Ngaba nawe ukhe uzive iintlungu emalungeni akho nalapho imisipha inamathela khona emathanjeni? Masifunde nge-enthesopathy kunye ne-enthesitis!

Ngaba wakha waba nentlungu ngequbuliso okanye ukudumba okuncinci egxalabeni lakho, engqinibeni, edolweni, okanye esithendeni? Mhlawumbi xa uvuka kusasa, loo ndawo ivakala iqinile? Nangona ezi zinto zinokubonakala ziqhelekile, ngamanye amaxesha oku kubangelwa yimeko ebizwa ngokuba yi-"Enthesopathy" okanye "Enthesitis." Ungakhathazeki, siza kuthetha ngale nto namhlanje.

Yintoni i-Enthesopathy? Kulula kakhulu!

Ngamafutshane, igama elithi 'Enthesopathy' ligama eliqhelekileyo elichaza nayiphi na imeko yempilo okanye isiphene esichaphazela iindawo apho imisipha kunye nemisipha emzimbeni wethu idibana khona namathambo .

Cinga ngale ndlela: imisipha yethu ifana neebhanti zerabha eziqinileyo. Ezi zidibanisa izihlunu zethu namathambo ethu. Kwaye iiligaments zifana neebhanti eziqinileyo neziguquguqukayo. Ezi zidibanisa ithambo elinye nelinye.

Ngoku, igama lezonyango lendawo echanekileyo apho i-tendon okanye i-ligament inamathela khona kwithambo libizwa ngokuba yi-"enthesis." Ngoko ke, xa wongeza igama elithi "-pathy" ekupheleni kwegama, kuthetha ukuba kukho imeko okanye ingxaki echaphazela loo ndawo. Emva koko i-"enthesopathy" yingxaki eyenzeka kwenye okanye ezingaphezulu kwe-"enthesis" yakho kunye nezo zicubu zidibeneyo. Uyayazi?

Ngoko ke yintoni i-enthesitis? Yintoni umahluko phakathi kwezi zimbini?

Kukho umahluko omncinci apha. I-'Enthesopathy' ibhekisa kuyo nayiphi na imeko echaphazela 'i-enthesis'. Nangona kunjalo, i-'enthesitis' ibhekisa ekuvuvukeni kuloo 'enthesis'. Oko kukuthi, 'i-enthesitis' yimeko ethile ewela phantsi kodidi lwe-'enthesopathy'.

Ngamanye amaxesha oogqirha banokusebenzisa la magama mabini ngokutshintshana ukuze bathethe into enye. Kodwa ungakhathazeki. Ugqirha wakho uza kujonga iimpawu zakho, afumanise ukuba yintoni ebangela ezo mpawu, aze akunike unyango olufanelekileyo, nokuba basebenzise liphi igama.

Ixhaphake kangakanani i-enthesitis?

Kunzima ukutsho ngqo ukuba bangaphi abantu abanesifo se-enthesitis minyaka le. Kungenxa yokuba iintlungu kunye nokudumba kwimisipha kunye nemisipha zixhaphakile kakhulu, ingakumbi xa zenzakele. Kwaye abantu abaninzi bayasinda kwi-enthesopathy ngaphambi kokuba baxilongwe ngokusemthethweni.

Nangona kunjalo, into eyaziwayo ziingcali kukuba i-enthesitis ixhaphake kakhulu kubantu abaneemeko ze-arthritis ezivuthayo ezifana ne-psoriatic arthritis kunye ne-ankylosing spondylitis. Enyanisweni, ukuba ne-enthesitis engaphezulu kwesinye yenye yeendlela oogqirha abazisebenzisayo ukuxilonga ezi meko.

Ziziphi iimpawu ze-Enthesitis?

Iimpawu eziqhelekileyo ze-enthesitis zezi:

• Intlungu:Usenokufumana iintlungu eziqatha kwindawo yokunamathela kwelungu okanye imisipha echaphazelekayo. Iintlungu zisenokukhula xa usebenzisa ilungu.
• Ukudumba: Indawo yentlungu ingabonakala idumbile.
• Ukutshintsha kombala okanye ukuba bomvu: Ngamanye amaxesha ulusu olukuloo ndawo lunokuba bomvu okanye lube nombala otshintshayo.
• Ukuqina: Ingakumbi xa uvuka kusasa, okanye xa uzama ukuhambisa ilungu emva kokuba likwindawo efanayo okwethutyana, lisenokuvakala liqinile kwaye lingakwazi ukugoba okanye ukolula lula. Khawuthelekelele, xa uvuka kusasa, uziva uqinile kangangokuba awukwazi nokubeka isithende sakho phantsi.

Abanye abantu abane-enthesopathy banokubona utshintsho kwiinzipho zabo zeminwe nezeenyawo . Ungabona izinto ezifana nokuqhekeka okanye ukutshintsha kombala weenzipho zakho.

I-Enthesitis inokwenzeka naphi na emzimbeni wakho apho i-tendon okanye i-ligament idibanisa nethambo, kodwa kukho iindawo ezimbalwa ezichaphazeleka kakhulu:

• Amagxa
• Iingqiniba
• Izandla kunye nezandla
• Amadolo
• Amaqatha
• Iinyawo - ingakumbi iintlungu zesithende (Plantar Fasciitis) - ngumzekelo omhle woku.

Kutheni sifumana i-enthesitis kunye ne-enthesopathy?

I-Enthesopathy (kuquka i-enthesitis) yenzeka ngezizathu ezibini eziphambili:

1. Ukwenzakala okonakalisa imisipha okanye ii-ligaments zakho.

2. Iimeko zempilo ezibangela ukudumba emzimbeni.

Ngenxa yokwenzakala

Ezinye iingozi ezibangela i-enthesopathy zezi:

• Ukwenzakala okuphindaphindwayo: Cinga ngentlungu esezihlahleni zakho ukuba usebenza kwikhompyutha rhoqo. Okanye, ukwenzakala okufikela umdlali oqhubeka esenza uhlobo olufanayo lokunyakaza.
• Ukulimala kwezemidlalo: Ezi meko zinokwenzeka ngenxa yeengozi ezingalindelekanga, ukuwa, kunye nokukruneka ngexesha lokudlala imidlalo.
• Ingqiniba yethenisi: Intlungu engaphandle kwengqiniba.
• Ingqiniba yomdlali wegalufa: Intlungu ngaphakathi kwengqiniba.

Ukulimala okunje kunokonakalisa indawo ebizwa ngokuba yi-'enthesis', okubangela iintlungu nokudumba.

Ngenxa yeemeko zokuvuvukala emzimbeni

Ezinye iimeko zempilo zibangela ukudumba emzimbeni, okunokukhokelela kwi-enthesitis. Inkqubo yethu yokuzikhusela komzimba isabela kwiimeko ezithile ngokuvelisa iiproteni ezikhethekileyo ezibizwa ngokuba zii-cytokines. Nangona ezi cytokines zinceda umzimba wethu ukuba uphile, zinokubangela ukudumba. Ezinye iimeko ezibangela ukudumba okunokubangela i-enthesitis ziquka:

• I-Psoriatic Arthritis: Le yimeko ye-arthritis enxulunyaniswa nesifo sesikhumba i-psoriasis.
• I-Ankylosing Spondylitis: Olu luhlobo lwe-arthritis oluchaphazela kakhulu umqolo.
• I-Rheumatoid Arthritis: Le yimeko yokudumba echaphazela amalungu kwaye ibangelwa ngumsebenzi wenkqubo yomzimba yokuzikhusela.
• I-Psoriasis: Nangona sisifo solusu, kukho umngcipheko wokuba ne-enthesitis kunye naso.
• I-Bursitis: Ukudumba kweengxowa ezizaliswe lulwelo ezibizwa ngokuba yi-bursa ezisebenza njengemiqamelo kufutshane namalungu.
• I-Plantar Fasciitis: Imeko ebuhlungu eyenzeka ezantsi kweenyawo, ingakumbi esithendeni. Lo ngumzekelo omhle we-enthesitis.

Ngaba kukho ezinye iingxaki ezinokubakho ngenxa ye-enthesopathy?

Abantu abane-enthesopathy yexesha elide (oko kukuthi, imeko ekhula ize ibe mandundu ngokuhamba kwexesha) basengozini enkulu yokuba ne -bone spurs . Ii-cytokines ezibangela i-enthesitis ngamanye amaxesha zinika imiqondiso engalunganga emathanjeni ethu ukuba akhule izicubu ezintsha. Ezi -bone spurs zinokwenza intlungu ibe mandundu okanye ziqale intlungu entsha.

Ugqirha uzichonga njani ezi meko?

Ugqirha uza kufumanisa isifo se-enthesopathy ngokuyintloko ngokwenza uvavanyo lomzimba . Uza kuhlola indawo apho uneempawu khona, mhlawumbi ngokuzichukumisa. Kubalulekile ukuxelela ugqirha wakho ukuba uqale nini ukuva iintlungu, ukuqina, okanye ezinye iimpawu, kunye nemisebenzi eyenza zibe mandundu (okanye zibe mandundu).

