I-Ankylosis inzima ekuhambiseni amalunga, okungase ngisho, ezimweni ezimbi kakhulu, kuholele ekunganyakazini kwawo okuphelele. Isibonakaliso esingaphezu kwesifo ngokwaso, sitholakala, ikakhulukazi, esimweni se-rheumatism, ngesimo se-osteoarthritis, futhi singase sibe ukulandelana kokuphuka, noma kubangelwa ukutheleleka, njengoba kwenzeka. isifo samathambo.

Ngaphezu kwalokho, kungabangelwa izifo ezizimele, njenge-arthritis ye-rheumatoid, noma ngenxa yokuvuvukala, njenge-ankylosing spondylitis, ethinta umgogodla.

Wonke amalunga angathinteka. Ingozi ye-ankylosis ngemva kokuphuka ingavinjelwa ngokuvuselelwa. Ukuvivinya umzimba njalo kuyindlela enhle yokuqapha ingozi ye-ankylosis.

Incazelo ye-ankylosis

I-Ankylosis ingase ibe nomthelela kuwo wonke amalunga: ichazwa njengokuncipha noma ukuvinjelwa kokuhamba kwelunga. Ihambisana nokuqina okungaba okuphelele noma ingxenye, futhi okwesikhashana noma unomphela.

Ilunga yindawo lapho kuhlangana khona amathambo amabili, ithambo noqwanga, noma ithambo nezinyo. Kubuye kuvame kakhulu ukwakhiwa kwezicubu ze-fibrous, imigqa nama-tendon. Amathenda angamabhande ezicubu eziqinile ezixhumene nemisipha emathanjeni, imigqa ixhuma amathambo kwamanye amathambo kumalunga, futhi iqukethe imicu enwebeka kakhulu kunemisipha. Kwesinye isikhathi kuba khona nezicubu ze-synovial ezihlanganisa amalunga, njengalezo ezisendololwaneni nasemadolweni.

Ngokuvamile, ilunga lihamba (ngaphandle kwalawo mazinyo): ngakho-ke i-ankylosis ivimbela ukuhamba kwayo ngokushesha nje lapho leli lungu lithinteka.

I-Ankylosis ngokuvamile ihlotshaniswa nesifo samathambo, isifo selunga elibangelwa ukuguguleka koqwanga, noma isifo samathambo, okuwukuvuvukala kwelunga. Kwezinye izimo, kuwumphumela wokulimala kwezinzwa okuholela ekushoda kwemisipha.

Izinkinga ze-ankylosis

Izimbangela ezingenzeka ze-ankylosis zimi kanje:

• izinkinga ze-rheumatic : zixhunyaniswe nokuguga nokuncipha koqwanga elungeni, okubizwa nangokuthi i-osteoarthritis. 
• izimbangela ezithathelwanayo : Ukutheleleka kungaba imbangela ye-arthritis, isibonelo i-Lyme arthritis (ebangelwa ukutheleleka nge-bacteria Borrelia burgdorfori). Ngaphezu kwalokho, i-sepsis ingase futhi ikhiqize i-ankylosis, ibangele isifo samathambo esithathelwanayo, lapho i-microbe isakazeka ngegazi futhi amagciwane asakazeka emzimbeni, futhi ikakhulukazi ekuhlanganyeleni. Isifo sofuba singase sibe imbangela ye-ankylosis emgogodleni, ngemuva, ngokuthinta ama-discs phakathi kwama-vertebrae.
• izimbangela ezibuhlungu : Ukulandela ukuphuka, amalunga angase abonise i-ankylosis, ikakhulukazi uma kwenzeka ukunciphisa kabi ukuphuka.
• izinkinga ze-immunological : lokhu kunjalo ngezifo ezizimele, ikakhulukazi isifo samathambo. Kule pathology, kune-Rheumatoid Factor (RF), engafakwa umthamo, ayibangeli ukulimala kwamalunga ngokuqondile kodwa idala ukusabela kokuvuvukala kwento ephilayo. Lokhu, ngendlela yohlobo lwe-auto-immune, kuzobe sekubangela ukucekelwa phansi kwelunga. 
• Ngaphezu kwalokho, i-ankylosis yomgogodla, esinye isifo esizimele, ukuguquguquka kwemvelo kwesifo sokuvuvukala esithinta umgogodla, okuthiwa i-ankylosing spondylitis. Kubangela ukulahlekelwa ukunwebeka emgogodleni.
• Phakathi kwezinye izifo ezizimele ezibangela i-ankylosis, sithola isifo sikaHorton, i-pseudo-rhizomelic arthritis (PPR), noma i-lupus. Izifo ezizimele, ngokukhiqiza amasosha omzimba aqondiswe emzimbeni, futhi ikakhulukazi izicubu ezixhumeneyo (izicubu ezihlanganisa izitho ezihlukene nezicubu zomzimba ndawonye), nazo zizothinta izicubu ezixhumene ezikhona emalungeni.
• Ngaphezu kwalokho, a i-heterotopic ossification, noma ukukhiqizwa kwezicubu ezithambile ezingaphezu kwe-osseous, kungase futhi kube imbangela ye-ankylosis, endololwaneni isibonelo.

Ukuxilongwa kwe-ankylosis

I-Ankylosis ingatholwa udokotela, noma ngisho ne-osteopath, engabhekisela ku-rheumatologist.

Lokhu kuxilongwa kungenziwa ngesisekelo sokuthwebula isithombe sezokwelapha, idatha ye-radiological eqinisekisa idatha yomtholampilo, futhi ngezinye izikhathi ngokuhlolwa okuthile kwaselabhorethri. Isibonelo, i-bioassay ye-RF, noma i-Rheumatoid Factor, izosiza ekuxilongweni kwe-arthritis ye-rheumatoid (noma kunjalo, i-RF ingaba khona nakwezinye izimo).

• Ukuhlolwa komtholampilo: udokotela ulinganisa ukuchezuka, okusho ukuthi ubukhulu bokunyakaza, ngokuqhathanisa nolunye uhlangothi. Ukuvuvukala kuzobonakala ngokuvuvukala, ububomvu, ukushisa, nobuhlungu obukhulu kakhulu. I-ankylosis yemvelaphi ye-muscular noma ye-neurological izotholwa ngokuhlehliswa kwemisipha: i-palpation ye-muscle yenza kube lula ukuhlonza i-hard stop noma i-soft stop, ukumisa okuthambile noma okuthambile kuyisibonakaliso senkinga yemisipha noma yezinzwa.
• Ukuhlolwa kwe-radiological: i-ankylosis ingase ibonakale noma ingabonakali ekuthwebuleni, kuye ngembangela yayo (umsuka wemisipha noma wezinzwa ngeke ubonakale ku-x-ray). Endabeni ye-osteoarthritis, ukuncipha kokuqina kwe-cartilage kungase kubonakale. Kungenzeka futhi ukubona ngeso lengqondo ithambo eliminyene, noma ukungqubuzana kwethambo-on-bone, noma ngisho nokuguqulwa kwelunga elivuvukele. Ngobuhlungu obusha obusha be-osteoarthritis, i-x-ray iyadingeka.
• Ukuhlolwa kwezinto eziphilayo: kungasiza ekunqumeni umsuka we-ankylosis, njengoba kwenzeka esimweni esithathelwanayo, lapho ukuhlolwa kokuvuvukala kuzophazanyiswa khona. Mayelana nezifo ze-autoimmune, i-workup izothola amasosha omzimba we-autoimmune.

Abantu abathintekayo

Abantu asebekhulile basengozini enkulu ye-ankylosis, ubudala nokuguga kuyisici esibalulekile ekuthuthukiseni i-osteoarthritis. Ngokuphathelene nesifo samathambo, abesifazane bathinteka kakhulu kunamadoda, kanti abantu baseCaucasia bakhathazeke kakhulu kunezinye izizwe, njengabantu base-Asia. Kodwa ngezigqi zamanje zokuphila, kanye nokuthuthukiswa kokukhuluphala, zonke izakhamuzi manje zivame ukuthinteka. Izifo ze-Autoimmune zivame ukubathinta abesifazane abasebasha.

Izici zengozi

I-Rheumatoid arthritis, isici esiyingozi esikhulu se-ankylosis exhunywe nesifo sokuzivikela komzimba, sithinta kakhulu abesifazane. Ukuntuleka kokuzivocavoca umzimba kuyisici esiyingozi se-ankylosis, njengokukhuluphala kanye nomfutho wegazi ophakeme. Kukhona futhi ingozi yofuzo, ikakhulukazi uma izimo ze-arthritis zohlobo lwe-autoimmune zikhona emndenini.

I-Ankylosis, ngokwayo uphawu, ibangela ubunzima ekuhambiseni ilunga, noma ngisho nasekunganyakazini kwayo okuphelele. Phakathi kwezinye izimpawu zayo, zivame ukwenzeka:

• ukuqina;
• ubuhlungu bomzimba, ngisho nalapho uphumule;
• izimpawu zokuvuvukala, njengokubomvu, ukuvuvukala, umuzwa wokushisa eduze kwesihlanganisi.
• izinhlungu.

Ngakho-ke, ukuvuvukala kwelunga kubuhlungu kakhulu, ngoba lokhu kusabela kokuvuvukala kubangela ukuvuvukala: empeleni, uketshezi olukhuphuka ngaphakathi kwelunga lusebenzela ukuzivikela ngokumelene namagciwane, inani lamangqamuzana egazi amhlophe liyakhula, okuholela ekwandeni kwevolumu yamalunga. . Ukungakwazi ukuhambisa ilunga, okubizwa ngokuthi i-ankylosis, ngakho-ke kuzovela kokubili ubuhlungu nokuvuvukala. Ngoba lapho ilunga livuvukele, lilahlekelwa ukunyakaza okuhlukahlukene. Imicu, imisipha, imisipha, bese inethuba elincane lokuhamba, lokushelela.

USolwazi Samantha Demaille, udokotela wezokwelapha nokuvuselela isimilo esikhungweni sase-Espoir, eNyakatho, uyacacisa: “Wonke umdlalo wokuvuselela uzoba ukukhipha i-effusion ngokushesha ngangokunokwenzeka, nokuvumela i-ligament yelunga ukuthi ihambe ngokujwayelekile.".

Ukwelashwa okujwayelekile okuyinhloko:

• Ukwelashwa okutuswayo njengengxenye yokwelashwa kwe-ankylosis yi-physiotherapy, engasiza ukubuyisela ukuhamba kwelunga. Kodwa ngezinye izikhathi i-ankylosis ibonakala ingenakuhlehliswa.
• Ama-analgesics (noma izidambisi zobuhlungu) ahloselwe ukudambisa izinhlungu.
• Ama-Immunomodulators (abizwa nangokuthi ama-immunosuppressants) azosetshenziswa ezimeni ze-ankylosis ebangelwa isifo esizimele.
• Izidakamizwa ezilwa nokuvuvukala (i-corticosteroids) zizosiza ukwehlisa ukuvuvukala.
• Umjovo we-hyaluronic acid: lolu hlobo lomjovo, kathathu ngonyaka, lusebenza njengejeli lokuvikela, njengamafutha, ku-cartilage owonakele, futhi lwenza lungabi buhlungu.
• Ama-Prostheses: lapho i-ankylosis isiphelile, isibonelo ku-osteoarthritis enzima kakhulu, lapho uqwanga lubhujiswa khona, amathambo angahamba aze ahlangane ndawonye, ​​​​okuholela ekunganyakazini, nobuhlungu obukhulu. Ukwelashwa kungase kuhlanganise ukushintshwa kwelunga, kusetshenziswa idolo noma i-hip prosthesis.

Isimiso sokwelashwa kwe-ankylosis ekubuyiseleni:

Ukuvuselelwa, ekwelapheni i-ankylosis, kuzoqale kuhloswe ukukhulula ukuhlangana okubuhlungu, ngakho-ke ngokubeka, kuye ngokuthi imbangela ye-ankylosis, izidakamizwa zokulwa nokuvuvukala, ngokumelene nokutheleleka, noma abanye.

Ekuqaleni, ukuhlangana kufanele kushiywe kunganyakazi, kuphumule. Lokhu kuhlangana okungenakunyakaziswa ngeke kuvimbele ukuqala kokuvuselelwa kwangempela, ngokusebenza imisipha ngaphandle kokuhambisa ukujoyina. “Isibonelo, ama-physiotherapists anganikeza isiguli ukuthi sivume imisipha, ukwenza ukuqina kwemisipha ye-isometric, lapho imisipha isebenza khona futhi i-joint ayinyakazi.“, Kuchaza uSolwazi Samantha Demaille. Uyanezela: “Lokhu kuvimbela umsipha ekulahlekelweni amandla, futhi kuvumela umzimba ukuthi ungamuncwa, ukuze ugcine umthamo wemisipha. Ngaphezu kwalokho, umzimba ugcina inkumbulo yokunyakaza. Ngakho-ke lapho ilunga libuyela ekunyakazeni, lizokwenza lokho ngokwemvelo.«

Ukushisa kungabuye kuhanjiswe emalungeni athile, isibonelo ngokusebenzisa ibhodlela lamanzi ashisayo. Lokhu kushisa kuzosiza ukunciphisa ukuvuvukala, ngakho-ke kukhulula ubuhlungu.

