Yini ngempela imbangela yobuhlungu bakho obuqhubekayo emhlane? (I-Axial Spondyloarthritis) Ake sifunde ngayo!

Ingabe ngezinye izikhathi uba nobuhlungu emhlane noma ezinqeni zakho obungapheli izinyanga? Ingabe uzizwa uqinile futhi uqinile ikakhulukazi uma uvuka ekuseni? Ingabe ubuye uhlushwe ubuhlungu emhlane obuba ngcono ngezinye izikhathi ngokuzivocavoca umzimba, kodwa bube bubi kakhulu uma ulele noma uphumule ebusuku? Nakuba ungase ucabange ukuthi lezi zinto ziwubuhlungu bomhlane, ukuklwebheka, noma ukucindezeleka, kungaba yinto ejulile. Namuhla sizokhuluma nge- axial spondyloarthritis , noma (axSpA) kafushane, isimo esiyinkimbinkimbi kancane, kodwa esingalawulwa uma siphathwa kahle.

Iyini ngempela i-axial spondyloarthritis?

Kalula nje, i-axial spondyloarthritis (axSpA) uhlobo lwe-arthritis. Kodwa akufani nobuhlungu bamalunga esivame ukuzwa ngabo njengoba sikhula. Buthinta ngqo "uhlaka lwethu lwe-axial." Okusho ukuthi, amathambo aphakathi komzimba wethu - izingxenye eziyinhloko njengesifuba , umgogodla, kanye nezinqe - athinteka kakhulu. Lesi simo (axSpA) sibangelwa ushintsho endleleni amasosha omzimba wethu asebenza ngayo. Ukuze kube sobala, amasosha omzimba, okufanele avikele umzimba wethu, aqala ngephutha ukuhlasela amalunga ethu nezicubu ezithambile. Lokhu sikubiza ngokuthi "ukuvuvukala." Lokhu kuvuvukala yikho okubangela ukuvuvukala kwamalunga, ubuhlungu, futhi ngokuhamba kwesikhathi, ukulimala kwamalunga. (axSpA) yisimo esingeseqembu elikhulu lezifo ezibizwa ngokuthi i-spondyloarthritis . Isici esiyingqayizivele saleli qembu lezifo ze-spondyloarthritis ukuthi azithinti amalunga kuphela, kodwa nezinye izinhlelo zomzimba. Isibonelo, uma une-(axSpA), ngaphezu kobuhlungu bomhlane, ungase ube nezimpawu ezifana nokuvuvukala kwamehlo (uveitis) kanye nesifo sohudo . Nakuba lokhu kungase kubonakale kungahlobene nobuhlungu bomhlane ekuqaleni, lezi zinto zingenzeka nge-(axSpA).

Ubani onamathuba amaningi okuthola lesi simo (axSpA)?

Empeleni, noma ubani angaba ne-axSpA. Kodwa kuyisimo esingavamile. Kulinganiselwa ukuthi cishe u-1% wabantu emhlabeni wonke unalesi sifo. Lesi simo sivame kakhulu kubantu abangaphansi kweminyaka engu-40. Izimpawu zivame ukuqala ukubonakala usemusha noma ekuqaleni kweminyaka engu-20 . Bobabili abesilisa nabesifazane bangasithola lesi sifo ngokulinganayo.

I-axial spondyloarthritis (axSpA) iwuthinta kanjani umzimba wami?

Uma i-axSpA ingelashwa kahle, ngokuhamba kwesikhathi amathambo omgogodla angaqala ukuhlangana ndawonye . Lokhu kuhlangana kwamathambo kwaziwa ngokwezokwelapha ngokuthi i-ankylosis.Lokhu kubangela ukuthi umgogodla ulahlekelwe ukuguquguquka kwawo, okwenza kube nzima ukugcina umgogodla uqondile. Futhi, lesi simo singaholela esifweni sokuncipha kwamathambo esibizwa ngokuthi i-osteoporosis emgogodleni. Lokhu kungenza amathambo emgogodleni abe buthaka, kwandise ingozi yokuphuka komgogodla . Cabanga nje, ngisho nokuwa okuncane kungaphula ithambo emgogodleni.

Yiziphi izimbangela ze-axSpA?

