Abantu abaninzi bacinga ukuba i-'Ankylosing Spondylitis' sisifo esichaphazela umqolo kuphela. Yiyo loo nto, ichaphazela kakhulu amalungu omqolo. Kodwa ubusazi na ukuba esi sifo sinokuchaphazela namanye amalungu omzimba, ingakumbi amehlo ethu? Namhlanje sithetha ngonxibelelwano olubaluleke kakhulu abantu abaninzi abangalwaziyo. Olu lunxibelelwano phakathi kwe-'Ankylosing Spondylitis' kunye nemeko yamehlo i-'Uveitis'.
Yintoni i-Uveitis?
Ngamafutshane, i-'Uveitis' kukudumba, oko kukuthi, ukudumba, kwenwebu engaphakathi kweliso lethu. Iliso lethu lenziwe ngamaleya aliqela, njengetswele. Umaleko ophakathi ubizwa ngokuba yi-(Uvea) . Inxalenye enemibala yeliso lakho, oko kukuthi, i-(Iris) eluhlaza okwesibhakabhaka okanye emdaka kwabanye abantu, ikwayinxalenye yale 'Uvea'. Ngoko ke, ukudumba kwale nwebu ye-'Uvea' kubizwa ngokuba yi- (Uveitis) . Ukuba i-'Iris' kuphela echaphazelekileyo, ikwabizwa ngokuba yi- (Iritis) .
Phakathi kwama-30% nama-40% abantu abane-Ankylosing Spondylitis baya kuba ne-Uveitis ngaxa lithile ebomini babo, ngoko ke kubalulekile ukukwazi oku.
Zithini iimpawu? Uzibona njani?
Khawucinge nje, ubusoloko unentlungu emqolo okwethutyana, uze uzive uqinile kusasa. Xa ubona ugqirha, ufumanisa ukuba yi-'Ankylosing Spondylitis'. Ngoku usela amayeza ayo. Ngelixa unjalo, ngequbuliso iliso elinye liba bomvu lize liqale ukurhawuzelela. Kunzima nokujonga ukukhanya. Usenokucinga, 'Kwenzeke ntoni koku, ngaba kukho into eyenzekileyo kweliso lakho?' Abantu abaninzi bacinga ukuba esi sisifo esiqhelekileyo samehlo. Kodwa oku kungaba luphawu lwe-'Uveitis', imeko enxulunyaniswa nesifo sakho se-'Ankylosing Spondylitis'.
Kulungile, ngoku makhe sibone ukuba zeziphi iimpawu ezibonakaliswa yile meko 'ye-Uveitis'. Ezi zinokuvela ngequbuliso, ngoko ke kubaluleke kakhulu ukuzazi ezi zinto.
| Uphawu | Inkcazo |
|---|---|
| Ubomvu beliso | Ubomvu bomhlophe weliso. |
| Intlungu yamehlo | Intlungu ebukhali nehlabayo evela ngaphakathi kweliso. |
| Uloyiko lokukhanya (i-Photophobia) | Ubunzima bokujonga ukukhanya okuqaqambileyo, amehlo ajika abe luhlaza okwesibhakabhaka. |
| Umbono ofipheleyo | Ukubona okucacileyo okunciphileyo, uzive ngathi usenkungwini . |
| Iinyembezi ezigqithisileyo | Iinyembezi ziyaphuma emehlweni ngaphandle kwesizathu esithile. |
Ezi mpawu zihlala zibonakala kwiliso elinye kuqala, kodwa ngamanye amaxesha zinokuchaphazela omabini amehlo. Oku kungaqala ngequbuliso kwaye kunokubangela ukulahleka kokubona okungapheliyo ukuba akunyangelwanga kakuhle, ngoko ke ukuba ufumana naziphi na kwezi mpawu, kufuneka ubonane nogqirha wamehlo, ugqirha ochwephesha kwamehlo, ngaphandle kokulibazisa.
Ngaba kukho iintlobo ze-uveitis?
