Ukuchonga i-Ankylosing Spondylitis

Umxholo

• Ichongwa njani i-AS?
• Uvavanyo
• Uvavanyo olupheleleyo lomzimba
• Ukujonga iimvavanyo
• Iimvavanyo zaselebhu
• Ngabaphi oogqirha abachonga i-ankylosing spondylitis?
• Ngaphambi kokuqeshwa kwakho

Umqolo obuhlungu yenye yezigulo eziqhelekileyo eUnited States namhlanje. Phantse iipesenti ezingama-80 zabantu abadala bafumana iintlungu zangasemva ngexesha elithile ebomini.

Uninzi lwezi meko lubangelwa kukwenzakala okanye ukonakala. Nangona kunjalo, ezinye zinokubangelwa yenye imeko. Olunye luhlobo lwesifo samathambo ekuthiwa yi-ankylosing spondylitis (AS).

AS imeko yokuqhubela phambili yokukrala ebangela ukudumba kumqolo wakho kunye namalungu akufutshane kwi-pelvis. Ngaphezulu kwexesha elide, ukuvuvukala okungapheliyo kunokubangela ukuba i-vertebrae emgodini wakho idibanise kunye, okwenza umgudu wakho ungabi bhetyebhetye.

Abantu abane-AS banokuzingela phambili ngenxa yokuba izihlunu ezandayo zibuthathaka kunemisipha ye-flexor etsala umzimba uye phambili (i-flexion).

Njengokuba umqolo uqina kwaye uxhuma, ukuzingela kuya kubonakala ngakumbi. Kwiimeko eziphambili, umntu one-AS akakwazi ukuphakamisa intloko ukuze abone phambi kwabo.

Ngelixa i-AS ikakhulu ichaphazela umqolo kunye ne-vertebrae apho imisipha kunye nemisipha inxibelelana nethambo, inokuchaphazela namanye amalungu, kubandakanya amagxa, iinyawo, amadolo kunye neenyonga. Kwiimeko ezinqabileyo, inokuchaphazela amalungu kunye nezicubu.

Xa kuthelekiswa nezinye iintlobo zesifo samathambo, uphawu olunye olwahlukileyo lwe-AS yi-sacroiliitis. Oku kukudityaniswa kwendibaniselwano ye-sacroiliac, apho umqolo kunye nesinqe kudibana khona.

Amadoda achaphazeleka ngu-AS rhoqo kunabafazi, nangona isenokungabonakali kwabafazi.

Kwizigidi zabantu baseMelika abaneentlungu ezingapheliyo zangasemva, ukuqonda le meko kunokuba yinto ephambili ekulawuleni iintlungu kunye nokufumanisa isifo sokuqaqanjelwa ngumqolo njenge-AS.

Ichongwa njani i-AS?

Oogqirha abanalo uvavanyo olulodwa lokufumanisa i-AS, ngoko ke kufuneka bakhuphe ezinye iinkcazo ezinokwenzeka kwiimpawu zakho, kwaye bajonge iqela lezimpawu kunye neempawu ze-AS. Ukwenza oku, ugqirha wakho uqhuba uvavanyo lomzimba kunye nolunye uvavanyo.

Ugqirha wakho uya kufuna ukufumana imbali yakho epheleleyo yezempilo ukuze uqonde ngcono iimpawu zakho. Ugqirha wakho uya kukubuza:

• unexesha elingakanani ufumana iimpawu
• xa iimpawu zakho zibi kakhulu
• loluphi unyango oluzamile, olusebenzayo, nolungasebenziyo
• ziziphi ezinye iimpawu ohlangabezana nazo
• Imbali yakho yeenkqubo zonyango okanye iingxaki
• nayiphi na imbali yosapho yeengxaki ezifanayo naleyo uhlangabezana nayo

Uvavanyo

Makhe sijonge kwinto onokuyilindela kuvavanyo olunokuthi lwenziwe ngugqirha wakho ukufumanisa i-AS.

Uvavanyo olupheleleyo lomzimba

Ugqirha wakho uqhuba uvavanyo lomzimba ukuze afumane iimpawu kunye neempawu ze-AS.

