Uma uvuka embhedeni ekuseni, ingabe umhlane wakho uzizwa uqinile futhi ubuhlungu? Ingabe uzizwa sengathi ubuhlungu buyaphela ngemva kokuhamba kancane noma ukwenza okuthile okuwusizo? Abantu abaningi bacabanga ukuthi lokhu kumane kuyibuhlungu bomhlane noma okuthile okuvela ekukhathaleni, kodwa ngezinye izikhathi kungaba ukuqala kokuthile okujulile. Namuhla sikhuluma ngesimo esinjalo, okuyi-Ankylosing Spondylitis (AS). Ungakhathazeki, into ebaluleke kakhulu ukuba nolwazi oluhle ngalokhu futhi ufune ukwelashwa okufanele.
Iyini ngempela i-Ankylosing Spondylitis (AS)?
Kalula nje, i-Ankylosing Spondylitis (AS) uhlobo lwe-arthritis. Kulokhu, amasosha omzimba wethu ahlasela amalunga emgogodleni wethu. Lokhu kubangela ukuvuvukala emalungeni omgogodla. Lokhu kuvame ukuqala engxenyeni ephansi yomgogodla, okungukuthi, amalunga axhumene namathambo enqulwini (amalunga e-sacroiliac).
Ekuqaleni, lobu buhlungu buqala ohlangothini olulodwa, futhi ngemva kwamasonto noma izinyanga ezimbalwa, bungasakazekela kuzo zombili izinhlangothi. Ngezinye izikhathi, lobu buhlungu bungafinyelela nasezinqeni. Ngokungafani nobuhlungu obuvamile bomhlane, lobu buhlungu abupheli ngokuphumula, kodwa isici esivelele kakhulu ukuthi buzizwa bungcono kancane lapho umzimba uvivinya umzimba nalapho uhamba .
Ngokuhamba kwesikhathi, lokhu kuvuvukala kungakwenza uzizwe ukhathele kakhulu ngaso sonke isikhathi. Lokhu kungenxa yokuthi umzimba usebenzisa amandla amaningi ukulwa nalokhu kuvuvukala.
Yini okufanele siyenze ezigabeni zokuqala?
Uma unalezi zimpawu, into yokuqala okufanele uyenze ukubonana nodokotela wamathambo, udokotela ochwepheshe bezifo zamalunga. Uzokunikeza uhlelo lokwelashwa olufanele wena.
- Ama-Painkiller: Ukuze ulawule ubuhlungu nokuvuvukala ezigabeni zokuqala, udokotela wakho angase akunikeze ama-NSAID (izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala) , njenge-ibuprofen noma i-naproxen.
- Ukuzivocavoca: Ukuzivocavoca kufana nomuthi kumuntu one-AS. Kuyingxenye yohlelo lokwelashwa. Ngokuvivinya umzimba,
- Ilawula lesi sifo ukuthi singabi sibi kakhulu.
- Kunciphisa ubuhlungu nokuqina.
- Kusiza ukugcina umzimba uguquguqukayo.
- Khuluma nodokotela wakho wezokwelapha ukuze wakhe isimiso sokuzivocavoca esiphephile esikufanele.
- Ukudla: Kubaluleke kakhulu ukwamukela ukudla okulwa nokuvuvukala. Faka imifino eluhlaza, imifino enemibala (isib. isipinashi, utamatisi), i-broccoli, neklabishi ekudleni kwakho. Gwema ukudla okucutshungulwe okunoshukela omningi, ufulawa omhlophe, amafutha angenampilo, kanye nezithako zokwenziwa.
- Ukugwema ukubhema:Uma ubhema, yeka ngokushesha okukhulu. Ukubhema kungenza lesi simo sibe sibi kakhulu. Uma kudingeka, khuluma nodokotela wakho ukuze akusize.
Indlela lesi sifo esiqhubeka ngayo ngokuhamba kwesikhathi (Inqubekela phambili)
I-AS ivame ukuqhubeka kancane kusukela emgogodleni ongezansi kuya entanyeni. Ama-scan afana ne-MRI angabonisa ukuthi umonakalo ongakanani owenziwe emgogodleni. Lezi zinguquko zingase zibe nzima ukuzibona eminyakeni embalwa yokuqala, kodwa ziba sobala ngokuhamba kwesikhathi.
Njengoba ukuvuvukala kwanda, kungathinta hhayi umgogodla kuphela kodwa nezinye izingxenye zomzimba, ikakhulukazi izindawo lapho imisipha nemisipha ixhumana khona namathambo (entheses).
| Ezinye izindawo ezingase zithinteke | Incazelo |
|---|---|
| Izimbambo | Ubuhlungu esifubeni noma ubunzima bokuphefumula bungase buvele. |
| Amahlombe | Ubuhlungu kanye nokulinganiselwa kokunyakaza emalungeni ehlombe. |
| Amalunga enqulu | Ubuhlungu lapho uhamba futhi ugoba. |
| Izithende | Ubuhlungu emsipha oxhumanisa isithende nesisekelo sonyawo. |
Ezinye izimo zezokwelapha ezihlobene
- Ukuvuvukala kwamehlo: Cishe ingxenye eyodwa kwezintathu yeziguli ze-AS zizoba nokuvuvukala kwamehlo (i-uveitis noma i-iritis) esikhathini esithile empilweni yazo. Izimpawu zifaka phakathi ubuhlungu bamehlo, ukubomvu, ukudabuka, ukubona okufiphele, kanye nokuzwela ukukhanya. Uma uhlangabezana nanoma yiziphi zalezi zimpawu, bheka udokotela wamehlo ngokushesha. Uma kungelashwa, ukulahleka kokubona kungenzeka.
