Iintlungu zomqolo ziqhelekile kubantu abaninzi. Kodwa ngaba uziva uqinile kwaye uneentlungu xa uvuka kusasa? Ngaba iintlungu ziyaphela njengoko usebenza imini yonke, zize zibuye xa uhleli ixesha elide? Oku kusenokungabi yintlungu yomqolo nje kuphela. Namhlanje sithetha ngemeko engaqhelekanga kodwa elawulwa kakuhle ebangela iimpawu ezifanayo. Le yi -Ankylosing Spondylitis .
Yintoni kanye kanye i-Ankylosing Spondylitis (AS)?
Ngamafutshane, i-Ankylosing Spondylitis (AS) luhlobo olungaqhelekanga lwe-arthritis oluchaphazela umqolo wakho. Sisifo esibangelwa kukuzimela komzimba . Oku kuthetha ukuba inkqubo yokuzikhusela yomzimba wethu iqala ukuhlasela iiseli zethu ngaphandle kwesizathu. Esi sifo sihlala ubomi bonke. Sidla ngokuqala emqolo ongezantsi. Ukusuka apho, sinokusasazeka siye entanyeni kwaye sichaphazele amanye amalungu emzimbeni.
Njengoko igama lisitsho, igama elithi "Ankylosis" lithetha ukudibanisa amathambo kunye. Igama elithi "Spondylitis" lithetha ukudumba kwamathambo omqolo. Ukuba isifo sibi kakhulu, umqolo unokugoba phambili uze ube njengedome.
Kodwa ungakhathazeki. Nangona i-AS ingenakunyangwa ngokupheleleyo, amayeza kunye nokuzilolonga okufanelekileyo kunokunceda ukulawula iintlungu kunye nokugcina umqolo wakho uqinile.
Zithini iimpawu zesi sifo?
Njengoko iimpawu zahlukile kumntu nomntu. Ngokuqhelekileyo iqala ngokudumba kwamalungu e-sacroiliac, apho umqolo wakho uqhagamshela khona namathambo akho esinqeni. Ekuqaleni, usenokuva iintlungu kunye nokuqina komqolo wakho ongezantsi kunye nesinqe. Njengoko isifo siqhubeka, sinokuchaphazela nemisipha kunye nemisipha edibanisa amathambo akho nomqolo wakho. Kwiimeko ezinzima, umqolo wakho unokudibana.
Makhe sibone ukuba zeziphi ezinye iimpawu eziqhelekileyo ezikwitheyibhile engezantsi.
| Uphawu | Inkcazo |
|---|---|
| Intlungu yomqolo nesinqe | Ukuqina nobuhlungu okwandayo, ingakumbi kusasa nasemva kokuhlala ixesha elide. |
| Intlungu entanyeni, emagxeni, nakwimbambo | Le ntlungu inokwenzeka xa isifo sisasazeka emqolo. |
| Intlungu kwamanye amalungu | Intlungu nokudumba kwamalungu kwiindawo ezifana neenyawo, izithende, izandla. |
| Ubunzima bokugcina umqolo wakho uthe tye | Ekuhambeni kwexesha, umqolo ujika ubheke phambili (njengesinqe esinomqolo ogobileyo). |
| Ukudinwa | Ukuziva udiniwe ngalo lonke ixesha ngenxa yokuvuvukala emzimbeni. |
| Ezinye iimpawu | Ukurhawuzelela kwesikhumba, iingxaki zokubona (uveitis), ubunzima bokuphefumla. |
Ezi mpawu azifani kuye wonke umntu. Iimpawu zinokwanda ngamanye amaxesha (ukudumba) kwaye zinciphe ngamanye amaxesha.
Kutheni oku kusenzeka? Ngubani osengozini enkulu?
I-AS sisifo "esihlasela umzimba ngokwawo", oko kuthetha ukuba inkqubo yomzimba yokuzikhusela ihlasela iiseli zayo. Oogqirha abakayazi ukuba kutheni oku kusenzeka. Nangona kunjalo, kufunyenwe ukuba inekhonkco lemfuza elisebenza kwiintsapho .
Abantu abaninzi abane-AS bane-gene ebizwa ngokuba yi-'HLA-B27'. Asinguye wonke umntu onale gene oza kuba ne-AS, kodwa abantu abanale gene basengozini enkulu yokuhlaselwa sisifo.
Ngubani osengozini enkulu?
- Kumadoda: Esi sifo sixhaphake kakhulu kumadoda kunakwabasetyhini.
- Kubantu abangaphantsi kweminyaka engama-40 ubudala: Esi sifo sidla ngokuqala malunga neminyaka engama-30 ubudala.
- Imbali yosapho : Ukuba isalamane esisondeleyo kusapho lwakho sine-AS, nawe usengozini enkulu.
- Abantu abanezinye izifo zokuzikhusela komzimba ezifana nesifo sikaCrohn, i-psoriasis, kunye ne-ulcerative colitis nabo basengozini enkulu yokuhlaselwa yi-AS.
Ugqirha uyifumana njani le nto?
Intlungu yomqolo luphawu oluqhelekileyo, ngoko ke kunokuba nzima ukuxilonga i-AS kwizigaba zokuqala. Ugqirha wakho uya kumamela ngononophelo iimpawu zakho. Ukongeza, banokwenza olu vavanyo lulandelayo:
- Uvavanyo lomzimba : Umqolo wakho, amalungu, kunye neendawo ezibuhlungu ziya kuhlolwa.
- Uvavanyo lwegazi: Uvavanyo lwegazi lwenziwa ukujonga ubukho bejini ethi `HLA-B27` kunye nokulinganisa inqanaba lokuvuvukala emzimbeni.
- Uvavanyo lwemifanekiso: Kungenziwa i-X-ray okanye i-MRI scan ukujonga utshintsho kumqolo kunye namalungu.
Kwiimeko ezininzi, ugqirha wakho wosapho uza kukuthumela kwingcali yamathambo, ugqirha ogxile kwizifo ezifana ne-arthritis.
Zithini iindlela zonyango zoku?
Kukho iindlela ezahlukeneyo zonyango lwe-AS. Iinjongo eziphambili zale ndlela yonyango kukunciphisa iintlungu nokuqina, ukugcina ukuhamba komqolo, kunye nokulawula ukuqhubela phambili kwesifo.
Ukuzilolonga kunye noNyango loMzimba
Le yeyona nxalenye ibalulekileyo yokulawula i-AS. Okukhona usebenza ngakumbi, kokukhona uya kuziva ungcono.
- Ukuzilolonga: Kunceda ukugcina umqolo uthe tye, amalungu aguquguquka, kwaye kunciphisa iintlungu. Ukuzilolonga emanzini (aqua therapy) kuluncedo kubantu abaninzi.
- Unyango lomzimba: Ingcali yonyango lomzimba ingakufundisa indlela yokugcina ukuma okufanelekileyo, ukolula izihlunu eziqinileyo, kunye nokunciphisa iintlungu.
Amayeza
Ugqirha wakho unokukunika amayeza ahlukeneyo ngokuxhomekeke kwimeko yemeko yakho.
| Uhlobo lweziyobisi | Inkcazo kunye nemizekelo |
|---|---|
| Ii-NSAID (Amayeza angengo-steroidal alwa nokuvuvukala) | Amayeza anikwa kuqala ukunciphisa ukudumba kunye nentlungu. Umzekelo: Ibuprofen, Naproxen. Nangona kunjalo, ezi zinokubangela iziphumo ebezingalindelekanga ezifana nokopha emathunjini xa zithathwa ixesha elide. |
| Izithinteli ze-TNF | Ezi zivimba into ethile emzimbeni ebangela ukudumba. Ezi zinikwa njengeenaliti. Imizekelo: I-Adalimumab (Humira), I-Etanercept (Enbrel). |
| Izithinteli ze-IL-17 | Olu lolunye uhlobo logonyo olulawula ukudumba. Umzekelo: iSecukinumab (Cosentyx), iIxekizumab (Taltz). |
| Izithinteli zeJAK | La luhlobo olutsha lwamayeza anokusetyenziswa njengeepilisi. Umzekelo: iTofacitinib (Xeljanz), iUpadacitinib (Rinvoq). |
Utyando
Uninzi lwabantu abane-AS aludingi utyando. Kodwa kwabo banesifo esibi kakhulu,
- Utyando lokutshintshwa kwamalungu: Buyisela ilungu elonakele kakhulu, njengelungu lesinqe.
- Utyando lomqolo: Yolula umqolo ogobileyo kakhulu .
Izinto ekufuneka uziqwalasele xa uhlala ne-AS
Ukuphila ne-AS kunokuba nzima ngamanye amaxesha, kodwa ukunyamekela impilo yakho yomzimba neyengqondo kunokwenza ubomi bemihla ngemihla bube lula.
- Ukutya: Nangona kungekho kutya kuthile kwe-AS, ukugcina ubunzima obusempilweni kubalulekile. Oku kungenxa yokuba ubunzima obongezelelekileyo bubeka uxinzelelo olungakumbi kumalungu. Kungcono ukugxila ekutyeni okunciphisa ukudumba, okufana nentlanzi, iziqhamo, kunye nemifuno etyebileyo kwi-omega-3 fatty acids.
- Kuphephe ukutshaya: Kuye kwabonakala ukuba iimpawu ze-AS kubantu abatshayayo ziya zisiba mandundu ngokuhamba kwexesha.
- Impilo yengqondo: Kuqhelekile ukuba neemvakalelo zokukhungatheka, usizi, ixhala, kunye nokudakumba xa uphila nentlungu engapheliyo. Ukuba uhlangabezana nezi mvakalelo, ukufuna iingcebiso okanye ukujoyina iqela lenkxaso nabantu abanjengawe kunokuba luncedo kakhulu.
- Lala kakuhle: Iintlungu zingaphazamisa ubuthongo. Kodwa ukulala kakuhle ebusuku kubalulekile ukuze umzimba uphile kwaye ugcine amandla. Sebenzisa imiqamelo enciphisa uxinzelelo emqolo nasentanyeni yakho.
Umyalezo Wokuya Ekhaya
- I-Ankylosing Spondylitis (AS) ayisiyongxaki yomqolo nje kuphela, kodwa sisifo samathambo esingapheliyo esichaphazela umqolo.
- Ukuba uqhubeka nokuba nokuqina kwasekuseni kunye neentlungu, musa ukuzityeshela uze ubone ugqirha wakho. Ukuxilongwa kwangoko kubalulekile.
- Ukuzilolonga kunye nonyango lomzimba zizinto ezimbini ezibalulekileyo ekulawuleni esi sifo. Ukuhlala usebenza kuya kwenza umahluko omkhulu.
- Kukho amayeza asebenzayo kakhulu afumanekayo namhlanje ukulawula iintlungu kunye nokudumba. Landela imiyalelo kagqirha wakho ngokuchanekileyo.
- Nangona kungekho nyango lupheleleyo loku, ngolawulo olufanelekileyo ungaphila ubomi obuqhelekileyo nobusebenzayo. Ngoko ke musa ukuphelelwa lithemba.
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