Xa uvuka ebhedini kusasa, ngaba umqolo wakho uziva uqinile kwaye ubuhlungu? Ngaba uziva ngathi intlungu iyaphela emva kokuhamba kancinci okanye ukwenza into eluncedo? Abantu abaninzi bacinga ukuba oku kubuhlungu nje emqolo okanye into ebangelwa kukudinwa, kodwa ngamanye amaxesha kunokuba sisiqalo sento enzulu. Namhlanje sithetha ngemeko enjalo, ebizwa ngokuba yi-Ankylosing Spondylitis (AS). Ungakhathazeki, eyona nto ibalulekileyo kukwazi kakuhle oku kwaye ufune unyango olufanelekileyo.
Yintoni kanye kanye i-Ankylosing Spondylitis (AS)?
Ngamafutshane, i-Ankylosing Spondylitis (AS) luhlobo lwe-arthritis. Kule meko, inkqubo yomzimba wethu yokuzikhusela ihlasela amalungu omqolo wethu. Oku kubangela ukudumba kwamalungu omqolo. Oku kudla ngokuqala kwicandelo elisezantsi lomqolo, oko kukuthi, amalungu adibana namathambo esinqeni (amalungu e-sacroiliac).
Ekuqaleni, le ntlungu iqala kwelinye icala, kwaye emva kweeveki okanye iinyanga ezimbalwa, inokusasazeka kumacala omabini. Ngamanye amaxesha, le ntlungu inokufikelela nakwizinqe. Ngokungafaniyo nentlungu eqhelekileyo yomqolo, le ntlungu ayipheli xa uphumle, kodwa uphawu olucacileyo kukuba iziva ingcono kancinci xa umzimba uqheliswa kwaye uhamba .
Ekuhambeni kwexesha, oku kurhawuzelela kunokukwenza uzive udiniwe kakhulu ngalo lonke ixesha. Oku kungenxa yokuba umzimba usebenzisa amandla amaninzi ukulwa noku kurhawuzelela.
Yintoni esifanele siyenze kwizigaba zokuqala?
Ukuba unale mpawu, into yokuqala omawuyenze kukubona ingcali yezifo zamalungu, ugqirha ogxile kwizifo zamalungu. Uza kukunika isicwangciso sonyango esifanelekileyo kuwe.
- Izithomalalisi zentlungu: Ukulawula iintlungu kunye nokudumba kwasekuqaleni, ugqirha wakho unokukunika ii-NSAID (iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal) , ezifana ne-ibuprofen okanye i-naproxen.
- Ukuzilolonga: Ukuzilolonga kufana nonyango kumntu one-AS. Kuyinxalenye yesicwangciso sonyango. Ngokuzilolonga,
- Ilawula isifo ukuba singabi sibi kakhulu.
- Inciphisa iintlungu nokuqina.
- Inceda ukugcina umzimba uguquguqukayo.
- Thetha nogqirha wakho wezomzimba ukuze uphuhlise inkqubo yokuzilolonga ekhuselekileyo nefanelekileyo kuwe.
- Ukutya: Kubaluleke kakhulu ukuba udle ukutya okulwa nokuvuvukala. Faka imifuno eluhlaza enamagqabi, imifuno enemibala (umz., ispinatshi, iitumato), ibroccoli, kunye nekhaphetshu ekutyeni kwakho. Ziphephe ukutya okucutshungulweyo okuneswekile eninzi, umgubo omhlophe, iioyile ezingondlekanga, kunye nezithako ezenziweyo.
- Ukuphepha ukutshaya:Ukuba ungumntu otshayayo, yeka ngokukhawuleza. Ukutshaya kunokuyenza ibe mandundu le meko. Ukuba kuyimfuneko, thetha nogqirha wakho ukuze akuncede.
Indlela esi sifo esiqhubeka ngayo ngokuhamba kwexesha (Inkqubela phambili)
I-AS idla ngokuhamba kancinci ukusuka kumqolo ongezantsi ukuya entanyeni. Iiskeni ezifana ne-MRI zinokubonisa ukuba umonakalo owenziweyo kumqolo ungakanani. Olu tshintsho lunokuba nzima ukulubona kwiminyaka embalwa yokuqala, kodwa lubonakala ngakumbi ngokuhamba kwexesha.
Njengoko ukudumba kusanda, kunokuchaphazela kungekuphela nje umqolo kodwa nezinye iindawo zomzimba, ingakumbi iindawo apho imisipha kunye nemisipha zidibana khona namathambo (entheses).
| Ezinye iindawo ezinokuchaphazeleka | Inkcazo |
|---|---|
| Iimbambo | Intlungu esifubeni okanye ubunzima bokuphefumla bunokubakho. |
| Amagxa | Intlungu kunye nokuthintelwa kokuhambahamba kwamalungu egxalabeni. |
| Amalungu esinqe | Intlungu xa uhamba kwaye ugoba. |
| Izithende | Intlungu kwi-tendon edibanisa isithende neenyawo. |
Ezinye iimeko zonyango ezinxulumene noko
- Ukudumba kwamehlo: Malunga nesinye kwisithathu sabaguli abane-AS baya kuba nokudumba kwamehlo (i-uveitis okanye i-iritis) ngaxa lithile ebomini babo. Iimpawu ziquka iintlungu zamehlo, ukubomvu, ukukrazuka, ukubona okufipheleyo, kunye nokuziva ukukhanya. Ukuba ufumana naziphi na kwezi mpawu, bona ugqirha wamehlo ngokukhawuleza. Ukuba awunyangwa, ukulahleka kokubona kunokwenzeka.
