Ke ʻeha pinepine nei ʻoe i kou kua a i ʻole kou mau pūhaka? Ke ala ʻoe i ke kakahiaka, ke manaʻo nei ʻoe he ʻoʻoleʻa a ʻaʻole hiki ke neʻe? I ka manawa pinepine, ke kamaʻilio kahi wahine ʻōpio e pili ana i kahi mea e like me kēia, manaʻo kekahi poʻe he luhi maʻamau a he kaumaha paha. Akā hiki i kēia ke hoʻomaka i kahi moʻolelo hohonu. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi maʻi a ka poʻe he nui e manaʻo nei e pili wale ana i nā kāne, akā hiki ke hoʻopilikia like i nā wahine. ʻO ia ka Ankylosing Spondylitis (AS).
He aha nā ʻokoʻa i ka wā e pili ai kēia maʻi i nā wahine?
I ka ʻōlelo maʻalahi, ʻo ka ankylosing spondylitis (AS) kahi ʻano arthritis e hoʻoulu ai i ka mumū, a i ʻole ka pehu ʻana, o ka iwi kuamoʻo a me kona mau hono pili. No kahi hui nui o nā maʻi i kapa ʻia ʻo spondyloarthritis. Ua manaʻo ʻia he "maʻi kāne." Akā ua ʻike ʻia i kēia manawa e pili ana i nā wahine e like me nā kāne. Eia nō naʻe, aia nā ʻokoʻa nui i ke ʻano o ka ʻike ʻia ʻana o nā hōʻailona, ka manawa e pono ai e ʻike i ka maʻi, a me nā lāʻau lapaʻau. E nānā kākou i kēlā mau mea.
1. Ka lohi ʻana i ka ʻike ʻana i ka maʻi
ʻO kēia kekahi o nā pilikia nui loa e kū nei i nā wahine. E noʻonoʻo wale, inā he 6 ½ mau makahiki ka lōʻihi o ke kāne mai ka hoʻomaka ʻana o kēia mau hōʻailona e ʻike pono ai i ke ʻano o ka maʻi, ua ʻike ʻia nā noiʻi hiki i ka wahine ke hala i 9 mau makahiki .
ʻAʻole kēia ma muli o ka ʻokoʻa o nā hōʻailona a i ʻole ka makahiki. ʻO ka pinepine, ma muli ia o ka manaʻo pāʻokoʻa i ke ʻano o kekahi mau kauka e nānā ai i ka ʻeha o nā wahine. Hiki iā lākou ke hoʻowahāwahā i kou ʻeha, a i ʻole e manaʻo paha lākou he pilikia ia.
2. Ka pilikia o ka kuhi hewa ʻana
Hiki ke paʻakikī ke ʻike i ke kūlana, a i kekahi manawa hiki ke mālama ʻia ke kūlana hewa. ʻO ka axial spondyloarthritis (axSpA) kahi ʻano o AS. Ua ʻike ʻia e ka noiʻi a hiki i ka hapahā (25%) o nā wahine me ke kūlana i kuhi hewa ʻia i ka wā mua.
Ma muli o ka ʻeha pinepine ʻana o nā wāhine me AS ma ko lākou kino holoʻokoʻa, hiki i nā kauka ke kuhihewa iā ia no kahi maʻi i kapa ʻia ʻo fibromyalgia . E nānā kākou i nā ʻano like a me nā ʻokoʻa ma waena o nā kūlana ʻelua.
| ʻAno | I loko o ka ankylosing spondylitis (AS) | Ma ka Fibromyalgia |
|---|---|---|
| ʻEha nui | ʻEha i hoʻokumu ʻia e ka mumū ma ke kua, nā pūhaka, a me nā hono. | ʻEha e pālahalaha ana ma ke kino holoʻokoʻa. ʻAʻohe mumū kikoʻī i ʻike ʻia ma nā kukuna X. |
| ʻOʻoleʻa kakahiaka | ʻO ka hapa nui o ka manawa he ʻoi aku ia ma mua o ka hapalua hola. E emi ana ia me ka hoʻoikaika kino. | ʻOiai aia, ʻaʻole paha e hana ka hoʻoikaika kino i kahi ʻokoʻa nui. |
| Nā hoʻokolohua lapaʻau | Hōʻike nā kukuna X, MRI, a me nā hoʻāʻo koko (ESR, CRP) i ka hōʻino ʻana o nā hui a me ka mumū. | ʻAʻole hōʻike nā X-ray a me nā MRI i kahi pōʻino kikoʻī. Hoʻokumu ʻia ka ʻike ma muli o nā hōʻailona. |
3. ʻO ka pae o ka pōʻino i ʻike ʻia ma nā hoʻokolohua X-ray
ʻO ka maʻamau, i ka nānā ʻana i kahi X-ray, ʻoi aku ka ʻike ʻia o nā hono iwi kuamoʻo o nā kāne (ka ʻino ʻana o ke kino) ma mua o nā wahine. Ma muli o kēia, aia kahi manaʻoʻiʻo e holomua wikiwiki ana ka maʻi i nā kāne.
