Ua ʻike paha ʻoe he ʻeha loa ka Ankylosing Spondylitis (AS) e hōʻeha ai i ka ʻeha a me ka ʻoʻoleʻa i ka iwi kuamoʻo a me nā hono. I ka mālama ʻana i kēia, he mea nui loa ka hoʻoikaika kino a me ka hoʻohana ʻana i ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka me ke kūpono. Eia nō naʻe, i kekahi manawa hiki i kēia mau lāʻau ke hana i nā hopena ʻaoʻao liʻiliʻi. Akā, mai makaʻu iā lākou. ʻAʻole loaʻa i nā kānaka a pau kēia mau hopena ʻaoʻao, a ʻokoʻa ka ʻike o kēlā me kēia kanaka. ʻO ka mea nui loa, ʻo ke kamaʻilio ʻana me kāu kauka a koho i ke ʻano lapaʻau e kūpono loa iā ʻoe a he liʻiliʻi loa nā hopena ʻaoʻao.
Nā lāʻau ʻeha laina mua: NSAIDs
Hoʻomaʻamaʻa pinepine nā kauka i kēia ʻano lāʻau lapaʻau ma mua no AS. Kāhea mākou i kēia mau lāʻau lapaʻau Nonsteroidal Anti-inflammatory, a i ʻole NSAID no ka pōkole. Hana kēia mau mea e hōʻemi i ka pehu a me ka ʻeha i nā hono. Ua lohe paha ʻoe i kēia mau inoa:
- ʻIbuprofen (Advil, Motrin)
- Naproxen (Naprosyn)
- Indomethacin (Indocin, Tivorbex)
- ʻO Celecoxib (Celebrex)
Eia nō naʻe, ke lawe ʻia kēia mau lāʻau lapaʻau i nā mahele kiʻekiʻe no ka manawa lōʻihi, hiki i ka papa mucus pale i loko o ko kākou ʻōpū ke lilo i lahilahi, hiki ke alakaʻi i kekahi mau hopena ʻaoʻao.
| Nā hopena ʻaoʻao hiki ke loaʻa o nā NSAID |
|---|
| ʻĀʻī puʻuwai |
| Ka mumū ʻana o ka uhi ʻōpū |
| Nā ʻōpū ʻōpū a me ke kahe koko |
| Inā loaʻa iā ʻoe ka maʻi puʻuwai mua, ua hoʻonui ʻia kou pilikia o ka hōʻeha puʻuwai a i ʻole ka hahau ʻana. |
ʻO ka mea nui loa, ʻo ia ka hoʻohana ʻana i kēia lāʻau lapaʻau ma ka nui wale nō a no ka lōʻihi i kuhikuhi ʻia e kāu kauka. Inā manaʻo ʻoe i ka ʻeha o ka ʻōpū, e haʻi koke i kāu kauka.
He ʻano lapaʻau hou: Biologics (IL-17 Inhibitors)
He ʻano lāʻau lapaʻau kūikawā iki kēia. Hana lākou ma ke kuhikuhi ʻana i kahi kemika kikoʻī i loko o ke kino e hoʻoulu ai i ka mumū a me ke ālai ʻana i kāna hana. ʻO Secukinumab (Cosentyx) lāua ʻo Ixekizumab (Taltz) ʻelua o kēia mau ʻano lāʻau lapaʻau. Ua kapa ʻia lākou he mau mea hoʻopaʻa IL-17 . ʻOiai he mau lāʻau lapaʻau maikaʻi loa kēia, hiki iā lākou ke hana i kekahi mau hopena ʻaoʻao.
| Nā hopena ʻaoʻao hiki ke loaʻa mai nā mea olaola | I ka ʻōlelo maʻalahi... |
|---|---|
| Ka Maʻi ʻōpū mumū (IBD) | Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka hoʻomaka hou ʻana o IBD a i ʻole e hoʻonui i nā hōʻailona i kahi mea i loaʻa mua. |
| Nā maʻi | Hiki i kēia ke hōʻemi i ka hana o ka ʻōnaehana pale i kekahi ʻano, kahi e hoʻonui iki ai i ka pilikia o ka loaʻa ʻana o nā maʻi e like me ke anu a me ka maʻi palū. |
| Ka pilikia o ke kanesa | ʻOiai ua hōʻike nā haʻawina holoholona i ka pilikia o ka maʻi kanesa, ʻaʻole maopopo i kēia pilikia i loko o kānaka. Mai hopohopo nui i kēia, akā e kamaʻilio me kāu kauka e pili ana i ia mea. |
Ua lawe ʻia nā mea hoʻopaʻa JAK ma ke ʻano he mau pila
ʻO kēia kekahi papa lāʻau lapaʻau e hōʻemi ana i ka mumū. ʻO Tofacitinib (Xeljanz) kekahi o kēia mau lāʻau lapaʻau i lawe ʻia ma ke ʻano he pila. Hiki i kēia ke loaʻa nā hopena ʻaoʻao.
- ʻEha poʻo
- Ka maʻi pākī
- Luhi
- Nā palpitations o ka puʻuwai
- Ka pilikia o ka hōʻino ʻana o ke akepaʻa
No laila, e nānā mau kāu kauka i kou olakino i kou wā e lawe ana i kēia lāʻau.
