Iingxaki ze-7 ze-Ankylosing Spondylitis kunye nendlela yokuBaphepha

Umxholo

• 1. Ukuhamba okulinganiselweyo
• 2. Amathambo abuthathaka kunye nokwaphuka
• 3. Ukudumba kwamehlo
• 4. Umonakalo odibeneyo
• 5. Ingxaki yokuphefumla
• 6. Isifo sentliziyo
• Isifo sentliziyo
• Isifo se-aortitis kunye nesifo sevalvu se-aortic
• Isingqisho sentliziyo esingaqhelekanga
• 7. Isifo seCauda equina syndrome (CES)
• Ukuthintela iingxaki ze-AS

Ushwankathelo

I-Ankylosing spondylitis (AS) luhlobo lwe-arthritis ebangela ukuvuvukala kumalungu omqolo wakho osezantsi. Ixesha elingaphezulu, linokonakalisa onke amalungu kunye namathambo omqolo wakho.

Ubuhlungu kunye nokuqina kumqolo wakho osezantsi kunye neempundu zezona mpawu ziphambili ze-AS. Kodwa esi sifo sinokubangela iingxaki zexesha elide kwamanye amalungu omzimba, kubandakanya amehlo nentliziyo.

1. Ukuhamba okulinganiselweyo

Umzimba wakho uzama ukuphilisa umonakalo kwi-AS ngokwenza ithambo elitsha. La macandelo matsha ethambo akhula phakathi kwe-vertebrae yomqolo wakho. Ixesha elingaphezulu, amathambo omqolo wakho anokungena kwenye iyunithi.

Ukudityaniswa kwamathambo omqolo kukunika uluhlu olupheleleyo lokuhamba, ukuvumela ukuba ugobe kwaye ujike. Ukuhlanganiswa kwenza amathambo aqine kwaye kunzima ukuhamba.Ithambo elongezelelekileyo linokunciphisa umda wokuhamba emazantsi omqolo wakho, kunye nokuhamba komqolo kunye nomqolo ongaphezulu.

2. Amathambo abuthathaka kunye nokwaphuka

AS ibangela ukuba umzimba wakho wenze ukwakheka kwethambo elitsha. Ezi zinto zibangela ukudibana (i-ankylosing) yamalungu omqolo. Amathambo amatsha nawo abuthathaka kwaye anokuqhekeka ngokulula. Ixesha elide ubune-AS, kunokwenzeka ukuba unokwaphuka ithambo kumqolo wakho.

I-osteoporosis ixhaphake kakhulu kubantu abane-AS. Ngaphezulu kwabantu abane-AS abanesi sifo siphelisa amathambo. Ugqirha wakho unokukunceda ukomeleza amathambo akho kunye nokuthintela ukwaphuka ngokumisela i-bisphosphonates okanye amanye amayeza.

3. Ukudumba kwamehlo

Nangona amehlo akho engekho kufutshane nomqolo wakho, ukudumba okuvela kwi-AS kunokubachaphazela, nabo. Imeko yamehlo ye-uveitis (ekwabizwa ngokuba yi-iritis) ichaphazela phakathi kweepesenti ezingama-33 ukuya kuma-40 zabantu abane-AS. I-Uveitis ibangela ukudumba kwe-uvea. Olu luluhlu lweethishu embindini wamehlo akho phantsi kwe-cornea yakho.

I-Uveitis ibangela ubomvu, iintlungu, umbono ogqwethekileyo, kunye nemvakalelo yokukhanya, zihlala kwiliso elinye. Yimeko enzulu enokubangela i-glaucoma, i-cataract, okanye ukulahleka kombono ngokusisigxina ukuba ishiywe inganyangwa.

Ugqirha wamehlo wakho uya kukunika amayeza e-steroid ukuba anciphise ukudumba kwiso lakho. Iipilisi zeSteroid kunye neenaliti zikwakhona ukhetho ukuba amathontsi engasebenzi.

Kwakhona, ukuba ugqirha wakho umisela ichiza lebhayoloji ukunyanga i-AS yakho, inokusetyenziselwa ukunyanga kwaye mhlawumbi nokuthintela iziqendu ezizayo ze-uveitis.

4. Umonakalo odibeneyo

Njengezinye iindlela zesifo samathambo, AS ibangela ukudumba kumalungu afana nesinqe namadolo. Ngokuhamba kwexesha, umonakalo unokwenza la malungu aqine kwaye abe buhlungu.

5. Ingxaki yokuphefumla

Ngalo lonke ixesha uphefumla, iimbambo zakho ziyanda ukunika imiphunga yakho indawo eyaneleyo ngaphakathi kwesifuba sakho. Xa amathambo omqolo wakho edibanisa, iimbambo zakho ziba ngqongqo ngakumbi kwaye azikwazi ukwandisa kakhulu. Ngenxa yoko, kukho indawo encinci esifubeni sakho ukuze imiphunga yakho ifuthe.

Abanye abantu bakhula nokuqhekeka kwimiphunga ethintela ukuphefumla kwabo. Ukonakala emiphungeni kungenza kube nzima ukubuyela kwimeko yesiqhelo xa ufumana usulelo lwemiphunga.

