Inā loaʻa iā ʻoe ʻo Ankylosing Spondylitis, a i ʻole AS no ka pōkole, ʻo kāu mea nui e kau nei ma ka mālama ʻana i ka maʻi a me ka pale ʻana i kona mau hōʻailona mai ka ʻino ʻana. ʻOiai ʻoe e hana nei me ia, hiki i nā bila lapaʻau i manaʻo ʻole ʻia a me nā kipa kauka ke lilo i mea kaumaha. No laila i kēia lā e kamaʻilio mākou e pili ana i ke ʻano o ka hoʻomākaukau ʻana no kēia mau lilo i manaʻo ʻole ʻia me ka ʻole o ka pīhoihoi.
ʻO ka mea mua, e nānā kākou, he aha ka ankylosing spondylitis (AS)?
I ka ʻōlelo maʻalahi, ʻo ka ankylosing spondylitis kahi ʻano arthritis. Ua kapa pū kekahi poʻe iā ia ʻo "Bechterew's disease." ʻO ka mea nui e hana ʻia ma kēia ʻano, ʻo ia ka pehu ʻana o nā hono ma waena o nā vertebrae i loko o kou iwi kuamoʻo a me ka mumū. I ka hala ʻana o ka manawa, hiki i kēia mau vertebrae ke hui pū, a hiki i kou iwi kuamoʻo ke nalowale i kona palupalu. Hiki i kēia ke alakaʻi i kahi kūlana kūlou i mua.
ʻAʻole wale ia, hiki i kēia maʻi ke hoʻoulu i ka ʻeha a me ka ʻoluʻolu ʻole ma nā wahi e like me nā iwi ʻaoʻao, nā hono ʻūhā, a me nā hono poʻohiwi, a i kekahi manawa he mumū ʻeha o nā maka.
ʻO ka mea nui, ʻaʻohe lāʻau lapaʻau no ka AS i kēia manawa. Eia nō naʻe , me nā lāʻau lapaʻau kūpono a me ka hoʻōla kino, hiki ke kaohi ʻia nā hōʻailona a hiki ke lohi ka maʻi . Pono wale ke ʻoki ʻana i nā hihia koʻikoʻi, e like me ka wā e hōʻino nui ʻia ai nā hono.
E nānā pono kākou i ka lāʻau lapaʻau a me kona kumukūʻai.
Ke hoʻāla kou AS, hiki ke piʻi aʻe kāu mau lilo lapaʻau. Hiki ke ʻoiaʻiʻo kēia inā pono ʻoe e ʻike pinepine i kāu kauka a hoʻohana i nā lāʻau lapaʻau pipiʻi. ʻOiai inā he ʻinikua olakino kāu, ʻaʻole paha e uhi i ke kumukūʻai piha, no laila pono paha ʻoe e hoʻolilo i kekahi kālā mai loko mai o kāu ʻeke. No laila, ma ka noiʻi ʻana a me ka ʻike ʻana i kēia mau kumukūʻai ma mua, hiki iā ʻoe ke hoʻokele maikaʻi i kēia kaumaha kālā.
Ke kipa pinepine ʻana i ke kauka
Me kēia kūlana, pono ʻoe e ʻike pinepine i kahi kauka rheumatologist . ʻO ka maʻamau, pono ʻoe e ʻike iā lākou ma kahi o hoʻokahi manawa i kēlā me kēia 3 mahina e kūkākūkā i kou kūlana a me ka hoʻolālā lapaʻau. Inā koʻikoʻi kou mau hōʻailona a me ka ʻeha, pono paha ʻoe e ʻike pinepine iā lākou.
Ma Sri Lanka, ʻike paha ʻoe he uku ke kipa ʻana i kahi loea ma ke kino. No laila, he mea hoʻohui kēia kipa pinepine ʻana i kāu papa inoa o nā lilo.
Nā ʻano lāʻau lapaʻau a me ko lākou kumukūʻai
ʻO ka lāʻau lapaʻau ka lilo nui loa o ke kālā. ʻO ka mea mua, e hāʻawi paha kāu kauka iā ʻoe i kahi ʻano lāʻau hoʻopau ʻeha a mākou a pau i ʻike ai. Kāhea mākou i kēia mau mea he '(Nonsteroidal anti-inflammatory drugs)' a i ʻole NSAID no ka pōkole. ʻO nā hiʻohiʻona e like me 'Ibuprofen' a me 'Naproxen'. He ʻano pipiʻi kēia mau mea.
