Ukuhlonza i-Ankylosing Spondylitis

-Delile

• Ixilongwa kanjani i-AS?
• Izivivinyo
• Ukuhlolwa okuphelele ngokomzimba
• Ukuhlola ukuhlolwa
• Ukuhlolwa kwelabhoratri
• Yibaphi odokotela abaxilonga i-ankylosing spondylitis?
• Ngaphambi kokuqokwa kwakho

Ubuhlungu beqolo bungesinye sezifo ezivame kakhulu e-United States namuhla. Cishe amaphesenti ama-80 wabantu abadala abathola ubuhlungu beqolo ngesikhathi esithile sokuphila.

Amaningi ala macala abangelwa ukulimala noma ukulimala. Noma kunjalo, ezinye zingaba umphumela wesinye isimo. Enye indlela yesifo samathambo okuthiwa i-ankylosing spondylitis (AS).

I-AS yisimo sokuvuvukala esiqhubekayo esibangela ukuvuvukala emgogodleni nasemalungeni aseduze ethangeni. Esikhathini eside, ukuvuvukala okungapheli kungadala ukuthi amathambo omgogodla wakho ahlangane ndawonye, ​​okwenza umgogodla wakho ungabi bhetyebhetye.

Abantu abane-AS bangazingela phambili ngoba imisipha ye-extensor ibuthakathaka kunemisipha ye-flexor edonsela umzimba phambili (i-flexion).

Njengoba umgogodla uba lukhuni futhi uhlangana, ukuzingela kuba sobala ngokwengeziwe. Ezimweni ezisezingeni eliphakeme, umuntu one-AS akakwazi ukuphakamisa ikhanda lakhe ukuze abone phambi kwabo.

Ngenkathi i-AS ikakhulu ithinta umgogodla kanye nama-vertebrae lapho imisipha nemisipha kuxhuma khona ethanjeni, kungathinta namanye amalunga, kufaka phakathi amahlombe, izinyawo, amadolo nezinqulu. Ezimweni ezingavamile, ingathinta nezitho nezicubu zomzimba.

Uma kuqhathaniswa nezinye izinhlobo zesifo samathambo, isici esisodwa esiyingqayizivele se-AS yi-sacroiliitis. Lokhu ukuvuvukala kokuhlangana kwe-sacroiliac, lapho umgogodla nesinqe kuhlangana khona.

Abesilisa bathinteka yi-AS kaningi kunabesifazane, yize kungahle kungaziwa kwabesifazane.

Ezigidini zabantu baseMelika abanezinhlungu ezingapheli zasemuva, ukuqonda lesi simo kungaba yinto ebalulekile ekuphatheni ubuhlungu futhi mhlawumbe kuhlolwe nobuhlungu obuhlungu emuva emuva njenge-AS.

Ixilongwa kanjani i-AS?

Odokotela abanaso isivivinyo esisodwa sokuxilonga i-AS, ngakho-ke kufanele bakhiphe ezinye izincazelo ezingaba khona zezimpawu zakho, futhi babheke iqoqo lezimpawu nezimpawu ze-AS. Ukuze wenze lokhu, udokotela wakho wenza ukuhlolwa komzimba nokunye ukuhlolwa.

Udokotela wakho futhi uzofuna ukuthola umlando wakho ogcwele wezempilo ukuze uqonde kangcono izimpawu zakho. Udokotela wakho uzokubuza futhi:

• isikhathi esingakanani uhlangabezana nezimpawu
• lapho izimpawu zakho zimbi kakhulu
• ukuthi iziphi izindlela zokwelapha ozizamile, okusebenzile, nokungasebenzi
• yiziphi ezinye izimpawu ohlangabezana nazo
• umlando wakho wezinqubo zokwelashwa noma izinkinga
• noma imuphi umlando womndeni wezinkinga ezifana nalezi ohlangabezana nazo

Izivivinyo

Ake sibheke ukuthi yini ongayilindela ezivivinyweni udokotela wakho angazenza ukuxilonga i-AS.

Ukuhlolwa okuphelele ngokomzimba

Udokotela wakho wenza ukuhlolwa komzimba ukuze athole izimpawu nezimpawu ze-AS.

