Wake waba nobuhlungu emhlane, ukuqina kwamalunga ekuseni, noma ubuhlungu bamalunga kusukela usemusha? Ungase ucabange ukuthi umkhuhlane nje omubi, into evela ekukhathaleni, noma into evela ekulaleni kabi. Lokho kuvame ukuba njalo. Kodwa ngezinye izikhathi kungaba yinto engathi sína kakhulu. Namuhla sikhuluma ngesimo abantu abaningi abangasazi, kodwa kubalulekile ukwazi ngaso. Leso yi
-Ankylosing Spondylitis , noma ngamafuphi
i-AS .
Kalula nje, iyini i-Ankylosing Spondylitis (AS)?
Lokhu futhi uhlobo lwe-arthritis. Kodwa ikakhulukazi kuthinta umgogodla wakho. Ukuze kube sobala, kuyisimo "se-arthritis yokuvuvukala". Lokhu kusho ukuthi amasosha omzimba wakho ahlasela ngephutha amalunga omgogodla wakho. Lokhu kubangela ukuvuvukala, okusho ukuvuvukala nobuhlungu, emalungeni omgogodla wakho. Lesi simo sivame ukuqala esemncane, phakathi kweminyaka engama-20 nengama-40. Ngokuhamba kwesikhathi, lokhu kuvuvukala okuqhubekayo kubangela ukuthi amalunga omgogodla wakho ahlangane, abe njengethambo elilodwa. Lokhu kubizwa ngokuthi "i-ankylosis" ngokwezokwelapha. Cabanga ngakho njengokungathi amalunga omgogodla wakho ahlanganiswe ndawonye. Lokhu kungabangela ukuqina kanye nokuma okugobile. Lena yinkinga enkulu nge-AS.
Ingabe i-AS ithinta wonke umuntu ngendlela efanayo?
Cha. Lesi sifo asibathinti bonke abantu ngendlela efanayo. Abanye abantu bazwa ubuhlungu obuncane obufika budlule. Abanye bangase babe nobuhlungu obukhulu nokuqina okuhlala impilo yonke. Ucwaningo luthole ukuthi ubukhali besifo bungahluka kumuntu nomuntu. Isibonelo, izifundo zikhombisile ukuthi amanye amaqembu abantu anamathuba amaningi okuthola lesi sifo kunamanye. Lokhu kungase kube ngenxa yethonya lezakhi zofuzo, izici zemvelo, kanye nokwehluka ekufinyeleleni ukunakekelwa kwezempilo.
Ngezinye izikhathi, ngenxa yokungazi ngalesi sifo, umuntu onezimpawu angase aphuze ukuya kudokotela. Uma kunjalo, lesi sifo singase sibe sibi kakhulu ngesikhathi sitholakala.
Ngaphezu kwalokho, abanye abantu abane-AS basengozini enkulu yokuthola ezinye izimo zezokwelapha, njengomfutho wegazi ophakeme, isifo sikashukela, ukucindezeleka, kanye nesifo senhliziyo.
Ingabe izakhi zofuzo zidlala indima ekuthuthukiseni i-AS?
Akekho owaziyo ukuthi yini ebangela lokhu. Kodwa kuvame ukwenzeka emindenini, ngakho-ke kukholakala ukuthi kuyizakhi zofuzo. Uma umama wakho, ubaba, noma umfowenu ene-AS, nawe usengozini enkulu yokuba nayo. Ikakhulukazi uma unesifo sikashukela, usengozini enkulu yokuba naso.
Kukhulunywa kakhulu nge-gene HLA-B27 maqondana nalesi sifo. Abantu abanalesi gene basengozini enkulu yokuthola i-AS. Kodwa into ebaluleke kakhulu lapha ukuthi awukwazi ukusho ukuthi uzokhula ube yi-AS ngoba nje une-gene HLA-B27 . Ngisho naseSri Lanka, kunabantu abaningi abanalesi gene kodwa abanaso isifo. Futhi, abantu abangenaso lesi gene nabo bangakhula babe yi-AS. Lokho kusho ukuthi odokotela manje bakholelwa ukuthi akuzona nje izakhi zofuzo, kodwa nezinye izici zemvelo esingazazi kahle okwamanje ziyimbangela yalesi sifo. Yiziphi izimpawu eziyinhloko ze-AS?
