Ngaba ubusoloko unentlungu emqolo okwethutyana? Usenokucinga ukuba yintlungu nje eqhelekileyo ebangelwa kukuhlala phantsi ngendlela engafanelekanga okanye ukuphakamisa izinto ezinzima. Ingakumbi ukuba usemncinci, kuyinto eqhelekileyo ukuzibuza, 'Luhlobo luni lwesifo samalungu esi kule minyaka?' Kodwa ngamanye amaxesha, emva kwale ntlungu ingapheliyo yomqolo, ukudinwa, kunye nokuqina, kunokubakho imeko ekhethekileyo yamalungu evuvukileyo ebizwa ngokuba yi-Ankylosing Spondylitis (AS). Kunokuba nzima kancinci ukufumanisa esi sifo. Makhe sibone ukuba oogqirha bafumanisa njani esi sifo.
Kutheni i-AS ngamanye amaxesha kunzima ukuyixilonga?
Kukho izizathu ezahlukeneyo zokuba kutheni ukufumanisa i-Ankylosing Spondylitis (AS) kunokuba nzima.
Into yokuqala kukuba iimpawu eziphambili zale meko, iintlungu zomqolo kunye nokudinwa, ziqhelekile kwezinye izifo ezininzi . Ezi mpawu zinokubangelwa yiyo nayiphi na into ukususela ekuxinezelekeni kwemisipha ukuya kwezinye iingxaki zempilo.
Into yesibini kukuba esi sifo sichaphazela kakhulu abantu abaselula . Abantu abaphakathi kweminyaka engama-20 ukuya kwengama-40 bangaqala ukuba naso. Ngoko ke, umntu onjalo usenokungacingi lula ukuba unesifo samalungu esifana ne-arthritis.
Okwesithathu, kunokubakho umahluko phakathi kwabasetyhini namadoda . Nangona esi sifo sixhaphake kakhulu kumadoda, sinokuchaphazela nabasetyhini. Nangona kunjalo, abafazi banokufumana iimpawu ezifana neentlungu zentamo kunokuba babe neentlungu zomqolo. Oku kunokwenza ukuxilongwa kube nzima ngakumbi.
Eyona nto ibalulekileyo kukuba akukho vavanyo lunye olunokuthi ngoko nangoko, "Ewe, esi sisifo." Ngoko ke, ugqirha kufuneka adibanise izinto ezininzi ukuze afikelele kwisigqibo.
Ukuba ugqirha wakho oyintloko ukrokrela ukuba une-AS, angakuthumela kwi- rheumatologist, ugqirha ogxile kwizifo zamalungu. Banolwazi olukhethekileyo ekuxilongeni nasekunyangeni ezi ntlobo zeemeko zamalungu avuvukalayo.
Wenza ntoni xa ubona ugqirha? (Uvavanyo lomzimba)
Into yokuqala ugqirha oza kuyenza kukuhlola umzimba wakho kakuhle (Physical Exam).
Ngeli xesha, uza kucelwa ukuba ugobe phambili, umva, namacala ukuze ujonge ukuguquguquka komqolo wakho kunye namalungu. Oku kuya kukunceda ukuba ubone ukuba intlungu yakho yomqolo ivela phi kwaye nini. Ungacelwa ukuba uqinise iindawo ezithile zomqolo wakho kunye nezinqe, kwaye uhambise imilenze yakho kwiindlela ezahlukeneyo. Ngamanye amaxesha, unokucelwa ukuba uphefumle nzulu ukuze ufumane ingqiqo yokwanda kwesifuba sakho.
Ukongeza, ugqirha ngokuqinisekileyo uza kukubuza imibuzo efana nale:
- Iqale nini intlungu?
- Ihlala ixesha elingakanani intlungu?
- Leliphi ixesha lemini apho intlungu inzima khona? (Ngaba kukho ukuqina kunye nentlungu xa uvuka kusasa?)
- Ingaba intlungu iyancipha okanye iyanda xa uzilolonga okanye uhamba?
- Ngaba kukho umntu kusapho lwakho onesifo samalungu esifana nesi (AS)? (Imbali yoSapho)
- Ngaba kukho ezinye iimpawu (umz., amehlo abomvu, iminwe evuvukileyo, ukudinwa kakhulu) ngaphandle kwentlungu yomqolo?
Uvavanyo olukhethekileyo lokuqinisekisa isifo
Emva kovavanyo lomzimba, ugqirha wakho uza kukuthumela kwiimvavanyo ezahlukeneyo ukuze afumane ulwazi oluthe kratya ngesi sifo. Ezi zinokwahlulwa zibe ziindidi ezimbini eziphambili: Iimvavanyo zoMfanekiso kunye neeMvavanyo zeGazi.
