Ubuhlungu bomhlane buvamile kubantu abaningi. Kodwa ingabe uzizwa uqinile futhi ubuhlungu uma uvuka ekuseni? Ingabe ubuhlungu buyaphela njengoba usebenza usuku lonke, bese bubuya uma uhleli isikhathi eside kakhulu? Lokhu kungase kungabi nje ubuhlungu bomhlane obulula. Namuhla sikhuluma ngesimo esingavamile kodwa esilawulwa kahle esibangela izimpawu ezifanayo. Leso yi -Ankylosing Spondylitis .
Iyini ngempela i-Ankylosing Spondylitis (AS)?
Kalula nje, i-Ankylosing Spondylitis (AS) uhlobo olungavamile lwe-arthritis oluthinta umgogodla wakho. Kuyisifo esihlasela amasosha omzimba. Lokhu kusho ukuthi uhlelo lwethu lokuzivikela lomzimba luqala ukuhlasela amangqamuzana ethu ngaphandle kwesizathu. Lesi sifo sihlala isikhathi eside. Ngokuvamile siqala emhlane ongezansi. Ukusuka lapho, singasakazekela entanyeni futhi sithinte amanye amalunga emzimbeni.
Njengoba igama lisho, igama elithi "Ankylosis" lisho ukuhlanganiswa kwamathambo ndawonye. Igama elithi "Spondylitis" lisho ukuvuvukala kwamathambo omgogodla. Uma lesi sifo sibi kakhulu, umgogodla ungase ugobe phambili ube njengedome.
Kodwa ungakhathazeki. Nakuba i-AS ingelapheki ngokuphelele, imithi efanele kanye nokuzivocavoca kungasiza ekulawuleni ubuhlungu futhi kugcine umgogodla wakho uqinile.
Ziyini izimpawu zalesi sifo?
NJENGOBA izimpawu ziyahlukahluka kumuntu nomuntu. Ngokuvamile kuqala ngokuvuvukala kwamalunga e-sacroiliac, lapho umgogodla wakho uxhumana khona namathambo akho enqulwini. Ekuqaleni, ungase uzwe ubuhlungu nokuqina emhlane wakho ongezansi nasemaqakaleni. Njengoba lesi sifo siqhubeka, singathinta nemisipha kanye nemisipha exhumanisa amathambo akho nomgogodla wakho. Ezimweni ezimbi kakhulu, umgogodla wakho ungahlangana.
Ake sibone ukuthi yiziphi ezinye izimpawu ezivamile ezikuleli thebula elingezansi.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu bomhlane kanye nenqulu | Ukuqina nobuhlungu okwandayo, ikakhulukazi ekuseni nangemva kokuhlala isikhathi eside. |
| Ubuhlungu entanyeni, emahlombe, kanye nasezimbanjeni | Lobuhlungu bungenzeka uma lesi sifo sisakazekela emgogodleni. |
| Ubuhlungu kwamanye amalunga | Ubuhlungu nokuvuvukala kwamalunga ezindaweni ezifana nezinyawo, izithende, izandla. |
| Ubunzima bokugcina umhlane wakho uqondile | Ngokuhamba kwesikhathi, umgogodla ugoba phambili (njengesinqe esinomhlane). |
| Ukukhathala | Ukuzizwa ukhathele ngaso sonke isikhathi ngenxa yokuvuvukala emzimbeni. |
| Ezinye izici | Ukuqubuka kwesikhumba, izinkinga zokubona (uveitis), ubunzima bokuphefumula. |
Lezi zimpawu azifani kuwo wonke umuntu. Izimpawu zingase zande ngezikhathi ezithile (ukuqubuka) futhi zinciphe ngezinye izikhathi.
Kungani lokhu kwenzeka? Ubani osengozini enkulu?
I-AS yisifo "esihlasela amasosha omzimba," okusho ukuthi amasosha omzimba ahlasela amangqamuzana awo. Odokotela abasazi kahle ukuthi kungani lokhu kwenzeka. Kodwa-ke, kutholakale ukuthi inesixhumanisi sezakhi zofuzo esisebenza emindenini .
Abantu abaningi abane-AS bane-gene ebizwa ngokuthi i-`HLA-B27`. Akuwona wonke umuntu onale gene ozokhula abe ne-AS, kodwa abantu abanale gene basengozini enkulu yokuthola lesi sifo.
Ubani osengozini enkulu?
- Kwabesilisa: Lesi sifo sivame kakhulu kwabesilisa kunakwabesifazane.
- Kubantu abangaphansi kweminyaka engama-40 ubudala: Lesi sifo sivame ukuqala cishe eminyakeni engama-30.
- Umlando womndeni : Uma isihlobo esiseduze emndenini wakho sine-AS, nawe usengozini enkulu.
- Abantu abanezinye izifo zokuzivikela komzimba njengesifo sikaCrohn, i-psoriasis, kanye ne-ulcerative colitis nabo basengozini enkulu yokuthola i-AS.
Udokotela ukuthola kanjani lokhu?
Ubuhlungu bomhlane buwuphawu oluvamile, ngakho kungaba nzima ukuthola i-AS ezigabeni zokuqala. Udokotela wakho uzolalela ngokucophelela izimpawu zakho. Ngaphezu kwalokho, angenza izivivinyo ezilandelayo:
- Ukuhlolwa komzimba : Umhlane wakho, ukunyakaza kwamalunga, kanye nezindawo zobuhlungu kuzohlolwa.
- Ukuhlolwa kwegazi: Ukuhlolwa kwegazi kwenziwa ukuhlola ukuba khona kwesakhi sofuzo i-`HLA-B27` kanye nokukala izinga lokuvuvukala emzimbeni.
