Inā loaʻa iā ʻoe ka ankylosing spondylitis (AS), ʻo kāu hakakā nui loa ka hoʻokele ʻana i ka maʻi, hoʻēmi i ka ʻeha, a hoʻomau i kāu mau hana o kēlā me kēia lā. ʻOiai ʻoe e hakakā nei me kēlā mau pilikia kino, hiki iā ʻoe ke manaʻo i ke kaumaha o ka hiki koke ʻana mai o nā bila lapaʻau nui a me nā uku kauka. No laila, me ka ʻole o ka hoʻopaneʻe hou ʻana, e kamaʻilio kākou e pili ana i nā kumukūʻai o kēia maʻi a pehea e hoʻokele ai iā lākou.
ʻO ka mea mua, he aha ka ankylosing spondylitis (AS)?
I ka ʻōlelo maʻalahi, ʻo ka ankylosing spondylitis kahi ʻano arthritis. Hoʻopilikia nui ia i kou iwi kuamoʻo. I ka hala ʻana o ka manawa, hiki i kēia maʻi ke hoʻohui i kāu mau vertebrae. Hiki i kēia ke lilo i kou iwi kuamoʻo i kona palupalu a kūlou i mua.
Eia kekahi, hiki iā ʻoe ke ʻike i ka ʻeha a me ka ʻoluʻolu ʻole ma kou mau iwi ʻaoʻao, nā hono ʻūhā, a me nā hono poʻohiwi. I kekahi manawa, hiki nō hoʻi ke loaʻa ka mumū ʻeha o nā maka.
ʻO ka mea nui loa, ʻaʻohe lāʻau lapaʻau no kēia maʻi i kēia manawa . Eia nō naʻe, me nā lāʻau lapaʻau kūpono a me ka hoʻōla kino, hiki ke kāohi ʻia nā hōʻailona a hiki ke kāohi nui ʻia ka holomua o ka maʻi. Pono ke ʻoki kino inā he pōʻino nui i nā hono, a he mea kākaʻikahi loa ia.
He aha nā kumukūʻai o ka mālama ʻana?
I ka wā e hoʻomaka ai ka AS, piʻi aʻe kāu mau kumukūʻai lapaʻau. Hiki ke hoʻokaʻawale ʻia kēia mau kumukūʻai i kekahi mau ʻano nui.
1. Nā Kipa Keʻena Mau
No kēia kūlana, ʻike paha ʻoe i kahi kauka rheumatologist . E nānā pinepine lākou iā ʻoe a kūkākūkā i kāu hoʻolālā lapaʻau ma kahi o kēlā me kēia 3 mahina. Eia nō naʻe, i ka wā o ka hoʻonui ʻia o ka ʻeha a me ka ʻoluʻolu ʻole, pono paha ʻoe e ʻike pinepine i ke kauka. E like me kou ʻike, he kālā ke kumukūʻai o kēlā me kēia o kēia mau kūkākūkā ʻana.
2. Nā Hālāwai Hoʻōla Kino
He ʻāpana koʻikoʻi loa ka hoʻōla kino o ka hoʻolālā lapaʻau AS. Hiki i kahi mea hoʻōla kino maikaʻi ke kōkua iā ʻoe e hōʻemi 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.
Eia nō naʻe, he kumukūʻai nō hoʻi kēia mau lāʻau lapaʻau. ʻOiai he nui nā kau e pono ai, hiki iā lākou ke hoʻonui i ka hala ʻana o ka manawa. Inā he ʻinikua olakino kāu, he manaʻo maikaʻi e nānā mua e ʻike inā ua uhi ʻia ka lāʻau lapaʻau kino.
Nā ʻano lāʻau lapaʻau i hoʻohana ʻia no ka mālama ʻana a me ko lākou kumukūʻai
Aia kekahi mau ʻano lāʻau lapaʻau i hoʻohana ʻia e mālama i ka AS. E kuhikuhi kāu kauka i kēia mau mea ma muli o ke ʻano o kou kūlana. Hiki ke loaʻa kahi ʻokoʻa nui ma waena o kēia mau lāʻau lapaʻau a me ko lākou kumukūʻai.
