Ngaba ngamanye amaxesha uvuka kusasa unentlungu eqatha emadolweni nasemaqakaleni? Ngaba intlungu iyaphela emva kwexesha elithile, ize ibuye? Usenokucinga ukuba oku kuqhelekile, okanye ukuba ngumphimbo nje obuhlungu obangelwa kukudinwa kakhulu. Kodwa ngamanye amaxesha, emva kwentlungu elula kangaka, kunokubakho imeko yezonyango ekufuneka siyiqwalasele. Namhlanje, siza kuthetha ngemeko enjalo, ebizwa ngokuba yi-Ankylosing Spondylitis (AS).
Know your body mass index (BMI) and weight classification
I-AS ingaphezulu nje kwentlungu yomqolo.
Abantu abaninzi bacinga ukuba i-AS sisifo nje esibangela iintlungu nokuqina komqolo. Ewe, iintlungu nokuqina komqolo zezona mpawu ziphambili zesi sifo. Kodwa inyani yile, i-AS yimeko enokuchaphazela umzimba wonke. Ngokuchanekileyo, sisifo esichaphazela inkqubo yomzimba , oko kuthetha ukuba sichaphazela iinkqubo ezininzi emzimbeni, kungekuphela nje indawo enye.
Xa oku kusenzeka kubantu abancinci, ngamanye amaxesha iintlungu zomqolo zinokulandelwa ziintlungu kumalungu amakhulu afana namagxa kunye namanqe. Kwakhona, imeko ebizwa ngokuba yi-enthesitis ixhaphake kakhulu kwesi sifo.
Ngoko ke yintoni i-Enthesitis?
Ngamafutshane, kukudumba kwemisipha kunye nemisipha edibanisa izihlunu zethu emathanjeni ethu. Oku kubonakala kakhulu kwi-Achilles tendon esithendeni nakwi-plantar fascia ezantsi konyawo. Ukuba ufumana intlungu enkulu esithendeni xa uqala uvuka ebhedini kusasa, kusenokwenzeka ukuba kungenxa yesi simo.
Nangona ndandineminyaka engama-21 ubudala, ndandihamba njengomntu oneminyaka engama-90 ubudala, ndinomzimba oqinileyo noshukumayo ukusuka kwelinye icala ukuya kwelinye.
Eli bali libaliswe ngumntu oye wahlaselwa sesi sifo. Ngamanye amaxesha xa ezi mpawu zifika, asizinikeli ngqalelo ingako. Okanye silibele ukuxelela ugqirha wethu ngazo. Yiyo loo nto kungathatha iminyaka ukuba abanye abantu bafumane ukuxilongwa ngokuchanekileyo kwe-AS. Ingakumbi ukuba unyangwa ngugqirha oqhelekileyo, usenokungacingi ngolu hlobo lokudumba kwamalungu. Ke ngoko , kubaluleke kakhulu ukuthetha nogqirha wakho ngazo zonke iimpawu onazo, nokuba zincinci kangakanani na.
Indlela i-AS echaphazela ngayo umqolo
I-AS yimeko ehlala ixesha elide. Ukuba ayiphathwa kakuhle, inokugoba umqolo wakho ngokusisigxina kwaye ichaphazele nokukwazi kwakho ukuhamba. Ukuba ufumana iintlungu kwezinye iindawo ngaphandle komqolo wakho, oko kuthetha ukuba unokuba nesifo esibi kakhulu. Makhe sijonge iindawo eziphambili ezinokuthi zichaphazele i-AS ngaphandle komqolo wakho.