- Ukuhlolwa kwezithombe: Kungenziwa i-X-ray noma i-MRI scan ukuze kubhekwe izinguquko emgogodleni nasemalungeni.
Ezimweni eziningi, udokotela womndeni wakho uzokudlulisela kudokotela wamathambo, udokotela ogxile ezifweni ezifana ne-arthritis.
Yiziphi izindlela zokwelapha lokhu?
Kunezindlela eziningana zokwelapha ze-AS. Izinhloso eziyinhloko zalezi zindlela zokwelapha ukunciphisa ubuhlungu nokuqina, ukulondoloza ukuhamba komgogodla, nokulawula ukuqhubeka kwesifo.
Ukuzivocavoca kanye nokwelashwa ngokomzimba
Lena yingxenye ebaluleke kakhulu yokuphatha i-AS. Uma usebenza kakhulu, uzozizwa ungcono.
- Ukuzivocavoca: Kusiza ukugcina umgogodla uqondile, amalunga aguquguquka, futhi kunciphisa ubuhlungu. Ukuzivocavoca emanzini (i-aqua therapy) kuyazuzisa abantu abaningi.
- Ukwelashwa ngokomzimba: Uchwepheshe wezokwelapha ngokomzimba angakufundisa indlela yokugcina ukuma okufanele, ukwelula imisipha eqinile, nokunciphisa ubuhlungu.
Imithi
Udokotela wakho angase akunike imithi ehlukene kuye ngesimo sesimo sakho.
| Uhlobo lwesidakamizwa | Incazelo nezibonelo |
|---|---|
| Ama-NSAID (Izidakamizwa Ezingavimbeli Ukuvuvukala) | Imithi enikezwa kuqala ukunciphisa ukuvuvukala nobuhlungu. Isibonelo: I-Ibuprofen, i-Naproxen. Kodwa-ke, lokhu kungabangela imiphumela emibi njengokuphuma kwegazi emathunjini uma kuthathwa isikhathi eside. |
| Ama-blocker e-TNF | Lokhu kuvimbela into ethile emzimbeni ebangela ukuvuvukala. Lokhu kunikezwa njengemijovo. Izibonelo: I-Adalimumab (Humira), I-Etanercept (Enbrel). |
| Izithibi ze-IL-17 | Lolu olunye uhlobo lomjovo olulawula ukuvuvukala. Isibonelo: i-Secukinumab (Cosentyx), i-Ixekizumab (Taltz). |
| Izithibi ze-JAK | Lezi yizinhlobo ezintsha zemithi ezingathathwa njengamaphilisi. Isibonelo: iTofacitinib (Xeljanz), iUpadacitinib (Rinvoq). |
Ukuhlinzwa
Iningi labantu abane-AS abadingi ukuhlinzwa. Kodwa kulabo abanesifo esibi kakhulu,
- Ukuhlinzwa kokufakelwa kwamalunga: Faka esikhundleni samalunga alimele kakhulu, njenge-hip joint.
- Ukuhlinzwa kwe-osteotomy yomgogodla: Qondanisa umgogodla ogobile kakhulu .
Izinto okufanele uzicabangele uma uhlala ne-AS
Ukuphila ne-AS kungaba yinselele ngezinye izikhathi, kodwa ukunakekela impilo yakho engokomzimba nengokwengqondo kungenza impilo yansuku zonke ibe lula.
- Ukudla: Nakuba kungekho ukudla okuqondile kwe-AS, ukugcina isisindo esinempilo kubalulekile. Lokhu kungenxa yokuthi isisindo esengeziwe sibeka ingcindezi enkulu emalungeni. Kungcono ukugxila ekudleni okunciphisa ukuvuvukala, njengezinhlanzi, izithelo, nemifino ecebile ngama-omega-3 fatty acids.
- Gwema ukubhema: Kuye kwabonakala ukuthi izimpawu ze-AS kubantu ababhemayo ziya ziba zimbi ngokuhamba kwesikhathi.
- Impilo yengqondo: Kuvamile ukuzwa imizwa yokukhungatheka, ukudabuka, ukukhathazeka, kanye nokucindezeleka lapho uphila nobuhlungu obungapheli. Uma uhlangabezana nale mizwa, ukufuna ukwelulekwa noma ukujoyina iqembu lokusekelana nabantu abanjengawe kungaba usizo kakhulu.
- Lala kahle: Ubuhlungu bungaphazamisa ubuthongo. Kodwa ukulala kahle ebusuku kubalulekile ukuze umzimba ululame futhi ulondoloze amandla. Sebenzisa imicamelo enciphisa ingcindezi emhlane nasentanyeni yakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Ankylosing Spondylitis (AS) akuyona nje inkinga yomgogodla, kodwa isifo samathambo esingamahlalakhona esithinta umgogodla.
- Uma uqhubeka nokuba nobuhlungu ekuseni, ungakushayi indiva bese ubona udokotela wakho. Ukuxilongwa kusenesikhathi kubalulekile.
- Ukuzivocavoca kanye nokwelashwa ngokomzimba kuyizinto ezimbili ezibalulekile ekuphatheni lesi sifo. Ukuhlala umatasa kuzokwenza umehluko omkhulu.
- Kunemithi ephumelela kakhulu etholakalayo namuhla yokulawula ubuhlungu nokuvuvukala. Landela imiyalelo kadokotela wakho ngqo.
- Nakuba kungekho ikhambi eliphelele lalokhu, ngokuphathwa kahle ungaphila impilo evamile nesebenzayo. Ngakho ungalilahli ithemba.
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