Yintoni kanye kanye imbangela yentlungu yakho engapheliyo emqolo? (Axial Spondyloarthritis) Masifunde ngayo!

Ngaba ngamanye amaxesha uneentlungu emqolo okanye esinqeni sakho ezingapheliyo kangangeenyanga? Ngaba uziva uqinile kwaye uqinile ngakumbi xa uvuka kusasa? Ngaba unengxaki yomqolo obuhlungu ngamanye amaxesha obuya ngcono xa uzilolonga, kodwa bube mandundu xa ulele okanye uphumle ebusuku? Nangona usenokucinga ukuba ezi zinto zibuhlungu nje emqolo, ukukruneka, okanye ukuxinezeleka, kunokuba yinto enzulu ngakumbi. Namhlanje siza kuthetha nge- axial spondyloarthritis , okanye (axSpA) ngamafutshane, imeko enzima kancinci, kodwa inokulawulwa ukuba ilawulwa ngokufanelekileyo.

Yintoni kanye kanye i-axial spondyloarthritis?

Ngamafutshane, i-axial spondyloarthritis (axSpA) luhlobo lwe-arthritis. Kodwa ayifani neentlungu zamalungu esiqhele ukuva ngazo njengoko sikhula. Ichaphazela ngokukodwa "amathambo ethu e-axial." Oko kukuthi, amathambo aphakathi emzimbeni wethu - iindawo eziphambili ezifana nesifuba, umqolo, kunye namaqaqa - achaphazeleka kakhulu. Le meko (axSpA) ibangelwa kukutshintsha kwendlela esebenza ngayo inkqubo yethu yokuzikhusela komzimba . Ukuchaneka, inkqubo yokuzikhusela yomzimba, ekufanele ukuba ikhusele umzimba wethu, iqala ngempazamo ukuhlasela amalungu ethu kunye nezicubu ezithambileyo. Oku sikubiza ngokuba "kukudumba." Oku kukudumba yikona okubangela ukudumba kwamalungu, iintlungu, kwaye ngokuhamba kwexesha, umonakalo wamalungu. (axSpA) yimeko ekwiqela elikhulu lezifo ezibizwa ngokuba yi-spondyloarthritis . Uphawu olukhethekileyo lolu qela lwezifo ze-spondyloarthritis kukuba zinokuchaphazela kungekuphela nje amalungu, kodwa nezinye iinkqubo zomzimba. Umzekelo, ukuba unayo (axSpA), ukongeza kwintlungu yomqolo, unokufumana iimpawu ezifana nokudumba kwamehlo (uveitis) kunye norhudo . Nangona ezi zinto zisenokungabonakali zinxulumene nentlungu yomqolo xa uzijonga okokuqala, ezi zinto zinokwenzeka nge (axSpA).

Ngubani onokuba nethuba elikhulu lokufumana le meko (axSpA)?

Enyanisweni, nabani na unokuba ne-axSpA. Kodwa yimeko engaqhelekanga. Kuqikelelwa ukuba malunga ne-1% kuphela yabemi behlabathi abanale sifo. Le meko ixhaphake kakhulu kubantu abangaphantsi kweminyaka engama-40 ubudala. Iimpawu zihlala ziqala ukubonakala kwiminyaka yakho yokufikisa okanye kwiminyaka engama-20 . Amadoda nabafazi banokuhlakulela esi sifo ngokulinganayo.

I-axial spondyloarthritis (axSpA) ichaphazela njani umzimba wam?

Ukuba i-axSpA ayinyangwa kakuhle, ngokuhamba kwexesha amathambo asemqolo angaqala ukudibana . Olu kudibana kwamathambo kwaziwa ngokwezonyango njenge-ankylosis.Oku kubangela ukuba umqolo uphulukane nokuguquguquka kwawo, nto leyo eyenza kube nzima ukugcina umqolo uthe tye. Kwakhona, le meko inokukhokelela kwisifo sokuncitshiswa kwamathambo esibizwa ngokuba yi-osteoporosis emgogodleni. Oku kungenza amathambo abe buthathaka emgogodleni, nto leyo eyonyusa umngcipheko wokuqhekeka komqolo . Cinga nje, nokuba ukuwa okuncinci kunokwaphula ithambo emgogodleni.

Zithini izizathu ze-axSpA?

