• umutwe_banner_01
  • umutwe_umutware_02

Inyuma yinyuma ya ankylose spondylitis: zirakora?

Lindsey Curtis numwanditsi wubuzima ufite uburambe bwimyaka irenga 20 yandika ingingo zubuzima, siyanse, nubuzima bwiza.
Laura Campedelli, PT, DPT numuvuzi wumubiri ufite uburambe mubuvuzi bwihutirwa bwibitaro no kuvura indwara zita kubana ndetse nabakuze.
Niba ufite ankylose spondylitis (AS), ushobora kuba warigeze wumva ko imirongo ishobora kugabanya ububabare bwumugongo no gukomeza guhagarara neza.Mugihe igitereko cyigihe gito gishobora gushyigikira umugongo kugirango gifashe gucunga ububabare, ntabwo igisubizo cyigihe kirekire cyo kugabanya ububabare cyangwa gukosora ibibazo byimyifatire.
Kubona ibikoresho byiza byo kuvura ibimenyetso bya ankylose spondylitis birashobora rimwe na rimwe nko gushaka inshinge muri nyakatsi.Hariho inzira nyinshi;imirongo nibindi bikoresho bifasha abavuga ntabwo ari igikoresho rusange.Irashobora gufata ikigeragezo nikosa kugeza ubonye igikoresho cyiza kubyo ukeneye.
Iyi ngingo ivuga ku ikoreshwa rya corsets, orthose nizindi mfashanyo mu kuvura ankylose spondylitis.
Kubabara umugongo udakira no gukomera, ibimenyetso bikunze kugaragara kuri AS, mubisanzwe bikomera hamwe no kuruhuka igihe kirekire cyangwa gusinzira kandi bikunda gutera imbere hamwe nimyitozo ngororamubiri.Kwambara igitereko gishyigikira birashobora kugabanya ububabare mugabanya umuvuduko wumugongo (vertebrae) no kugabanya kugenda.Kurambura birashobora kandi kuruhura imitsi ifatanye kugirango wirinde imitsi.
Ubushakashatsi ku mikorere ya corsets kubabara umugongo wo hasi bivanze.Ubushakashatsi bwerekanye ko guhuza imyitozo ngororamubiri, kwigisha ububabare bw'umugongo, no gushyigikira umugongo bitagabanya ububabare ugereranije n'imyitozo n'uburere.
Nyamara, isuzuma ryakozwe mu mwaka wa 2018 ryerekanye ko orthose ya lumbar (brace) ishobora kugabanya cyane ububabare no kunoza imikorere yumugongo iyo ihujwe nubundi buvuzi.
Mugihe cyo kwiyongera, AS mubisanzwe igira ingaruka kumitsi ya sacroiliac, ihuza urutirigongo nigitereko.Mugihe indwara igenda itera imbere, AS irashobora gufata umugongo wose kandi igatera ubumuga bwimyanya nka:
Nubwo imirongo isa nkigikorwa cyiza mukurinda cyangwa kugabanya ibibazo byimyitwarire, nta bushakashatsi bushyigikira ikoreshwa ryinyuma muri AS.Fondasiyo ya Arthritis irasaba kwambara corset kugirango ikosore ibibazo byimyifatire ijyanye na AS, idafite akamaro cyangwa ingirakamaro.Imyitozo ngororamubiri ya ankylose spondylitis irashobora gufasha gucunga ibimenyetso no kunoza imyifatire kubantu bafite AS.
Kubabara no gukomera birashobora gutuma imirimo ya buri munsi igorana, cyane cyane mugihe cya AS flare-ups (cyangwa ibihe byo gucana cyangwa kwiyongera kwibimenyetso).Aho kubabara, tekereza ibikoresho bifasha kugabanya ibibazo bitagushimishije kandi ubuzima bwa buri munsi burusheho gucungwa.
Ubwoko bwinshi bwibikoresho, ibikoresho nibindi bikoresho birahari.Uburyo bukubereye biterwa nibimenyetso byawe, imibereho, hamwe nibyo ukeneye.Niba wasuzumwe vuba, ntushobora gukenera ibyo bikoresho, ariko abantu bafite AS bateye imbere barashobora kubona ibyo bikoresho bifasha mugutezimbere ubwigenge no gukomeza ubuzima bwiza.
Nubwo imiterere ya AS igenda itera imbere, abantu benshi babaho igihe kirekire kandi gitanga umusaruro hamwe nindwara.Hamwe nibikoresho byiza ninkunga, urashobora kubana neza na AS.
Imfashanyo yo kugenda nkiyi irashobora kugufasha kugenda byoroshye murugo, kukazi, no mumuhanda:
Kubabara ububabare nigice cyingenzi cyubuzima kubantu barwaye ankylose spondylitis.Usibye gufata imiti yagenwe n’ushinzwe ubuzima, imiti imwe n'imwe, nk'ibi bikurikira, irashobora kugabanya ububabare hamwe no gukomera:
Imirimo ya buri munsi irashobora kugorana mugihe uhuye na AS flares.Ibikoresho bifasha birashobora kugufasha gukora imirimo ya buri munsi hamwe nububabare buke, harimo:
Hamwe namahitamo menshi, kugura ibikoresho bifasha birashobora kuba byinshi.Urashobora kwifuza kubaza umuganga wawe wibanze cyangwa umuganga wumwuga (OT) mbere yo gufata ibyemezo.Barashobora gusuzuma ibimenyetso byawe bakagufasha kubona ibikoresho bikwiye kubyo ukeneye.
Imfashanyo, ibikoresho, nibikoresho nabyo birashobora kuba bihenze.Ndetse infashanyo zidahenze za ankylose spondylitis zirashobora kwiyishura vuba mugihe ubikeneye.Kubwamahirwe, hari inzira nyinshi zagufasha kwishyura ibiciro, harimo:
Ankylose spondylitis (AS) ni arthrite yanduza irangwa no kubabara umugongo no gukomera.Iyo indwara igenda itera imbere, AS irashobora gutera ubumuga bwumugongo nka kyphose (humpback) cyangwa umugongo.
Abantu bamwe bafite AS bambara igitambara kugirango bagabanye ububabare cyangwa bagumane igihagararo cyiza.Ariko, corset ntabwo ari igisubizo kirambye cyo kugabanya ububabare cyangwa gukosora ibibazo byimyitwarire.
Ibimenyetso bya AS birashobora gutuma bigorana cyangwa ntibishoboka gukora imirimo ya buri munsi.Imfashanyo, ibikoresho, nibikoresho birashobora kugufasha gukora kukazi, murugo, no kugenda.Ibi bikoresho byashizweho kugirango bigabanye ububabare na / cyangwa gushyigikira guhuza neza umugongo kugirango bifashe abantu bafite AS gukomeza kwigenga no kubaho neza.
Ubwishingizi bw'ubuzima, gahunda za leta n’abagiraneza birashobora gufasha kwishyura ibikoresho kugirango ibikoresho biboneke kubabikeneye.
Ingeso zimwe zirashobora gutuma ibimenyetso bya ankylose spondylitis birushaho kuba bibi: kunywa itabi, kurya ibiryo bitunganijwe, guhagarara nabi, ubuzima bwicaye, guhangayika karande, no kubura ibitotsi.Guhitamo ubuzima bwiza no gukurikiza inama zita kubuzima bwawe birashobora kugufasha gucunga ibimenyetso no kugabanya umuvuduko windwara.
Ntabwo abantu bose bafite ankylose spondylitis bakeneye intebe yimuga, ibibando, cyangwa izindi mfashanyo zigenda kugirango bazenguruke.AS igira ingaruka kuri buri wese muburyo butandukanye.Nubwo ibimenyetso byihariye nkububabare bwumugongo bikunze kugaragara kubantu bafite AS, uburemere bwikimenyetso nubumuga buratandukanye kubantu.
Ankylose spondylitis ntabwo yangiza ubuzima, kandi abantu bafite AS bafite ibyiringiro bisanzwe byubuzima.Iyo ndwara igenda itera imbere, ibibazo bimwe na bimwe byubuzima birashobora gutera imbere, nk'indwara z'umutima n'imitsi n'indwara zifata ubwonko (imiyoboro y'amaraso mu bwonko), bishobora kongera ibyago byo gupfa.
Annaswami TM, Cunniff KJ, Kroll M. n'abandi.Inkunga yo kubabara kubabara umugongo udakira: ikigeragezo cyateganijwe.Am J Phys Med Rehabil.2021; 100 (8): 742-749.doi: 10.1097 / PHM.0000000000001743
Mugufi S, Zirke S, Schmelzle JM n'abandi.Imikorere ya lumbar orthose kububabare bwumugongo: gusubiramo ibitabo nibisubizo byacu.Orthop Rev (Pavia).2018; 10 (4): 7791.doi: 10.4081 / cyangwa.2018.7791
Maggio D, Grossbach A, Gibbs D, n'abandi.Gukosora ubumuga bwumugongo muri ankylose spondylitis.Surg Neurol Int.2022; 13: 138.doi: 10.25259 / SNI_254_2022
Menz HB, Allan JJ, Bonanno DR, n'abandi.Insole ya Orthotic Custom: Isesengura ryimikorere ya Laboratoire yubucuruzi ya Australiya.J gukata amaguru.10:23.doi: 10.1186 / s13047-017-0204-7
Nalamachu S, Goodin J. Ibiranga ububabare bwo kugabanya ububabare.Jay Kubabara Res.2020; 13: 2343-2354.doi: 10.2147 / JPR.S270169
Chen FK, Jin ZL, Wang DF Ubushakashatsi bwisubireho bwerekeranye no gukurura imitsi yumuriro w'amashanyarazi kububabare budakira nyuma ya ankylose spondylitis.Ubuvuzi (Baltimore).2018; 97 (27): e11265.doi: 10.1097 / MD.0000000000011265
Ishyirahamwe ryabanyamerika Spondylitis.Ingaruka zo gutwara ibinyabiziga kumikorere kubarwayi barwaye spondyloarthritis.
Ikigo cy'igihugu gishinzwe ubumuga no gusubiza mu buzima busanzwe.Ni ubuhe buryo bwo kwishyura bwibikoresho bifasha?
Amashuri yigihugu yubumenyi, ubwubatsi nubuvuzi, ishami ryubuzima nubuvuzi, komisiyo ishinzwe ubuzima.Raporo y'ibicuruzwa na tekinoroji bijyanye.

2 4 5 7


Igihe cyo kohereza: Gicurasi-06-2023