Ngaba uneentlungu emqolo okanye esinqeni sakho? (i-Ankylosing Spondylitis)

Ngaba ngamanye amaxesha uziva ubuhlungu obungaqhelekanga okanye ukuqina komqolo wakho ongezantsi, esinqeni, nakwiimpundu (oko kukuthi, ngaphezulu kweempundu zakho)? Ingakumbi xa uvuka kusasa. Oku kusenokungabi yintlungu nje yomqolo. Namhlanje siza kuthetha ngohlobo lwe-arthritis oluhlala ixesha elide olubizwa ngokuba yi-Ankylosing Spondylitis olubonisa ezi mpawu. Ungakhathazeki, siza kuthetha ngale nto ngokulula.

Yintoni le (i-Ankylosing Spondylitis)?

Ngamafutshane, i-Ankylosing Spondylitis luhlobo lwe-arthritis oluchaphazela amalungu omqolo wakho . Ngamanye amaxesha oogqirha bayibiza ngokuba yi-Axial Spondyloarthritis. Ichaphazela kakhulu inxalenye esezantsi yomqolo wakho, amalungu apho amathambo akho esinqe (i-pelvis) adibana khona. Sibiza la malungu ngokuthi (amalungu e-Sacroiliac) .

Cinga nje, amalungu e-sacroiliac kulapho ithambo elingunxantathu elisekupheleni komqolo wakho (sacrum) kunye nomphezulu nomva wethambo lakho lesinqe (ilium) kudibana khona. La mabhulorho amabini aphambili adibanisa umqolo wakho kunye nendawo yesinqe. Enyanisweni, la ngamanye amalungu amakhulu emzimbeni wakho. La malungu asetyenziswa rhoqo xa ushukuma, ngalo lonke ixesha ushukumisa isinqe sakho ngasemva nangaphambili. Ngoko ke uziva njani xa unengxaki ngawo?

Kwakhona, nangona kungengabo bonke abantu, kwabanye abantu, i-Ankylosing Spondylitis inokuchaphazela namanye amalungu. Umzekelo:

• Amagxa akho
• Izinqe
• Amadolo

Le meko inokubangela iintlungu, ukuqina, kwaye ngamanye amaxesha iimpawu zesisu . Ukuba unentlungu esezantsi komqolo, ingakumbi ukuba iya isiba mandundu kwaye yenza kube nzima ukwenza imisebenzi yemihla ngemihla, kubalulekile ukubona ugqirha ukuze akunike ingcebiso.

Ziziphi iimpawu ze-Ankylosing Spondylitis?

Iimpawu zingahluka kumntu nomntu. Nangona kunjalo, uphawu oluqhelekileyo ziintlungu ezisezantsi komqolo . Oku kubangelwa kukudumba okanye i-Sacroiliitis kumalungu e-sacroiliac.

Le ntlungu ngamanye amaxesha inokusasazeka nakwezinye iindawo, umzekelo:

• Intlungu kwizihlunu zesinqe
• Intlungu ezimpundu
• Intlungu yentamo
• Abanye abantu banokuba neentlungu zesisu.

Ukongeza, kunokubakho nezinye iimpawu ezininzi:

• Ukuqina okanye ukungakwazi ukuhambisa amalungu esinqe kakuhle kunye nomqolo osezantsi . Oku kubonakala ngakumbi xa uvuka kusasa, okanye emva kokuma ixesha elide kwindawo efanayo.
• Ukudinwa ngalo lonke ixesha (Ukudinwa) . Ngokungathi umzimba awunabomi.
• Abanye abantu banokufumana ubunzima bokuphefumla (ukuphelelwa ngamandla) .
• Ukulahlekelwa ngumdla wokutya okanye ukwehla kobunzima ngaphandle kwesizathu esicacileyo .
• Abanye abantu banokuba nesifo sorhudo .
• Iimpundu zesikhumba .
• Iingxaki zokubona nazo zinokwenzeka.

Kutheni le nto (i-Ankylosing Spondylitis) isenzeka?