Ewe, i-Uveitis inokwahlulwa ibe ziintlobo ezine eziphambili ngokuxhomekeke ekubeni ukudumba kwenzeka phi ngaphakathi kweliso. Masibone ukuba zeziphi.
| Uhlobo lwe-Uveitis | Inxalenye yeliso echaphazelekileyo |
|---|---|
| I-Anterior uveitis | Ichaphazela inxalenye engaphambili yeliso (phakathi kwe-cornea kunye nenxalenye enemibala yeliso ) . Oku kukwabizwa ngokuba yi-iritis . Olu lolona hlobo luqhelekileyo lwe-iritis kwizigulana ezine-Ankylosing Spondylitis. |
| I-uveitis ephakathi | Ichaphazela i-retina , imithambo yegazi, kunye nenxalenye yeliso efana nejeli (umzimba we-vitreous) engasemva kwelensi. |
| I-Postterior uveitis | Ichaphazela umaleko ongaphakathi ngasemva kweliso, oko kukuthi i-retina okanye i-choroid . |
| I-Panuveitis | Xa ukuvuvukala kusasazeka kuzo zonke iileya ze- uvea , ukusuka ngaphambili ukuya ngasemva kweliso. |
Isifo sichongwa kwaye sinyangwa njani?
Ukuba une-Ankylosing Spondylitis, kubalulekile ukuba unikele ingqalelo engakumbi emehlweni akho. Ingakumbi ukuba ufumana imvakalelo yokudubula esweni lakho, ukuba bomvu kwaye uneentlungu, okanye ukubona okufipheleyo, musa ukuzityeshela. Thetha nogqirha wakho ngokukhawuleza. Oku kunokunceda ukuthintela ukuxilongwa okungafanelekanga kwaye uqale unyango olufanelekileyo ngokukhawuleza.
Ngamanye amaxesha, xa kuhlolwa umntu one-anterior uveitis engapheliyo, kufunyaniswa ukuba sele engakhange afumane i-Ankylosing Spondylitis. Kukho unxibelelwano oluqinileyo phakathi kwezi zifo zimbini.
Uxilongo
Ugqirha wakho uza kuqala azame ukufumanisa unobangela ochanekileyo weempawu zakho, njengoko i-uveitis inokubangelwa nazezinye iimeko (ezifana ne-syphilis, isifo sephepha, okanye isifo seLyme).
Uvavanyo olukhethekileyo oluye lwenziwe luvavanyo lwegazi ukujonga ubukho bejini ebizwa ngokuba yi-HLA-B27 . Olu jini lufumaneka kwipesenti enkulu yezigulane ezine-Ankylosing Spondylitis, malunga ne-88%. Olu vavanyo lunceda kakhulu ekuqinisekiseni ukuxilongwa.
Unyango
Unyango ludla ngokubandakanya amaconsi okanye inaliti equlethe ii-corticosteroids , ezilawula ukudumba kunye nokudumba ngaphakathi kweliso.
Nangona kunjalo, ngokuxhomekeke kubukhali bemeko yakho kunye nokuba iyenzeka kangaphi, ugqirha wakho unokukunika amanye amayeza. Ungaze uyeke ukuthatha okanye uyeke amayeza ngaphandle kokubonisana nogqirha.
Umyalezo Wokuya Ekhaya
- I-Ankylosing Spondylitis ayisosifo esichaphazela umqolo kuphela, kodwa inokuchaphazela namehlo akho, ibangele imeko ebizwa ngokuba yi-uveitis.
- Hlala uqaphela iimpawu ezinje ngokuba bomvu kwamehlo, iintlungu, ubunzima bokujonga ukukhanya, kunye nokungaboni kakuhle.
- Ukuba ufumana naziphi na kwezi mpawu, bonana nogqirha wamehlo ngoko nangoko. Ukulibazisa unyango kunokukhokelela ekonakaleni kwamehlo okungapheliyo.
- Xa ubona ugqirha wamehlo, qiniseka ukuba uyamxelela ukuba une-Ankylosing Spondylitis.
- Kukho unyango olusebenzayo kakhulu koku. Okukhona unyango luqalwa ngokukhawuleza, kokukhona iziphumo zingcono.
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