Sonke siye saneentlungu zomqolo ngaxa lithile ebomini bethu, akunjalo? Ukuba ugoba kancinci okanye uphakamisa into enzima, intlungu iya kuphela kwiintsuku ezimbalwa. Kodwa... ngamanye amaxesha le ntlungu yomqolo ayilula kangako. Inokuba sisiqalo sengxaki enkulu ebikukhathaza iminyaka kwaye ayinakuchongwa ngokufanelekileyo. Namhlanje sithetha ngenye yezi meko. Leyo yi-Ankylosing Spondylitis, okanye i-AS ngamafutshane.
Yintoni i-Ankylosing Spondylitis (AS)?
Ngamafutshane, i-Ankylosing Spondylitis (AS) luhlobo lwe-arthritis oluhlala ixesha elide, oludumbayo oluchaphazela kakhulu umqolo wakho. Okwenzekayo kukuba inkqubo yomzimba yokuzikhusela ihlasela ngempazamo amalungu omqolo wakho. Ekuhambeni kwexesha, oku kudumba kunokubangela ukuba amathambo omqolo wakho adibane, nto leyo enciphisa ukuguquguquka kwaye ikhokelele ekumeni okugobileyo.
Abanye oogqirha bathi ukufumanisa esi sifo kufana nokukhangela inaliti kwinqwaba yengca. Zininzi izizathu zaloo nto.
Kutheni le nto kunzima kangaka ukuyixilonga i-AS?
Izifundo zibonise ukuba kudla ngokuthatha iminyaka esi-7 ukuya kweli-10 ukususela kwixesha apho iimpawu ze-AS ziqala khona ukuya kutsho ekuxilongweni ngokuchanekileyo. Khawuthelekelele ukuba oko kuthatha ixesha elingakanani! Izizathu eziphambili zoku zezi:
- Iintlungu zomqolo ziqhelekile: Njengoko besitshilo ngaphambili, iintlungu zomqolo ziqhelekile kakhulu. Ngenxa yoko, abantu abaninzi bacinga ukuba ziqhelekile kwaye abazinanzi.
- Ukulibaziseka kweengxelo ze-X-ray: Kwi-AS, umonakalo kumalungu e-sacroiliac omqolo kunye ne-pelvis ubonakala kuphela kwi-X-ray emva kokuba isifo sihambe kancinci.
- Iimpawu ziyahluka: I-AS ichaphazela umntu ngamnye ngendlela eyahlukileyo. Abanye abantu bafumana iintlungu zomqolo kuphela, ngelixa abanye banokufumana iingxaki zamehlo, izithende, kunye namanye amalungu.
- Ukungabikho kovavanyo olunye: Akukabikho vavanyo lwegazi olunye okanye iskeni enye enokuqinisekisa ngokupheleleyo ukuba le yi-AS.
Le theyibhile iza kukunceda uqonde umahluko phakathi kwentlungu eqhelekileyo yomqolo kunye nentlungu ebangelwa yi-AS.
| Uphawu | Iintlungu Zomqolo Ezisetyenziswa Ngoomatshini | Intlungu yomqolo kwi-AS (Intlungu yoMqolo evuthayo) |
|---|---|---|
| Intlungu yeyona inkulu. | Emva komsebenzi, ekupheleni kosuku | Kusasa nasebusuku, ingakumbi emva kokuphumla |
| Xa uphumla | Intlungu iyancipha. | Intlungu nokuqina kuyanda. |
| Ukuzilolonga/Ukunyakaza | Intlungu inokwanda. | Ubuhlungu kunye nokuqina kuncipha |
| Ukuqina Kwasekuseni | Ihlala ngaphantsi kwemizuzu engama-30 | Ihlala ngaphezulu kwemizuzu engama-30 (idla ngokuba ngaphezulu kweyure) |
Ubomi obuchithwe phakathi kokuxilongwa okungafanelekanga...
Xa sisiva amava abantu abaphila nesi sifo, siyiqonda ngcono indlela esibaluleke ngayo le ngxaki.
Ibali likaDon: "Kufana nokuba amehlo awaboni, kodwa amehlo ayabonakala"
Kwamthatha uDon iminyaka esi-7 ukuze afumane isifo. Kodwa xa ejonga ngasemva, uvakalelwa kukuba kwamthatha iminyaka engama-30. Xa waqala ukuba neentlungu zamadolo eneminyaka eli-10 ubudala, wonke umntu wayezibiza ngokuba "ziintlungu zokukhula."
Kodwa malunga neminyaka engama-40 ubudala, ubomi bakhe batshintsha ngendlela eyoyikisayo. Kulapho ke waba ne -uveitis , imeko yamehlo evuvukalayo enokuba yingxaki enkulu ye-AS. "Ndaphulukana nokubona. Ndandibona kuphela iimilo, kwaye ndandinovelwano kakhulu ekukhanyeni. Kwakungathi ndiyimfama, kodwa andiyimfama ngokwenene," utshilo uDon.
Nangona iingcali zamehlo zingakwazanga ukufumana unobangela, zacinga ukuba kusenokwenzeka ukuba "luhlobo oluthile lwesifo sokuzikhusela komzimba." Engenampendulo icacileyo, uDon wayibeka ecaleni loo nto. Emva kweminyaka yokubona oogqirha abangaphezu kwama-30 kwaye enyangwa yonke into ukusuka kumhlaza ukuya kwiimeko zemithambo-luvo, ekugqibeleni kwafunyaniswa ukuba wayene-AS emva kokubona ingcali yamathambo.
