Izinkinga ze-Ankylosing Spondylitis

-Delile

• Yini i-AS?
• Izinkinga ze-AS
• Ukuqina nokuncipha kokuguquguquka
• Isilonda
• Umonakalo ohlangene
• Ukukhathala
• I-osteoporosis namathambo aqhekekile
• Isifo senhliziyo
• Isifo se-GI
• Izinkinga ezingavamile
• ICauda Equina Syndrome
• I-Amyloidosis
• Ukubonana nodokotela nini

Ubuhlungu beqolo bungezinye zezikhalazo zezokwelapha ezivame kakhulu eMelika namuhla.

Eqinisweni, ngokusho kweNational Institute of Neurological Disorders and Stroke, cishe amaphesenti angama-80 wabantu abadala abathola izinhlungu ezisezingeni eliphansi emuva esikhathini esithile sokuphila kwabo.

Imbangela yobuhlungu beqolo ivame ukushiywa ingatholakali. Kwehliswe njengenkinga ecasulayo, efihlwe yimithi yezinhlungu ezithengiswa futhi ivame ukushiywa ingalashwa.

Kodwa-ke, ukuxilongwa okuthile kwembangela kungenzeka. Kwezinye izimo, ubuhlungu beqolo bungaba umphumela we-ankylosing spondylitis (AS).

Yini i-AS?

I-AS iyindlela eqhubekayo, yokuvuvukala ye-arthritis ethinta amathambo e-axial (umgogodla) namalunga aseduze.

Ukuvuvukala okungapheli ngokuhamba kwesikhathi kungadala ukuthi umgogodla osemgogodleni uhlangane ndawonye. Ngenxa yalokho, umgogodla uzoba ngaphansi kokuguquguquka.

Njengoba lesi sifo siqhubeka, umgogodla ulahlekelwa ukuguquguquka kwawo, kuthi izinhlungu zasemhlane zikhule kakhulu. Izimpawu zokuqala zalesi sifo zifaka:

• ubuhlungu obungapheli emhlane wakho ophansi nasezinqeni
• ukuqina emhlane wakho ophansi nasezinqeni
• ukwanda kobuhlungu nokuqina ekuseni noma ngemuva kwesikhathi eside sokungasebenzi

Abantu abaningi abanalesi sifo bazingela phambili. Ezimweni ezisezingeni eliphakeme zalesi sifo, ukuvuvukala kungaba kubi kangangokuba umuntu akakwazi ukuphakamisa ikhanda lakhe ukuze abone phambi kwabo.

Izici zobungozi be-AS zifaka:

• Ubudala: Ubusha besikhathi esizayo noma ukuba mdala lapho kulapho kungenzeka ukuthi kwenzeke khona.
• Ubulili: Ngokuvamile abesilisa banamathuba amaningi okuthi bahlakulele i-AS.
• Izakhi zofuzo: Iningi labantu abane-AS banalo, noma lingakuqinisekisi ukuthuthuka kwalesi sifo.

Izinkinga ze-AS

Ukuqina nokuncipha kokuguquguquka

Uma kushiywe kungalashwa, ukuvuvukala okungapheli kungadala ukuthi amathambo omgogodla wakho ahlangane ndawonye. Uma lokhu kwenzeka, umgogodla wakho ungancipha kakhulu futhi ube lukhuni ngokwengeziwe.

Kungenzeka wehlise ububanzi bokunyakaza lapho:

• ukugoba
• ukusonteka
• iyajika

Ungase futhi ube nobuhlungu obukhulu emuva obuvame kakhulu.

Ukuvuvukala akukhawulelwanga kumgogodla wakho nakuma-vertebrae. Kungabandakanya amanye amalunga aseduze, kufaka phakathi:

• okhalweni
• emahlombe
• izimbambo

Lokhu kungadala ubuhlungu obuningi nokuqina emzimbeni wakho.

Ukuvuvukala kungaphinde kuthinte imisipha nemisipha exhuma emathanjeni akho, angenza amalunga anyakazayo abe nzima kakhulu.

Kwezinye izimo, izitho, ezinjengamathumbu akho, inhliziyo, noma amaphaphu akho angathinteka ngenqubo yokuvuvukala.

Isilonda

I-Iritis (noma i-uveitis yangaphakathi) uhlobo lokuvuvukala kwamehlo okungaba ngamaphesenti angama-50 abantu abanolwazi lwe-AS. Uma ukuvuvukala kusakazeka emehlweni akho, ungaqala:

• ubuhlungu beso
• ukuzwela ekukhanyeni
• ukungaboni kahle

I-Iritis ngokuvamile iphathwa ngamaconsi e-topical corticosteroid futhi idinga ukunakekelwa kwezokwelapha ngokushesha ukuvimbela umonakalo.

Umonakalo ohlangene

Yize indawo eyinhloko yokuvuvukala kungumgogodla, ubuhlungu nokulimala ngokuhlanganyela nakho kungenzeka ku:

• umhlathi
• isifuba
• intamo
• emahlombe
• okhalweni
• amadolo
• amaqakala

Ngokwe-Spondylitis Association of America, cishe amaphesenti ayi-15 abantu abane-AS banokuvuvukala kwemihlathi, okungathinta ukuhlafuna nokugwinya.

Ukukhathala

Ucwaningo olulodwa lubonise ngabantu abanolwazi lwe-AS:

• ukukhathala, indlela eyeqisayo yokukhathala
• Inkungu yobuchopho
• ukungabi namandla

Kunezici eziningana ezingaba nomthelela kulokhu, njenge:

• i-anemia
• ukulahlekelwa ukulala ngenxa yobuhlungu noma ukungaphatheki kahle
• ubuthakathaka bemisipha buphoqa umzimba wakho ukuthi usebenze kanzima
• ukudana, ezinye izinkinga zempilo yengqondo, kanye
• izidakamizwa ezithile ezisetshenziselwa ukwelapha i-arthritis

Ukwelapha ukukhathala kuvame ukudinga ukwelashwa okuningi ukubhekana nabanikeli abahlukahlukene.

I-osteoporosis namathambo aqhekekile

I-osteoporosis iyinkinga eyenzeka njalo kubantu abane-AS futhi ingadala amathambo abuthakathaka. Kuze kube uhhafu wabo bonke abantu abanalesi simo nabo bane-osteoporosis.

Amathambo awonakele nabuthakathaka angaphuka kalula. Kubantu abane-AS, lokhu kuyiqiniso ikakhulukazi emgogodleni womgogodla. Ukwephuka emathanjeni omgogodla wakho kungalimaza umgogodla wakho nezinzwa ezixhumeke kuwo.

Isifo senhliziyo

I-AS ihlotshaniswe nenombolo, kufaka phakathi:

• i-aortitis
• isifo se-aortic valve
• isifo senhliziyo
• Ischemic isifo senhliziyo

Ukuvuvukala kungathinta inhliziyo yakho kanye ne-aorta. Ngokuhamba kwesikhathi, i-aorta ingakhuliswa futhi ihlanekezelwe ngenxa yokuvuvukala. I-aortic valve eyonakele ingaphazamisa ikhono lenhliziyo yakho ukuze lisebenze kahle.

kungafaka:

• i-fibrosis yama-lobes aphezulu
• isifo samaphaphu esiphakathi
• ukukhubazeka komoya
• ukulala ubuthongo
• kwawa amaphaphu

Isifo se-GI

Abantu abaningi abane-AS bahlangabezana nokuvuvukala kwepheshana lamathumbu namathumbu okubanga:

• ubuhlungu besisu
• isifo sohudo
• ezinye izinkinga zokugaya ukudla

AS inezixhumanisi eziya ku-:

• ukulunywa yizilonda emathunjini
• Isifo sikaCrohn

Izinkinga ezingavamile

ICauda Equina Syndrome

I-Cauda equina syndrome (i-CES) iyinkinga engajwayelekile ekhubaza imizwa ye-AS eyenzeka kakhulu kubantu asebene-AS iminyaka eminingi.

I-CES ingaphazamisa ukusebenza kwezimoto nezinzwa emilenzeni engezansi nasesinyeni. Kungadala ngisho nokukhubazeka.

Ungahle uzwe:

• Ubuhlungu obuphansi emuva obungahle buphume phansi emlenzeni
• ukuba ndikindiki noma ukunciphisa imizwa emilenzeni
• ukwehluleka ukulawula isinye noma amathumbu

I-Amyloidosis

I-Amyloidosis yenzeka lapho iphrotheni ebizwa ngokuthi i-amyloid yakhela ezicutshini nasezithweni zakho. I-Amyloid ayitholakali ngokwemvelo emzimbeni futhi ingadala ukwehluleka komzimba.

I-renal amyloidosis kwakuyindlela ejwayelekile kakhulu etholakala kubantu abane-AS.

Ukubonana nodokotela nini

Ngokufanelekile, wena nodokotela wakho nizothola futhi nihlole i-AS yenu kusenesikhathi. Ungaqala ukwelashwa kusenesikhathi okungakusiza ukunciphisa izimpawu futhi unciphise amathuba okuba nezinkinga zesikhathi eside.

Kodwa-ke, akuwona wonke umuntu ozotholakala enalesi sifo zisencane. Kubalulekile ukubona udokotela wakho uma uhlangabezana nobuhlungu beqolo futhi ungaqiniseki ngembangela.

Uma usola ukuthi izimpawu zakho zihlobene ne-AS, bheka udokotela wakho ngokushesha okukhulu. Uma ulinda isikhathi eside, maningi amathuba okuthi uzithole izimpawu nezinkinga ezinzima kakhulu.