Ingabe nawe uzizwa ubuhlungu obukhulu nobuhlungu emhlane ngokushesha nje lapho uvuka embhedeni ekuseni? Kodwa ingabe lobu buhlungu buyaphela kancane kancane ngemva kokuhamba kancane bese uqala umsebenzi wakho wosuku? Nakuba abantu abaningi becabanga ukuthi lokhu kuyinkinga yomhlane nje, ngezinye izikhathi lokhu kungaba yisimo esidinga ukunakwa okwengeziwe. Namuhla sikhuluma ngomuntu, naphezu kokuba nesimo esinjalo sezokwelapha, owabhekana naso ngempumelelo futhi waphila impilo esebenzayo.
UChad Baker - Umsubathi owaphonsela inselelo lesi sifo
UChad Baker ungubaba wezingane ezine waseColorado, e-USA. Ungumphathi wesikole futhi ungumthandi wezemidlalo impilo yakhe yonke. Usebenze njengomqeqeshi kwezemidlalo eziningi, okuhlanganisa i-basketball, ithrekhi, kanye nebhola.
Indaba kaChad ihlukile ngoba watholakala ene -Ankylosing Spondylitis eneminyaka yakhe yama-20. Nakuba ngokuvamile kungaba nzima ukuhlala umatasa ngesifo esinjengalesi, uChad manje useneminyaka engama-40 futhi uphila impilo enempilo nejwayelekile. Uthi isizathu esikhulu salokhu ukuthi akazange ayeke ukusebenza ngokomzimba ngenxa yalesi sifo, kodwa waqhubeka nokuzivocavoca nokugcina umzimba wakhe uqinile. Indaba yakhe inikeza isibonelo esihle kakhulu sokukhuluma ngalesi sifo.
Kalula nje, iyini i-Ankylosing Spondylitis (AS)?
Leli gama lingase lizwakale lide futhi lingajwayelekile, kodwa iphuzu lilula. Ake silihlukanise libe ngamagama amabili futhi siliqonde.
- I-Spondylitis: Lokhu kubhekisela ekuvuvukeni kwamalunga phakathi kwamathambo omgogodla.
- Ukugoba: Lokhu kubhekisela eqinisweni lokuthi ngokuhamba kwesikhathi, amalunga avuvukele ayahlangana, aqine, futhi aqine.
Okusho ukuthi, i-Ankylosing Spondylitis yisifo samathambo esingapheli esithinta kakhulu umgogodla.
Lesi yisifo esibangelwa ukuzivikela komzimba. Lokhu kusho ukuthi isimiso somzimba sokuzivikela, okufanele sivikele imizimba yethu, siqala ngephutha ukuhlasela izingxenye zomzimba wethu ezinempilo, ikakhulukazi amalunga omgogodla kanye ne-pelvis. Lokhu kubangela ukuthi amalunga avuvuke futhi abe buhlungu.
Yiziphi izimpawu ezivamile zalesi sifo?
Izimpawu ze-AS zingahluka kumuntu nomuntu, kodwa kunezimpawu ezithile ezivamile okubalulekile ukuziqaphela.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu nokuqina endaweni yasemhlane nasemaqakaleni | Lolu uphawu oluyinhloko. Lobuhlungu nokuqina kuba kubi kakhulu ekuseni noma ngemva kokuba sesimweni esifanayo isikhathi eside (isib., lapho uvuka endaweni yokuhlala). |
| Ubuhlungu obunciphile ngesikhathi sokuzivocavoca | Ngokungafani nezinye izinkinga zomhlane, ubuhlungu nokuqina komzimba kuncipha ngokusebenza ngokomzimba kanye nokuzivocavoca, futhi kuyanda ngokuphumula. |
| Ubuhlungu kwamanye amalunga | Ngaphezu komhlane, ubuhlungu nokuvuvukala kungenzeka ezindaweni ezifana namalunga ezinqeni, emahlombe, emadolweni nasezithendeni. |
| Ukukhathala nokukhathala | Ukuzizwa ukhathele kakhulu futhi ukhathele ngaphandle kwesizathu nakho kuyimpawu evamile. |
| Ukuvuvukala kwamehlo (i-Uveitis) | Abanye abantu bangase babe nezimpawu ezifana nokubomvu kwamehlo, ubuhlungu, kanye nobunzima bokubuka ukukhanya. Lesi yisimo esibizwa ngokuthi i-uveitis. |
Ubani osengozini enkulu yokuthola lesi sifo?
Lesi sifo sivame ukutholakala sisebancane, siphakathi kweminyaka eyi-17 nengama-45. Lesi sifo sivame kakhulu kwabesilisa kunabesifazane. Futhi, sinobudlelwano bezakhi zofuzo . Abantu abanezakhi zofuzo i-HLA-B27 basengozini enkulu yokuthola lesi sifo. Kodwa-ke, kubalulekile ukukhumbula ukuthi akuwona wonke umuntu onalesi sakhi sofuzo ozothola lesi sifo.
Kwenzekani uma lesi sifo siba sibi kakhulu?
Uma i-AS ingelashwa kahle noma uma ingalawulwa, izinkinga zingavela ngokuhamba kwesikhathi.
- Ukuhlanganiswa Komgogodla:Lesi yisigaba esibi kakhulu salesi sifo. Ngenxa yokuvuvukala okuqhubekayo, umzimba udala ithambo elisha, ugcwalisa izikhala phakathi kwamathambo omgogodla. Ngenxa yalokho, umgogodla uba lukhuni njengenduku eyodwa, ulahlekelwa ngokuphelele ukuguquguquka kwawo. Lokhu kubizwa nangokuthi "umgogodla we-bamboo."
- Ukuma Okugobile: Ukuma okugobile phambili nokugobile kungenzeka ngenxa yokugoba komgogodla.
- Ubunzima bokuphefumula: Uma izimbambo namalunga axhumanisa isifuba nomgogodla evuvukala futhi encipha, kungaphazamisa ukukhula kwesifuba futhi kubangele ubunzima bokuphefumula.
- I-Osteoporosis: Amathambo aba buthakathaka futhi ingozi yokuphuka iyanda kalula.
Iphathwa futhi iphathwa kanjani?
Into ebaluleke kakhulu okufanele uyisho kuqala ukuthi ayikho ikhambi le-Ankylosing Spondylitis okwamanje. Kodwa ungakhathazeki. Kunezindlela zokwelapha ezisebenza kahle kakhulu zokulawula izimpawu, ukulawula ukuqhubeka kwesifo, nokuphila impilo evamile.
Into ebaluleke kakhulu ukuxilonga lesi sifo bese uqala ukwelashwa ngokushesha ngangokunokwenzeka. Uma ukwelashwa kuqalwa ngokushesha ngaphambi kokuba kube nomonakalo ohlala njalo emalungeni, imiphumela iba ngcono.
Uma unezinye zezimpawu ezingenhla, into engcono kakhulu ongayenza ukubona udokotela wakho ngokushesha. Uzokuhlola futhi, uma kudingeka, akuthumelele i-X-ray, i-MRI scans, kanye nokuhlolwa kwegazi ukuze kutholakale ngokunembile isimo.
Izindlela zokwelapha zingahlukaniswa ngezigaba eziningana eziyinhloko:
1. Ukwelashwa Komzimba Nokuzivocavoca: Lesi yisisekelo sokuphathwa kwe-AS. Kunezivivinyo ezithile kanye nokuzivocavoca okwelula ukuze kulondolozwe ukuguquguquka, kugcinwe umgogodla uqonde kahle, futhi kuncishiswe ubuhlungu. Kubalulekile ukwenza lokhu ngaphansi kwesiqondiso sochwepheshe wezokwelapha ngokomzimba.
2. Imithi:
- Ama-NSAID (Izidakamizwa Ezingavimbeli Ukuvuvukala): Lezi ziyindlela yokuqala yokwelapha. Iziqeda-zinhlungu kanye nemithi yokulwa nokuvuvukala efana ne-Ibuprofen ne-Naproxen zingasiza ekulawuleni ubuhlungu nokuqina.
- Imithi Yebhayoloji: Uma ama-NSAID enganikezi ukulawula okwanele, udokotela wakho angase ancome le mithi ethuthukisiwe kakhulu. Le mithi isebenza ngokubhekisa ngqo kumakhemikhali athile ohlelweni lokuzivikela komzimba abangela ukuvuvukala. Izibonelo zifaka phakathi ama-Tumor Necrosis Factor (TNF) blockers kanye nama-Interleukin 17 (IL-17) inhibitors.
3. Ukuhlinzwa: Lena yindlela yokugcina. Ezimweni lapho amalunga onakele kakhulu futhi ubuhlungu bungabekezeleleki, ukuhlinzwa okufana nokufakelwa inqulu kungacatshangelwa.
Indaba kaChad Baker isikhumbuza futhi ukuthi indlela yokuphila esebenzayo ibaluleke kakhulu, futhi mhlawumbe ngaphezu kwemithi.Futhi kubaluleke kangakanani ukuba nomqondo omuhle ukuze uphile ngenjabulo nalesi sifo.
Umlayezo Wokuya Nawe Ekhaya
- I-Ankylosing Spondylitis (AS) uhlobo lwe-arthritis oluthinta kakhulu umgogodla.
- Ubuhlungu bomhlane kanye nokuqina komgogodla okwenzeka ekuseni futhi kwehla ngokuzivocavoca yizimpawu eziyinhloko.
- Uma unalezi zimpawu, ungazinaki futhi ubone udokotela wakho ngokushesha okukhulu.
- Nakuba lokhu kungelapheki ngokuphelele, ngokwelashwa okuphumelelayo, lesi sifo singalawulwa futhi impilo evamile ingaphilwa.
- Ukwelashwa ngokomzimba kanye nokuzivocavoca nsuku zonke kubaluleke kakhulu ekuphathweni kwe-AS. Kuyindlela yokwelapha enamandla njengemithi.
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