Ibali likaCharis: "Ayisiso isifo esichaphazela amadoda kuphela"
UCharis wakhuliswa ngunina. Uyise wayene-AS. "Ndandingazi negama lesi sifo. Kodwa ndandisazi ukuba andizukusifumana, kuba 'yayisisifo samadoda,'" utshilo uCharis.
Le yingcamango engafanelekanga kubantu abaninzi. Nangona ngaphambili kwakucingwa ukuba i-AS ichaphazela amadoda kuphela, idatha yamva nje ibonisa ukuba abafazi nabo bachatshazelwa sesi sifo ngesantya esiphezulu.
UCharis wayehlushwa ziintlungu zamadolo nezinye izihlunu zamalungu ukususela ebuntwaneni bakhe, kodwa wayecinga ukuba yingxaki ethile xa wayedlala imidlalo. Ugqirha wamxelela ukuba yingxaki yokuxhalaba. Kodwa uCharis akazange amkholelwe. Wayecinga ukuba iimpawu zifana nezikayise. Ekugqibeleni, emva kokubuza uyise, nokulandela icebiso lakhe, waya kugqirha waza wafunyaniswa ene-AS.
Malunga nama-80%-95% ezigulane ze-AS zine-gene ebizwa ngokuba yi-HLA-B27 . Oku kusenokufunyanwa kubazali ukuya ebantwaneni. Nangona kunjalo, ayinguye wonke umntu onale gene oza kukhula abe yi-AS, kwaye kunokwenzeka ukuba akhule abe yi-AS ngaphandle kwale gene. Ke ngoko, oku akunakumiselwa ngovavanyo lwe-genetic kuphela.
UCharis uchaza iimvakalelo zakhe ngolu hlobo lulandelayo:
"Uxinzelelo kunye nesifo esingapheliyo zifana nabazala, zihlala kunye."
Uhambo olude oluya ekuxilongweni lunokukudinisa ngokweemvakalelo. Ngoko ke ukuba ujongene nento efana nale, ungathandabuzi ukuthetha ngayo kwaye ucele uncedo kwingcali yezempilo yengqondo ukuba kuyimfuneko.
Kutheni oogqirha bengayifumani i-AS?
Esinye isizathu soku kukuba ixesha elilinganiselweyo lokubona izigulana likhona. “Imizuzu eli-15 kuphela kunye nesigulana ayanelanga,” itsho enye ingcali. Ukuze ufumanise isifo esintsonkothileyo njenge-AS, kufuneka umamele ngononophelo oko kuthethwa sisigulana uze ubuze imibuzo efanelekileyo.
Kwakhona, iimpawu ze-AS ngamanye amaxesha zifana nezezinye izifo. Umzekelo:
- Intlungu ezimpundu nasezithendeni
- I-Psoriasis, isifo solusu
- Izifo zenkqubo yokugaya ukutya ezifana nesifo sikaCrohn okanye i-ulcerative colitis
Ukuba ugqirha oqhelekileyo (GP) akabonanga zigulana ezininzi ze-AS kwindawo yakhe yokusebenza, usenokungayikrokreli i-AS xa ebona ezi mpawu.Yiyo loo nto kubaluleke kakhulu ukubona ugqirha wezifo zamathambo ukuba uneentlungu zomqolo ezihlala ixesha elide, ingakumbi ukuba zimbi kakhulu kusasa.
Iindaba ezimnandi zezokuba oogqirha ngoku bayazi ngakumbi iimpawu ze-AS kunangaphambili. Kwakhona, kukho unyango olutsha (olufana nonyango lwebhayoloji) olusebenza kakhulu ekulawuleni isifo. Ngoko ke akufuneki ubandezeleke njengoko ubusenza ngaphambili. Eyona nto ibalulekileyo kukufumanisa isifo ngexesha kwaye uqale unyango olufanelekileyo.
Umyalezo Wokuya Ekhaya
- Ukuba ubunentlungu yomqolo kangangeenyanga ezingaphezu kwe-3, musa ukuyityeshela.
- Ukuba iintlungu zakho zomqolo zinzima kakhulu kusasa, ziba mandundu xa uphumla, kwaye ziyancipha xa uhamba okanye uzilolonga, oko kungaba luphawu lwe-AS.
- Qaphela ukuqina kwasekuseni emqolo wakho nasemalungeni akho okugcina ixesha elingaphezulu kwesiqingatha seyure .
- Ukongeza kwiintlungu zomqolo, ukuba uneempawu ezinje ngokuba bomvu okanye intlungu emehlweni (uveitis), intlungu yesithende, okanye ukudumba kwamanye amalungu, xelela ugqirha wakho ngayo loo nto.
- Thetha nogqirha wakho malunga neempawu zakho. Ukuba kuyimfuneko, cela ukuthunyelwa kwingcali yamathambo .
- Musa ukuyeka ukulwa de ufumane ukuxilongwa ngokufanelekileyo. Eyona nto ibalulekileyo kukumamela umzimba wakho.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho