Ingqwalasela ye-Ankylosing Spondylitis
I-Ankylosing spondylitis yintlobo ye- arthritis ebonakaliswe ukuvuvukala okungapheliyo okuchaphazela kakhulu umva nentamo (oko kukuthi, umlenze). Kwiimeko ezibuhlungu, amathambo emgodini angagxeka (okubizwa nangokuthi i-ankylosis) obangela umgudu onzima kwaye ongapheliyo. Ukubekwa kwesimo esingavumelekanga kungaba ngumphumo. Ezinye izihlanganisi zingabandakanyeka, kubandakanywa izikhwebu, amadolo, amaqaqa, okanye amanxeba. Esi sifo sinokudibaniswa nemiphumo yesistim , esichaphazela iziko ezahlukeneyo zomzimba.
> Bona indlela i-spondylitis e-ankylosing, uhlobo lwe-arthritis, elichaphazela umlenze.
I-ankylosing spondylitis yile iqela leemeko ezibizwa ngokuba yi- spondyloarthropathies . Ezinye i-spondyloarthropathies ziquka:
- Arthritis esebenzayo
- I-Psoriatic arthritis
- I-arthritis echaphazelekayo nezifo ezikhukhulayo ( isifo sesilonda okanye isifo sikaCrohn)
- I-entopathic arthritis
I-Spondyloarthropathies ihlelwe njenge-axial okanye ipheripheral, kuxhomekeke kwiindawo ezibandakanyekayo.
I-Axial ibhekisele ekubandakanyekeni komgudu. I-Peripheral ibhekisela kwamanye amalunga ngaphandle kwesihlingo. I-ankylosing spondylitis yi-spacyloarthropathy ye-axial.
Isizathu se-Ankylosing Spondylitis
Isizathu salesi simo asiyazi, kodwa i- HLA-B27 igciwane ikhona kwipesenti ezingama-90 zabantu abanesifo, kubonisa ukuba uxhumano lomfuzo. Nangona kunjalo, kubalulekile ukuqaphela ukuba akusiyo wonke umntu onomdla weHLA-B27 okhulisa i-spondylitis engavumelaniyo. Ngokutsho kwe-Spondylitis Association of America, kukho iinqununu ezintlanu okanye ezithandathu ezibandakanyeka ekuthandeni ukutshatyalaliswa kwe-spondylitis. Abaphengululi bakholelwa ukuba umcimbi obangela ukusingqongileyo kunye nokukhuselwa kukubangela ukuba lesi sifo sikhule.
Ngubani Ofumana i-Ankylosing Spondylitis?
Iimeko zichaphazela kakhulu abantu. Amadoda amabini ukuya kathathu amadoda angaphezu kwamabhinqa athuthukisa eso sifo. Nangona kunjalo, nabani na onokuhlakulela i-spondylitis e-ankylosing. Ubunzima bokuqala kwesifo ngokuqhelekileyo phakathi kweminyaka eyi-17 ukuya kwe-35 ubudala. Ngokwe-CDC (amaziko okuLawula nokuLawula i-NHANES isifundo), ubuncinane abantu abayizigidi ezi-2.7 e-US bane-spacyloarthritis ye-axial.
Iimpawu ezinxulumene neAnkylosing Spondylitis
Iimpawu zokuqala ze-spondylitis ezingabonakaliyo ngokuqhelekileyo zibuhlungu nokuqina kummandla osezantsi. Iimpawu zivame ukuqala ngaphambi kokuba uneminyaka engama-45. Intlungu kunye nokuqina kuguquke kwaye kuphuhlise iimpawu ezingapheliyo. Ngokuqhelekileyo, intlungu ye-spondylitis engabonakaliyo ibangela ukuphumla okanye ukungasebenzi kwaye kuphuculwe nomsebenzi. Ingabangela ubunzima bokusa obumnyama obungaphezu kwemizuzu engama-30.
Ubunzima kunye nokuqina, ngokuhamba kwexesha, kunokuqhubela phambili umlenze entanyeni. Amathambo omgudu nentamo angase aqhube, abangela ukuhamba okufutshane kunye nokunciphisa ukuguquguquka komgudu.
