Ingabe uzwa ubuhlungu emhlane noma ezinqeni zakho? (i-Ankylosing Spondylitis)

Ingabe ngezinye izikhathi uzizwa ubuhlungu obungavamile noma ukuqina emhlane wakho ongezansi, ezinqeni, nasezinqeni (okungukuthi, ngaphezu kwezinqe zakho)? Ikakhulukazi uma uvuka ekuseni. Lokhu kungase kungabi ubuhlungu bomhlane nje kuphela. Namuhla sizokhuluma ngohlobo lwesifo samathambo esihlala isikhathi eside esibizwa ngokuthi i-Ankylosing Spondylitis olubonisa lezi zimpawu. Ungakhathazeki, sizokhuluma ngalokhu kalula.

Kuyini lokhu (i-Ankylosing Spondylitis)?

Kalula nje, i-Ankylosing Spondylitis uhlobo lwe-arthritis oluthinta amalunga emgogodleni wakho . Ngezinye izikhathi odokotela bayibiza nangokuthi i-Axial Spondyloarthritis. Ithinta kakhulu ingxenye engezansi yomgogodla wakho, amalunga lapho amathambo akho enqunu (i-pelvis) ahlangana khona. Sibiza lawa malunga ngokuthi (amalunga e-Sacroiliac) .

Cabanga ngakho, amalunga e-sacroiliac yilapho kuhlangana khona ithambo elingunxantathu ekugcineni komgogodla wakho (sacrum) kanye nengxenye ephezulu nengemuva yethambo lakho le-hip (ilium). Lawa afana namabhuloho amabili amakhulu axhumanisa umgogodla wakho nendawo ye-hip. Eqinisweni, lawa amanye amalunga amakhulu emzimbeni wakho. Lawa malunga asetshenziswa njalo uma unyakaza, njalo uma unyakaza izinqe zakho emuva naphambili. Ngakho-ke kuzwakala kanjani uma unenkinga ngawo?

Futhi, kwabanye abantu, nakuba kungebona bonke abantu, i-Ankylosing Spondylitis ingathinta namanye amalunga. Isibonelo:

• Amahlombe akho
• Izinqe
• Amadolo

Lesi simo singabangela ubuhlungu, ukuqina, futhi ngezinye izikhathi izimpawu zesisu . Uma ubuhlungu obuphansi emhlane, ikakhulukazi uma buba bubi kakhulu futhi kwenza kube nzima ukwenza imisebenzi yansuku zonke, kubalulekile ukubona udokotela ukuze akunike iseluleko.

Ziyini izimpawu ze-Ankylosing Spondylitis?

Izimpawu zingase zihluke kumuntu nomuntu. Kodwa-ke, uphawu oluvame kakhulu ubuhlungu obuphansi emhlane . Lokhu kubangelwa ukuvuvukala noma i-Sacroiliitis emalungeni e-sacroiliac.

Lobuhlungu ngezinye izikhathi bungasakazekela kwezinye izindawo, isibonelo:

• Ubuhlungu emalungeni enqulu
• Ubuhlungu ezinqeni
• Ubuhlungu bentamo
• Abanye abantu bangase babe nobuhlungu esiswini.

Ngaphezu kwalokho, kungase kube nezinye izimpawu eziningana:

• Ukuqina noma ukungakwazi ukuhambisa amalunga esinqe kanye nomhlane wehle kahle . Lokhu kubonakala kakhulu uma uvuka ekuseni okokuqala, noma ngemva kokuma isikhathi eside endaweni efanayo.
• Ukuzizwa ukhathele ngaso sonke isikhathi (Ukukhathala) . Njengokungathi umzimba awunampilo.
• Abanye abantu bangase babe nobunzima bokuphefumula (ukuphelelwa umoya) .
• Ukulahlekelwa yisifiso sokudla noma ukwehla kwesisindo ngaphandle kwesizathu esibonakalayo .
• Abanye abantu bangase babe nesifo sohudo .
• Ukuqubuka kwesikhumba .
• Izinkinga zokubona nazo zingenzeka.

Kungani lokhu (i-Ankylosing Spondylitis) kwenzeka?

I-Ankylosing Spondylitis yisifo sokuzivikela komzimba . Kalula nje, umzimba wethu unebutho elilwa nezitha, elibizwa ngokuthi amasosha omzimba. Lokhu kwenzelwa ukusivikela ezifweni. Kodwa kulesi sifo sokuzivikela komzimba, ibutho lethu lihlasela ngephutha amangqamuzana ethu amahle. Kufana nokuhlasela ikhaya lethu.

Imbangela eqondile ye-Ankylosing Spondylitis ayaziwa okwamanje. Kodwa-ke, ucwaningo luthole ukuthi izinguquko eziningana zezakhi zofuzo zihlobene kakhulu nesifo. Lezi zinguquko zezakhi zofuzo ziyizinguquko ezincane ezenzeka ku-DNA yethu lapho amangqamuzana ethu ehlukana, okusho ukuthi kwakheka amangqamuzana amasha.

Kunezinhlobo zofuzo ezingaphezu kuka-60 eziguquliwe okucatshangwa ukuthi zihlotshaniswa nalesi sifo. Isibonelo esikhulu yi -HLA-B27 gene . Kutholakale ukuthi abantu abamhlophe abangaphezu kuka-90% abane-Ankylosing Spondylitis banalesi sizukulwane se-HLA-B27 esiguquliwe.

Ubani osengozini enkulu yokuthola lesi sifo?

Noma ubani angasithola lesi sifo, kodwa amaqembu athile anamathuba amaningi okusithola.

• Abantu abangaphansi kweminyaka engama-40 ubudala : Abantu abangaphezu kwama-80% abane-Ankylosing Spondylitis batholakala benesifo lapho beneminyaka engama-30 ubudala.
• Amadoda anamathuba amaningi okuthuthukisa lokhu.
• Uma othile emndenini wakho, ikakhulukazi abazali bakho, ene-Ankylosing Spondylitis, nawe usengozini yokuba nayo.

Futhi, abantu abanezinye izifo banamathuba amaningi okuthola i-Ankylosing Spondylitis. Isibonelo:

• (Isifo sikaCrohn) (isimo sokuvuvukala kwendlela yokugaya ukudla)
• I-ulcerative colitis (isimo sokuvuvukala kwamathumbu amakhulu)
• (Psoriasis) (isifo sesikhumba)

Yiziphi izinkinga ezingaba khona ze-Ankylosing Spondylitis?

Abantu abane-Ankylosing Spondylitis basengozini enkulu yokuphuka komgogodla ngoba amathambo omgogodla angaba buthaka ngokuhamba kwesikhathi.

Ezinye izinkinga zingase zenzeke:

• I-vertebrae ehlanganisiwe : Lokhu kwenza kube nzima ukugoba noma ukujika umgogodla, futhi kwenza kube nzima ukugcina umgogodla uqondile.
• (Kyphosis) : Lokhu kusho ukuthi umgogodla ugobile phambili, okwenza kubonakale sengathi umuntu ugobile.
• I-Osteoporosis : Amathambo ayaphuka futhi aphuke kalula.
• Izinkinga zamehlo nokubona : Isibonelo , i-uveitis (ukuvuvukala kwengqimba yangaphakathi yeso) noma ukuzwela ukukhanya kungase kwenzeke.
• Isifo senhliziyo : (i-Aortitis)Izimo ezinjengo (ukuvuvukala kwemithambo emikhulu), (i-Arrhythmia) (ukushaya kwenhliziyo okungajwayelekile) kanye (i-Cardiomyopathy) (ukuba buthaka kwemisipha yenhliziyo).
• Ukulimala kwemizwa .

Lezi zinkinga azenzeki kuwo wonke umuntu, kodwa ingozi yokuthi zivele iphezulu uma lesi sifo singalawulwa kahle.

Odokotela bayixilonga kanjani i-Ankylosing Spondylitis?

