Loaʻa iā ʻoe kekahi AS? A laila e makaʻala e pili ana i kēia mau maʻi (Ankylosing Spondylitis)

Ua ʻike mākou a pau i ka paʻakikī o ke ola ʻana me ka Ankylosing Spondylitis, a i ʻole AS no ka pōkole. ʻAʻole maʻalahi ka hoʻoponopono ʻana i ka ʻeha mau o ke kua a me ka ʻoʻoleʻa o ke kakahiaka. Akā ua ʻike anei ʻoe me ka AS, aia kahi pilikia kiʻekiʻe iki o ka loaʻa ʻana o kekahi mau maʻi ʻē aʻe? Mai hopohopo ke lohe ʻoe i kēia. ʻO ka mea nui loa, ʻo ia ka makaʻala i kēia mau pilikia. No ka mea, a laila hiki iā mākou ke hana i nā hana e pono ai e pale iā mākou iho mai iā lākou ma mua.

E aʻo kākou e pili ana i ka osteoporosis.

I ka ʻōlelo maʻalahi, ʻo ia ka manawa e nāwaliwali ai kou mau iwi a hiki ke haki maʻalahi, ʻoiai mai ka hāʻule wale ʻana. He mea maʻamau loa kēia ʻano i waena o ka poʻe me AS.

E hoʻomanaʻo, he maʻi mumū ka AS i loko o ke kino. Hoʻopilikia pololei kēia mumū mau i ke olakino o nā iwi. Eia kekahi, hiki ke hana ʻia kēia maʻi `(Osteoporosis)` ʻoiai ke emi nei ka hele wāwae a me ka hoʻoikaika kino ma muli o ka ʻeha a me ka ʻoʻoleʻa i hoʻokumu ʻia e AS. ʻO ka mea kupanaha, i kekahi manawa hiki i nā kauka ke ʻike i nā hōʻailona o `(Osteoporosis)` ma mua o ka ʻike ʻia ʻana o nā loli nui i ke kino ma muli o AS.

Ma ke ʻano he lāʻau lapaʻau, aia kekahi mau hōʻike e hiki i nā mea ʻeha, ʻoiai nā lāʻau anti-inflammatory nonsteroidal (NSAID), ke kōkua i ka hōʻemi ʻana i ka pilikia o ka haki ʻana. Eia nō naʻe, ua kaupalena ʻia ka ʻikepili ma kēia. No laila he paʻakikī ke ʻōlelo inā kūpono kēia no nā mea āpau. Eia kekahi, ʻoiai nā lāʻau lapaʻau e kāohi ana i ka mumū, e like me nā mea pale TNF, hiki ke kōkua i ka hoʻonui ʻana i ka nui o ka iwi, ʻaʻole maopopo inā pale lākou i nā haki. ʻOi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i kēia a hoʻoholo i ka mea maikaʻi loa iā ʻoe.

He mau pilikia hiamoe nō hoʻi kāu?

He nui ka poʻe me AS e pilikia nei i ka hiamoe maikaʻi i ka pō. Nui nā kumu no kēia.

• ʻEha: ʻO kēia ke kumu nui. I kekahi manawa, pale ka ʻeha iā ʻoe mai ka hiamoe ʻana. I kekahi manawa, ʻoi aku ka ʻino o ka ʻeha no ka mea ʻaʻole lawa kou hiamoe. Ua like ia me kahi pōʻai ʻino. Ua ʻike ʻia nā noiʻi he nui aku ka ʻoʻoleʻa o ke kakahiaka a me nā hōʻailona ʻē aʻe o nā maʻi AS i loaʻa nā pilikia hiamoe ma mua o ka poʻe hiamoe maikaʻi.

• Kaumaha a me ka Hopohopo: He mea maʻamau ka manaʻo kaumaha a me ka hopohopo i ka wā e noho ana me ka ʻeha mau. Hiki i kēia mau loli o ke ʻano ke loaʻa ka hopena nui i kāu hiamoe. Inā ua kaumaha a kaumaha paha ʻoe no ʻelua pule a ʻoi aku paha, ua oki i ka hana ʻana i nā mea āu i hauʻoli ai, a i ʻole ua hopohopo no nā mahina, he mea nui e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau . ʻO ka hoʻoponopono ʻana i kahi maʻi mau e like me AS hiki ke paʻakikī ke hana hoʻokahi.

ʻEha wāwae a me nā pilikia

ʻAʻole ʻo AS kahi maʻi i kaupalena ʻia i ka iwi kuamoʻo. Hiki iā ia ke hoʻopilikia i nā hono a me nā tendon ʻē aʻe o ke kino. He mea maʻamau ka ʻeha ma nā wāwae.