Ukuba unayo i-AS, khusela imiphunga yakho ngokungatshayi. Buza ugqirha wakho malunga nokugonywa ngokuchasene nosulelo lwemiphunga njengomkhuhlane kunye nenyumoniya.

6. Isifo sentliziyo

Ukudumba kunokuchaphazela nentliziyo yakho. Ukufikelela kwiipesenti ezili-10 zabantu abane-AS baneendlela ezithile zesifo senhliziyo. Ukuhlala nale meko kwandisa umngcipheko wokuhlaselwa sisifo sentliziyo okanye ukubetha ngepesenti efikelela kuma-60 epesenti. Ngamanye amaxesha iingxaki zentliziyo ziqala ngaphambi kokuba kufunyaniswe i-AS.

Isifo sentliziyo

Abantu abane-AS basemngciphekweni wesifo sentliziyo (CVD). Ukuba une-CVD, kunokwenzeka ukuba ube nesifo sentliziyo okanye ukubetha.

Isifo se-aortitis kunye nesifo sevalvu se-aortic

I-AS inokubangela ukudumba kwi-aorta, owona mthambo uphambili othumela igazi elisuka entliziyweni yakho kuwo wonke umzimba. Oku kubizwa ngokuba yi-aortitis.

Ukudumba kwi-aorta kunokuthintela lo mthambo ekuthwaleni igazi elaneleyo emzimbeni. Inokonzakalisa i-aortic valve -ijelo eligcina igazi lihamba ngendlela elungileyo ngentliziyo. Ekugqibeleni, i-aortic valve ingancipha, ivuze, okanye isilele ukusebenza ngokufanelekileyo.

Amayeza anokunceda ukulawula ukudumba kwi-aorta. Oogqirha banyanga i-aortic valve eyonakeleyo ngotyando.

Isingqisho sentliziyo esingaqhelekanga

Abantu abane-AS kunokwenzeka ukuba babe nokukhawuleza kwentliziyo okanye ukucotha. Ezi zixhobo zentliziyo zingaqhelekanga zithintela intliziyo ekumpompa igazi ngendlela efanelekileyo. Amayeza kunye nolunye unyango lunokubuyisela intliziyo kwisingqi sayo esiqhelekileyo.

Nazi ezinye zeendlela onokuzikhusela ngazo ukuba unayo i-AS:

• Iimeko zolawulo ezonakalisa intliziyo yakho. Nyanga isifo seswekile, uxinzelelo lwegazi oluphezulu, i-triglycerides ephezulu, kunye ne-cholesterol ephezulu ngokutya, umthambo, kunye nonyango ukuba uyayifuna.
• Yeka ukutshaya. Iikhemikhali ezikumsi wecuba zonakalisa ulungelelwaniso lwemithambo yakho kwaye zinegalelo ekwakhiweni kwamacwecwe anokukhokelela kwisifo sentliziyo okanye ukubetha.
• Nciphisa ubunzima ukuba ugqirha uthi utyebile. Abantu abatyebe kakhulu okanye abatyebe kakhulu baneengozi zesifo sentliziyo ezifana noxinzelelo lwegazi oluphezulu kunye ne-cholesterol ephezulu. Ubunzima obongezelelekileyo bubeka uxinzelelo ngakumbi entliziyweni yakho.
• Zilolonge. Intliziyo yakho sisihlunu. Ukusebenza kuyomeleza intliziyo yakho ngendlela efanayo eyomeleza ii-biceps zakho okanye amathole. Zama ukufumana ubuncinci imizuzu eyi-150 yokuzivocavoca umzimba ngamandla veki nganye.
• Buza ugqirha wakho ukuba kufuneka uthathe i-TNF inhibitors. La machiza anyanga i-AS, kodwa akonyusa amanqanaba e-cholesterol, anegalelo kwisifo sentliziyo.
• Yiya kugqirha rhoqo. Yenza iswekile yegazi, uxinzelelo lwegazi, icholesterol kunye namanye amanani ahlolwe. Buza ukuba ufuna i-echocardiogram okanye ezinye iimvavanyo zokuqonda ukuba ujonge iingxaki ngentliziyo yakho.

7. Isifo seCauda equina syndrome (CES)

Le ngxaki inqabileyo yenzeka xa kukho uxinzelelo kwinyanda yemithambo-luvo ebizwa ngokuba yi-cauda equina emazantsi omqolo wakho. Ukonakala kwezi-nerves kubangela iimpawu ezinje:

• iintlungu kunye nokubhabha kumqolo wakho osezantsi nasemva kweempundu
• ubuthathaka emilenzeni yakho
• ukuphulukana nolawulo ngokuchama okanye ukuhamba kwamathumbu
• iingxaki zesini

Yiya kugqirha wakho ngokukhawuleza ukuba uneempawu ezinje ngezi. I-CES yimeko embi.

Ukuthintela iingxaki ze-AS

Eyona ndlela yokuthintela ezi ngxaki kukunyangelwa i-AS yakho. Amayeza afana nee-NSAID kunye ne-TNF inhibitors zehlisa ukudumba emzimbeni wakho. La machiza anokunceda ukuthintela ukonakala kumathambo akho, amehlo, kunye namanye amalungu omzimba ngaphambi kokuba kubangele iingxaki zexesha elide.