Ngaba ngamanye amaxesha uziva uqinile xa uvuka kusasa? Okanye uneentlungu zomqolo imini yonke? Kukho iintlobo ezimbini ze-arthritis ezichaphazela umqolo ezineempawu ezifanayo. Enye yi -DISH (Diffuse Idiopathic Skeletal Hyperostosis) kwaye enye yi -AS (Ankylosing Spondylitis) . Iimpawu zazo zombini ziyafana kancinci, nto leyo enokusenza sidideke ngamanye amaxesha. Ngoko ke namhlanje, masithethe ngezi zifo zimbini ngokweenkcukacha kwaye siqonde ngokucacileyo ukuba yintoni umahluko, ziziphi iimpawu, kunye nendlela yokuzinyanga.
Yintoni ebangela ezi zifo zimbini?
Ngamafutshane, zombini ezi zifo zichaphazela amalungu kunye nemisipha yomqolo wethu, kodwa indlela ezichaphazela ngayo yahlukile kancinci.
Yintoni iDISH (iDiffuse Idiopathic Skeletal Hyperostosis)?
I-DISH yimeko apho iityuwa ze-calcium ziqokelelana kwi-ligaments kunye ne-tendon ezijikeleze umqolo wethu. Le calcium ibangela ukuba ezo ndawo zibe nzima kancinci njengethambo, ngokungathi ithambo elitsha liyakhula. Oogqirha abazi ukuba yintoni kanye ebangela oku. Kodwa bakholelwa ukuba i-genetics, izinto ezingqongileyo, okanye indibaniselwano yazo zombini zinokudlala indima.
I-Ankylosing Spondylitis (AS) ikhula njani?
Kukholelwa ukuba izinto zemfuza kunye nokusingqongileyo zidlala indima kwi-AS. Abantu abane -HLA-B27 gene basengozini enkulu yokuhlaselwa sesi sifo. Ezi HLA zinceda inkqubo yethu yomzimba yokuzikhusela ukuba ikwazi ukwahlula phakathi kweeseli zethu kunye nabahlaseli bamanye amazwe. Nangona kunjalo, uphando lusaqhubeka malunga nendlela le gene ethile ebangela ngayo i-AS. Kwi-AS, inkqubo yomzimba yokuzikhusela ihlasela amalungu omqolo wethu. Oku kubangela ukudumba, okubangela ukuqina kunye nentlungu emgogodleni.
Ngubani onokuthi abe sengozini enkulu yokuhlaselwa zezi zifo?
Kukho umahluko ocacileyo phakathi kweminyaka kunye nezinto ezinokubangela ezi zifo zimbini. Masiyiqonde lula le theyibhile.
| Ulwazi | I-DISH (i-Diffuse Idiopathic Skeletal Hyperostosis) | AS (i-Ankylosing Spondylitis) |
|---|---|---|
| Ubudala obuchaphazelekayo | Iqhelekile kubantu abaneminyaka engaphezu kwama-50 ubudala . | Idla ngokuqala ebuntwaneni , phakathi kweminyaka eli-15-30. |
| Iqela elichaphazelekayo | Ixhaphake kakhulu kumadoda kunabafazi. | Ixhaphake kakhulu kumadoda kunabafazi. |
| Ezinye izinto ezinobungozi |
|
Into ebalulekileyo kukuba abantu abaninzi abane-DISH abanazo iimpawu. Idla ngokufumaneka ngengozi xa kuthathwa i-X-ray ngesinye isizathu.
Zithini iimpawu ezahlukileyo?
Nangona iimpawu eziphambili zezi zifo zombini ziintlungu zomqolo kunye nokuqina, kukho umahluko ocacileyo apho intlungu ivela khona, indlela ezivakalelwa ngayo, kunye nezinye iimpawu ezihamba nayo.
| Uphawu | Njengoko kubonwe kwi-DISH | Njengoko kubonwe kwi-AS |
|---|---|---|
| Indawo apho intlungu yenzeka khona | Intlungu idla ngokuvela kumqolo ongasentla . | Intlungu iqala kumqolo ongezantsi . |
| Isiphumo sokuzilolonga | Akukho siphumo sikhethekileyo. | Intlungu nokuqina komzimba kuyancipha xa uzilolonga kwaye uhamba. |
| Umqolo obuhlungu | Intlungu inokwenzeka kwiindawo ezifana namahlombe, iingqiniba, amadolo, kunye nezithende. | Intlungu ingenzeka kwiimbambo, emagxeni, ezinqeni, emadolweni, okanye ezinyaweni. |
| Ezinye iimpawu ezikhethekileyo | Ukukhula kwamathambo entanyeni kunokubangela ubunzima bokuginya okanye ukurhawuzelela ngenxa yoxinzelelo kwimithambo-luvo. | Iimpawu ezichaphazela umzimba wonke ziyaboniswa. Umzekelo: - Ukuhla ukusinda - Ukudinwa kakhulu - Izifo zesikhumba (amaqhakuva) - Intlungu yesisu - Utshintsho embonweni (ububomvu, iintlungu) |
Ugqirha uzibona njani ezi zifo zimbini aze azichonge njani?
Ukufumanisa ezi meko zimbini kunokuba nzima kancinci. Ukuba unamathandabuzo malunga nokuxilongwa kwakho, akukho nto imbi ngokubona omnye ugqirha ukuze ufumane uluvo lwesibini.
