Ezinye Izimo Nezinkinga ze-Ankylosing Spondylitis

-Delile

• Izimpawu ezijwayelekile ze-AS
• Izinkinga ezingenzeka ze-AS
• Izinkinga zamehlo
• Izimpawu zezinzwa
• Izinkinga zamathumbu
• Umgogodla ohlanganisiwe
• Ukuqhekeka
• Izinkinga zenhliziyo namaphaphu
• Ubuhlungu obuhlangene nokulimala
• Ukukhathala
• Ukubonana nodokotela nini

Uma uthole ukuxilongwa kwe-ankylosing spondylitis (AS), ungahle uzibuze ukuthi kusho ukuthini lokho. I-AS wuhlobo lwe-arthritis oluvame ukuthinta umgogodla, lubangele ukuvuvukala kwamalunga we-sacroiliac (SI) ethangeni. La malungu axhuma ithambo le-sacrum engxenyeni engezansi yomgogodla okhalweni lwakho.

I-AS yisifo esingelapheki esingakalapheki okwamanje, kepha singalawulwa ngemithi futhi, ezimweni ezingavamile, ukuhlinzwa.

Izimpawu ezijwayelekile ze-AS

Yize i-AS ithinta abantu ngezindlela ezahlukahlukene, izimpawu ezithile zivame ukuhlotshaniswa nayo. Lokhu kufaka phakathi:

• ubuhlungu noma ukuqina emhlane wakho ophansi nasezinqeni
• ukuqala kancane kancane kwezimpawu, kwesinye isikhathi kuqala ohlangothini olulodwa
• ubuhlungu obuthuthuka ngokuzivocavoca futhi buba nzima ngokuphumula
• ukukhathala nokungaphatheki kahle jikelele

Izinkinga ezingenzeka ze-AS

NJENGOBA isifo esingelapheki, esiqeda amandla. Lokhu kusho ukuthi ingaqhubeka ngokubi kakhulu. Izinkinga ezinkulu zingavela ngokuhamba kwesikhathi, ikakhulukazi uma lesi sifo sishiywa singelashwa.

Izinkinga zamehlo

Ukuvuvukala kwelinye noma womabili amehlo kubizwa nge-iritis noma i-uveitis. Umphumela uvame ukuba bomvu, ubuhlungu, amehlo avuvukile nokungaboni kahle.

Cishe isigamu seziguli ezinesipiliyoni se-AS iritis.

Izinkinga zamehlo ezihambisana ne-AS kufanele ziphathwe ngokushesha ukuvimbela ukulimala okuqhubekayo.

Izimpawu zezinzwa

Izinkinga zemizwa zingakhula kubantu abane-AS isikhathi eside kakhulu. Lokhu kungenxa ye-cauda equina syndrome, ebangelwa ukwanda ngokweqile konyosi kanye nokusikeka kwezinzwa ezansi komgogodla.

Yize lesi sifo singavamile, kungavela izinkinga ezinkulu, kufaka phakathi:

• ukungazibambi
• izinkinga zocansi
• ukugcinwa komchamo
• ubuhlungu obunzima bezinhlangothi zombili / izinyawo zomlenze ongaphezulu
• ubuthakathaka

Izinkinga zamathumbu

Abantu abane-AS bangathola ukuvuvukala komgudu wamathumbu namathumbu ngaphambi kokuqala kwezimpawu ezihlangene noma ngesikhathi sokubonakaliswa kwalesi sifo. Lokhu kungaholela ezinhlungwini zesisu, isifo sohudo, kanye nezinkinga zokugaya ukudla.

Kwezinye izimo,, i-ulcerative colitis, noma isifo sikaCrohn singakhula.

Umgogodla ohlanganisiwe

Amathambo amasha angakha phakathi kwamathambo omgogodla wakho njengoba amalunga elimala bese ephola. Lokhu kungadala ukuthi umgogodla wakho uhlangane, kwenze kube nzima ukugoba nokujija. Lokhu kufakwa kubizwa nge- ankylosis.

Kubantu abangagcini ukuma okungathathi hlangothi ("okuhle"), umgogodla ohlanganisiwe ungaholela ekumeni okugoqiwe okulungisiwe endaweni. Ukuvivinya umzimba okugxile nakho kungasiza ekuvimbeleni lokhu.

Intuthuko ekwelashweni okufana ne-biologics iyasiza ukuvimbela ukuqhubeka kwe-ankylosis.

Ukuqhekeka

Abantu abane-AS nabo bathola ukuncipha kwamathambo, noma i-osteoporosis, ikakhulukazi kulabo abanezinkinga zomgogodla ezihlanganisiwe. Lokhu kungaholela ekuqhekekeni kokucindezelwa.

Cishe isigamu seziguli ze-AS zine-osteoporosis. Lokhu kuvame kakhulu emgogodleni. Kwezinye izimo, umgogodla ungalimala.

Izinkinga zenhliziyo namaphaphu

Ukuvuvukala kwesinye isikhathi kungasakazeka ku-aorta, umthambo omkhulu kunayo yonke emzimbeni wakho. Lokhu kungavimbela i-aorta ekusebenzeni ngokujwayelekile, okuholele ku-.

Izinkinga zenhliziyo ezihambisana ne-AS zifaka:

• i-aortitis (ukuvuvukala kwe-aorta)
• isifo se-aortic valve
• i-cardiomyopathy (isifo semisipha yenhliziyo)
• isifo senhliziyo esiyischemic (esivela ekunciphiseni ukugeleza kwegazi ne-oksijini kuya kwimisipha yenhliziyo)

Ukuqubuka noma i-fibrosis emaphashini aphezulu kungakhula, kanye nokukhubazeka komoya, izifo zamaphaphu eziphakathi, ukuphefumula kokulala, noma amaphaphu awile. Ukuyeka ukubhema kunconywa kakhulu uma ubhema nge-AS.

Ubuhlungu obuhlangene nokulimala

Ngokwe-Spondylitis Association of America, cishe amaphesenti ayi-15 abantu abane-AS abahlangabezana nokuvuvukala komhlathi.

Ukuvuvukala ezindaweni lapho kuhlangana khona amathambo emihlathi yakho kungadala ubuhlungu obukhulu nobunzima bokuvula nokuvala umlomo. Lokhu kungaholela ezinkingeni ngokudla nokuphuza.

Ukuvuvukala lapho imisipha noma imisipha inamathele ethanjeni nakho kuvamile ku-AS. Lolu hlobo lokuvuvukala lungenzeka ngemuva, emathanjeni okhalo, esifubeni, futhi ikakhulukazi isithende.

Ukuvuvukala kungadlulela emajoyintini nasentanjeni yobambo lwakho. Ngokuhamba kwesikhathi, amathambo asezintanjeni zakho angahlangana, okwenza ukunwetshwa kwesifuba kube nzima noma ukuphefumula kube buhlungu.

Ezinye izindawo ezithintekile zifaka:

• Ubuhlungu besifuba obulingisa i-angina (isifo senhliziyo) noma i-pleurisy (ubuhlungu lapho uphefumula ngokujulile)
• ubuhlungu beqolo nehlombe

Ukukhathala

Iziguli eziningi ze-AS zithola ukukhathala okungaphezu kokukhathala nje. Imvamisa kufaka ukungabi namandla, ukukhathala okukhulu, noma inkungu yobuchopho.

Ukukhathala okuhlobene ne-AS kungadalwa yizinto eziningi:

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

Udokotela wakho angaphakamisa izinhlobo ezingaphezu kweyodwa zokwelashwa ukubhekana nezinkinga zokukhathala.

Ukubonana nodokotela nini

Uma uhlangabezana nobuhlungu beqolo, kubalulekile ukubona umhlinzeki wezokunakekelwa kwezempilo ngokushesha okukhulu. Ukwelashwa kusenesikhathi kunenzuzo ekwehliseni izimpawu nasekunciphiseni ukukhula kwesifo.

I-AS ingatholwa ukuthi ine-X-ray ne-MRI scan ekhombisa ubufakazi bokuvuvukala kanye nokuhlolwa kwelabhu komaka wofuzo obizwa nge-HLA B27. Izinkomba ze-AS zifaka ukuvuvukala kokuhlanganiswa kwe-SI engxenyeni ephansi kakhulu yangemuva kanye ne-ilium engxenyeni engenhla ye-hip.

NJENGOBA izinto eziyingozi zifaka:

• Ubudala: Ukuqala okujwayelekile ukuthi ukuthomba sekwedlule isikhathi noma ukuba mdala.
• Izakhi zofuzo: Iningi labantu abane-AS banayo. Lesi sakhi asiqinisekisi ukuthi uzothola i-AS, kodwa singasiza ukusixilonga.