Ngaba ukhe waba neentlungu zomqolo ukususela usemncinci? Ngaba yintlungu engaqhelekanga ehlala ihleli, ivakala ngathi umqolo wakho wenziwe ngamatye xa uvuka kusasa, kwaye uphucuka ngokuzilolonga? Mhlawumbi uzame iindlela ezahlukeneyo zonyango, kodwa awukafumani ukuba yintoni kanye kanye? Ukuba kunjalo, eli nqaku liza kuba luncedo kakhulu kuwe. Namhlanje siza kuthetha nge-Ankylosing Spondylitis, okanye i-AS ngamafutshane.
Kutheni le nto kunzima kangaka ukuyixilonga i-AS?
Ngamafutshane, i-Ankylosing Spondylitis (AS) kukudumba okungapheliyo kwamalungu omqolo kunye ne-pelvis. Kukho izizathu ezininzi eziphambili zokuba kube nzima ukuxilonga.
Into yokuqala kukuba iimpawu zesi sifo zibonakala kancinci kakhulu . Awuva mahluko mkhulu kwangoko. Into yesibini neyona ibalulekileyo kukuba uphawu oluphambili lwesi sifo ziintlungu zomqolo . Ngoku cinga ngayo, ixhaphake kangakanani intlungu yomqolo? Ukuba uphakamisa into engalunganga, ukuba uhleli ixesha elide, ukuba ulele kwindawo engafanelekanga, umqolo wakho unokuba buhlungu. Ngoko ke, abantu abaninzi bacinga ukuba le yingxaki eqhelekileyo yomqolo.
Ngenxa yezi zizathu, uphando lufumanise ukuba kungathatha ukuya kuthi ga kwiminyaka esi-8 ukuya kweli-10 ukususela kwixesha umntu eqala ukubonisa iimpawu ukuze kufunyaniswe ukuba une-AS. Nangona kunjalo, ukufunyanwa kwesi sifo kwangethuba kubalulekile ukuze unyango lusebenze kakuhle.
Ngoko ke, akukho vavanyo lunye olunokuqinisekisa ngokupheleleyo ukuba "Ndinayo i-AS?" ngaxeshanye. Nangona kunjalo, ugqirha usebenzisa indibaniselwano yovavanyo ukufumanisa esi sifo, njengokusombulula iphazili, ukuze afikelele kwisigqibo.
Ngawaphi amanyathelo asetyenziswa ngugqirha ukufumanisa isifo?
Xa usiya kugqirha malunga neentlungu zakho zomqolo, uza kulandela amanyathelo aliqela ukuba uyayikrokrela le meko.
1. Ukukubuza iinkcukacha nokukuvavanya ngokwasemzimbeni
Into yokuqala oza kuyenza kukuthetha nawe ngononophelo kwaye ubuze ngeempawu zakho. Baza kukubuza imibuzo enzulu, ingakumbi malunga nentlungu yakho yomqolo. Ukuba intlungu yakho yomqolo ihambelana ubuncinane neempawu ezine kwezi zilandelayo, ugqirha wakho unokurhanela ukuba yi-AS.
| Uphawu olurhanelekayo | Inkcazo |
|---|---|
| Ubudala | Ingaba iintlungu zaqala ngaphambi kokuba umntu abe neminyaka engama-35 ubudala? |
| Ukuqala | Ingaba intlungu yanda kancinci kancinci? |
| Ixesha | Ingaba ibiqhubeka iinyanga ezingaphezu kwezintathu? |
| Isiphumo sokuzilolonga | Ingaba iintlungu ziyancipha xa uzilolonga okanye uhamba? |
| Ukuqina kwasekuseni | Xa uvuka kusasa, ngaba umqolo wakho uziva uqinile kwaye kunzima ukugoba kangangeyure? |
Ukongeza, ugqirha uza kubuza ukuba kukho umntu kusapho lwakho okhe waba nesi sifo samalungu. Oku kusenokuba nekhonkco lemfuza. Uza kujonga nokuba umqolo wakho uqine kangakanani kwaye ugobile kangakanani. Uza kujonga ukuba akukho ntlungu na xa ucinezela umqolo wakho kunye namanye amalungu. Ngamanye amaxesha, angajonga nokuba isifuba sakho sikhula njani (xa uphefumla).
