Ngaba uhlala uphathwa ziintlungu zomqolo? Xa uvuka ebhedini kusasa, umqolo wakho uziva uqinile kwaye awukwazi nokuwugoba kakuhle okwethutyana? Uninzi lwethu luzithatha ezi zinto ngokuthi "ukudinwa emsebenzini" okanye "iintlungu zomqolo kancinci." Nangona kunjalo, ngamanye amaxesha ezi mpawu, ingakumbi ukuba ziqala ebuntwaneni, zinokuba ngaphezu nje kwentlungu yomqolo. Namhlanje siza kuthetha ngenye yezi meko, i-Ankylosing Spondylitis, okanye i-AS ngamafutshane.
Kutheni i-AS kunzima ukuyixilonga?
Enyanisweni, kukho izizathu ezahlukeneyo zokuba i-ankylosing spondylitis (AS) inokuba nzima ukuyifumanisa ngoko nangoko.
Into yokuqala kukuba iimpawu eziphambili zale meko, ezinje ngeentlungu zomqolo nokuqina, kunye nokudinwa kakhulu , ziyabonakala nakwezinye izifo ezininzi. Ngenxa yoko, kunzima nakugqirha ukutsho ngoko nangoko ukuba lo ngu-AS.
Into yesibini kukuba esi sifo sidla ngokuqala ebuntwaneni . Khawucinge nje, xa umntu oneminyaka engama-20 okanye engama-30 ubudala esithi uneentlungu zomqolo, akukho namnye kuthi onokucinga ukuba yi-arthritis, akunjalo? Abantu abaninzi bacinga ukuba i-arthritis ikhula kuphela xa ukhula. Yiyo loo nto abantu abaselula bengawunaki kangako.
Okwesithathu, amadoda anamathuba aphindwe kahlanu okuba ne-AS kunabasetyhini. Oku kunokwenza kube nzima koogqirha ukuxilonga i-AS kwabasetyhini, njengoko iimpawu abafazi abazibonayo ngamanye amaxesha zinokwahluka. Umzekelo, abanye abafazi banokuba neentlungu zentamo ngaphambi kokuba bave iintlungu zomqolo .
Into ebalulekileyo kukuba akukho vavanyo lunye olunokuqinisekisa i-AS. Ngoko ke ugqirha wakho kufuneka aqulunqe ezinye iindlela ezahlukeneyo, njengokusombulula iphazili, ukuze afumane isigulo.
Ukuba ugqirha wakho oyintloko ukrokrela ukuba une-AS, uza kukuthumela kwingcali. Lo ngugqirha wezifo zamathambo. Ngamafutshane, aba ngoogqirha abaziingcali kwiimeko zokudumba kwamalungu kunye nezifo ezifana ne-AS.
Zithini iimvavanyo zokuxilonga?
Ugqirha uqala ukuxilonga ngokukuxilonga ngononophelo. Emva koko, ngokuxhomekeke kwimfuneko, uza kukuthumela kwiimvavanyo ezahlukeneyo. Makhe sibone ukuba zeziphi ezi nyathelo.
1. Uvavanyo lomzimba
Okokuqala, ugqirha uza kuhlola umzimba wakho.
- Uza kucelwa ukuba ugobe ngeendlela ezahlukeneyo. Oku kuya kukunceda uqonde ukuba ingakanani intshukumo emqolo wakho ethintelweyo kunye nokuba intlungu iphi.
- Ezinye iindawo zomqolo wakho kunye nendawo yesinqe zixinene.Ungabona ukuba kukho na intlungu.
- Bazama ukushukumisa imilenze yakho kwiindawo ezahlukeneyo .
- Ukwanda kwesifuba sakho kuya kulinganiswa ngokukucela ukuba uphefumle nzulu . Oku kungenxa yokuba njengoko i-AS iqhubeka, amalungu esifubeni nawo anokuchaphazeleka, nto leyo ethintela amandla esifuba okukhula xa uphefumla.
Ukongeza, ugqirha ngokuqinisekileyo uza kukubuza imibuzo embalwa. Imbali yakho ibaluleke kakhulu ekuxilongweni.
- Iqale nini le ntlungu?
- Ihlala ixesha elingakanani intlungu? (Ingaba kusesekuseni kuphela? Ingaba imini yonke?)
- Leliphi ixesha lemini apho intlungu inzima khona? (Njengoko intlungu idla ngokuba mandundu kusasa naxa uphumle.)
- Ingaba iintlungu ziyancipha xa uzilolonga okanye uhamba? (Olu luphawu oluthile lwe-AS.)
