Ukuqina Komgogodla (Ankylosing Spondylitis) Yini? Izimpawu, Izimbangela, Nokwelashwa

Ukuqina komgogodla uhlobo lwe-arthritis oluthinta ikakhulu umgogodla wakho, lubangela ukuvuvukala nokuqina okungase kancane kancane kunciphise ukunyakaza kwakho. Cabanga ngakho njengesistimu yakho yokuzikhusela emzimbeni ehlukumeza amajoyinti emgogodleni wakho, okuholela ebuhlungwini nasekuhlanganiseni kwama-vertebrae kwezinye izimo.

Leli simo liqala kancane kancane ezinyangeni noma eminyakeni eminingi, liqala ngokuvamile ebuntwaneni. Nakuba lizwakala liyesabekayo, abantu abaningi abane-ankylosing spondylitis baphila impilo ephilile, ezele ngokuphelele ngokwelashwa okulungile nokulawulwa kwalo.

Ukuqina Komgogodla (Ankylosing Spondylitis) Yini?

Ukuqina komgogodla kuwumunye wemiklamo yemizimba ebizwa nge-spondyloarthritis, lapho ukuvuvukala okuqhubekayo kuqondiswe emgogodleni, futhi ngezinye izikhathi kwamanye amajoyinti. Igama elithi "ankylosing" lisho ukuqina noma ukuhlanganisa, kuyilapho igama elithi "spondylitis" libhekisela ekuvuvukaleni komgogodla.

Umugogodla wakho unamajoyinti amancane abizwa ngama-facet joints nezindawo lapho ama-ligaments axhunyaniswa khona ngamathambo. Uma ukuvuvukala kwenzeka kulezi zindawo, umzimba wakho uzama ukuphulukisa ngokwakha ithishu elisha lethambo. Ngokuhamba kwesikhathi, lokhu kungabangela ama-vertebrae ukuthi ahlangane ndawonye, adale umgogodla oluqinile ofana nesigxobo sebambho e-X-rays.

Leli simo lithinta cishe umuntu omunye ku-200, amadoda ehlonishwa kakhulu kunabesifazane. Noma kunjalo, ucwaningo lwamuva lubonisa ukuthi abesifazane bangaba nezimpawu ezincane ezingabonakali isikhathi eside.

Ziyini Izimpawu Zokuqina Komgogodla?

Isimpawu esiyinhloko yibuhlungu obuhlala isikhathi eside emuva ophansi nokuqina okuzwakala kubi ekuseni noma ngemuva kokupumula. Ngokungafani nobuhlungu obuvamile emuva obuvela ekulimala, lobu buhlungu buyaphucuka ngokunyakaza nokuzivocavoca.

Nawa amanye ezimpawu ezivame kakhulu ongahlangabezana nazo:

• Ubuhlungu obuhlala njalo emathangeni angaphansi obuhlala iinyanga ezingaphezu kwezintathu
• Ukuqina ekuseni okuhlala imizuzu engama-30 noma ngaphezulu
• Ubuhlungu obuthuthuka ngemisebenzi kodwa obubi kakhulu ngokuphumula
• Ubuhlungu emadolweni noma emathangeni obuhlukene eceleni
• Ubuhlungu esifubeni noma ubunzima bokuthatha imfutho ejulile
• Ukukhathala okuzwakala kunzima kakhulu kunokukhathala okuvamile
• Ubuhlungu emahlombe, emadolobheni, noma ezicukwini

Abanye abantu nabo baye baba nezimpawu ngaphandle komgogodla. Amehlo akho angase abe bomvu, abuhlungu, futhi azwelwe ukukhanya ngenxa yokuvuvukala okuthiwa yi-uveitis. Isimo sesikhumba njenge-psoriasis singase futhi senzeke kanye ne-ankylosing spondylitis.

Ezimweni ezingavamile, le simo singathinta inhliziyo yakho, amaphaphu, noma izinkulungwane. Izinkinga zenhliziyo zingase zihlanganise ukuvuvukala kwe-aortic valve, kuyilapho izinkinga zamaphaphu zingase zihlanganise ukwenziwa amabala elisu lamaphaphu. Lezi zinkinga zivame ukuvela kubantu abaye babe nale simo iminyaka eminingi ngaphandle kokwelashwa okwanele.

Imiphi Imikhakha Ye-Ankylosing Spondylitis?

Odokotela bahlukanisa i-ankylosing spondylitis ngokusekelwe ezingxenyeni zomzimba wakho ezithintekayo nokuthi le simo sibonakala kanjani ekuhlolweni kwezithombe. Ukuqonda le mikhakha kusiza ukuqondisa izinqumo zokwelapha.

Uhlukaniso olukhulu luhlukanisa le simo zibe izinhlobo ze-axial ne-peripheral:

• I-axial ankylosing spondylitis ithonya umgogodla wakho kanye namajwayelekwe ahlanganisa umgogodla wakho ne-pelvis yakho
• I-peripheral ankylosing spondylitis ihilela amajwayelekwe ezandleni nasezinzwaneni zakho, njengemahlombe, amadolweni, amadolobheni, nezicukwini
• Uhlobo oluhlanganisiwe luthonya kokubili amajwayelekwe omgogodla nawo-peripheral

Ngaphakathi kwesifo se-axial, kunezinhlobo ezimbili ezingaphansi. I-radiographic axial spondyloarthritis ibonisa ukulimala okuqondile kwamajwayelekwe ku-X-rays, kuyilapho i-non-radiographic axial spondyloarthritis ibangele izimpawu kodwa ingase ingabonisi ushintsho olucacile ku-X-rays evamile.

Abanye abantu baye baphuthuke behlaselwa yi-enthesitis, okuyintukuthelo lapho i-tendons ne-ligaments zibopha khona emathanjeni. Lokhu kuvame ukubathinta abantu esithende, phansi kwenyawo, noma eduze kwedolo, futhi kungabangela ukungakhululeki okukhulu uma uhamba noma uma umi.

Iyini Imbangela Ye-Ankylosing Spondylitis?

I-Ankylosing spondylitis iqala lapho i-immune system yakho ihlasela ngephutha izicubu ezempilo ezinhlangothini zakho, kodwa imbangela eqondile isalungile. Abacwaningi bakholelwa ukuthi ivela ekuhlanganiseni kwezinto zofuzo nemiphumela yemvelo.

Ubuhlobo obuqinile kakhulu bobufuzo buhilela i-gene ebizwa nge-HLA-B27, etholakala cishe ku-90% yabantu abane-ankylosing spondylitis. Noma kunjalo, ukuba nale gene akusho ukuthi uzoyithola le meko. Abantu abaningi bayiphethe i-HLA-B27 ngaphandle kokuzwa noma yiziphi izimpawu.

Izinto zemvelo ezingase ziqalise le meko zihlanganisa:

• Ukutheleleka ngama-bacteria, ikakhulu lawo athinta uhlelo lokugaya ukudla
• Uxinzelelo kwi-immune system oluvela ekuguleni noma ekulimala
• Ukutheleleka okuthile okuvela kuma-virus okungase kudide i-immune system
• Ukulimala emgogodleni noma e-pelvis kubantu abane-gene ekutholakala kubo

Umlando womndeni udlala indima ebalulekile, cishe ku-20% yabantu abanezihlobo ezikude ezinale meko. Uma unembele noma umfowenu onale-ankylosing spondylitis, ingozi yakho iyanda, kodwa kusengathi akuqinisekile ukuthi uzoyithola.

Ucwaningo lwamuva luye lwabonisa ama-gene angaphezu kuka-40 angase ahlanganyele kule meko, okubonisa ukuthi izinto eziningi zofuzo zisebenza ndawonye nezinye izinto eziqalayo ukuze zibangele i-ankylosing spondylitis.

Nini Okufanele Ubone Udokotela Nge-Ankylosing Spondylitis?

Kufanele uhlele i-aphoyintimenti nodokotela wakho uma uhlushwa ubuhlungu obuqhubekayo emgogodleni nokuqina okuphela isikhathi esingaphezu kwezinyanga ezintathu, ikakhulu uma kubi kakhulu ekuseni. Lolu hlobo lobuhlungu obuhlala isikhathi eside luyahlukile ekucindezelweni okuvamile emgogodleni futhi kufanele kuhlolwe ngudokotela.

Funani usizo lwezokwelapha ngokushesha uma ubona lezi zibonakaliso zexwayiso:

• Ubuhlungu behlombe obukuvusa ebusuku njalo
• Ukuqina okuthetha ukuthi kuthatha amahora angaphezu kweyodwa ukuthuthuka ekuseni
• Ubuhlungu obuphucuka ngokunyakaza kepha obubi kakhulu ngokuphumula
• Ubuhlungu behlombe noma ubuhlungu obuhlanganyelwayo be-buttock
• Ubunzima bokuqandisa isifuba sakho uma uphefumula ngokujulile
• Ukukhathala okuqhubekayo kanye nobuhlungu behlombe

Udinga ukunakekelwa kwezokwelapha ngokushesha uma uthuthukisa ubuhlungu obukhulu amehlo, ubomvu, nokuzwela kokukhanya, njengoba lokhu kungabonisa i-uveitis edinga ukwelashwa okusheshayo. Ngokufanayo, ubuhlungu obukhulu besifuba noma ubunzima bokuqeda kufanele buhlolwe ngokushesha.

Ukuxilongwa kwasekuqaleni nokuphathwa kunganciphisa kakhulu intuthuko yomonakalo wamajoyinti futhi kusize ukugcina ukuhamba kwakho kanye nekwalithi yokuphila. Ungalindi kuze kube yilapho izimpawu ziqala ukuba zimbi ngaphambi kokufuna usizo.

Iyini Izingozi Zokuthola I-Ankylosing Spondylitis?

Izinto eziningi zingandisa amathuba akho okuthola i-ankylosing spondylitis, nakuba ukuba nalezi zingozi akusho ukuthi uzoyithola ngokuqinisekile le meko. Ukuyiqonda kungakusiza ukuthi uqaphele izimpawu ngokushesha.

Izingozi ezibaluleke kakhulu zihlanganisa:

• Ukuphatha i-gene ye-HLA-B27, etholakala cishe ku-8% yabantu abavamile
• Ukuba owesilisa, njengoba amadoda axilongwa kathathu ngaphezulu kunabesifazane
• Iminyaka ephakathi kuka-15 no-35, lapho izimpawu zivame ukuqala khona
• Umlando womndeni we-ankylosing spondylitis noma izimo ezihlobene
• Ukuba nezinye izimo zokuziphatha komzimba njenge-inflammatory bowel disease
• Umlando wezinye izifo zebhaktheriya, ikakhulukazi esiswini

Izici zezwe nezombusazwe nazo zidlalela indima. Le meko ivela ngokukhulu kubantu abavela eYurophu yaseNyakatho nakuqembu elithile labantu bomdabu. Noma kunjalo, ingathinta abantu banoma yiluphi uhlobo.

Ukuba ne-psoriasis noma isifo sokuvuvukala kwamathumbu njenge-Crohn's disease noma i-ulcerative colitis kukwandisa ingozi yakho, njengoba lezi zimo zabelana ngezindlela ezifanayo zesimiso somzimba. Cishe i-10% yabantu abane-inflammatory bowel disease bathuthukisa i-ankylosing spondylitis.

Nakuba ungakwazi ukushintsha i-genetics yakho noma umlando womndeni, ukwazi lezi zinto ezingozi kukusiza wena nodokotela wakho ukuthi nibone izimpawu ngokushesha bese niqala ukwelashwa okufanele.

Ziyini Izingozi Ezingaba khona ze-Ankylosing Spondylitis?

