Ingabe nawe uzwa ubuhlungu emalungeni akho nalapho imisipha inamathela khona emathanjeni? Ake sifunde nge-enthesopathy kanye ne-enthesitis!

Wake waba nobuhlungu obungazelelwe noma ukuvuvukala okuncane ehlombe lakho, endololwaneni, edolweni, noma esithendeni? Mhlawumbe uma uvuka ekuseni, leyo ndawo izwakala iqinile? Nakuba lezi zinto zingase zibonakale zijwayelekile, ngezinye izikhathi lokhu kungaba ngenxa yesimo esibizwa ngokuthi "i-Enthesopathy" noma "i-Enthesitis." Ungakhathazeki, sizoxoxa ngalokhu namuhla nje.

Kuyini i-Enthesopathy? Kulula kakhulu!

Kalula nje, igama elithi 'Enthesopathy' lisho noma yisiphi isimo sempilo noma ukuphazamiseka okuthinta izindawo lapho imisipha nemisipha emzimbeni wethu ixhumana khona namathambo .

Cabanga ngalokhu: imisipha yethu ifana nezintambo zerabha eziqinile. Yilezi ezixhumanisa imisipha yethu namathambo ethu. Futhi izintambo zifana nezintambo eziqinile neziguquguqukayo. Lezi zixhumanisa ithambo elilodwa nelinye.

Manje, igama lezokwelapha lendawo eqondile lapho i-tendon noma i-ligament inamathela khona ethanjeni libizwa ngokuthi "i-enthesis." Ngakho-ke, uma ufaka igama elithi "-pathy" ekugcineni kwegama, kusho ukuthi kukhona isimo noma inkinga ethinta leyo ngxenye. Khona-ke elithi "enthesopathy" liyinkinga eyenzeka kwenye noma ngaphezulu "ye-enthesis" yakho kanye nalezo zicubu ezixhumeneyo. Uyaqonda?

Ngakho-ke iyini i-enthesitis? Uyini umehluko phakathi kwalokhu okubili?

Kukhona umehluko omncane lapha. I-`Enthesopathy` ibhekisela kunoma yisiphi isimo esithinta i-`enthesis`. Kodwa-ke, i-`enthesitis` ibhekisela ekuvuvukeni kuleyo 'enthesis'. Okusho ukuthi, i-`enthesitis` yisimo esithile esiwela ngaphansi kwesigaba se-`enthesopathy`.

Ngezinye izikhathi odokotela bangase basebenzise la magama amabili ngokushintshana ukuze basho into efanayo. Kodwa ungakhathazeki. Udokotela wakho uzobheka izimpawu zakho, athole ukuthi yini ezibangela, futhi akunike ukwelashwa okufanele, kungakhathaliseki ukuthi basebenzisa liphi igama.

Ivame kangakanani i-enthesitis?

Kunzima ukusho ukuthi bangaki abantu abathola i-enthesitis minyaka yonke. Lokho kungenxa yokuthi ubuhlungu nokuvuvukala kwemisipha kanye nemisipha kuvame kakhulu, ikakhulukazi uma belimele. Futhi abantu abaningi bayalulama kwi-enthesopathy ngaphambi kokuba baxilongwe ngokusemthethweni.

Kodwa-ke, ochwepheshe abakwaziyo ukuthi i-enthesitis ivame kakhulu kubantu abanezimo ze-arthritis ezivuvukalayo njenge-psoriatic arthritis kanye ne-ankylosing spondylitis. Eqinisweni, ukuba neziqephu ezingaphezu kwesisodwa ze-enthesitis kungenye yezinkomba odokotela abazisebenzisayo ukuthola lezi zimo.

Ziyini izimpawu ze-enthesitis?

Izimpawu ezivame kakhulu ze-enthesitis yilezi:

• Ubuhlungu:Ungase uzwe ubuhlungu obukhulu endaweni yokunamathela kwejoyinti noma imisipha ethintekile. Ubuhlungu bungakhula futhi uma usebenzisa ijoyinti.
• Ukuvuvukala: Indawo yobuhlungu ingase ibonakale ivuvukele.
• Ukuguquka kombala noma ukubomvu: Ngezinye izikhathi isikhumba kuleyo ndawo singase sibe bomvu noma sishintshe umbala.
• Ukuqina: Ikakhulukazi uma uvuka ekuseni okokuqala, noma uma uzama ukuhambisa ijoyinti ngemva kokuba sesimweni esifanayo isikhashana, lingazizwa liqinile futhi lingakwazi ukugoba noma ukwelula kalula. Cabanga nje, uma uvuka ekuseni, uzizwa uqinile kangangokuthi awukwazi ngisho nokubeka isithende sakho phansi.