2. Izifundo zoMfanekiso
Ezi ziimvavanyo ezithatha imifanekiso yangaphakathi yomzimba. Ezi ziluncedo kakhulu ekuxilongeni izifo.
- I-X-reyi: Ukuba kurhanelwa ukuba i-AS iyenzeka, ugqirha angayalela i-X-reyi kuqala. I-sacroiliac joint, apho umqolo uqala khona kwaye uqhagamshelane nethambo lesinqe, ibizwa ngokuba yi-sacroiliac joint. Utshintsho kweli joint zezona mpawu zicacileyo ze-AS. Ngelishwa, olu tshintsho alubonakali kwi-X-reyi de kube yiminyaka eliqela emva kokuqala kweempawu .
- I-CT Scan (I-Computerized Tomography Scan): Ukuba akukho nto ibonakalayo ngokucacileyo kwi-X-ray, kodwa ugqirha ukrokrela ukuba yi-AS, unokukuthumela kwi-CT scan. Oku kunokuvelisa umfanekiso oneenkcukacha ezingaphezulu, onemilinganiselo emithathu (3D) kune-X-ray.
- Iskeni ye-MRI (Umfanekiso weMagnetic Resonance):Olu lolona vavanyo luluncedo kakhulu ekuxilongeni i-AS kwizigaba zayo zokuqala. I-MRI ayisebenzisi i-X-ray, kodwa endaweni yoko isebenzisa i-magnet enkulu kunye netekhnoloji yekhompyutha ukubona ngokucacileyo ingaphakathi lomzimba, ingakumbi izicubu ezithambileyo kunye namalungu, apho ukuvuvukala kunokwenzeka khona.
- I-ultrasound scan: Oku kusebenzisa amaza esandi ukwenza imifanekiso. Oku kusaphandwa njengendlela yokufumanisa i-AS kwangethuba.
3. Uvavanyo lwegazi
Ugqirha wakho unokuyalela uvavanyo lwegazi oluninzi, ikakhulu ukujonga iimpawu zokudumba ezinokubonisa ukuba kukho ukudumba emzimbeni.
Kwakhona, kukho olunye uvavanyo olucacileyo lwemfuza , oluluvavanyo lwe -HLA-B27 gene.
Eyona nto ibalulekileyo yile: ukuba nje une-HLA-B27 gene emzimbeni wakho akuthethi ukuba une-AS 100% yexesha . Kodwa uninzi lwabantu abane-AS banale gene. Ngoko ke, ukuba unale gene kunye neempawu zakho, kunokuba luphawu olubalulekileyo kugqirha wakho ukuze enze uxilongo.
Ngoko ke ungabona, ukuxilonga i-AS kufana nokusebenza njengomcuphi. Kuthatha ubungqina obuninzi, kungekhona ubungqina obunye nje kuphela, ukuze kufikelelwe kwisigqibo esichanekileyo.
Umyalezo Wokuya Ekhaya
- I-Ankylosing Spondylitis (AS) ayinakuchongwa ngovavanyo olunye. Yinkqubo enamanyathelo amaninzi.
- Ukuba ubusoloko unentlungu engapheliyo emqolo kwaye uqinile ukususela usemncinci, ingakumbi kusasa, musa ukuyityeshela njengento eqhelekileyo kwaye ubone ugqirha.
- Okukhona esi sifo sifunyanwa ngokukhawuleza, kokukhona unyango luphumelela ngakumbi.
- Ugqirha wakho uza kudibanisa ulwazi olunikileyo, uvavanyo lomzimba, iimvavanyo zomfanekiso (i-X-ray, i-MRI), kunye novavanyo lwegazi (ingakumbi i-HLA-B27) ukuze kufunyanwe ukuxilongwa ngokuchanekileyo.
- Ungakhathazeki ukuba kuthatha ixesha elide ukufumana isifo. Le yimeko enzima, ngoko ke kuqhelekile ukuba ithathe ixesha. Eyona nto ibalulekileyo kukuhlala unxibelelana nogqirha wakho kwaye wenze uvavanyo olufunekayo.
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