Ngaba nawe uziva umqolo oqinileyo nobuhlungu kwangoko xa uvuka ebhedini kusasa? Kodwa ngaba le ntlungu iyaphela kancinci emva kokuba uhambe kancinci uze uqale umsebenzi wakho wosuku? Ngelixa abantu abaninzi becinga ukuba le yingxaki yomqolo nje, ngamanye amaxesha le inokuba yimeko efuna ingqalelo engakumbi. Namhlanje sithetha ngomntu othe, nangona enemeko enjalo yezonyango, wakwazi ukumelana nayo ngempumelelo waza waphila ubomi obusebenzayo.
UChad Baker - Umdlali wezemidlalo owachasa esi sifo
UChad Baker ngutata wabantwana abane ovela eColorado, eMelika. Ungumphathi wesikolo kwaye ungumthandi wezemidlalo ubomi bakhe bonke. Ukwasebenze njengomqeqeshi kwimidlalo emininzi, kuquka ibasketball, itrakhi, kunye nebhola ekhatywayo.
Ibali likaChad likhethekile kuba wafunyaniswa ene- Ankylosing Spondylitis xa wayeneminyaka engama-20. Nangona bekuya kuba nzima ukuhlala usempilweni xa unesifo esifana nesi, uChad ngoku uneminyaka engama-40 kwaye uphila ubomi obusempilweni nobuqhelekileyo. Uthi esona sizathu siphambili soku kukuba akazange asebenze ngokomzimba ngenxa yesi sifo, kodwa waqhubeka nokuzilolonga nokugcina umzimba wakhe uqinile. Ibali lakhe lisinika umzekelo omhle wokuba sithethe ngesi sifo.
Ngamafutshane, yintoni i-Ankylosing Spondylitis (AS)?
Eli gama lisenokuvakala lide kwaye lingaqhelekanga, kodwa ingongoma ilula. Masiliqhekeze libe ngamagama amabini size siliqonde.
- I-Spondylitis: Oku kubhekisa ekuvuvukeni kwamalungu phakathi kwamathambo omqolo.
- I-Ankylosing: Oku kubhekisa kwinto yokuba ngokuhamba kwexesha, amalungu avuvukileyo ayadibana, aqine, aze aqine.
Oko kukuthi, i-Ankylosing Spondylitis yimeko ye-arthritis engapheliyo echaphazela kakhulu umqolo.
Esi sisifo esibangelwa kukuzikhusela komzimba. Oku kuthetha ukuba inkqubo yomzimba yokuzikhusela, ekufanele ukuba ikhusele imizimba yethu, ngempazamo iqala ukuhlasela amalungu omzimba wethu asempilweni, ingakumbi amalungu asemqolo nakwisinqe. Oku kubangela ukuba amalungu adumbe aze abe buhlungu.
Ziziphi iimpawu eziqhelekileyo zesi sifo?
Iimpawu ze-AS zinokwahluka kumntu nomntu, kodwa kukho iimpawu eziqhelekileyo ezibalulekileyo ekufuneka uzazi.
| Uphawu | Inkcazo |
|---|---|
| Intlungu kunye nokuqina kwindawo engasemva nasemaqakaleni | Olu lolona phawu luphambili. Le ntlungu nokuqina kwayo kuba mandundu ngakumbi kusasa okanye emva kokuba ukwindawo efanayo ixesha elide (umz., xa uvuka kwindawo yokuhlala). |
| Ukunciphisa iintlungu ngexesha lokuzilolonga | Ngokungafaniyo nezinye iingxaki zomqolo, iintlungu nokuqina komzimba kuncipha xa usebenza kunye nomthambo, kwaye ziyanda xa uphumla. |
| Intlungu kwamanye amalungu | Ukongeza emqolo, iintlungu kunye nokudumba kunokwenzeka kwiindawo ezifana namalungu esinqe, amahlombe, amadolo, kunye nezithende. |
| Ukudinwa nokudinwa | Ukudinwa kakhulu nokudinwa ngaphandle kwesizathu nako luphawu oluqhelekileyo. |
| Ukudumba kwamehlo (i-Uveitis) | Abanye abantu banokufumana iimpawu ezinje ngokuba bomvu kwamehlo, iintlungu, kunye nobunzima bokujonga ukukhanya. Le yimeko ebizwa ngokuba yi-uveitis. |
Ngubani osengozini enkulu yokuhlaselwa sesi sifo?
Esi sifo sidla ngokufunyaniswa sisebancinci, phakathi kweminyaka eli-17 nengama-45. Esi sifo sixhaphake kakhulu kumadoda kunabasetyhini. Kwakhona, sinxulumene nemfuza . Abantu abane-gene ye-HLA-B27 basengozini enkulu yokufumana esi sifo. Nangona kunjalo, kubalulekile ukukhumbula ukuba ayinguye wonke umntu onale gene oza kuphuhlisa esi sifo.
Kuthekani ukuba esi sifo siqhubeka sibi?