Abanye abantu abane-enthesopathy bangase babone nezinguquko ezinzipho zabo zeminwe kanye nezinzwane . Ungase uqaphele izinto ezifana nokuqhekeka noma ukushintsha kombala wezinzipho zakho.

I-enthesitis ingenzeka noma kuphi emzimbeni wakho lapho i-tendon noma i-ligament ixhuma khona ethanjeni, kodwa kunezindawo ezimbalwa ezivame ukuthinteka:

• Amahlombe
• Izindololwane
• Izandla nezingalo
• Amadolo
• Amaqakala
• Izinyawo - ikakhulukazi ubuhlungu besithende (Plantar Fasciitis) - ziyisibonelo esihle salokhu.

Kungani sithola i-enthesitis kanye ne-enthesopathy?

I-enthesopathy (kufaka phakathi i-enthesitis) yenzeka ngezizathu ezimbili eziyinhloko:

1. Ukulimala okulimaza imisipha noma ama-ligaments akho.

2. Izimo zempilo ezibangela ukuvuvukala emzimbeni.

Ngenxa yokulimala

Ezinye izingozi ezibangela i-enthesopathy yilezi:

• Ukulimala okuphindaphindiwe kokucindezeleka: Cabanga ngobuhlungu obusezandleni zakho uma usebenza kukhompyutha ngaso sonke isikhathi. Noma, ukulimala okufika kumdlali oqhubeka nokwenza uhlobo olufanayo lokunyakaza.
• Ukulimala kwezemidlalo: Lezi zimo zingabangelwa izingozi ezingazelelwe, ukuwa, kanye nokukhubeka ngesikhathi udlala imidlalo.
• Indololwane yethenisi: Ubuhlungu ngaphandle kwendololwane.
• Indololwane yomshayi wegalofu: Ubuhlungu ngaphakathi kwendololwane.

Ukulimala okunje kungalimaza indawo ebizwa ngokuthi 'i-enthesis', okubangela ubuhlungu nokuvuvukala.

Ngenxa yezimo zokuvuvukala emzimbeni

Ezinye izimo zempilo zibangela ukuvuvukala emzimbeni, okungaholela ekushayweni yi-enthesitis. Amasosha ethu omzimba asabela ezimweni ezithile ngokukhiqiza amaprotheni akhethekile abizwa ngokuthi ama-cytokines. Nakuba la ma-cytokines esiza umzimba wethu ukuba ululame, angabangela nokuvuvukala. Ezinye izimo ezibangela ukuvuvukala okungaholela ekushayweni yi-enthesitis zifaka:

• I-Psoriatic Arthritis: Lesi yisimo se-arthritis esihlotshaniswa nesifo sesikhumba i-psoriasis.
• I-Ankylosing Spondylitis: Lolu uhlobo lwe-arthritis oluthinta kakhulu umgogodla.
• I-Rheumatoid Arthritis: Lesi futhi yisimo sokuvuvukala esithinta amalunga futhi sibangelwa ukusebenza kwesimiso somzimba sokuzivikela.
• I-Psoriasis: Nakuba kuyisifo sesikhumba, kunengozi yokuthola i-enthesitis kanye nayo.
• I-Bursitis: Ukuvuvukala kwezikhwama ezigcwele uketshezi ezibizwa ngokuthi i-bursa ezisebenza njengemicamelo eduze kwamalunga.
• I-Plantar Fasciitis: Isimo esibuhlungu esenzeka ematheni onyawo, ikakhulukazi esithendeni. Lesi futhi yisibonelo esihle se-enthesitis.

Ingabe zikhona ezinye izinkinga ezingase zivele ngenxa ye-enthesopathy?

Abantu abane-enthesopathy yesikhathi eside (okungukuthi, isimo esikhula futhi siqhubeke siba sibi ngokuhamba kwesikhathi) basengozini enkulu yokuthola ama-bone spurs . Ama-cytokine abangela i-enthesitis ngezinye izikhathi abonisa ngephutha ukuthi amathambo ethu akhule izicubu ezintsha. La ma-bone spurs angenza ubuhlungu bube bubi kakhulu noma aqale ubuhlungu obusha.

Udokotela uzixilonga kanjani lezi zimo?

Udokotela uzoxilonga i-enthesopathy ngokuyinhloko ngokwenza ukuhlolwa ngokomzimba . Uzohlola indawo lapho unezimpawu khona, mhlawumbe ngokuzithinta ngomunwe. Kubalulekile ukutshela udokotela wakho ukuthi uqale nini ukuzwa ubuhlungu, ukuqina, noma ezinye izimpawu, nokuthi yimiphi imisebenzi eyenza zibe zimbi kakhulu (noma zibe zimbi kakhulu).

Akukho ukuhlolwa okuqondile okungaxilonga ngokushesha i-enthesitis. Kodwa-ke, udokotela wakho angasebenzisa izikena ezikhethekile (izivivinyo zezithombe) ukuthatha izithombe zangaphakathi lomzimba wakho ukuze abheke noma yikuphi ukulimala noma ukuvuvukala. Lokhu kufaka phakathi:

• Ama-X-ray
• Ukuskena kwe-Ultrasound (`I-Ultrasound`)
• Ukuskena kwe-MRI (`I-MRI - i-magnetic resonance imaging`)

Uma udokotela wakho ecabanga ukuthi unesifo sokuvuvukala, angase futhi acele ukuhlolwa kwegazi .

Yiziphi izindlela zokwelapha i-enthesitis?

Ukwelashwa okudingayo kuzoncika embangela ye-enthesitis yakho. Kungaba yinto ongayenza ekhaya ukusiza umzimba wakho ululame ngemva kokulimala. Noma, uma kuyisimo esingamahlalakhona, kungadinga uhlelo lokuphatha isikhathi eside. Ukwelashwa okuvame kakhulu kwe-enthesopathy kufaka phakathi:

Izindlela zokwelapha ongayenza ekhaya

• Indlela ye-RICE: Lena indlela yokwelapha evamile esetshenziswa ekulimaleni okuningi.
• R - Ukuphumula: Ukuphumula ingxenye yomzimba ethintekile.
• I - Iqhwa: Ukufaka iphakethe leqhwa ukunciphisa ubuhlungu nokuvuvukala.
• C - Ukucindezela: Ukusebenzisa ibhandishi lokucindezela ukulawula ukuvuvukala. Udokotela wakho uzokukhombisa ukuthi ungakusebenzisa kanjani lokhu ngendlela efanele, ngaphandle kokuba kuqine kakhulu.
• E - Ukuphakama: Ukugcina indawo elimele ingaphezulu kwezinga lenhliziyo.
• Ama-NSAID: Ama-NSAID aqeda ubuhlungu ngaphandle kwemithi kadokotela angasiza ekunciphiseni ukuvuvukala nokuqeda ubuhlungu. Kodwa khumbula, le mithi ayinconywa ukusetshenziswa isikhathi eside. Ungayithathi izinsuku ezingaphezu kweziyi-10 ngesikhathi ngaphandle kokubonisana nodokotela.

Ukwelashwa okuhlinzekwa ngeseluleko sezokwelapha

• Ama-Corticosteroids: Lena imithi enqunywe udokotela ukunciphisa ukuvuvukala. Udokotela wakho angakunika umjovo we-cortisone ngqo entesis ethintekile.
• Ukwelashwa ngokomzimba: Ukwelashwa ngokomzimba kungasiza ekuqiniseni imisipha ezungeze ukulimala, kwandise ukuguquguquka, futhi kunciphise ubuhlungu. Uchwepheshe wezokwelapha ngokomzimba uzokufundisa ukuzivocavoca kanye nokwelula umzimba ukuze akusize ululame futhi uthole amandla okunyakaza (ukuthi ungayishukumisa kangakanani ingxenye yomzimba wakho).
• Ama-DMARD: Imithi yokwelapha amalunga eguqula izifo (i-DMARD) imithi ecindezela amasosha omzimba. Isetshenziselwa ukuphatha izifo ezibangelwa amasosha omzimba, njengezinhlobo ezithile ze-arthritis ezibangelwa yi-enthesitis.

Ingabe i-Enthesitis ingalapheka ngokuphelele?

Ukwelapha i-enthesopathy kufanele kucatshangelwe njengokuyilawula njengoba ikhula, kunokuba "iyelaphe", njengokwelapha ukutheleleka ngamagciwane ngama-antibiotic. I-enthesopathy kanye nokulimala noma isimo esiyisisekelo kungaphela ngokuphelele.

Kodwa-ke, ungase ube nokuqubuka noma ukuqubuka kwe-enthesitis - ikakhulukazi uma kubangelwa yisifo sokuzivikela komzimba. Udokotela wakho uzokunikeza izindlela zokuphatha izimpawu zakho nokunciphisa ukuqubuka.

Hlobo luni lwekusasa umuntu one-enthesopathy angalulindela?