Ngaphezu kobuhlungu bomhlane, i-AS ingabangela ezinye izimpawu eziningi. Ake sibheke izimpawu eziyinhloko. | Isibonakaliso | Indlela ongazizwa ngayo |
|---|
| Ubuhlungu nokuqina endaweni yasemhlane nasemaqakaleni | Umhlane wami uzizwa uqinile, ikakhulukazi uma ngivuka ekuseni, noma ngemva kokuma ngemva kokuba sesimweni esifanayo isikhathi eside. Lobuhlungu buyancipha uma ngihamba kancane noma ngenza okuthile okuwusizo. Ubuhlungu buyanda ebusuku futhi bungangivusa ngisho nasebuthongweni. |
| Ubuhlungu kwamanye amalunga | Ukuvuvukala nobuhlungu kungenzeka ezindaweni ezinjengama-hips, amahlombe, amadolo, amaqakala kanye nezithende. |
| Ubunzima bokuphefumula | Uma lokhu kuvuvukala kusakazekela ezimbanjeni esifubeni, ukwandiswa kwesifuba kungase kunciphe futhi ubuhlungu besifuba bungase buzwakale lapho uphefumula umoya ojulile. |
| Izinkinga zamehlo (i-Uveitis) | Cishe ingxenye yesithathu yeziguli ze-AS iba nokutheleleka kwamehlo, okubizwa ngokuthi i-uveitis. Izimpawu zifaka phakathi ukubomvu okungazelelwe, ubuhlungu bamehlo, ubunzima bokubona, kanye nokungaboni kahle. Lesi yisimo esiphuthumayo futhi sidinga usizo lwezokwelapha ngokushesha . |
| Ezinye izici ezivamile | Ukukhathala okungachazeki, umkhuhlane, ukwehla kwesisindo, ukuqubuka kwesikhumba, kanti kwabanye abantu, izifo zamathumbu ezifana nesifo sikaCrohn zingase zivele. |
Wenzani uma unalezi zimpawu?
Uma wena, ikakhulukazi uma usemncane, ube nobuhlungu emhlane obuba bubi kakhulu ekuseni futhi bube ngcono emini isikhathi esingaphezu kwezinyanga ezintathu, kufanele nakanjani ubone udokotela womndeni wakho . Kubalulekile ukwethembeka ngobuhlungu bakho. Uma ungabuchazi kahle, ucabanga ukuthi, "Kubuhlungu okuncane nje," kungaba nzima ngodokotela ukuthola isimo esiqondile. Ngakho-ke khuluma ngokukhululekile ngakho konke ukungakhululeki kwakho.
- Ukuhlolwa kwe-X-ray : Bheka izinguquko emgogodleni nasemaqakaleni.
- I-MRI scan : Ezigabeni zokuqala zesifo, izimo zokuvuvukala ezingatholakali nge-X-ray zingatholakala.
- Ukuhlolwa kwegazi : Ukuhlolwa okufana ne-ESR kanye ne -CRP okulinganisa ukuvuvukala emzimbeni.
- Ukuhlolwa kofuzo: Uma kudingeka, hlola i-HLA-B27 gene.
Yiziphi izindlela zokwelapha?
Nakuba i-AS ingelapheki ngokuphelele, manje kunezindlela eziningi zokwelapha ezinhle ezingasiza ekulawuleni izimpawu, ukuvimbela ukuqina komhlane, nokuphila impilo evamile. Indlela yokuphila esebenzayo
Enye yezindlela ezinhle kakhulu zokwelapha lokhu ukuhlala usebenza . Ukuzivocavoca njalo, ikakhulukazi ukuzivocavoca okuqinisa umhlane kanye nemisipha engaphakathi kanye nokwelula, kungasiza ekunciphiseni ubuhlungu nokugcina ukuguquguquka emhlane. Udokotela we-physiotherapist angakusiza ukuthola uhlelo lokuzivocavoca olufanele. Imithi
Udokotela wakho angase akunike imithi efana nale kuye ngesimo sesimo sakho:- Imithi elwa nokuvuvukala engeyona eye-steroidal ( ama-NSAID ): Lena imithi yokuqala enikezwa ukunciphisa ubuhlungu nokuvuvukala.
- Ama-Tumor necrosis factor (TNF) blockers: Lawa uhlobo lomuthi webhayoloji. Ahlose into ebangela ukuvuvukala futhi alawule lesi sifo uma ama-NSAID engasilawuli.
- Imithi yokwelapha isifo samathambo (i-DMARDs):Imithi efana ne -Sulfasalazine nayo isetshenziswa ngezinye izikhathi.
- Ama-Corticosteroids : Anikezwa isikhathi esifushane lapho ukuvuvukala kuphezulu.
Kwezinye izimo ezinzima, kungase kudingeke ukuhlinzwa ukuze kufakwe esikhundleni selunga elonakele noma kulungiswe izinguquko emgogodleni. Umlayezo Wokuya Nawe Ekhaya
- I-Ankylosing Spondylitis (AS) uhlobo lwe-arthritis oluthinta kakhulu umgogodla futhi luqala esemncane.
- Ukuqina komhlane ekuseni kanye nobuhlungu (okuncipha ngokuzivocavoca) kuyimpawu ebalulekile.
- Lesi sifo singathinta hhayi umgogodla kuphela, kodwa nezinye izingxenye zomzimba, njengamehlo, amahlombe kanye nezinqe.
- Uma unezinhlungu zomhlane ezingapheli, ungakuzibi bese ubona udokotela. Ukuxilongwa kusenesikhathi kungaholela ekwelashweni okuphumelelayo.
- Ngokuhlala umatasa, ukuzivocavoca njalo, kanye nokuphuza imithi njengoba uyalelwe, ungaphila impilo evamile nenempilo.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho