I-Spondyloarthritis: Into ekufuneka uyazi

Umxholo

• Iimpawu zespondyloarthritis
• Yintoni ebangela i-spondyloarthritis?
• Ngubani osemngciphekweni wespondyloarthritis?
• Ukuchonga i-spondyloarthritis
• Unyango lweSpondyloarthritis
• Ngaba into oyityayo iyanceda spondyloarthritis?
• Ngaba uza kuhamba noncedo lwe-gluten-free nge-spondyloarthritis?
• Yintoni imbonakalo?

Yintoni i-spondyloarthritis?

I-Spondyloarthritis ligama leqela lezifo ezivuthayo ezibangela ukudumba ngokudibeneyo, okanye isifo samathambo. Uninzi lwezifo zokuvuvukala kucingelwa ukuba lilifa. Ukuza kuthi ga ngoku, abukho ubungqina benzululwazi obucebisa ukuba isifo singathintelwa.

I-Spondyloarthritis inokuhlelwa njenge-axial okanye ipheripheral. Ifom ye-axial ichaphazela ikakhulu amalungu omzimba kunye nomqolo. Ifom yomda ichaphazela amalungu. Le meko inokubangela nokudumba emehlweni, ithumbu, kunye neendawo apho imisipha kunye neethoni zinamathele emathanjeni akho.

Uhlobo oluqhelekileyo lwe-spondyloarthritis yi-ankylosing spondylitis (AS). Olu hlobo luchaphazela ikakhulu amalungu omqolo. Inokuchaphazela namanye amalungu amakhulu emzimbeni.

Ezinye iintlobo zespondyloarthritis zezi:

• isifo samathambo
• isifo samathambo
• isifo samathambo
• isifo samathambo esimalunga ne-enthesitis
• spondyloarthritis engafaniyo

Iimpawu zespondyloarthritis

Iimpawu eziphambili zespondyloarthritis zintlungu, ukuqina kunye nokudumba. Ukonakala kwethambo kusenokwenzeka. Apho uziva khona iimpawu emzimbeni kuxhomekeke kuhlobo lwespondyloarthritis onayo.

AS iintlungu zihlala ziqala ezimpundu nasemqolo. Ingasasazeka esifubeni nasentanyeni. IiTendon kunye ne-ligaments nazo zinokubandakanyeka. Kwiimeko ezinqabileyo, i-AS iya kuchaphazela intliziyo kunye nemiphunga.

Isifo samathambo kunokubangela iintlungu kumqolo, iingalo kunye namalungu omlenze. Inokubangela urhudo olunegazi kunye nentlungu esiswini ngenxa yesifo samathumbu.

Isifo samathambo esikwishumi elivisayo ihlala ibangela iintlungu kwi-pelvis, ihips, amaqatha namadolo. Le meko inokubangela nokudinwa.

Isifo samathambo inokuchaphazela umqolo. Xa oku kusenzeka, yaziwa ngokuba yi-psoriatic spondyloarthritis. Inokubangela nentlungu entanyeni.

Isifo samathambo esisebenzayo kunokubangela ukudumba kwindawo yokuchama, amalungu kunye namehlo. Ingakhokelela ekuvukeleni kwamalungu omqolo.

Isifo samathambo esingafaniyo ihlala ibangela iimpawu ezifanayo ne-AS. Oku kubandakanya iintlungu kumqolo ongezantsi, iimpundu, kunye nezithende.

Yintoni ebangela i-spondyloarthritis?

Isizathu esona ngqo se-spondyloarthritis asicaci, nangona i-genetics idlala indima. Uhlobo oluphambili olubandakanyekayo kuzo zonke iintlobo ze-spondyloarthritis yi-HLA-B27.

Nangona uhlobo lwe-HLA-B27 lungabangeli imeko, inokunyusa umngcipheko wokuyihlakulela. Uphando luyaqhubeka ukumisela ukuba ezinye iintlobo zofuzo zingadala njani i-spondyloarthritis.

Abanye bacebisa ikhonkco phakathi kokungalingani kwe-microbiome yakho kunye nophuhliso lwe-spondyloarthritis okanye ezinye izifo ezivuthayo. Olunye uphando luyafuneka ukuqonda ubudlelwane phakathi kwamathumbu egciwane kunye nokudumba kwenkqubo.

Isifo samathambo esisebenzayo kuphela kohlobo lwespondyloarthritis esaziwa ukuba sibangelwa lintsholongwane. Ngokuqhelekileyo iziphumo emva kwe-chlamydia okanye ukusuleleka kwintsholongwane.

Ngubani osemngciphekweni wespondyloarthritis?

Akusoloko kucacile ukuba kutheni umntu efumana i-spondyloarthritis. Umngcipheko wakho kule meko unokuphakama ukuba:

• Unelungu losapho elinespondyloarthritis
• NgabaseAlaskan, iSiberia Eskimo, okanye iScandinavia Lapps
• vavanyo luhlobo lwe-HLA-B27
• usulelo rhoqo lwegciwane emathunjini akho
• unesinye isimo sokudumba, esifana ne-psoriasis okanye isifo sesisu

Ukuchonga i-spondyloarthritis

Ukuchonga kwangoko kubalulekile ukunceda ukulawula iimpawu kunye nokunciphisa umngcipheko weengxaki okanye ukukhubazeka. Ugqirha wakho unokukrokrela ukuba une-spondyloarthritis esekwe kwiimpawu zakho, imbali yezonyango, kunye novavanyo lonyango.

Le meko inokuqinisekiswa ngoku:

• I-X-ray yamajoyina e-sacroiliac kwi-pelvis
• umfanekiso-ngqondweni wemagneti
• uvavanyo lwegazi ukukhangela uhlobo lwe-HLA-B27

Unyango lweSpondyloarthritis

Akukho nonyango ye-spondyloarthritis. Unyango lujolise ekunciphiseni iintlungu, ukuphucula okanye ukugcina ukuhamba, kunye nokunciphisa umngcipheko weengxaki.

Nangona inokubonakala ngathi ayinakuphikiswa, ukuhamba rhoqo kubalulekile ukulawula ukungonwabi okunxulumene nemeko.

Izicwangciso zonyango zizodwa, kodwa uninzi luya kubandakanya:

• ulungiso lwenyama
• umthambo osebenza kancinci
• non-steroidal iziyobisi anti-ukudumba
• Inaliti yecorticosteroid
• iziyobisi ezichasayo
• I-TNF alpha-blocker iziyobisi

Amayeza okubulala iintsholongwane asetyenziselwa ukunyanga usulelo olusebenzayo lwebacteria olukhoyo kwisifo samathambo esisebenzayo. Iimeko ezinzima ze-spondyloarthritis zinokufuna utyando ukunyanga ukutshatyalaliswa kwethambo okanye ukonakala kwekhatriji.

Ukutshaya sisizathu esaziwayo sokudumba emzimbeni. Ukuba uyatshaya, kubalulekile ukuba uyeke. Ugqirha wakho unokukunceda ufumane inkqubo yokuyeka ukutshaya ekulungeleyo.

Ngaba into oyityayo iyanceda spondyloarthritis?

Akukho kutya okhethekileyo kwi-spondyloarthritis. Okwangoku, ukutya okunempilo kubalulekile kwimpilo yakho iyonke kunye nokunceda ukuthintela ukutyeba. Ubunzima obugqithisileyo bubeka uxinzelelo olongezelelekileyo kumalungu akho.

Okunye ukutya kunye nezithako kunokubangela ukudumba kwaye kufuneka kuthintelwe. Oku kubandakanya:

• iswekile
• ukutya okuthosiweyo
• Amafutha agcweleyo kunye nokudluliselwa
• icarbohydrate ecokisekileyo
• monosodium glutamate
• Aspartame
• utywala

Ukunceda ukulwa nokudumba emzimbeni wakho, zama ukutya ukutya okunotye:

• iintlobo ngeentlobo zeziqhamo nemifuno
• amazimba
• ifayibha
• Iprotheni engacacanga
• iintlanzi ezinamafutha

I-Spondyloarthritis inokubangela ukunciphisa amathambo kunye ne-osteoporosis, ngoko kubalulekile ukuba ufumane i-calcium eyaneleyo ekudleni kwakho. I-National Ankylosing Spondylitis Society icebisa ukufumana i-milligrams ezingama-700 zekhalsiyam mihla le.

Iimveliso zobisi zingumthombo olungileyo wecalcium. Uphando lubonisa ukuba ubisi lunokubangela ukudumba kubantu abane-allergies kwi-lactose. Ukuba une-lactose-sensitive, khetha imithombo esekwe kwizityalo yekhalsiyam endaweni yoko, enje:

• imifuno enamagqabi aluhlaza
• iimbotyi
• amakhiwane omileyo

Unokufumana ikhalsiyam evela kwijusi eneorenji. Isipinatshi siphezulu kwi-calcium, kodwa siphezulu nakwi-oxalates. I-Oxalates ibopha kwi-calcium kwaye ithintele ukufunxeka kwayo.

Ngaba uza kuhamba noncedo lwe-gluten-free nge-spondyloarthritis?

Abanye abantu bathi ukungahambisani ne-gluten kunciphisa iimpawu zabo ze-spondyloarthritis. Nangona kungenakuphikiswa ukuba i-gluten kufuneka ithintelwe ukuba unesifo se-celiac, ubuntununtunu be-gluten kubantu abangenaso isifo se-celiac siyaphikisana.

Kwezinye iimeko, abantu banokucinga ukuba i-gluten ibenza bazive bebi emva kokutya, xa umgwebi eneneni eyingqolowa okanye enye i-allergen. Ukuba uziva ukuba i-gluten yenza ukuba iimpawu zakho zibe mbi, thetha nogqirha wakho malunga nokuvavanyelwa isifo se-celiac kunye nokuzama ukutya okungahambelani ne-gluten.

Yintoni imbonakalo?

I-Spondyloarthritis yimeko eqhubekayo. Ikhosi yayo kunzima ukuyichaza. Nangona kunjalo, umbono wabantu abaninzi ulungile ukuba bathatha amanyathelo okulawula iimpawu zabo kwaye bahlala bephilile ngokusemandleni.

Ukuzivocavoca rhoqo kunye nokunyanga ngokwasemzimbeni kuhamba ixesha elide ukuxhasa ukuhamba kunye nokunciphisa ukuqina kunye nentlungu. Amayeza angaphaya kwekhawuntari kunye nonyango lokunciphisa ukudumba nazo zihlala ziluncedo.

Njengezinye iimeko ezininzi ezingapheliyo, iimpawu ze-spondyloarthritis zinokuza zihambe. Iimpawu zinokwahluka imihla ngemihla. Iingxaki, ezinjengeengxaki zentliziyo kunye nokuqhekeka kwemiphunga ngenxa yokuvuvukala kwexesha elide, kunqabile.

I-Spondyloarthritis inzulu.Kodwa ngezicwangciso ezifanelekileyo zokujamelana nesicwangciso sonyango esingaguquguqukiyo, uninzi lwabantu abanesimo baphila ubomi obupheleleyo.