| Uhlobo lovavanyo | Ubona ntoni kule nto? | Izinto ekufuneka uzazi |
|---|---|---|
| I-X-reyi | Sijonga utshintsho kumalungu omqolo kunye namalungu e-sacroiliac, njengokuncitshiswa kwesithuba phakathi kwamathambo. | Kwinqanaba lokuqala lesi sifo, akukho tshintsho lubonakalayo kwi-X-ray. Kungathatha iminyaka ukuba utshintsho olucacileyo lubonakale. |
| Iskeni yeMRI | Ngaphandle kwamathambo, imeko ye-cartilage kunye nezicubu ezithambileyo ibonakala ngokucacileyo. Ukudumba kwamalungu kunokubonwa kwasekuqaleni. | Ibiza kakhulu kune-X-ray, kodwa luvavanyo olubaluleke kakhulu ekufumaneni isifo kwangethuba. |
| Uvavanyo lwegazi | Sijonge kakhulu izinto ezimbini: 1. Ngaba kukho i-gene ebizwa ngokuba yi-HLA-B27 ? 2. Iimpawu ezibizwa ngokuba yi -ESR kunye ne -CRP , ezilinganisa inqanaba lokuvuvukala emzimbeni. | Ukuba ne-HLA-B27 gene yodwa akubangelwa yi-AS . Kwakhona, ayinguye wonke umntu one-AS onale gene. Iimpawu ezifana ne-ESR kunye ne-CRP zinokunyuka nakwezinye iimeko ezisulelayo. Ke ngoko, azisetyenziswa zodwa ukufumanisa isifo. |
Okungakumbi malunga novavanyo lwegazi...
Ugqirha wakho angavavanya igazi lakho ukuze abone ukuba kukho uphawu lwemfuza olubizwa ngokuba yi-HLA-B27 . Uninzi lwabantu abane-AS lune-gene. Nangona kunjalo, khumbula, ayinguye wonke umntu onale gene oza kuba ne-AS. Kwakhona, inani elincinci labantu abane-AS lisenokungabi nayo le gene.
Ukongeza, iimvavanyo ezibizwa ngokuba yi -ESR (Erythrocyte Sedimentation Rate) kunye ne-CRP (C-reactive Protein) zenziwa ukujonga ukudumba emzimbeni. La maxabiso anokunyuswa ngenxa ye-AS. Nangona kunjalo, ekubeni la maxabiso anokunyuswa nakwezinye iimeko ezifana nosulelo okanye i-anemia, obu bubungqina nje obunye.
Ngoko ke ekugqibeleni siqinisekiswa njani esi sifo?
Mhlawumbi uyaqonda ngoku ukuba olu ayilovavanyo lwexesha elinye, kufana nokusombulula iphazili. Ngamanye amaxesha, isifo sisenokungaqinisekiswa de kube yiminyaka emva kokuba iimpawu ziqalile. Olu lucelomngeni kwisigulana nakugqirha.
Ugqirha uhlala egqiba kwelokuba une-AS ukuba ezi zinto zilandelayo ziyafezekiswa:
Utshintsho lwamalungu oluhambelana ne-AS luyabonakala kwi-X-ray okanye kwi-MRI scan , kwaye ubuncinane enye yezi zilandelayo ikhona:
- Ukungakwazi ukugoba umqolo wakho ongezantsi phambili nasemacaleni.
- Xa uphefumla, isifuba sakho siyakhula kancinci xa sithelekiswa neminyaka yakho kunye nesini sakho.
- Intlungu yomqolo ebikho kangangeenyanga ezingaphezu kwe-3 kwaye ithomalaliswa kukuzilolonga okanye intshukumo .
Khawucinge ukuba iimvavanyo zakho zomfanekiso (i-X-ray, i-MRI) azibonisi tshintsho lucacileyo, kodwa unazo zonke ezi mpawu zintathu zikhankanyiweyo apha ngasentla. Kwimeko enjalo, ugqirha wakho unokukufumanisa une-"Probable Ankylosing Spondylitis" (imeko enokuba yi-AS).
Oko kuthetha ukuba, ukuqinisekisa isifo, ugqirha wenza isigqibo sokugqibela ngokudibanisa yonke into ukusuka kwiimpawu zakho, iziphumo zovavanyo lomzimba, uvavanyo lwegazi, kunye neengxelo ze-X-ray/MRI.
Umyalezo Wokuya Ekhaya
- I-Ankylosing Spondylitis (AS) sisifo sokudumba komqolo esinokwenzeka xa umntwana eselula. Musa ukusityeshela njengentlungu nje yomqolo.
- Ngenxa yokuba kungekho vavanyo lunye olucacileyo lokufumanisa esi sifo, ukuxilongwa ngamanye amaxesha kunokuba nzima.
- Ugqirha uxilonga isifo ngokuqwalasela iimpawu zakho, uvavanyo lomzimba, uvavanyo lwegazi (HLA-B27, CRP, ESR), kunye novavanyo lwemifanekiso (X-ray, MRI).
- Ukuba umqolo uqinile kwaye uneentlungu, ingakumbi kusasa, ziyancipha xa uzilolonga, qiniseka ukuba uyayiqwalasela loo nto.
- Ukuba unale mpawu, bonana nogqirha wakho ngokukhawuleza ukuze akunike ingcebiso. Uza kukuthumela kwingcali yamathambo ukuba kuyimfuneko.
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