Uma une- arthritis ye-rheumatoid , kubukeka sengathi iyimvelo ukusola konke ubuhlungu bakho kulesi sifo. Phela, kuyisifo esingapheli futhi ubuhlungu obuhlangene obuhambisanayo yilona uphawu oluyinhloko. Ubuhlungu bebukhoma buvame ukuhlotshaniswa ne-osteoarthritis, kodwa isifo samathambo singathinta umgogodla.
I-Cervical Versus Lumbar Ukubandakanya Isihlwathi
I-arthritis ye-rheumatoid ethinta umgogodla ingabangela ubuhlungu bentamo , ubuhlungu bomhlane, futhi kube khona ukukhanya kwe-radiculopathy (ubuhlungu obuya emilenzeni noma ezandleni) ngenxa yokucindezeleka kwemizwa emgogodleni noma izimpande zesisindo.
Uma i-arthritis ye-rheumatoid engumthombo wezinhlungu emuva, kuvame kakhulu ukuthi umgogodla wesibeletho (isifunda esifundeni) ungathinteka kunokuba ugqoke u-thoracolumbar noma ama- sacroiliac . Ukubandakanya umgogodla wesibeletho nesifo samathambo ngokuvamile kubonakala ngezifo eziphambili.
Ingumgogodla ophezulu wesibeletho ovame ukuhilela isifo samathambo esiyingozi. Ukuxoshwa kwemigqa esekela i-vertebrae yokuqala neyesibili yomlomo wesibeletho (C1 no-C2) kungaholela ekungazinzile kulelo zinga lomgogodla. Iziguli ezine-arthritis ye-rheumatoid kufanele zihlolwe njalo ngezibonakaliso ze-subluxation (dislocation eyingxenye) emgodini wesibeletho. Uma ukuhlukunyezwa kubangelwa ukucindezelwa komgogodla, kungase kube nezibonakaliso zokubandakanya isikhathi eside (ama-neurons aphezulu), kufaka phakathi i-hyperreflexia (i-reflexes engaphenduliyo).
Kunezinhlobo ezimbili ezikhona ezichaza ukubandakanyeka kwamalungu okuphazamiseka komzimba wesibeletho somlomo wesibeletho ku-rheumatoid arthritis:
- Ukwandiswa kwenqubo yokuvuvukala kusuka ezinhlangothini ezithandanayo ze-neurocentral endaweni engaphansi kwe-discotebral (isikhombimsebenzisi esiphakathi kwe-disc kanye nomzimba we-vertebral).
- Ukungaqiniseki komlomo wesibeletho osungulwe yi-apophyseal (facet) ekubhujisweni okuhlangene, okuholela ekwenzeni ukuguqulwa kwamagciwane noma ukuhlukunyezwa, okungaholela emiphaketheni ye-vertebral, i-disnixation, noma ukuguqulwa kwe-disc cartilage.
Ukubandakanya izingxenyana ze-lumbar spine kanye ne-discitis kuye kwashiwo ukuthi kune-arthritis ye-rheumatoid ngezikhathi ezithile, ikakhulukazi kulandela ukucwaninga nokuzivocavoca emva kokufa. Ekusebenzeni komtholampilo, ngaphambi kokubandakanyeka kwe-rhumumid i-lumbar spine kungatholakala, izimbangela ezijwayelekile nezimbi kakhulu zokubuhlungu emuva (isib. Ama-vertebral compression fractures) kumele zikhishwe ngaphandle.
Ukubandakanya Umgogodla Ohambisana Ne-Rheumatoid Arthritis
Izimpawu ezivame ukuhambisana nesifo samathambo emgogodini futhi okuyobonakala kumguli kufaka:
- Ukuhlanganiswa kwendawo ethintekile yomgogodla kubangelwa ukubekezela
- Ukugubha endaweni echaphazelekayo yomgogodla
- I-Crepitus , ikakhulukazi esifundeni sezintamo
- Ukuphathwa ikhanda kungenziwa nge-arthritis yomlomo wesibeletho somlomo wesibeletho
- Ubuhlungu obuvutha phansi eyodwa noma zombili izingalo, okubonisa ukubandakanya izimpande zomlomo wesibeletho (ukuxilongwa kwe-cervical radiculopathy)
- Ubuhlungu obuvutha phansi eyodwa noma zombili imilenze, okubonisa ukubandakanyeka kwezimpande ze-lumbar (uxhumano lwe-radiumpathy lumbar)
- Ukulukhuni ukuhamba, okuyisibonakaliso sokucindezela okwandayo emthonjeni wobuncwane
- Ukulinganisa, ubuthakathaka bezingalo noma imilenze, izinguquko zokulinganisela nokuxhumana okungase kube izibonakaliso zokubandakanya intambo yomgogodla
- Inkinga yokulawula isilonda noma isisu (isb. Ukukhubazeka, ukungakwazi ukuchama, noma ukuhluleka ukulawula izibilini) kungaba uphawu lokubandakanya intambo yomgogodla. Lokhu kudinga ukunakekelwa kwezempilo ngokushesha.
Uma i-arthritis ye-rheumatoid ibangela ukubhujiswa kwezingxenye zezinhlangothi emgodleni, isimo esibizwa ngokuthi i-spondylolisthesis singase sithuthuke. Nge-spondylolisthesis, i-vertebra engenhla isakaza phambili phezulu kwe-vertebra ephansi eseduze. I-vertebra ehlisiwe ingabeka ingcindezi eyengeziwe emthonjeni womgogodla noma izimpande zesibindi lapho ziphuma khona umgogodla futhi zibangele ezinye zezinkinga ezibalwe ngenhla ezihambisana nengcindezi emthonjeni womgogodla.
Imithombo:
> I-Arthritis Nezifo Ezithinta Emuva. I-Arthritis Foundation. https://www.arthritis.org/about-arthritis/where-it-hurts/back-pain/causes/back-arthritis.php.
> Currier BL, Coblyn J. Ukuxoshwa Kwesibeletho Esikhathini Se-Rheumatoid Arthritis. Kusesikhathini. http://www.uptodate.com/contents/cervical-subluxation-in-rheumatoid-arthritis.
> I-Venables PJW, i-Maini RN. Ukubonakaliswa Kwemitholampilo Ye-Arthritis Ye-Rheumatoid. Kusesikhathini. http://www.uptodate.com/contents/clinical-manifestations-of-rheumatoid-arthritis.