ʻO nā Corticosteroids, i hāʻawi wale ʻia i kekahi manawa
ʻAʻole kēia he mau lāʻau lapaʻau lōʻihi no AS. Eia nō naʻe, inā piʻi koke ka ʻeha a me ka pehu ʻana i loko o kahi hui (he flare-up) , hiki ke hāʻawi ʻia kahi corticosteroid i kēlā hui wale nō.E hoʻoholo paha ke kauka e hāʻawi iā ʻoe i kahi pana. ʻOi aku ka nui o ka hiki ke loaʻa kēia mau hopena ʻaoʻao ke hoʻohana ʻoe iā lākou no ka manawa lōʻihi. Akā, ʻaʻole e hana ka pana pōkole i kēia mau mea a pau. Akā, he mea maikaʻi ke ʻike.
| Nā hopena ʻaoʻao hiki ke loaʻa i nā corticosteroids (ʻoi aku hoʻi me ka hoʻohana lōʻihi) | |
|---|---|
| Hoʻonui ʻia ka makemake a me ka piʻi ʻana o ke kaumaha | ʻEha maʻalahi |
| Nā loli o ke ʻano | Nāwaliwali o nā ʻiʻo |
| ʻIke pōwehiwehi | Ka emi ʻana o ka hiki ke hakakā i nā maʻi |
| Pehu maka a i ʻole ka ʻāʻī | Ke koko kiʻekiʻe |
| ʻO ka maʻi diabetes a i ʻole ka hoʻonui ʻia ʻana o ka maʻi diabetes e kū nei | ʻAʻole hiki ke hiamoe |
Nā lāʻau lapaʻau ʻē aʻe (Sulfasalazine a me Methotrexate)
ʻO Sulfasalazine
Inā ʻaʻole hiki i nā NSAID ke kāohi i kou ʻeha hui (ʻoi aku hoʻi ma kou mau poʻohiwi, nā lima, a me nā wāwae), hiki i kāu kauka ke kuhikuhi i kahi lāʻau lapaʻau i kapa ʻia ʻo Sulfasalazine (Azulfidine). He mau hopena ʻaoʻao kakaikahi loa kēia.
- ʻEha hui
- kuni
- ʻEha poʻo
- Hoʻonui ʻia ka ʻike o ka ʻili i ka lā
- ʻŌhūhū ʻili a i ʻole ka maneʻo
- Ka luaʻi
ʻO Methotrexate
Hiki ke lawe ʻia kēia lāʻau lapaʻau ma ke ʻano he pila a i ʻole he inikini. E paipai maoli ke kauka e lawe i kahi huaora waikawa folic i ka wā e lawe ana i kēia. ʻO ke kumu o kēia, ʻo ia ka hiki ke hoʻemi nui ʻia nā hopena ʻaoʻao o Methotrexate e ka waikawa folic.
- Ka luaʻi a me ka luaʻi
- Nā ʻeha waha
- ʻEha poʻo
- Manaʻo luhi
He aha ka mea e hana ai inā loaʻa kēia mau hopena ʻaoʻao?
ʻO kēia ka ʻāpana koʻikoʻi loa. Inā loaʻa iā ʻoe kekahi mau loli i kou kino, nā hōʻailona hou, a i ʻole ka ʻoluʻolu ʻole ma muli o kahi lāʻau lapaʻau āu e lawe nei no AS, ʻo ka mea mua a maikaʻi loa āu e hana ai, ʻo ia ke hoʻomaopopo koke i kāu kauka.
Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau a hoʻololi paha i ka nui o ka lāʻau ma kāu iho. ʻO ka hana ʻana pēlā e paʻakikī ai ke kāohi i kou kūlana.
E kōkua kāu kauka iā ʻoe. Hiki paha iā ia:
- E hoʻemi iki ʻia ka nui o ka lāʻau lapaʻau i hāʻawi ʻia iā ʻoe .
- E hoʻololi ʻia ʻoe i kahi lāʻau lapaʻau ʻē aʻe .
- Me ka lāʻau lapaʻau o kēia manawa, e hāʻawi ʻia kekahi lāʻau lapaʻau ʻē aʻe e kāohi i nā hopena ʻaoʻao .
ʻO ke kumu ma ʻaneʻi no ʻoe a me kāu kauka e hana pū ma ke ʻano he hui e ʻimi i ka lāʻau lapaʻau maikaʻi loa e kūpono ana no kou kino, me nā hopena ʻaoʻao liʻiliʻi loa, a me ka liʻiliʻi loa o ka pilikia. No laila, mai makaʻu i kekahi mea, a kamaʻilio me kāu kauka e pili ana i nā mea āpau me ka wehe ʻia.
Leka Lawe-Home
- ʻAʻole nā lāʻau lapaʻau a pau no Ankylosing Spondylitis (AS) e hoʻoulu i nā hopena ʻaoʻao, a ʻaʻole e ʻike nā mea āpau i nā hopena ʻaoʻao.
- ʻO ka ʻike ʻana i nā hopena ʻaoʻao kekahi o nā hana maikaʻi loa e mālama ai iā lākou.
- Inā loaʻa iā ʻoe kekahi ʻeha ma muli o kāu lāʻau lapaʻau, mai hoʻoholo wale ʻoe i nā hoʻoholo, a e kamaʻilio mau me kāu kauka.
- ʻO ka pahuhopu o kāu kauka ke ʻimi i ka lāʻau lapaʻau e kūpono loa iā ʻoe a me nā hopena ʻaoʻao liʻiliʻi loa.
- He mea nui loa e hele i nā keʻena lapaʻau i ka manawa kūpono a kūkākūkā mau i kou kūlana me kāu kauka.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo