Okungaphezu Kokuphela Kwe-Arthritis Yesihluthulelo
I-ankylosing spondylitis (AS) isifo esingapheli sezifo zomgogodla kanye namalungu e-sacroiliac. Abantu abane-AS bangase babe nokuvuvukala kwamanye amalunga afana namahlombe namadolo.
Izimpawu ze-AS zivame ukuqala lapho umuntu esemdala ephakathi kweminyaka engama-20 no-30, futhi azithinti wonke umuntu ngendlela efanayo. Ngamanye amazwi, abanye abantu abane-AS banesifo esibi kakhulu esinomthelela omncane ekuphileni kwabo kwansuku zonke kanti abanye banamabonakaliso amaningi aphefumulayo.
Ngenkathi izimpawu zihluka ngohlobo nangobunzima, nazo ziyahlukahluka ngokobulili. Esifundweni sika-2011 emitholampilo ye-Clinical Rheumatology , ubuhlungu emuva babubikwa njengenkinga enkulu AS njengamadoda nabesifazane. Kodwa abesifazane abane-AS babevame ukuzwa ubuhlungu entanyeni, emadolweni noma emlonyeni, kuyilapho amadoda ayengaba nezinhlungu ezinyaweni.
Ubuhlungu Emuva Emuva
Ubuhlungu bokubuyela emuva obuvuvukala
Uphawu oluvame kakhulu lwe-AS lubuhlungu obunzima bokubuya kanye nokuqina, okubangelwa ukuvuvukala kwamalungu omgogodla (okuthiwa i-vertebrae).
Ubuhlungu bokubuhlungu emuva emuva kwe-AS kunezici ezihlukile. Lezi zici zisiza odokotela ukuba bazihlukanise nobuhlungu bokubuyela emuva , okuvame kakhulu.
Ubuhlungu bokubuhlungu emuva:
- Izinyanga ezintathu ezingapheli, ezihlala njalo noma ngaphezulu
- Iqala lapho umuntu engaphansi kweminyaka engama-40 ubudala
- Ihamba kancane kancane isikhathi semasonto kuya ezinyangeni
- Kuthuthukisa ngokuzivocavoca futhi akuthuthuki nokuphumula noma ukulala phansi
- Okubi nakakhulu ebusuku (ngisho nokuvusa umuntu phezulu)
- Ithuthukisa nge- non-steroidal anti-inflammatory (NSAID)
Ikhwalithi yobuhlungu e-AS ingasiza futhi ekuhlukaniseni ubuhlungu obuvela emuva. Isibonelo, umuntu ophethe i-AS ngokuvamile uzochaza ukuthi ubuhlungu bakhe bubuhlungu bubuhlungu futhi "buthule," ngokuphambene nokuhlala endaweni eyodwa.
Ukugubha Emuva
Isikhathi sokuqina komhlane singase sibe yinkomba ekuboneni ubuhlungu bokubuhlungu emuva.
Ukuqina okumuva ku-AS kuvame ukugcina imizuzu engaphezu kwengu-30 ekuvuseni ekuseni, kanti ukuqina okubuhlungu kusuka e-osteoarthritis (uhlobo olungenalo ukuvuvukala kwesifo samathambo) luhlala emaminithi angaphansi kwengu-30.
Ukwandiswa kobuhlungu
Ubuhlungu obubuyela emuva ku-AS bungaba bukhubaza ngempela, futhi buvame ukwandisa ngesikhathi. Ngakho-ke ngenkathi ubuhlungu be-AS bungase buqale ngakolunye uhlangothi ngemuva, ekugcineni luya emaceleni omabili, lulandelwa ukunyakaza umgogodla (ngisho nasentanyeni kwabanye abantu). Lokhu kungaphazamisa kakhulu ukuhamba, ukwenza imisebenzi yansuku zonke njengokuthatha into ethile phansi umsebenzi obangela ukukhathazeka
Okuthuthukisiwe AS
Njengoba i-spondylitis ene-ankylosing iba phambili kakhulu (futhi lokhu kwenzeka kuphela endaweni encane yabantu), ukuvuvukala kungabangela ithambo elisha ukuba lenze emgodini. Leli thambo elisha lingaholela ekuhlanganiseni komgogodla, okwenza ukuba umuntu abuyele phambili (okuthiwa i-hyperkyphosis). Ezimweni ezimbi, lokhu kungakha ukubukeka okungapheli "kokuzingela".
Ezinye izinkinga ezinkulu ezihlobene nengemuva zihlanganisa ingozi eyengeziwe yokuphulwa komzimba (ngaphandle kokulimala komgogodla) kubantu abane-AS. Ukulimala komgogodla kungabangela izimpawu ezihlukahlukene zezinzwa ezinjengobuthakathaka, ukunganaki noma ngisho nokukhubazeka. Ukuhlukumeza okujulile komgogodla we-AS nakho kungabangela ukucindezeleka kwentambo yomgogodla, okuphuthumayo kwe-neurologic.
Ezinye Izimpawu
I-Paint Pain
Ngaphandle kokunciphisa ubuhlungu nobuhlungu obuncane, ubuhlungu obuphezulu be-buttock bubuye buvame ku-AS. Lokhu kubonisa ukubandakanyeka kwamalungu e-sacroiliac (lapho umgogodla uxhuma khona). Ubuhlungu bungase buvele emalungeni angaphandle komgogodla njengamahlombe, izintambo, amadolo, ama-elbow, nama-ankle.
Ukwelashwa
Esinye isifo se-AS ukuvuvukala kwe-entheses (okuthiwa yi- enthesitis ), okuyizindawo zomzimba lapho ithenda noma i-ligament ixhuma emathangeni. Isithende isayithi ejwayelekile kakhulu ye-enthesitis. Yilapho i-fascia plantar (i-ligament ehlanganisa isifuba sakho esithende emathanjeni akho).
Isithende futhi lapho i-Achilles tendon (ixhuma khona imisipha yamathole esitokisini sakho) ifaka.
Izimpawu zesimiso
Ngaphandle kokuvuvukala okuhlangene nezicubu, umuntu angase abone nezimpawu zokuvuvukala komzimba wonke njenge-malaise, ukukhathala, umkhuhlane omncane, nesifiso esinciphile.
Izinkinga zomzimba
Izinkinga ezingezona ezihlangene zingase zenzeke ku-AS enjengenhliziyo, emaphaphu, noma ngesifo sezinso ezingavamile. Ngokuphathelene nezinkinga ezihlobene nenhliziyo ku-AS, ukuvuvukala kwe-aorta (umshini ophethe igazi okhejiwe kude nenhliziyo) kanye nokuphindaphinda kwe-valve kungabangela ukwehluleka kwenhliziyo, okungaba yingozi. Izinkinga ze-Lung ku-AS zingase ziphakame emdongeni ophansi wesifuba kanye nokunyakaza kwezimpumputhe.
I-Anterior uveitis , ekhomba ukuvuvukala kwengxenye enemibala yeso, ivela cishe ngamaphesenti angu-26 abantu abane-AS, ngokusho kocwaningo luka-2015 ku- Annals of Rheumatic Disease . Uveitis ngokuvamile kubangela ubuhlungu kwelinye iso, ukuzwela ekukhanyeni, nokubukeka kombono. Kungenzeka ukuthi kwenzeke kulabo abaye babe ne-AS isikhathi eside futhi abahlolwayo nge- leukocyte antigen (HLA) -B27 yomuntu. Ukucwaninga kubonisa ukukhula okwanda kwesifo sofuba nesifo se- psoriasis kubantu abane-AS.
Izwi elivela
I-ankylosing spondylitis yindlela ephila ngayo yonke i-arthritis ephazamisa umgogodla, amalunga e-sacroiliac, amalunga omzimba, kanye nezinye izitho emzimbeni onjengeliyo, inhliziyo, nephaphu. Kodwa ngolwazi olufanele kanye nokulandela okulandelayo kanye nokuxhumana nawe noma ithimba lezempilo lomuntu othandekayo (ngisho noma izimpawu zakho zincane), ungenza ngcono impilo yakho ye-AS futhi unciphise izinkinga ezingenzeka.
> Imithombo:
> Roussou E, Sultana S. Spondyloarthritis kwabesifazane: umehluko wokuqala kwezifo, isethulo semitholampilo, kanye ne-Bath Ankylosing Spondylitis Izifo Umsebenzi kanye nezinkomba zomsebenzi (BASDAI ne-BASFI) phakathi kwamadoda nabesifazane abane-spondyloarthritides. I-Clin Rheumatol . 2011 Jan; 30 (1): 121-7.
> Sieper J et al. Izindlela ezintsha zokuhlukunyezwa emuva emuva kweziguli ezinezinhlungu ezingapheliyo: isenzo sangempela sesiguli ochwepheshe abavela ku-Assessment of SpondyloArthritis Society International (ASAS). I-Ann Rheum Dis . 2009 Jun; 68 (6): 784-8.
> I-Spondylitis Association of America. I-Ankylosing Spondylitis: Izimpawu.
> Stolwijk C, van Tubergen A, Castillo-Ortiz JD, i-Boonen A. Ukubonakala kwemibonakaliso eyengeziwe emakulini ane-spondylitis e-ankylosing: ukubuyekezwa okuhlelekile nokuhlaziywa kwemeta. I-Ann Rheum Dis . 2015 Jan; 74 (1): 65-73.
> Taurog JD, uChabra A, uColbert RA. I-Ankylosing spondylitis ne-axial spondyloarthritis. N Eng J Med . 2016 Jun 30; 374 (26): 2563-74.