Nangona unobangela ochanekileyo we-axSpA ungaziwa okwangoku, kukholelwa ukuba uyenzeka kwiintsapho . Uvavanyo lwemfuza lwabantu abaninzi abane-axSpA lufumanise ukuba bane-gene ebizwa ngokuba yi-HLA-B27 . Nangona kunjalo, oku akuthethi ukuba wonke umntu one-gene ye-HLA-B27 uza kuba ne-axSpA. Kwakhona, abantu abangenayo le gene, kunye nabo bangenayo imbali yentsapho yesi sifo, banokuba ne-axSpA. Ngoko ke, oku kunzima kancinci.

Zithini iimpawu ze-(Axial Spondyloarthritis)?

Uphawu oluphambili noluqhelekileyo lwe-axSpA ziintlungu zomqolo . Kodwa azizo iintlungu zomqolo kuphela. Kukho iimpawu ezithile zale ntlungu:

• Ezingapheliyo: Oku kuthetha ukuba intlungu inokuhlala ixesha elingaphezu kweenyanga ezintathu.
• Ayibangelwa kukwenzakala okanye yingxaki yoomatshini: Umzekelo, ayibangelwa yinto efana nediski etyibilikayo okanye ukuqaqamba kwemisipha.

Ukuba une-axSpA, iintlungu zakho zomqolo nazo zingabonakala ngolu hlobo:

• Xa uzilolonga kwaye ushukumisa umzimba wakho, uyancipha kancinci.
• Intlungu iyanda ebusuku xa ulele okanye uphumle.
• Xa ndivuka kusasa, umqolo wam uqaqamba ngenxa yokuqina .
• Intlungu isasazeka iye kwi-hip okanye ezinqeni.

Ukuvuvukala okubangelwa yi-axSpA akupheleli nje kumqolo. Kunokuchaphazela nezinye iinkqubo emzimbeni. Umzekelo:

• Iingxaki zokugaya ukutya: Njengokuqaqanjelwa sisisu.
• Ukudinwa .
• I-Enthesitis: Ukudumba, i-calcium deposits, kunye ne-bone spurs kwiindawo apho i-tendon kunye ne-ligaments zinamathela khona emathanjeni.
• I-Dactylitis: Ukudumba okupheleleyo kweminwe okanye iinzwane (njengeenzwane zesoseji).
• I-Psoriasis sisifo solusu.
• Ukudumba kwamehlo, ingakumbi i-uveitis .

Khawucinge nje, umfana ogama linguSaman ebesoloko ehlushwa yintlungu yomqolo ukususela xa wayeneminyaka engama-22 ubudala. Xa evuka kusasa, wayengakwazi ukugoba umqolo wakhe. Wayecinga ukuba ukrunekile iqatha lakhe ngelixa edlala ikhilikithi. Kodwa kwadlula iinyanga kwaye intlungu ayizange iphele. Kamva, wabona ugqirha waza wafunda ngale nto (axSpA). Wathi kwakhona ukongeza kwintlungu yakhe yomqolo, amehlo akhe ngamanye amaxesha ayeba bomvu kwaye abe buhlungu.

Ifunyanwa njani i-Axial Spondyloarthritis?

Xa ubona ugqirha malunga neentlungu zakho zomqolo, uya kuqala ajonge iimpawu zakho ezibalulekileyo aze enze uvavanyo lomzimba . Ezi zinto zimbini zinokukunika umbono wempilo yakho ngokubanzi. Ukongeza, ugqirha angenza iimvavanyo ezifana nezi:

• Uvavanyo lwegazi : Uvavanyo lwegazi lwenziwa ukujonga ubukho be -HLA-B27 gene kunye nokujonga inqanaba leproteni ye-C-reactive, ebonisa ukuba kukho ukudumba emzimbeni.
• Uvavanyo lokufota: Olu vavanyo lunceda ukubona imeko yamathambo kwi-axial skeleton yakho, njengomqolo wakho kunye namanqe.
• I-X-reyi: I-X-reyi yomqolo inokunceda ekuxilongeni i-axSpA okanye ezinye iingxaki zamathambo.
• I-MRI: Ezi zinokuthatha imifanekiso ecacileyo neneenkcukacha. Ii-MRI zinokubona izinto ezifana nokuvuvukala emgogodleni ngaphambi kokuba zibonwe kwi-X-ray.

