Ke kumu nei anei ʻo Ankylosing Spondylitis (AS) i nā pilikia o ka puʻupaʻa? E ʻike pono kākou i ke ʻano o kēia.

Loaʻa iā ʻoe ka Ankylosing Spondylitis, a i ʻole AS no ka pōkole? A laila ua ʻike paha ʻoe i ka nui o kona hopena i nā hono ma waena o ka iwi kuamoʻo a me nā pūhaka. Akā ʻo ka mea āu e ʻike ʻole ai, hiki i kekahi poʻe me AS ke loaʻa i nā pilikia puʻupaʻa. ʻAʻole kēia e hana i nā kānaka a pau, akā he mea nui e makaʻala i kēia.

I ka ʻōlelo maʻalahi, ʻo Ankylosing Spondylitis (AS) kahi ʻano arthritis e hoʻopilikia ai i ka iwi kuamoʻo a me kona mau hono pili. ʻO ka mea e hana ʻia ma kēia, aia kahi mumū lōʻihi i loko o ke kino. ʻAʻole noho wale kēia mumū i kāohi ʻole ʻia i loko o ke kino. Hoʻomaka ia e hoʻopilikia i nā ʻāpana like ʻole o ke kino. ʻO nā puʻupaʻa kekahi o ia mau wahi. Hōʻike ka noiʻi hou e ʻoi aku ka maʻamau o kēia pilina ma mua o ka mea i manaʻo ʻia ma mua. No laila e kamaʻilio kākou e pili ana i kēia i kēia lā.

He aha nā pilikia puʻupaʻa e hiki ke hana ma muli o AS?

Aia kekahi mau ala nui e hiki ai i ka AS ke hoʻopilikia i nā puʻupaʻa. E nānā kākou i ke ʻano o lākou.

1. ʻO ka Amyloidosis Renal Lua

He inoa paʻakikī paha kēia, akā he maʻalahi ia. Ma muli o nā kūlana mumū lōʻihi i loko o ko kākou kino, hiki ke hana ʻia kahi protein ʻano ʻē i kapa ʻia ʻo 'amyloid'. Hoʻomaka mālie kēia protein e kūkulu i loko o nā puʻupaʻa. Ua like ia me ka ʻōpala e kūkulu ana i loko o kahi paipu. I ka hōʻiliʻili ʻana o ka protein, ʻaʻole hiki i nā puʻupaʻa ke hana hou i kā lākou hana maʻamau, ʻo ia ke kānana ʻana i ke koko. Ua kapa ʻia kēia maʻi ʻo 'AA amyloidosis'.

2. Immunoglobulin A Nephropathy (IgAN)

ʻO kēia kekahi maʻi puʻupaʻa e ʻike ʻia i nā poʻe maʻi AS. ʻO ka mea e hana ʻia ma kēia, ʻo ia ka waiho ʻana o kahi protein i kapa ʻia ʻo IgA, ʻo ia kekahi ʻāpana o kā mākou ʻōnaehana pale, i loko o nā puʻupaʻa, e hoʻoulu ai i ka mumū ma laila a hōʻino i nā puʻupaʻa. No ka hōʻoia ʻana inā he ʻoiaʻiʻo kēia , pono kahi biopsy , ʻo ia hoʻi kahi ʻāpana liʻiliʻi o ka ʻiʻo i lawe ʻia mai ka puʻupaʻa a nānā ʻia.

3. Maʻi Puʻupaʻa Mau Loa (CKD)

ʻO ka maʻi puʻupaʻa mau loa, a i ʻole CKD, he ʻano ia e hōʻino ʻia ai nā puʻupaʻa i ka hala ʻana o ka manawa a nalowale mālie kā lākou hana. ʻOiai hiki i ka AS ke lilo i hoʻokahi kumu, hiki i nā kūlana ʻē aʻe, e like me ka maʻi diabetes a me ke koko kiʻekiʻe, ke kōkua pū i ke ʻano. Ke hiki ʻole i nā puʻupaʻa ke kānana pono i nā huahana ʻōpala mai ke koko, hōʻiliʻili kēlā mau huahana ʻōpala i loko o ke kino, e hoʻonui ana i ka pilikia o nā pilikia koʻikoʻi e like me ka maʻi puʻuwai a me ka hahau.

