Sonke sike saba nobuhlungu emhlane ngesinye isikhathi empilweni yethu. Ngezinye izikhathi, ubuhlungu obuhambisana nokuphakamisa izinsimbi noma ukuhlala kabi buzophela ezinsukwini ezimbalwa. Kodwa uma unesifo emhlane esihlala izinyanga, ikakhulukazi ebusuku nalapho uvuka ekuseni, ungamane nje ungasinaki. Namuhla, sizokhuluma nge -Non-Radiographic Axial Spondyloarthritis , noma njengoba thina odokotela sikubiza kanjalo (nr-axSpA) , uhlobo lwe- arthritis olungabonakali ku- X- ray kodwa olungathinta impilo yakho.
Kalula nje, iyini i-nr-axSpA?
Kungenzeka ukuthi uke wezwa nge -osteoarthritis , isimo esibangela ukuba amalunga afana namadolo nezinqe aguge njengoba ukhula. Kodwa i-nr-axSpA iyisimo esihlukile, esibangelwa ukungasebenzi kahle kwesimiso somzimba wethu sokuzivikela. Kalula nje, uhlelo lokuzivikela lomzimba wethu, noma amangqamuzana omzimba, ahlasela ngephutha amalunga ethu, axhumeka emgogodleni wethu nasesinqeni . Lokhu kubangela ukuvuvukala kulawo malunga, okubangela ukuqina nobuhlungu.
Lesi sifo sihlobene kakhulu nesimo esibi kakhulu samathambo esibizwa ngokuthi i-Ankylosing Spondylitis (AS) . Ngezinye izikhathi i-nr-axSpA ingaba yisigaba sokuqala se-AS. Kodwa-ke, akuwona wonke umuntu one-nr-axSpA ozoqala ukuba ne-AS.
Lokhu kubizwa ngokuthi “i-Non-Radiographic” (okungukuthi, ayibonakali kuma-X-ray) ngoba umonakalo emalungeni ezigabeni zokuqala zesifo awubonakali kuma-X-ray avamile. Lokhu akusho ukuthi akukho monakalo, kodwa ukuthi kucashile kakhulu ukuthi kungatholakala kuma-X-ray.
Ziyini izimpawu zalesi simo?
Uphawu oluyinhloko lwe-nr-axSpA ubuhlungu bomhlane . Kodwa lokhu kuhlukile ebuhlungwini obuvamile bomhlane. Ake siwuqonde kahle lo mehluko.
| Isici | Ubuhlungu emhlane ku-nr-axSpA | Ubuhlungu bomhlane obusebenza ngomshini |
|---|---|---|
| Lapho ubuhlungu bukhula | Ubuhlungu nokuqina komzimba kuba kubi kakhulu lapho uphumule, ikakhulukazi ebusuku nalapho uvuka ekuseni. | Ubuhlungu buyanda lapho usebenza, uhamba, noma uphakamisa izinsimbi. Buyancipha lapho uphumule. |
| Ubude besikhathi sobuhlungu | Kunokuba kuqale ngokuzumayo, kuqala kancane kancane futhi kuhlale izinyanga ezingaphezu kwezintathu. | Ngokuvamile kuyaphela phakathi nezinsuku noma amasonto ambalwa. |
| Umphumela wokuzivocavoca | Ukuzivocavoca ngokuzifudumeza kanye nokuhamba kunciphisa ubuhlungu nokuqina komzimba. | Ubuhlungu bungase bukhule ngesikhathi sokuzivocavoca. |
Ngaphezu kobuhlungu bomhlane, ezinye izimpawu eziningana zingabonakala:
- Ubuhlungu beqakala : Ubuhlungu nokuqina, ikakhulukazi ezindaweni ezifana ne-Achilles tendon ngaphansi kwesithende.
- Ukuvuvukala kweminwe: Umunwe noma uzwane luvuvukala ngokuphelele njengesoseji. Lokhu sikubiza ngokuthi i-dactylitis .
- Ubuhlungu kwamanye amalunga: Ubuhlungu bungavela nakwamanye amalunga, njengezinqe, amadolo, namahlombe.
- Ukukhathala okuvamile :Ukuzizwa ukhathele kakhulu futhi ukhathele kungakhathaliseki ukuthi ulala kangakanani.
Kungani lokhu kwenzeka? Yiziphi izinto ezibangela ingozi?
Njengoba sishilo ngaphambili, isizathu esiyinhloko salokhu ukuphazamiseka ohlelweni lwethu lokuzivikela komzimba. Isizathu esiqondile salokhu asaziwa. Kodwa-ke, abacwaningi bakholelwa ukuthi kukhona ukuxhumana kwezakhi zofuzo.
Ikakhulukazi, kutholakale ukuthi i-gene ebizwa ngokuthi i-HLA-B27 ihlotshaniswa nalokhu. Abantu abaningi abane-nr-axSpA kanye ne-AS banale gene. Kodwa-ke, lokhu akusho ukuthi wonke umuntu one-gene ye-HLA-B27 uzoba nale arthritis. Kumane kuyisimo sokuthambekela kwesifo esithile.
Ezinye izinto ezibangela lesi simo yilezi:
- Ubudala: Izimpawu zivame ukuqala ebudaleni, phakathi kweminyaka engama-20 nengama-40.
- Umlando womndeni: Uma othile emndenini wakho oseduze (abazali, izingane zakini) ene-nr-axSpA noma i-AS, nawe usengozini enkulu yokuba nayo.
- Ukubhema : Ababhemayo basengozini enkulu yokuthola lesi sifo, kanye nengozi yokuba lesi sifo siqhubeke nokuba sibi.
Indlela yokuxilonga lesi sifo ngokunembile?
