Ngaba une-Ankylosing Spondylitis, okanye i-AS ngamafutshane? Ngoko mhlawumbi uyazi ukuba ichaphazela kangakanani amalungu aphakathi komqolo kunye nezinqe. Kodwa into onokuthi ungayazi kukuba abanye abantu abane-AS nabo banokuba neengxaki zezintso. Oku akwenzeki kuwo wonke umntu, kodwa kubalulekile ukukwazi oku.
Ngamafutshane, i-Ankylosing Spondylitis (AS) luhlobo lwe-arthritis oluchaphazela umqolo kunye namalungu ahambelana nawo. Okwenzekayo koku kukuba kukho ukudumba okuhlala ixesha elide emzimbeni. Oku kudumba okungalawulekiyo emzimbeni akuhlali nje apho. Kuqala ukuchaphazela iindawo ezahlukeneyo zomzimba. Izintso ziyindawo enye enjalo. Uphando olutsha lubonisa ukuba olu nxibelelwano lusenokuba luxhaphake kakhulu kunokuba bekucingelwa ngaphambili. Ngoko masithethe ngale nto namhlanje.
Zeziphi iingxaki zezintso ezinokubakho ngenxa ye-AS?
Kukho iindlela ezininzi eziphambili i-AS enokuchaphazela ngazo izintso. Makhe sijonge ukuba ziyintoni na.
1. I-Amyloidosis Yezintso Zesibini
Oku kunokuvakala ngathi ligama elintsonkothileyo, kodwa kulula. Ngenxa yeemeko zokudumba ezihlala ixesha elide emizimbeni yethu, iproteni engaqhelekanga ebizwa ngokuba yi-'amyloid' inokuveliswa. Le proteni iqala ukwakheka kancinci kancinci ngaphakathi kwezintso. Ifana nomhlwa oqokelelana ngaphakathi kombhobho. Njengoko iproteni iqokelelana, izintso azisakwazi ukwenza umsebenzi wazo oqhelekileyo, okucoca igazi. Le meko ikwabizwa ngokuba yi-'AA amyloidosis'.
2. I-Immunoglobulin A Nephropathy (IgAN)
Esi sesinye isifo sezintso esinokubonwa kwizigulana ze-AS. Okwenzekayo koku kukuba iproteni ebizwa ngokuba yi-IgA, eyinxalenye yenkqubo yethu yokuzikhusela komzimba, ifakwa kwizintso, nto leyo ebangela ukudumba apho kwaye yonakalise izintso. Ukuqinisekisa ukuba oku kunjalo ngokwenene , kufuneka i-biopsy , eyiqhekeza elincinci lesicwili esithathwe kwizintso size sihlolwe.
3. Isifo sezintso esinganyangekiyo (CKD)
Isifo sezintso esinganyangekiyo, okanye i-CKD, yimeko apho izintso zonakala ngokuhamba kwexesha kwaye zilahlekelwa ngumsebenzi wazo kancinci kancinci. Nangona i-AS inokuba yimbangela, ezinye iimeko, ezifana nesifo seswekile kunye noxinzelelo lwegazi oluphezulu, nazo zinokuba negalelo kule meko. Xa izintso zingakwazi ukucoca inkunkuma egazini ngokufanelekileyo, loo nkunkuma iyaqokelelana emzimbeni, nto leyo eyonyusa umngcipheko weengxaki ezinkulu ezifana nesifo sentliziyo kunye nestroke.
4. Amatye Ezintso
Ezinye izifundo zibonise ukuba abantu abane-AS, ingakumbi abo bebenayo ixesha elide, banamathuba amaninzi okuba namatye ezintso kunabantu abaphilileyo. La ngamaqhekeza amancinci, aqinileyo enziwe ngeetyuwa kunye neeminerali. Ngamanye amaxesha ayaphuma emchameni, kodwa kunokuba buhlungu kakhulu.Kunokwenzeka. Ngamanye amaxesha la matye anokunamathela kwindlela yokuchama aze abangele usulelo.
Zithini iimpawu zeengxaki zezintso?
Nganye kwezi meko ineempawu eziqhelekileyo nezithile. Kubaluleke kakhulu ukuba uzazi ezi, kuba emva koko ungabonana nogqirha ngokukhawuleza.