• ʻO Plantar Fasciitis: Aia kahi papa mānoanoa o ka ʻiʻo ma lalo o ka wāwae e holo ana mai ke kuʻekuʻe wāwae a i nā manamana wāwae. Ua kapa ʻia kēia pehu ʻo "Plantar Fasciitis". ʻO ka hōʻailona nui o kēia ka ʻeha nui ke ala ʻoe mai kahi moe i ke kakahiaka.

• ʻEha kuʻekuʻe wāwae (Achilles Tendonitis): ʻO ka mumū o ke aʻalolo Achilles, ka mea e hoʻopili ai i ka iwi kuʻekuʻe wāwae, hiki ke hana i ka ʻeha a me ka ʻoluʻolu ʻole.

Eia kekahi, hiki i nā poʻe maʻi AS ke loaʻa i ka ʻeha pinepine ma nā wahi e like me nā hono o ka ʻūhā, nā poʻohiwi, nā kuli, a me nā kuʻekuʻe wāwae.

ʻEha ka umauma, akā ʻaʻole ia he hōʻeha puʻuwai (Costochondritis)

ʻO kēia ke kumu o ka ʻeha o ka umauma. I kekahi manawa hiki ke koʻikoʻi loa ka ʻeha a hiki iā ʻoe ke manaʻo he hōʻeha puʻuwai ia.

Ka nānā kūikawā ʻana i nā maʻi puʻuwai a me ke koko kiʻekiʻe

Ke koko kiʻekiʻe (Hypertension)

ʻOi aku ka pili o kēia pilikia i ke ʻano o ka lāʻau lapaʻau āu e lawe ai no AS ma mua o ka maʻi ponoʻī. Inā ʻoe kekahi e hoʻohana mau ana i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) (e.g., ibuprofen, diclofenac) no ka ʻeha AS, pono ʻoe e makaʻala i ka pilikia o ka loaʻa ʻana o ke koko kiʻekiʻe (hypertension). Ua hōʻike ʻia kahi noiʻi he 12% kiʻekiʻe ka pilikia o ka poʻe e lawe ana i kēia mau lāʻau lapaʻau i ka wā lōʻihi ma mua o ka poʻe i lawe ʻole iā lākou. No laila, he mea nui loa e kamaʻilio me kāu kauka a e nānā pinepine i kou koko.

Maʻi puʻuwai

ʻOiai ʻaʻole ia he mea maʻamau, ua ʻike nā kauka i kahi pilina ma waena o AS a me nā maʻi cardiovascular. Hiki ke loaʻa kēia mau kūlana ma waena o 2% a me 10% o ka poʻe me AS. ʻOiai ʻaʻole maopopo ka pilina ma waena o AS a me ka maʻi puʻuwai, ʻike mākou ʻo ka mumū mau i loko o ke kino e hoʻonui i ka pilikia o ka maʻi puʻuwai. No laila he kumu nui paha ia no kēia pilina.

Nā Kūlana Autoimmune ʻē aʻe

He maʻi autoimmune nō hoʻi ʻo AS. ʻO ke ʻano kēia, ua kuhihewa ka ʻōnaehana pale o ke kino i kāna mau hunaola ponoʻī. No laila, he liʻiliʻi ka pilikia o ka poʻe me AS i ka loaʻa ʻana o nā maʻi autoimmune ʻē aʻe.

Ka Maʻi ʻōpū mumū (IBD)

He maʻi ʻōpū mumū ka IBD e komo pū ana me ka maʻi Crohn a me ka ulcerative colitis. He mea kākaʻikahi ia i nā poʻe me AS. Akā aia kahi pilina ma waena o nā maʻi ʻelua. Inā loaʻa iā ʻoe nā hōʻailona o AS, e like me ka ʻeha o ka ʻōpū a me ka maʻi pākī, he mea nui e haʻi i kāu kauka .

Sclerosis lehulehu (MS)

He maʻi ka MS e hoʻopilikia ana i ka lolo a me ke kaula kuamoʻo. Maanei hoʻi, hoʻouka ka ʻōnaehana pale i ka uhi pale a puni nā olonā nerve. He kakaikahi loa ka poʻe i loaʻa iā AS a me MS. Ke hoʻomau nei ka noiʻi e hoʻoholo ai inā he pilina maoli ma waena o nā maʻi ʻelua, a inā paha e ʻike ʻoe i ke kauka e nānā i kekahi e hoʻonui i ka hiki ke nānā i kekahi.