Ukuqonda Izinhlobo Ze-Spondylitis

-Delile

• Izimpawu ezivamile ze-spondylitis
• Izinhlobo ze-8 ze-spondylitis
• Izinhlobo zendabuko ze-spondylitis
• 1. I-Ankylosing spondylitis
• 2. I-Enteropathic arthritis (i-EnA)
• 3. I-Psoriatic arthritis (i-PsA)
• 4. I-Reactive arthritis / i-Reiter's syndrome (i-ReA)
• 5.I-juvenile spondylitis (JSpA)
• 6. I-spondylitis engafani
• Indlela entsha yokuhlukanisa ukuxilongwa kwe-spondylitis
• 7. I-axial spondylitis
• 8. I-peripheral spondylitis
• Izimbangela ze-spondylitis
• I-spondylitis itholakala kanjani?
• Yini ukwelashwa kwe-spondylitis?
• Uyini umbono wakho uma une-spondylitis?
• Ukuthatha

I-Spondylitis noma i-spondyloarthritis (spA) ibhekisa ezinhlotsheni ezithile ze-arthritis.

Izinhlobo ezahlukene ze-spondylitis zidala izimpawu ezingxenyeni ezihlukene zomzimba. Zingathinta okulandelayo:

• emuva
• amalunga
• isikhumba
• amehlo
• uhlelo lokugaya ukudla
• inhliziyo

Izifo ze-Spondylitis nazo zingaholela kwezinye izinkinga zezempilo.

Zonke izinhlobo zesifo se-spondylitis zinezinto ezimbalwa ezifanayo. Nakhu okudingeka ukwazi.

Izimpawu ezivamile ze-spondylitis

Zonke izinhlobo ze-spondylitis zibangela ubuhlungu nokuvuvukala (ukuvuvukala nokubomvu). Uphawu oluvame kakhulu ubuhlungu obuphansi emuva. Ezinye izimpawu nezimpawu zingancika ohlotsheni lwe-spondylitis onayo.

Izimpawu ezivamile ze-spondylitis zifaka:

• ukukhathala
• ubuhlungu bemisipha
• ukuvuvukala kweso
• ubuhlungu obuhlangene
• ukuhlungu obusemhlane
• ukuvuvukala ezingalweni nasemilenzeni

Izinhlobo ze-8 ze-spondylitis

Ngokusho kweSpondylitis Association of America, kunezindlela ezimbili eziyinhloko zokuhlukanisa i-spondylitis. Endala, ngendlela yendabuko, kunezinhlobo eziyisithupha ezihlukile. Isistimu entsha yephula konke ukuxilongwa kwe-spondylitis ibe ngesinye sezigaba ezimbili.

Izinhlobo zendabuko ze-spondylitis

Izinhlobo eziyisithupha zendabuko ze-spondylitis zifaka:

1. I-Ankylosing spondylitis

I-Ankylosing spondylitis uhlobo oluvame kakhulu. Imvamisa kuthinta umgogodla, iqolo elingezansi, kanye namajoyini esinqe.

Izimpawu ze-ankylosing spondylitis zifaka:

• ubuhlungu beqolo
• ubuhlungu obuhlangene be-hip
• ukuqina
• ukuvuvukala

2. I-Enteropathic arthritis (i-EnA)

Lolu hlobo lwe-spondylitis lubonakala ngobuhlungu nokuvuvukala emathunjini. Ungaba nobuhlungu emuva nasemalungeni.

Ezinye izimpawu zifaka:

• ubuhlungu besisu
• uhudo olungamahlalakhona
• ukuncipha komzimba
• igazi ekuhambeni kwamathumbu

3. I-Psoriatic arthritis (i-PsA)

Lolu hlobo lwe-spondylitis lubangela ubuhlungu beqolo nokuqina. Ihambisana ne-psoriasis yesikhumba. I-Psoriatic arthritis ibanga kakhulu ubuhlungu nokuvuvukala emajoyintini amancane, njengeminwe nezinzwani.

Izimpawu zifaka:

• ubuhlungu nokuvuvukala ezandleni, eminweni nasezinyaweni
• ukuqubuka kwesikhumba (i-psoriasis flare-up)
• i-dactylitis (uzwane noma ukuvuvukala komunwe phakathi kwamalunga, kwesinye isikhathi okubizwa ngokuthi "iminwe yesoseji")

4. I-Reactive arthritis / i-Reiter's syndrome (i-ReA)

I-ReA uhlobo lwe-spondylitis oluvame ukwenzeka ngemuva kokutheleleka ngamagciwane. Kungaba ngenxa yesifo esithathelwana ngocansi, njenge-chlamydia, noma ukutheleleka kwamathumbu kusuka ekudleni okungcoliswe Salmonella.

I-ReA ingadala ubuhlungu nokuvuvukala ezinhlangothini zomngcele (njengamadolo namaqakala), umgogodla namajoyinti e-sacroiliac. Lezi zitholakala ohlangothini ngalunye lomgogodla wakho ophansi.

Ungahle uzwe:

• ubuhlungu bamalunga nokuvuvukala
• ukuqubuka kwesikhumba
• ukuvuvukala kweso
• isinye nobuhlungu besitho sangasese nokuvuvukala

5.I-juvenile spondylitis (JSpA)

I-JSpA uhlobo lwe-arthritis olwenzeka ezinganeni nasebusheni. Lolu hlobo lwe-arthritis luvame ukuthinta amalunga omlenze. Umlenze owodwa ungathinteka ngaphezu komunye.

I-JSpA ingabonakala njengezinye izinhlobo ze-spondylitis. Izimpawu eziyinhloko ubuhlungu nokuvuvukala okuzungeze amalunga nomgogodla.

Lolu hlobo lwe-spondylitis luthinta izindawo lapho imisipha, imigqa, kanye nemisipha inamathiselwe khona ethanjeni.

6. I-spondylitis engafani

Lolu hlobo lwe-spondylitis lubizwa ngokungafani ngoba aluhlangabezani nenqubo yokuxilongwa kwe-ankylosing spondylitis noma isifo esihlobene nayo.

Uma une-spondylitis engafani, cishe ngeke ube nezimpawu ezijwayelekile zobuhlungu beqolo, ukuqubuka kwesikhumba, noma izinkinga zokugaya ukudla. Esikhundleni salokho, ungahle ube:

• ubuhlungu obuhlungu emuva
• ubuhlungu bezinqe
• i-enthesitis (ubuhlungu besithende)
• isifo samathambo
• dactylitis
• ukukhathala
• ukuvuvukala kweso

Indlela entsha yokuhlukanisa ukuxilongwa kwe-spondylitis

Indlela entsha yokuhlukanisa izinhlobo ze-spondylitis isuselwa lapho kwenzeka khona emzimbeni. Lolu hlelo lunezinhlobo ezimbili eziyinhloko ze-spondylitis. Abanye abantu abane-spondylitis bazoba nezinhlobo zombili.

7. I-axial spondylitis

Lezi yizinhlobo ze-spondylitis ezidala izimpawu ngemuva nasemgodini noma endaweni ye-hip. Leli qembu liphinde lihlukaniswe nge-spondylitis elidala izinguquko zamathambo nezokuhlangana ezingabonakala kwi-X-ray noma i-scan kanye nalezo ezingakwazi.

Izinhlobo ze-Axial spondylitis zingafaka:

• i-ankylosing spondylitis
• i-arthritis esebenzayo
• isifo samathambo se-enteropathic
• i-spondylitis engafani
• isifo samathambo psoriatic

8. I-peripheral spondylitis

Leli qembu lihlanganisa izinhlobo ze-spondylitis ezidala izimpawu ezingalweni nasemilenzeni. Izindawo ezivame ukuthinteka zifaka amalunga ku:

• amadolo
• amaqakala
• izinyawo
• izandla
• izihlakala
• Izindololwane
• emahlombe

Izinhlobo zesifo se-spondylitis esilingana nalesi sigaba yilezi:

• isifo samathambo psoriatic
• i-enteropathic arthritis
• i-arthritis esebenzayo
• i-arthritis engafani

Izimbangela ze-spondylitis

Odokotela abazi ngokugcwele izimbangela zezifo ze-spondylitis. Ezokwelapha zibonisa ukuthi ezinye izinhlobo, njenge-ankylosing spondylitis, zingaba zofuzo. Lokhu kusho ukuthi kungenzeka ukuthi uyithuthukise uma omunye umuntu emndenini wakho enayo.

Kunezakhi zofuzo ezifika ku-30 ​​ezixhunywe ne-ankylosing spondylitis. Ezinye zalezi zofuzo zingadala nezinye izinhlobo ze-spondylitis.

Ezinye izimbangela ze-spondylitis zihlanganisa ukutheleleka kwamagciwane. Ungaba nengozi enkulu yezinhlobo ezinjenge-enteropathic arthritis kanye ne-spondylitis esebenzayo uma unamathumbu, isinye, noma ukutheleleka ngokobulili.

Ungase ube namathuba amaningi okuthuthukisa i-enteropathic arthritis uma unezinye izifo zamathumbu ezivuthayo (IBD) njengesifo sikaCrohn nesifo sezilonda emathunjini.

Kuze kube ngamaphesenti angama-20 abantu abane-IBD futhi bane-arthritis ye-enteropathic. Kuvame kakhulu kubantu abasha nasebekhulile abasebasha.

Ukucindezeleka okungalawulwa kungadala noma kubhebhethekise ezinye izinhlobo ze-spondylitis. Abantu asebekhulile abane-ankylosing spondylitis bathola amaphesenti angama-80 athi ukucindezeleka kubangele izimpawu zabo.