Akukho vavanyo luthile olunokuxilonga i-enthesitis ngoko nangoko. Nangona kunjalo, ugqirha wakho angasebenzisa ii-scans ezikhethekileyo (ii-imaging tests) ukuthatha imifanekiso yangaphakathi yomzimba wakho ukujonga naluphi na ukonzakala okanye ukudumba. Oku kuquka:

• Ii-X-reyi
• Iskeni ye-ultrasound (`i-Ultrasound`)
• Iskeni se-MRI (`I-MRI - umfanekiso we-magnetic resonance`)

Ukuba ugqirha wakho ucinga ukuba unesifo sokudumba, unokuyalela ukuba kwenziwe uvavanyo lwegazi .

Ziziphi iindlela zonyango lwe-enthesitis?

Unyango oludingayo luya kuxhomekeka kwisizathu se-enthesitis yakho. Isenokuba yinto onokuyenza ekhaya ukunceda umzimba wakho uphile emva kokwenzakala. Okanye, ukuba yimeko engapheliyo, inokufuna isicwangciso solawulo sexesha elide. Unyango oluqhelekileyo lwe-enthesopathy luquka:

Unyango onokulwenza ekhaya

• Indlela ye-RICE: Olu lunyango oluqhelekileyo olusetyenziswa kwiingozi ezininzi.
• R - Ukuphumla: Ukuphumla kwelungu lomzimba elichaphazelekayo.
• I - Umkhenkce: Ukufaka ipakethe yomkhenkce ukunciphisa iintlungu nokudumba.
• C - Uxinzelelo: Ukusebenzisa ibhandeji yokucinezela ukulawula ukudumba. Ugqirha wakho uza kukubonisa indlela yokuyisebenzisa ngokufanelekileyo, ngaphandle kokuba iqine kakhulu.
• E - Ukuphakama: Ukugcina indawo eyonzakeleyo ingaphezulu kwenqanaba lentliziyo.
• Ii-NSAID: Izithomalalisi zentlungu ezithengiswa ngaphandle kwemvume kagqirha ezifana ne-ibuprofen (NSAIDs) zinokunceda ukunciphisa ukudumba kunye nokunciphisa iintlungu. Kodwa khumbula, la mayeza akakhuthazwa ukuba asetyenziswe ixesha elide. Musa ukuwasebenzisa ngaphezu kweentsuku ezili-10 ngexesha ngaphandle kokubonisana nogqirha.

Unyango olunikezelwa ngeengcebiso zonyango

• IiCorticosteroids: La ngamayeza amiselwe ngugqirha ukunciphisa ukudumba. Ugqirha wakho angakunika inaliti ye-cortisone ngqo kwi-enthesis echaphazelekayo.
• Unyango lomzimba: Unyango lomzimba lunokunceda ukuqinisa izihlunu ezijikeleze ukwenzakala, lonyuse ukuguquguquka, kwaye linciphise iintlungu. Ingcali yonyango lomzimba iya kukufundisa imithambo kunye nokuzolula ukuze ikuncede ubuyele esiqhelweni kwaye ufumane kwakhona umgama wokunyakaza (ukuba ungayishukumisa kangakanani inxalenye yomzimba wakho).
• Ii-DMARD: Amayeza okuguqula izifo (ii-DMARD) ngamayeza acinezela inkqubo yomzimba yokuzikhusela. Asetyenziselwa ukulawula izifo ezibangelwa kukungasebenzi kakuhle komzimba, ezifana nezinye iintlobo ze-arthritis ezibangelwa yi-enthesitis.

Ngaba i-Enthesitis inganyangeka ngokupheleleyo?

Ukunyanga i-enthesopathy kufuneka kuthathwe njengokuyilawula njengoko ikhula, endaweni yokuyinyanga, njengokunyanga usulelo lwebhaktheriya ngee-antibiotics. I-enthesopathy kunye nokulimala okanye imeko engaphantsi kwayo zinokuphela ngokupheleleyo.

Nangona kunjalo, usenokuba nee-flares okanye ii-flares ze-enthesitis - ingakumbi ukuba zibangelwa sisifo se-autoimmune. Ugqirha wakho uza kukunika iindlela zokulawula iimpawu zakho kunye nokunciphisa ukuphindaphindeka kwee-flares.

Luhlobo luni lwekamva umntu one-enthesopathy anokulilindela?