Ukuthola lesi sifo kunzima kancane ngoba asibonakali kuma-X-ray, futhi izimpawu zivame ukuvela kubantu abasebasha nabaphilile. Ngakho-ke ngezinye izikhathi, kungaphanjaniswa nobuhlungu bomhlane obulula, okuholela ekwelashweni okulibazisekile.
Uma uya kudokotela wakho, uzokwenza lezi zinto:
1. Uzolalela ngokucophelela izimpawu zakho: buza ngokuningiliziwe ukuthi ubuhlungu buqala nini, ukuthi sebunesikhathi esingakanani bukhona, nokuthi buba ngcono yini ngokuzivocavoca umzimba.
2. Uhlola umzimba: Uhlola ukunyakaza komgogodla nezindawo zobuhlungu.
3. Kuhlolwa igazi: ukuhlola ukuthi kukhona yini i-HLA-B27 gene kanye noku-oda ukuhlolwa okufana ne-CRP kanye ne-ESR, okubonisa ukuvuvukala emzimbeni.
4. I-MRI scan: Lesi isivivinyo esibaluleke kakhulu sokuxilonga i-nr-axSpA. I-MRI scan ingabonisa ngokusobala ukuvuvukala okuncane kanye nokuvuvukala emalungeni okungabonakali kuma-X-ray.
Ukuxilongwa kusenesikhathi kanye nokwelashwa kubaluleke kakhulu ukuvimbela ukulimala kwamalunga okuhlala njalo esikhathini esizayo.
Yiziphi izindlela zokwelapha?
Ukuphatha i-nr-axSpA kuyinhlanganisela yokuzivocavoca umzimba, ukwelashwa ngokomzimba, kanye nemithi.
1. Ukuzivocavoca
Lokhu kufana nomuthi. Ukuzivocavoca nsuku zonke kubalulekile. Ukuzivocavoca kunciphisa ubuhlungu, kunciphisa ukuqina komhlane, futhi kunciphisa ukukhathala okuzwayo ngaso sonke isikhathi. Kuphinde kusize ukugcina umgogodla wakho usendaweni eyodwa futhi ungagobi.
2. Izidakamizwa
Ekuqaleni, udokotela wakho angase akunike imithi yokunciphisa ubuhlungu kanye nemithi engeyona eye-steroidal anti-inflammatory (NSAIDs) (isb., i-Indomethacin, i-Naproxen). Kodwa-ke, lokhu kufanele kusetshenziswe kuphela ngaphansi kokuqashwa ngudokotela . Ukusetshenziswa kwesikhathi eside kungabangela imiphumela emibi njengokucasuka kwesisu kanye nokulimala kwezinso.
Uma ama-NSAID engasebenzi, udokotela wakho angase akunikeze imithi ethile (i-biologics) elawula ukusebenza kwesimiso somzimba sokuzivikela, njengezithibi ze-TNF .
3. Ukwelashwa Komzimba
Kubaluleke kakhulu ukufunda izivivinyo ezifanele ngaphansi kokuqondiswa ngumelaphi wezomzimba oqeqeshiwe. Bazokufundisa izivivinyo eziqinisa umgogodla, zelule imisipha eqinile, ukuma kahle, kanye namasu okuphefumula.
Ingabe kuthinta umgogodla kuphela? Ingabe kukhona ezinye izinkinga?
Yebo, i-nr-axSpA ayisona isifo esithinta umgogodla kuphela. Lokhu kuvuvukala kwesistimu yomzimba kungathinta nezinye izingxenye zomzimba.
- Amehlo: I-Uveitis yisimo esivamile esibangela ukuvuvukala ngaphakathi kweso. Izimpawu zifaka phakathi ukubomvu , ubuhlungu, ukubona okufiphele , kanye nokuzwela ukukhanya. Uma uhlangabezana nanoma yiziphi zalezi zimpawu, kufanele ubonane nodokotela wamehlo ngokushesha .
- Uhlelo lokugaya ukudla: Kwabanye abantuIsifo Sokuvuvukala Kwamathumbu (IBD) , njengeSifo SikaCrohn noma i-Ulcerative Colitis , singabangela izimpawu ezifana nobuhlungu besisu kanye nesifo sohudo esihlala isikhathi eside.
- Isikhumba: Cishe i-10% yeziguli zingase zibe ne -psoriasis , isifo sesikhumba esibangela amabala abomvu, anama-scaly esikhumbeni.
Kunzima ukusho ngqo ukuthi lesi sifo sizokuthinta kanjani ngokuhamba kwesikhathi. Izimpawu zabanye abantu zingase zihlale zifana, kanti ezinye zingase zibe zimbi kakhulu. Isimo sabanye abantu singase sithuthukele ku-AS. Kodwa-ke, ngokwelashwa okufanele nendlela yokuphila, ungasiphatha kahle lesi simo futhi uphile impilo evamile.
Umlayezo Wokuya Nawe Ekhaya
- Ubuhlungu bomhlane obuhlala izinyanga, ikakhulukazi ekuseni nasebusuku, abuvamile. Ungabunaki. Bonana nodokotela ngokushesha.
- Ngisho noma umbiko wakho we-X-ray ungakhombisi zinkinga, ungase ube ne-nr-axSpA. I-MRI scan ingasithola ngokunembile lesi simo.
- Ngokuthola lesi sifo kusenesikhathi futhi usiphathe kahle ngokuzivocavoca, imithi, kanye nokwelashwa ngokomzimba, ungavimbela ukulimala kwamalunga akho futhi uphile impilo engenabuhlungu.
- Lesi yisimo esingalawuleka. Ngakho-ke ungapheli amandla. Hlala uxhumana nodokotela wakho njalo futhi ulandele iseluleko sakhe.
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