Udokotela uzoqala ngokuxilonga lesi simo ngokuhlola umzimba . Uzohlola umzimba wakho futhi akhulume nawe ngezimpawu zakho. Kubalulekile ukutshela udokotela wakho ukuthi waqala nini ukuzwa ubuhlungu noma ezinye izimpawu, ukuthi yisiphi isikhathi sosuku ozizwa ngaso kakhulu, nokuthi ziya ziba zimbi yini nganoma yimuphi umsebenzi.

Kungase kudingeke futhi ukuthi ubonane nodokotela wezifo zamathambo, udokotela ogxile ekwakhiweni kwamathambo nezinye izifo ezifanayo .

Yiziphi izivivinyo ezisetshenziswa ukuxilonga i-Ankylosing Spondylitis?

Akukho ukuhlolwa okukodwa okungaqinisekisa ukuba khona kwalesi sifo. Udokotela uzofika esiphethweni kuphela ngemva kokwenza izivivinyo eziningana.

• Ama-X-ray amalunga e-sacroiliac kanye nomgogodla : Lokhu kuhlola izimpawu ze-arthritis.
• (I-Magnetic Resonance Imaging - i-MRI) : Lokhu kungabona imininingwane eminingi kune-X-ray. Kungabona ngisho nezinguquko ezincane emalungeni.
• Ukuhlolwa kwegazi : Ungenza ukuhlolwa kwegazi ukuze ubone ukuthi unayo yini i-gene eguquliwe (HLA-B27) okukhulunywe ngayo ngaphambilini. Kodwa-ke, akuwona wonke umuntu onale gene ozoba ne-Ankylosing Spondylitis, futhi ngisho nalabo abangenayo le gene bangayithuthukisa. Ngakho-ke lokhu kuyisici esisodwa kuphela.

Iphathwa kanjani i-Ankylosing Spondylitis?

Udokotela wakho uzoncoma ukwelashwa okungasiza ekulawuleni izimpawu zakho nokunciphisa umthelela wesifo empilweni yakho yansuku zonke.

Izindlela zokwelapha ezivame ukusetshenziswa kakhulu ze-Ankylosing Spondylitis yilezi:

• Ukuzivocavoca : Ukuvivinya umzimba njalo kungasiza ekunciphiseni ukuqina kwamalunga futhi kuvimbele lesi sifo ukuba singabi sibi kakhulu. Kwabaningi, ubuhlungu buba bubi kakhulu uma bengenzi lutho. Udokotela wezokwelapha umzimba angasikisela ukwelula okuthile kanye nokuzivocavoca okuqinisa imisipha esekela umhlane wakho nomgogodla.
• Imithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID) : Imithi etholakala ngaphandle kwemithi kadokotela efana ne -ibuprofen kanye ne-naproxen ingasiza ekunciphiseni ubuhlungu nokuvuvukala. Kodwa-ke, kungcono ukukhuluma nodokotela ngaphambi kokuthatha le mithi izinsuku ezingaphezu kweziyi-10.
• Imithi yokulwa namathambo eguqula izifo zebhayoloji (i-DMARD) : Le yimithi kadokotela enciphisa ukuvuvukala nobuhlungu. Ingavimba futhi lesi sifo (i-Ankylosing Spondylitis) ukuthi singabi sibi kakhulu.
• (Ama-Corticosteroids): Lena futhi imithi yokulwa nokuvuvukala enikezwa udokotela. Ngezinye izikhathi, imijovo ye-cortisone inganikezwa ngqo emalungeni athintekile.
• Ukuhlinzwa : Ukuhlinzwa akudingeki kakhulu kwi-ankylosing spondylitis. Odokotela bavame ukuncoma ukuhlinzwa kuphela kubantu abanezimpawu ezinzima abangazange basabele kwezinye izindlela zokwelapha.

Ngizozizwa ngingcono ngokushesha kangakanani?

Uma usuqalile ukwelashwa, uzoqala kancane kancane ukuzizwa ungcono. Izimpawu zakho zingase zingapheli ngokuphelele, kodwa njengoba uthola ukwelashwa okukusebenzelayo, izimpawu zakho zizoncipha futhi impilo yakho izoba lula. Ukuzivocavoca kanye nokwelashwa ngokomzimba yizinto ezithatha isikhathi ukusebenza. Futhi, isikhathi esithathayo ukuze umuthi ngamunye usebenze siyahlukahluka. Ngakho buza udokotela wakho ukuthi ungalindela isikhathi esingakanani sokubona intuthuko.

Yini okufanele ilindelwe umuntu one-Ankylosing Spondylitis?

I-Ankylosing Spondylitis yisimo esingamahlalakhona, sesikhathi eside . Kungase kudingeke ulawule izimpawu zakho isikhathi eside, mhlawumbe impilo yakho yonke. Abanye abantu bangase babe nezikhathi zezimpawu ezimbalwa noma ezincane (ukungakhulelwa). Kodwa-ke, noma ngabe awunazo izimpawu isikhashana, zisengabuya.

Into ebalulekile ukuthi, ayikho ikhambi le-Ankylosing Spondylitis noma olunye uhlobo lwe-arthritis. Kodwa lokho akusho ukuthi kufanele uphile ngobuhlungu.

Khuluma nodokotela wakho ngokukhululekile ngendlela ozizwa ngayo, ukuthi izimpawu zakho zithinta kanjani imisebenzi yakho yansuku zonke, nokuthi wenza kanjani izinto ozithandayo.

Kufanele ngizinakekele kanjani?

Ngaphezu kokulandela uhlelo lwakho lokwelashwa kwe-Ankylosing Spondylitis, kunezinto eziningana ongazenza wena ukuze unciphise ukuvuvukala emzimbeni wakho futhi unciphise ingcindezi emalungeni akho:

• Landela uhlelo lokudla okunempilo kanye nokuzivocavoca olukufanele.
• Nciphisa ukusetshenziswa kotshwala.
• Uma ubhema, yeka. Lokhu kungandisa ukuvuvukala.

Kufanele ngimbone nini udokotela wami?

Bona udokotela uma uthola izimpawu ezintsha noma uma izimpawu zakho ziba zimbi kakhulu. Tshela nodokotela wakho uma ukwelashwa kwakho kubonakala kungasakwazi ukulawula izimpawu zakho njengoba kwakunjalo ngaphambili.

Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, xhumana nodokotela ngokushesha:

• Ubuhlungu besifuba
• Ubunzima bokuphefumula
• Izinkinga zokubona
• Ubuhlungu obukhulu emhlane noma obunye ubuhlungu bamalunga
• Uma umgogodla wakho uzizwa uqine ngendlela engavamile futhi ungakwazi ukugoba
• Uma wehlisa isisindo ngaphandle kwesizathu esicacile

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Eminye imibuzo ongayibuza udokotela wakho:

• Ingabe ngine-Ankylosing Spondylitis noma olunye uhlobo lwe-arthritis?
• Ingabe kuzodingeka ngihlolwe izakhi zofuzo?
• Yimiphi imithi yokwelapha engasiza ekulawuleni izimpawu zami?
• Ingabe ngizodinga ukwelashwa ngokomzimba?

Okokugcina, izinto okufanele uzikhumbule

Ukuphila nanoma yiluphi uhlobo lwesifo samathambo kungaba nzima. Uma une-Ankylosing Spondylitis, kungaba ubuhlungu obukhulu. Ubuhlungu, ukuqina, nezinye izimpawu kungayithinta impilo yakho yansuku zonke. Kodwa izindaba ezinhle ukuthi i-Ankylosing Spondylitis iyisimo esilawulekayo.

Udokotela wakho angakusiza ukuthola izindlela zokwelapha ezingasiza ekunciphiseni umthelela wezimpawu zakho ze-Ankylosing Spondylitis empilweni yakho yansuku zonke. Ungesabi ukubuza imibuzo nokukhuluma ngokwelashwa kwakho. Uyazi kangcono ukuthi uzizwa kanjani. Ngakho-ke yabelana ngemicabango yakho nodokotela wakho.

Ubuhlungu bomhlane, i-ankylosing spondylitis, isifo samathambo, amasosha omzimba, umgogodla, ukwelashwa, i-HLA-B27