- Ukuvuvukala komgudu wokugaya ukudla: Cishe ama-70% eziguli ze-AS athola ukuvuvukala komgudu wokugaya ukudla, kodwa eziningi azibonisi izimpawu. Cishe ama-10% athola i-IBD (Isifo Sokuvuvukala Kwamathumbu)., okusho ukuthi izimo ezifana nesifo sikaCrohn noma i-Ulcerative Colitis zingase zenzeke.
- Izifo zesikhumba: Cishe abantu abayi-10% bangase babe ne-psoriasis.
Ukwelashwa njengoba isifo siqhubeka
Uma ama-NSAID avamile enganikezi impumuzo, udokotela wakho angase akunike uhlobo oluqinile lwemithi ebizwa ngokuthi i-biologics . Le mithi ingasebenza kangcono ngoba ihlasela ngqo izinto ezisesimisweni sethu somzimba ezibangela ukuvuvukala.
Imithi yokuvimbela i-TNF (isib. i-Adalimumab (Humira), i-Etanercept (Enbrel), i-Infliximab (Remicade)) inganikezwa kuqala. Uma lokhu kungasebenzi, imithi yokuvimbela i-IL-17 (isib. i-Secukinumab (Cosentyx)) ingasetshenziswa. Kuleli qophelo, ungase udinge usizo lochwepheshe bamehlo, bezifo zamathumbu, noma bezifo zesikhumba.
Isigaba esithuthukile salesi sifo
Uma lesi sifo sibi kakhulu, udokotela uzokutshela ukuthi "une-spinal fusion." Lokhu kusho ukuthi ithambo elisha likhula phakathi kwamathambo omgogodla bese liwahlanganisa ndawonye. Lokhu kubizwa ngokuthi i-spinal fusion .
Uma umgogodla uqala ukuhlangana ngale ndlela, umgogodla ulahlekelwa ukuguquguquka kwawo okukhulu. Nakuba lokhu kwenzeka kancane, ngezinye izikhathi wonke umgogodla ungaba njengenduku eyodwa.
Lokhu kuhlangana kwandisa ingozi yokuphuka komgogodla. Kungabangela nokuthi umgogodla ugobe phambili futhi ukhule ukuma okugobile . Ukwelashwa ngokomzimba kungasiza ekulawuleni lesi simo.
Ngaphezu kwalokho, lokhu kungathinta amalunga aphakathi kwezimbambo nomgogodla, kanye nezindawo lapho izimbambo zihlangana khona nethambo lesifuba. Ngemuva kwalokho kungaba nzima ngisho nokuphefumula ngokujulile. Ezimweni ezinjalo, ungafunda izindlela zokwenza ukuphefumula kube lula kudokotela wezokwelapha ukuphefumula.
Akuvamile kakhulu, ukulimala kwemizwa ephansi komgogodla kungabangela isimo esibi esibizwa ngokuthi i-cauda equina syndrome . Kungabangela ukulahlekelwa ukulawula isinyi kanye namathumbu, ukungasebenzi kahle kocansi, kanye nobuhlungu kanye nobuthakathaka bemilenze.
Kodwa khumbula, lezi zimo ezibucayi azivamile. Uma uphuza imithi oyinikezwe udokotela wakho futhi ulandela imiyalelo yakhe, akunzima ukugwema izimo ezibucayi kangaka. Kubalulekile ukubona udokotela ukuze ahlolwe ngisho noma ungenazo izimpawu.
Uzobona nini udokotela
Uma uthola izimpawu ezintsha noma uma izimpawu zakho ziba zimbi kakhulu, khuluma nodokotela wakho ngokushesha. Ungalibali, ikakhulukazi uma umuntu one-AS eba nanoma yiziphi zalezi zimpawu ezilandelayo:
| Funa iseluleko sezokwelapha ngokushesha! | |
|---|---|
| Isibonakaliso | Incazelo |
| Ubunzima bokuphefumula | Uma uzizwa uqinile esifubeni noma uphefumula kanzima. |
| Izinkinga zokubona | Ukubomvu kwamehlo, ubuhlungu, ukubona okufiphele. |
| Ubuhlungu besifuba | Kubalulekile ukuqinisekisa ukuthi akuyona isifo senhliziyo. |
| Ubuhlungu obukhulu emhlane noma emalungeni | Ubuhlungu obukhulu kunobuhlungu bakho obuvamile. |
| Ukwehlisa isisindo ngaphandle kwesizathu | Kungaba uphawu lwesinye isimo sezokwelapha. |
| Ukuqina komhlane okwandisiwe | Uma kukhona ukwehla okucacile kokunyakaza emuva. |
Umlayezo Wokuya Nawe Ekhaya
- I-Ankylosing Spondylitis (AS) akuyona nje ubuhlungu bomhlane, kodwa uhlobo lwe-arthritis oluthinta umgogodla.
- Kubaluleke kakhulu ukuxilonga lesi sifo kusenesikhathi bese ubona uchwepheshe.
- Ukuzivocavoca umzimba kuyindlela ebalulekile yokwelapha lesi sifo. Ungalokothi ukuyeke.
- Thatha umuthi owunikezwe udokotela wakho njengoba uyalelwe futhi isikhathi esibekiwe. Ungayeki ukuthatha umuthi ngoba nje izimpawu zakho seziphelile.
- Gwema ukubhema ngokuphelele. Yamukela ukudla okunempilo.
- Uma uba nezimpawu ezintsha njengobuhlungu bamehlo, izinkinga zokubona, noma ubunzima bokuphefumula, yazisa udokotela wakho ngokushesha.
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