Ingabe uvame ukuzwa ubuhlungu emhlane noma ezinqeni zakho? Uma uvuka ekuseni, ingabe uzizwa uqinile futhi ungakwazi ukunyakaza? Ngokuvamile, lapho owesifazane osemusha ekhuluma ngento efana nale, abanye abantu bacabanga ukuthi ukukhathala okuvamile noma ukucindezeleka. Kodwa lokhu kungaba ukuqala kwendaba ejulile. Namuhla sikhuluma ngesimo abantu abaningi abacabanga ukuthi sithinta amadoda kuphela, kodwa singathinta nabesifazane ngendlela efanayo. Leso yi-Ankylosing Spondylitis (AS).
Yimiphi umehluko lapho lesi sifo sithinta abesifazane?
Kalula nje, i-ankylosing spondylitis (AS) uhlobo lwe-arthritis olubangela ukuvuvukala, noma ukuvuvukala, komgogodla kanye namalunga ahambisana nawo. Ingeqembu elikhulu lezifo ezibizwa ngokuthi i-spondyloarthritis. Kwakucatshangwa ukuthi "yisifo samadoda." Kodwa ucwaningo seluthole ukuthi luthinta abesifazane njengabesilisa. Kodwa-ke, kunomehluko omkhulu endleleni izimpawu ezibonakala ngayo, isikhathi esithathayo ukuthola lesi sifo, kanye nokwelashwa. Ake sibheke ukuthi yiziphi lezo.
1. Ukwephuza ukuthola isifo
Lena enye yezinselelo ezinkulu abesifazane ababhekene nazo. Cabanga nje, uma kuthatha indoda iminyaka engaba ngu-6 ½ kusukela ekuqaleni kwalezi zimpawu ukuthola ukuthi siyini ngempela lesi sifo, izifundo zithole ukuthi kungathatha owesifazane iminyaka engaba ngu-9 .
Lokhu akubangelwa umehluko wezimpawu noma ubudala. Ngokuvamile, kungenxa yokukhetha indlela abanye odokotela ababheka ngayo ubuhlungu babesifazane. Bangase bangazinaki ubuhlungu bakho, noma bangase bathi bubangelwa ukucindezeleka.
2. Ingozi yokuxilonga okungalungile
Kungaba nzima ukuthola lesi simo, futhi ngezinye izikhathi isimo esingalungile singelashwa. I-Axial spondyloarthritis (axSpA) uhlobo lwe-AS. Ucwaningo luthole ukuthi abesifazane abafinyelela kwengxenye yesine (25%) abanalesi simo baqale baxilongwe kabi.
Ngenxa yokuthi abesifazane abane-AS bavame ukuzwa ubuhlungu obusakazekile emzimbeni wabo wonke, odokotela bangase babuphambanise nesimo esibizwa ngokuthi i-fibromyalgia . Ake sibheke ukufana nomehluko phakathi kwalezi zimo ezimbili.
| Isici | Ku-ankylosing spondylitis (AS) | Ku-Fibromyalgia |
|---|---|---|
| Ubuhlungu obukhulu | Ubuhlungu obubangelwa ukuvuvukala emhlane, ezinqeni nasemalungeni. | Ubuhlungu obusakazeka emzimbeni wonke. Akukho ukuvuvukala okuqondile okubonakalayo kuma-X-ray. |
| Ukuqina kwasekuseni | Isikhathi esiningi kuthatha isikhathi esingaphezu kwengxenye yehora. Kuyancipha ngokuzivocavoca umzimba. | Nakuba ikhona, ukuzivocavoca kungase kungabi nomthelela omkhulu. |
| Ukuhlolwa kwezokwelapha | Ama-X-ray, ama-MRI, kanye nokuhlolwa kwegazi (i-ESR, i-CRP) kubonisa umonakalo kanye nokuvuvukala kwamalunga. | Ama-X-ray nama-MRI awabonisi umonakalo othize. Ukuxilongwa kusekelwe ezimpawu. |
3. Izinga lomonakalo obonakala ekuhlolweni kwe-X-ray
Ngokuvamile, uma ubheka i-X-ray, amalunga omgogodla wamadoda (ukuguguleka kwamalunga) abonakala kakhulu kunawabesifazane. Ngenxa yalokhu, kunenkolelo yokuthi lesi sifo sikhula ngokushesha kwabesilisa.
