Ngaphandle kwentlungu ebuyayo: Iimpawu ezi-5 zesilumkiso se-Ankylosing Spondylitis

Umxholo

• Yintoni i-ankylosing spondylitis?
• Zithini iimpawu ezilumkisayo?
• Umqondiso # 1: Unentlungu engachazwanga kumqolo ongezantsi.
• Umqondiso # 2: Unembali yosapho ye-AS.
• Umqondiso # 3: Umncinci, kwaye uneentlungu ezingachazwanga kwisithende (e) sisthende, kumalungu, okanye esifubeni.
• Umqondiso # 4: Intlungu yakho inokuza ihambe, kodwa ngokuthe ngcembe inyusa umqolo wakho. Kwaye kuya kusiba kubi.
• Umqondiso # 5: Ufumana ukukhululeka kwiimpawu zakho ngokuthatha ii-NSAID.
• Ngubani ochaphazeleka ngokwe-AS?
• Ichongwa njani i-AS?

Ngaba ngumqolo obuhlungu nje - okanye yenye into?

Umqolo obuhlungu sisikhalazo sonyango esiphezulu. Ikwangunobangela ophambili womsebenzi ophosiweyo. Ngokwe-National Institute of Neurological Disorders and Stroke, phantse bonke abantu abadala baya kujonga iintlungu zangasemva ngexesha elithile ebomini babo. Umbutho waseAmerican Chiropractic Association uxela ukuba abantu baseMelika bachitha malunga ne- $ 50 yezigidigidi ngonyaka kunyango lwasemva.

Zininzi izinto ezinokubangela iintlungu ezisezantsi. Ngokwesiqhelo kubangelwa ukwenzakala okuvela ngesiquphe kumqolo. Kodwa kuya kufuneka uqaphele ukuba iintlungu zangasemva zinokubonisa imeko enzulu ebizwa ngokuba yi-ankylosing spondylitis.

Yintoni i-ankylosing spondylitis?

Ngokungafaniyo neentlungu eziqhelekileyo zomqolo, i-ankylosing spondylitis (AS) ayibangelwa kukukhathazeka emzimbeni. Kunoko, yimeko engapheliyo ebangelwa kukudumba kwi-vertebrae (amathambo omqolo). AS luhlobo lwe-arthritis yomqolo.

Ezona mpawu zixhaphakileyo kukuqaqanjelwa zintlungu zomqolo kunye nokuqina. Nangona kunjalo, esi sifo sinokuchaphazela namanye amalungu, kunye namehlo kunye namathumbu. Kwi-AS ehambele phambili, ukukhula ngokungaqhelekanga kwethambo kwi-vertebrae kunokubangela ukuba amalungu adibanise. Oku kunokunciphisa kakhulu ukuhamba. Abantu abane-AS banokufumana iingxaki zombono, okanye ukudumba kwamanye amalungu, njengamadolo namaqatha.

Zithini iimpawu ezilumkisayo?

Umqondiso # 1: Unentlungu engachazwanga kumqolo ongezantsi.

Ubuhlungu obuqhelekileyo obuqhelekileyo buhlala buziva bungcono emva kokuphumla. AS yinto eyahlukileyo. Intlungu kunye nokuqina zihlala zibi kakhulu xa uvuka. Ngelixa umthambo unokwenza iintlungu zomqolo eziqhelekileyo zibe mbi ngakumbi, AS iimpawu zinokuziva zingcono emva kokuzilolonga.

Iintlungu ezisezantsi ezisezantsi ngaphandle kwesizathu ezibonakalayo aziqhelekanga kubantu abancinci. Ulutsha kunye nabantu abadala abancinci abakhalazela ukuqina okanye iintlungu kumqolo osezantsi okanye esinqeni kufuneka bavavanyelwe i-AS ngugqirha. Iintlungu zihlala zifumaneka kumalungu e-sacroiliac, apho i-pelvis kunye nomqolo udibana khona.

Umqondiso # 2: Unembali yosapho ye-AS.

Abantu abaneempawu ezithile zofuzo banokuchaphazeleka kwi-AS. Kodwa ayingabo bonke abantu abaneemfuza abaphuhlisa esi sifo, ngenxa yezizathu ezingacacanga. Ukuba unesihlobo esine-AS, i-psoriatic arthritis, okanye isifo samathambo esinxulumene nesifo sokukrala kwamathumbu, usenokuba nelifa lofuzo olukubeka emngciphekweni omkhulu we-AS.

Umqondiso # 3: Umncinci, kwaye uneentlungu ezingachazwanga kwisithende (e) sisthende, kumalungu, okanye esifubeni.

Endaweni yeentlungu zasemva, ezinye izigulana ze-AS ziqala ukufumana iintlungu kwisithende, okanye iintlungu kunye nokuqina kwamalungu ezihlahla, amaqatha, okanye amanye amalungu. Amanye amathambo embambo wesigulana ayachaphazeleka, kwinqanaba apho adibana khona nomqolo. Oku kunokubangela ukuqina esifubeni esenza ukuba kube nzima ukuphefumla. Thetha nogqirha wakho ukuba ngaba kukho nayiphi na kwezi meko okanye iqhubeka.

Umqondiso # 4: Intlungu yakho inokuza ihambe, kodwa ngokuthe ngcembe inyusa umqolo wakho. Kwaye kuya kusiba kubi.

AS sisifo esinganyangekiyo, esiqhubela phambili. Nangona umthambo okanye amayeza eentlungu anokunceda okwethutyana, esi sifo sinokuba mandundu ngokuthe ngcembe. Iimpawu zinokuza zidlule, kodwa aziyi kuyeka ngokupheleleyo. Rhoqo iintlungu kunye nokudumba kuyasasazeka ukusuka kumqolo osezantsi unyuse umqolo. Ukuba ishiywe inganyangwa, i-vertebrae inokuhlangana kunye, ibangele ukugoba phambili komqolo, okanye ukubonakala kwe-humpbacked (kyphosis).

Umqondiso # 5: Ufumana ukukhululeka kwiimpawu zakho ngokuthatha ii-NSAID.

Ekuqaleni, abantu abane-AS baya kufumana ukukhululeka kwempawu kwizidakamizwa eziqhelekileyo ezichasayo, ezifana ne-ibuprofen okanye i-naproxen. Ezi zi yobisi, ezibizwa ngokuba yi-NSAID, azitshintshi ikhosi yesi sifo, nangona kunjalo.

Ukuba oogqirha bakho bacinga ukuba une-AS, banokuyalela amayeza aphezulu ngakumbi. La machiza ajolise kumacandelo athile omzimba. Izinto ze-immune system ezibizwa ngokuba yi-cytokines zidlala indima ephambili ekuvukeleni. Ezimbini ngokukhethekileyo-ithumba necrosis factor alpha kunye ne-interleukin 10-zijolise kunyango lwangoku lwebhayiloji. La machiza anokucothisa ukuqhubela phambili kwesi sifo.

Ngubani ochaphazeleka ngokwe-AS?

I-AS inokwenzeka kakhulu ukuba ichaphazele abafana, kodwa inokuchaphazela abesilisa nabasetyhini. Iimpawu zokuqala zihlala zivela emva kwexesha lokufikisa ukuya kwiminyaka yokufikisa. AS inokukhula nangaliphi na ixesha, nangona kunjalo. Umkhwa wokuphuhlisa esi sifo uzuzwe njengelifa, kodwa ayinguye wonke umntu onolu phawu lwesifo oya kuthi asiphuhlise esi sifo. Akucaci ukuba kutheni abanye abantu befumana i-AS kwaye abanye bengayifumani. Isifo sithwala uhlobo oluthile olubizwa ngokuba yi-HLA-B27, kodwa ayingabo bonke abantu abane-gene abaphuhlisa i-AS. Kufike kwi-30 yemfuza echongiweyo enokudlala indima.

Ichongwa njani i-AS?

Akukho vavanyo lunye lwe-AS. Ukuxilongwa kubandakanya imbali enezigulana kunye novavanyo lomzimba. Ugqirha wakho unokuyalela iimvavanyo zokucinga, ezinje ngecomputer tomography (CT), imaging resonance imaging (MRI), okanye iX-ray. Ezinye iingcali zikholelwa ukuba iMRI kufuneka isetyenziselwe ukuxilonga i-AS kwinqanaba lokuqala lesi sifo, ngaphambi kokuba ivele kwi-X-ray.