuba nge-AS, kukho umngcipheko ophezulu kancinci wokufumana ezinye iimeko? Musa ukoyika xa usiva oku. Eyona nto ibalulekileyo kukwazi ezi ngozi. Kuba ke ngoko sinokuthatha amanyathelo afunekayo ukuzikhusela kuzo kwangaphambili.
Masifunde nge-osteoporosis.
Ngamafutshane, kulapho amathambo akho eba buthathaka aze aphuke lula, nokuba sele uwe nje. Le meko ixhaphake kakhulu kubantu abane-AS.
Khumbula, i-AS yimeko yokuvuvukala emzimbeni. Oku kuvutha okungapheliyo kuchaphazela ngqo impilo yamathambo. Kwakhona, le meko `(Osteoporosis)` inokwenzeka nokuba ukuhamba nokuzilolonga kunciphisa ngenxa yentlungu nokuqina okubangelwa yi-AS. Okumangalisayo kukuba, ngamanye amaxesha oogqirha banokubona iimpawu ze-`(Osteoporosis)` ngaphambi kokuba utshintsho olukhulu emzimbeni lubonakale ngenxa ye-AS.
Njengonyango, kukho ubungqina bokuba amayeza okudambisa iintlungu, ingakumbi amayeza angengo-steroidal anti-inflammatory (NSAIDs), anokunceda ukunciphisa umngcipheko wokuqhekeka kwamathambo. Nangona kunjalo, kusekho idatha encinci malunga noku. Ngoko ke kunzima ukutsho ukuba oku kulungile na kuye wonke umntu. Kwakhona, nangona amayeza alawula ukudumba, afana ne-TNF blockers, anokunceda ukwandisa uxinano lwamathambo, akukacaci ukuba ayakuthintela na ukuqhekeka kwamathambo. Kungcono ukuthetha nogqirha wakho ngale nto uze ugqibe ukuba yintoni efanelekileyo kuwe.
Ngaba nawe unengxaki yokulala?
Abantu abaninzi abane-AS banengxaki yokulala kakuhle ebusuku. Kukho izizathu ezahlukeneyo zoku.
- Intlungu: Esi sesona sizathu siphambili. Ngamanye amaxesha iintlungu ziyakuthintela ekulaleni. Ngamanye amaxesha, iintlungu ziyanda kuba awulali ngokwaneleyo. Kufana nomjikelo onzima. Izifundo zifumanise ukuba izigulane ze-AS ezineengxaki zokulala zinokuqina kwasekuseni kakhulu kunye nezinye iimpawu kunabo balala kakuhle.
- Uxinzelelo kunye nokuxhalaba: Kuqhelekile ukuziva udandathekile kwaye uxhalabile xa uphila nentlungu eqhubekayo. Olu tshintsho lweemvakalelo lunokuba nefuthe elikhulu ebuthongweni bakho. Ukuba ubuziva ulusizi okanye udandathekile kangangeeveki ezingaphezu kwezimbini, uyeke ukwenza izinto obuzithanda, okanye ubuziva uxhalabile kangangeenyanga, kubalulekile ukufuna ingcebiso kagqirha . Ukujongana nesifo esingapheliyo esifana ne-AS kunokuba nzima ukukwenza wedwa.
Iintlungu zeenyawo kunye neengxaki
I-AS ayisosifo esichaphazela umqolo kuphela. Ingachaphazela namanye amalungu kunye nemisipha emzimbeni. Iintlungu zixhaphake kakhulu ezinyaweni.
- I-Plantar Fasciitis: Kukho umaleko otyebileyo wezicubu ezantsi kwenyawo oqala esithendeni ukuya ezinzwaneni. Oku kudumba kubizwa ngokuba yi-"Plantar Fasciitis". Uphawu oluphambili lwale nto ziintlungu eziqatha xa uphuma ebhedini kusasa.
- Intlungu yesithende (Achilles Tendonitis): Ukudumba kwe-Achilles tendon, edibanisa ithambo lesithende, kunokubangela intlungu kunye nokungonwabi.
Ukongeza, abaguli be-AS banokuphinda bafumane iintlungu rhoqo kwiindawo ezifana namalungu esinqe, amahlombe, amadolo, nasemaqakaleni.
Iintlungu zesifuba, kodwa asikokuhlaselwa yintliziyo (iCostochondritis)
Oku kubangela iintlungu esifubeni. Ngamanye amaxesha iintlungu zinokuba nzima kangangokuba ungacinga ukuba kukuhlaselwa yintliziyo.
Kodwa le ayiyongxaki yentliziyo. Ibangelwa kukudumba kwe-cartilage edibanisa iimbambo zakho nethambo lesifuba. Abantu abane-AS banamathuba amaninzi okufumana oku kudumba. Kudla ngokuziphelela, kodwa ukuba kuyaqhubeka, kunokufuneka uthathe amayeza njengoko kuyalelwe ngugqirha wakho.
