Ezinye iimeko kunye neengxaki ze-Ankylosing Spondylitis

Umxholo

• Iimpawu eziqhelekileyo ze-AS
• Unokubakho iingxaki ze-AS
• Iingxaki zamehlo
• Iimpawu ze-Neurological
• Iingxaki zesisu
• Umqolo odibeneyo
• Ukuqhekeka
• Iingxaki zentliziyo nemiphunga
• Intlungu edibeneyo kunye nomonakalo
• Ukudinwa
• Nini ukubona ugqirha

Ukuba ufumene ukuxilongwa kwe-ankylosing spondylitis (AS), unokuzibuza ukuba kuthetha ntoni oko. AS luhlobo lwesifo samathambo esihlala sichaphazela umqolo, sibangela ukudumba kwamalungu e-sacroiliac (SI) kwi-pelvis. La malungu adibanisa ithambo le-sacrum kwindawo esezantsi yomqolo kwi-pelvis yakho.

AS sisifo esinganyangekiyo esinganyangekiyo, kodwa sinokulawulwa ngamayeza kwaye, kwiimeko ezinqabileyo, utyando.

Iimpawu eziqhelekileyo ze-AS

Nangona i-AS ichaphazela abantu ngeendlela ezahlukeneyo, iimpawu ezithile zihlala zihambelana nayo. Oku kubandakanya:

• intlungu okanye ukuqina kumqolo wakho osezantsi nasemva kweempundu
• ukuqala ngokuthe kancinci kweempawu, ngamanye amaxesha ukuqala kwicala elinye
• iintlungu eziphucula ngokuzilolonga kwaye zibuhlungu ngokuphumla
• ukudinwa kunye nokungonwabi ngokubanzi

Unokubakho iingxaki ze-AS

AS sisifo esinganyangekiyo, esiyekisayo. Oku kuthetha ukuba inokuqhubeka isiba mandundu. Iingxaki ezinzulu zinokuvela ngokuhamba kwexesha, ngakumbi ukuba isifo asishiywanga singanyangwa.

Iingxaki zamehlo

Ukudumba kweliso elinye okanye omabini amehlo abizwa ngokuba yi-iritis okanye uveitis. Iziphumo zihlala zibomvu, zibuhlungu, zidumbile kwaye ukungaboni kakuhle.

Malunga nesiqingatha sezigulana ezinamava e-AS iritis.

Imiba yamehlo enxulunyaniswa ne-AS kufuneka inyangwe ngokukhawuleza ukuthintela umonakalo ongaphezulu.

Iimpawu ze-Neurological

Iingxaki ze-Neurological zinokukhula kubantu abane-AS ixesha elide kakhulu. Oku kungenxa ye-cauda equina syndrome, ebangelwa kukugqobhoza kobusi kunye nokunqaba kwemithambo-luvo emazantsi omqolo.

Nangona isifo sinqabile, kunokuvela iingxaki ezinzulu, kubandakanya:

• ukungakwazi ukuzibamba
• iingxaki zesini
• ukugcinwa komchamo
• iintlungu ezibi / zangasentla zomlenze
• ubuthathaka

Iingxaki zesisu

Abantu abane-AS banokufumana ukudumba kwendlela yesisu kunye namathumbu ngaphambi kokuqala kweempawu zokudibana okanye ngexesha lokubonakaliswa kwesi sifo. Oku kunokubangela iintlungu zesisu, urhudo, kunye neengxaki zesisu.

Ngamanye amaxesha, i-ulcerative colitis, okanye isifo sikaCrohn sinokukhula.

Umqolo odibeneyo

Amathambo amatsha angenza phakathi kwamathambo akho omqolo njengoko amalungu eye onakale aze aphile. Oku kunokubangela ukuba umqolo wakho udibanise, wenze ukuba kube nzima ukugoba nokujija. Olu fusing lubizwa ngokuba yi-ankylosis.

Kubantu abangayigcini imeko yokungathathi hlangothi ("elungileyo"), umqolo odibeneyo unokubangela ukuba umiswe kakuhle. Umthambo ojolisiweyo unokunceda ukuthintela oku.

Inkqubela phambili kunyango olufana ne-biologics iyanceda ukuthintela ukuqhubela phambili kwe-ankylosis.

Ukuqhekeka

Abantu abane-AS nabo banamava okuncipha kwamathambo, okanye i-osteoporosis, ngakumbi kwabo baneengxaki zomqolo ezihlanganisiweyo. Oku kunokukhokelela ekuqhekekeni koxinzelelo.

Malunga nesiqingatha sezigulana ze-AS zine-osteoporosis. Oku kuqheleke kakhulu emqolo. Ngamanye amaxesha intambo yomqolo inokonakala.

Iingxaki zentliziyo nemiphunga

Ukudumba ngamanye amaxesha kunokusasazeka kwi-aorta, owona mthambo mkhulu emzimbeni wakho. Oku kunokuthintela i-aorta ekusebenzeni ngesiqhelo, ekhokelela kwi.

Iingxaki zentliziyo ezinxulumene ne-AS zibandakanya:

• i-aortitis (ukudumba kwe-aorta)
• isifo sevalvea aortic
• isifo sentliziyo (isifo sentliziyo)
• isifo sentliziyo esischemic (esiphumela ekunciphiseni ukuhamba kwegazi kunye neoksijini kwisisipha sentliziyo)

Ukuqhekeka okanye i-fibrosis kwimiphunga ephezulu inokukhula, kunye nokukhubazeka komoya, isifo semiphunga, isifo sokulala, okanye imiphunga edilikileyo. Ukuyeka ukutshaya kucetyiswa kakhulu ukuba uyatshaya kunye ne-AS.

Intlungu edibeneyo kunye nomonakalo

Ngokwe-Spondylitis Association of America, malunga neepesenti ezili-15 zabantu abane-AS banamava okuvuvukala kwemihlathi.

Ukudumba kwiindawo apho imihlathi yakho idibana khona kunokubangela iintlungu ezinzulu kunye nobunzima bokuvula nokuvala umlomo. Oku kunokukhokelela kwiingxaki ngokutya nokusela.

Ukuvuvukala apho iigaments okanye i-tendon ezinamathele kwithambo ziqhelekile kwi-AS. Olu hlobo lokudumba lunokwenzeka ngasemva, amathambo e-pelvic, isifuba, ngakumbi isithende.

Ukuvuvukala kunokusasazeka kumalungu kunye ne-cartilage kwi-ribcage yakho. Ngokuhamba kwexesha, amathambo kwi-ribcage yakho angaxubana, okwenza ukwandiswa kwesifuba kunzima okanye ukuphefumula kubuhlungu.

Ezinye iindawo ezichaphazelekayo zibandakanya:

• iintlungu zesifuba ezilinganisa i-angina (isifo sentliziyo) okanye i-pleurisy (iintlungu xa uphefumla nzulu)
• inyonga kunye nentlungu

Ukudinwa

Izigulana ezininzi ze-AS zifumana ukudinwa okungaphezulu kokudinwa. Ihlala ibandakanya ukunqongophala kwamandla, ukudinwa kakhulu, okanye inkungu yengqondo.

Ukukhathala okunxulumene ne-AS kunokubangelwa zizinto ezininzi:

• ukuphulukana nobuthongo kwintlungu okanye ukungonwabi
• ianemia
• buthathaka kwezihlunu ukwenza umzimba wakho usebenze nzima ukuhamba
• uxinzelelo, eminye imiba yezempilo yengqondo, kunye
• amayeza athile asetyenziselwa ukunyanga isifo samathambo

Ugqirha wakho unokucebisa ngaphezu kolunye uhlobo lonyango ukujongana nemiba yokukhathala.

Nini ukubona ugqirha

Ukuba uhlangabezana nentlungu emva, kubalulekile ukuba ubone umboneleli wezempilo ngokukhawuleza. Unyango lwakwangoko luncedo ekunciphiseni iimpawu kunye nokuhamba kancinci kwesi sifo.

I-AS inokuchongwa ukuba ine-X-ray kunye ne-MRI scan ebonisa ubungqina bokudumba kunye novavanyo lwelebhu kumakishi wemfuza obizwa ngokuba yi-HLA B27. Izibonakaliso ze-AS zibandakanya ukuvuvukala kokubambisana kwe-SI kwindawo ephantsi kakhulu yangemuva kunye ne-ilium kwinxalenye ephezulu ye-hip.

Izinto ezinobungozi zibandakanya:

• Ubudala: Ukuqala kwesiqhelo kukufikisa kade okanye ukuba mdala.
• Imfuza: Uninzi lwabantu abane-AS bane. Olu hlobo aluqinisekisi ukuba uza kufumana i-AS, kodwa inokukunceda ukulufumanisa.