Ngaphandle kokwelashwa okufanele, i-ankylosing spondylitis ingabangela izinkinga eziningi ezihlasela ukuhamba kwakho, ukuphefumula, nokuphulukela kwakho konke. Izindaba ezinhle ukuthi ukutholakala kwesifo ngokushesha nokuphathwa okuqhubekayo kungavimbela noma kunciphisa iningi lalezi zinkinga.

Izingozi ezivame kakhulu zihilela umgogodla wakho nokuma kwakho:

• Ukuhlanganiswa komgogodla, lapho ama-vertebra ekhula ndawonye futhi akhawulela ukuguquguquka
• I-Kyphosis, ukugoba komgogodla phambili okuhlasela ukuma
• Ukuncipha kokwanda kwesifuba, okwenza ukuphefumula okujulile kube nzima kakhulu
• Ukungozi okwandayo yokuqhekeka komgogodla ngenxa yokuqina kwama-bone
• Ukuqhekeka okucindezelayo okungalimaza i-spinal cord

Izingozi zamehlo zenzeka cishe ku-25% yabantu abane-ankylosing spondylitis. I-Uveitis ibangela ubuhlungu, ubomvu, nokuzwela ekukhanyeni. Nakuba ikwephatheka, iziqephu eziphindaphindayo zingabangela izinkinga zobona uma zingaphathwa kahle.

Izingozi zenhliziyo azivamile kodwa zibucayi kakhulu uma zenzeka. Lesi simo singabangela ukuvuvukala kwe-aortic valve, okuholela ezinkingeni zokuthinta kwenhliziyo noma ekuhlulekeni kwenhliziyo. Ukuvuvukala kwemisipha yenhliziyo ngokwayo, okuthiwa yi-myocarditis, kungathuthukiswa.

Izingozi ezingavamile kodwa ezibucayi zihlanganisa ukugcwala kwamaphaphu, izinkinga zezinso, nokucindezelwa kwama-cauda equina nerves ekuqaleni komgogodla wakho. Lezi ngokuvamile zithuthukela kuphela kubantu abanesifo eside, esingalawulwa kahle.

Ukubhekwa njalo nokwelashwa kunciphisa kakhulu ingozi yalezi zinkinga, kungakho kubalulekile ukuhlala uxhumene neqembu lakho lokunakekelwa kwezempilo.

Ukuvimbela kanjani i-Ankylosing Spondylitis?

Okwamanje, ayikho indlela yokuvimbela i-ankylosing spondylitis njengoba ikakhulu iyisimo sezofuzo esibangelwa izinto ongenakuzilawula. Kodwa-ke, ungathatha izinyathelo zokunciphisa ingozi yezinkinga nokunciphisa ukuqhubeka kwesifo.

Uma unemlando womndeni wesimo noma uthwala i-gene ye-HLA-B27, ukwazi izimpawu zokuqala kusiza ukuqinisekisa ukwelashwa okusheshayo. Ukuzivocavoca njalo nokulondoloza isimo esihle somzimba ekuphileni kwakho kungasiza ekulondolozeni ukuqina komgogodla.

Ukugcina impilo yonke yesistimu yokukhulula umzimba ngalezi zindlela kungaba luncedo:

• Ukudla ukudla okulinganiselayo okunothile ukudla okulwa nokuvuvukala
• Ukuthola ukulala okwanele ukuze usekele umsebenzi wokukhulula umzimba
• Ukuphatha ukucindezeleka ngezindlela zokuphumula noma ngokwelulekwa
• Ukugwema ukubhema, okungenza kube kubi ukuvuvukala nezinkinga zephunga
• Ukuhlala usebenza ngokomzimba ukuze ulondoloze ukuqina kwamajozi
• Ukwelapha ngokushesha izifo zobhaktheriya, ikakhulukazi ezingaphakathi

Uma usuvele une-ankylosing spondylitis, ukugxila kuguqukela ekuvimbeleni izinkinga. Ukuzivocavoca njalo, ikakhulukazi ukubhukuda nokuqina, kusiza ekulondolozeni ukuqina komgogodla. Imikhuba emihle yokuhlala nokuhlela indawo yokusebenza kungavimbela ukucindezela okwengeziwe emgogodleni wakho.

