Ngaba amalungu akho omqolo nawo ayabuhlungu? Masifunde nge-spondyloarthritis!

Ngaba uqala usuku lwakho ngomqolo oqinileyo kwaye uneentlungu xa uvuka kusasa? Okanye ngamanye amaxesha uziva ngathi iintlungu zakho zomqolo zisasazeka ziye ezimpundu zakho? Usenokuba ungonwabanga kancinci ngeempawu ezifana nezi. Le meko isenokungabi yintlungu yomqolo nje. Namhlanje siza kuthetha ngesifo esiyinkimbinkimbi kancinci, kodwa esiqondakalayo esibizwa ngokuba yiSpondyloarthritis .

Yintoni i-spondyloarthritis? Ngamafutshane...

Ngamafutshane, i-spondyloarthritis yimeko ye-arthritis eyenzeka kumalungu omqolo wakho . Igama elithi "Spondyl-" lithetha umqolo. Igama elithi "Arthritis" lithetha intlungu nokuqina kwamalungu. Le meko ichaphazela kakhulu amalungu adibanisa umqolo wakho. Oko kukuthi, amalungu amancinci (amalungu e-facet) phakathi kwamalungu omqolo kunye namalungu e-sacroiliac adibanisa umqolo wakho namathambo akho esinqeni. Yingakho intlungu esezantsi komqolo idla ngokuba luphawu oluphambili . Nangona kunjalo, ayipheleli nje kumqolo. Ingachaphazela amanye amalungu kwaye ibangele ezinye iimpawu.

Khumbula, esi ayisosifo sinye, kodwa liqela lezifo ezineempawu ezifanayo. Oogqirha bakwabiza le meko ngokuthi yi-spondyloarthropathy . Ithetha isifo (`-pathy`) samalungu omqolo (`arthro-`). Usenokuba ukhe weva nge-osteoarthritis (ebangelwa kukuguguleka kwamalungu) kunye ne-rheumatoid arthritis (RA) (ebangelwa yingxaki yenkqubo yomzimba yokuzikhusela). I-Spondyloarthritis yimeko eyahlukileyo kuzo zombini ezo, kodwa inokuchaphazela namalungu omqolo.

Ziziphi iimpawu eziphambili zale meko? Makhe sijonge ngokusondeleyo!

Kukho iimpawu ezininzi ezinxulumene ne-spondyloarthritis:

• Esi sisifo samathambo: I-Spondyloarthritis luhlobo lwe-arthritis oluwela phantsi koluhlu lwezifo zamathambo , oluluhlobo lokuvuvukala kwe-arthritis . Ukudumba okungapheliyo kubangela iintlungu kunye nokudumba kwamalungu. Asikuko imeko ebangela umonakalo wamalungu njenge-osteoarthritis. I-inflammatory arthritis idla ngokuba sisifo sokuzikhusela komzimba . Oku kuthetha ukuba inkqubo yomzimba wakho yokuzikhusela ihlasela amalungu akho ngempazamo, ibangela ukudumba okuqhubekayo. Oku kudumba akunakuchaphazela kuphela amalungu, kodwa nezinye iindawo zomzimba.

• Oku akusiyo i-rheumatoid arthritis (RA): Nangona i-rheumatic arthritis iluhlobo lwe-arthritis, le yi -rheumatoid arthritis (RA) esiyaziyo sonke.Hayi. Siyazi oku kuba uvavanyo lwegazi lwabantu abane-spondyloarthritis alubonisi ukuba kukho i-antibody ebizwa ngokuba yi-rheumatoid factor , echaphazela i-RA. Yingakho oogqirha ngamanye amaxesha bebiza le meko ngokuthi "seronegative spondyloarthropathy ." I-"Seronegative" ithetha ukuba uvavanyo lwegazi lwe-RA alunazo. Akukho antibody ithile ifunyenweyo ye-spondyloarthritis (SpA).

• I-Enthesitis: Olunye uphawu olubalulekileyo lwe-spondyloarthritis kukudumba (i-enthesitis) kwi-entheses yakho . Oogqirha bayayikhangela le nto xa befumanisa imeko. I-Entheses zizicubu ezinxibelelanayo ezine-fibrous. Ngokukodwa, "ziijoyinti" apho imisipha kunye nemisipha yakho idibana khona namathambo akho. I-Spondyloarthritis inokubangela i-enthesitis kwiindawo ezahlukeneyo zomzimba. Izithende kunye namadolo zezona ndawo zixhaphakileyo apho le meko ibonakala khona.

• Ijini ye-HLA-B27: Phakathi kwama-80% nama-95% abantu abane-spondyloarthritis abasuka kuMantla Yurophu banejini ye-HLA-B27 . Le jini ayixhaphakanga kakhulu kubantu abanesifo kwamanye amaqela eentlanga. Kwakhona, ukuba nale jini akuzibangeli ngokuzenzekelayo esi sifo. Nangona kunjalo, kuqhelekile ukuba ugqirha angayivavanya le jini ukunceda ekufumaneni isifo.

Ixhaphake kangakanani le sifo?

Nangona abantu abaninzi bengazi nto ingako ngayo, i-spondyloarthritis yimeko exhaphake kakhulu kune-rheumatoid arthritis . Kuqikelelwa ukuba malunga ne-0.5% ukuya kwi-2% yabemi behlabathi banohlobo oluthile lwe-spondyloarthropathy.

Ziziphi iintlobo eziphambili ze-spondyloarthritis?

Kukho izifo ezahlukeneyo eziwela phantsi kwesihloko esiqhelekileyo se-spondyloarthritis. Oogqirha bahlulahlula ezi zibe ziintlobo ezimbini eziphambili: i-axial spondyloarthritis kunye ne -peripheral spondyloarthritis .

I-Axial Spondyloarthritis

Ichaphazela kakhulu amalungu omzimba wakho ongasemva , okuyintamo, isifuba, nomqolo . Njengoko esi sifo siqhubeka, amanye amalungu kunye namalungu athile anokuchaphazeleka.

I-Ankylosing Spondylitis luhlobo olubi lwe-axial spondyloarthritis. Ibonakala ngotshintsho olucacileyo emathanjeni omqolo, olubizwa ngokuba yi-ankylosis.(njengokudibana kwamathambo). Ngokubanzi, olu lolona hlobo luqhelekileyo lwe-spondyloarthritis.

I-Peripheral Spondyloarthritis

Olu hlobo luqala ngokuchaphazela amalungu akho angaphandle kwaye lufake amalungu. Oko kukuthi, amalungu angaphandle kwe-axial skeleton (umzekelo, amalungu asemalungeni). Njengoko isifo siqhubeka, umqolo unokuchaphazeleka okanye utshabalale.

I-peripheral spondyloarthritis idla ngokubandakanya ukudumba nakwezinye izitho zomzimba. Iintlobo ezahlukeneyo zinokuchaphazela izitho ezahlukeneyo (ezifana namehlo, ulusu, namathumbu). Nangona kunjalo, iimpawu zinokufana kancinci. Ezinye zezona ntlobo ziphambili zezi:

• I-Psoriatic Arthritis: Le yimeko ye-arthritis eyenzeka kunye ne -psoriasis , isifo sesikhumba esizilawulayo esibangela ukudumba kwesikhumba. (Kwilizwe lethu, oku kukwabizwa ngokuba "lusu olunamahlwili"). Idla ngokuchaphazela amalungu amancinci ezandla neenyawo, ibangela ukudumba kunye nentlungu kwiminwe.
• I-Enteropathic Arthritis: Le yimeko ye-arthritis eyenzeka kunye ne -Inflammatory Bowel Disease (IBD) . Igama elithi "Enteropathic" lithetha ukuba ichaphazela amathumbu akho.
• I-Reactive arthritis: Le yimeko yokuzikhusela komzimba eyenzeka ngenxa yosulelo olusemathunjini akho okanye kwindlela yomchamo. Ingachaphazela amehlo akho, ulusu, isinyi, amalungu esini, okanye amathumbu. Ihlala isenzeka okwexeshana, kodwa inokuhlala ukuya kuthi ga kwiinyanga ezili-12. Kwabanye abantu, ingajika ibe yi-arthritis engapheliyo.

I-Spondyloarthritis engachazwanga

Olu luxilongo olunikwayo ukuba iimpawu zakho zihlala zihambelana nezo ze-spondyloarthritis, kodwa azihambelani kakuhle naluphi na uhlobo oluthile.

I-Spondyloarthritis yabantwana

Le yimeko ye-spondyloarthritis eyenzeka ebuntwaneni, ngesiqhelo ngaphambi kokuba babe neminyaka eli-16 ubudala. Abantwana banokuba nohlobo oluthile okanye indibaniselwano yeentlobo ezahlukeneyo.

Ziziphi iimpawu zeSpondyloarthritis?

Iimpawu zeentlobo ezahlukeneyo ze-spondyloarthritis zihlala zifana. Nangona ezinye iimpawu zichaphazela ngakumbi iintlobo ezithile, naziphi na iimpawu zinokubonakala kulo naluphi na uhlobo.

Iimpawu eziphambili zinokuba zezi:

• Intlungu emqolo ongezantsi, ngamanye amaxesha ifikelela ezimpundu (sacroiliitis). Kwabanye abantu, oku kunokuvakala ngathi yintlungu evela ngaphakathi kwithambo lesinqe.
• Ukuqina kwamalungu kusasa, okuye kuthomalale kancinci xa ujikeleza. Kufana nokuvuka kusasa, umzimba wakho uzive ngathi ukhuni, kwaye uyakhululeka kuphela xa ujikeleza kancinci.
• Intlungu embindini nangasentla komqolo, intlungu yemisipha yesifuba, okanye intlungu yentamo.
• Ukugoba komqolo kancinci kancinci (njenge-scoliosis).
• Intlungu nokuqina kwamalungu omzimba – izinqe, amahlombe, amadolo, iingqiniba, izihlakala, amaqakala.
• Ukudumba okukhulu kweminwe ("iminwe yesoseji" okanye i-dactylitis). Oku kwenzeka xa umnwe okanye uzwane olunye luvuvukala ngokupheleleyo, lufana nesoseji.
• Iimpawu zenkqubo yokugaya ukutya, umzekelo, iintlungu zesisu kunye norhudo.
• Intlungu kunye nokudumba kwendlela yomchamo.
• Ukurhawuzelelwa, ukurhawuzelelwa lusu (psoriasis).
• Imingxunya emincinci kwizinzipho (i-nail psoriasis).
• Ukudinwa okungapheliyo.
• Ukutya akunancasa.
• Ukudumba kwamehlo (uveitis). Oku kunokubangela ukuba amehlo abe bomvu, aqaqambe, kwaye avakalelwe kukukhanya.
• Izilonda zomlomo.
• Intlungu yesithende (ngenxa ye-enthesitis).
• Ukwakheka kwee-spurs ezincinci zamathambo.

Okubalulekileyo kukuba, iimpawu ze-spondyloarthritis zihlala ziqala ukubonakala kwangethuba kunezinye iintlobo ze-arthritis, zihlala zingaphambi kokuba zibe neminyaka engama-45 ubudala. Ezi mpawu zisenokuqala kancinci kwaye ziqhubeke ziba mandundu. Kwiimeko ezininzi, ezi mpawu zihlala zikho.

Zithini izizathu ze-spondyloarthritis?

Iimpawu ze-Spondyloarthritis zibangelwa kukudumba okungapheliyo kwamalungu akho nakwezinye izicwili. Oku kudumba kubangelwa ngokuzenzekelayo yinkqubo yakho yokuzikhusela komzimba . Oku sikubiza ngokuba sisifo sokuzikhusela komzimba .

Abaphandi abakaqondi ngokupheleleyo ukuba kutheni ezi zifo zokuzikhusela komzimba zenzeka. Nangona kunjalo, kubonakala ngathi kukho izinto ezininzi ezidlala indima. Iimeko ezininzi zokuzikhusela komzimba, kuquka i-spondyloarthritis, zibonakala zinento ethile yemfuza .

Usapho lwe-HLA (Human Leukocyte Antigen) lweejini ludla ngokunxulunyaniswa ne-inflammatory arthritis. Iproteni eveliswa zezi jini isetyenziswa yinkqubo yomzimba yokuzikhusela ukwahlula phakathi kweeseli zakho kunye neeseli zangaphandle. Utshintsho oluthile kwezi jini lunokubangela ukuba inkqubo yomzimba yokuzikhusela ingasebenzi kakuhle. Oku kunokubangela ukuba inkqubo yomzimba yokuzikhusela ingazichongi kakuhle iiseli zakho kwaye ihlasele iiseli zakho.

Ziziphi izinto ezibangela i-spondyloarthritis?

Nangona kukho impembelelo yemfuza, asikuko kuphela okubangela esi sifo. Nangona abantu abaninzi abane-spondyloarthritis bene -HLA-B27 gene , ayinguye wonke umntu one-gene leyo oza kuba ne-spondyloarthritis.

Kukho enye into ekufuneka iqalise le nkqubo. Abaphandi baneengcinga ezahlukeneyo malunga nokuba yintoni ebangela oku. Ezinye zezi ziquka usulelo olunzima, iityhefu ezikwindalo esingqongileyo, ukutshaya, kunye nokusetyenziswa kotywala.

Enye ingcamango kukuba i-spondyloarthritis inokunxulunyaniswa nokungalingani (i-dysbiosis) kwi -microbiome yamathumbu akho. Abantu abane-spondyloarthritis (SpA) baneentlobo ngeentlobo zeentsholongwane zamathumbu, nto leyo eyenza kube lula ukuba iintsholongwane eziyingozi zikhule. Oku kungalingani kwamathumbu ('i-gut dysbiosis') kunokukwenza ube sesichengeni sosulelo, kubangele ukudumba okungapheliyo emathunjini, kwaye kwenze buthathaka amasosha omzimba wakho. Umxube weentsholongwane zamathumbu akho uyinto oyizuzayo ukuya kuthi ga kwinqanaba elithile ekuzalweni.

Ifunyanwa njani i-spondyloarthritis?

I-Spondyloarthritis inokuba nzima ukuyifumanisa, ingakumbi ukuba awunazo iimpawu ezicacileyo. Abanye abantu banentlungu kunye nokuqina kwamalungu, kwaye kunokubakho nezinye izizathu ezininzi.

Ugqirha uza kuqala akubuze ngeempawu zakho aze ajonge ezinye iimpawu ongakhange uzikhankanye kodwa ezinokuba zinxulumene nazo. Baza kukubuza nangembali yakho yempilo kunye nembali yempilo yosapho lwakho.

Emva koko, umqolo wakho okanye amanye amalungu aza kuhlolwa ngokwasemzimbeni ukuze kubonwe ukuba ungawashukumisa kangakanani. Ii-X-ray ziya kuthathwa ukuze kukhangelwe ubungqina be-arthritis okanye i-enthesitis, kodwa obu bungqina abubonakali rhoqo kwimifanekiso.

Uvavanyo lwegazi lunokwenziwa ukujonga iimpawu zokudumba okanye isifo sokuzikhusela komzimba. Banokuvavanya nejini ye-HLA-B27 . Olu vavanyo lunokunceda ukwahlula i-spondyloarthritis (SpA) kwezinye izifo.

Ziziphi iindlela zonyango lwe-spondyloarthritis?

Unyango luxhomekeke kwiimpawu zakho ezithile. Oogqirha balandela indlela yonyango ethatha inyathelo ngenyathelo, beqala ngokuzivocavoca kunye neziyobisi ezithengiswa ngaphandle kwemvume kagqirha (i-OTC nonsteroidal anti-inflammatory drugs / NSAIDs) .

Ukuba oku akwanelanga ukulawula intlungu kunye nokuvuvukala kwakho, ugqirha wakho unokucebisa:

• Iinaliti zeCortisone zinikwa rhoqo ukunciphisa iintlungu ezifumaneka kwindawo ethile.
• Ii-DMARD eziqhelekileyo okanye zebhayoloji (Amayeza Alwa Nesifo Esinokuguqulwa Kwesifo / ii-DMARD). La ngamayeza atshintsha uhlobo lwesifo.

Kwezinye iintlobo ezithile ze-spondyloarthritis, ezifana ne-psoriatic arthritis kunye ne-enteropathic arthritis, kukho ezinye iindlela zonyango ezichaphazela imeko engundoqo (i-psoriasis okanye isifo samathumbu esivuthayo (IBD)).

Ibaluleke kangakanani le meko? Siza kuqhubeka njani phambili?

