I-Ankylosing Spondylitis: Okungaphezu Kokuthi nje "Kubuyiselwe Emuva"

-Delile

• Kuvuze amalunga omgogodla
• Ngale komgogodla
• Ukubandakanyeka kwezimpande zemizwa
• Ziyini izindaba ezinhle?

Umgogodla wakho wenza okungaphezu kokukubamba ume mpo. Isebenzisana namasosha akho omzimba, amathambo, imisipha, novalo. Ngakho-ke lapho okuthile kungahambi kahle ngomgogodla wakho, kungaba nemiphumela efinyelela kude kuwo wonke umzimba wakho. Ukugcina umgogodla wakho ujabule yingxenye ebalulekile yempilo yakho yonke.

I-Ankylosing spondylitis (AS) iyisibonelo. Kuyindlela ye-arthritis ehlotshaniswa nokuvuvukala kwesikhathi eside kwamalunga emgogodleni wakho. Izimpawu zokuqala ze-AS imvamisa ubuhlungu emhlane wakho ophansi nasezinqeni, ongase uzidlulise uthi nje “njengomhlane ongemuhle.” Kepha i-AS ivame ukuba yimbi ngokuhamba kwesikhathi, ikakhulukazi uma ingalashwa. Njengoba lesi sifo siqhubeka, singathinta izingxenye eziningi zomzimba wakho, kufaka phakathi amanye amalunga namehlo akho, amathumbu, izinyawo, nenhliziyo.

Kuvuze amalunga omgogodla

NJENGOBA kuqala ngokuqala ubuhlungu obuphansi emuva kanye nezinqulu okubangelwa ukuvuvukala kwamalunga omgogodla lapho.Njengoba isikhathi sihamba, ukuvuvukala - kanye nezimpawu ezibangelwa yikho - kungahle kunyuse umgogodla kancane kancane futhi kudale izinkinga. Kungase futhi kweqe izindawo emgogodleni.

Lezi yizici ezintathu ezibalulekile ze-AS:

• Sacroiliitis: Uphawu lokuqala lwe-AS ukuvuvukala kwamalunga we-sacroiliac, atholakala lapho umgogodla wakho uhlangana khona nesikhumba sakho. Lokhu kuvuvukala kubangela ubuhlungu okhalweni lwakho. Kwesinye isikhathi ubuhlungu bukhipha emathangeni akho, kepha ungalokothi ube ngaphansi kwamadolo akho.
• I-Enthesitis: Esinye isici se-AS ukuvuvukala kokufakwa - izindawo lapho imisipha nemisipha inamathela khona emathanjeni. Lolu hlobo lokuvuvukala lubangela ubuhlungu obukhulu nokulahleka komsebenzi obonwayo kulesi sifo.
• Ukuhlangana: Imizamo yakho ephindaphindwayo yomzimba wakho yokuphulukisa okufakwayo okuvuvukala kungaholela ekunqobeni kwezicubu, kulandele ukwakheka kwethambo elengeziwe. Ekugcineni, amathambo amabili noma ngaphezulu omgogodla wakho angahlangana, anciphise ukuguquguquka emhlane wakho. Ezimweni ezimbi kakhulu, umgogodla wakho ungaqala ukugoba phambili, kubangele ukuma kwesikhashana. Akuvamile kakhulu ukufinyelela kulesi sigaba namuhla, ngenxa yentuthuko yokwelashwa.

Ngale komgogodla

Ngokuhamba kwesikhathi, ukuvuvukala okubangelwa yi-AS kungathinta nezinye izingxenye zomzimba wakho futhi:

• Amanye amalunga: Ukuvuvukala kungadala ubuhlungu nokuqina kwamalunga entamo yakho, amahlombe, okhalweni, amadolo, amaqakala, noma, kuyaqabukela, iminwe nezinzwani.
• Isifuba sakho: Cishe abantu abangamaphesenti angama-70 abane-AS baba nokuvuvukala lapho kuhlangana khona izimbambo nomgogodla. Iphuzu lapho izimbambo zakho zihlangana khona nesifuba sakho ngaphambili nalo lingathinteka, okuholele ebuhlungwini besifuba. Ekugcineni, ukuqina kwembambo yakho kunganciphisa ukuthi isifuba sakho singakhula kangakanani, kunciphise ukuthi amaphaphu akho angabamba umoya ongakanani.
• Amehlo akho: Abantu abangamaphesenti angama-40 abane-AS bakhula ukuvuvukala kweso, okubizwa ngokuthi yi-uveitis noma i-iritis. Lokhu kuvuvukala kungadala ubuhlungu bamehlo nokubomvu, ukuzwela ekukhanyeni, nokungaboni kahle. Uma ingalashwa ngokushesha, ingaholela ekulahlekelweni kombono.
• Izinyawo zakho: Ukufakwa okuvuthayo kungenzeka ngemuva noma phansi kwesithende sakho. Ubuhlungu nesisa kungaphazamisa kakhulu ikhono lakho lokuhamba.
• Amathumbu akho: Ukuvuvukala kungadala izimpawu zesifo samathumbu esivuthayo, kufaka phakathi amajaqamba esiswini nohudo, kwesinye isikhathi kunegazi noma amafinyila esitobhini.
• Umhlathi wakho: Ukuvuvukala komhlathi wakho akuvamile, akuthinti ngaphezu kwamaphesenti ayi-15 eziguli ze-AS. Kepha kungaba yinkinga ikakhulukazi, kwenze kube nzima ukuyidla.
• Inhliziyo yakho. Ezimweni ezingavamile, umthambo omkhulu womzimba wakho, obizwa ngokuthi i-aorta, uyavuvukala. Ingakhulisa kakhulu kangangokuthi iphazamisa ukuma kwe-valve ekuyixhuma enhliziyweni yakho.

Ukubandakanyeka kwezimpande zemizwa

Abantu abane-AS ethuthuke kakhulu bangaba ne-cauda equina syndrome, isifo esithinta inqwaba yezimpande zemizwa ngaphansi komgogodla wakho. Lezi zimpande zezinzwa zidlulisa imiyalezo phakathi kobuchopho bakho nomzimba ophansi. Lapho umonakalo odalwe yi-AS ucindezela izimpande zezinzwa, ungaphazamisa ukusebenza kwezitho zakho zangasese noma ukuzwa nokunyakaza ezingalweni zakho ezingezansi.

Qaphela izimpawu zokuxwayisa ze-cauda equina syndrome:

• Izinkinga ngesinye noma ukusebenza kwamathumbu: Ungahle ugcine imfucuza noma ungakwazi ukuyibamba.
• Izinkinga ezinzima noma eziya ngokuya zanda emilenzeni yakho engezansi: Ungase ulahlekelwe noma ushintshe ukuzwa ezindaweni ezibalulekile: phakathi kwemilenze yakho, ngaphezu kwezinqe zakho, emihlane yemilenze yakho, noma ezinyaweni nasezithendeni.
• Ubuhlungu, ukuba ndikindiki, noma ubuthakathaka obusabalala emlenzeni owodwa noma womabili: Izimpawu zingakwenza ukhubeke lapho uhamba.

Uma uthuthukisa lezi zimpawu, kubalulekile ukufuna usizo lwezokwelapha ngokushesha. Uma ingalashwa, i-cauda equine syndrome ingaholela ekukhubazekeni kwesisu nokulawulwa kwamathumbu, ukungasebenzi kahle kwezocansi, noma ukukhubazeka.

Ziyini izindaba ezinhle?

Lolu hlu olude lwezinkinga ezingaba khona lungasabisa. Kodwa-ke, ukwelashwa kwe-AS kungavimbela noma kubambezele izinkinga eziningi. Ngokuyinhloko, iqembu lemithi ebizwa nge-tumor necrosis factor (TNF) inhibitors liyakwazi ukuguqula inkambo yalesi sifo.