Ngaba ngamanye amaxesha uziva iintlungu nokuqina rhoqo kwiindawo ezifana nomqolo wakho, intamo, kunye nezinqe? Ingakumbi xa uvuka kusasa, ngaba uziva uqinile kwaye uqinile, kwaye okwethutyana awukwazi nokugoba okanye ukuhamba kakuhle? Esinye isizathu esinokubangela ezi mpawu yimeko ebizwa ngokuba yi-Ankylosing Spondylitis. Abantu abaninzi bayoyika xa besiva eli gama, kodwa ukuba ulilawula kakuhle, ungaphila ubomi obuqhelekileyo. Ngoko ke, masithethe ngale nto ngokulula nangokucacileyo namhlanje.
Yintoni kanye kanye ebangela oku? (Yintoni enokubangela i-Ankylosing Spondylitis)
Oogqirha abakakwazi ukufumana unobangela ochanekileyo wesifo, kodwa uphando lwangoku lubonisa ukuba sibangelwa kukudibana kwezinto zemfuza kunye nezinto ezisingqongileyo .
Enye yezona zinto zibalulekileyo ezifunyenweyo kolu phando yi-antigen HLA-B27 . Ngamafutshane, i-antigen yinto enokuvuselela inkqubo yomzimba wethu yokuzikhusela. Ngokwesiqhelo, ezi zinto (HLAs) kwinkqubo yethu yokuzikhusela zinoxanduva lokwahlula phakathi kweentsholongwane ezingena emzimbeni kunye neeseli eziphilileyo emzimbeni. Kufana nomlindi emzimbeni wethu.
Kodwa le, ebizwa ngokuba yi-HLA-B27, yahlukile kancinci. Ngamanye amaxesha ihlasela iiseli zethu eziphilileyo kunye nezicubu. Malunga nama-90% abantu abane-Ankylosing Spondylitis (AS) banale jini ebizwa ngokuba yi-HLA-B27. Ke ngoko, ukujonga le jini egazini lomntu luvavanyo olunokwenziwa ukuba kukho ukurhanelwa kwesi sifo.
Nangona kunjalo, kukho into ebalulekileyo ekufuneka uyikhumbule apha. Ukuba nje umntu une-HLA-B27 gene akuthethi ukuba ngokuqinisekileyo uza kuba ne-AS. Kwakhona, ayinguye wonke umntu one-AS onale gene. Oku kuthetha ukuba le gene ayisiyo yodwa imbangela yesifo, yingxaki enkulu kuphela.
Ngaphandle koku, kukho nezinye izinto ezininzi ezinobungozi.
- Isini: Nangona abafazi nabo benokuba nesi sifo, amadoda anokuba naso.
- Ubudala: Nangona inokukhula nakweyiphi na iminyaka, idla ngokuqala xa umntu efikisa , phakathi kweminyaka eli-17 ukuya kwengama-20 ukuya kwengama-30.
Kutheni kuthatha ixesha elide kangaka ukuxilonga?
Kudla ngokuthatha iminyaka ukuxilonga esi sifo ngokuchanekileyo, ikakhulu kuba akukho vavanyo "lugqibeleleyo" oluchaza esi sifo ngokuthe ngqo.
Xa usiya kugqirha, uya kumamela ngononophelo iimpawu zakho aze athumele uvavanyo lwegazi kunye novavanyo lwemifanekiso efana ne-X-ray okanye i-MRI. Olu vavanyo aluthathi xesha lide ukwenziwa. Nangona kunjalo, isizathu sokulibaziseka kokuxilongwa kukuba,Abantu abaninzi ngempazamo bacinga ukuba iimpawu zokuqala ziingqaqambo zomqolo nje okanye iintlungu ezibangelwa kukuzilolonga. Ke ngoko, kuthatha ixesha ukuba ugqirha akrokre oku. Ke ngoko, ukuba unentlungu engapheliyo yomqolo, kubaluleke kakhulu ukufuna ingcebiso kagqirha ngaphandle kokuyityeshela.
Ziziphi iindlela zonyango zamva nje zokunyanga oku?