Khona-ke, kancane kancane, ukuvuselelwa kuzobandakanya ukuhambisa i-joint futhi, ngokuyenza isebenze ngama-amplitudes amakhulu, ukuze ibuyisele emuva, kancane kancane futhi ingenabuhlungu.

Phakathi kwemithi yokwelapha ngamakhambi:

• Imbali yotshani (igama lesidakamizwa: utshani-imbali), okuwukwelapha izifo eziwohlokayo, nezinhlobo ezahlukene zesifo samathambo.
• Ingqikithi ye-cajeput, ehlanganiswe namanye amafutha afana ne-peppermint, amafutha e-clove, i-menthol kanye ne-camphor ingasetshenziswa ngokumelene nobuhlungu bemisipha kanye namalunga obuhambisana nezifo ze-rheumatoid, kanye nokuphikisana ne-l osteoarthritis.
• Ngaphezu kwalokho, ingqikithi ye-cajeput ingabuye ihlanganiswe nezinye izitshalo ukulwa ne-arthritis ne-osteoarthritis: i-wort St. ukulungiswa kwe-homeopathic.
• Nge-arthritis ewohlokayo engapheli, imbewu ye-nasturtium noma i-Nasturtium ingasetshenziswa.Tropaeolum phambilis) kuhlanganiswe nezimpande zedandelion notshani, izimpande ze-kawa-kawa, izimpande zeBryonia, amaqabunga e-mountain bay, i-ledon yexhaphozi, iziqu ezibabayo, amaqabunga e-rhododendron.
• Nge-osteoarthritis, futhi: imbewu yesinaphi emhlophe.
• Nge-arthritis, nembewu yesinaphi emhlophe, noma ngisho notshani be-mistletoe.
• Ngaphezu kwalokho, ukwelashwa okuhle kakhulu ukulwa nokuvuvukala ukuhlanganisa i-harpagophytum ne-St. John's Wort, ikhambi eliphumelelayo kokubili ngokumelene nokuvuvukala kanye ne-analgesic enhle kakhulu, eyenziwe ku-tincture yomama. Ziyizindlela zokwelapha ezinhle zokuqeda izinhlungu zesikhathi eside, ikakhulukazi njengoba zingenalo ulaka.

Uhlu aluphelele, nokho-ke qaphela ukuthi uhlale uneseluleko sezokwelapha lapho usebenzisa ukwelapha ngamakhambi.

• Ukuvimbela okungcono kakhulu kwe-ankylosis ngemva kokuphuka ukuvuselela. Ngakho-ke kubalulekile ukusebenzisa imisipha ngaphansi kwama-casts. Ukugcina imisipha kuzokwenza kube lula ukuhlanganisa ukuhlangana.
• Lapho i-ankylosis iqala, ukuvuselelwa, okwenziwa ikakhulukazi ngama-physiotherapists, kuzohlose ukubuyisela ukunyakaza kokuqala kokujoyina, nokuvimbela okungcono kakhulu ukuwa kwe-amplitude enkulu. Kodwa-ke, uma i-cartilage yonakalisiwe, ngeke kwenzeke ukubuyela esimweni sokuqala.
• Endabeni yenkinga ye-neurological, imisipha, evame ukubangela ukunyakaza kokuhlangana, ayisakwenzi lokho, futhi ilunga liba lukhuni: ngakho-ke kuyodingeka ukuzivocavoca abantu abane-hemiplegic, ikakhulukazi, ukugcina ukuguquguquka okuhlangene. amalunga abo.

Ukusebenza ngokomzimba okuvamile, ngokuvamile, kuhlangene nendlela yokuphila enempilo, kuyindlela enhle yokuvimbela i-ankylosis. Ukulawula umfutho wegazi, kanye nokudla okunempilo, okulinganiselayo kanye nokugcinwa kwesisindo konke kuyizici zokuvimbela ngokumelene nesifo samathambo.

Ngakho-ke kubalulekile ukuhamba njalo, kodwa futhi nokwelapha zonke izifo, ukuze ugweme i-sepsis. Kufanele unakekele amalunga akho, futhi uhloniphe ilunga elibuhlungu ngokuvumela ubuhlungu budlule. Ekugcineni, njengoba uSolwazi Demaille esho, “kufanele unyakaze ukuze ungagqwali".