I-Ankylosing Spondylitis sisifo esihlasela umzimba . Ngamafutshane, umzimba wethu unomkhosi olwa neentshaba, ezibizwa ngokuba yi-immune system. Oku kukusikhusela kwizifo. Kodwa kwesi sifo esihlasela umzimba, umkhosi wethu uhlasela iiseli zethu ezilungileyo ngempazamo. Kufana nokuhlasela ikhaya lethu.

Isizathu esichanekileyo se-Ankylosing Spondylitis asikaziwa okwangoku. Nangona kunjalo, uphando lufumanise ukuba utshintsho oluthile lwezakhi zofuzo lunxulumene kakhulu nesi sifo. Olu tshintsho lwezakhi zofuzo lutshintsho oluncinci olwenzeka kwi-DNA yethu xa iiseli zethu zahlukana, oko kuthetha ukuba kwakheka iiseli ezintsha.

Kukho ii-genes ezingaphezu kwama-60 eziguquliweyo ezicingelwa ukuba zidibene nesi sifo. Umzekelo omkhulu yi -HLA-B27 gene . Kufunyenwe ukuba ngaphezulu kwama-90% abantu abamhlophe abane-Ankylosing Spondylitis banale gene ye-HLA-B27 eguquliweyo.

Ngubani osengozini enkulu yokuhlaselwa sesi sifo?

Nabani na unokuba nesi sifo, kodwa amaqela athile anokuba naso.

• Abantu abangaphantsi kweminyaka engama-40 ubudala : Ngaphezulu kwama-80% abantu abane-Ankylosing Spondylitis baxilongwa beneminyaka engama-30 ubudala.
• Amadoda anamathuba amaninzi okuphuhlisa oku.
• Ukuba kukho umntu kusapho lwakho, ingakumbi abazali bakho, one-Ankylosing Spondylitis, nawe usengozini yokuba nayo.

Kwakhona, abantu abanezinye izifo banamathuba amaninzi okufumana i-Ankylosing Spondylitis. Umzekelo:

• (Isifo sikaCrohn) (imeko yokudumba kwendlela yokugaya ukutya)
• I-ulcerative colitis (imeko yokudumba kwamathumbu amakhulu)
• (Psoriasis) (isifo solusu)

Ziziphi iingxaki ezinokubakho ze-Ankylosing Spondylitis?

Abantu abane-Ankylosing Spondylitis basengozini enkulu yokuqhekeka komqolo kuba amathambo omqolo anokuba buthathaka ngokuhamba kwexesha.

Ezinye iingxaki zinokwenzeka:

• I-Fused vertebrae : Oku kwenza kube nzima ukugoba okanye ukujika umqolo, kwaye kwenza kube nzima ukugcina umqolo uthe tye.
• (Kyphosis) : Oku kuthetha ukuba umqolo ugobile phambili, nto leyo eyenza kubonakale ngathi kukho umntu ogobileyo.
• I-Osteoporosis : Amathambo ayaqhekeka kwaye kulula ukuwaphula.
• Iingxaki zamehlo nokubona : Umzekelo , i-uveitis (ukudumba komaleko wangaphakathi weliso) okanye ukuva ukukhanya kunokwenzeka.
• Isifo sentliziyo : (i-Aortitis)Iimeko ezinje (ukudumba kwemithambo emikhulu), (i-Arrhythmia) (ukubetha kwentliziyo okungacwangciswanga) kunye (i-Cardiomyopathy) (ukuba buthathaka kwemisipha yentliziyo).
• Ukonakala kwemithambo-luvo .

Ezi ngxaki azifumaneki kuye wonke umntu, kodwa umngcipheko wokuba zivele uphezulu ukuba esi sifo asilawulwa kakuhle.

Oogqirha bayixilonga njani i-Ankylosing Spondylitis?

Ugqirha uza kuqala ayixilonge le meko ngokwenza uvavanyo lomzimba . Baza kuyixilonga umzimba wakho baze bathethe nawe ngeempawu zakho. Kubalulekile ukuxelela ugqirha wakho ukuba waqala nini ukuva iintlungu okanye ezinye iimpawu, ukuba zeziphi ixesha oziva kakhulu ngazo, nokuba ziya zisiba mandundu na xa kukho nawuphi na umsebenzi.