Banokuhambisa nje ngokudibeneyo amalungu akho okanye benze imithambo embalwa ukuze babone uluhlu lwentshukumo kumalungu akho.

Ukujonga iimvavanyo

Ukulinganisa iimvavanyo kunika ugqirha wakho umbono wento eyenzekayo ngaphakathi komzimba wakho. Uvavanyo lokucinga oludingayo lunokubandakanya:

• X-reyi: IX-reyi ivumela ugqirha wakho ukuba abone amalungu kunye namathambo akho. Baza kujonga iimpawu zokudumba, ukonakala, okanye ukudibana.
• Ukuskena iMRI: I-MRI ithumela amaza omoya kunye nomazibuthe emzimbeni wakho ukuvelisa umfanekiso wezicwili zomzimba wakho ezithambileyo. Oku kunceda ugqirha wakho abone ukudumba ngaphakathi nangaphakathi kwamalungu.

Iimvavanyo zaselebhu

Uvavanyo lweLebhu ugqirha wakho angayalela ukuba zibandakanye:

• I-HLA-B27 Uvavanyo lofuzo: Iminyaka elishumi yophando kwi-AS ityhile into ebangela umngcipheko: imfuza yakho. Abantu abane I-HLA-B27 Imfuza ichaphazeleka lula ekuphuhliseni i-AS. Nangona kunjalo, ayinguye wonke umntu onesifo sofuzo oya kuthi asiphuhlise esi sifo.
• Inani elipheleleyo legazi (CBC): Olu vavanyo lilinganisa inani leeseli ezibomvu nezimhlophe zegazi emzimbeni wakho. Uvavanyo lwe-CBC lunokunceda ekuchongeni nasekunqandeni ezinye iimeko ezinokwenzeka.
• Izinga le-sedimentation ye-Erythrocyte (ESR): Uvavanyo lwe-ESR lusebenzisa isampulu yegazi ukulinganisa ukudumba emzimbeni wakho.
• Iprotheyini esebenzayo yeC (CRP): Uvavanyo lweCRP lukwalinganisa ukuvuvukala, kodwa lubuthathaka ngakumbi kunoluvavanyo lwe-ESR.

Ngabaphi oogqirha abachonga i-ankylosing spondylitis?

Unokuqala ngokuxoxa ngentlungu yakho yangemva kunye nogqirha wakho oyintloko.

Ukuba ugqirha wakho oyintloko ukrokrela i-AS, banokukuthumela kwi-rheumatologist. Olu luhlobo logqirha oyingcali yesifo samathambo kunye nezinye iimeko ezichaphazela izihlunu, amathambo kunye namalungu, kubandakanya noluhlu lwezifo ezizimele.

I-rheumatologist ngokubanzi yeyona nto inokuchonga ngokuchanekileyo nokunyanga i-AS.

Ngenxa yokuba i-AS yimeko engapheliyo, unokusebenza kunye ne-rheumatologist yakho iminyaka. Uya kufuna ukufumana umntu omthembileyo nonamava nge-AS.

Ngaphambi kokuqeshwa kwakho

Ukuqeshwa koGqirha ngamanye amaxesha banokuziva bekhawulezile kwaye bexinekile. Kulula ukulibala ukubuza umbuzo okanye ukukhankanya iinkcukacha malunga neempawu zakho.

Nazi izinto ekufuneka uzenzile ngaphambi kwexesha ezinokukunceda ufumane olona lungiselelo lwakho:

• Yenza uluhlu lwemibuzo ofuna ukuyibuza ugqirha.
• Bhala umgca wexesha lweempawu zakho, kubandakanywa ukuba baqale nini kwaye baqhuba njani.
• Hlanganisa iziphumo zovavanyo okanye iirekhodi zonyango ukubonisa ugqirha.
• Bhala nantoni na malunga nembali yosapho lwakho ocinga ukuba inokunceda ugqirha ngoxilongo okanye unyango.

Ukuzilungiselela kuya kukunceda ulisebenzise kakuhle ixesha lakho xa ubona ugqirha wakho. Ukuzisa amanqaku kunokunceda ekunciphiseni uxinzelelo lokuziva ngathi ufuna ukukhumbula yonke into.