Ingaba unengxaki yamalungu akho kunye namathumbu? Masithethe nge-Enteropathic Arthritis!

Ngaba ngamanye amaxesha uziva ngolu hlobo? Xa uvuka kusasa, amalungu akho ayaqaqamba kwaye azive edumbile... Kunye noko, unesisu esibuhlungu kwaye kufuneka uye kwindlu yangasese amaxesha amaninzi ngemini. Ukuba unezi mpawu zombini ngaxeshanye, unokufuna ukwazi ngemeko ebizwa ngokuba yi-enteropathic arthritis.

Yintoni i-Enteropathic Arthritis?

Ngamafutshane, isifo samathambo esibizwa ngokuba yi-enteropathic arthritis sisifo esibangela iintlungu kunye nokudumba kwamalungu akho (i-arthritis) kunye nokudumba kwindlela yakho yokugaya ukutya, okanye amathumbu (i-Inflammatory Bowel Disease - IBD) . Khawuthelekelele unengxaki ngazo zombini ngaxeshanye. Abanye abantu babiza oku ngokuba yi-enteropathic arthropathy, okanye i-IBD-related arthropathy.

Ngoku, khangela, xa sisithi isifo samathambo, sonke siyazi ukuba yimeko ebangela ukudumba kwamalungu, iintlungu, kwaye inokuba yinto engapheliyo . Kwelinye icala, xa sisithi i-IBD, kuthetha ukuba kukho ukudumba okanye ukwenzakala okuhlala ixesha elide okwenzeka kwinxalenye okanye kuyo yonke indlela yakho yokugaya ukutya, ingakumbi amathumbu akho. Ngoko ke, ukuba une-EnA, unentlungu kunye nokudumba kula malungu, kodwa ukwane-inflammation emathunjini akho.

I-EnA ikwiqela elikhulu lezifo ezichaphazela amalungu. Ibizwa ngokuba yi-spondyloarthropathy. Ligama elintsonkothileyo, kodwa libhekisa kwisifo esihlala ixesha elide samalungu. Le meko inokuba ngumqobo kubomi bakho obuqhelekileyo , kodwa iindaba ezimnandi zezokuba kukho unyango lwayo.

Zithini iimpawu ze-enteropathic arthritis (EnA)?

Kumntu one-EnA, iziphumo eziphambili zikwiijoyinti zakho nakwinkqubo yokugaya ukutya (inkqubo yesisu - GI).

Iimpawu ezinxulumene namalungu:

Ezi zihlala zichaphazela kakhulu amalungu ezandleni nasezinyaweni zakho, kodwa ngamanye amaxesha ezi ntlungu nokungonwabi zinokubakho nasemqolo wakho .

• Utshintsho kwimo yamalungu: Umzekelo, iminwe isenokubonakala ngathi itsaliwe, okanye isenokubonakala ngathi igobile.
• Ukutshintsha kombala wolusu: Ulusu oluphezu kwelungu lunokuba bomvu kwaye lutshintshe umbala.
• Intlungu: Olu luphawu oluphambili.
• Ukuqina/ukuqina kwamalungu: Xa uvuka kusasa, ungaziva kunzima ukugoba okanye ukwandisa amalungu akho okwethutyana.
• Ukudumba: Amalungu abonakala evuvukile kwaye ekhulu.
• Ukuthamba: Intlungu xa uchukumisa okanye ucinezela ilungu.
• Ukufudumala kwamalungu: Indawo apho ilungu likhona ivakala ifudumele kunezinye iindawo.

Iimpawu ezinxulumene nenkqubo yokugaya ukutya (inkqubo ye-GI):

• Intlungu yesisu: Iintlungu zesisu ezihlala zisenzeka.
• Igazi elikwisitulo xa usiya kwindlu yangasese: Olu luphawu ekufuneka ukhathazeke kakhulu ngalo.
• Urhudo oluqhelekileyo: Ukuya kwindlu yangasese amaxesha amaninzi ngemini.
• Ukunciphisa umzimba ngengozi: Asikuko ukuba uzama ngamandla ukwehlisa umzimba, kodwa kukuba unciphisa umzimba.

Abanye abantu banokufumana iimpawu ze-GI kuqala, emva koko kubekho iimpawu zamalungu . Okanye kusenokwenzeka ngenye indlela. Oko kukuthi, amalungu aqala ukuba buhlungu kuqala, emva koko iingxaki zesisu ziqale. Ngamanye amaxesha zombini ezi mpawu zinokuvela ngaxeshanye.