Kusenokufuneka ubonane nogqirha wezifo zamathambo, ugqirha ogxile kwizifo zamathambo nezinye izifo ezifanayo .

Ziziphi iimvavanyo ezisetyenziselwa ukuxilonga i-Ankylosing Spondylitis?

Akukho vavanyo lunye olunokuqinisekisa ukuba esi sifo sikhona. Ugqirha uza kufikelela kwisigqibo emva kokuba enze uvavanyo oluninzi.

• Ii-X-reyi zamalungu e-sacroiliac kunye nomqolo : Ezi zijonga iimpawu ze-arthritis.
• (I-Magnetic Resonance Imaging - MRI) : Oku kunokubona iinkcukacha ezingaphezulu kune-X-ray. Kunokubona notshintsho oluncinci kumalungu.
• Uvavanyo lwegazi : Ungenza uvavanyo lwegazi ukuze ubone ukuba unayo na i-gene eguquliweyo (HLA-B27) ekhankanyiweyo ngaphambili. Nangona kunjalo, ayinguye wonke umntu onale gene oza kuba ne-Ankylosing Spondylitis, kwaye nabo bangenayo le gene banokuyivelisa. Ngoko ke le yinto enye kuphela.

Inyangwa njani i-Ankylosing Spondylitis?

Ugqirha wakho uza kucebisa unyango olunokukunceda ukulawula iimpawu zakho nokunciphisa impembelelo yesifo kubomi bakho bemihla ngemihla.

Iindlela zonyango ezisetyenziswa kakhulu kwi-Ankylosing Spondylitis zezi:

• Ukuzilolonga : Ukwenza umthambo rhoqo kunokunceda ekunciphiseni ukuqina kwamalungu kwaye kuthintele ukuba isifo singabi sibi kakhulu. Kubantu abaninzi, iintlungu ziba mandundu xa bengenzi nto. Ingcali yezonyango inokucebisa ukolula kunye nokuzilolonga okuthe ngqo okuqinisa izihlunu ezixhasa umqolo wakho kunye nomqolo.
• Amayeza angengowe-steroidal alwa nokuvuvukala (ii-NSAID) : Amayeza athengiswa ngaphandle kwemvume kagqirha anjenge -ibuprofen kunye ne-naproxen anokunceda ukunciphisa iintlungu kunye nokuvuvukala. Nangona kunjalo, kungcono ukuthetha nogqirha ngaphambi kokuba uwasebenzise la mayeza kangangeentsuku ezingaphezu kwe-10.
• Amayeza okulwa nesifo samathambo aguqula izifo ngokwebhayoloji (ii-DMARD) : La ngamayeza akhutshwa ngugqirha anciphisa ukudumba kunye nentlungu. Angathintela nesifo (i-Ankylosing Spondylitis) ukuba singabi mandundu.
• (Ii-Corticosteroids): La mayeza alwa nokuvuvukala anikwa ngugqirha. Ngamanye amaxesha, imijovo ye-cortisone inokunikwa ngqo kumalungu achaphazelekileyo.
• Utyando : Utyando alufuneki rhoqo kwi-ankylosing spondylitis. Oogqirha badla ngokucebisa utyando kuphela kubantu abaneempawu ezinzima abangakhange baphendule kwezinye iindlela zonyango.

Ndiza kuziva bhetele kungekudala kangakanani?

Wakuba uqalile unyango, uya kuqala ukuziva ungcono kancinci kancinci. Iimpawu zakho zisenokungapheli ngokupheleleyo, kodwa njengoko ufumana unyango olukusebenzelayo, iimpawu zakho ziya kuncipha kwaye ubomi bakho buya kuba lula. Ukuzilolonga kunye nonyango lomzimba zizinto ezithatha ixesha ukusebenza. Kwakhona, ixesha elithathwayo ukuze iyeza ngalinye lisebenze liyahluka. Ngoko ke buza ugqirha wakho malunga nokuba ungalindela ixesha elingakanani ukuba ubone uphuculo.

