I-Ankylosing Spondylitis: Ngaphezulu nje kwe "Bad Back"

Umxholo

• Ukudumba kwamalungu omqolo
• Ngaphaya komqolo
• Ukubandakanyeka kwengcambu yemithambo
• Zithini iindaba ezimnandi?

Umqolo wakho wenza ngaphezu kokukubamba nkqo. Idibana ne-immune system, skeletal, muscular, kunye ne-system ye-nervous. Ke xa kukho into ehamba gwenxa ngomqolo wakho, inokuba nefuthe elide emzimbeni wakho. Ukugcina umqolo wakho wonwabile yinxalenye ebalulekileyo yempilo yakho iphela.

I-Ankylosing spondylitis (AS) yimeko efanelekileyo. Luhlobo lwe-arthritis enxulunyaniswa nokudumba kwexesha elide kwamalungu omqolo wakho. Iimpawu zokuqala ze-AS zihlala ziintlungu kumqolo wakho osezantsi nasezinqeni, onokuthi ugqithise nje ngokuba "ngumqolo ombi." Kodwa NJENGOBA isiba mandundu ngokuhamba kwexesha, ngakumbi ukuba ayinyangwa. Njengoko isifo siqhubeka, sinokuchaphazela amalungu amaninzi omzimba wakho, kubandakanya amanye amalungu kunye namehlo akho, amathumbu, iinyawo nentliziyo.

Ukudumba kwamalungu omqolo

Njengokuba kuqala ngokuqaqanjelwa kumqolo osezantsi kunye nesinqe okubangelwa kukudumba kwamalungu omqolo apho. Njengokuba ixesha lihamba, ukudumba- kunye neempawu ezibangelwe yiyo- zinokuhambisa kancinci umqolo kwaye zibangele iingxaki. Inokutsiba kwakhona iindawo kumqolo.

Ezi zinto zintathu zibalulekileyo ze-AS:

• Sacroiliitis: Uphawu lokuqala lwe-AS kukudumba kwamalungu e-sacroiliac, akuyo apho umqolo wakho udibana khona ne-pelvis yakho. Oku kudumba kubangela iintlungu esinqeni sakho. Ngamanye amaxesha iintlungu ziyehla emathangeni akho, kodwa ungaze ube ngaphantsi kwamadolo akho.
• Ukubola Olunye uphawu lwe-AS kukudumba kokungena-indawo apho iigaments kunye neetoni zinamathela emathanjeni. Olu hlobo lokudumba lubangela uninzi lwentlungu kunye nokuphulukana nomsebenzi okubonwayo kwesi sifo.
• Umdibaniso: Umzamo wakho ophindaphindiweyo wokuphilisa ukufutheka okungafunekiyo kunokukhokelela ekunqobeni kwethishu, kulandele ukwenziwa kwethambo elongezelelweyo. Ekugqibeleni, amathambo amabini okanye nangaphezulu omqolo wakho unokudityaniswa, ukunciphisa umda kuguquko kumqolo wakho. Kwiimeko ezinzima, umqolo wakho unokuhlakulela ukujikeleza kwangaphambili, kubangele ukuba uhlale uhleli ngokusisigxina. Kuyinto encinci kakhulu ukufikelela kweli nqanaba namhlanje, ngenxa yenkqubela phambili yonyango.

Ngaphaya komqolo

Njengoko ixesha lihamba, ukudumba okubangelwa yi-AS kunokuchaphazela amanye amalungu omzimba wakho ngokunjalo:

