Ingabe uzizwa ubuhlungu obukhulu emhlane nasezinqeni uma usukuma ngemva kokuhlala isikhathi eside, ikakhulukazi uma uvuka embhedeni ekuseni? Uma ubuhlungu bubonakala buphela uma uhamba kancane, ungakhohlwa ukuthi lokhu kuyinkinga yomhlane nje. Namuhla sikhuluma ngesimo abantu abaningi abangasazi, kodwa esingaba nomthelela omkhulu empilweni yabo. Leso yi-Ankylosing Spondylitis, noma i-AS ngamafuphi.
Kalula nje, iyini i-ankylosing spondylitis (AS)?
I-Ankylosing spondylitis (AS) uhlobo lwe-arthritis. Ithinta kakhulu amalunga emgogodleni wakho. Khumbula ukuthi umgogodla wethu awakhiwanga ngethambo elilodwa elide, kodwa amathambo amaningi amancane abizwa ngokuthi ama-vertebrae. Ku-AS, ukukhubazeka ohlelweni lokuzivikela lomzimba wethu kubangela ukuvuvukala kwamalunga phakathi kwala ma-vertebrae kanye nemisipha ewasekelayo.
Kalula nje, amalunga ayavuvukala, abe bomvu, futhi abe buhlungu. Uma lokhu kuvuvukala kuqhubeka, umzimba uzama ukulungisa umonakalo ngokwakha ithambo elisha. Ngokuhamba kwesikhathi, leli thambo elisha lingabangela ukuthi amathambo omgogodla ahlangane. Lokhu kubizwa ngokuthi i-fusion . Uma lokhu kwenzeka, umgogodla ulahlekelwa ukuguquguquka kwawo futhi kuba nzima ukugcina umgogodla uqondile. Lesi simo asigcini nje ngomgogodla, kodwa ngezinye izikhathi singathinta izindawo ezifana nezinqe, amahlombe, amadolo, namaqakala.
Lokhu akuyona nje inkinga evamile yomgogodla. Lesi yisimo esingapheli, sokuvuvukala kwamalunga esibangelwa ukuzivikela komzimba. Ngakho-ke, kubaluleke kakhulu ukusixilonga nokuselapha ngendlela efanele.
Kungani lezi zimpawu zifana nezinye izifo?
Isizathu esiyinhloko esenza abantu abaningi bangayiboni i-AS ezigabeni zokuqala ukuthi izimpawu zayo zifana nobuhlungu obuvamile bomhlane, ukuklwebheka , noma ubuhlungu bemisipha obubangelwa ukuzikhandla. Abantu abaningi bayayishaya indiva, becabanga izinto ezinjengokuthi, "Ngisebenze kanzima kakhulu namuhla," noma "Kumelwe ukuthi bengihleli endaweni engafanele."
Kodwa indlela ebonakala ngayo ku-AS ihlukile kancane. Ubuhlungu obujwayelekile bomhlane buzophela ngokuphumula. Kodwa ku-AS, kwenzeka okuphambene nalokho. Ubuhlungu nokuqina kuphezulu kakhulu ngemva kokuphumula, ikakhulukazi lapho uvuka ekuseni. Njengoba usuku luqhubeka nomzimba uqala ukuvivinya umzimba, ubuhlungu buyancipha kancane kancane. Lona umehluko okudingeka siwuqonde.
Yiziphi izimpawu eziyinhloko?
Izimpawu ze-AS zingahluka kumuntu nomuntu, kodwa kunezinye izimpawu ezivamile. Ake sibheke ukuthi ziyini.
| Isibonakaliso | Incazelo Elula |
|---|---|
| Ubuhlungu nokuqina endaweni yasemhlane nasemaqakaleni | Kwenzeka ikakhulukazi ekuseni noma ngemva kokuma isikhathi eside. Umgogodla uzizwa uqinile futhi kunzima ukugoba. Lesi simo siyancipha ngokuzivocavoca noma ukuhamba. |
| Ubuhlungu emalungeni enqulu | Ngaphezu kobuhlungu bomhlane, ubuhlungu bungase buvele kwelinye noma kuwo womabili amalunga esinqe. Lokhu kungase kusakazekele nasesinqeni. |
| Ubuhlungu bentamo | Njengoba lesi sifo siqhubeka, singathinta nezingxenye ezingaphezulu zomgogodla, okubangela ubuhlungu nokuqina kwentamo. |
| Ubuhlungu be-Ligament kanye ne-tendon | Ubuhlungu bungenzeka ezindaweni lapho imisipha nemisipha kuhlangana khona namathambo. Lokhu kuvame ukubonakala ngemuva kwesithende (i-Achilles tendon) kanye naphansi konyawo. |
| Ukukhathala | Ngenxa yokuvuvukala okuqhubekayo emzimbeni, ungase uzizwe ukhathele kakhulu futhi ukhathele ngaphandle kwesizathu. |
Ingabe isimo singaba sibi kakhulu ngokuhamba kwesikhathi?
Uma i-AS ingaphathwa kahle, izinkinga zingavela ngokuhamba kwesikhathi. Akuwona wonke umuntu ozobhekana nalezi zinkinga, kodwa kubalulekile ukuzazi.
- I-Uveitis: Lena inkinga evame kakhulu. Iso lingase libe bomvu ngokuzumayo, libe buhlungu, futhi lingakwazi ukubona ukukhanya. Uma uhlangabezana nanoma yiziphi zalezi zimpawu , kubalulekile ukubona udokotela ngokushesha. Uma kungelashwa, kungenzeka ukulahlekelwa umbono.
- Ukuqhekeka Kokucindezela:Ukuvuvukala kwenza amathambo abe buthaka futhi kungabangela ukuthi aphuke ngisho nangengcindezi encane kakhulu.
- Izinkinga zenhliziyo: Akuvamile kakhulu, ukuvuvukala kungathinta i-aorta, umthambo wegazi oyinhloko wenhliziyo.
Kufanele uye nini kudokotela?
Ungakushayi indiva, ucabange ukuthi, "Mhlawumbe ubuhlungu bomhlane nje." Uma unesinye noma ngaphezulu kwalezi zimpawu ezilandelayo, kungcono ukubona udokotela womndeni wakho ngokushesha okukhulu ukuze uxoxe ngakho.
- Ubuhlungu bomhlane ekuseni kanye nokuqina okuhlala isikhathi esingaphezu kwengxenye yehora.
- Ukuvuka ebuthongweni ebusuku, ikakhulukazi ekuseni, ngenxa yobuhlungu bomhlane.
- Ubuhlungu obandayo ngokuphumula futhi buyancipha ngemisebenzi efana nokuhamba nokuzelula.
- Ubuhlungu obushintshashintshayo ezinqeni (isibonelo, ubuhlungu ohlangothini lwesokudla ngezinye izinsuku kanye nobuhlungu ohlangothini lwesobunxele ngezinye izinsuku).
- Ukuba nelungu lomndeni eline-AS noma isimo esifanayo sokuvuvukala kwamalunga.
Ngalesi sikhathi, udokotela wakho uzokuxilonga futhi, uma kudingeka, akuthumelele i-X-ray, ukuhlolwa kwegazi (isib. i-ESR, i-CRP), futhi ngezinye izikhathi i-MRI scan. Ukuxilongwa kusenesikhathi kungasiza ekulawuleni ubuhlungu, kuvimbele i-spinal stenosis, futhi kukuvumele ukuthi uphile impilo evamile.
Umlayezo Wokuya Nawe Ekhaya
- I-Ankylosing spondylitis (AS) yisimo sesikhathi eside esihilela amasosha omzimba esidlulela ngale nje kobuhlungu bomhlane obuvamile.
- Uphawu oluyinhloko ubuhlungu nokuqina emhlane nasemaqakaleni ngemva kokuphumula, ikakhulukazi ekuseni, kodwa okuncipha ngokuzivocavoca umzimba.
- Ukungazinaki lezi zimpawu kungaholela ekulahlekelweni kokuguquguquka komgogodla ngokuhamba kwesikhathi kanye nezinkinga.
- Uma unezinye zezimpawu ezingenhla, gwema ukuzihlola futhi nakanjani uxhumane nodokotela wakho. Ukuxilongwa kusenesikhathi kanye nokwelashwa kungakusiza ukuthi uphile impilo engcono.
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