Ukusebenzisana eduze neqembu lakho lokunakekelwa kwezempilo ukuze uqaphele isimo futhi ulungise ukwelashwa njengoba kudingeka kubonisa isu lakho elihle kakhulu lokuvimbela izinkinga zesikhathi eside nokugcina ikhwalithi yempilo.

I-Ankylosing Spondylitis ihlonishwa kanjani?

Ukuxilongwa kwe-ankylosing spondylitis kudinga ukuhlanganiswa komlando wakho wezokwelapha, ukuhlolwa komzimba, ukuhlolwa kwegazi, nezifundo zokwenza izithombe. Ayikho i-test eyodwa eqinisekisa ukuxilongwa, ngakho-ke udokotela wakho uhlanganisa izinkomba eziningi.

Udokotela wakho uzoqala ngokubuza imibuzo emininingi mayelana nezimpawu zakho, kufaka phakathi ukuthi zaqala nini, yini ezenzayo ukuze zihle noma zibe zimbi, kanye nokuthi ingabe unezihlobo ezinezinhlungu ezifanayo. Bazophinde benze ukuhlolwa komzimba ukuhlola ukuguquguquka komgogodla wakho kanye nokuhamba kwamaqakala.

Izivivinyo zegazi zisiza ekusekweni kokuxilongwa:

• Ivivinyo le-HLA-B27 le-genetic, elihle kumaphesenti angaba ngu-90 abantu abanesimo
• Izibonakaliso zokuvuvukala njenge-ESR ne-CRP ukuthola ukuvuvukala okuqhubekayo
• Ukubalwa kwegazi okuphelele ukuhlola ukuhlushwa kwegazi noma ezinye izinkinga zegazi
• Izivivinyo zokukhipha ezinye izinhlobo ze-arthritis njenge-rheumatoid arthritis

Izifundo zokwenza izithombe zinikeza ulwazi olubalulekile mayelana nokonakala kwamaqakala kanye nokuvuvukala. Izithombe ze-X-ray ze-pelvis yakho nomgogodla zingabonisa izinguquko ezichazwe, kodwa ekuqaleni kwesifo, zingase zibonakale zilungile. I-MRI scans inamandla kakhulu futhi ingathola ukuvuvukala ngaphambi kokuba kubangele ukonakala okubonakalayo kwi-X-rays.

Udokotela wakho angase futhi akukhuthaze ukuthi wenze ezinye izivivinyo uma engabaza ngezinkinga. Ukuhlolwa kwamehlo kuhlola i-uveitis, kanti izivivinyo zenhliziyo njenge-echocardiogram zingabonisa ukubandakanyeka kwenhliziyo.

Inkqubo yokuxilonga ingathatha isikhathi, ikakhulukazi ngoba izimpawu zivame ukuvela kancane kancane futhi zingase ziphoswe njengobunzima obuvamile emgodleni. Ungadangali uma kuthatha izikhathi eziningi ukuze uthole ukuxilongwa okuqondile.

Iyini Ukwelashwa kwe-Ankylosing Spondylitis?

Ukuphathwa kwe-ankylosing spondylitis kugxile ekunciphiseni ukuvuvukala, ukuphatha ubuhlungu, nokugcina ukuhamba nokusebenza. Nakuba ayikho imithi, ukwelashwa okuphumelelayo kunganciphisa kakhulu intuthuko yesifo futhi kukusize ukuphila impilo evamile, esebenzayo.

