Abantu abaningi bacabanga ukuthi i-'Ankylosing Spondylitis' yisifo esithinta umgogodla kuphela. Lokho kuyiqiniso, sithinta kakhulu amalunga omgogodla. Kodwa bewazi ukuthi lesi sifo singathinta nezinye izingxenye zomzimba, ikakhulukazi amehlo ethu? Namuhla sikhuluma ngokuxhumana okubaluleke kakhulu abantu abaningi abangakwazi ngakho. Lokho ukuxhumana phakathi kwe-'Ankylosing Spondylitis' nesimo samehlo i-'Uveitis'.
Kuyini i-Uveitis?
Kalula nje, i-'Uveitis' ukuvuvukala, okungukuthi, ukuvuvukala, kolwelwesi olungaphakathi kweso lethu. Iso lethu lakhiwe ngezingqimba eziningana, njengo-anyanisi. Ulwelwesi oluphakathi lubizwa ngokuthi i-(Uvea) . Ingxenye enombala yeso lakho, okungukuthi, i-(Iris) eluhlaza okwesibhakabhaka noma onsundu kwabanye abantu, nayo iyingxenye yale 'Uvea'. Ngakho-ke, ukuvuvukala kwale lwelwesi lwe-'Uvea' kubizwa ngokuthi i-(Uveitis) . Uma kuphela i-'Iris' ithintekile, ibizwa nangokuthi i-(Iritis) .
Abantu abaphakathi kuka-30% no-40% abane-Ankylosing Spondylitis bazoba ne-Uveitis ngesikhathi esithile empilweni yabo, ngakho-ke kubalulekile ukuqaphela lokhu.
Ziyini izimpawu? Uzibona kanjani?
Cabanga nje, ubulokhu unesifo somhlane isikhashana, futhi uzizwa uqinile ekuseni. Uma ubona udokotela, uthola ukuthi yi-'Ankylosing Spondylitis'. Manje usuthatha imithi yaso. Ngesikhathi unjalo, ngokuzumayo iso elilodwa liba bomvu bese liqala ukulunywa. Kunzima ngisho nokubuka ukukhanya. Ungase ucabange, 'Kwenzekeni kulokhu, ingabe kukhona okwenzeke esweni lakho?' Abantu abaningi bacabanga ukuthi lesi yisifo samehlo esivamile. Kodwa lokhu kungaba uphawu lwe-'Uveitis', isimo esihlotshaniswa nesifo sakho se-'Ankylosing Spondylitis'.
Kulungile, manje ake sibone ukuthi yiziphi izimpawu ezivezwa yilesi simo 'se-Uveitis'. Lezi zingavela ngokuzumayo, ngakho-ke kubaluleke kakhulu ukuqaphela lokhu.
| Isibonakaliso | Incazelo |
|---|---|
| Ukubomvu kweso | Ukubomvu komhlophe weso. |
| Ubuhlungu bamehlo | Ubuhlungu obuhlabayo obuvela ngaphakathi kweso. |
| Ukuzwela ukukhanya (i-Photophobia) | Ubunzima bokubuka ukukhanya okukhulu, amehlo aphenduka abe luhlaza okwesibhakabhaka. |
| Umbono ofiphele | Ukubona okucacile okunciphile, uzizwe sengathi usenkungwini . |
| Izinyembezi eziningi kakhulu | Izinyembezi ziphuma emehlweni ngaphandle kwesizathu esithile. |
Lezi zimpawu zivame ukuvela esweni elilodwa kuqala, kodwa ngezinye izikhathi zingathinta womabili amehlo. Lokhu kungaqala ngokuzumayo futhi kungaholela ekulahlekelweni umbono unomphela uma kungelashwa kahle, ngakho-ke uma uhlangabezana nanoma yiziphi zalezi zimpawu, kufanele ubonane nodokotela wamehlo, udokotela ochwepheshe wamehlo, ngokushesha.
Zikhona yini izinhlobo ze-uveitis?
