Ke hōʻeha nei anei ka Ankylosing Spondylitis i kou mau wāwae a me nā kuʻekuʻe wāwae? E makaʻala kākou i kēia

Manaʻo ka poʻe he nui ʻo Ankylosing Spondylitis, a i ʻole AS no ka pōkole, he ʻano ia e hoʻopilikia wale ana i ka iwi kuamoʻo, e hōʻeha ana i ka ʻeha a me ka paʻakikī. He ʻoiaʻiʻo kēlā, ʻo ka hopena nui o kēia maʻi ma ka iwi kuamoʻo. Akā ua ʻike anei ʻoe e hiki i hoʻokahi o ʻekolu mau maʻi AS ke loaʻa nā pilikia ma nā wahi ʻē aʻe o ke kino, ʻoi aku hoʻi ma nā wāwae? ʻAe, hiki i kēia ʻano ke hōʻeha i ka paʻakikī a me ka ʻeha ma nā wahi e like me kou mau kuʻekuʻe wāwae, nā kuʻekuʻe wāwae, nā manamana wāwae, a i ʻole nā ​​​​​​pōʻai o kou mau wāwae. I kekahi manawa he liʻiliʻi kēia ʻeha, akā no kekahi poʻe hiki ke koʻikoʻi loa a hiki ʻole iā lākou ke hele. No laila i kēia lā, e kamaʻilio kākou e pili ana i nā hopena o AS ma nā wāwae.

He aha nā pilikia e hiki ai i ka AS ke hana ma nā wāwae?

Hiki i ka Ankylosing spondylitis (AS) ke hoʻopilikia i kou mau wāwae ma nā ʻano like ʻole. ʻO ke kumu nui ka mumū i loko o nā hono a me kahi e hoʻopili ai nā tendon a me nā ligaments i nā iwi (i kapa ʻia ʻo 'entheses'). I ka ʻōlelo maʻalahi, hoʻouka ka ʻōnaehana pale o ke kino i kēia mau wahi. Eia kekahi o nā pilikia nui e hiki ke hopena mai kēia mumū.

Pehea e kāohi ai i ka ʻeha o ka wāwae i hoʻokumu ʻia e AS?

ʻO nā ala maikaʻi loa e hōʻemi ai i ka ʻeha wāwae a me ka ʻoʻoleʻa, ʻo ia ka hana ʻana i nā mea like āu e hana ai e mālama i kāu AS. ʻO ka lāʻau lapaʻau a kāu kauka e ʻōlelo ai e hilinaʻi ia ma nā kumu he nui, me ke koʻikoʻi o kāu mau hōʻailona a me kou olakino holoʻokoʻa. Hiki i kahi hoʻolālā lapaʻau maʻamau ke komo pū me:

Hoʻoikaika Kino, Hoʻōla Kino, a me ke Aʻo ʻana i ke Kūlana

Hiki i kēia mau mea ke kōkua i ka hōʻemi ʻana i ka ʻeha a me ka ʻoʻoleʻa, pale i ka hōʻino ʻana o nā hono, a hoʻomaikaʻi i kou kūlana. ʻO kāu hoʻolālā hoʻoikaika kino e komo pū ana me nā hana hoʻoikaika kino haʻahaʻa e ʻole e kau nui i ke kaumaha ma kou mau hono. Hiki i nā hoʻomaʻamaʻa noʻonoʻo-kino e like me ka tai chi a me ka yoga ke kōkua iā ʻoe e hoʻomaha a hōʻemi i ka ʻeha.

ʻO ka mea nui loa: Ma mua o ka hoʻomaka ʻana i kekahi papahana hoʻoikaika kino, e kamaʻilio me kāu kauka no ka ʻōlelo aʻo. E haʻi aku ʻo ia iā ʻoe i nā hoʻoikaika kino maikaʻi loa iā ʻoe.