Ukuba i-AS ayinyangwa kakuhle okanye ukuba ayilawulwa, iingxaki zinokuvela ngokuhamba kwexesha.
- Ukudibana koMgogodla:Eli lelona nqanaba linzima kakhulu lesi sifo. Ngenxa yokudumba okuqhubekayo, umzimba udala ithambo elitsha, ugcwalisa izithuba phakathi kwamathambo omqolo kumqolo. Ngenxa yoko, umqolo uba lukhuni njengenduku enye, ulahlekelwa ngokupheleleyo kukuguquguquka kwawo. Oku kukwabizwa ngokuba "ngumqolo we-bamboo."
- Ukuma okugobileyo: Ukuma okugobileyo nokugobileyo kunokwenzeka ngenxa yokugoba komqolo.
- Ubunzima bokuphefumla: Ukuba iimbambo kunye namalungu adibanisa isifuba nomqolo ayavuvukala aze anciphe, oku kunokuphazamisana nokukhula kwesifuba kwaye kubangele ubunzima bokuphefumla.
- I-Osteoporosis: Amathambo aba buthathaka kwaye umngcipheko wokuqhekeka uyanda ngokulula.
Iphathwa kwaye ilawulwa njani?
Eyona nto ibalulekileyo ekufuneka uyitsho kuqala kukuba akukho nyango lwe-Ankylosing Spondylitis okwangoku. Kodwa ungakhathazeki. Kukho unyango olusebenzayo kakhulu lokulawula iimpawu, ukulawula ukuqhubela phambili kwesi sifo, kunye nokuphila ubomi obuqhelekileyo.
Eyona nto ibalulekileyo kukufumanisa isifo kwaye uqale unyango kwangethuba. Unyango luqalwa kwangoko ngaphambi kokuba kubekho umonakalo osisigxina kumalungu, kokukhona iziphumo zingcono.
Ukuba unezinye zeempawu ezingentla, eyona nto ingcono onokuyenza kukubona ugqirha wakho ngokukhawuleza. Uza kukuhlola, aze ukuba kuyimfuneko, akuthumelele ii-X-ray, ii-MRI scans, kunye novavanyo lwegazi ukuze afumanise imeko ngokuchanekileyo.
Iindlela zonyango zingahlulwahlulwa zibe ziindidi ezininzi eziphambili:
1. Unyango Lomzimba Nokuzilolonga: Le sisiseko solawulo lwe-AS. Kukho imithambo ethile kunye nokuzilolonga ukuze kugcinwe ukuguquguquka, kugcinwe ulungelelwano olufanelekileyo lomqolo, kwaye kuncitshiswe iintlungu. Kubalulekile ukwenza oku phantsi kwesikhokelo sengcali yonyango lomzimba.
2. Amayeza:
- Ii-NSAID (Amayeza Angasebenzisi Ii-steroidal Anti-inflammatory): La ngamayeza okuqala onyango. Iipilisi zokunciphisa iintlungu kunye namayeza okulwa nokuvuvukala afana ne-Ibuprofen kunye ne-Naproxen zinokunceda ukulawula iintlungu kunye nokuqina.
- Amayeza eBiologic: Ukuba ii-NSAID aziboneleli ngolawulo olufanelekileyo, ugqirha wakho unokucebisa la mayeza aphucukileyo ngakumbi. La mayeza asebenza ngokujolisa ngqo kwiikhemikhali ezithile kwinkqubo yomzimba yokuzikhusela ezibangela ukudumba. Imizekelo ibandakanya ii-Tumor Necrosis Factor (TNF) blockers kunye ne-Interleukin 17 (IL-17) inhibitors.
3. Utyando: Eli linyathelo lokugqibela. Kwimeko apho amalungu onakele kakhulu kwaye iintlungu zinganyamezeleki, utyando olufana nokutshintshwa kwesinqe lunokuthathwa ingqalelo.
Ibali likaChad Baker lisikhumbuza kwakhona ukuba indlela yokuphila esebenzayo ibaluleke kakhulu, mhlawumbi nangaphezu kwamayeza.Kwaye kubaluleke kangakanani ukuba nesimo sengqondo esihle ukuze uphile ngolonwabo nesi sifo.
Umyalezo Wokuya Ekhaya
- I-Ankylosing Spondylitis (AS) luhlobo lwe-arthritis oluchaphazela kakhulu umqolo.
- Intlungu yomqolo kunye nokuqina komzimba okwenzeka kusasa kuze kunciphe xa uzilolonga zezona mpawu ziphambili.
- Ukuba unale mpawu, musa ukuzityeshela kwaye bonana nogqirha wakho ngokukhawuleza.
- Nangona oku kungenakunyangwa ngokupheleleyo, ngonyango oluphumelelayo, esi sifo sinokulawulwa kwaye ubomi obuqhelekileyo bunokuphilwa.
- Unyango lomzimba kunye nokuzilolonga imihla ngemihla kubaluleke kakhulu ekulawuleni i-AS. Lunyango olunamandla njengamayeza.
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