Ukuba isifo samathambo esibangela ukudumba siba sibi kakhulu kwaye sihlala ixesha elide, kunokubakho iingxaki ezinkulu. Nangona kunjalo, ezi ngxaki zihlala zichaphazela umgangatho wobomi bakho endaweni yobomi bakho. Umzekelo, usenokuba nokuncipha kokuhamba kwamalungu kunye nomngcipheko ophezulu wokuqhekeka kwamathambo. Nangona kunjalo, ayinguye wonke umntu oya kuba neempawu ezinzima, kwaye unyango lunokunceda ukulawula ukuqhubela phambili kwesi sifo.

Izinga le-spondyloarthritis elikhula ngalo liyahluka ukusuka kumntu ukuya komnye. Kwabanye, ikhula kancinci kwaye inokulawulwa lula ngonyango. Kwabanye, inokuqhubekela kwi- ankylosing spondylitis, imeko ebangela ukudibana komgogodla, kwiminyaka embalwa.

Ubukhali bokudumba kwakho buchaphazela indlela ekhawuleza ngayo i-spondyloarthritis. Ukulandela unyango lwakho ngokuchanekileyo kunokunceda ukulawula ukudumba nokuthintela iingxaki.

Yintoni onokuyenza xa uphila ne-spondyloarthritis?

Kuye nabani na onesifo samathambo, ukuzilolonga rhoqo kubalulekile ukuze amalungu aqhubekeke kakuhle kangangoko kunokwenzeka. Oogqirha abaninzi bathi oku kubaluleke kakhulu kwaye kusebenza ngaphezu kwanoma yiyiphi na iyeza.

Ukuba awuqinisekanga ukuba loluphi uhlobo lomthambo olulungele wena, buza ugqirha wakho. Oogqirha abaninzi bacebisa unyango lomzimba olujolise kumalungu athile okanye kwiindawo ezinengxaki.

I-Spondyloarthritis liqela lezifo ezinxulumeneyo, kodwa zahlukile. Nangona oogqirha bezichonga ngokufana kwazo, uhlobo ngalunye - kunye nesifo somntu ngamnye - zahlukile.

Kwabaninzi abantu, i-spondyloarthritis yimeko ehlala ubomi bonke. Nangona kunjalo, indlela echaphazela ngayo ubomi bakho inokwahluka. Ugqirha wakho uya kuba liqabane lakho elingcono ekulawuleni iimpawu zakho kunye noko unokukulindela wena ngokwakho.

Izinto ezibaluleke kakhulu ekufuneka uzikhumbule

Kulungile, ngoko ke sithethe kakhulu nge-spondyloarthritis. Ngamafutshane, nazi izinto ekufuneka uzikhumbule:

• I-Spondyloarthritis yimeko ye-arthritis evuthayo eyenzeka kumalungu omqolo.
• Esi sisifo esibangelwa kukuzikhusela komzimba ; oko kuthetha ukuba inkqubo yakho yokuzikhusela komzimba ihlasela amalungu akho.
• Iimpawu eziphambili ziintlungu zomqolo (ingakumbi kusasa), ukuqina kwamalungu, kunye ne-enthesitis (ukudumba kwamalungu apho imisipha inamathela khona emathanjeni).
• I-HLA-B27 yejini isenokuba ibandakanyeka, kodwa ayisiyo yodwa imbangela.
• Kukho iintlobo ezahlukeneyo, ezifana ne-Ankylosing Spondylitis kunye ne-Psoriatic Arthritis.
• Iimpawu, iimvavanyo, kwaye ngamanye amaxesha uvavanyo lwemfuza luyasetyenziswa ukuxilonga isifo.
• Unyango lubandakanya ukuzilolonga, iintlungu, kwaye ngamanye amaxesha amayeza athile (ii-DMARD) .
• Ukuzilolonga rhoqo kunye nokulandela iingcebiso zonyango kubaluleke kakhulu ukulawula le meko.

Ukuba unale mpawu, ungoyiki ukubona ugqirha uze ufumane ingcebiso. Ukuxilongwa kwangoko kunye nonyango kuya kunceda kakhulu ekugcineni umgangatho wobomi bakho.

I- Spondyloarthritis, i-Spondyloarthropathy, i-Back arthritis, Ukudumba kwamalungu, iintlungu zomqolo, izifo ze-Autoimmune, i-HLA-B27, i-Ankylosing Spondylitis, i-Psoriatic Arthritis