Nā lāʻau lapaʻau

Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me kēia e hōʻemi i ka pehu a kāohi i ka ʻeha a me ka paʻakikī:

• Nā lāʻau anti-inflammatory ʻaʻole steroidal (NSAID): ʻO nā hiʻohiʻona o kēia mau mea me nā lāʻau lapaʻau e like me ka ibuprofen a me ka naproxen.
• Nā inikini Glucocorticoid: He mau inikini steroid kēia i hāʻawi pololei ʻia i loko o ka hui ʻeha.
• Nā lāʻau lapaʻau anti-rheumatic hoʻololi maʻi (DMARDs): Nā lāʻau lapaʻau e like me sulfasalazine a me methotrexate.
• Nā lāʻau lapaʻau olaola:He mau lāʻau lapaʻau hou kēia e kuhikuhi ana i nā ʻāpana kikoʻī o ka ʻōnaehana pale. ʻO nā laʻana e komo pū me nā lāʻau lapaʻau i loko o nā papa o ka anti-TNF, anti-interleukin 17, a me nā mea hoʻopaʻa JAK (e like me `infliximab`, `adalimumab`, `secukinumab`, `tofacitinib`).
• Nā lāʻau hoʻopau ʻeha (Opioids): Hiki ke hāʻawi ʻia no kahi manawa pōkole loa no ka ʻeha nui.

I kekahi manawa e kuhikuhi paha kāu kauka iā ʻoe i kahi podiatrist , hiki iā ia ke aʻo iā ʻoe i nā kāmaʻa, ka taping, a me nā orthotics e pili ana i kou pilikia wāwae.

He aha nā mea hiki ke hana ma ka home?

Me ke ʻano lapaʻau i hāʻawi ʻia e kāu kauka, hiki iā ʻoe ke hōʻemi nui i kēia ʻeha wāwae me kekahi mau mea maʻalahi hiki iā ʻoe ke hana ma ka home.

• E hoʻopili i ka hau: E hoʻopili i kahi ʻeke hau i ka ʻāpana ʻeha ma kahi o ʻehā manawa i ka lā, no kahi o 20 mau minuke i ka manawa. E hōʻemi kēia i ka pehu a me ka ʻeha.
• E hoʻomaha: E hoʻomaha i kou mau wāwae i nā manawa hiki. ʻOi aku ka maikaʻi inā hiki iā ʻoe ke hoʻokiʻekiʻe iā lākou.
• E kaulike i kāu hoʻoikaika kino: E hōʻemi i nā hoʻoikaika kino koʻikoʻi e like me ka holo ʻana a me ka lele ʻana i ka hiki. Eia naʻe, ʻaʻole ia he manaʻo e noho ma kahi hoʻokahi i ka lā a pau. Hiki i ka hana ʻana pēlā ke hoʻonui i ka ʻoʻoleʻa a me ka ʻeha. He mea maikaʻi kekahi mea e like me ka hele wikiwiki.
• Hana i nā hoʻolōʻihi: E hana i nā hoʻolōʻihi maʻalahi e pōmaikaʻi ai kou mau pūhaka, nā kuʻekuʻe wāwae, a me nā manamana wāwae.
• No ka plantar fasciitis: E kau i kahi pōpō tennis ma lalo o kou wāwae, e noho i luna o kahi noho, a ʻōwili iā ia.
• No ka Achilles Tendonitis: E kū i mua o ka paia, e kulou i kekahi wāwae ma ke kuli, a e kau i ka wāwae ʻeha ma hope ou, me kou kuʻekuʻe wāwae ma ka papahele. I kēia manawa e hoʻokuke i kou mau pūhaka i ka paia. E paʻa a hiki i kou manaʻo ʻana i kahi kīkoʻo ma kou wahi hamstring, a laila e kū. E hana i kēia, a e kū inā e hoʻonui ʻia ka ʻeha.
• E ʻaʻahu i nā kāmaʻa kūpono: E pale i ka hele wāwae ʻole a me ke komo ʻana i nā sandal i ka hiki. He mea nui e ʻaʻahu i nā kāmaʻa me ke kākoʻo kūlou maikaʻi a me nā kapuaʻi palupalu , ʻoiai nā kāmaʻa haʻuki maikaʻi.