Ngamanye amaxesha, usenokuba neempawu ze-axSpA (ezifana neentlungu zomqolo), kodwa akukho ukudumba okubonakalayo okubonakalayo kwiimvavanyo zomfanekiso (ii-X-ray okanye ii-MRI). Nangona kunjalo, oogqirha banokukubiza ngokuthi "i-axSpA engeyiyo ye-radiographic ." "I-Non-radiographic" ithetha ukuba ayibonakali kwiimvavanyo zomfanekiso. Abanye abantu abane-"axSpA engeyiyo ye-radiographic" banokuba nemeko yabo emandundu ngokuhamba kwexesha baze babonakale kamva kwi-X-ray okanye kwi-MRI. Kodwa kwiimeko ezininzi, imeko isenokungabi mandundu njengoko ibonakala kwiimvavanyo zomfanekiso.

Iphathwa njani i-Axial Spondyloarthritis?

Ngelishwa, akukho nyango lwe-axSpA. Nangona kunjalo, ngonyango olufanelekileyo, iimpawu zinokulawulwa kwaye umgangatho wobomi unokuphuculwa . Unyango onokulufumana lungabandakanya:

• Amayeza angengowe-steroidal anti-inflammatory (NSAIDS):La ngamayeza athengiswa ngaphandle kwemvume kagqirha (OTC) onokuwathenga kwikhemesti ngaphandle kwemvume kagqirha. Athomalalisa iintlungu kwaye anciphise ukudumba. Amayeza asetyenziswa kakhulu yi -aspirin, i-ibuprofen, kunye ne-naproxen sodium .
• Unyango lomzimba: Ugqirha wakho unokukuthumela kwingcali yonyango lomzimba, eya kukufundisa imithambo ethile eyenzelwe iimfuno zakho. Unyango lomzimba lunokunceda ekunciphiseni iintlungu nokwandisa ukuguquguquka namandla.
• Iinaliti zeSteroid: IiCorticosteroids ludidi olunamandla lwamayeza alwa neentlungu kunye nokudumba. Ukuba unentlungu eqatha okanye ukudumba kwindawo ethile yomzimba wakho, inaliti yesteroid kuloo ndawo inokubonelela ngoncedo.
• Amayeza okulwa nesifo samathambo (DMARDs): Ukuba ezinye iindlela zonyango azikuncedi ngokwaneleyo, kungasetyenziswa udidi lwamayeza abizwa ngokuba ngamayeza okulwa nesifo samathambo (DMARDs). La mayeza anciphisa iintlungu kunye nokudumba kwamalungu. Akwanceda ekuthinteleni umonakalo wamalungu kwixesha elizayo.
• IiBiologics: Ezi luhlobo olukhethekileyo lwamayeza olukwakwicandelo le-DMARDs. Zijolise ngqo kwinkqubo yakho yokuzikhusela komzimba kwaye zinceda ukulawula ukudumba. Nangona ezi biologics zinokuba luncedo kakhulu, zinokubangela nezinye iziphumo ebezingalindelekanga, njengomngcipheko ophezulu wosulelo. Ke ngoko, kufuneka zisetyenziswe kuphela phantsi kwengcebiso kagqirha.

Ngaba le meko (i-Axial Spondyloarthritis) ingathintelwa?

Inyaniso kukuba, akukho ndlela eyaziwayo yokuthintela i-axSpA. Kwakhona, ayibangelwa kukwenzakala emqolo.

Ndingayazi njani ukuba ndisemngciphekweni wokufumana oku?

Ukuba abazali bakho okanye abantakwenu bane-axSpA, usemngciphekweni omkhulu wokuba nale meko. Nangona kunjalo, akuqinisekwanga ukuba uza kuba ne-axSpA kuba nje umntu kusapho lwakho enayo okanye ene-HLA-B27 gene.

Liza kuba njani ikamva labo bane-Axial Spondyloarthritis?

Njengoko bekutshiwo ngaphambili, i-axSpA ayinakunyangwa ngokupheleleyo. Ukuba une-axSpA, iimpawu zakho zinokuvela zize ziphele ngamanye amaxesha. Okanye zisenokuba zihlala zihleli. Nangona kunjalo, ukuba zilawulwa kakuhle, abantu abanale meko banokuphila ubomi obude nobonwabisayo. Eyona nto ibalulekileyo kukusebenza nogqirha wakho ukulawula iimpawu zakho kwaye uhlale usempilweni kangangoko.

