Ukuba unesifo se-rheumatoid arthritis , kubonakala kuyimvelo ukusola zonke iintlungu zakho kwisifo. Emva koko, isifo esingasigxina kunye nentlungu edibeneyo yintsebenziswano yimiqondiso ephambili. Intlungu ebuyela emva ixhaphake ngokuqhelekileyo ne-osteoarthritis, kodwa i-rheumatoid arthritis inokuchaphazela umgudu.
Umlomo wesibeleko kunye neLumbar Ukubandakanywa koMbane
I-rheumatoid arthritis echaphazela umlenze ingabangela ubuhlungu bentamo , intlungu emva, kwaye kunokuba ne-radiculopathy (intlungu ephazamisa emilenzeni okanye kwiingalo) ngenxa yokunyanzeliswa kweentliziyo ngaphakathi kwintambo yomgudu okanye iingcambu zentliziyo.
Xa i-rheumatoid arthritis iyimvelaphi yentlungu, kuqheleke ukuba umlomo wesibeletho (umthambo wesithili) uchatshazelwe kunokuba i-thoracolumbar umlenze okanye ama- sacroiliac joints . Ukubandakanyeka komgudu wesibeleko kunye ne-rheumatoid arthritis ngokuqhelekileyo kubakho ngezifo eziphambili.
Ingumqolo ongaphantsi wesibeleko ochaphazelekayo kwi-rheumatoid arthritis. Ukukhwabanisa kwemigqaliselo exhasa i-vertebrae yokuqala yesibini neyesibini (i-C1 ne-C2) ingakhokelela ekuzinzileyo kwinqanaba lomgudu. Izigulane ezine-rheumatoid arthritis zifanele zihlolwe rhoqo ngezibonakaliso ze-subluxation (ukutshatyalaliswa okuyingxenye) kwintlambo yomlomo wesibeleko. Ukuba i-subluxation ibangela ukunyanzeliswa kwentambo yomgogodla, kunokukho iimpawu zokubandakanyeka kwexesha elide (i-motor neurons eziphezulu), kuquka i-hyperreflexia (i-reflexes engaphenduliyo).
Kukho iindlela ezimbini ezinokuthi zichaze ukubandakanyeka kwamalungu angama-intervertebral yomlomo wesibeletho kwi-rheumatoid arthritis:
- Ukongezwa kwenkqubo yokuvuvukala ukusuka kumalungu angama-neurocentral ecaleni kwindawo ekufumanisa kuyo (umbane phakathi kwediski kunye nomzimba we-vertebral).
- Ukungazinzi kwintsholongwane engapheliyo eyenziwa yi-apophyseal (facet) intshabalalo edibeneyo, ekhokelela ekutheni umthamo we-vertebral okanye u-subluxation, onokubangela ukuba i-microfractures ye-vertebral endplates, i-disc, okanye i-distilation of cartilage.
Ukubandakanywa kwamalungu e-facet of the lumbar spine kunye ne-discitis kuye kwabangela i-rheumatoid arthritis ngezinye izihlandlo, ngokubanzi kulandela ukucinga kunye nokufunda emva kokufa. Kwizithethe zengqondo, ngaphambi kokubandakanyeka kwe-rumatoid ye-lumbar spine kungafunyanwa, izizathu eziqhelekileyo nezibalulekileyo zentlungu emva (umz., I-vertebral compression fractures) kufuneka ikhutshwe ngaphandle.
Ukubandakanywa koMbane kunye noRheumatoid Arthritis
Iimpawu eziqhelekileyo ezinxulumene ne-rheumatoid arthritis emgodini kwaye eziya kubonakala kwisigulane ziquka:
- Ubume beendawo ezichaphazelekayo zomgudu zibangelwa ububele
- Ubunzima kwindawo echaphazelekayo yomgudu
- I-Crepitus , ingakumbi kwingingqi yentamo
- Intloko ingenzeka nge-arthritis yomlomo wesibeletho
- Ubunzima obugqithisa phantsi omnye okanye zombini iingalo, kubonisa ukubandakanywa kweengcambu zomlomo wesibeleko
- Ubunzima obugqithisa phantsi komnye okanye kwimilenze yomibini, ukubonisa ukubandakanywa kwengcambu ye-lumbar (i-radiculopathy)
- Ukuhamba nzima, okuwuphawu loxinzelelo oluphezulu kwintambo yomthambo
- Ukulinganisa, ubuthathaka kwezandla okanye imilenze, ukutshintsha ukulinganisela kunye nokulungelelanisa okungaba iimpawu zokubandakanya intambo yomthumbu
- Ingxaki ngesilonda okanye ukulawula isisu (umzekelo, ukungahambi, ukungakwazi ukuvuthwa, okanye ukukwazi ukulawula izibilini) kunokuba ngumqondiso wokubandakanya intambo yomgogodla. Oku kufuna uncedo lwonyango lwangoko.
Ukuba i-rheumatoid arthritis ibangela ukutshabalaliswa kwezihlanganisi zesigxina emthonjeni, imeko eyaziwa ngokuba yi-spondylolisthesis inokuphuhliswa. Nge-spondylolisthesis, i-vertebra ephezulu ihamba phambili kwi-vertebra esezantsi elandelayo. I-vertebra edibeneyo inokubeka uxinzelelo oluthe xaxa kumgca wesipelini okanye iingcambu zentsholongwane apho ziphuma khona umgudu kwaye zibangele ezinye zeengxaki ezikhankanywe ngasentla zixinzelelo kwi-spinal cord.
Imithombo:
> IArthritis kunye nezifo ezichaphazela emva. Arthritis Foundation. https://www.arthritis.org/about-arthritis/where-it-hurts/back-pain/causes/back-arthritis.php.
> IKharrier BL, uCoblyn J. I-Subluxation kwi-Rheumatoid Arthritis. Isemgangathweno. http://www.uptodate.com/contents/cervical-subluxation-in-rheumatoid-arthritis.
> Venables PJW, Maini RN. Ukubonakaliswa kwezonyango ze-Rheumatoid Arthritis. Isemgangathweno. http://www.uptodate.com/contents/clinical-manifestations-of-rheumatoid-arthritis.