Ugqirha uza kuqala akubuze ngeempawu zakho kunye nembali yakho yezonyango. Emva koko uza kwenza uvavanyo lomzimba. Ukongeza, unokuyalela ezi mvavanyo.
Uvavanyo lwegazi
Kwi-AS, uvavanyo lwe -HLA-B27 gene ludla ngokuba luhle. Uvavanyo olulinganisa ukudumba emzimbeni, olufana ne-C-reactive protein (CRP) kunye ne-ESR, lunokunyuka. Ezi zihlala zingatshintshi kwi-DISH.
Uvavanyo lokuFanekisa
Olu vavanyo luthatha imifanekiso yangaphakathi yomzimba kwaye lujonge utshintsho kumqolo kunye namalungu.
- I-X-reyi: Khangela utshintsho emathanjeni.
- I-MRI (iMagnetic Resonance Imaging): Fumana imifanekiso eneenkcukacha zomqolo, amalungu, kunye nezicubu ezidityanisiweyo.
- I-CT scan (i-Computed Tomography): Fumana imifanekiso eneenkcukacha ezininzi.
Ezi zifo zimbini zinokwahlulwa ngokusekelwe kwinto ebonwa kwezi mvavanyo.
- Ukuba une-AS: Ukudumba kunye nokuqina kwamalungu e-sacroiliac ( sacroiliitis)Ungayibona. Ngamanye amaxesha iingqolo zidibene kwaye zibukeka njenge-bamboo. Oku kubizwa ngokuba yi-bamboo spine .
- Ukuba une-DISH: Ungayibona izicubu ezinxibelelanayo ezihamba ngaphambili komqolo ziqina zize zijike zibe yithambo. Kodwa awuyi kuyibona imeko ye-Sacroiliitis. Le yenye yezinto eziphambili ezihlukanisa ezi zinto zimbini.
Zithini iindlela zonyango zoku?
Zombini i-AS kunye ne-DISH azinakuphiliswa ngokupheleleyo. Nangona kunjalo, ngonyango olufanelekileyo, iimpawu zinokulawulwa kwaye ubomi obuqhelekileyo bunokukhokelelwa. Kuzo zombini ezi zifo, umqolo uyaxinwa, ngoko ke umngcipheko wokuqhekeka kwamathambo uphezulu nangona ingozi encinci. Ke ngoko, kubaluleke kakhulu ukuba uqaphele.
Unyango oluqhelekileyo kuzo zombini:
- Unyango lomzimba kunye nokuzilolonga: Oku kubalulekile ekuqiniseni izihlunu ezijikeleze umqolo kunye nokugcina ukuguquguquka kwamalungu.
- Iintlungu: Ii-NSAID (iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal) ezifana ne-ibuprofen kunye ne-naproxen zinciphisa iintlungu kunye nokudumba.
- Iinaliti ze-steroid: Iinaliti ze-steroid ngqo kumalungu abuhlungu zinokunika isiqabu sexesha elifutshane.
- Utyando: Olu asilonyango luqhelekileyo, kodwa ukuba uneempawu ezinzima ezingenakulawulwa ngolunye unyango, ugqirha wakho unokucebisa utyando.
Unyango oluthile lwe-AS:
Ukongeza kunyango olukhankanyiweyo apha ngasentla lwe-AS, kukho udidi olukhethekileyo lwamayeza anciphisa ukudumba ngokutshintsha ukusebenza kwenkqubo yomzimba yokuzikhusela. La abizwa ngokuba yi-DMARD (iziyobisi eziguqula izifo ezilwa namathambo) . Eminye imizekelo yile:
- I-Interleukin-17 (IL-17) inhibitors (umzekelo, i-secukinumab, ixekizumab)
- Izithinteli ze-JAK (umz., i-tofacitinib, i-upadacitinib)
- Izithinteli ze-TNF (umz., i-adalimumab, i-etanercept, i-infliximab)
- I-Methotrexate
- I-Sulfasalazine
Ugqirha wakho uza kugqiba ukuba yeyiphi kula mayeza afanelekileyo kuwe.
Umyalezo Wokuya Ekhaya
- I-DISH kunye ne-AS ziintlobo ezimbini ze-arthritis ezichaphazela umqolo. Nangona iimpawu zifana, izizathu kunye nemiphumo zahlukile.
- I-DISH idla ngokuvela kumadoda angaphezu kweminyaka engama-50 ubudala kwaye ayisoloko ibonakalisa iimpawu. I-AS inokuqala ebantwaneni.
- Indawo ekuyo intlungu (DISH - ngaphezulu kwegxalaba, AS - ngaphantsi kwegxalaba) kunye nempendulo yokuzilolonga (iintlungu ziyancipha kwi-AS) zinceda ukwahlula ezi zimbini.
- Ugqirha wakho uza kwenza uxilongo oluchanekileyo ngokusekelwe kwimbali yakho yezonyango, uxilongo, uvavanyo lwegazi, kunye novavanyo lwemifanekiso (ingakumbi ii-X-ray kunye nee-MRIs).
- Nangona ezi zifo zingenakunyangwa ngokupheleleyo, unyango lomzimba, amayeza, kunye notshintsho kwindlela ophila ngayo kunokukunceda ulawule iimpawu zakho kwaye uphile ubomi obuphumelelayo. Soloko uthetha nogqirha wakho ngale nto.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho