I-Spondyloarthritis: Okudingeka Ukwazi

-Delile

• Izimpawu ze-Spondyloarthritis
• Yini ebangela i-spondyloarthritis?
• Ubani osengozini ye-spondyloarthritis?
• Ukuhlonza i-spondyloarthritis
• Izinketho zokwelashwa kwe-Spondyloarthritis
• Ingabe okudlayo kusiza i-spondyloarthritis?
• Ingabe ukuya mahhala nge-gluten nge-spondyloarthritis?
• Uyini umbono?

Kuyini i-spondyloarthritis?

I-Spondyloarthritis yigama leqembu lezifo ezivuthayo ezibangela ukuvuvukala okuhlangene, noma isifo samathambo. Izifo eziningi zokuvuvukala kucatshangwa ukuthi ziyifa. Kuze kube manje, abukho ubufakazi besayensi obusikisela ukuthi lesi sifo singasinqandeka.

I-Spondyloarthritis ingahlukaniswa njenge-axial noma i-peripheral. Ifomu le-axial lithinta kakhulu amalunga we-pelvic nomgogodla. Ifomu lokuzungeza lithinta izitho. Lesi simo singadala ukuvuvukala emehlweni, emgodini wamathumbu, nasezindaweni lapho kuthinteka khona imigqa nemisipha emathanjeni akho.

Uhlobo oluvame kakhulu lwe-spondyloarthritis yi-ankylosing spondylitis (AS). Lolu hlobo luthinta kakhulu amalunga omgogodla. Kungathinta namanye amalunga amakhulu emzimbeni.

Ezinye izinhlobo ze-spondyloarthritis yilezi:

• i-arthritis esebenzayo
• isifo samathambo psoriatic
• i-enteropathic arthritis
• isifo samathambo esihlobene nentsha
• i-spondyloarthritis engafani

Izimpawu ze-Spondyloarthritis

Izimpawu eziyinhloko ze-spondyloarthritis ubuhlungu, ukuqina nokuvuvukala. Ukulimala kwethambo kungenzeka futhi. Lapho uzwa khona izimpawu emzimbeni kuya ngohlobo lwe-spondyloarthritis onayo.

NJENGOBA ubuhlungu buvame ukuqala ezinqeni nasemhlane ongezansi. Ingasakazeka esifubeni nasentanyeni. Ama-tendon nemisipha nakho kungabandakanyeka. Ezimweni ezingavamile, i-AS izothinta inhliziyo namaphaphu.

I-Enteropathic arthritis kungadala ubuhlungu emgogodleni, ezingalweni nasemalungeni omlenze. Kungadala nohudo olunegazi nobuhlungu besisu ngenxa yesifo samathumbu esivuthayo.

Isifo samathambo esencane kuvame ukudala ubuhlungu okhalweni, okhalweni, emaqakaleni nasemadolweni. Isimo singase futhi sidale ukukhathala.

I-psoriatic arthritis kungathinta umgogodla. Uma lokhu kwenzeka, kwaziwa njenge-psoriatic spondyloarthritis. Kungadala nobuhlungu entanyeni.

I-arthritis esebenzayo kungadala ukuvuvukala komgudu womchamo, amalunga, namehlo. Kungadala ukuvuvukala kwamalunga omgogodla.

Isifo samathambo esingafani kuvame ukudala izimpawu ezifana ne-AS. Lokhu kufaka phakathi ubuhlungu obungezansi, izinqe, nezithende.

Yini ebangela i-spondyloarthritis?

Imbangela ngqo ye-spondyloarthritis ayicaci, yize izakhi zofuzo zidlala indima. Isakhi sofuzo esiyinhloko esibandakanyeka kuzo zonke izinhlobo ze-spondyloarthritis yi-HLA-B27.

Yize isakhi sofuzo se-HLA-B27 singasibangeli lesi simo, singakhuphula ubungozi bokuyiveza. Ucwaningo luyaqhubeka ukuthola ukuthi ezinye izakhi zofuzo zingadala kanjani i-spondyloarthritis.

Abanye basikisela ukuxhumana phakathi kokungalingani kwe-microbiome yakho kanye nokukhula kwe-spondyloarthritis noma ezinye izifo zokuvuvukala. Kudingeka olunye ucwaningo ukuqonda ubudlelwano phakathi kwamathumbu amabacteria nokuvuvukala kwesistimu.

I-arthritis esebenzayo yilona kuphela uhlobo lwe-spondyloarthritis olwaziwa ukuthi lubangelwa ukutheleleka kwebhaktheriya. Ngokuvamile kutholakala ngemuva kwe-chlamydia noma ukutheleleka okuphathwa ukudla.

Ubani osengozini ye-spondyloarthritis?

Akucaci njalo ukuthi kungani umuntu ethola i-spondyloarthritis. Ingozi yakho yalesi simo ingaba ngaphezulu uma:

• unelungu lomndeni eline-spondyloarthritis
• bangabokudabuka e-Alaskan, eSiberia Eskimo, noma eScandinavia Lapps
• ukuhlolwa kutholakala ngofuzo lwe-HLA-B27
• ube nokutheleleka okuvamile kwamagciwane emathunjini akho
• unesinye isimo sokuvuvukala, njenge-psoriasis noma isifo sokuvuvukala kwamathumbu

Ukuhlonza i-spondyloarthritis

Ukuxilongwa kusenesikhathi kubalulekile ukusiza ukuphatha izimpawu nokunciphisa ubungozi bezinkinga noma ukukhubazeka. Udokotela wakho angasola ukuthi une-spondyloarthritis ngokuya ngezimpawu zakho, umlando wezokwelapha, kanye nokuhlolwa kwezokwelapha.

