Duk mun taɓa samun ciwon baya a wani lokaci a rayuwarmu, ko ba haka ba? Idan ka sunkuya a kan wani abu da bai dace ba ko ka ɗaga wani abu mai nauyi, ciwon zai tafi cikin 'yan kwanaki. Amma... wani lokacin wannan ciwon baya ba abu ne mai sauƙi ba. Yana iya zama farkon wata babbar matsala da ta dame ka tsawon shekaru kuma ba za a iya gano ta da kyau ba. A yau muna magana ne game da irin wannan yanayin. Wannan shine Ankylosing Spondylitis, ko AS a takaice.
Menene Ankylosing Spondylitis (AS)?
A taƙaice dai, Ankylosing Spondylitis (AS) wani nau'in ciwon gaɓɓai ne mai kumburi na dogon lokaci wanda ke shafar kashin baya . Abin da ke faruwa shi ne cewa garkuwar jiki tana kai hari ga gidajen da ke cikin kashin baya bisa kuskure. Bayan wani lokaci, wannan kumburin zai iya sa ƙashin baya a cikin kashin baya ya haɗu, yana rage sassauci kuma yana haifar da sunkuyawa.
Wasu likitoci sun ce gano wannan cuta kamar neman allura a cikin tarin ciyawa ne. Akwai dalilai da dama da suka sa hakan ya faru.
Me yasa AS yake da wahalar ganewa?
Bincike ya nuna cewa yawanci yana ɗaukar shekaru 7-10 daga lokacin da alamun AS suka fara zuwa ga ganewar asali daidai. Ka yi tunanin tsawon lokacin da hakan zai ɗauka! Babban dalilan wannan sune:
- Ciwon baya abu ne da ya zama ruwan dare: Kamar yadda muka ambata a baya, ciwon baya abu ne da ya zama ruwan dare. Saboda haka, mutane da yawa suna tunanin cewa abu ne na al'ada kuma ba sa yin watsi da shi.
- Jinkirin rahotannin X-ray: A cikin AS, lalacewar da aka samu a gidajen sacroiliac na kashin baya da ƙashin ƙugu yana bayyana ne kawai a kan X-ray bayan cutar ta ci gaba kaɗan.
- Alamomin sun bambanta: AS yana shafar kowane mutum ta hanyoyi daban-daban. Wasu mutane suna fuskantar ciwon baya ne kawai, yayin da wasu kuma suna iya fuskantar matsaloli da idanunsu, diddige, da sauran gaɓoɓinsu.
- Rashin gwaji ɗaya: Har yanzu babu gwajin jini ko hoton da zai iya tabbatar da cewa wannan AS ne 100%.
Wannan tebur zai taimaka muku fahimtar bambanci tsakanin ciwon baya na yau da kullun da ciwon da AS ke haifarwa.
| Halaye | Ciwon Baya na Inji | Ciwon Baya a AS (Ciwon Baya Mai Kumburi) |
|---|---|---|
| Ciwon shine mafi girma. | Bayan aiki, a ƙarshen rana | Da safe da dare, musamman bayan hutu, |
| Idan ka huta | Ciwon yana raguwa. | Jin zafi da tauri suna ƙaruwa. |
| Motsa Jiki/Motsi | Ciwon zai iya ƙaruwa. | Rage zafi da tauri |
| Taurin Safiya | Yana ɗaukar ƙasa da minti 30 | Yana ɗaukar fiye da minti 30 (sau da yawa fiye da awa ɗaya) |
Rayuwar da aka yi a lokacin da aka gano cutar ba daidai ba...
Idan muka ji labarin mutanen da ke fama da wannan cuta, za mu fahimci muhimmancin wannan batu sosai.
Labarin Don: "Kamar idanu makafi ne, amma idanu a bayyane suke"
Ya ɗauki Don shekaru 7 kafin a gano cutar. Amma idan ya waiwaya baya, yana jin kamar ya ɗauki shekaru 30. Lokacin da ya fara ciwon gwiwa yana ɗan shekara 10, kowa ya kira shi "ciwon girma."
Amma a kusan shekaru 40, rayuwarsa ta ɗauki wani yanayi mai ban tsoro. A lokacin ne ya kamu da cutar uveitis , wata cuta mai kumburi a ido wadda ka iya zama babbar matsala ta AS. "Na rasa ganina. Nakan ga siffofi ne kawai, kuma ina jin daɗin haske sosai. Kamar dai makaho ne, amma ba makaho ba ne," in ji Don.
Duk da cewa likitocin ido ba su iya gano musabbabin cutar ba, sun yi hasashen cewa wataƙila "wani irin cuta ce ta garkuwar jiki." Ba tare da wata amsa ba, Don ya ajiye hakan a gefe. Bayan shekaru da yawa yana ganin likitoci sama da 30 kuma ana yi masa magani daga cutar kansa zuwa yanayin jijiyoyi, a ƙarshe an gano cewa yana da AS bayan ya ga likitan rheumatologist.