Akubona bonke abantu abanolwazi olufanayo. Kuya ngohlobo lwe-enthesopathy onalo nokuthi lubangelwe yini.

Uma unesimo esibangelwa ukulimala, kungenzeka kakhulu ukuthi i-enthesitis izophela ngokuphelele ngemva kokuba umzimba wakho uphulukisiwe futhi wenze izinguquko ezithile emisebenzini yakho. Uzokwazi ukuqhubeka nayo yonke imisebenzi yakho evamile ngaphandle kwemiphumela emibi yesikhathi eside. Kodwa-ke, noma ngabe uzizwa ungcono, ungaqhubeki nomsebenzi onzima womzimba kuze kube yilapho udokotela wakho ekutshele ukuthi wenze kanjalo.

Ezinye izimo zempilo ezibangela i-enthesopathy azivamile. Kuzodingeka uphathe lezi zimo isikhathi eside, mhlawumbe impilo yakho yonke. Udokotela wakho uzokhuluma nawe ngalokho ongakulindela nokuthi ungaziphatha kanjani lezi zimo.

Ingabe i-enthesitis ingavinjelwa?

I-enthesitis ivame ukuvinjelwa, njengoba ingaholela ekulimaleni okungazelelwe kanye nezimo zempilo esingenakuzivimbela. Khuluma nodokotela wakho ngezindlela ezingcono kakhulu zokuphatha noma yiziphi izimo zezokwelapha onazo. Ungase ukwazi ukunciphisa ingozi yakho yokuqubuka kwe-enthesitis, kodwa awukwazi ukuyivimbela njalo.

Kufanele ngimbone nini udokotela?

Uma unesilonda, noma uma ubuhlungu noma ukuvuvukala kubonakala kushintsha, kuba kubi kakhulu, noma uma ungakwazi ukuhambisa ilunga, bona udokotela. Uma ukwelashwa kwakho kwe-enthesitis kubonakala kungasebenzi kahle njengoba kwakunjalo ngaphambili, noma uma uqhuma kakhulu, tshela udokotela wakho . Angase akwazi ukushintsha noma ukulungisa ukwelashwa kwakho.

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela?

Nazi ezinye zemibuzo ebalulekile okufanele uyibuze udokotela wakho:

• Kungani nginale "Enthesopathy" noma "Enthesitis"?
• Hlobo luni lokuhlolwa okuzodingeka ngenze?
• Ingabe lezi zimpawu zingaphinde zivele?
• Ngingaqala nini futhi umsebenzi womzimba?
• Ingabe nginenkinga yempilo engidinga ukuyiphatha isikhathi eside?

Ingabe i-enthesopathy iyafana ne-arthritis?

Cha, `I-Enthesopathy` kanye `I-Arthritis`Lezi yizinkinga ezimbili ezahlukene. Kodwa kungase kube nokuxhumana okuseduze phakathi kwalezi ezimbili. Kunezinhlobo ezingaphezu kwe-100 ze-arthritis, eziningi zazo ezingabangela ubuhlungu, ukuqina, nokuvuvukala, okufana nalezo ezibonakala ku-enthesopathy.

Futhi, izinhlobo eziningi ze-arthritis evuvukalayo zingabangela i-enthesitis. Ngakho-ke, uma une-arthritis, usengozini enkulu yokuthola i-enthesitis. Khuluma nodokotela wakho mayelana nezimpawu noma izinguquko okufanele uziqaphele.

Ekugcineni, umyalezo okufanele uwuthathe uye nawo ekhaya

Nakuba amagama athi ``Enthesitis`` kanye nethi ``Enthesopathy`` engase azwakale engavamile, khumbula ukuthi abhekisela ezimweni ezithinta izindawo lapho imisipha yakho kanye nemisipha ixhumana khona namathambo akho. Uma uzwa ubuhlungu noma ukuqina kulezi zindawo, ungakushayi indiva.

Lesi simo singaba ukulimala okukodwa okuphola, noma kungaba ngenxa yesimo sezokwelapha esidinga ukuphathwa isikhathi eside.

Ngakho-ke, uma unemibuzo ngalokhu, ungesabi ukubona udokotela bese ukhuluma naye. Uzokuchazela ukuthi yini ebangela lezi zimpawu, ukuthi ungaziqeda kanjani, nokuthi yini okudingeka uyenze ukuze uphathe imbangela. Hlala uphilile!

I- Enthesopathy, I-Enthesitis, Ubuhlungu Bamalunga, Ubuhlungu Bemisipha, Ukuvuvukala, I-Arthritis, eSri Lanka