4. Nā Pōhaku Pūpū

Ua hōʻike ʻia kekahi mau noiʻi ʻo ka poʻe me AS, ʻoiai ka poʻe i loaʻa iā ia no ka manawa lōʻihi, ʻoi aku ka nui o ka loaʻa ʻana o nā pōhaku puʻupaʻa ma mua o ka poʻe olakino. He mau waihona liʻiliʻi a paʻakikī kēia i hana ʻia me nā paʻakai a me nā minelala. I kekahi manawa puka lākou i loko o ka mimi, akā hiki ke ʻeha loa.He hiki nō. I kekahi manawa hiki i kēia mau pōhaku ke paʻa i loko o ke ala mimi a hoʻoulu i nā maʻi.

He aha nā hōʻailona o nā pilikia puʻupaʻa?

Loaʻa i kēlā me kēia o kēia mau kūlana nā hōʻailona maʻamau a kikoʻī. He mea nui loa iā ʻoe e makaʻala i kēia mau mea, no ka mea a laila hiki iā ʻoe ke ʻike koke i ke kauka.

Inā loaʻa iā ʻoe ka AS a ke ʻike nei ʻoe i kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​mai hoʻowahāwahā iā ia. E kamaʻilio me kāu kauka e pili ana i ia mea.

No ke aha e kū mai ai kēia mau pilikia? He aha nā kumu pilikia?

He mea paʻakikī i kekahi manawa ke kuhikuhi i ke kumu kūpono o ka maʻi puʻupaʻa, akā aia kekahi mau kumu nui e pili ai me ka AS.

• ʻO ka mumū i kāohi ʻole ʻia: ʻO ka mumū mau loa, kahi hiʻohiʻona koʻikoʻi o AS, ke kumu nui. ʻO kēia ke kumu o nā maʻi e like me Amyloidosis a me IgAN.
• Nā lāʻau lapaʻau: ʻO kekahi mau lāʻau ʻeha no ka AS a me ka rumatika, ʻoiai ʻo NSAID (Nonsteroidal anti-inflammatory drugs), hiki ke hōʻino i nā puʻupaʻa inā hoʻohana ʻia no ka manawa lōʻihi. No laila, e pale i ka lawe ʻana i nā mea ʻeha ma kāu iho me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
• Nā kūlana olakino ʻē aʻe: ʻOi aku ke kiʻekiʻe o ka pilikia o ka loaʻa ʻana o nā maʻi puʻupaʻa inā loaʻa iā ʻoe nā kūlana e like me ke koko kiʻekiʻe, ka maʻi diabetes, ka maʻi puʻuwai, a me ka momona.
• ʻO ka puhipaka a me ka mōʻaukala ʻohana: ʻOi aku ka nui o ka pilikia o ka poʻe puhipaka a he mōʻaukala ʻohana ko lākou no ka maʻi puʻupaʻa.

Pehea e mālama ai a hoʻokele?

ʻO ka mea maikaʻi loa, hiki ke mālama ʻia kēia mau kūlana. Aia nā koho lapaʻau i ke ʻano o ka pilikia o ka puʻupaʻa āu e loaʻa nei.

ʻO ka mea nui loa, ʻo ia ke kāohi pono i kāu AS. ʻO ka nui o ka mumū āu e kāohi ai, ʻo ka emi ʻana o ka pōʻino hiki iā ʻoe ke hana i kou mau puʻupaʻa. ʻO ke ʻano kēia o ka hahai pono ʻana i ka lāʻau lapaʻau a kāu kauka, e like me nā mea biologic (e like me nā mea pale TNF).

Kahi mea hou aʻe,

• E kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe ai (me nā lāʻau ʻeha) a kūkākūkā i nā koho ʻē aʻe i ʻole e hōʻino i kou mau puʻupaʻa.
• E mālama i nā maʻi ʻē aʻe e like me ke koko a me ka maʻi diabetes.
• E inu i ka wai nui.
• E hahai i nā ʻōlelo aʻoaʻo a kāu kauka a e hahai i kahi papaʻai haʻahaʻa i ka paʻakai a me ka protein.
• Mai lawe i kekahi mau wikamina a i ʻole nā ​​mea hoʻohui me ka ʻole o ke kūkākūkā ʻana me kāu kauka.

Inā lilo ka maʻi puʻupaʻa mau loa (CKD) i mea koʻikoʻi, hiki iā ia ke alakaʻi i ka dialysis a i ʻole ka hoʻoili ʻana i ka puʻupaʻa, no laila ʻoi aku ka maikaʻi o ka mālama ʻana i kēia i ka wā mua.