Ingqwalasela ekhethekileyo kwisifo sentliziyo kunye noxinzelelo lwegazi oluphezulu
Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu)
Le ngxaki inokuthi inxulunyaniswe nohlobo lwamayeza owasebenzisayo kwi-AS kunokuba inxulunyaniswe nesifo ngokwaso. Ukuba ungumntu osebenzisa rhoqo amayeza angengo-steroidal anti-inflammatory (NSAIDs) (umz., ibuprofen, i-diclofenac) kwintlungu ye-AS, kufuneka uqaphele umngcipheko wokuba noxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu). Uphononongo lubonise ukuba abantu abasebenzisa la mayeza ixesha elide banomngcipheko ophezulu we-12% wokuba noxinzelelo lwegazi oluphezulu kunabo bangawasebenzisiyo. Ke ngoko, kubaluleke kakhulu ukuthetha nogqirha wakho kwaye uhlolwe uxinzelelo lwegazi rhoqo.
Isifo sentliziyo
Nangona kungaqhelekanga, oogqirha bafumanise unxibelelwano phakathi kwe-AS kunye neemeko zentliziyo. Ezi meko zinokwenzeka phakathi kwe-2% kunye ne-10% yabantu abane-AS. Nangona unxibelelwano phakathi kwe-AS nesifo sentliziyo lungacacanga, siyazi ukuba ukudumba okungapheliyo emzimbeni kwandisa umngcipheko wesifo sentliziyo. Ngoko ke eso sisenokuba sisizathu esikhulu solu nxibelelwano.
| Imeko yezonyango | Icacisiwe ngokulula |
|---|---|
| I-Cardiomyopathy | Izihlunu zentliziyo ziyakhula kwaye zibe buthathaka, nto leyo eyenza kube nzima ukuba intliziyo ipompe igazi emzimbeni wonke. |
| Ukuphazamiseka kokuqhuba | Ukubetha kwentliziyo okungaqhelekanga (okukhawulezayo, okucothayo) ngenxa yokuphazamiseka kwenkqubo yokubonisa umbane yentliziyo. |
| I-Aortitis | Ukudumba kwe-aorta, umthambo wegazi oyintloko othwala igazi lisuka entliziyweni ukuya emzimbeni. |
| Isifo se-aortic valve | Iingxaki ngevalvu ephakathi kwegumbi eliphambili lokumpompa kwentliziyo kunye ne-aorta. |
| Isifo sentliziyo se-Ischemic | Ukuncipha kokuhamba kwegazi ukuya kwimisipha yentliziyo. Eyona nto ibangela oku sisifo semithambo yegazi emithanjeni yegazi. |
Ezinye iimeko ze-Autoimmune
I-AS ikwasisifo esihlasela amajoni omzimba. Oku kuthetha ukuba amajoni omzimba ahlasela iiseli zawo ngempazamo. Ngenxa yoko, abantu abane-AS banomngcipheko omncinci wokufumana ezinye izifo ezihlasela amajoni omzimba.
Isifo samathumbu esivuthayo (IBD)
IBD sisifo samathumbu esibangela ukudumba esiquka isifo sikaCrohn kunye nesifo sokudumba kwesisu. Asiqhelekanga kubantu abane-AS. Kodwa kukho unxibelelwano phakathi kwezi zifo zimbini. Ukuba uneempawu ze-AS, ezinje ngentlungu yesisu kunye norhudo, kubalulekile ukuxelela ugqirha wakho .
I-Multiple Sclerosis (MS)
I-MS sisifo esichaphazela ingqondo kunye nomqolo. Nalapha, inkqubo yomzimba yokuzikhusela ihlasela isigqubuthelo esikhuselayo esijikeleze imicu yemithambo-luvo. Inani elincinci kakhulu labantu line-AS kunye ne-MS. Uphando lusaqhubeka ukuze kuchongwe ukuba kukho unxibelelwano lokwenyani phakathi kwezi zifo zimbini, okanye ukubona ugqirha ukuze axilonge esinye kwandisa amathuba okuxilongwa kwesinye.
Umyalezo Wokuya Ekhaya
- I-AS (i-Ankylosing Spondylitis) ayisosifo esichaphazela umqolo kunye namalungu kuphela, kodwa inokuchaphazela namathambo, intliziyo, kunye nezinye izitho zomzimba.
- Ukuba uneempawu ezintsha ezifana neentlungu zesifuba, iintlungu zomlenze, okanye iingxaki zokulala, musa ukuzityeshela. Thetha nogqirha wakho ngazo.
- Ukuba uthatha amayeza okudambisa iintlungu (NSAIDs) ixesha elide, kubaluleke kakhulu ukujonga uxinzelelo lwakho lwegazi rhoqo.
- Ukulawula kakuhle i-AS, oko kukuthi, ukulawula ukudumba, yeyona ndlela ilungileyo yokunciphisa umngcipheko wokufumana ezinye izifo.
- Eyona ndlela ilungileyo yokuhlala usempilweni kukwazi impilo yakho kwaye uthethe ngokukhululekileyo nogqirha wakho, ngaphandle koloyiko okanye uloyiko.
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