Ngaphandle Kwezinhlungu Zangemuva: Izimpawu Eziyisixwayiso ezi-5 ze-Ankylosing Spondylitis

-Delile

• Kuyini i-ankylosing spondylitis?
• Ziyini izimpawu eziyisixwayiso?
• Isiginali # 1: Unezinhlungu ezingachazeki emhlane ongezansi.
• Sign # 2: Unomlando womndeni we-AS.
• Uphawu # 3: Umncane, futhi unezinhlungu ezingachazeki esithendeni (e) izitho, emalungeni, noma esifubeni.
• Uphawu # 4: Ubuhlungu bakho bungafika buhambe, kepha buhamba kancane umgogodla wakho. Futhi kuya ngokuya kuba kubi.
• Isibonakaliso # 5: Uthola ukukhululeka ezimpawu zakho ngokuthatha ama-NSAID.
• Ngubani othintwa yi-AS?
• Ixilongwa kanjani i-AS?

Ingabe kumane kubuhlungu emuva - noma kungenye into?

Ubuhlungu beqolo yisikhalazo esiphezulu sezokwelapha. Futhi kuyimbangela ehamba phambili yomsebenzi ophuthelwe. Ngokusho kweNational Institute of Neurological Disorders and Stroke, cishe bonke abantu abadala bazofuna ukunakekelwa ngezinhlungu zasemhlane ngesikhathi esithile empilweni yabo. I-American Chiropractic Association ibika ukuthi abaseMelika basebenzisa cishe ama- $ 50 billion ngonyaka ekwelapheni izinhlungu emuva.

Kunezimbangela eziningi ezingaba khona zobuhlungu obuphansi emuva. Imvamisa kubangelwa ukuhlukumezeka okuvela ekucindezelweni okungazelelwe emgogodleni. Kepha kufanele wazi ukuthi ubuhlungu beqolo bungakhombisa futhi isimo esibi kakhulu esibizwa nge-ankylosing spondylitis.

Kuyini i-ankylosing spondylitis?

Ngokungafani nobuhlungu obujwayelekile beqolo, i-ankylosing spondylitis (AS) ayibangelwa ukuhlukumezeka ngokomzimba emgogodleni. Kunalokho, yisimo esingelapheki esidalwa ukuvuvukala kwamagciwane omgogodla (amathambo omgogodla). I-AS iyindlela yokuqaqamba kwamalunga omgogodla.

Izimpawu ezivame kakhulu ukuqhuma kokuqaqamba komgogodla nokuqina. Kodwa-ke, lesi sifo singathinta namanye amalunga, kanye namehlo namathumbu. Ku-AS esezingeni eliphakeme, ukukhula okungavamile kwethambo kuma-vertebrae kungadala ukuthi amalunga axhumane. Lokhu kunganciphisa kakhulu ukuhamba. Abantu abane-AS nabo bangaba nezinkinga zombono, noma ukuvuvukala kwamanye amalunga, njengamadolo namaqakala.

Ziyini izimpawu eziyisixwayiso?

Isiginali # 1: Unezinhlungu ezingachazeki emhlane ongezansi.

Ubuhlungu obujwayelekile emuva buvame ukuzizwa bungcono ngemuva kokuphumula. NJENGOBA okuphambene. Ubuhlungu nokuqina kuvame ukuba kubi kakhulu lapho uvuka. Ngenkathi ukuzivocavoca umzimba kungenza izinhlungu ezijwayelekile zasemhlane zibe zimbi kakhulu, izimpawu ze-AS empeleni zingazizwa zingcono ngemuva kokuzivocavoca.

Ubuhlungu obuphansi emuva emuva ngaphandle kwesizathu obubonakalayo abujwayelekile kubantu abasha. Intsha kanye nabantu abadala abakhala ngokuqina noma izinhlungu emhlane ongezansi noma okhalweni kufanele bahlolwe i-AS ngudokotela. Ubuhlungu buvame ukutholakala ezinhlanganisweni ze-sacroiliac, lapho kuhlangana khona i-pelvis nomgogodla.

Sign # 2: Unomlando womndeni we-AS.

