Sonke siyazi ukuthi kunzima kangakanani ukuphila ne-Ankylosing Spondylitis, noma i-AS ngamafuphi. Akulula ukubhekana nobuhlungu obuhlala njalo bomhlane kanye nokuqina kwasekuseni. Kodwa bewazi ukuthi nge-AS, kunengozi enkulu kancane yokuthola ezinye izimo ezithile? Ungesabi uma uzwa lokhu. Into ebaluleke kakhulu ukuqaphela lezi zingozi. Ngoba-ke singathatha izinyathelo ezidingekayo ukuze sizivikele kuzo kusenesikhathi.
Ake sifunde nge-osteoporosis.
Kalula nje, lokhu kwenzeka lapho amathambo akho eba buthakathaka futhi ephuka kalula, ngisho noma uwile nje. Lesi simo sivame kakhulu kubantu abane-AS.
Khumbula, i-AS yisimo sokuvuvukala emzimbeni. Lokhu kuvuvukala okungapheli kuthinta ngqo impilo yamathambo. Futhi, lesi simo `(Osteoporosis)` singavela ngisho nalapho ukuhamba nokuzivocavoca kuncipha ngenxa yobuhlungu nokuqina okubangelwa yi-AS. Ngokumangalisayo, ngezinye izikhathi odokotela bangabona izimpawu ze-`(Osteoporosis)` ngaphambi kokuba izinguquko ezinkulu emzimbeni zibonakale ngenxa ye-AS.
Njengokwelashwa, kunobufakazi bokuthi imithi yokwelapha izinhlungu, ikakhulukazi imithi engeyona eye-steroidal anti-inflammatory (NSAIDs), ingasiza ekunciphiseni ingozi yokuqhekeka kwamathambo. Kodwa-ke, kusenedatha encane ngalokhu. Ngakho-ke kunzima ukusho ukuthi lokhu kulungile yini kuwo wonke umuntu. Futhi, yize imithi elawula ukuvuvukala, njenge-TNF blockers, ingasiza ekwandiseni ukuqina kwamathambo, akukacaci ukuthi iyakuvimbela yini ukuqhekeka kwamathambo. Kungcono ukukhuluma nodokotela wakho ngalokhu bese unquma ukuthi yini engcono kakhulu kuwe.
Ingabe nawe unezinkinga zokulala?
Abantu abaningi abane-AS banenkinga yokulala kahle ebusuku. Kunezizathu eziningana zalokhu.
- Ubuhlungu: Lesi yisona sizathu esiyinhloko. Ngezinye izikhathi ubuhlungu bukuvimbela ekulaleni. Ngezinye izikhathi, ubuhlungu buyaqina ngoba awutholi ubuthongo obanele. Kufana nomjikelezo omubi. Izifundo zithole ukuthi iziguli ze-AS ezinezinkinga zokulala zinokuqina kwasekuseni kakhulu nezinye izimpawu kunalezo ezilala kahle.
- Ukucindezeleka Nokukhathazeka: Kuvamile ukuzizwa ucindezelekile futhi ukhathazekile lapho uphila nobuhlungu obuqhubekayo. Lokhu kushintshashintsha kwemizwelo kungaba nomthelela omkhulu ebuthongweni bakho. Uma ubulokhu uzizwa udabukile noma ucindezelekile isikhathi esingaphezu kwamasonto amabili, uyeke ukwenza izinto obuzijabulela, noma ubulokhu uzizwa ukhathazekile izinyanga, kubalulekile ukufuna iseluleko sezokwelapha . Ukubhekana nesimo esingamahlalakhona njenge-AS kungaba nzima ukukwenza wedwa.
Ubuhlungu bezinyawo nezinkinga
I-AS ayisona isifo esithinta umgogodla kuphela. Ingathinta namanye amalunga kanye nemisipha emzimbeni. Ubuhlungu buvame kakhulu ezinyaweni.
- I-Plantar Fasciitis: Kukhona ungqimba olukhulu lwezicubu phansi konyawo oluqala esithendeni kuya ezinzwaneni. Lokhu kuvuvukala kubizwa ngokuthi "i-Plantar Fasciitis". Uphawu oluyinhloko lwalokhu ubuhlungu obukhulu lapho uphuma embhedeni ekuseni.
- Ubuhlungu besithende (i-Achilles Tendonitis): Ukuvuvukala kwe-Achilles tendon, exhumanisa ithambo lesithende, nakho kungabangela ubuhlungu nokungakhululeki.
Ngaphezu kwalokho, iziguli ze-AS zingase zizwe ubuhlungu obuvamile ezindaweni ezifana namalunga ezinqeni, amahlombe, amadolo, nasemaqakaleni.
Ubuhlungu besifuba, kodwa akusona isifo senhliziyo (i-Costochondritis)
Lokhu kubangela ubuhlungu besifuba. Ngezinye izikhathi ubuhlungu bungaba bukhulu kangangokuthi ungase ucabange ukuthi ukuhlaselwa yinhliziyo.
Kodwa lokhu akuyona inkinga yenhliziyo. Kubangelwa ukuvuvukala kwe-cartilage exhumanisa izimbambo zakho nethambo lesifuba. Abantu abane-AS banamathuba amaningi okuthola lokhu kuvuvukala. Ngokuvamile kuyaphela ngokwako, kodwa uma kuqhubeka, kungadingeka uphuze imithi njengoba kuqondiswe udokotela wakho.
