Iingxaki ze-Ankylosing Spondylitis

Umxholo

• Yintoni i-AS?
• Iingxaki ze-AS
• Ukuqina kunye nokuncipha kokuguquguquka
• Iritis
• Umonakalo odibeneyo
• Ukudinwa
• I-osteoporosis kunye neethambo eziqhekekileyo
• Isifo sentliziyo
• Ingxaki ye-GI
• Iingxaki ezinqabileyo
• ICauda Equina Syndrome
• Amyloidosis
• Nini ukubona ugqirha

Umqolo obuhlungu yenye yezona zikhalazo zonyango ziqhelekileyo eMelika namhlanje.

Ngapha koko, ngokwe-National Institute of Neurological Disorders kunye neStroke, malunga neepesenti ezingama-80 zabantu abadala bafumana iintlungu ezisezantsi ezisexesha elithile ebomini babo.

Unobangela weentlungu zangasemva zihlala zishiyiwe zingafunyanwanga. Iyaphungulwa njengengxaki ecaphukisayo, efihliweyo ngamayeza eentlungu ezingaphaya kwekhawuntari kwaye ihlala ishiywe inganyangwa.

Nangona kunjalo, ukuxilongwa ngokukodwa kwesizathu kunokwenzeka. Ngamanye amaxesha, iintlungu zangasemva zinokuba sisiphumo se-ankylosing spondylitis (AS).

Yintoni i-AS?

I-AS yindlela eqhubela phambili, evuthayo ye-arthritis echaphazela amathambo e-axial (umqolo) kunye namalungu akufutshane.

Ukudumba okungapheliyo ngokuhamba kwexesha kunokubangela ukuba i-vertebrae esemqolo idibane kunye. Ngenxa yoko, umqolo uya kuncipha.

Njengokuba isifo siqhubeka, umqolo ulahlekelwa bhetyebhetye, kwaye iintlungu zomqolo zikhula zisiba mbi. Iimpawu zokuqala zesifo zibandakanya:

• iintlungu ezingapheliyo kumqolo wakho osezantsi nasezinqeni
• ukuqina kumqolo wakho osezantsi nasezinqeni
• ukwanda kwentlungu kunye nokuqina ekuseni okanye emva kwexesha elide lokungasebenzi

Abantu abaninzi abanesifo bazingela phambili. Kwiimeko eziphambili zesifo, ukudumba kunokuba kubi kangangokuba umntu akakwazi ukuphakamisa intloko ukuze abone phambi kwabo.

Imiba yomngcipheko we-AS ibandakanya:

• Ubudala: Ukufikisa emva kwexesha okanye ukuba mdala kakhulu kuxa kunokwenzeka ukuba kwenzeke.
• Ngesondo: Amadoda ngokubanzi kunokwenzeka ngakumbi ukuba aphuhlise i-AS.
• Imfuza: Uninzi lwabantu abane-AS banalo, nangona lungaqinisekisi ukukhula kwesi sifo.

Iingxaki ze-AS

Ukuqina kunye nokuncipha kokuguquguquka

Ukuba ishiywe inganyangwa, ukudumba okungapheliyo kunokubangela ukuba i-vertebrae kumqolo wakho idibane kunye. Xa oku kusenzeka, umqolo wakho usenokungabi bhetyebhetye kwaye ube nzima ngakumbi.

Usenokuba wehlile kuluhlu lwesindululo xa:

• ukugoba
• ukujija
• Ukujika

Unokuba nobunzima obukhulu kunye nokuphindaphindiweyo.

Ukudumba akuphelelanga kumqolo wakho kunye nakwi-vertebrae. Inokubandakanya amanye amalungu akufutshane, kubandakanya akho:

• isinqe
• amagxa
• iimbambo

Oku kunokubangela iintlungu kunye nokuqina emzimbeni wakho.

Ukudumba kunokuchaphazela imisipha kunye nemisipha edibanisa amathambo akho, anokwenza ukuba amalungu ahamba nzima nzima.

Ngamanye amaxesha, amalungu, anje ngamathumbu akho, intliziyo, okanye imiphunga inokuchaphazeleka kwinkqubo yokuvuvukala.

Iritis

I-Iritis (okanye i-uveitis yangaphakathi) luhlobo lokudumba kwamehlo malunga neepesenti ezingama-50 zabantu abanamava e-AS. Ukuba ukudumba kusasazeka emehlweni akho, unokuhlakulela:

• iintlungu zamehlo
• uvakalelo ekukhanyeni
• ukungaboni kakuhle

I-Iritis iphathwa ngokwesihloko se-corticosteroid yamehlo kwaye ifuna unyango kwangoko ukuthintela umonakalo.

Umonakalo odibeneyo

Nangona eyona ndawo iphambili yokukrala ngumqolo, iintlungu kunye nomonakalo odibeneyo unokubakho kwi:

• umhlathi
• isifuba
• intamo
• amagxa
• isinqe
• amadolo
• amaqatha

Ngokwe-Spondylitis Association of America, malunga neepesenti ezili-15 zabantu abane-AS banokuvuvukala kwemihlathi, okunokuchaphazela ukuhlafuna nokuginya.

Ukudinwa

Olunye uphononongo lubonise malunga nabantu abanamava AS:

• ukudinwa, indlela egqithisileyo yokudinwa
• Inkungu yengqondo
• ukunqongophala kwamandla

Zininzi izinto ezinokuba negalelo koku, ezinje:

• ianemia
• ukuphulukana nobuthongo kwintlungu okanye ukungonwabi
• ubuthathaka bemisipha ukunyanzela umzimba wakho ukuba usebenze nzima
• uxinzelelo, eminye imiba yezempilo yengqondo, kunye
• amayeza athile asetyenziselwa ukunyanga isifo samathambo

Ukunyanga ukudinwa kuhlala kufuna unyango oluninzi ukujongana nabanikeli abahlukeneyo.

I-osteoporosis kunye neethambo eziqhekekileyo

I-Osteoporosis yinto ehlala ixhaphakile kubantu abane-AS kwaye inokubangela buthathaka amathambo. Ukuya kuthi ga kwisiqingatha sabo bonke abantu abanale meko nabo bane-osteoporosis.

Amathambo onzakeleyo nabuthathaka angophuka ngokulula. Kubantu abane-AS, oku kuyinyani ngokukodwa kwi-vertebrae yomqolo. Ukuqhekeka emathanjeni omqolo wakho kungonakalisa intambo yakho yomqolo kunye neentsholongwane ezixhumeke kuyo.

Isifo sentliziyo

AS inxulunyaniswa nenani, kubandakanya:

• aortitis
• isifo sevalvea aortic
• isifo sentliziyo
• Ischemic isifo sentliziyo

Ukudumba kunokuchaphazela intliziyo yakho kunye ne-aorta. Ixesha elingaphezulu, i-aorta inokwandiswa kwaye igqwetheke ngenxa yokukrala. Ivalvu ye-aortic eyonakalisiweyo inokuphazamisa ukubanakho kwentliziyo yakho ukuze isebenze ngokufanelekileyo.

ingaquka:

• i-fibrosis yeelobes ephezulu
• isifo semiphunga
• ukuphazamiseka komoya
• ubuthongo bokulala
• ukuwa kwemiphunga

Ingxaki ye-GI

Abantu abaninzi abanamava AS njengokudumba kwendlela yesisu kunye namathumbu abangela:

• isisu esibuhlungu
• urhudo
• ezinye iingxaki zokwetyisa

AS inokunxibelelana ne:

• ukudumba okwenziwa sisilonda sikabhobhosi
• Isifo sikaCrohn

Iingxaki ezinqabileyo

ICauda Equina Syndrome

I-Cauda equina syndrome (i-CES) yinto enqabileyo yokuphazamiseka kwengqondo kwe-AS eyenzeka ikakhulu kubantu abane-AS iminyaka emininzi.

I-CES inokuphazamisa ukusebenza kwemoto kunye nemvakalelo kwimilenze esezantsi nakwisinyi. Inokubangela nokuba umzimba ukhubazeke.

Unokufumana:

• iintlungu ezisezantsi ezinokuthi zihle phantsi komlenze
• Ukuba ndindisholo okanye ukuncipha komoya kwimilenze
• ukuphulukana nolawulo kwisinyi okanye emathunjini

Amyloidosis

I-Amyloidosis yenzeka xa iprotein ebizwa ngokuba yi-amyloid yakha kwizicwili nakwizitho zakho. I-Amyloid ayifumaneki ngokwendalo emzimbeni kwaye inokubangela ukusilela komzimba.

I-renal amyloidosis yayiyeyona fomu iqhelekileyo efumaneka kubantu abane-AS.

Nini ukubona ugqirha

Ngokufanelekileyo, wena nogqirha wakho niyakufumanisa kwaye nichaze i-AS yenu kwangoko. Ungaqala unyango kwangoko olunokukunceda ukunciphisa iimpawu kunye nokunciphisa ithuba elinokubakho lokuxakeka kwexesha elide.

Nangona kunjalo, ayinguye wonke umntu oya kufunyaniswa enale meko kwinqanaba lokuqala. Kubalulekile ukuba ubone ugqirha wakho ukuba unentlungu ebuyayo kwaye awuqinisekanga ngesizathu.

Ukuba ukrokrela ukuba iimpawu zakho zihambelana ne-AS, jonga ugqirha wakho ngokukhawuleza. Xa ulinde ixesha elide, maninzi amathuba okuba ufumane iimpawu ezinzima kunye neengxaki.