Sonke siye saba neentlungu zomqolo ngaxa lithile ebomini bethu. Ngamanye amaxesha, iintlungu ezibangelwa kukuphakamisa iintsimbi okanye ukuhlala phantsi ngendlela engafanelekanga ziya kuphela kwiintsuku ezimbalwa. Kodwa ukuba unentlungu yomqolo ehlala iinyanga, ingakumbi ebusuku kwaye xa uvuka kusasa, musa ukuyityeshela nje. Namhlanje, siza kuthetha nge -Non-Radiographic Axial Spondyloarthritis , okanye njengoko thina oogqirha siyibiza njalo (nr-axSpA) , uhlobo lwe- arthritis olungabonakali kwi- X- ray kodwa lunokuchaphazela ubomi bakho.
Kalula nje, yintoni i-nr-axSpA?
Usenokuba ukhe weva nge -osteoarthritis , imeko ebangela ukuba amalungu afana namadolo kunye nezinqe aphelelwe ngamandla njengoko ukhula. Kodwa i-nr-axSpA yimeko eyahlukileyo, ebangelwa kukungasebenzi kakuhle kwenkqubo yomzimba yethu yokuzikhusela. Ngamafutshane, inkqubo yokuzikhusela yomzimba wethu, okanye iiseli zomzimba, zihlasela amalungu ethu ngempazamo, adibana nomqolo wethu kunye nesinqe . Oku kubangela ukudumba kuloo malungu, okubangela ukuqina kunye nentlungu.
Esi sifo sinxulumene kakhulu nesifo samathambo esibi kakhulu esibizwa ngokuba yi -Ankylosing Spondylitis (AS) . Ngamanye amaxesha i-nr-axSpA inokuba linqanaba lokuqala le-AS. Nangona kunjalo, ayinguye wonke umntu one-nr-axSpA oza kuba ne-AS.
Oku kubizwa ngokuba yi-“Non-Radiographic” (oko kukuthi, ayibonakali kwi-X-ray) kuba umonakalo kumalungu kwizigaba zokuqala zesifo awubonakali kwi-X-ray eqhelekileyo. Oku akuthethi ukuba akukho monakalo, kodwa kungabonakali kakhulu ukuba ungabonwa kwi-X-ray.
Zithini iimpawu zale meko?
Uphawu oluphambili lwe-nr-axSpA ziintlungu zomqolo . Kodwa oku kwahlukile kwiintlungu zomqolo eziqhelekileyo. Masiwuqonde kakuhle lo mahluko.
| Uphawu | Intlungu yomqolo kwi-nr-axSpA | Intlungu yomqolo eyenzeka ngoomatshini |
|---|---|---|
| Xa intlungu isanda | Intlungu nokuqina kwayo kuya kuba mandundu xa uphumle, ingakumbi ebusuku naxa uvuka kusasa. | Intlungu iyanda xa usebenza, uhamba, okanye uphakamisa iintsimbi. Iyancipha xa uphumla. |
| Ubude bexesha lentlungu | Endaweni yokuba iqale ngesiquphe, iqala kancinci kancinci ize ihlale ixesha elingaphezu kweenyanga ezi-3. | Idla ngokuphela emva kweentsuku okanye iiveki ezimbalwa. |
| Isiphumo sokuzilolonga | Ukuzilolonga ngokuzifudumeza kunye nokuhamba kunciphisa iintlungu nokuqina komzimba. | Intlungu idla ngokwanda ngexesha lokuzilolonga. |
Ukongeza kwintlungu emqolo, ezinye iimpawu ezininzi zinokubonwa:
- Intlungu yeqakala : Intlungu nokuqina, ingakumbi kwiindawo ezifana ne-Achilles tendon phantsi kwesithende.
- Ukudumba kweminwe: Umnwe okanye uzwane luvuvukala ngokupheleleyo njengesoseji. Oku sikubiza ngokuba yi-dactylitis .
- Intlungu kwamanye amalungu: Intlungu inokubakho nakwamanye amalungu, njengezinqe, amadolo, namagxa.
- Ukudinwa rhoqo :Ukuziva udiniwe kakhulu kwaye udiniwe nokuba ulala kangakanani na.
Kutheni oku kusenzeka? Zithini izinto ezibangela umngcipheko?
Njengoko besitshilo ngaphambili, esona sizathu siphambili soku kukuphazamiseka kwenkqubo yethu yokuzikhusela komzimba. Isizathu esichanekileyo soku asaziwa. Nangona kunjalo, abaphandi bakholelwa ukuba kukho unxibelelwano lwemfuza.
Ngokukodwa, kufunyaniswe ukuba i-gene ebizwa ngokuba yi-HLA-B27 inxulumene noku. Abantu abaninzi abane-nr-axSpA kunye ne-AS banale gene. Nangona kunjalo, oku akuthethi ukuba wonke umntu one-gene ye-HLA-B27 uza kuba nale arthritis. Yinto nje ebangela ukuba umntu abe nesifo esithile.
Ezinye izinto ezibangela umngcipheko kule meko zezi:
- Ubudala: Iimpawu zihlala ziqala kubantu abadala, phakathi kweminyaka engama-20 ukuya kwengama-40.
- Imbali yosapho: Ukuba umntu okwintsapho yakho esondeleyo (abazali, abantakwenu noodadewabo) une-nr-axSpA okanye i-AS, nawe usemngciphekweni omkhulu wokuba nayo.
- Ukutshaya : Abantu abatshayayo basengozini enkulu yokufumana esi sifo, kunye nomngcipheko wokuba esi sifo siqhubeke sisanda.
Indlela yokuxilonga ngokuchanekileyo isifo?
Ukufumanisa esi sifo kunzima kancinci kuba asibonakali kwi-X-ray, kwaye iimpawu zihlala zibonakala kubantu abancinci nabasempilweni. Ngoko ke ngamanye amaxesha, sinokuphazanyiswa yintlungu yomqolo nje, nto leyo ekhokelela ekulibazisekeni konyango.
Xa usiya kugqirha wakho, uya kwenza ezi zinto zilandelayo:
1. Uza kumamela ngononophelo iimpawu zakho: buza ngokweenkcukacha malunga nokuba intlungu iqala nini, ixesha elingakanani ikhona, kunye nokuba iyaphucuka na ngokuzilolonga.
2. Yenza uvavanyo lomzimba: Ujonga intshukumo yomqolo kunye neendawo ezinentlungu.
3. Kuye kumiselwe uvavanyo lwegazi: ukujonga ubukho be-HLA-B27 gene kunye nokuyalela uvavanyo olufana ne-CRP kunye ne-ESR, olubonisa ukudumba emzimbeni.
4. I-MRI scan: Olu lolona vavanyo lubalulekileyo lokufumanisa i-nr-axSpA. I-MRI scan ingabonisa ngokucacileyo ukudumba okuncinci kunye nokudumba kwamalungu okungabonakaliyo kwi-X-ray.
Ukuxilongwa kwangoko kunye nonyango kubaluleke kakhulu ukuthintela umonakalo osisigxina wamalungu kwixesha elizayo.
Zithini iindlela zonyango?
Ukulawula i-nr-axSpA kukudibanisa umthambo, unyango lomzimba, kunye namayeza.
1. Ukuzilolonga
Oku kufana nonyango. Ukuzilolonga yonke imihla kubalulekile. Ukuzilolonga kunciphisa iintlungu, kunciphisa ukuqina komqolo, kwaye kunciphisa ukudinwa okuvayo ngalo lonke ixesha. Kukwanceda ukugcina umqolo wakho usendaweni enye kwaye ungagobi.
2. Iziyobisi
Ekuqaleni, ugqirha wakho unokukunika amayeza okudambisa iintlungu kunye namayeza okulwa nokuvuvukala angengowe-steroidal (NSAIDs) (umz., i-Indomethacin, i-Naproxen). Nangona kunjalo, la mayeza kufuneka asetyenziswe kuphela phantsi kweliso likagqirha . Ukusetyenziswa ixesha elide kunokubangela iziphumo ebezingalindelekanga ezifana nokurhawuzelelwa sisisu kunye nomonakalo wezintso.
Ukuba ii-NSAID azisebenzi, ugqirha wakho unokukunika amayeza athile (i-biologics) alawula ukusebenza kwenkqubo yomzimba yokuzikhusela, njenge -TNF inhibitors .
3. Unyango lomzimba
Kubaluleke kakhulu ukufunda imithambo echanekileyo phantsi kwesikhokelo sogqirha wezonyango oqeqeshiweyo. Baza kukufundisa imithambo eqinisa umqolo, yolule izihlunu eziqinileyo, indlela echanekileyo yokuma, kunye neendlela zokuphefumla.
Ingaba ichaphazela umqolo kuphela? Ngaba kukho ezinye iingxaki?
Ewe, i-nr-axSpA ayisosifo esichaphazela umqolo kuphela. Oku kuvutha kwenkqubo yomzimba yokuzikhusela kunokuchaphazela nezinye iindawo zomzimba.
- Amehlo: I-Uveitis yimeko eqhelekileyo ebangela ukudumba ngaphakathi kweliso. Iimpawu ziquka ukubomvu , iintlungu, ukubona okufipheleyo , kunye nokuziva ukukhanya. Ukuba ufumana naziphi na kwezi mpawu, kufuneka ubonane nogqirha wamehlo ngokukhawuleza .
- Inkqubo yokugaya ukutya: Kwabanye abantuIsifo samathumbu esibangelwa kukudumba (IBD) , esifana nesifo sikaCrohn okanye i-Ulcerative Colitis , sinokubangela iimpawu ezifana neentlungu zesisu kunye norhudo oluhlala ixesha elide.
- Ulusu: Malunga ne-10% yezigulana zinokuba ne- psoriasis , isifo solusu esibangela amabala abomvu, anamaxolo eluswini.
Kunzima ukutsho ngqo ukuba esi sifo siza kukuchaphazela njani ngokuhamba kwexesha. Iimpawu zabanye abantu zisenokuhlala zifana, ngelixa ezinye zinokuba mandundu. Imeko yabanye abantu isenokuya kwi-AS. Nangona kunjalo, ngonyango olufanelekileyo nendlela yokuphila, ungayilawula kakuhle le meko kwaye uphile ubomi obuqhelekileyo.
Umyalezo Wokuya Ekhaya
- Intlungu yomqolo ehlala iinyanga, ingakumbi kusasa nasebusuku, ayiqhelekanga. Musa ukuyityeshela. Yiya kugqirha ngokukhawuleza.
- Nokuba ingxelo yakho ye-X-ray ayibonisi ngxaki, usenokuba usenayo i-nr-axSpA. I-MRI scan ingasixilonga ngokuchanekileyo esi sifo.
- Ngokusixilonga isifo kwangethuba kwaye usinyange ngokufanelekileyo ngomthambo, amayeza, kunye nonyango lomzimba, unokuthintela ukonakala kwamalungu akho kwaye uphile ubomi obungenazintlungu.
- Le yimeko elawulekayo. Ngoko ke musa ukudinwa. Hlala unxibelelana rhoqo nogqirha wakho kwaye ulandele icebiso lakhe.
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