Izinkinga ze-7 ze-Ankylosing Spondylitis nokuthi Ungazigwema Kanjani

-Delile

• 1. Ukunyakaza okulinganiselwe
• 2. Amathambo abuthakathaka nokuqhekeka
• 3. Ukuvuvukala kwamehlo
• 4. Umonakalo ohlangene
• 5. Inkinga yokuphefumula
• 6. Isifo senhliziyo
• Isifo senhliziyo
• I-aortitis nesifo se-aortic valve
• Isigqi senhliziyo esingajwayelekile
• 7. ICauda equina syndrome (CES)
• Ukuvimbela izinkinga ze-AS

Ukubuka konke

I-Ankylosing spondylitis (AS) uhlobo lwe-arthritis olwenza ukuvuvukala emajoyini omhlane wakho ophansi. Ngokuhamba kwesikhathi, kungalimaza wonke amalunga namathambo omgogodla wakho.

Ubuhlungu nokuqina emhlane wakho ophansi nasezinqeni kuyizimpawu eziyinhloko ze-AS. Kepha lesi sifo singadala nezinkinga zesikhathi eside kwezinye izingxenye zomzimba wakho, kufaka phakathi amehlo nenhliziyo.

1. Ukunyakaza okulinganiselwe

Umzimba wakho uzama ukwelapha umonakalo ovela ku-AS ngokwenza ithambo elisha. Lezi zingxenye ezintsha zethambo zikhula phakathi kwe-vertebrae yomgogodla wakho. Ngokuhamba kwesikhathi, amathambo omgogodla wakho angahlangana eyunithi eyodwa.

Amalunga phakathi kwamathambo akho omgogodla akunikeza ukunyakaza okugcwele, okuvumela ukuthi ugobe futhi ujike. Ukuhlangana kwenza amathambo aqine futhi kube nzima ukuhamba. Ithambo elengeziwe lingakhawulela ukunyakaza engxenyeni engezansi yomgogodla wakho, kanye nokuhamba komgogodla ophakathi naphezulu.

2. Amathambo abuthakathaka nokuqhekeka

I-AS ibangela umzimba wakho ukuthi wakhe amathambo amasha. Lezi zakhiwo zidala ukuhlangana (i-ankylosing) yamalunga omgogodla. Ukwakheka kwamathambo okusha nakho kubuthakathaka futhi kungaphuka kalula. Uma uke waba ne-AS isikhathi eside, maningi amathuba okuthi ungaqhekeka ithambo emgogodleni wakho.

I-osteoporosis ivame kakhulu kubantu abane-AS. Ngaphezulu kwabantu abane-AS abanalesi sifo esinciphisa amathambo. Udokotela wakho angakusiza ekuqiniseni amathambo akho futhi avimbele ukuphuka ngokunquma ama-bisphosphonates noma eminye imithi.

3. Ukuvuvukala kwamehlo

Yize amehlo akho engekho eduze komgogodla wakho, ukuvuvukala okuvela ku-AS kungabathinta nabo. Isimo seso uveitis (esibizwa nangokuthi iritis) sithinta abantu abaphakathi kuka-33 no-40% wabantu abane-AS. I-Uveitis ibangela ukuvuvukala kwe-uvea. Lona ungqimba lwezicubu phakathi kweso lakho ngaphansi kwe-cornea yakho.

I-Uveitis ibangela ububomvu, ubuhlungu, umbono osontekile, nokuzwela ekukhanyeni, imvamisa ngeso elilodwa. Kuyisimo esibi esingaholela ku-glaucoma, ku-cataract, noma ekulahlekelweni kombono unomphela uma kungalashwa.

Udokotela wamehlo wakho uzokunika amathonsi wamehlo e-steroid ukunciphisa ukuvuvukala kweso lakho. Amaphilisi e-steroid nemijovo nakho kuyindlela uma amaconsi engasebenzi.

Futhi, uma udokotela wakho ekunika umuthi we-biologic ukwelapha i-AS yakho, ingasetshenziselwa ukwelapha futhi nokuvimbela iziqephu zesikhathi esizayo ze-uveitis.

4. Umonakalo ohlangene

Njengezinye izinhlobo zesifo samathambo, i-AS ibangela ukuvuvukala emalungeni njengasezinqeni nasemadolweni. Ngokuhamba kwesikhathi, umonakalo ungenza la malungu aqinile futhi abe buhlungu.

5. Inkinga yokuphefumula

Njalo lapho uphefumula, izimbambo zakho ziyanwebeka ukuze unikeze amaphaphu akho indawo eyanele ngaphakathi kwesifuba sakho. Lapho amathambo omgogodla wakho ehlangana, izimbambo zakho ziba lukhuni ngokwengeziwe futhi azikwazi ukunweba okuningi. Ngenxa yalokho, kunesikhala esincane esifubeni sakho samaphaphu akho.

Abanye abantu baphinde bahlakulele izibazi emaphashini anciphisa ukuphefumula kwabo. Ukulimala kwamaphaphu kungenza kube nzima ukuphola lapho uthola ukutheleleka kwamaphaphu.