Into ebalulekileyo kukuba kwizigaba zokuqala zesifo sezintso, kusenokungabikho zimpawu. Ngoko ke njengomntu one-AS, kufuneka uhlale uqaphela oku.
| Imeko yezonyango | Iimpawu ezinokubonwa |
|---|---|
| I-Amyloidosis |
|
| Isifo sezintso esingapheliyo (CKD) | |
| I-IgA nephropathy (IgAN) |
Ukuba une-AS kwaye ufumana enye okanye ngaphezulu kwezi mpawu, nceda ungayityesheli. Qiniseka ukuba uthetha nogqirha wakho ngayo.
Kutheni ezi ngxaki zenzeka? Zithini izinto ezibangela umngcipheko?
Ngamanye amaxesha kunzima ukukhomba unobangela ochanekileyo wesifo sezintso, kodwa kukho izizathu ezininzi eziphambili zokuba kutheni sinxulunyaniswa ne-AS.
- Ukudumba okungalawulekiyo: Ukudumba okungapheliyo, uphawu oluphambili lwe-AS, yeyona nto ibangela izifo ezifana ne-Amyloidosis kunye ne-IgAN.
- Amayeza: Amanye amayeza okudambisa iintlungu e-AS kunye ne-arthritis, ingakumbi ii-NSAID (iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal), zinokuba yingozi kwizintso ukuba zisetyenziswa ixesha elide. Ngoko ke, kuphephe ukuthatha amayeza okudambisa iintlungu wedwa ngaphandle kokubonisana nogqirha wakho.
- Ezinye iimeko zonyango: Umngcipheko wokuba nesifo sezintso uphezulu nangakumbi ukuba uneemeko ezifana noxinzelelo lwegazi oluphezulu, isifo seswekile, isifo sentliziyo, kunye nokutyeba kakhulu.
- Ukutshaya kunye nembali yosapho: Abantu abatshayayo kwaye abanembali yosapho lwabo yesifo sezintso basengozini enkulu.
Indlela yokunyanga nokulawula?
Eyona nto ingcono kukuba ezi meko zinokulawulwa. Iindlela zonyango zixhomekeke kuhlobo lwengxaki yezintso onazo.
Eyona nto ibalulekileyo kukulawula i-AS yakho. Okukhona ulawula ukudumba okungaphezulu, kokukhona ungenza umonakalo omncinci kwizintso zakho. Oku kuthetha ukulandela unyango lukagqirha wakho, njengee-biologic agents (ezifana ne-TNF blockers), ngokuchanekileyo.
Ukwengeza,
- Thetha nogqirha wakho malunga namayeza owasebenzisayo (kuquka amayeza okudambisa iintlungu) kwaye uxoxe ngezinye iindlela ezingeyongozi kwizintso zakho.
- Gcina ezinye izifo ezifana noxinzelelo lwegazi nesifo seswekile zilawulwa.
- Sela amanzi amaninzi.
- Landela icebiso likagqirha wakho kwaye ulandele ukutya okunetyuwa encinci kunye neproteni encinci.
- Musa ukuthatha naziphi na iivithamini okanye izongezo ngaphandle kokubonisana nogqirha wakho.
Ukuba isifo sezintso esinganyangekiyo (CKD) siba sibi kakhulu, sinokukhokelela kwi-dialysis okanye ukufakelwa izintso, ngoko ke kungcono ukunyanga oku kwangethuba.
Umyalezo Wokuya Ekhaya
- I-Ankylosing Spondylitis (AS) ayisosifo esichaphazela umqolo kuphela, kodwa inokuchaphazela nezinye izitho zomzimba, kuquka nezintso.
- Ukuba une-AS, soloko uqaphela iimpawu ezinje ngokudumba kwemilenze yakho, utshintsho kumchamo wakho, kunye nokudinwa kakhulu.
- Musa ukusebenzisa amayeza okudambisa iintlungu (ingakumbi ii-NSAID) ixesha elide ngaphandle kwengcebiso kagqirha.
- Ukulawula i-AS yakho kunye nokuvuvukala okunxulumene nayo yeyona ndlela ilungileyo yokukhusela izintso zakho.
- Ukuba unamathandabuzo okanye iimpawu, ungoyiki ukuthetha nogqirha wakho ngaloo nto uze wenze uvavanyo olufunekayo.
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