Njengoko sele kukhankanyiwe, amahlombe, izikhwepha kunye namanye amalunga angabandakanyeka. Ubuhlungu be-Hip buyinto eqhelekileyo nge-spondylitis e-ankylosing kwaye inokudibana neentlungu kwi-groin okanye emathangeni, kunye nobunzima bokuhamba. Ukuba kubandakanyeka intambo yembambo, ukwandiswa kwesifuba esingavamile kungabangela ubunzima bokuphefumla. Iitendon kunye nemigama ingathinteka (umz., Ukubandakanyeka kwesithende kunye ne- Achilles tendonitis kunye ne- plantar fasciitis ).
I-ankylosing spondylitis iyisifo sesistim, ngokunentsingiselo yokuba abantu banokukhupha umkhuhlane, ukukhathala, iso, okanye ukukhupha. Ukubandakanyeka kwenhliziyo okanye imiphunga kuyabunqabile kodwa kunokwenzeka.
Ukuxilongwa kwe-Ankylosing Spondylitis
Ukuxilongwa kusekelwe ngokusesikweni kwiimpawu, ukuhlolwa ngokomzimba, iimvavanyo zegazi kunye nezifundo zokucinga. Iimpawu zokuqala ze-spondylitis ezingabonakali ziyakwazi ukulinganisa ezinye iimeko, ngoko uvavanyo lwe-diagnostic lisetyenziselwa ukulawula ezinye i-spondyloarthropathies nezinye izifo ze-rheumatic . Ukungabikho kwesifo se- rheumatoid kunye neengqungquthela ze-rheumatoid kunceda ukuhlula kwi- rheumatoid arthritis .
Nangona kungekho vavanyo lwegazi olulodwa olunokuthi lufumane uvavanyo olucacileyo lwe-spondylitis ye-ankylosing, uvavanyo lwe-HLA-B27 lubonelela ngoluphawu olubalulekileyo lokuxilongwa, ngakumbi kumaqela athile abantu. Ngokomzekelo, i-spondylitis e-ankylosing iyilwaphulo olungenakwenzeka kumntu omhlophe, ovela eYurophu, kunye ne-HLA-B27. Izilingo zokutshatyalaliswa okungabonakaliyo ( izinga lokutshatyalaliswa kwe- sedimentation kunye ne- CRP ) luncedo ekwenzeni umfanekiso weklinikhi, kodwa abaxilongo.
Ukuphonononga iimpawu ze-ankylosing spondylitis kubonisa utshintsho kwizihlanganisi ze - sacroiliac . Nangona utshintsho lubonakala kwi-x-ray, kungathatha iminyaka emva kokuqala kweempawu ezibonakalayo. I-MRI ingasetyenziselwa ukujonga ukuba uphawu luya kutshintshwa kwiindawo ze-sacroiliac. I-ray-rays isetyenziselwa ukuvavanya ubungqina bomonakalo emlanjeni.
Unyango lwe-Ankylosing Spondylitis
Unyango lwalo mqathango lujolise ekunciphiseni ubuhlungu, ukuqina, nokuvuvukala. Ukuthintela ukukhubazeka, ukugcina umsebenzi, kunye nokuqeqesha uqeqesho kunye neenjongo zonyango.
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I-Axial Spondyloarthritis kunye ne-Ankylosing Spondylitis inxulumene njani na?
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Ziziphi iimpawu ze-Ankylosing Spondylitis?
Amachiza asetyenziswa ukuphatha i-spondylitis e-ankylosing zibandakanya oku kulandelayo:
- Izidakamizwa ezichasene nezidakamizwa (Nonsteroidal anti-inflammatory drugs) (NSAIDs) yile ndlela yokuqala yokwelashwa kwe-pharmacologic. Abantu abaninzi basebenzisa i-NSAID imithi yodwa ukuyilawula.
- Amayeza okuhlaselwa okanye amayeza angasetyenziswa xa iintlungu azilawulwa kakuhle yi-NSAID kuphela.
- I-TNF-blockers ( Humira (adalimumab) , Remicade (infliximab) , i- Enbrel (etanercept) , i- Cimzia (certolizumab pegol) , ne- Simponi (golimumab ) ivunyiwe ukuphatha i-spondylitis engabonakaliyo kwaye ibonise ukuphucula okukhulu kwimisebenzi yesifo.
- I-Cosentyx (secukinumab) , i-IL-17 inhibitor, yavunywa kuphela ngoJanuwari 2016 kwimeko.
- I-DMARD (izifo ezichasene nezifo ezichasene ne-rheumatic) zingasetyenziselwa ukunciphisa ukuqhubela phambili kwezifo. Ngokuqhelekileyo, i- sulfasalazine isetyenziselwa izigulane ze-spondylitis ezingenayo i-paripheral arthritis ezingenakusebenzisa i-blocker ye-TNF. I-Methotrexate yedwa inokunceda abanye abantu, kodwa ngokuqhelekileyo ayithathwa njengento esebenzayo kwi-spondylitis engavumelaniyo. Enye i-DMARD, i- Arava (i-leflunomide) , ithathwa njengento encinci okanye ayikho inzuzo.
- I- corticosteroids yomlomo ayinakudla ngokusetyenziswa, kodwa xa ithathwa, kufuneka ibe yithuba elifutshane, kungekude ixesha elide.
Ulwaphulo lomzimba kunye nokuzilolonga luyinxalenye ebalulekileyo yiphina isicwangciso sonyango se-spondylitis engavumelaniyo. Ukubaluleka kokuzilolonga, njengenxalenye yokulawula eso sifo kunye nokugcina ukuhamba kunye nomsebenzi, akunakupheliswa.
Ukugxekwa kwe-Ankylosing Spondylitis
Abanye abantu abanemeko baneenkcenkceshe zezifo kwaye banako ukusebenza nokusebenza ngokuqhelekileyo. Abanye bahlakulela izifo ezinzima kwaye bahlala kunye nemingcipheko eninzi ngenxa yesifo. Abanye abantu abane-spondylitis e-ankylosing bahlakulela ingxaki yokuphila esongela ubomi-kodwa akusiyo ininzi.
Ngokuqhelekileyo, isigulane ngasinye sithatha isenzo sokuguquka kwesifo esiphephayo, esona sininzi sigaba. Phantse iipesenti ezi-1 zabantu abanesi sifo ngokwenene bafikelele kwisigaba apho iimpawu ziyancipha kwaye zithathwa njengokuxolelwa.
Qaphela Ezi zinto
Umlenze oye waxhamla, okanye ongenakuguquguquka, unako ukukhubeka. Oko kuthetha, kufuneka ukhumbule ingozi eyongezelelekileyo kwaye uthathe isilumkiso. Kufuneka unciphise okanye uphephe nayiphi na indlela yokuziphatha eya kwandisa umngcipheko wokuwa. Oku kunokubandakanya nayiphi na into ekunciphiseni umthamo otywala owusebenzisayo ukufaka imivalo yokubamba kwaye uthabathe ukuphosa umbhoxo endlwini yakho. Gwema umsebenzi ochaphazela phezulu. Ngokwenene, sebenzisa ingqondo kwaye ukhusele umlenze wakho.
Umele usebenzise umlotha obeka intamo yakho kwaye ubuyele ngokulungelelaniswa kakuhle xa uphumla okanye ulala. Sisoloko usebenzisa i-belt yakho yokuhlala xa ushayela okanye njengomgibeli kwisithuthi. Kwakhona, abantu abane-spondylitis e-ankylosing abatshitshiweyo bayacetyiswa ukuba bayeke ukwenzela ukunciphisa umngcipheko weengxaki zokuphefumla. Futhi ungakulibala ukubaluleka kokuthatha inxaxheba kwenkqubo yoqeqesho ukuze uqinise umlenze wakho kwaye uphucule impilo yakho jikelele.
ILizwi
Ukuphila kakuhle nge-spondylitis engavumiyo kuya kuxhomekeka kubukhulu besifo sakho, kunye nendlela ozimisele ngayo ukuhlala kwisicwangciso sakho sonyango, ukuvuthwa rhoqo, kunye nokukhusela umlenze wakho. Ukunikezele ngeenqobo ezibalulekileyo malunga neemeko kwaye ungumthombo onokubuyisela kuye kwiingcebiso zokulawula izifo ozifunayo.
> Imithombo:
> Ankylosing Spondylitis. I-Spondylitis Association of America. Fi kelelwa ngo-07/16/2016.
> Spondyloarthritis. Kliniki yaseCleveland. 11/04/2014.
> Van der Linden S et al. Ankylosing Spondylitis. I-Kelley's Bookbook yeRheumatology. Isahluko 75. Elsevier. I-ninth edition.
> Yu DT. UkuHlola kunye nokuPhathwa kwe-Ankylosing Spondylitis kubantu abadala. Isemgangathweno. 04/21/2016.
> Yu DT. Ulwazi oluneMonde: I-Ankylosing Spondylitis kunye nezinye i-Spondyloarthritis (ngaphaya kweZiseko). Isemgangathweno. Ukuhlaziywa nge- 04/12/2016.