Akā, ʻaʻole ia ka ʻoiaʻiʻo. ʻOiai ua emi ka pōʻino mai nā kukuna X, ʻo ka ʻeha, ka paʻakikī i ka hana ʻana i nā hana o kēlā me kēia lā, a me nā hana maʻi i ʻike ʻia e nā wāhine ua like ia me nā kāne, a i kekahi manawa ʻoi aku ka nui.
Nā hōʻailona, ka lāʻau lapaʻau, a me nā loli o ke ʻano o ke ola
Ma waho aʻe o ka ʻeha o nā hono, hiki iā AS ke hana i nā hōʻailona ʻē aʻe. ʻOkoʻa kēia ma waena o nā wahine a me nā kāne, penei.
- ʻEnthesitis: He ʻano huaʻōlelo lapaʻau kēia. I ka ʻōlelo maʻalahi, pili ia i ka mumū kahi e pili ai ko mākou mau aʻalolo a me nā ligaments i nā iwi. ʻOi aku ka maʻamau o kēia ʻano i nā wahine a ʻoi aku ka ʻeha . Hiki iā ia ke hōʻeha nui i nā wahi e like me nā kuʻekuʻe wāwae a me nā kuʻekuʻe lima.
- Nā maʻi maka: ʻO ka Acute Anterior Uveitis kahi maʻi e hoʻoulu ai i nā maka ʻulaʻula, ʻeha nui, a me ka ʻike pohihihi. Hōʻike kekahi mau noiʻi he mea maʻamau ia i nā wahine, aʻo kekahi e hōʻike ana he mea maʻamau ia i nā kāne. No laila, ʻaʻohe manaʻo like i kēia.
- Nā maʻi like ʻole: Hiki i nā wahine ke ʻeha nui aʻe i nā maʻi like ʻole ʻē aʻe e hele pū me AS. No ka laʻana, ʻoi aku ka maʻamau o ka maʻi ʻōpū mumū (IBD) a me ka maʻi ʻili psoriasis i nā wahine me AS.
- Pane i ka lāʻau lapaʻau: He mea nui loa kēia. Hōʻike ka noiʻi ʻaʻole hana maikaʻi nā lāʻau lapaʻau no AS i nā wahine e like me kā lākou hana ʻana i nā kāne. ʻAʻole ʻike ʻia ke kumu pololei no kēia, akā ua manaʻo ʻia he ʻoi aku ka nui o nā wahine i loaʻa i nā maʻi e like me ka enthesitis a ʻoi aku ka nui o ka ʻike ʻia ʻana i ka wā lohi. ʻOi aku ka nui o ka manawa o nā wahine e hoʻōki i ka lāʻau lapaʻau inā ʻaʻole lākou e loaʻa nā hopena a lākou e makemake ai.
- ʻAno o ke ola: I ka hui pū ʻia ʻana, ua hōʻike ʻia nā haʻawina he nui he haʻahaʻa ke ʻano o ke ola o nā wāhine me AS ma mua o nā kāne. ʻO ke kumu nui o kēia, ʻo ia ka ʻeha mau, ka luhi, a me ka paʻakikī i ka hoʻokō ʻana i nā kuleana hana a me ka ʻohana.
ʻO ka mea nui loa, ʻo ia ka ʻike ʻana he ʻoiaʻiʻo kou ʻeha. Mai hoʻokuʻu iā ia me he "ʻeha kua wale nō i loaʻa mau i nā kaikamāhine." E hoʻolohe i ka mea a kou kino e haʻi aku nei iā ʻoe.
Leka Lawe-Home
- ʻAʻole ʻo Ankylosing spondylitis (AS) kahi maʻi e pili wale ana i nā kāne. Hoʻopilikia like ia i nā wahine.
- Inā loaʻa iā ʻoe ka ʻeha kua, ka ʻeha ʻūhā, a i ʻole ka ʻoʻoleʻa o ke kakahiaka i hala no nā mahina, ʻoiai i ka wā ʻōpiopio, mai hoʻowahāwahā iā ia. E ʻike koke i ke kauka kūpono.
- No ka mea hiki i nā wāhine ke lohi i ka loaʻa ʻana o kahi hōʻailona, pono ʻoe e lilo i kou leo ponoʻī. E mālama i kahi puke moʻolelo o kāu mau hōʻailona (i ka wā e hoʻomaka ai ka ʻeha, pehea ka ikaika, pehea e hele mai ai a hele aku). He kōkua nui ia i kāu kauka.
- ʻAʻole like ka hana o nā lāʻau lapaʻau no kēlā me kēia kanaka. Inā ʻaʻole ʻoe e ʻoi aku ka maikaʻi me nā lāʻau lapaʻau i kuhikuhi ʻia iā ʻoe a i ʻole ke loaʻa nei nā hopena ʻaoʻao, e kamaʻilio me kāu kauka e pili ana i ia mea. E kūkākūkā i nā lāʻau lapaʻau ʻē aʻe.
- ʻAʻole pono ʻoe e hele wale ma kēia huakaʻi. E kamaʻilio me kou ʻohana a me kou mau hoaaloha e pili ana i kēia. Mai kānalua e kiʻi i ke kākoʻo noʻonoʻo inā pono ʻoe.
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