Kutheni i-enteropathic arthritis (EnA) ikhula? Zithini izizathu?

Enyanisweni, izazinzulu azikafumani ukuba yintoni kanye kanye ebangela i-EnA . Kodwa zicinga ukuba kukho iproteni ebizwa ngokuba yi-HLA-B27 , efumaneka kumphezulu weeseli zethu ezimhlophe zegazi.

Cinga ngale ndlela, ngenxa yale protein ethi 'HLA-B27', amajoni omzimba wethu ngamanye amaxesha aqala ngempazamo ukuhlasela iiseli zethu eziphilileyo, ingakumbi iiseli ezikumalungu ethu . Kufana nomkhosi wethu ozihlaselayo.

Kodwa kukho enye into apha. Le `HLA-B27` ayifani nesi sifo kuphela. Oko kukuthi, ayinguye wonke umntu one-`HLA-B27` oza kuba ne-enteropathic arthritis. Abanye abantu abasempilweni nabo banokuba nayo. Ngoko ke, nangona oku kungaba yimbangela, kuseyinto esekwinqanaba lophando .

Ngubani osengozini enkulu yokufumana isifo samathambo esibizwa ngokuba yi-enteropathic arthritis (EnA)?

Kuqikelelwa ukuba malunga nomntu omnye kwabahlanu onesifo samathumbu esibangelwa kukudumba (i-IBD) uya kuba nesifo samathambo esibizwa ngokuba yi-enteropathic arthritis. I-IBD ibandakanya ikakhulu iimeko ezifana ne -ulcerative colitis kunye nesifo sikaCrohn .

Ukongeza, i-EnA inokunxulunyaniswa nezinye iimeko ezichaphazela amathumbu akho amancinci . Umzekelo:

• Isifo seCeliac: Esi sisifo esibangelwa kukuzikhusela komzimba. Oku kuthetha ukuba inkqubo yomzimba yokuzikhusela ihlasela iiseli zayo.
• Ukudumba okwenzeka emva kosulelo lweentsholongwane olufana neSalmonella kunye neShigella. Ezinye izifo zeentsholongwane zinokubangela ukudumba kwamathumbu, nto leyo enokubangela iingxaki zamalungu.
• Ezinye iindlela zotyando lwamathumbu (utyando lwe-intestinal bypass).
• Isifo sikaWhipple: Olu lusulelo olungaqhelekanga olubangelwa ziintsholongwane.

Oogqirha bayixilonga njani le nto?

Xa usiya kugqirha oneempawu ezinjalo, into yokuqala aza kuyenza kukwenza uvavanyo olupheleleyo lomzimba.Emva koko, baza kujonga ngokweenkcukacha imbali yakho yempilo . Baza kukubuza imibuzo emininzi malunga neempawu zakho. Ngokukodwa, baza kukubuza imibuzo malunga nendlela intlungu yakho yamalungu etshintsha ngayo imini yonke, njengokuthi ingaba imbi na kusasa okanye ebusuku .

Baza kubuza nangeempawu zenkqubo yakho yokugaya ukutya (GI) , ezinje ngokutshintsha kwendlela odla ngayo ukutya kunye nokuphelelwa ngumdla wokutya.

Ukongeza, kubalulekile ukwazi imbali yezonyango yosapho lwakho, ingakumbi ukuba kukho nabani na kusapho lwakho okhe waba ne-IBD okanye isifo samathambo.

Zeziphi iimvavanyo ezisetyenziswayo ukuxilonga isifo samathambo esibizwa ngokuba yi-enteropathic arthritis (EnA)?

Akukho vavanyo luthile lokuxilonga i-EnA. Nangona kunjalo, ugqirha wakho unokuyalela iimvavanyo ezininzi ukuqinisekisa ukuba une-IBD kunye ne-arthritis, okanye ukuthintela ezinye izizathu zeempawu zakho. Ezi mvavanyo zingabandakanya:

• I-Arthroscopy: Oku kuquka ukuthatha isampuli encinci yolwelo olubizwa ngokuba yi-synovial fluid kwilungu lakho uze uluvavanye . Oku kunokubonelela ngolwazi malunga nokuvuvukala kwilungu.
• Ukuthatha isampuli yendle yakho nokwenza uvavanyo lokukhulisa iintsholongwane.
• I-biopsy luvavanyo olubandakanya ukuthathwa kwesuntswana lezicubu kwinkqubo yokugaya ukutya.
• Uvavanyo lwegazi olubonisa ukudumba: Umzekelo, uvavanyo lwe-erythrocyte sedimentation rate (ESR) okanye uvavanyo lwe -C-reactive protein (CRP) . Olu vavanyo lunokunika umbono wokuba kukho ukudumba okanye ukudumba na kwindawo ethile emzimbeni.
• Uvavanyo lwegazi lwe -'HLA-B27' .
• I-Colonoscopy: Olu luvavanyo oluhlola amathumbu amakhulu kusetyenziswa ityhubhu enekhamera.
• Ii-X-ray zamalungu abuhlungu okanye athambileyo xa uwachukumisa.

Iphathwa njani i-enteropathic arthritis (EnA)?

Eyona njongo iphambili yonyango lwe-arthritis ye-enteropathic kukunciphisa ukungonwabi kwindlela yakho yokugaya ukutya kunye nokungonwabi kwamalungu akho . Kubalulekile nokuthintela umonakalo ongakumbi kumalungu .

Ezi zilandelayo zingasetyenziswa njengeendlela zonyango:

• Iinaliti zeGlucocorticoids: Ezi zinceda ekunciphiseni iintlungu nokudumba. Zingafakwa ngqo kwilungu.
• Amayeza okuguqula izifo (ii-DMARD): La mayeza atshintsha indlela asebenza ngayo amajoni omzimba wakho kwaye acothise ukuqhubela phambili kwesi sifo. Imizekelo ibandakanya i-methotrexate , i-sulfasalazine ,Amayeza afana neHydroxychloroquine kunye neLeflunomide .
• Izithinteli ze-Tumor necrosis factor-alpha (TNF-alpha inhibitors): Olu lolunye uhlobo olunamandla lwamayeza achaphazela inkqubo yomzimba yokuzikhusela. Umzekelo yi -Infliximab .
• Unyango lomzimba: Oku kunceda kakhulu ekugcineni ukusebenza kakuhle kwamalungu kunye nokuthintela umonakalo kunye nokukhubazeka kwamalungu.
• Utyando: Kwezinye iimeko ezinzima, ingakumbi ukuba kukho iingxaki zomqolo, utyando lunokufuneka.
• Utshintsho kwindlela yokuphila: Kubaluleke kakhulu ukuba uqaphele, ingakumbi ngento oyityayo noyiselayo (ukutya) .

Ndingayinyamekela njani impilo yam xa ndine-enteropathic arthritis (EnA)?

Nangona i-EnA inokuchaphazela ubomi bakho bemihla ngemihla, kukho iindlela ezahlukeneyo zokukunceda uzive ungcono kwaye usebenze ngcono :

• Ukufaka ubushushu kumalungu abuhlungu kunokunceda ukuphumza izihlunu. Ngokufanayo, ukufaka ubushushu kunokunceda ukunciphisa iintlungu zamalungu. Abanye abantu bafumana ubushushu buluncedo, ngelixa abanye befumana ubushushu buluncedo. Fumana ukuba yintoni ekulungeleyo.
• Khetha ukutya neziselo ezilwa nokuvuvukala. Oko kuthetha ukunciphisa ukutya okuneziqholo nokunamafutha uze wongeze imifuno, iziqhamo, kunye nemifuno emininzi ekutyeni kwakho.
• Ziqhelise ukuma kakuhle. Oko kukuthi, yima uthe nkqo xa uhleli naxa umi.
• Bandakanya amaqela enkxaso. Ukuthetha nabanye abaneengxaki ezifana ne-arthritis okanye i-IBD kunokuba ngumthombo omkhulu wamandla nolwazi.
• Ukuba uyatshaya okanye usebenzisa iimveliso zecuba, yeka. Ezi zingenza iimpawu zibe zimbi ngakumbi.
• Zolula umzimba kwaye wenze umthambo rhoqo. Buza ugqirha wakho ukuba zeziphi imithambo efanelekileyo kuwe kwaye uyenze.
• Zama iindlela zonyango ezongezelelweyo, ezinje ngokumasaja , ukucamngca , i-acupuncture , imifanekiso ekhokelwayo, kunye neendlela zokuphumla . Kodwa kulungile ukuthetha nogqirha wakho ngaphambi kokuba uzame ezi zinto.

Ndingayibuza yiphi imibuzo ugqirha wam?

Xa usiya kugqirha, kuya kuba luncedo kuwe ukubuza imibuzo efana nale:

• Luhlobo luni lonyango olundicebisayo?
• Ngaba kukho ukutya okukhethekileyo endingafanele ndikutye?
• Ndingenza ntoni ukuthintela ukudumba kwamalungu omzimba?
• Ngaba nabantwana bam nabo banokufumana esi sifo? (Oko kukuthi, ngaba sisifo sofuzo?)

Ngaba isifo samathambo esibizwa ngokuba yi-enteropathic arthritis (EnA) singathintelwa?

Ngenxa yokuba izazinzulu azikayiqondi ngokupheleleyo into ebangela i-enteropathic arthropathy, akukho ndlela yokuthintela ngokupheleleyo esi sifo . Nangona kunjalo, kukho iindlela onokunceda ngazo ukuthintela ukuvela kweempawu .

Ungagxila kwisicwangciso sokutya okunempilo esiquka imifuno neziqhamo ezininzi ezintsha . Zama ukwenza umthambo yonke imihla. Ukuba uyatshaya, yeka ngokuqinisekileyo . Thetha nogqirha wakho ngezinye iindlela onokunciphisa ngazo ukuphindaphindeka kwezi mpawu.

Ithini ingqikelelo yomntu onesifo samathambo esibizwa ngokuba yi-enteropathic arthritis (EnA)?

Indlela esiqala ngayo esi sifo kumntu one-EnA inokwahluka kakhulu kumntu nomntu . Iimpawu zinokuba zihleli okanye zize zidlule . Ukudumba kunokuba yinto encinci ecaphukisayo kwabanye abantu, ngelixa kwabanye kunokuba nzima ngokwaneleyo ukuba kuphazamise usuku lwabo.

Kodwa, eyona nto ibalulekileyo kukuba abantu abaninzi abane-arthritis ye-enteropathic baphila ubomi obuqhelekileyo, obunemveliso kwaye baphila ubomi obuqhelekileyo .

Awunazo nje iintlungu zamalungu, kodwa ngoku uneengxaki zamathumbu? I-Enteropathy arthritis inokuba yimeko ebuhlungu kakhulu, esongela ubomi. Iimpawu zingahluka, kodwa xa imeko inzima, inokuchaphazela usuku lwakho lonke. Ngethamsanqa, kukho iindlela zonyango ezikhoyo . Nangona kunjalo, kungathatha ixesha ukufumana unyango olufanelekileyo kuwe. Uhlukile, ngoko ke iimpawu zakho zisenokungaphucuki ngendlela efanayo neempawu zomnye umntu eziphucuka ngayo. Thetha nogqirha wakho. Unokukunceda uphuhlise isicwangciso sonyango esisebenza kakuhle kuwe.

Izinto esifanele sizikhumbule kweli bali (Umyalezo Wokubuyela Ekhaya)

Kulungile, makhe sijonge izinto ezilula ekufuneka sizikhumbule malunga nesifo samathambo esithetha ngaso:

• I-EnA yimeko eyenzeka kunye nesifo samathambo kunye nesifo samathumbu esivuthayo (IBD) .
• Iimpawu zingabandakanya iintlungu zamalungu, ukudumba, nokuqina, kunye nokuqaqamba kwesisu, urhudo, kunye negazi esitulweni .
• Isizathu esichanekileyo soku asikafunyanwa , kodwa izinto zemfuza ezifana ne-'HLA-B27' zinokudlala indima.
• Abantu abane-IBD (ingakumbi isifo sikaCrohn kunye ne-ulcerative colitis) basengozini enkulu yokuba nayo.
• Uvavanyo olwahlukeneyo (igazi, isitulo, i-colonoscopy, i-X-ray) lusetyenziswa ukufumanisa isifo.
• Unyango luquka amayeza, unyango lomzimba, kunye notshintsho kwindlela yokuphila.Kubalulekile.
• Nangona esi sifo singenakuthintelwa ngokupheleleyo, kunokwenzeka ukulawula iimpawu nokuphila ubomi obulungileyo .
• Eyona nto ibalulekileyo kukungabi naxhala, kodwa kukuthetha nogqirha wakho ukuze ufumane unyango kunye neengcebiso ezikulungeleyo.

Ukuba unale mpawu, musa ukubandezeleka wedwa, kodwa funa ingcebiso kagqirha ngokukhawuleza. Emva koko ungafumana isiqabu ngokukhawuleza.

Isifo samathambo esibangelwa yi-enteropathic, isifo samathambo, isifo samathumbu, indlela yokugaya ukutya, iintlungu zamalungu, i-IBD, isifo sikaCrohn