Kodwa akulona iqiniso lelo. Ngisho noma umonakalo ovela kuma-X-ray uncane, ubuhlungu, ubunzima bokwenza imisebenzi yansuku zonke, kanye nomsebenzi wezifo obhekene nabesifazane kuyafana nokwabesilisa, futhi ngezinye izikhathi kukhulu nakakhulu.
Izimpawu, ukwelashwa, kanye nekhwalithi yezinguquko empilweni
Ngaphezu kobuhlungu bamalunga, i-AS ingabangela nezinye izimpawu. Lezi zihlukile phakathi kwabesifazane nabesilisa, kanje.
- I-Enthesitis: Leli igama lezokwelapha kancane. Kalula nje, libhekisela ekuvuvukeni lapho imisipha nemisipha yethu ixhumana khona namathambo. Lesi simo sivame kakhulu kwabesifazane futhi sibuhlungu kakhulu . Singabangela ubuhlungu obukhulu ezindaweni ezifana nezithende nezindololwane.
- Ukutheleleka Kwamehlo: I-Acute Anterior Uveitis yisimo esibangela amehlo abomvu, ubuhlungu obukhulu, kanye nokungaboni kahle. Ezinye izifundo ziphakamisa ukuthi kuvame kakhulu kwabesifazane, kanti ezinye ziphakamisa ukuthi kuvame kakhulu kwabesilisa. Ngakho-ke akukho ukuvumelana ngalokhu.
- Izifo Ezihambisana Nazo: Abesifazane bangase babe namathuba amaningi okuhlushwa ezinye izifo ezihambisana ne-AS. Isibonelo, isifo samathumbu esivuvukalayo (IBD) kanye ne-psoriasis yesimo sesikhumba kuvame kakhulu kwabesifazane abane-AS.
- Impendulo yokwelashwa: Leli iphuzu elibaluleke kakhulu. Ucwaningo lubonisa ukuthi ukwelashwa kwe-AS akusebenzi kahle kwabesifazane njengoba kusebenza kwabesilisa. Isizathu esiqondile salokhu asaziwa, kodwa kucatshangwa ukuthi abesifazane banamathuba amaningi okuba nezimo ezifana ne-enthesitis futhi banamathuba amaningi okuxilongwa sekwephuzile. Lokhu kwenza abesifazane banamathuba amaningi okuyeka ukwelashwa uma bengatholi imiphumela abayifunayo.
- Izinga lempilo: Uma kubhekwa konke, izifundo eziningi zikhombisile ukuthi abesifazane abane-AS banempilo ephansi kunabesilisa. Lokhu kungenxa yobuhlungu obuqhubekayo, ukukhathala, kanye nobunzima bokufeza imithwalo yemfanelo yomsebenzi neyomndeni.
Into ebaluleke kakhulu ukuqaphela ukuthi ubuhlungu bakho bungokoqobo. Ungabuthathi njengento "ebuhlungu emhlane nje amantombazane ahlala enayo." Lalela lokho umzimba wakho okutshela kona.
Umlayezo Wokuya Nawe Ekhaya
- I-Ankylosing spondylitis (AS) ayisona isifo esithinta amadoda kuphela. Ithinta abesifazane ngokulinganayo.
- Uma unezinhlungu emhlane, izinhlungu zenqulu, noma ukuqina kwasekuseni obekulokhu kuqhubeka izinyanga, ikakhulukazi usemncane, ungakushayi indiva. Bona udokotela oqeqeshiwe ngokushesha.
- Ngenxa yokuthi abesifazane bangase bephuze ukuthola ukuxilongwa, udinga ukuba yizwi lakho. Gcina ibhuku lezimpawu zakho (lapho ubuhlungu buqala, ukuthi bukhulu kangakanani, ukuthi bufika futhi buhamba kanjani). Kuzoba usizo olukhulu kudokotela wakho.
- Ukwelashwa akusebenzi ngendlela efanayo kuwo wonke umuntu. Uma ungazizwa ungcono ngemithi oyinikezwe noma unemiphumela emibi, khuluma nodokotela wakho ngakho. Xoxa ngezinye izindlela zokwelapha.
- Akudingeki ukuthi uhambe wedwa kulolu hambo. Khuluma nomndeni wakho nabangani ngalokhu. Unganqikazi ukuthola ukwesekwa kwengqondo uma ukudinga.
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