Akukho nyango lwe-Ankylosing Spondylitis okwangoku. Kodwa ungakhathazeki, ngoku kukho unyango oluninzi oluhle olunokukunceda ulawule iimpawu zakho, lunciphise kakhulu ukuqhubeka kwesi sifo, kwaye uphile ubomi obutofotofo.
| Indlela yonyango | Ingcaciso elula |
|---|---|
| Iipilisi zokubulala iintlungu (ii-NSAID) | Ezi zezona ndlela zonyango zokuqala. Zinceda ekunciphiseni iintlungu nokuqina. Ngamanye amaxesha ugqirha wakho angakuxelela ukuba uzisebenzise rhoqo, kungekuphela nje xa unentlungu. Nangona kunjalo, kubalulekile ukuzisebenzisa kuphela njengoko ugqirha wakho eyalele , kuba zinokubangela iingxaki zempilo ezinzulu, ezifana noxinzelelo lwegazi oluphezulu. |
| Izithinteli ze-TNF | Ezi luhlobo lonyango lwebhayoloji. Zinceda ekunciphiseni ukudumba emzimbeni kwaye ziyeke ukuba isifo singabi mandundu. Zingasetyenziswa kunye neepilisi zokudambisa iintlungu eziqhelekileyo. |
| Izithinteli ze-IL-17 | Olu lolunye uhlobo lwamayeza alawula ukudumba, njenge-TNF inhibitors. La mayeza asetyenziswa nakwimiyalelo kagqirha. |
| Ulungiso lwenyama | Le yinto ekufuneka uyenze ngokuqinisekileyo. Inceda kakhulu ekunciphiseni iintlungu, yonyusa ukuguquguquka kunye namandla emzimbeni. Ingcali yezonyango iya kukufundisa ukuba zeziphi imithambo ekufuneka uyenze ukuze uhlale umile kakuhle. |
| Utyando | Utyando alusoloko luyimfuneko. Nangona kunjalo, ugqirha wakho unokucebisa utyando kuphela kwiimeko ezinzima kakhulu , njengaxa kukho umonakalo omkhulu kumalungu okanye ingxaki enkulu esinqeni. |
Izinto onokuzenza ukulawula iimpawu
Kunye namayeza kunye nonyango lomzimba, utshintsho oluncinci kwindlela ophila ngayo lunokunceda kakhulu ekulawuleni ezi mpawu.
- Kuphephe ukutshaya ngokupheleleyo: Mhlawumbi uyazi ukuba ukutshaya akulunganga emzimbeni wonke. Ingakumbi kumntu one-AS, ukutshaya kunokubangela iingxaki zokuphefumla.
- Hlala ume kakuhle: Ziqhelise ukugcina umqolo wakho uthe tye xa uhleli esitulweni naxa umi. Oku kunokunciphisa umngcipheko weentlungu zomqolo ngenxa yesi sifo. Unyango lomzimba lunokukunceda koku.
- Sebenzisa ubushushu nobushushu: Ukufaka iipakethe zomkhenkce kwiindawo ezidumbileyo kunokunceda ukunciphisa ukudumba. Ukufaka i-heating pad okanye ukuhlamba ngamanzi ashushu kunokunceda ekunciphiseni ukuqina kunye nentlungu.
- Ukuzilolonga: Ukuzilolonga rhoqo kunokunceda ukugcina ukuguquguquka kunye nokunciphisa iintlungu. Ukuhamba kunye nokuzolula ixesha elifutshane yonke imihla licebo elihle. Nangona kunjalo, buza ugqirha wakho okanye ingcali yezonyango ukuba zeziphi imithambo efanelekileyo kuwe.
- Yitya ukutya okunempilo: Ukutya okufana nokutya okukhawulezayo, ukutya okunamafutha, kunye nokutya okuqhotsiweyo kunokunyusa ukudumba emzimbeni. Endaweni yoko, faka ukutya okunciphisa ukudumba ekutyeni kwakho, okufana neziqhamo, imifuno, iimbotyi, iinkozo ezipheleleyo, kunye neentlanzi ezityebileyo kwi-omega-3.
Umyalezo Wokuya Ekhaya
- I-Ankylosing Spondylitis ayisiyontlungu yomqolo eqhelekileyo kuphela, yimeko yokudumba ehlala ixesha elide echaphazela umqolo kunye namalungu.
- Nangona ukuba ne-HLA-B27 gene kuyinto ebangela umngcipheko omkhulu wokufumana esi sifo, ayinguye wonke umntu onayo ofumana esi sifo.
- Ukuxilongwa kwangoko kubaluleke kakhulu. Ukuba uneentlungu ezingapheliyo emqolo kunye nokuqina, ingakumbi kusasa, qiniseka ukuba uthetha nogqirha wakho .
- Nangona unyango lungenakusinyanga ngokupheleleyo esi sifo, lunokulawula iimpawu kwaye luthintele ukuqhubeka kwesifo. Amayeza, unyango lomzimba, kunye notshintsho kwindlela yokuphila zibaluleke kakhulu koku.
- Ukuphepha ukutshaya, ukuhlala umile kakuhle, ukwenza umthambo, nokutya ukutya okunempilo kuya kukunika amandla amakhulu okuphila ngempumelelo nale meko.
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