Yintoni emele ilindelwe ngumntu one-Ankylosing Spondylitis?

I-Ankylosing Spondylitis yimeko engapheliyo, ehlala ixesha elide . Kusenokufuneka ulawule iimpawu zakho ixesha elide, mhlawumbi ubomi bakho bonke. Abanye abantu banokuba namaxesha okuba neempawu ezimbalwa okanye ezincinci (ukungaphindi zibonakale). Nangona kunjalo, nokuba awunazo iimpawu okwethutyana, zisenokubuya.

Into ebalulekileyo kukuba, akukho nyango lwe-Ankylosing Spondylitis okanye naluphi na olunye uhlobo lwe-arthritis. Kodwa oko akuthethi ukuba kufuneka uphile ubomi obubuhlungu.

Thetha ngokukhululekileyo nogqirha wakho malunga nendlela oziva ngayo, indlela iimpawu zakho ezichaphazela ngayo imisebenzi yakho yemihla ngemihla, kunye nendlela ozenza ngayo izinto ozithandayo.

Ndingazinyamekela njani?

Ukongeza ekulandeleni unyango lwakho lwe-Ankylosing Spondylitis, kukho izinto ezininzi onokuzenza wena ukuze unciphise ukudumba emzimbeni wakho kwaye unciphise uxinzelelo kumalungu akho:

• Landela ukutya okunempilo kunye nesicwangciso sokuzilolonga esikufaneleyo.
• Nciphisa ukusetyenziswa kotywala.
• Ukuba uyatshaya, yeka. Oku kunokunyusa ukudumba.

Ndifanele ndimbone nini ugqirha wam?

Bona ugqirha ukuba ubonakalisa iimpawu ezintsha okanye ukuba iimpawu zakho ziya zisiba mandundu. Xelela ugqirha wakho ukuba unyango lwakho alubonakali lulawula iimpawu zakho njengangaphambili.

Ukuba ufumana naziphi na kwezi mpawu zilandelayo, bona ugqirha ngokukhawuleza:

• Iintlungu zesifuba
• Ubunzima bokuphefumla
• Iingxaki zokubona
• Intlungu ebuhlungu yomqolo okanye ezinye iintlungu zamalungu
• Ukuba umqolo wakho uziva uqinile ngendlela engaqhelekanga kwaye ungakwazi ukugoba
• Ukuba unciphisa umzimba ngaphandle kwesizathu esicacileyo

Ndingayibuza yiphi imibuzo ugqirha wam?

Eminye imibuzo onokuyibuza ugqirha wakho:

• Ngaba ndine-Ankylosing Spondylitis okanye olunye uhlobo lwe-arthritis?
• Ngaba kuya kufuneka ndenze uvavanyo lwemfuza?
• Zeziphi iindlela zonyango ezinokunceda ukulawula iimpawu zam?
• Ngaba ndiza kuyidinga unyango lomzimba?

Okokugqibela, izinto ekufuneka uzikhumbule

Ukuphila nalo naluphi na uhlobo lwesifo samathambo kunokuba nzima. Ukuba une-Ankylosing Spondylitis, inokuba yintlungu yokwenyani. Intlungu, ukuqina, kunye nezinye iimpawu zinokuba yingozi kubomi bakho bemihla ngemihla. Kodwa iindaba ezimnandi zezokuba i-Ankylosing Spondylitis yimeko elawulekayo.

Ugqirha wakho unokukunceda ufumane unyango olunokunceda ukunciphisa impembelelo yeempawu zakho ze-Ankylosing Spondylitis kubomi bakho bemihla ngemihla. Musa ukoyika ukubuza imibuzo nokuthetha ngonyango lwakho. Uyazi kakuhle indlela oziva ngayo. Ngoko ke yabelana ngezimvo zakho nogqirha wakho.

Intlungu yomqolo , i-ankylosing spondylitis, isifo samathambo, inkqubo yomzimba yokuzikhusela, umqolo, unyango, i-HLA-B27