Isimo singaqinisekiswa nge:

• Ama-X-ray amajoyinti we-sacroiliac ethangeni
• ukucabanga kwamagnetic resonance
• ukuhlolwa kwegazi ukuhlola isakhi sofuzo se-HLA-B27

Izinketho zokwelashwa kwe-Spondyloarthritis

Alikho ikhambi le-spondyloarthritis. Ukwelashwa kugxile ekwehliseni ubuhlungu, ukwenza ngcono noma ukugcina ukuhamba, nokunciphisa ubungozi bezinkinga.

Yize kungabonakala njengokuphikisana, ukunyakaza okujwayelekile kubalulekile ukuphatha ukungakhululeki okuhambisana nalesi simo.

Izinhlelo zokwelashwa zihlukile, kepha iningi lizobandakanya:

• ukwelashwa ngokomzimba
• ukuvivinya umzimba okunomthelela ophansi
• izidakamizwa ezingezona ukuvuvukala
• imijovo ye-corticosteroid
• imishanguzo yokulwa nemishanguzo
• Izidakamizwa ze-TNF alpha-blocker

Ama-antibiotic asetshenziselwa ukwelapha ukutheleleka okusebenzayo kwamagciwane okukhona nge-arthritis esebenzayo. Amacala abucayi we-spondyloarthritis angadinga ukuhlinzwa ukwelapha ukubhujiswa kwamathambo noma ukulimala kwe-cartilage.

Ukubhema kuyimbangela eyaziwayo yokuvuvukala emzimbeni. Uma ubhema, kubalulekile ukuyeka. Udokotela wakho angakusiza ukuthi uthole uhlelo lokuyeka ukubhema olulungele wena.

Ingabe okudlayo kusiza i-spondyloarthritis?

Akukho kudla okuqondile kwe-spondyloarthritis. Noma kunjalo, ukudla okunempilo kubalulekile empilweni yakho yonke nokusiza ukuvimbela ukuzuza kwesisindo. Isisindo eseqile sibeka ingcindezi eyengeziwe emajoyintini akho.

Okunye ukudla nezithako kungadala ukuvuvukala futhi kufanele kunqunyelwe. Lokhu kufaka phakathi:

• ushukela
• ukudla okuthosiwe
• Amafutha agcwalisiwe nokudluliswa
• ama-carbohydrate acwengekile
• i-monosodium glutamate
• Aspartame
• utshwala

Ukusiza ukulwa nokuvuvukala emzimbeni wakho, lwela ukudla ukudla okunothe:

• izinhlobo ezinhlobonhlobo zezithelo nemifino
• okusanhlamvu okuphelele
• ifayibha
• amaprotheni anciphile
• inhlanzi enamafutha

I-Spondyloarthritis ingadala ukuncipha kwamathambo kanye ne-osteoporosis, ngakho-ke kubalulekile ukuthola i-calcium eyanele ekudleni kwakho futhi. INational Ankylosing Spondylitis Society incoma ukuthola ama-milligram angama-700 we-calcium nsuku zonke.

Imikhiqizo yobisi ingumthombo omuhle we-calcium. Ucwaningo lukhombisa ukuthi ubisi lungadala ukuvuvukala kubantu abane-allergies ku-lactose. Uma uzwela i-lactose, khetha imithombo ye-calcium esuselwa ezitshalweni, njenge:

• imifino eluhlaza
• imidumba
• amakhiwane omisiwe

Ungathola futhi i-calcium kusuka kujusi we-orange oqinile. Isipinashi sine-calcium eningi, kodwa futhi siphezulu kuma-oxalate. Ama-oxalates abopha i-calcium futhi avimbele ukumuncwa kwawo.

Ingabe ukuya mahhala nge-gluten nge-spondyloarthritis?

Abanye abantu bathi ukungahambisani ne-gluten kunciphisa izimpawu zabo ze-spondyloarthritis. Yize kungenakuphikiswa ukuthi i-gluten kufanele igwenywe uma unesifo se-celiac, ukuzwela kwe-gluten kubantu abangenaso isifo se-celiac kuyimpikiswano.

Kwezinye izimo, abantu bangacabanga ukuthi i-gluten ibenza bazizwe kabi ngemuva kokudla, lapho umenzi wecala empeleni ukolweni noma enye i-allergen. Uma uzizwa ukuthi i-gluten yenza izimpawu zakho zibe zimbi kakhulu, khuluma nodokotela wakho mayelana nokuhlolelwa isifo se-celiac nokuzama ukudla okungenayo i-gluten.

Uyini umbono?

I-Spondyloarthritis yisimo esiqhubekayo. Inkambo yayo kunzima ukuyibikezela. Noma kunjalo, umbono wabantu abaningi muhle uma bethatha izinyathelo zokuphatha izimpawu zabo futhi bahlale bephilile ngangokunokwenzeka.

Ukuvivinya umzimba njalo nokwelashwa ngokomzimba kuhamba ibanga elide ukuxhasa ukuhamba nokunciphisa ukuqina nobuhlungu. Imithi yokwelapha kanye nemithi kadokotela yokunciphisa ukuvuvukala nayo ivame ukuzuzisa.

Njengezinye izimo eziningi ezingalapheki, izimpawu ze-spondyloarthritis zingafika futhi zihambe. Izimpawu zingahluka futhi usuku nosuku. Izinkinga, ezinjengezinkinga zenhliziyo kanye nokulimala kwamaphaphu ngenxa yokuvuvukala kwesikhathi eside, akuvamile.

I-Spondyloarthritis iyingozi.Kepha ngamasu okulungisa okulungile kanye nohlelo lokwelashwa olungaguquguquki, iningi labantu abanesimo baphila impilo ephelele.