Nakuba imbangela eqondile ye-axSpA ingakaziwa okwamanje, kukholakala ukuthi isebenza emindenini . Ukuhlolwa kwezakhi zofuzo kwabantu abaningi abane-axSpA kuthole ukuthi banezakhi zofuzo ezibizwa ngokuthi i-HLA-B27 . Kodwa-ke, lokhu akusho ukuthi wonke umuntu onezakhi zofuzo ze-HLA-B27 uzoba ne-axSpA. Futhi, abantu abangenalo leli zakhi zofuzo, kanye nalabo abangenawo umlando womndeni walesi sifo, bangaba ne-axSpA. Ngakho-ke, lokhu kuyinkimbinkimbi kancane.

Ziyini izimpawu ze-(Axial Spondyloarthritis)?

Uphawu oluyinhloko noluvame kakhulu lwe-axSpA ubuhlungu bomhlane . Kodwa akuzona nje ubuhlungu bomhlane. Kunezici eziningana eziqondile zalobu buhlungu:

• Okungalapheki: Lokhu kusho ukuthi ubuhlungu bungase buhlale isikhathi esingaphezu kwezinyanga ezintathu.
• Akubangelwa ukulimala noma inkinga yomshini: Isibonelo, akusibuhlungu obubangelwa yinto efana nediski ephukile noma ukuqaqamba kwemisipha.

Uma une-axSpA, ubuhlungu bakho bomhlane bungase bubukeke kanje:

• Uma uzivocavoca futhi ushukumisa umzimba wakho, uyancipha kancane.
• Ubuhlungu buyanda ebusuku uma ulele noma uphumula.
• Uma ngivuka ekuseni, umhlane wami uqaqamba ngenxa yokuqina .
• Ubuhlungu busakazekela endaweni yesinqe noma ezinqeni.

Ukuvuvukala okubangelwa yi-axSpA akugcini nje emgogodleni. Kungathinta nezinye izinhlelo emzimbeni. Isibonelo:

• Izinkinga zokugaya ukudla: Njengokuhlunguphazwa yisisu.
• Ukukhathala .
• I-Enthesitis: Ukuvuvukala, ukufakwa kwe -calcium , kanye nokuqhekeka kwamathambo ezindaweni lapho imisipha nemisipha inamathela khona emathanjeni.
• I-Dactylitis: Ukuvuvukala okuphelele kweminwe noma izinzwane (njengezinzwane zesoseji).
• I-Psoriasis yisifo sesikhumba.
• Ukuvuvukala kwamehlo, ikakhulukazi i-uveitis .

Cabanga nje, insizwa egama layo linguSaman ibilokhu ihlushwa ubuhlungu emhlane kusukela ineminyaka engaba ngu-22 ubudala. Lapho ivuka ekuseni, yayingakwazi ukugoba umhlane wayo. Yayicabanga ukuthi ikhumukile iqakala ngesikhathi idlala ikhilikithi. Kodwa kwadlula izinyanga futhi ubuhlungu abuzange buphele. Kamuva, yabona udokotela futhi yafunda ngalokhu (axSpA). Yathi futhi ngaphezu kobuhlungu emhlane wayo, amehlo ayo ngezinye izikhathi aba bomvu futhi abe buhlungu.

I-Axial Spondyloarthritis itholakala kanjani?

Uma ubona udokotela mayelana nobuhlungu bakho emhlane, uzoqala ahlole izimpawu zakho ezibalulekile bese enza ukuhlolwa ngokomzimba . Lezi zinto ezimbili zingakunikeza umbono wempilo yakho jikelele. Ngaphezu kwalokho, udokotela angenza nokuhlolwa okufana nalokhu:

• Ukuhlolwa kwegazi : Ukuhlolwa kwegazi kwenziwa ukuhlola ukuthi kukhona yini i-HLA-B27 gene kanye nokuhlola izinga le -C-reactive protein, okubonisa ukuthi kukhona yini ukuvuvukala emzimbeni.
• Ukuhlolwa kwezithombe: Lokhu kuhlolwa kusiza ukubona isimo samathambo esihlakaleni sakho se-axial, njengomgogodla wakho kanye nezinqe.
• I-X-ray: I-X-ray yomgogodla ingasiza ekuxilongeni i-axSpA noma ezinye izinkinga zamathambo.
• I-MRI: Lezi zingathatha izithombe ezicacile nezinemininingwane. Ama-MRI angathola izinto ezifana nokuvuvukala emgogodleni ngaphambi kokuba zibonwe ku-X-ray.

Ngezinye izikhathi, ungase ube nezimpawu ze-axSpA (njengobuhlungu bomhlane), kodwa akukho ukuvuvukala okusobala okubonakala ekuhlolweni kwezithombe (ama-X-ray noma ama-MRI). Kodwa-ke, odokotela bangakubiza ngokuthi "i-axSpA engeyona i-radiographic ." "I-Non-radiographic" isho ukuthi ayibonakali ekuhlolweni kwezithombe. Abanye abantu abanale "axSpA engeyona i-radiographic" bangase babe nesimo esibi kakhulu ngokuhamba kwesikhathi futhi sibonakale kamuva ku-X-ray noma ku-MRI. Kodwa ezimweni eziningi, lesi simo singase singabi sibi njengoba sibonakala ekuhlolweni kwezithombe.

Iphathwa kanjani i-Axial Spondyloarthritis?

Ngeshwa, ayikho ikhambi le-axSpA. Kodwa-ke, ngokwelashwa okufanele, izimpawu zingalawulwa futhi ikhwalithi yokuphila ingathuthukiswa . Ukwelashwa ongakuthola kungafaka:

• Imithi elwa nokuvuvukala engeyona eye-steroidal (NSAIDS):Le yimithi ethengiswa ngaphandle kwemithi kadokotela (i-OTC) ongayithenga ekhemisi ngaphandle kwemithi kadokotela. Iqeda ubuhlungu futhi inciphise ukuvuvukala. Imithi evame ukusetshenziswa kakhulu yi -aspirin, i-ibuprofen, kanye ne-naproxen sodium .
• Ukwelashwa ngokomzimba: Udokotela wakho angakudlulisela kuchwepheshe wezokwelapha ngokomzimba, ozokufundisa izivivinyo ezithile ezenzelwe izidingo zakho. Ukwelashwa ngokomzimba kungasiza ekunciphiseni ubuhlungu futhi kwandise ukuguquguquka namandla.
• Imijovo ye-steroid: Ama-Corticosteroids ayiqembu elinamandla lemithi elwa nobuhlungu nokuvuvukala. Uma unobuhlungu obukhulu noma ukuvuvukala endaweni ethile yomzimba wakho, umjovo we-steroid kuleyo ndawo ungase unikeze impumuzo.
• Imithi yokulwa namathambo eshintsha izifo (DMARDs): Uma ezinye izindlela zokwelapha zingakusizi ngokwanele, kungasetshenziswa uhlobo lwemithi ebizwa ngokuthi imithi yokulwa namathambo eshintsha izifo (DMARDs). Le mithi inciphisa ubuhlungu nokuvuvukala kwamalunga. Futhi iyasiza ekuvimbeleni ukulimala kwamalunga esikhathini esizayo.
• I-Biologics: Lena uhlobo olukhethekile lwemithi oluyingxenye yesigaba se-DMARD. Iqondisa ngqo amasosha omzimba wakho futhi isize ekulawuleni ukuvuvukala. Nakuba le mithi ye-biologics ingaba yimpumelelo enkulu, ingabangela nemiphumela emibi, njengokwanda kwengozi yokutheleleka. Ngakho-ke, kufanele isetshenziswe kuphela ngaphansi kweseluleko sikadokotela.

Ingabe lesi simo (i-Axial Spondyloarthritis) singavinjelwa?

Uma ngikhuluma iqiniso, ayikho indlela eyaziwayo yokuvimbela i-axSpA. Futhi, ayibangelwa ukulimala emhlane.

Ngingazi kanjani ukuthi ngisengozini yokuthola lokhu?

Uma abazali bakho noma abafowenu noma izingane zakini zine-axSpA, usengozini enkulu yokuba nalesi simo. Kodwa-ke, akuqiniseki ukuthi uzoba ne-axSpA ngoba nje othile emndenini wakho enayo noma une-HLA-B27 gene.

Lizobaphatheleni ikusasa labo abane-Axial Spondyloarthritis?

Njengoba kushiwo ngaphambili, i-axSpA ayikwazi ukwelapheka ngokuphelele. Uma une-axSpA, izimpawu zakho zingase zibuye ziphele ngezinye izikhathi. Noma zingase zibe njalo. Kodwa-ke, uma ziphathwa kahle, abantu abanalesi simo bangaphila impilo ende nejabulisayo. Into ebaluleke kakhulu ukusebenzisana nodokotela wakho ukuze uphathe izimpawu zakho futhi uhlale uphilile ngangokunokwenzeka.

Ngizinakekela kanjani?

Kunezinto eziningana ongazenza ukuze ulondoloze impilo yakho futhi uphathe izimpawu zakho ze-axSpA:

• Bona udokotela wakho ngezinsuku ezihleliwe. Uma uhlelo lwakho lokwelashwa luhlanganisa ukwelashwa ngokomzimba, qiniseka ukuthi uya khona nalolo.
• Sebenzisa umuthi njengoba nje udokotela emyalile.
• Ungabhemi. Uma ubhema, thola usizo lokuyeka. Ukubhema kungandisa ukuvuvukala futhi kube kubi kakhulu nge-axSpA, okungalimaza impilo yamathambo.
• Yenza ukuzivocavoca okulula, njengokuhamba, njalo. Ukuzivocavoca kusiza ukugcina amathambo namalunga akho ephilile. Kungasiza futhi ekulawuleni ukuqhubeka kwe-axSpA futhi kwandise ukuguquguquka komgogodla wakho.
• Yidla ukudla okunempilo okucebile ngezithelo nemifino. Lokhu kusiza ekulweni nokuvuvukala.

Kufanele ngimbone nini udokotela?

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, bheka udokotela wakho ngokushesha:

• Uma ukwelashwa okuthathayo kubangela imiphumela emibi engafuneki .
• Uma izimpawu zakho zibonakala ziba zimbi kakhulu .
• Uma unomuzwa wokuthi ukwelashwa kwamanje akusizi .

Uyini umehluko phakathi kwe-(Axial Spondyloarthritis) kanye ne-(Ankylosing Spondylitis)?

I-Ankylosing spondylitis empeleni uhlobo lwe -axial spondyloarthritis (axSpA) . I-Ankylosing spondylitis ithinta kakhulu amalunga e-sacroiliac , okuyiwona amalunga lapho umgogodla wakho ongezansi uxhumana khona nezinqe zakho. Kodwa-ke, i-axSpA ingathinta nesifuba noma ezinye izingxenye zomgogodla wakho. Kunezinye izimo eziningana eziwela esigabeni se-spondyloarthritis:

• I-peripheral spondyloarthritis: Lokhu kuvame ukuthinta amalunga ezandleni nasezinyaweni zakho.
• I-Psoriatic arthritis: Isimo se-arthritis esihlotshaniswa nesifo sesikhumba i-psoriasis.
• I-arthritis esabelayo: Uhlobo oluthile olungavamile lwe-arthritis olubangelwa ukutheleleka ngamagciwane.
• Isifo samathambo esihlobene nesifo samathumbu esivuvukalayo (IBD): Sivame ukubonakala kubantu abanezifo ezifana nesifo sikaCrohn noma i-ulcerative colitis.

Umlayezo Wokuya Nawe Ekhaya

Ukuphila ne-ankylosing spondylitis (axSpA) kungaba yinselele. Kodwa khumbula, abantu abaningi abanalesi simo bayasiphatha kahle futhi baphile impilo ende nenempilo. Ungasiza ekuphatheni isimo sakho ngokubona udokotela wakho njalo nokunakekela impilo yakho iyonke. Kuyasiza futhi ukujoyina amaqembu okusekela abantu abane-ankylosing spondylitis (axSpA) kanye ne-spondyloarthritis. La maqembu angakusiza ukuthi ukhulume nabantu abaqonda imizwa yakho futhi bazi izinselele obhekene nazo.

Ngakho-ke, uma unezimpawu ezifana nobuhlungu obuqhubekayo emhlane kanye nokuqina kwasekuseni, kungcono ukubona udokotela bese uthola ukuthi inkinga iyini ngempela ngaphandle kokuyishaya indiva. Uma uyiqaphela kusenesikhathi bese uqala ukwelashwa, nawe ungaphila impilo evamile.

I-Axial spondyloarthritis, ubuhlungu bomhlane, ukuvuvukala kwamalunga, i-HLA-B27, isifo samathambo, i-spondyloarthritis, i-ankylosing spondylitis