Abantu abanezimpawu ezithile zofuzo bangabanjwa yi-AS. Kepha hhayi bonke abantu abanezakhi zofuzo abahlakulela lesi sifo, ngezizathu ezihlala zingacaci. Uma unezihlobo ezine-AS, i-psoriatic arthritis, noma i-arthritis ehlobene nesifo samathumbu esivuthayo, ungahle ube nezakhi zofuzo ezizuze wena engcupheni enkulu ye-AS.

Uphawu # 3: Umncane, futhi unezinhlungu ezingachazeki esithendeni (e) izitho, emalungeni, noma esifubeni.

Esikhundleni sobuhlungu beqolo, ezinye iziguli ze-AS ziqala ukuzwa ubuhlungu esithendeni, noma ubuhlungu nokuqina kwamalungu ezihlakaleni, emaqakaleni, noma kwamanye amalunga. Amanye amathambo ezimbambo zesiguli ayathinteka, lapho ahlangana khona nomgogodla. Lokhu kungadala ukuqina esifubeni okwenza kube nzima ukuphefumula. Khuluma nodokotela wakho uma ngabe kukhona kwalezi zimo ezenzekayo noma eziqhubekayo.

Uphawu # 4: Ubuhlungu bakho bungafika buhambe, kepha buhamba kancane umgogodla wakho. Futhi kuya ngokuya kuba kubi.

I-AS isifo esingelapheki, esiqhubekayo. Yize imishanguzo yokuzivocavoca noma yezinhlungu ingasiza okwesikhashana, lesi sifo singakhula kancane kancane. Izimpawu zingafika zidlule, kepha ngeke ziyeke ngokuphelele. Imvamisa ubuhlungu nokuvuvukala kusakazeka kusuka emuva emuva kuya phezulu umgogodla. Uma ishiywe ingalashwa, ama-vertebrae angahlangana ndawonye, ​​abangele ukugobeka phambili komgogodla, noma ukubukeka kwe-humpbacked (kyphosis).

Isibonakaliso # 5: Uthola ukukhululeka ezimpawu zakho ngokuthatha ama-NSAID.

Ekuqaleni, abantu abane-AS bazothola ukukhululeka kwezimpawu emithini ejwayelekile yokulwa nokuvuvukala, njenge-ibuprofen noma i-naproxen. Le mithi, ebizwa ngama-NSAID, ayiguquli inkambo yalesi sifo, noma kunjalo.

Uma odokotela bakho becabanga ukuthi une-AS, bangahle bakunikeze imishanguzo esezingeni eliphakeme. Le mithi ikhomba izingxenye ezithile zesistimu yomzimba yokuzivikela. Izakhi zesistimu yomzimba ezibizwa ngokuthi ama-cytokines zidlala indima enkulu ekuvukeleni. Okubili ikakhulukazi - i-tumor necrosis factor alpha ne-interleukin 10 - kubhekiswe ekwelashweni kwanamuhla kwezinto eziphilayo. Le mithi ingakunciphisa ukukhula kwalesi sifo.

Ngubani othintwa yi-AS?

I-AS kungenzeka ukuthi ithinte izinsizwa, kepha ingathinta abesilisa nabesifazane. Izimpawu zokuqala zivame ukuvela eshumini nambili kuze kube seminyakeni yobudala yokuqala. I-AS ingakhula nganoma yisiphi isikhathi, noma kunjalo. Ukuthambekela kokuthuthukisa lesi sifo kuzuzwe njengefa, kepha akuwona wonke umuntu onalezi zimaki zomaka ozosungula lesi sifo. Akucaci ukuthi kungani abanye abantu bethola i-AS kanti abanye abayitholi. A onalesi sifo uphatha isakhi sofuzo esithile esibizwa nge-HLA-B27, kepha hhayi bonke abantu abanegciwane bakhula njenge-AS. Kutholakale izakhi zofuzo ezifika kuma-30 ezingadlala indima.

Ixilongwa kanjani i-AS?

Asikho isivivinyo esisodwa se-AS. Ukuxilongwa kufaka umlando oningiliziwe wesiguli nokuhlolwa komzimba. Udokotela wakho angaphinde ahlele ukuhlolwa kwe-imaging, njenge-computed tomography (CT), imaging resonance imaging (MRI), noma i-X-ray. Abanye ochwepheshe bakholelwa ukuthi i-MRI kufanele isetshenziselwe ukuxilonga i-AS ezigabeni zokuqala zesifo, ngaphambi kokuthi ivele kwi-X-ray.