• Amanye amalungu: Ukudumba kunokubangela iintlungu kunye nokuqina kwamalungu entanyeni, emagxeni, esinqeni, emadolweni, emaqatheni, okanye, kunqabile, kwiminwe nakwiinzwane.
• Isifuba sakho: Phantse iipesenti ezingama-70 zabantu abane-AS bahlakulela ukuvuvukala kwinqanaba leembambo kunye nomqolo. Indawo apho iimbambo zakho zidibana nesifuba sakho ngaphambili zinokuchaphazeleka, zikhokelela kwintlungu yesifuba. Ekugqibeleni, ukuqina kwembambo yakho kunganciphisa ukuba isifuba sakho sinokwanda kangakanani, sinciphise ukuba ingakanani imiphunga onokuyibamba.
• Amehlo akho: Ukufikelela kwiipesenti ezingama-40 zabantu abane-AS bahlakulela ukuvuvukala kwamehlo, okubizwa ngokuba yi-uveitis okanye i-iritis. Oku kudumba kunokubangela iintlungu zamehlo kunye nokubomvu, ubuntununtunu ekukhanyeni, kunye nombono omfiliba. Ukuba ayinyangwa ngokukhawuleza, inokukhokelela ekuphulukaneni nombono.
• Iinyawo zakho: Ukungenelela okutsha kunokuvela ngasemva okanye kwisiseko sesithende sakho. Intlungu kunye nokuthantamisa kunokuthintela ukubanakho kwakho ukuhamba.
• Amathumbu akho: Ukuvuvukala kunokubangela iimpawu zesifo sokukrala, kubandakanya isisu esiswini kunye norhudo, ngamanye amaxesha kunegazi okanye umchamo esitulweni.
• Umhlathi wakho: Ukudumba komhlathi wakho akuqhelekanga, kuchaphazela ngaphezulu kwe-15 yeepesenti yezigulana ze-AS. Kodwa kunokuba nzima ngakumbi, kwenze kube nzima ukutya.
• Intliziyo yakho. Kwiimeko ezinqabileyo, umthambo omkhulu womzimba wakho, obizwa ngokuba yi-aorta, uyavutha. Inokwandisa kakhulu kangangokuba iphazamisa ubume bevalve eyidibanisa nentliziyo yakho.

Ukubandakanyeka kwengcambu yemithambo

Abantu abane-AS abaphambili kakhulu banokuphuhlisa i-cauda equina syndrome, isifo esichaphazela inyanda yeengcambu zentsholongwane emazantsi omqolo wakho. Ezi ngcambu zemithambo-luvo zihambisa imiyalezo phakathi kwengqondo yakho nomzimba ongezantsi. Xa umonakalo obangelwe yi-AS uxinana neengcambu, inokuphazamisa ukusebenza kwamalungu akho e-pelvic okanye imvakalelo kunye nokuhamba kwimilenze yakho esezantsi.

Lumkela iimpawu ezilumkisayo ze-cauda equina syndrome:

• Iingxaki ngesinyi okanye umsebenzi wamathumbu: Unokugcina inkunkuma okanye ungabinakho ukuyibamba.
• Iingxaki ezinzima okanye eziya ziba nzima kwimilenze yakho esezantsi: Unokufumana ilahleko okanye utshintsho kwiimvakalelo kwiindawo eziphambili: phakathi kwemilenze yakho, ngaphezulu kweempundu zakho, emqolo wemilenze yakho, okanye ezinyaweni nasezithendeni.
• Ubuhlungu, ukuphazamiseka, okanye ubuthathaka obusasazeka kwelinye okanye kwimilenze yomibini: Iimpawu zinokukwenza ukhubeke xa uhamba.

Ukuba uphuhlisa ezi mpawu, kubalulekile ukuba ufune unyango kwangoko. Ukushiya kunganyangwa, i-cauda equine syndrome inokukhokelela kwisithintelo esingalunganga kunye nolawulo lwamathumbu, ukungasebenzi ngokwesondo, okanye ukukhubazeka.

Zithini iindaba ezimnandi?

Uluhlu olude lweengxaki ezinokubangela uloyiko. Nangona kunjalo, unyango lwe-AS luyakwazi ukukhusela okanye ukulibazisa iingxaki ezininzi. Ngokukodwa, iqela lamayeza abizwa ngokuba yi-tumor necrosis factor (TNF) inhibitors ayakwazi ukutshintsha ikhosi yesi sifo.