Ndingazinyamekela njani?

Kukho izinto ezininzi onokuzenza ukuze ugcine impilo yakho kwaye ulawule iimpawu zakho ze-axSpA:

• Bona ugqirha wakho kwiindibano zakho ezicwangcisiweyo. Ukuba isicwangciso sakho sonyango siquka unyango lomzimba, qiniseka ukuba uya khona naso.
• Sebenzisa amayeza kanye njengoko ugqirha ewayalele.
• Musa ukutshaya. Ukuba uyatshaya, fumana uncedo lokuyeka. Ukutshaya kunokunyusa ukudumba kwaye kuyenze mandundu i-axSpA, nto leyo enokonakalisa impilo yamathambo.
• Yenza umthambo olula, njengokuhamba, rhoqo. Umthambo unceda ukugcina amathambo namalungu akho ephilile. Unokunceda nokulawula ukuqhubela phambili kwe-axSpA kunye nokwandisa ukuguquguquka komqolo wakho.
• Yitya ukutya okunempilo okutyebileyo kwiziqhamo nemifuno. Oku kunceda ekulweni nokudumba.

Ndifanele ndimbone nini ugqirha?

Ukuba ufumana naziphi na kwezi mpawu, bona ugqirha wakho ngoko nangoko:

• Ukuba unyango oluthathayo lubangela iziphumo ebezingalindelekanga .
• Ukuba iimpawu zakho zibonakala zisiba mandundu .
• Ukuba uvakalelwa kukuba unyango lwangoku aluncedi .

Yintoni umahluko phakathi kwe-(Axial Spondyloarthritis) kunye ne-(Ankylosing Spondylitis)?

I-Ankylosing spondylitis luhlobo lwe- axial spondyloarthritis (axSpA) . I-Ankylosing spondylitis ichaphazela kakhulu amalungu e-sacroiliac , angamalungu apho umqolo wakho ongezantsi uqhagamshelana khona namanqe akho. Nangona kunjalo, i-axSpA inokuchaphazela nesifuba okanye ezinye iindawo zomqolo wakho. Kukho ezinye iimeko ezininzi eziwela kudidi lwe-spondyloarthritis:

• I-peripheral spondyloarthritis: Oku kudla ngokuchaphazela amalungu ezandleni nasezinyaweni zakho.
• Isifo samathambo se-Psoriatic: Imeko yamathambo enxulunyaniswa nesifo solusu i-psoriasis.
• I-Reactive arthritis: Uhlobo olungaqhelekanga lwe-arthritis olubangelwa lusulelo lwebhaktheriya.
• Isifo samathambo esinxulumene ne-inflammatory bowel disease (IBD): Siqhele ukubonwa kubantu abanezifo ezifana nesifo sikaCrohn okanye i-ulcerative colitis.

Umyalezo Wokuya Ekhaya

Ukuphila ne-ankylosing spondylitis (axSpA) kunokuba nzima. Kodwa khumbula, abantu abaninzi abanale meko bayayilawula kakuhle kwaye baphile ubomi obude nobunempilo. Unokunceda ekulawuleni imeko yakho ngokubona ugqirha wakho rhoqo kunye nokunyamekela impilo yakho iyonke. Kukwaluncedo ukujoyina amaqela enkxaso kubantu abane-ankylosing spondylitis (axSpA) kunye ne-spondyloarthritis. La maqela anokukunceda uthethe nabantu abaqonda iimvakalelo zakho kwaye bazi imingeni ojongene nayo.

Ngoko ke, ukuba uneempawu ezifana neentlungu zomqolo ezingapheliyo kunye nokuqina kwasekuseni, kungcono ukubona ugqirha uze ufumane ukuba yintoni kanye kanye ingxaki ngaphandle kokuyityeshela. Ukuba uyiqaphela kwangethuba kwaye uqale unyango, nawe ungaphila ubomi obuqhelekileyo.

I-Axial spondyloarthritis, iintlungu zomqolo, ukudumba kwamalungu, i-HLA-B27, isifo samathambo, i-spondyloarthritis, i-ankylosing spondylitis