| Inxalenye yomzimba echaphazelekayo | Izinto ekufuneka uzazi kunye neempawu |
|---|---|
| Izinqe namagxa | Malunga nomntu omnye kwabathathu abane-AS ufumana iintlungu kula malungu. Iintlungu zinokuqala emqolo, emadolweni, okanye ngaphambili kwamathanga. |
| Amehlo | Malunga nama-40% ezigulane ezine-AS ziba nesifo esibizwa ngokuba yi-uveitis , esikukuvuvukala kweliso. Ukuba uneempawu ezinje ngokuba bomvu kweliso, iintlungu, kunye nobunzima bokujonga ukukhanya, bonana nogqirha ngoko nangoko. |
| Inkqubo yokugaya ukutya (amathumbu) | Malunga nomntu omnye kwabalishumi abane-AS unokufumana isifo samathumbu esibangela ukudumba (IBD) , njengesifo sikaCrohn okanye i-ulcerative colitis . Iimpawu ziquka urhudo olunegazi, ukwehla kobunzima, kunye nokudinwa kakhulu. |
| Umhlathi | Malunga ne-10% yezigulana ze-AS zifumana ukudumba kwamalungu emihlathi, nto leyo enokwenza kube nzima ukutya. Kubalulekile ukubona ugqirha wamazinyo ukuba unale ntlungu. |
| Amathambo | Malunga nesiqingatha sabaguli abane-AS basengozini ye -osteoporosis , isifo esibangela ukuba amathambo abe buthathaka. Ukusela izongezo ze-calcium kunye ne-vitamin D kunye nokwenza umthambo ofana nokuhamba kunokunceda ukugcina amathambo eqinile. |
| Imiphunga | Ngamanye amaxesha, i-AS inokubangela ukuba amalungu aphakathi komqolo neembambo aqine, nto leyo ebangela ukuba isifuba singakhuli kakuhle xa uphefumla. Oku kunokubangela ubunzima bokuphefumla. Ukuba ufumana iintlungu esifubeni, bonana nogqirha ngokukhawuleza. |
| Intliziyo | I-AS inyusa umngcipheko wesifo sentliziyo. I-aorta, umthambo ophambili ohambisa igazi emzimbeni wonke, inokuvuvukala. Isantya sentliziyo sinokukhawuleza okanye sicothe. Ke ngoko, kubalulekile ukuba kwenziwe uvavanyo lwentliziyo lwe-echocardiogram (uvavanyo lwe-ultrasound) ubuncinane kanye ngonyaka. |
Masifunde nangonyango kunye nolawulo.
Ukuba unezi mpawu, eyona nto ingcono onokuyenza kukubona ugqirha wezifo zamathambo . Uza kukuhlola aze, ukuba kuyimfuneko, acele iimvavanyo ezifana nee-X-ray, ii-MRI, kunye novavanyo lwegazi ukuqinisekisa ukuba unesifo.
Njengonyango, amayeza okudambisa iintlungu abizwa ngokuba yi-NSAIDs (iziyobisi ezichasene nokuvuvukala) zihlala zinikwa kuqala. Nangona kunjalo, abanye abantu banokufumana iziphumo ebezingalindelekanga ezifana nokurhawuzelelwa sisisu kunye nokucaphuka ngenxa yala mayeza. Ukuba oko kuyenzeka, kufuneka uxelele ugqirha wakho ngako. Emva koko unokukwazi ukutshintsha uhlobo lwamayeza okanye alungise umthamo.
Ukuba isifo sibi kakhulu, ngoku kukho amayeza anamhlanje afana ne -biologics anokulawula umonakalo obangelwa sisifo emzimbeni.
Eyona nto ibalulekileyo kukwenza i-physiotherapy kunye nokuzilolonga ngokufanelekileyo , kunye namayeza. Oku kuya kunceda kakhulu ekunciphiseni ukuqina kwamalungu kwaye kugcine umzimba uguquguqukayo.
Ukulawula ubunzima bakho, uxinzelelo lwegazi, kunye namanqanaba e-cholesterol kubaluleke kakhulu kwimpilo yentliziyo. Kwakhona, ukuba uyatshaya, kufuneka uyeke ngoko nangoko. Ukutshaya kuyenza ibe mandundu le meko.
Umyalezo Wokuya Ekhaya
- I-AS ayisosifo esichaphazela umqolo kuphela. Ingachaphazela namehlo, intliziyo, imiphunga, amathumbu kunye namanye amalungu.
- Ukuba unezinye iimpawu kunye nentlungu yakho yomqolo, ezinje ngamehlo abomvu, intlungu yesithende, intlungu yesinqe, okanye ubunzima bokuphefumla, xelela ugqirha wakho ngazo zonke ezi zinto.
- Ukuba isifo sichongiwe kwangethuba, kunye nonyango olufanelekileyo kunye notshintsho kwindlela yokuphila, i-AS inokulawulwa kakuhle kwaye ubomi obuqhelekileyo bunokuphilwa.
- Ukuzibandakanya kunyango olumiselweyo lokuzilolonga kunye nonyango lomzimba njengoko kumiselwe ngugqirha kubaluleke njengokusela amayeza.
- Ukuzifundisa ngemeko yakho yeyona ndlela ilungileyo yokuphila nayo ngempumelelo.
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