Labarin Charis: "Ba cuta ce da ke shafar maza kawai ba"
Mahaifiyarta ce ta rene Charis. Mahaifinta yana da AS. "Ban ma san sunan cutar ba. Amma na san ba zan kamu da ita ba, domin 'cutar maza ce,'" in ji Charis.
Wannan mummunan fahimta ce a tsakanin mutane da yawa. Duk da cewa a da an yi tunanin cewa AS tana shafar maza ne kawai, sabbin bayanai sun nuna cewa mata ma suna kamuwa da cutar a wani babban mataki.
Charis tana fama da ciwon gwiwa da sauran ciwon haɗin gwiwa tun tana ƙarama, amma ta yi tunanin wata matsala ce daban lokacin da take yin wasanni. Likita ya gaya mata cewa damuwa ce. Amma Charis ba ta yarda da shi ba. Ta yi tunanin alamun sun yi kama da na mahaifinta. A ƙarshe, bayan ta tambayi mahaifinta, kuma ta bi shawararsa, ta je wurin likita aka gano tana da AS.
Kimanin kashi 80%-95% na marasa lafiya da ke dauke da cutar AS suna da kwayar halittar da ake kira HLA-B27 . Ana iya gadon wannan daga iyaye zuwa ga yara. Duk da haka, ba duk wanda ke dauke da wannan kwayar halittar zai kamu da cutar AS ba, kuma yana yiwuwa a kamu da cutar AS ba tare da wannan kwayar halittar ba. Saboda haka, ba za a iya tantance wannan ta hanyar gwajin kwayoyin halitta kawai ba.
Charis ta bayyana yadda take ji kamar haka:
"Baƙin ciki da cututtuka masu tsanani kamar 'yan uwan juna ne, koyaushe suna tare."
Doguwar tafiya zuwa ga gano cutar na iya haifar da damuwa a zuciya. Don haka idan kana fuskantar irin wannan yanayi, kada ka yi jinkirin yin magana game da shi kuma ka nemi taimakon ƙwararren likitan kwakwalwa idan akwai buƙata.
Me yasa likitoci ke kewar AS?
Ɗaya daga cikin dalilan da ke haifar da haka shine ƙarancin lokacin da ake da shi don ganin marasa lafiya. "Minti 15 kawai tare da majiyyaci bai isa ba," in ji wani ƙwararre. Don gano wata cuta mai rikitarwa kamar AS, kuna buƙatar sauraron abin da majiyyacin ke faɗa da kyau kuma ku yi tambayoyi masu kyau.
Haka kuma, alamun AS wani lokacin suna kama da na wasu cututtuka. Misali:
- Jin zafi a cikin gindi da diddige
- Psoriasis, cutar fata
- Cututtukan tsarin narkewar abinci kamar cutar Crohn ko ulcerative colitis
Idan likitan babban likita (GP) bai ga marasa lafiya da yawa na AS a wurin aikinsa ba, ba zai iya zargin AS ba idan ya ga waɗannan alamun.Shi ya sa yake da matuƙar muhimmanci a ga likitan rheumatologist idan kana da ciwon baya na dogon lokaci, musamman idan ciwon ya yi muni da safe.
Labari mai daɗi shine likitoci yanzu sun fi sanin alamun AS fiye da da. Haka kuma, akwai sabbin magunguna (kamar magungunan halittu) waɗanda ke da tasiri sosai wajen shawo kan cutar. Don haka ba sai ka sha wahala kamar yadda ka saba ba. Abu mafi mahimmanci shine a gano cutar a kan lokaci sannan a fara maganin da ya dace.
Saƙon Ɗauka Gida
- Idan ka shafe sama da watanni 3 kana fama da ciwon baya, kada ka yi watsi da shi.
- Idan ciwon bayanka ya yi tsanani musamman da safe, ya tsananta idan ka huta, kuma ya ragu lokacin da kake tafiya ko motsa jiki, zai iya zama alamar AS.
- Ka sani cewa akwai taurin da ke faruwa a bayanka da kuma gaɓoɓinka wanda ke ɗaukar fiye da rabin sa'a .
- Baya ga ciwon baya, idan kana da alamun kamar ja ko ciwo a idanu (uveitis), ciwon diddige, ko kumburi a wasu gaɓoɓi, ka gaya wa likitanka game da shi.
- Yi magana da likitanka game da alamun cutar. Idan ya cancanta, nemi a tura ka zuwa ga likitan rheumatologist .
- Kada ka daina faɗa har sai ka sami cikakken ganewar asali. Abu mafi mahimmanci shine ka saurari jikinka.
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