Ubuhlungu bomhlane obuvamile, ukuqina... Ingabe lokhu kuyi-Ankylosing Spondylitis (AS)?

Ingabe nawe ubulokhu uzwa ubuhlungu obuvamile emhlane wakho nasezinqeni kusukela usemusha? Ikakhulukazi uma uvuka ekuseni, ingabe umhlane wakho uzizwa uqinile futhi kuzwakala kunzima ukugoba noma ukwenza noma yimuphi umsebenzi isikhashana? Sivame ukukhohlwa ngezinto ezinjalo, sicabanga ukuthi "kungaba ukuklwebheka" noma "kungaba ngenxa yokukhathala ngenxa yomsebenzi." Kodwa-ke, lokhu kungaba yisimo esidinga ukunakwa okwengeziwe. Namuhla sikhuluma ngesifo esifana nalesi, futhi abantu abaningi abangasazi kahle, kodwa kubaluleke kakhulu ukusazi. Leso yi -Ankylosing Spondylitis .

Kuyini i-Ankylosing Spondylitis (AS) kalula?

Kalula nje, uhlobo lwe-arthritis oluthinta amalunga omgogodla. Luthinta kakhulu umgogodla wakho kanye namalunga e-sacroiliac, lapho ingxenye engezansi yomgogodla wakho ixhumana khona namathambo akho enqulwini. Lesi sifo sibangela ukuthi amasosha omzimba wakho ahlasele la malunga ngephutha, okubangela ukuvuvukala okungapheli .

Njengoba lokhu kuvuvukala kuqhubeka ngokuhamba kwesikhathi, kungabangela ubuhlungu emhlane nasesinqeni, kunciphise ukuguquguquka komgogodla, futhi kunciphise ukunyakaza . Abanye abantu bangase babe nentamo eqinile ngokuhamba kwesikhathi.

Kuthiwa cishe umuntu oyedwa kwabayi-1000 emhlabeni wonke angaba nalesi simo. Akukho ukwelashwa kwalesi sifo okwamanje. Kodwa ungakhathazeki , uma lesi sifo sitholakala kahle futhi selashwa ngaphansi kweseluleko sikadokotela oqeqeshiwe, ungasilawula kahle lesi sifo futhi uphile impilo evamile.

Ubani osengozini enkulu yokuthola lesi sifo?

Kungani abanye abantu beba nalesi sifo? Nakuba imbangela eqondile ingakatholakali, ososayensi bathole izici eziningana ezandisa ingozi.

Ithonya lezakhi zofuzo (izakhi zofuzo)

Kutholakale ukuthi amathonya ezakhi zofuzo yiwona imbangela eyinhloko yalesi sifo.

• Izakhi zofuzo ze-HLA-B27: Lesi yizakhi zofuzo ezihlotshaniswa kakhulu nalesi sifo. Lesi sakhi sofuzo sisiza amasosha omzimba wethu ukuthi aqaphele ukuthi 'lawa amangqamuzana ethu' kanye 'negciwane noma amagciwane angaphandle'. Abantu abanohlobo oluthile lwalesi sakhi sofuzo (uhlobo lwe-'HLA-B27) basengozini enkulu yokuthola i-AS.
• Into ebaluleke kakhulu: Kodwa into ebaluleke kakhulu lapha ukuthi ngoba nje unalesi sakhi sofuzo esithi HLA-B27 emzimbeni wakho, awukwazi ukusho ukuthi uzoba nalesi sifo. Iningi labantu abanalesi sakhi sofuzo ngeke liphinde libe nalesi sifo. Futhi, abantu abangenaso lesi sakhi sofuzo nabo bangasithola lesi sifo.
• Ezinye izakhi zofuzo: Ngaphezu kwalokho, ezinye izakhi zofuzo eziningana ezihlobene nesimiso somzimba sokuzivikela, njenge-'ERAP1, IL1A, kanye ne-IL23R, kutholakale ukuthi zihlobene nalesi sifo.

Ezinye Izimo Zokuvuvukala

Abanye abantu abane- AS bangase babe nezinye izimo zokuvuvukala. Isibonelo:

• I-Psoriasis
• I-Ulcerative Colitis
• Isifo sikaCrohn

Ngakho-ke, uma othile emndenini wakho enalezi zimo, noma i-Ankylosing Spondylitis, nawe ungase ube sengozini.

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Indlela ubulili nobudala obuthinta ngayo

Izimpawu ze-AS zivame ukuqala ngaphambi kweminyaka engama-40. Ngezinye izikhathi, izimpawu zingavela zisencane kakhulu eminyakeni eyi-16, okubizwa ngokuthi i-'juvenile-onset ankylosing spondylitis'.

Indlela lesi sifo esiziphatha ngayo iyahlukahluka kuye ngobulili. Ukuqaphela lokhu kuhluka kuzosiza kakhulu ekuxilongweni kwesifo kusenesikhathi.

Esinye sezizathu ezenza abesifazane bavame ukubambezeleka ekuxilongweni yimbono engafanele emphakathini futhi mhlawumbe ngisho nodokotela yokuthi lesi 'yisifo sabesilisa'. Futhi, ngenxa yokuthi izimpawu zabesifazane zihlukile kwezabesilisa (ngisho nokuskena kwe-MRI kungabonisa umonakalo omncane womgogodla), kungathatha isikhathi ukuthola lesi sifo.

Ingabe uhlanga kanye nobuzwe nakho kunendima?

Yebo, uhlanga ludlala indima ngezinga elithile. Izifundo zikhombisile ukuthi lesi sifo sivame kakhulu kubantu abamhlophe, ikakhulukazi emazweni asenyakatho yeYurophu. Asivamile kangako kubantu abamnyama base-Afrika.

Kodwa kukhona iphuzu elibalulekile lapha. Nakuba ingozi yokuthola lesi sifo iphansi, izifundo zibonisa ukuthi uma umuntu omnyama eba ne-AS, ubukhali besifo bungakhuphuka .

Futhi, cishe ama-90% abantu abamhlophe abane-AS bane-gene ye-HLA-B27. Kodwa-ke, ama-50%-60% kuphela abantu abamnyama abane-AS abanale gene. Ngakho-ke, kubalulekile ukucabangela uhlanga kanye nesizinda sezakhi zofuzo lapho uxilonga.

Ukuxilongwa okulibazisekile kanye nomthelela wako

Kubantu abaningi, kuthatha iminyaka eyi-8 kuya kweyi-10 ukuthi lesi sifo sitholakale kahle ngemva kokuqala kwezimpawu. Lokhu kubambezeleka kungaba isikhathi eside nakakhulu kwabesifazane, ikakhulukazi.

Lokhu kubambezeleka kuholela ekwelashweni okulibazisekile. Lokhu kwandisa umonakalo ongase ubangelwe yilesi sifo. Ngokuhamba kwesikhathi, amathambo emgogodleni angahlangana ndawonye (ukuhlangana), futhi ukunyakaza komgogodla kungalahleka ngokuphelele.

Ukuxilongwa kusenesikhathi kanye nokwelashwa kubalulekile ekugcineni impilo enhle kanye nokulawula lesi sifo.

Ngakho-ke, uma unezinhlungu ezingapheli emhlane, ukuqina kwasekuseni, noma ezinye izimpawu, ikakhulukazi uma ungowesifazane , sicela ungakuzibi. Bona udokotela ofanelekayo bese ukhuluma ngezimpawu zakho ngokucacile. Ungesabi ukucela i-X-ray noma i-MRI scan uma kudingeka. Unelungelo lokuzikhulumela.