I-spondylitis itholakala kanjani?

Udokotela wakho uzokwenza ukuhlolwa komzimba futhi axoxe ngomlando wakho wezokwelapha ukuthola ukuthi unayo yini i-spondylitis. Ungadinga futhi ukuhlolwa nokuhlolwa ukuze uqinisekise ukuxilongwa, okufana nalokhu:

• ukuhlolwa kwegazi ukuhlola ukuvuvukala nezimpawu zokutheleleka
• X-ray okhalweni lwakho kanye okhalweni
• Iskena se-MRI somhlane wakho, isinqe, nesifuba
• ukuhlolwa kofuzo

Gcina iphephabhuku lezimpawu, futhi uqaphele lapho une-flare-ups yezimpawu. Lokhu kungasiza udokotela wakho ukuxilonga i-spondylitis yakho.

Izinhlobo ezahlukene ze-spondylitis zingadinga izinhlobo ezahlukene zokwelashwa. Abanye odokotela bangahle babe nokuqeqeshwa okukhethekile kanye nesipiliyoni ekwelapheni uhlobo oluthile lwe-spondylitis, kepha hhayi abanye. Kunezindlela eziningi zokuthola uchwepheshe ofanelekayo:

• Buza udokotela wakho wokunakekelwa okuyisisekelo ukuthi akudlulisele kuchwepheshe wejoyinti noma we-arthritis onolwazi lokwelapha uhlobo lwe-spondylitis onalo.
• Bheka amawebhusayithi emininingwane njengeSpondylitis Association of America kanye ne-Arthritis Foundation. Banohlu lodokotela abaphatha i-spondylitis endaweni yangakini.
• Joyina iqembu lendawo elisekela i-spondylitis ukuthola ukuthi yibaphi odokotela abantu abancomayo.

Yini ukwelashwa kwe-spondylitis?

Ukwelashwa kwe-spondylitis kuvame ukukhomba ubuhlungu nokuvuvukala. Ukuletha ukuvuvukala (ukuvuvukala) emgogodleni, emalungeni nasemzimbeni kungasiza ukumisa noma ukunciphisa izimpawu.

Udokotela wakho angancoma okulandelayo:

• Ama-NSAID afana ne-aspirin, ibuprofen, noma i-naproxen
• izidakamizwa zokuguqula izifo (i-DMARDs)
• i-tumor necrosis alpha (TNF-alpha) blocker
• imijovo ye-steroid
• amathonsi iso steroid
• ukwelashwa ngokomzimba, njengokuvivinya umzimba nokuzivocavoca kwamanzi
• ukuhlinzwa komhlane noma okhalweni

Amakhambi asekhaya okusiza ekunciphiseni izimpawu afaka:

• imishanguzo yokudambisa ubuhlungu
• ukusekela amabhandeshi kanye nezinsimbi
• ukubhucungwa ekhaya
• okugeza okufudumele
• i-infrared sauna
• ukudla okunomsoco
• ukuzivocavoca nsuku zonke
• ukuyeka ukubhema
• ukugwema utshwala

Uyini umbono wakho uma une-spondylitis?

Ezinye izinhlobo ze-spondylitis, njenge-arthritis esebenzayo, zihlala cishe izinyanga ezintathu kuya kwezingu-12. Ungaba nengozi yokuthi iphinde yenzeke uma unalolu hlobo lwe-spondylitis. Abanye abantu abane-spondylitis bangathola ezinye izinhlobo zesifo samathambo.

Uma une-ankylosing spondylitis, ungahle ube nezimpawu zokuqhuma. Izinkinga ze-ankylosing spondylitis zifaka ukuthi umgogodla uhlangane ngokuhamba kwesikhathi. Lokhu kwenzeka lapho ithambo elisha likhula futhi lenza umgogodla ungabi bhetyebhetye.

Inkinga engavamile ye-spondylitis ithinta inhliziyo. Ukuvuvukala kungadlulela enhliziyweni futhi kuholele esifweni esibi senhliziyo, kufaka phakathi:

• ukuvuvukala kwe-aorta ne-aortic valve
• isifo senhliziyo
• isifo semithambo yegazi
• izinkinga zokuqhuba inhliziyo

Ukuthatha

I-Spondylitis yigama lesambulela lezinhlobo eziningana ezifanayo zezifo ze-arthritis. Imvamisa ithinta emuva, kepha ungaba nezimpawu eziningi ezihambisanayo, njengokuvuvukala kweso noma ubuhlungu obuncane obuhlangene, ngaphambi kokuqala kobuhlungu emuva.

Tshela udokotela wakho ngokushesha uma unezinye izimpawu, noma uma izimpawu zakho ziba zimbi kakhulu. Ukwelapha i-spondylitis kusenesikhathi kungasiza ekunciphiseni izimpawu nokugwema ezinye izinkinga zempilo.