Imithi iwumgogodla wokwelashwa:

• Imithi ye-NSAIDs efana ne-ibuprofen noma i-naproxen ukunciphisa ukuvuvukala nobuhlungu
• Imithi eguqula isifo efana ne-sulfasalazine yokubandakanyeka kwamajozi angaphandle
• Imithi ye-Biologic ehlose izingxenye ezithile zesimiso somzimba sokuvikela
• Abaphikisi be-JAK, uhlobo olusha lwemithi yomlomo kwabanye abantu
• Ukuqwayiza kwe-Corticosteroid ngenxa yokukhanya okukhulu noma izinkinga zamajozi ezithile

Imithi ye-Biologic iye yaguqula ukwelashwa kwe-ankylosing spondylitis. Le mithi, kufaka phakathi abaphikisi be-TNF kanye nabaphikisi be-IL-17, inganciphisa kakhulu ukuvuvukala futhi ivimbele ukulimala kwamajozi. Udokotela wakho uzoxoxa ngezinzuzo nezingozi zale mithi enamandla.

Ukwelashwa komzimba kudlala indima efanayo ebalulekile ekulungiseni kwakho. Uchwepheshe we-physiotherapist angakufundisa ukuzivocavoca ukuze ugcine ukuqina komgogodla, uthuthukise isimo somzimba, futhi uqinise imisipha yokusekela. Ukuzivocavoca njalo, ikakhulukazi ukubhukuda nokuqina, kusiza ekuvikeleni umsebenzi wamajozi.

Ezimweni ezingavamile lapho ukulimala kwamajozi okukhulu sekwenzeke, izinketho zokucutshungulwa njengokufakwa kwamajozi noma ukuhlinzwa komgogodla kungenzeka kucatshangelwe. Noma kunjalo, ngokwelashwa kwamanje kwezokwelapha, isidingo sokuhlinzwa siye sancipha kakhulu.

Uhlelo lwakho lokwelashwa luzolungiswa ngokuya ngezimpawu zakho ezithile, ubukhulu besifo, nokuphendula kwemithi. Ukulandelela njalo kuvumela iqembu lakho lokunakekelwa kwezempilo ukulungisa ukwelashwa njengoba kudingeka.

Indlela Yokuthatha Ukwelashwa Ekhaya Ngesikhathi Se-Ankylosing Spondylitis?

Ukuphatha i-ankylosing spondylitis ekhaya kuhilela ukudala izindlela zansuku zonke ezisekela ukwelashwa kwakho futhi kusize uzizwe kangcono. Lezi zindlela zokunakekela ngokwakho zisebenza kanye nokwelashwa kwakho kwezokwelapha ukuthuthukisa ikhwalithi yokuphila kwakho.

Ukuzivocavoca kuyindlela ebaluleke kakhulu yokwelapha ekhaya i-ankylosing spondylitis. Ukunyakaza okuvamile kusiza ekugcineni ukuqina, kunciphisa ubuhlungu, futhi empeleni kunganciphisa ubuhlungu ngokuhamba kwesikhathi. Ukubhukuda kusiza kakhulu ngoba amanzi aseka isisindo somzimba wakho ngenkathi evumela ukuhamba okugcwele komzimba.

Imisebenzi yansuku zonke engasiza ifaka:

• Uhlelo lokuqina ekuseni ukuze kunciphisa ubuhlungu
• Ukwelapha ngokushisa ngama-showers afudumele noma ama-heating pads ukuze kuphephe ubuhlungu
• Ukwelapha ngokubanda ngama-ice packs ngesikhathi se-flares ebukhali
• Ukugcina isimo esihle somzimba usuku lonke
• Ukuthatha ama-breaks avamile ekuhlaleni ukuze uhambe uphumule
• Ukusebenzisa izesekeli ze-ergonomic endaweni yakho yokusebenza

Ukuphumula okulungile kuchaphazela kakhulu izimpawu zakho. Imbhede eqinile iseka ukulingana okuhle komgogodla, ngenkathi ulele ngemuva noma eceleni kanye ne-pillow phakathi kwamadolo akho kunganciphisa ukucindezeleka. Gwema ukulala esiswini, okungenza kube kubi ukugoba komgogodla.