- Ukudumba kwendlela yokugaya ukutya: Malunga nama-70% ezigulane ezine-AS ziba nokudumba kwendlela yokugaya ukutya, kodwa uninzi alubonisi zimpawu. Malunga ne-10% ziba ne-IBD (Isifo samathumbu esivuthayo)., oko kuthetha ukuba iimeko ezifana nesifo sikaCrohn okanye i-Ulcerative Colitis zinokwenzeka.
- Izifo zesikhumba: Malunga ne-10% yabantu banokuba ne-psoriasis.
Unyango njengoko isifo siqhubeka
Ukuba ii-NSAID eziqhelekileyo aziniki ncedo, ugqirha wakho unokukunika uhlobo oluqinileyo lwamayeza abizwa ngokuba yi-biologics . La mayeza anokusebenza ngakumbi kuba ajolise ngqo kwizinto ezikwinkqubo yethu yomzimba yokuzikhusela ezibangela ukudumba.
Amayeza okuthintela i-TNF (umz., i-Adalimumab (Humira), i-Etanercept (Enbrel), i-Infliximab (Remicade)) anokunikwa kuqala. Ukuba la mayeza angasebenzi, amayeza okuthintela i-IL-17 (umz., i-Secukinumab (Cosentyx)) angasetyenziswa. Okwangoku, unokufuna uncedo lweengcali zamehlo, i-gastroenterology, okanye i-dermatology.
Inqanaba eliphambili lesi sifo
Xa isifo sinzima kakhulu, ugqirha uya kukuxelela ukuba une "spinal fusion." Oku kuthetha ukuba ithambo elitsha likhula phakathi kwamathambo omqolo aze awadibanise. Oku kubizwa ngokuba yi -spinal fusion .
Xa umqolo uqala ukudibana ngale ndlela, umqolo ulahlekelwa bubugocigoci bawo. Nangona oku kwenzeka kancinci, ngamanye amaxesha wonke umqolo unokuba njengenduku enye.
Olu kudibana kwandisa umngcipheko wokuqhekeka komqolo. Kunokubangela ukuba umqolo ugobe phambili kwaye ugobe . Unyango lomzimba lunokunceda ekulawuleni le meko.
Ukongeza, oku kunokuchaphazela amalungu aphakathi kweembambo nomqolo, kunye neendawo apho iimbambo zidibana khona nethambo lesifuba. Emva koko kunokuba nzima nokuphefumla nzulu. Kwiimeko ezinjalo, ungafunda iindlela zokwenza ukuphefumla kube lula kugqirha wezonyango lokuphefumla.
Kunqabile kakhulu, ukonakala kwemithambo-luvo esezantsi komqolo kunokubangela imeko embi ebizwa ngokuba yi -cauda equina syndrome . Inokubangela ukulahlekelwa kulawulo lwesinyi kunye namathumbu, ukungasebenzi kakuhle ngokwesondo, kunye nentlungu kunye nobuthathaka bemilenze.
Kodwa khumbula, ezi meko zinzima azixhaphakanga. Ukuba uthatha amayeza owanikwe ngugqirha wakho kwaye ulandela imiyalelo yakhe, akunzima ukuziphepha ezo meko zinzima. Kubalulekile ukubona ugqirha ukuze ahlolwe nokuba awunazo iimpawu.
Ufika nini kugqirha
Ukuba ufumanisa naziphi na iimpawu ezintsha okanye ukuba iimpawu zakho ziya zisiba mandundu, thetha nogqirha wakho ngoko nangoko. Musa ukulibazisa, ingakumbi ukuba umntu one-AS ufumana naziphi na kwezi mpawu zilandelayo:
| Funa ingcebiso yezonyango ngoko nangoko! | |
|---|---|
| Uphawu | Inkcazo |
| Ubunzima bokuphefumla | Ukuba uziva isifuba siqinile okanye kunzima ukuphefumla. |
| Iingxaki zokubona | Ukubomvu kwamehlo, iintlungu, ukubona okufipheleyo. |
| Iintlungu zesifuba | Kubalulekile ukuqinisekisa ukuba ayisosifo sentliziyo. |
| Intlungu ebuhlungu yomqolo okanye yamalungu | Intlungu ingaphezulu kunentlungu yakho eqhelekileyo. |
| Ukunciphisa umzimba ngaphandle kwesizathu | Isenokuba luphawu lwenye imeko yezonyango. |
| Ukuqina komqolo okwandisiweyo | Ukuba kukho ukwehla okucacileyo kwentshukumo yomqolo. |
Umyalezo Wokuya Ekhaya
- I-Ankylosing Spondylitis (AS) ayisiyontlungu yomqolo kuphela, luhlobo lwe-arthritis oluchaphazela umqolo.
- Kubaluleke kakhulu ukuxilonga esi sifo kwasekuqaleni uze ubone ingcali.
- Ukuzilolonga lunyango olubalulekileyo lwesi sifo. Ungaze uluphose.
- Sela amayeza owanikwe ngugqirha wakho njengoko eyalelwe kwaye kangangexesha elimiselweyo. Musa ukuyeka ukuwasela amayeza kuba nje iimpawu zakho ziphelile.
- Kuphephe ukutshaya ngokupheleleyo. Ziphe ukutya okunempilo.
- Ukuba ufumanisa iimpawu ezintsha ezifana neentlungu zamehlo, iingxaki zokubona, okanye ubunzima bokuphefumla, yazisa ugqirha wakho ngoko nangoko.
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