Yebo, i-Uveitis ingahlukaniswa ngezinhlobo ezine eziyinhloko kuye ngokuthi ukuvuvukala kwenzeka kuphi ngaphakathi kweso. Ake sibone ukuthi kuyini.
| Uhlobo lwe-Uveitis | Ingxenye yeso ethintekile |
|---|---|
| I-Anterior uveitis | Kuthinta ingxenye engaphambili yeso (phakathi kwe-cornea nengxenye enombala yeso ) . Lokhu kubizwa nangokuthi i-iritis . Lolu uhlobo oluvame kakhulu lwe-iritis ezigulini ezine-Ankylosing Spondylitis. |
| I-uveitis ephakathi | Kuthinta i-retina , imithambo yegazi, kanye nengxenye yeso efana nejeli (umzimba we-vitreous) ngemuva kwelensi. |
| I-uveitis yangemuva | Kuthinta ungqimba lwangaphakathi ngemuva kweso, okungukuthi i-retina noma i-choroid . |
| I-Panuveitis | Uma ukuvuvukala kusakazekela kuzo zonke izingqimba ze- uvea , kusukela ngaphambili kuya ngemuva kweso. |
Lesi sifo sitholakala futhi selashwa kanjani?
Uma une-Ankylosing Spondylitis, kubalulekile ukunaka kakhulu amehlo akho. Ikakhulukazi uma uzwa umuzwa wokudubula esweni lakho, ukubomvu nobuhlungu, noma ukubona okufiphele, ungakushayi indiva. Khuluma nodokotela wakho ngokushesha okukhulu. Lokhu kungasiza ekuvimbeleni ukuhlonza okungalungile futhi uqale ukwelashwa okufanele ngokushesha okukhulu.
Ngezinye izikhathi, lapho kuhlolwa umuntu one-anterior uveitis eqhubekayo, kutholakala ukuthi uke wayithola i-Ankylosing Spondylitis engakatholakali. Kukhona ukuxhumana okuqinile phakathi kwalezi zifo ezimbili.
Ukuxilongwa
Udokotela wakho uzoqala azame ukuthola imbangela eqondile yezimpawu zakho, njengoba i-uveitis ingabangelwa nezinye izimo (njenge-syphilis, isifo sofuba, noma isifo se-Lyme).
Ukuhlolwa okukhethekile okwenziwayo futhi ukuhlolwa kwegazi ukuhlola ukuba khona kwesakhi sofuzo esibizwa ngokuthi (HLA-B27) . Lesi sakhi sofuzo sitholakala emaphesentini amaningi eziguli ezine-Ankylosing Spondylitis, cishe ama-88%. Lokhu kuhlolwa kusiza kakhulu ekuqinisekiseni ukuxilongwa.
Ukwelashwa
Ukwelashwa kuvame ukuhilela amaconsi amehlo noma imijovo equkethe ama-corticosteroids , alawula ukuvuvukala nokuvuvukala ngaphakathi kweso.
Kodwa-ke, kuye ngokuthi isimo sakho sibucayi kangakanani nokuthi sivame kangakanani, udokotela wakho angase akunikeze imithi eyengeziwe. Ungalokothi uyeke ukuthatha noma uyeke imithi ngaphandle kokubonisana nodokotela.
Umlayezo Wokuya Nawe Ekhaya
- I-Ankylosing Spondylitis akuyona nje isifo esithinta umgogodla, kodwa ingathinta namehlo akho, okubangela isimo esibizwa ngokuthi i-uveitis.
- Hlala uqaphele izimpawu ezifana nokubomvu kwamehlo, ubuhlungu, ubunzima bokubheka ukukhanya, kanye nokungaboni kahle.
- Uma uhlangabezana nanoma yiziphi zalezi zimpawu, bonana nodokotela wamehlo ngokushesha. Ukulibazisa ukwelashwa kungaholela ekulimaleni kwamehlo unomphela.
- Uma ubona udokotela wamehlo, qiniseka ukuthi uyamtshela ukuthi une-Ankylosing Spondylitis.
- Kunezindlela zokwelapha ezisebenza kahle kakhulu kulokhu. Uma ukwelashwa kuqalwa ngokushesha, imiphumela iba ngcono.
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