Eia nō naʻe, i ka hala ʻana o ka manawa, ʻaʻole lawa paha kēia mau lāʻau ʻeha maʻamau e kāohi i ka maʻi. A laila e kuhikuhi paha kāu kauka i nā lāʻau lapaʻau paʻakikī a pipiʻi hoʻi. E hoʻomaopopo kākou i kēia mau lāʻau lapaʻau mai kēia papa.
| Māhele Lāʻau Lapaʻau | Ka wehewehe maʻalahi a me nā laʻana |
|---|---|
| Nā DMARD | Nā ʻano papa i hāʻawi pinepine ʻia e kāohi i ka ʻeha a me ka pehu ʻana i nā hono liʻiliʻi. Nā Laʻana: Sulfasalazine, Methotrexate . |
| Nā mea pale TNF | He mau lāʻau lapaʻau biologic kēia. Nā inikini i hāʻawi ʻia e hōʻemi i ka ʻeha, ka ʻoʻoleʻa, a me ka mumū i nā hono. Nā laʻana: adalimumab (Humira), etanercept (Enbrel), infliximab (Remicade) . |
| Nā mea pale JAK | He ʻano pila i hāʻawi ʻia i ka poʻe i pane ʻole i nā mea pale TNF. Laʻana: tofacitinib (Xeljanz) . |
| Nā mea pale IL-17 | He mau lāʻau lapaʻau biologic nō hoʻi kēia. Kōkua lākou i ka hōʻemi ʻana i ka mumū i loko o ke kino. Nā laʻana: secukinumab (Cosentyx), ixekizumab (Taltz) . |
ʻOi aku ke kumukūʻai o kēia mau lāʻau hou, ʻoiai nā mea pale TNF (biologics). Hiki iā lākou ke loaʻa kahi kumukūʻai mahina nui. No laila he mea nui e kūkākūkā ākea me kāu kauka ma mua o ka hoʻololi ʻana i kekahi o kēia mau lāʻau.
Hoʻōla kino
He ʻāpana koʻikoʻi nō hoʻi ka hoʻōla kino o kēia lāʻau lapaʻau. Hiki i kahi mea hoʻōla kino maikaʻi ke kōkua i ka hōʻemi ʻana i kou ʻeha, hoʻomaikaʻi i kou ikaika a me kou maʻalahi, a aʻo iā ʻoe i nā hoʻomaʻamaʻa hiki iā ʻoe ke hana ma ka home.
Akā, he uku nō hoʻi kēia. E noʻonoʻo i ke kumukūʻai e hele ai ʻoe i ka hoʻōla kino i hoʻokahi manawa i ka pule, i kēlā me kēia mahina a i ʻole i kēlā me kēia makahiki. No laila, he mea nui e noʻonoʻo i ke kumukūʻai ma mua o ka hoʻohui ʻana i kēia i kāu hoʻolālā lapaʻau.
E hana mua kākou, mai makaʻu i nā lilo!
He ʻoiaʻiʻo hiki i ka ankylosing spondylitis ke lilo i mea kaumaha, ma ke kino, ka noʻonoʻo, a me ke kālā. Akā inā ʻoe e noiʻi i kēia mau kumukūʻai ma mua a hoʻomākaukau mua no lākou, hiki iā ʻoe ke hōʻemi nui i kēia kaumaha.
E kamaʻilio ākea e pili ana i kēia mau kumukūʻai me kāu kauka. Aia paha kekahi mau lāʻau lapaʻau ʻē aʻe (nā lāʻau lapaʻau generic) i ʻoi aku ka makepono akā he mau waiwai like. A i ʻole hiki iā ʻoe ke loaʻa ke kōkua e hoʻoponopono i kahi hoʻolālā lapaʻau e kūpono i kou kūlana kālā. E kamaʻilio e pili ana i kēia me ka makaʻu ʻole a me ka hilahila ʻole. No ka mea, ʻo kou olakino a me kou maluhia noʻonoʻo he mea nui like ia.
Leka Lawe-Home
- ʻO ka Ankylosing spondylitis (AS) kahi kūlana e pono ai ka hoʻokele lōʻihi, hoʻomau a me nā kumukūʻai pili.
- ʻO kēia mau lilo e pili ana i nā kipa ʻana i nā kauka loea, nā lāʻau lapaʻau pipiʻi (ʻoi aku hoʻi nā biologics), a me ka hoʻōla kino.
- E kamaʻilio ākea e pili ana i nā kumukūʻai me kāu kauka (rheumatologist). Hiki paha iā lākou ke hāʻawi i nā koho ʻoi aku ka maʻalahi a i ʻole nā hoʻolālā uku.
- E hoʻomākaukau ma mua. E noiʻi i nā kumukūʻai, e hoʻomaopopo i kāu uhi ʻinikua (inā loaʻa iā ʻoe kekahi), a e hoʻolālā i kāu kālā. Mai ʻae i nā bila i manaʻo ʻole ʻia e hoʻohui i kou kaumaha.
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