Amathuluzi okulawula ukucindezeleka njengokuphefumula okujulile, ukucamngca, noma i-yoga angasiza ekunciphiseni ukuvuvukala nokwenza impilo yakho yonke ibe ngcono. Abantu abaningi bathola ukuthi ukucindezeleka kwenza izimpawu zabo zibe zimbi, ngakho-ke ukufunda amasu okuqondisa impilo kubalulekile.

Gcina idayari yezimpawu ukuze uqaphele ukuthi yini esiza futhi yini eyenza izimpawu zakho zibe zimbi. Ulwazi lolu lusiza wena nodokotela wakho ukuba nizenze izinqumo ezisekelwe olwazini mayelana nelenkaneli yakho yokwelapha.

Kufanele Uzilungiselele Kanjani Ukuya Kudokotela?

Ukulungiselela i-appointment yakho kusiza ukuqinisekisa ukuthi uthola izinzuzo eziningi ngesikhathi sakho nomhlinzeki wakho wezinsizakalo zezempilo. Ukulungiselela okuhle kuholela ekuxilongweni olunembile kakhulu nasezinqumweni ezinhle zokwelapha.

Ngaphambi kwe-appointment yakho, bhala ulwazi oluqondile mayelana nezimpawu zakho. Faka ukuthi zaqala nini, yini ezibangela, yini ehlinzeka usizo, nokuthi zichaphazela kanjani imisebenzi yakho yansuku zonke. Qaphela noma iyiphi imizamo, njengobuningi ekuseni noma ubuhlungu obuthuthuka ngokunyakaza.

Butha ulwazi olubalulekile okumele ulethe:

• Uhlu oluphelele lwemithi oyithathayo njengamanje, kufaka phakathi nezinhlanganisela
• Umbukiso womndeni wokuhlushwa yi-arthritis noma izimo ze-autoimmune
• Amarekhodi ezempilo wangaphambili, ama-X-ray, noma imiphumela yokuhlola
• Uhlu lwemibuzo ofuna ukuyibuza udokotela wakho
• Ulwazi lwe-inshorensi nama-referrals uma kudingeka
• Amanothi mayelana nendlela izimpawu ezikuthinta ngayo emsebenzini noma emisebenzini yakho

Cabanga ukuthi ulethe umngane noma ilungu lomndeni omethembayo ekuqokweni kwakho. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi banikeze ukwesekwa ngokomzwelo ngesikhathi soxoxisana ngesimo sakho.

Lungiselela imibuzo ethile mayelana nezinketho zokwelashwa, imiphumela emibi engenzeka, nokuthi yini okulindelekile kuqhubeke. Unganqikazi ukubuza ngokuguqulwa kwesitayela sempilo, izincomo zokujima, noma nini lapho kufanele ufuna ukunakekelwa okuphuthumayo.

Tshela iqiniso ngezimpawu zakho, ngisho noma zibonakala zihlazisayo noma azinhlobene. Udokotela wakho udinga ulwazi oluphelele ukuze anikeze ukunakekelwa okuhle kakhulu futhi angaphawula ukuxhumana ongabekwazanga ukucabanga ngakho.

Iyini i-Key Takeaway Mayelana ne-Ankylosing Spondylitis?

I-Ankylosing spondylitis iyimo elilawulekayo eliphendula kahle ekuxilongweni kwasekuqaleni nokwelashwa okufanele. Nakuba kuyimo ehlala isikhathi eside elidinga ukunakekelwa okuqhubekayo, abantu abaningi abane-ankylosing spondylitis bangagcina impilo esebenzayo, enezithelo.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi awuwedwa kule ndlela. Ukwelashwa kwamanje, kufaka phakathi imithi ye-biologic kanye ne-physical therapy ehlosiwe, kuye kwathuthukisa kakhulu imiphumela kubantu abanesimo.

Ukubamba iqhaza kwakho ngokusebenza ekwelapheni kwenza umehluko omkhulu. Ukuzivocavoca njalo, ukuthatha imithi njengoba kuqokiwe, nokugcina ukuxhumana okuvulekile neqembu lakho lokunakekelwa kwezempilo kuhlanganyela ekufinyeleleni imiphumela emihle yesikhathi eside.