Uma une-AS, vikela amaphaphu akho ngokungabhemi. Futhi, buza udokotela wakho ngokugomela izifo ezithinta amaphaphu njengomkhuhlane nenyumoniya.

6. Isifo senhliziyo

Ukuvuvukala nakho kungathinta inhliziyo yakho. Kuze kube ngamaphesenti ayi-10 abantu abane-AS banehlobo oluthile lwesifo senhliziyo. Ukuphila nalesi simo kwandisa ingozi yokuhlaselwa yisifo senhliziyo noma isifo sohlangothi ngamaphesenti angama-60. Kwesinye isikhathi izinkinga zenhliziyo ziqala ngaphambi kokutholakala kwe-AS.

Isifo senhliziyo

Abantu abane-AS basengozini enkulu yesifo senhliziyo (CVD). Uma une-CVD, kungenzeka ukuthi uhlaselwe yisifo senhliziyo noma isifo sohlangothi.

I-aortitis nesifo se-aortic valve

NJENGOBA kungadala ukuvuvukala ku-aorta, umthambo oyinhloko othumela igazi elisuka enhliziyweni yakho kuwo wonke umzimba wakho. Lokhu kubizwa ngokuthi i-aortitis.

Ukuvuvukala ku-aorta kungavimbela lo mthambo ekuthwaleni igazi elanele emzimbeni. Kungalimaza ne-aortic valve - isiteshi esigcina igazi ligeleza ngendlela efanele ngenhliziyo. Ekugcineni, i-aortic valve ingancipha, ivuze, noma yehluleke ukusebenza kahle.

Imithi ingasiza ukulawula ukuvuvukala ku-aorta. Odokotela belapha i-aortic valve eyonakele ngokuhlinzwa.

Isigqi senhliziyo esingajwayelekile

Abantu abane-AS kungenzeka ukuthi babe nokushaya kwenhliziyo okusheshayo noma okuhamba kancane. Lezi zigqi zenhliziyo ezingajwayelekile zivimbela inhliziyo ekumpompeni igazi ngendlela efanele. Imithi nezinye izindlela zokwelapha kungabuyisa inhliziyo isigqi sayo esijwayelekile.

Nazi ezinye izindlela ongavikela ngazo inhliziyo yakho uma une-AS:

• Lawula izimo ezilimaza inhliziyo yakho. Phatha isifo sikashukela, umfutho wegazi ophakeme, ama-triglycerides aphezulu, ne-cholesterol ephezulu ngokudla, ukuzivocavoca, kanye nemithi uma uyidinga.
• Yeka ukubhema. Amakhemikhali entuthu kagwayi alimaza ulwelwesi lwemithambo yakho futhi abamba iqhaza ekwakhiweni kwamapuleti angaholela ekuhlaselweni yinhliziyo noma kohlangothi.
• Yehlisa isisindo uma udokotela wakho ethi ukhuluphele ngokweqile. Abantu abakhuluphele ngokweqile noma abakhuluphele banezingozi eziningi zesifo senhliziyo ezifana nomfutho wegazi ophakeme kanye ne-cholesterol ephezulu. Isisindo esengeziwe sibeka ubunzima enhliziyweni yakho.
• Ukuzivocavoca umzimba. Inhliziyo yakho iyisicubu. Ukusebenza kuqinisa inhliziyo yakho ngendlela efanayo naleyo eqinisa ama-biceps noma amathole akho. Zama ukuthola okungenani imizuzu engu-150 yokuvivinya umzimba ngamandla aphakathi nesonto ngalinye.
• Buza udokotela wakho ukuthi kufanele yini uthathe i-TNF inhibitors. Le mithi ilapha i-AS, kodwa futhi inyusa namazinga e-cholesterol, afaka isandla ezifweni zenhliziyo.
• Bheka udokotela wakho njalo. Hlola ushukela wegazi, umfutho wegazi, icholesterol nezinye izinombolo. Buza ukuthi ngabe udinga i-echocardiogram noma ezinye izivivinyo zokuxilonga ukuze ubheke izinkinga ngenhliziyo yakho.

7. ICauda equina syndrome (CES)

Le nkinga engavamile yenzeka lapho kunengcindezi enqwabeni yezinzwa ezibizwa ngokuthi i-cauda equina ezansi komgogodla wakho. Ukulimala kwalezi zinzwa kubangela izimpawu ezifana nalezi:

• ubuhlungu nokuba ndikindiki kumhlane wakho ophansi nasezinqeni
• ubuthakathaka emilenzeni yakho
• ukulahlekelwa amandla okulawula ukuchama noma ukunyakaza kwamathumbu
• izinkinga zocansi

Bheka udokotela wakho ngokushesha okukhulu uma unezimpawu ezifana nalezi. I-CES yisimo esibi.

Ukuvimbela izinkinga ze-AS

Indlela engcono yokugwema lezi zinkinga ukwelashwa nge-AS yakho. Imithi efana nama-NSAID kanye ne-TNF inhibitors yehlisa ukuvuvukala emzimbeni wakho. Le mithi ingasiza ukuvimbela ukulimala emathanjeni akho, emehlweni, nakwezinye izingxenye zomzimba wakho ngaphambi kokuthi kubangele izinkinga zesikhathi eside.