| ʻAno Lāʻau Lapaʻau | No ke aha e hoʻohana ai? | Nā Laʻana |
|---|---|---|
| Nā lāʻau hoʻopau ʻeha (NSAID) | No ke kāohi ʻana i ka ʻeha a me ka mumū i nā wā mua. He ʻano pipiʻi ke kumukūʻai o kēia mau mea. | ʻIbuprofen, Naproxen, Indomethacin |
| Nā DMARD (Nā lāʻau lapaʻau antirheumatic e hoʻololi ana i ka maʻi) | E hōʻemi i ka pehu ʻana a me ka ʻeha o nā hono ke paʻakikī ke kaohi i ka maʻi me nā NSAID wale nō. | ʻO Sulfasalazine, Methotrexate |
| Nā lāʻau lapaʻau olaola (Biologics) - Nā mea pale TNF - Nā mea pale IL-17 | Nā lāʻau lapaʻau ikaika loa i hoʻohana ʻia i nā hihia koʻikoʻi o ka maʻi i paʻakikī ke kāohi. Hoʻemi lākou i ka ʻeha, ka ʻoʻoleʻa, a me ka mumū. He pipiʻi loa kēia mau mea. | Adalimumab (Humira), Etanercept (Enbrel), Infliximab (Remicade), Secukinumab (Cosentyx) |
| Nā mea pale JAK | ʻO kekahi papa lāʻau ikaika ʻē aʻe i hoʻohana ʻia no nā poʻe maʻi i pane ʻole i nā biologics ʻē aʻe. He pipiʻi loa hoʻi kēia mau mea. | ʻO Tofacitinib (Xeljanz) |
E like me kāu e ʻike ai, ʻoiai ʻaʻole pipiʻi loa nā lāʻau ʻeha mua, ʻo nā lāʻau lapaʻau i hāʻawi ʻia i ka wā e lilo ai ka maʻi i mea paʻakikī ke kaohi, e like me nā biologics a me nā mea hoʻopaʻa JAK, hiki ke pipiʻi loa . Hiki mai kēia mau mea ma ke ʻano he inikini a i ʻole nā pila, a hiki iā ʻoe ke uku i ka nui o ke kālā no kēlā me kēia mahele.
No laila, pehea ʻoe e hoʻokele ai i kēia mau lilo?
Hiki i kēia maʻi ke hoʻoluhi kino, noʻonoʻo, a me ke kālā. Akā, mai hopohopo. Hiki iā ʻoe ke hōʻemi i kēia kaumaha ma ka noʻonoʻo ʻana iā ia ma mua a me ka hana ʻana.
- E kamaʻilio ākea me kāu kauka: ʻO kēia ka hana mua a koʻikoʻi loa . E kamaʻilio me kāu kauka e pili ana i kou mau makaʻu a me kou ʻoluʻolu ʻole e pili ana i ke kumukūʻai o ka mālama ʻana me ke kānalua ʻole. E hiki iā ia ke aʻo iā ʻoe i nā lāʻau lapaʻau ʻē aʻe i kūpono a emi ke kumukūʻai nou.
- E hoʻomaopopo i ka ʻokoʻa ma waena o nā ʻāpana aupuni a me nā ʻāpana pilikino: ʻO kekahi o nā pono nui loa i loaʻa iā mākou ma Sri Lanka ʻo ia ka ʻōnaehana haukapila aupuni. E nīnau i kāu kauka inā hiki iā ʻoe ke loaʻa i kekahi mau lāʻau lapaʻau pipiʻi ma o nā haukapila aupuni. Inā ʻoe e loaʻa ana i kēia mau lāʻau lapaʻau mai ka ʻāpana pilikino, he manaʻo maikaʻi nō hoʻi e hoʻohālikelike i nā kumukūʻai ma nā hale kūʻai lāʻau like ʻole.
- E nānā i kāu uhi ʻinikua: Inā he ʻinikua olakino pilikino kāu, e nānā e ʻike inā uhi ia i nā manawa lapaʻau, nā lāʻau lapaʻau kino, a me nā lāʻau lapaʻau e pili ana i kēia kūlana, a i ka nui hea.
- E ʻimi i nā hui kākoʻo: Aia paha he mau hui a i ʻole nā hui kākoʻo i hoʻokumu ʻia e ka poʻe me ia mau maʻi lōʻihi. Hiki iā ʻoe ke loaʻa ka ʻike a me ke kākoʻo naʻau mai ia mau wahi.
Leka Lawe-Home
- ʻO ka Ankylosing spondylitis (AS) kahi maʻi lōʻihi e pono ai ka mālama mau ʻana.
- ʻO kēia mau kumukūʻai e pili ana i nā kipa kauka, ka hoʻoikaika kino, a me nā lāʻau lapaʻau pipiʻi loa e like me nā biologics.
- ʻO ka mea nui loa, ʻo ke kamaʻilio ākea a me ka ʻoiaʻiʻo me kāu kauka e pili ana i kāu hoʻolālā lapaʻau a me nā kumukūʻai e pili ana.
- Mai hoʻopanee i ka mālama ʻana ma muli o ke kumukūʻai. Akā, e hoʻolālā mua e hoʻoponopono i ka pilikia.
- E noiʻi i nā lawelawe i loaʻa ma nā haukapila aupuni a me nā pono o ka ʻinikua inā loaʻa iā ʻoe kekahi. E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi i kēia huakaʻi.
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