Ukuqonda iintlobo zeSpondylitis

Umxholo

• Iimpawu eziqhelekileyo ze-spondylitis
• Iindidi ze-8 ze-spondylitis
• Iindidi zemveli zespondylitis
• 1. I-Ankylosing spondylitis
• 2. I-Enteropathic arthritis (i-EnA)
• 3. Isifo samathambo (PsA)
• 4. Isifo samathambo esisebenzayo / iReiter's syndrome (ReA)
• 5. I-spondylitis yolutsha (i-JSpA)
• 6. I-spondylitis engafaniyo
• Indlela entsha yokuhlela isifo sepondylitis
• 7. I-Axial spondylitis
• 8. I-peripheral spondylitis
• Oonobangela spondylitis
• I-spondylitis ifunyaniswa njani?
• Yintoni unyango lwe-spondylitis?
• Uyintoni umbono wakho ukuba une-spondylitis?
• Ukuthatha

I-Spondylitis okanye i-spondyloarthritis (spA) ibhekisa kwiindidi ezithile zesifo samathambo.

Iindidi ezahlukeneyo zespondylitis zibangela iimpawu kwiindawo ezahlukeneyo zomzimba. Banokuchaphazela:

• umva
• amalungu
• ulusu
• amehlo
• inkqubo yokwetyisa
• Intliziyo

Izifo ze-Spondylitis zingakhokelela nakwezinye iingxaki zempilo.

Zonke iintlobo zesifo se-spondylitis zinezinto ezimbalwa ezifanayo. Nantsi into ekufuneka uyazi.

Iimpawu eziqhelekileyo ze-spondylitis

Zonke iintlobo ze-spondylitis zibangela iintlungu kunye nokudumba (ukudumba nokubomvu). Olona phawu luqhelekileyo ziintlungu ezisezantsi. Ezinye iimpawu kunye neempawu zixhomekeka kuhlobo lwespondylitis onayo.

Iimpawu eziqhelekileyo ze-spondylitis zibandakanya:

• ukudinwa
• iintlungu zemisipha
• ukudumba kwamehlo
• intlungu edibeneyo
• umqolo obuhlungu
• ukudumba ezingalweni nasemilenzeni

Iindidi ze-8 ze-spondylitis

Ngokwe-Spondylitis Association of America, zimbini iindlela eziphambili zokwahlulahlula i-spondylitis. Endala, ngendlela yesiqhelo, kukho iintlobo ezintandathu ezahlukeneyo. Inkqubo entsha yophula konke ukufumanisa isifo se-spondylitis kudidi olunye lweendidi ezimbini.

Iindidi zemveli zespondylitis

Iindlela ezintandathu zemveli zespondylitis zibandakanya:

1. I-Ankylosing spondylitis

I-Ankylosing spondylitis lolona hlobo luqhelekileyo. Ihlala ichaphazela umqolo, umva ongezantsi, kunye nokudibana kwamalungu.

Iimpawu ze-ankylosing spondylitis zibandakanya:

• iintlungu ezisezantsi
• intlungu edibeneyo yenyonga
• ukuqina
• ukudumba

2. I-Enteropathic arthritis (i-EnA)

Olu hlobo lwe-spondylitis lubonakaliswa yintlungu kunye nokudumba emathunjini. Unokuba nentlungu yangasemva kunye nokudibana.

Ezinye iimpawu zibandakanya:

• isisu esibuhlungu
• urhudo olungapheliyo
• ukuhla ukusinda
• igazi ekuhambeni kwamathumbu

3. Isifo samathambo (PsA)

Olu hlobo lwe-spondylitis lubangela iintlungu zangasemva kunye nokuqina. Inxulunyaniswa ne-psoriasis yolusu. I-Psoriatic arthritis ikakhulu ibangela iintlungu kunye nokudumba kumalungu amancinci, njengeminwe neenzwane.

Iimpawu zibandakanya:

• iintlungu nokudumba ezandleni, eminweni nasezinyaweni
• Irhashalala yolusu (Psoriasis flare-up)
• i-dactylitis (inzwane okanye ukudumba komnwe phakathi kwamalungu, ngamanye amaxesha abizwa ngokuba "yiminwe yesoseji")

4. Isifo samathambo esisebenzayo / iReiter's syndrome (ReA)

I-ReA luhlobo lwe-spondylitis edla ngokwenzeka emva kosulelo lwebacteria. Kungenzeka ngenxa yosulelo olosulela ngokwabelana ngesondo, njenge chlamydia, okanye usulelo lwesisu olusuka kukutya okungcoliswe Salmonella.

I-ReA inokubangela iintlungu kunye nokudumba kumalungu adibeneyo (njengamadolo namaqatha), umqolo kunye namalungu e-sacroiliac. Ezi zibekwe kwicala ngalinye lomqolo wakho osezantsi.

Unokufumana:

• iintlungu ezidibeneyo kunye nokudumba
• irhashalala
• ukudumba kwamehlo
• isinyi kunye nentlungu yangasese kunye nokudumba

5. I-spondylitis yolutsha (i-JSpA)

I-JSpA luhlobo lwesifo samathambo esenzeka ebantwaneni nakwishumi elivisayo. Olu hlobo lwe-arthritis luhlala luchaphazela amalungu omlenze. Omnye umlenze unokuchaphazeleka ngaphezulu komnye.

I-JSpA inokujongeka njengezinye iintlobo zespondylitis. Iimpawu eziphambili ziintlungu kunye nokudumba okujikeleze amalungu kunye nomqolo.

Olu hlobo lwe-spondylitis luchaphazela indawo apho izihlunu, iigaments, kunye neetoni ziqhotyoshelwe kwithambo.

6. I-spondylitis engafaniyo

Olu hlobo lwe-spondylitis lubizwa ngokungafaniyo kuba aluhlangabezani neendlela zokuchonga i-ankylosing spondylitis okanye isifo esinxulumene noko.

Ukuba une-spondylitis engafaniyo, ngekhe ubenazo iimpawu eziqhelekileyo zentlungu yomqolo, irhashalala, okanye iingxaki zokwetyisa. Endaweni yoko, unokuba:

• iintlungu zomqolo ezivuthayo
• iintlungu zempundu
• i-enthesitis (intlungu yesithende)
• peripheral samathambo
• dactylitis
• ukudinwa
• ukudumba kwamehlo

Indlela entsha yokuhlela isifo sepondylitis

Indlela entsha yokuhlela iintlobo ze-spondylitis isekwe kwindawo eyenzeka kuyo emzimbeni. Le nkqubo ineentlobo ezimbini eziphambili ze-spondylitis. Abanye abantu abane-spondylitis baya kuba neentlobo zombini.

7. I-Axial spondylitis

Ezi ziindidi ze-spondylitis ezibangela iimpawu ngasemva kunye ne-groin okanye indawo ye-hip. Eli qela liphinde lahlulwe kwi-spondylitis ebangela utshintsho kwethambo kunye nokudibana okunokubonakala kwi-X-ray okanye ukuskena kunye nezo zingenakho.

Iindidi ze-Axial spondylitis zingabandakanya:

• i-ankylosing spondylitis
• isifo samathambo
• isifo samathambo
• i-spondylitis engafaniyo
• isifo samathambo

8. I-peripheral spondylitis

Eli qela ligubungela iintlobo ze-spondylitis ezibangela iimpawu ezingalweni nasemilenzeni. Iindawo ezichaphazelekayo eziqhelekileyo zibandakanya amalungu:

• amadolo
• amaqatha
• iinyawo
• izandla
• izihlahla
• iingqiniba
• amagxa

Iintlobo zesifo se-spondylitis esifanelekileyo kweli nqanaba zi:

• isifo samathambo
• isifo samathambo
• isifo samathambo
• isifo samathambo esingafaniyo

Oonobangela spondylitis

Oogqirha abazi ngokupheleleyo izizathu zezifo ze-spondylitis. Unyango lubonisa ukuba ezinye iintlobo, njenge-ankylosing spondylitis, zinokuba yimfuza. Oku kuthetha ukuba kunokwenzeka ukuba uyiphuhlise ukuba omnye umntu kusapho lwakho unayo.

Kukho ii-30 zofuzo ezinxulunyaniswa ne-ankylosing spondylitis. Ezinye zezi ntlobo zemfuza zinokubangela ezinye iintlobo zespondylitis.

Ezinye izizathu ezinokubangela i-spondylitis zibandakanya ukusuleleka kubhakteria. Unokuba nomngcipheko ophezulu kwiintlobo ezinjenge-enteropathic arthritis kunye ne-spondylitis esebenzayo ukuba unamathumbu, isinyi, okanye usulelo lwangasese.

Unokuba nethuba lokuphuhlisa i-enteropathic arthritis ukuba unezinye izifo zesisu ezivuthayo (IBD) ezifana nesifo sikaCrohn kunye nesifo sezilonda zesilonda.

Ukufikelela kuma-20 ekhulwini abantu abane-IBD banesifo se-enteropathic arthritis. Kuqheleke kakhulu kulutsha nakubantu abadala abancinci.

Uxinzelelo olungalawulwayo lunokubangela okanye lubangele ezinye iintlobo ze-spondylitis. Abantu abadala abane-ankylosing spondylitis bafumana iipesenti ezingama-80 bathi uxinzelelo lubangele iimpawu zabo.

I-spondylitis ifunyaniswa njani?

Ugqirha wakho uya kwenza uvavanyo lomzimba kwaye axoxe ngembali yakho yezonyango ukufumanisa ukuba unayo i-spondylitis. Unokufuna iimvavanyo kunye nezikena ukuze uqinisekise isifo, ezinje:

• uvavanyo lwegazi ukukhangela ukudumba kunye neempawu zosulelo
• I-X-ray ye-hip kunye ne-pelvis
• Iskena seMRI somqolo wakho, isinqe, kunye neempundu
• uvavanyo lwemfuza

Gcina ingxelo yeempawu, kwaye uqaphele xa uneempawu zokuqhambuka. Oku kunokunceda ugqirha wakho ukuba afumane i-spondylitis yakho.

Iindidi ezahlukeneyo zespondylitis zinokufuna iintlobo ezahlukeneyo zonyango. Abanye oogqirha banokuba noqeqesho olukhethekileyo kunye namava ekuphatheni uhlobo oluthile lwe-spondylitis, kodwa hayi abanye. Zininzi iindlela zokufumana ingcali efanelekileyo:

• Buza ugqirha wakho wokunyamekela ukuba akuthumele kwi-joint or arthritis specialist onamava ekuphatheni uhlobo lwe-spondylitis onayo.
• Jonga ulwazi kwiiwebhusayithi ezinje ngeSpondylitis Association of America kunye neArthritis Foundation. Zinezintlu zoogqirha abaphatha i-spondylitis kwindawo yakho.
• Joyina iqela lenkxaso yendawo ye-spondylitis ukufumana ukuba ngoobani abantu abacebisa abantu.

Yintoni unyango lwe-spondylitis?

Unyango lwe-spondylitis luhlala lujolise kwintlungu kunye nokudumba. Ukuhlisa ukudumba (ukudumba) emqolo, amalungu, kunye nomzimba kunokunceda ukuyeka okanye ukunciphisa iimpawu.

Ugqirha wakho unokucebisa oku kulandelayo:

• Ii-NSAID ezinje nge-aspirin, ibuprofen, okanye naproxen
• Iziyobisi ezichaphazela isifo se-antirheumatic (DMARDs)
• I-tumor necrosis alpha (TNF-alpha) blocker
• inaliti steroid
• wamehlo e-steroid
• unyango lomzimba, njengokuzivocavoca kunye nokuzivocavoca amanzi
• utyando emqolo okanye esinqeni

Unyango lwasekhaya lokunceda ukuthoba iimpawu zibandakanya:

• amayeza okuphelisa iintlungu
• ii-bandage kunye ne-brace
• ukuzithambisa ekhaya
• amabhafu ashushu
• i-infrared sauna
• ukutya okunesondlo
• umthambo wemihla ngemihla
• ukuyeka ukutshaya
• ukunqanda utywala

Uyintoni umbono wakho ukuba une-spondylitis?

Ezinye iintlobo ze-spondylitis, njenge-arthritis esebenzayo, zihlala malunga neenyanga ezi-3 ukuya kwezi-12. Unokuba nomngcipheko wokuba iphinde yenzeke ukuba unolu hlobo lwespondylitis. Abanye abantu abane-spondylitis banokufumana ezinye iintlobo ze-arthritis.

Ukuba une-ankylosing spondylitis, unokuba neempawu zokuqaqamba. Iingxaki ze-ankylosing spondylitis zibandakanya umqolo wokudibana ngokuhamba kwexesha. Oku kwenzeka xa ithambo elitsha likhula kwaye lenza umqolo ungabi bhetyebhetye.

Ubunzima obunqabileyo be-spondylitis buchaphazela intliziyo. Ukudumba kunokusasazeka entliziyweni kwaye kukhokelele kwisifo sentliziyo esinzulu, kubandakanya:

• Ukudumba kwe-aorta kunye ne-aortic valve
• isifo sentliziyo
• isifo semithambo
• iingxaki zokuqhuba intliziyo

Ukuthatha

I-Spondylitis ligama lesambrela leentlobo ezahlukeneyo zezifo zamathambo. Ihlala ichaphazela umqolo, kodwa unokuba neempawu ezinxulumene noko, njengokuvuvukala kwamehlo okanye iintlungu ezincinci zokudibana, ngaphambi kokuqala kwentlungu.

Tshela ugqirha wakho ngokukhawuleza ukuba unayo nayiphi na impawu, okanye ukuba iimpawu zakho ziba zibi. Ukunyanga i-spondylitis kwangoko kunokunceda ukunciphisa iimpawu kunye nokuphepha ezinye iingxaki zempilo.