Bangaphinde bahambise amalunga akho ngokungenami noma benze izivivinyo ezimbalwa ukuze bakwazi ukubona ububanzi bokunyakaza emajoyintini akho.

Ukuhlola ukuhlolwa

Ukuhlola izithombe kunikeza udokotela wakho umbono wokuthi kwenzakalani ngaphakathi komzimba wakho. Ukuhlolwa kwe-imaging okudingayo kungafaka:

• I-X-ray: I-X-ray ivumela udokotela wakho ukuthi abone amalunga akho namathambo akho. Bazobheka izimpawu zokuvuvukala, ukulimala, noma ukuhlangana.
• Ukuskena kwe-MRI: I-MRI ithumela amaza omsakazo kanye namandla kazibuthe emzimbeni wakho ukukhiqiza isithombe sezicubu zomzimba wakho ezithambile. Lokhu kusiza udokotela wakho ukuthi abone ukuvuvukala ngaphakathi nangaphakathi kwamalunga.

Ukuhlolwa kwelabhoratri

Ukuhlolwa kwelebhu udokotela wakho angaku-oda kufaka:

• I-HLA-B27 ukuhlolwa kofuzo: Iminyaka eyishumi yocwaningo ku-AS iveze into eyodwa engaba yingozi: izakhi zakho zofuzo. Abantu abane- I-HLA-B27 zofuzo zisengozini enkulu yokuthuthukisa i-AS. Kodwa-ke, akuwona wonke umuntu onesakhi sofuzo ozohlakulela lesi sifo.
• Qedela ukubalwa kwegazi (CBC): Lokhu kuhlolwa kukala inani lamaseli abomvu namhlophe emzimbeni wakho. Ukuhlolwa kwe-CBC kungasiza ekuboneni nasekukhipheni ezinye izimo ezingaba khona.
• Izinga le-sedimentation ye-Erythrocyte (ESR): Ukuhlolwa kwe-ESR kusebenzisa isampula yegazi ukukala ukuvuvukala emzimbeni wakho.
• Amaprotheni asebenza ngoku-C (CRP): Ukuhlolwa kweCRP nakho kukala ukuvuvukala, kepha kuyazwela kunokuhlolwa kwe-ESR.

Yibaphi odokotela abaxilonga i-ankylosing spondylitis?

Ungaqala uxoxe ngobuhlungu bakho bangemuva nodokotela wakho wokunakekelwa okuyisisekelo.

Uma udokotela wakho oyinhloko esola i-AS, bangakudlulisela ku-rheumatologist. Lolu uhlobo lodokotela ogxile ku-arthritis nezinye izimo ezithinta imisipha, amathambo namalunga, kufaka phakathi uhla lwezifo ezizimele.

I-rheumatologist imvamisa iyona okufanele ixilonge ngokunembile futhi ilaphe i-AS.

Ngoba i-AS yisimo esingelapheki, ungahle usebenze ne-rheumatologist yakho iminyaka. Uzofuna ukuthola umuntu omethembayo nonolwazi nge-AS.

Ngaphambi kokuqokwa kwakho

Ukuqokwa kwabadokotela kwesinye isikhathi kungazizwa bejahile futhi becindezelekile. Kulula ukukhohlwa ukubuza umbuzo noma ukusho imininingwane ngezimpawu zakho.

Nazi izinto okufanele uzenze ngaphambi kwesikhathi ezingakusiza ukuthi uthole okuningi kokuqokwa kwakho:

• Yenza uhlu lwemibuzo ofuna ukuyibuza udokotela.
• Bhala umugqa wesikhathi wezimpawu zakho, kufaka phakathi ukuthi ziqale nini nokuthi zithuthuke kanjani.
• Hlanganisa imiphumela yokuhlolwa noma amarekhodi ezokwelapha ukukhombisa udokotela.
• Bhala noma yini ngomlando wezokwelapha womndeni wakho ocabanga ukuthi ungasiza udokotela ukuxilongwa noma ukwelashwa.

Ukuzilungiselela kuzokusiza ukuthi usisebenzise kahle isikhathi sakho lapho ubona udokotela wakho. Ukuletha amanothi nakho kungasiza ekunciphiseni ingcindezi yomuzwa wokuthi udinga ukukhumbula konke.