Amava abantu abanamava afanayo. Kuxhomekeke kuhlobo lwe-enthesopathy onalo kunye nokuba yintoni ebangele oko.

Ukuba unemeko ebangelwe kukwenzakala, kusenokwenzeka ukuba i-enthesitis iphele ngokupheleleyo emva kokuba umzimba wakho uphilile kwaye wenze utshintsho kwimisebenzi yakho. Uya kukwazi ukuqhubeka nayo yonke imisebenzi yakho yesiqhelo ngaphandle kwemiphumo emibi yexesha elide. Nangona kunjalo, nokuba uzive ungcono, ungaqhubeki nomsebenzi womzimba onzima de ugqirha wakho akuxelele ukuba wenze njalo.

Ezinye iimeko zempilo ezibangela i-enthesopathy azihlali ixesha elide. Kuya kufuneka uzilawule ezi meko ixesha elide, mhlawumbi ubomi bakho bonke. Ugqirha wakho uza kuthetha nawe ngento omawuyilindele kunye nendlela yokulawula ezi meko.

Ngaba i-enthesitis ingathintelwa?

I-Enthesitis idla ngokuthintelwa, kuba inokukhokelela ekwenzakaleni ngequbuliso nakwiimeko zempilo esingenakuzithintela. Thetha nogqirha wakho malunga neendlela ezilungileyo zokulawula naziphi na iimeko zempilo onazo. Usenokukwazi ukunciphisa umngcipheko wakho wokudumba kwe-enthesitis, kodwa awunakusoloko uzithintela.

Ndifanele ndimbone nini ugqirha?

Ukuba wenzakele, okanye ukuba intlungu okanye ukudumba kubonakala ngathi kuyatshintsha, kuya kusiba mandundu, okanye ukuba awukwazi ukuhambisa ilungu, bona ugqirha. Ukuba unyango lwakho lwe-enthesitis alubonakali lusebenza kakuhle njengangaphambili, okanye ukuba uneentlungu ezingakumbi, xelela ugqirha wakho . Usenokukwazi ukutshintsha okanye ukulungisa unyango lwakho.

Yeyiphi imibuzo ebalulekileyo ekufuneka uyibuze ugqirha?

Nazi ezinye zemibuzo ebalulekileyo ekufuneka uyibuze ugqirha wakho:

• Kutheni ndine-"Enthesopathy" okanye "Enthesitis"?
• Luhlobo luni lovavanyo oluza kufuneka ndilwenze?
• Ngaba ezi mpawu zingaphinda zivele?
• Ndingawuqala nini kwakhona umsebenzi womzimba?
• Ngaba ndinengxaki yempilo ekufuneka ndiyilawule ixesha elide?

Ngaba i-enthesopathy iyafana ne-arthritis?

Hayi, `I-Enthesopathy` kunye `ne-Arthritis`Ezi ziingxaki ezimbini ezahlukeneyo. Kodwa kunokubakho unxibelelwano olusondeleyo phakathi kwezi zimbini. Kukho iintlobo ezingaphezu kwe-100 ze-arthritis, ezininzi zazo ezinokubangela iintlungu, ukuqina, kunye nokudumba, ezifana nezo zibonwa kwi-enthesopathy.

Kwakhona, iintlobo ezininzi ze-arthritis evuthayo zinokubangela i-enthesitis. Ngoko ke, ukuba une-arthritis, usemngciphekweni omkhulu wokuba ne-enthesitis. Thetha nogqirha wakho malunga neempawu okanye utshintsho omele uluqaphele.

Okokugqibela, umyalezo oya ekhaya

Nangona amagama athi ``Enthesitis`` kunye ne ``Enthesopathy`` esenokuvakala engaqhelekanga, khumbula ukuba abhekisa kwiimeko ezichaphazela iindawo apho imisipha kunye nemisipha yakho idibana khona namathambo akho. Ukuba ufumana iintlungu okanye ukuqina kwezi ndawo, musa ukuzityeshela.

Le meko inokuba kukwenzakala kube kanye okupholayo, okanye inokuba ngenxa yemeko yempilo ekufuneka ilawulwe ixesha elide.

Ngoko ke, ukuba unemibuzo malunga noku, ungoyiki ukubona ugqirha uze uthethe naye. Uza kukuchazela ukuba yintoni ebangela ezi mpawu, indlela yokuziphelisa, kunye nento ekufuneka uyenze ukulawula unobangela. Hlala usempilweni!

I- Enthesopathy, i-Enthesitis, iintlungu zamalungu, iintlungu zetendon, ukudumba, isifo samathambo, eSri Lanka