- Ngaba kukho umntu kusapho lwakho oneengxaki zomqolo okanye isifo samathambo esifana nesi? (Kuba kukho unxibelelwano oluvela kwilifa)
- Ngaba kukho ezinye iimpawu? (umz., amehlo abomvu, iingxaki zolusu, iingxaki zamathumbu)
2. Uvavanyo lweMifanekiso kunye novavanyo lweGazi
Emva kokuhlolwa kwakho ngokomzimba, ukuba ugqirha ufuna ulwazi oluthe kratya, unokucebisa iimvavanyo ezifana nee-X-ray, ii-MRI, kunye nezinye iimvavanyo zegazi.
| Uhlobo lovavanyo | Oko unokukulindela kunye nezinto onokuzazi |
|---|---|
| I-X-reyi | Oku kunokubonisa utshintsho kumalungu akho omqolo kunye namalungu esinqe (amalungu e-sacroiliac). Nangona kunjalo, kumanqanaba okuqala e-AS, akukho tshintsho lunokubonwa kwi-X-ray. Kungathatha iminyaka eliqela emva kokuba isifo siqalile xa utshintsho luqala ukubonakala. |
| Iskeni yeMRI | I-MRI scan ingathatha umfanekiso ocacileyo wamathambo akho kunye nezicubu zakho ezithambileyo. Oku kwenza kube luncedo kakhulu ekufumaneni ukudumba kwamalungu kwisigaba sokuqala sesi sifo. Nangona kunjalo, i-MRI scan ibiza kakhulu kune-X-ray. |
| Uvavanyo lwegazi |
|
Ufika njani kwisigulo sokugqibela?
Njengoko ubona, oku akuyonto inokufunyanwa ngovavanyo olunye. Ngamanye amaxesha kungathatha iminyaka ukuqinisekisa i-AS, njengoko imifanekiso kunye novavanyo lwegazi lungabonisi bungqina bucacileyo kwizigaba zokuqala.
Ugqirha uhlala eqinisekisa ukuxilongwa kwe-AS ukuba enye okanye ezingaphezulu kwezi zinto zilandelayo ziyafezekiswa:
1. Ukuba uvavanyo lomfanekiso (i-X-ray okanye i-MRI) lubonisa ngokucacileyo utshintsho olunxulumene ne-AS kumalungu omqolo okanye esinqeni, kwaye ukongeza, ubuncinane unenye yezi mpawu zilandelayo:
- Intlungu yomqolo ethathe iinyanga ezingaphezu kwe-3, ingakumbi ukuba intlungu iba mandundu xa uphumle kwaye ithomalaliswa kukunyakaza.
- Ukuba amandla okugoba umqolo ongezantsi anqongophele.
- Ukuba isifuba sakho sikhula kancinci xa uphefumla, ngokobudala bakho kunye nesini sakho.
Kwezinye iimeko, nokuba uvavanyo lwemifanekiso alubonisi naluphi na utshintsho olucacileyo, ukuba unazo zonke ezi mpawu zintathu zingasentla (iintlungu zomqolo, ukuhamba okulinganiselweyo, kunye nokuncipha kokukhula kwesifuba), ugqirha wakho unokukufumanisa ukuba une-"ankylosing spondylitis" enokwenzeka.
Ngoko ke, isigqibo sokugqibela sifikelelwa ngokuhlanganisa zonke iimpawu zakho, uvavanyo lomzimba lukagqirha, kunye nezinye iingxelo zovavanyo.
Umyalezo Wokuya Ekhaya
- I-Ankylosing Spondylitis (AS) sisifo esintsonkothileyo esinokuthatha ixesha ukuxilonga, ngoko ke yiba nomonde.
- Ungaze uyithathe lula intlungu yomqolo, ingakumbi xa usemncinci, iba mandundu xa uphumla kwaye iba ngcono xa uzilolonga. Isenokungabi "yintlungu yomqolo eqhelekileyo."
- Akukho vavanyo "lomlingo" olunye oluqinisekisa i-AS. Ukuxilongwa sisigqibo esenziwe ngokusekelwe kwibali lakho, uvavanyo lomzimba, kunye nezinye iziphumo zovavanyo.
- Ukuba unale mpawu, ungoyiki ukubona ugqirha wakho uze uthethe ngayo ngaphandle kokulibazisa. Okukhona isifo sifunyanwa ngokukhawuleza, kokukhona unyango kunye neziphumo zinokuba ngcono.
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