Nakuba ukuxilongwa kungase kubonakale kukhulu ekuqaleni, khumbula ukuthi ulwazi yingqondo. Ukuqonda isimo sakho kuzokusiza wenze izinqumo ezinolwazi mayelana nokuphathwa kwakho futhi uqaphele ukuthi nini udinga ukwesekwa okwengeziwe.

Hlala unethemba futhi ugxile kulokho ongakulawula. Ngokwelashwa okufanele nokunakekela kwakho, ungaqhubeka uphishekela imigomo yakho futhi ujabulele imisebenzi ebalulekile kuwe.

Imibuzo Evame Ukubuzwa Mayelana Ne-Ankylosing Spondylitis

Ingabe i-ankylosing spondylitis ingaphiliswa ngokuphelele?

Okwamanje, ayikho impilo ye-ankylosing spondylitis, kodwa ingaphathwa kahle ngokwelashwa okufanele. Imithi yanamuhla inganciphisa kakhulu intuthuko yesifo bese inciphisa izimpawu, ivumela abantu abaningi ukuba baphile impilo evamile, esebenzayo. Ukuxilongwa kwasekuqaleni nokuphathwa kubalulekile ekuvimbeni izinkinga nokulondoloza ikhwalithi yempilo.

Ingabe ngiyophela esihlalweni sabakhubazekile nge-ankylosing spondylitis?

Iningi labantu abane-ankylosing spondylitis abapheli esihlalweni sabakhubazekile. Ngokwelashwa yanamuhla, ukukhubazeka okukhulu kuyinto engavamile. Nakuba abanye abantu bengase babe nokuqina okulinganiselwe kwesponda ngokuhamba kwesikhathi, abaningi balondoloza ikhono labo lokuhamba nokwenza imisebenzi yansuku zonke. Ukuqala ukwelashwa kwasekuqaleni nokusebenza kanzima kunciphisa kakhulu ingozi yezinkinga ezinkulu.

Ngingasebenza ngokuphephile nge-ankylosing spondylitis?

Ukuzivocavoca akuphephile kuphela kodwa kubalulekile ekuphatheni i-ankylosing spondylitis. Ukuzivocavoca njalo kusiza ekugcineni ukuqina kwesponda, kunciphisa ubunzima, futhi kunganciphisa ubuhlungu. Ukubhukuda, ukuhamba, i-yoga, kanye nokuzivocavoca okuqondile kokwelula kubaluleke kakhulu. Udokotela wakho noma uqeqeshi wezemidlalo angakusiza ukwakha uhlelo lokuzivocavoca olufanele isimo sakho esithile.

I-ankylosing spondylitis ithonya kanjani ukukhulelwa?

Abesifazane abaningi abane-ankylosing spondylitis baba nemiphumo emihle yokukhulelwa, yize lesi simo sidinga ukunakekelwa okucophelelayo ngalesi sikhathi. Abanye abesifazane bayabona ukuthuthuka kwezimpawu ngesikhathi sokukhulelwa, kanti abanye bangaba nezinkinga. Imithi ethile kufanele ilungiswe noma iyeke ngesikhathi sokukhulelwa, ngakho-ke ukuhlela neqembu lakho lokunakekelwa kwezempilo ngaphambi kokuthola umntwana kubalulekile ukuze kube nemiphumo emihle.

Ingabe i-ankylosing spondylitis iyadluliselwa ezizukulwaneni?

I-Ankylosing spondylitis inengxenye enkulu yezakhiwo, cishe amaphesenti angu-90 abantu abaphethe i-HLA-B27 gene. Noma kunjalo, ukuba nale gene akusho ukuthi uzophuka lesi simo. Uma unembele noma umfowenu onenkinga ye-ankylosing spondylitis, ingozi yakho iphakeme, kodwa abantu abaningi abanesizukulwane esinesimo abazange babe nezimpawu. Ukwelulekwa ngezakhiwo kungakusiza ukuqonda izimbangela zakho eziyingozi.