Ukunakwa okukhethekile ezifweni zenhliziyo kanye nomfutho wegazi ophakeme
Umfutho wegazi ophezulu (i-Hypertension)
Le nkinga cishe ihlobene nohlobo lwemithi oyithathayo ye-AS kunesifo uqobo. Uma ungumuntu osebenzisa njalo imithi engeyona i-steroidal anti-inflammatory (NSAIDs) (isb., i-ibuprofen, i-diclofenac) yobuhlungu be-AS, kufanele uqaphele ingozi yokuba nomfutho wegazi ophakeme (umfutho wegazi ophakeme). Ucwaningo lukhombisile ukuthi abantu abathatha le mithi isikhathi eside basengozini ephezulu ngo-12% yokuba nomfutho wegazi ophakeme kunalabo abangayithathi. Ngakho-ke, kubaluleke kakhulu ukukhuluma nodokotela wakho futhi uhlolwe njalo umfutho wegazi lakho.
Isifo senhliziyo
Nakuba kungavamile, odokotela bathole ukuxhumana phakathi kwe-AS nezimo zenhliziyo nemithambo yegazi. Lezi zimo zingase zenzeke phakathi kuka-2% no-10% wabantu abane-AS. Nakuba ukuxhumana phakathi kwe-AS nesifo senhliziyo kungacacile, siyazi ukuthi ukuvuvukala okungapheli emzimbeni kwandisa ingozi yesifo senhliziyo. Ngakho-ke lokho kungaba yisizathu esikhulu salokhu kuxhumana.
| Isimo sezokwelapha | Kuchazwe kalula |
|---|---|
| I-cardiomyopathy | Imisipha yenhliziyo iyakhula futhi ibe buthaka, okwenza kube nzima ngenhliziyo ukupompa igazi emzimbeni wonke. |
| Ukuphazamiseka kokuqhuba | Ukushaya kwenhliziyo okungajwayelekile (okusheshayo, okuhamba kancane) ngenxa yokuphazamiseka ohlelweni lokubonisana lukagesi lwenhliziyo. |
| I-Aortitis | Ukuvuvukala kwe-aorta, umthambo wegazi oyinhloko othwala igazi lisuka enhliziyweni liye emzimbeni. |
| Isifo se-valve ye-aorta | Izinkinga ngevalvu ephakathi kwegumbi eliyinhloko lokupompa kwenhliziyo kanye ne-aorta. |
| Isifo senhliziyo esibangelwa yi-Ischemic | Ukwehla kokugeleza kwegazi emisipheni yenhliziyo. Imbangela eyinhloko yalokhu isifo semithambo yenhliziyo. |
Ezinye Izimo Zokuzivikela Emzimbeni
I-AS nayo iyisifo sokuzivikela komzimba. Lokhu kusho ukuthi amasosha omzimba ahlasela ngephutha amangqamuzana awo. Ngakho-ke, abantu abane-AS banengozi encane yokuthola ezinye izifo zokuzivikela komzimba.
Isifo Sokuvuvukala Kwamathumbu (IBD)
I-IBD yisifo samathumbu esivuvukalayo esihlanganisa kokubili isifo sikaCrohn kanye nesifo sofuba esiswini. Akuvamile kubantu abane-AS. Kodwa kukhona ukuxhumana phakathi kwalezi zifo ezimbili. Uma unezimpawu ze-AS, njengobuhlungu besisu kanye nesifo sohudo, kubalulekile ukutshela udokotela wakho .
I-Multiple Sclerosis (MS)
I-MS yisifo esithinta ubuchopho kanye nomgogodla. Nalapha futhi, isimiso somzimba sokuzivikela sihlasela isembozo esivikelayo esizungeze imicu yezinzwa. Inani elincane kakhulu labantu line-AS kanye ne-MS. Ucwaningo lusaqhubeka ukuze kutholakale ukuthi kukhona yini ukuxhumana kwangempela phakathi kwalezi zifo ezimbili, noma ukuthi ukubona udokotela ukuze axilonge esinye kwandisa amathuba okuxilonga esinye.
Umlayezo Wokuya Nawe Ekhaya
- I-AS (i-Ankylosing Spondylitis) akuyona nje isifo esithinta umgogodla namalunga kuphela, kodwa ingathinta namathambo, inhliziyo, nezinye izitho zomzimba.
- Uma unezimpawu ezintsha njengobuhlungu besifuba, ubuhlungu bomlenze, noma izinkinga zokulala, ungazinaki. Khuluma nodokotela wakho ngazo.
- Uma uthatha imithi yokubulala izinhlungu (ama-NSAID) isikhathi eside, kubaluleke kakhulu ukuhlola umfutho wegazi lakho njalo.
- Ukugcina i-AS ilawulwa kahle, okungukuthi, ukulawula ukuvuvukala, kuyindlela engcono kakhulu yokunciphisa ingozi yokuthola lezi ezinye izifo.
- Indlela engcono kakhulu yokuhlala uphilile ukuqaphela impilo yakho nokukhuluma ngokukhululekile nodokotela wakho, ngaphandle kokwesaba noma ukwethuka.
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