Ke ala pinepine nei ʻoe i ke kakahiaka me ka ʻeha nui ma kou mau kuli a i ʻole kou mau pūhaka? Ke emi nei kēia ʻoʻoleʻa ma hope o kekahi manawa, a hoʻi hou mai? Hiki iā ʻoe ke hoʻokuʻu i kēia ma ke ʻano he luhi maʻamau a i ʻole ka hopena o kahi lā lōʻihi, akā i kekahi manawa, ʻo ka mea i hoʻomaka ma ke ʻano he ʻeha maʻalahi hiki ke lilo i maʻi kumu e pono ai ke mālama ʻia e ke kauka. I kēia lā, ma Nirogi Lanka , ke kūkākūkā nei mākou i kahi maʻi i kapa ʻia ʻo Ankylosing Spondylitis (AS).
ʻOi aku ka AS ma mua o ka ʻeha hope wale nō
Manaʻo ka poʻe he nui he ʻano maʻi wale nō ka AS e pili ana i ka ʻeha hope a i ʻole ka iwi kuamoʻo ʻoʻoleʻa. ʻOiai ʻo ka ʻeha hope a me ka ʻoʻoleʻa he mau hōʻailona koʻikoʻi, ʻo ka ʻoiaʻiʻo he maʻi ʻōnaehana ka AS. ʻO ke ʻano kēia, ʻaʻole ia i kaupalena ʻia i hoʻokahi wahi; hoʻopilikia ia i nā ʻōnaehana he nui ma loko o kou kino.
I nā poʻe ʻōpio, hiki ke ʻike ʻia nā hōʻailona ma ke ʻano he ʻeha ma nā hono nui e like me nā poʻohiwi a i ʻole nā pūhaka ma mua o ka hoʻomaka ʻana o ka ʻeha hope. Eia kekahi, ʻo Enthesitis kahi hōʻike maʻamau o kēia ʻano.
He aha ka Enthesitis?
I ka ʻōlelo maʻalahi, he mumū ia kahi e hoʻopili ai kou mau aʻalolo a me nā ligaments i ka iwi. ʻIke pinepine ʻia kēia ma ke aʻalolo Achilles ma kou kuʻekuʻe wāwae a i ʻole ka plantar fascia ma ka ʻaoʻao o kou wāwae. Inā ʻeha nui kou kuʻekuʻe wāwae i kou wā e ala mua ai mai kahi moe i ke kakahiaka, pili paha ia i kēia kūlana.
"ʻOiai he 21 wale nō koʻu mau makahiki, ua like wau me he 90 makahiki, e hele ana me ka ʻoʻoleʻa a me ka neʻe ʻana o kaʻu neʻe ʻana."
He ʻike like kēia mai kekahi e noho nei me ke ʻano. Hoʻopoina pinepine mākou i kēia mau hōʻailona mua a i ʻole e haʻi ʻole iā lākou i kā mākou kauka. No laila, hiki ke hala nā makahiki e loaʻa ai kahi hōʻailona pololei. Inā ʻoe e kūkākūkā me ke kauka lapaʻau, ʻaʻole paha lākou e kānalua koke i ka mumū e pili ana i nā hono. No laila, he mea nui e kūkākūkā ʻoe i kēlā me kēia hōʻailona āu e ʻike ai - ʻaʻohe mea liʻiliʻi paha - me kāu kauka.
Pehea ka hopena o AS iā ʻoe ma ʻō aku o ke kua
He maʻi ola ka AS. Inā ʻaʻole mālama pono ʻia, hiki iā ia ke alakaʻi i ka hui ʻana o ka iwi kuamoʻo mau loa, kahi e hoʻopilikia ai i kou neʻe ʻana. ʻO ka ʻeha ma waho o ke kua e hōʻike paha i kahi hōʻike koʻikoʻi o ka maʻi. E nānā kākou i nā wahi mua ma ʻō aku o ka iwi kuamoʻo kahi e hiki ai iā AS ke hoʻopilikia.
| Wahi Kino i Hoʻopilikia ʻia | Nā mea e pono ai ʻoe e ʻike a me nā hōʻailona |
|---|---|
| Nā ʻūhā a me nā poʻohiwi | Ma kahi o 1 i loko o 3 mau maʻi me AS e ʻike i ka ʻeha ma kēia mau hono. Hoʻomaka mālie ka ʻeha a hiki ke pālahalaha i ka ʻūhā, nā kuli, a i ʻole ke alo o nā ʻūhā. |
| Nā maka | Ma kahi o 40% o nā maʻi AS e loaʻa ana i ka Uveitis , kahi ʻano i hōʻike ʻia e ka mumū o nā maka. Inā ʻike ʻoe i ka ʻulaʻula, ka ʻeha, a i ʻole ka ʻike i ka mālamalama, e ʻoluʻolu e nīnau koke i ke kauka. |
| ʻŌnaehana Hoʻoheheʻe (ʻōpū) | Ma kahi o 1 i loko o 10 mau maʻi AS e loaʻa paha i ka maʻi mumū o ka ʻōpū (IBD) , e like me ka maʻi Crohn a i ʻole ka Ulcerative colitis . ʻO nā hōʻailona e komo pū me ka ʻōpala koko, ka pohō kaumaha, a me ka luhi nui. |
| ʻAuwae | Ma kahi o 10% o nā maʻi AS e ʻike paha i ka mumū ma nā hono o ka ʻāwae, kahi e paʻakikī ai ka ʻai ʻana. Inā loaʻa iā ʻoe kēia ʻano ʻeha, he mea nui e ʻike i ke kauka niho. |
| Nā iwi | A hiki i ka hapalua o nā maʻi AS āpau e pilikia ana i ka Osteoporosis (ka lahilahi o ka iwi). ʻO ka lawe ʻana i nā mea hoʻopihapiha calcium a me Vitamin D, me nā hoʻoikaika kino haʻahaʻa e like me ka hele wāwae, hiki ke kōkua i ka ikaika o kou mau iwi. |
| Nā māmā | I kekahi manawa, hoʻokumu ʻo AS i ka ʻoʻoleʻa i nā hono ma waena o ka iwi kuamoʻo a me nā iwi ʻaoʻao, e pale ana i kou umauma mai ka hoʻonui piha ʻana i kou hanu ʻana. Hiki i kēia ke hōʻeha i ka hanu. Inā ʻeha kou umauma, e ʻimi koke i ke kōkua lapaʻau. |
| Puʻuwai | Hoʻonui ʻo AS i kou pilikia o nā pilikia e pili ana i ka puʻuwai. Hiki i ka aorta, ke aʻa nui e hoʻokuʻu ana i ke koko i kou kino, ke pehu. Hiki paha iā ʻoe ke ʻike i kahi puʻuwai puʻuwai kūpono ʻole a wikiwiki paha. He mea nui e hana ʻia kahi Echocardiogram (ultrasound puʻuwai) ma ka liʻiliʻi hoʻokahi i ka makahiki. |
Ke Hoʻomaopopo nei i ka Lāʻau Lapaʻau a me ka Hoʻokele
Inā ʻoe e ʻike nei i nā hōʻailona e like me kēia, ʻo ka hana maikaʻi loa ke kūkākūkā me kahi Rheumatologist . E nānā kāu kauka iā ʻoe a e kauoha paha i nā X-ray, MRI, a i ʻole nā hoʻāʻo koko e ʻike pololei i ke kūlana.
Hoʻomaka pinepine ka lāʻau lapaʻau me nā NSAID (Nonsteroidal anti-inflammatory drugs) e mālama i ka ʻeha. Eia nō naʻe, hiki i kēia mau lāʻau lapaʻau ke hana i nā hopena ʻaoʻao e like me ka huhū o ka ʻōpū a i ʻole ka nausea. Inā hana kēia, e ʻoluʻolu e haʻi i kāu kauka i hiki iā lākou ke hoʻoponopono i kāu dosage a hoʻololi paha i kāu lāʻau lapaʻau.
Inā ʻoi aku ka koʻikoʻi o ke kūlana, loaʻa nā Biologics hou e kōkua i ka kaohi ʻana i ka holomua o ka maʻi a pale i ka hōʻino hou ʻana i kou kino.
ʻO ka mea nui loa, me kāu lāʻau lapaʻau, he mea nui ka Physiotherapy a me nā hoʻoikaika kino kūpono. Hoʻemi kēia mau hana i ka ʻoʻoleʻa o nā hono a kōkua iā ʻoe e mālama i ka palupalu.
ʻO ka mālama ʻana i ke kaumaha olakino, ka hoʻokele ʻana i ke koko, a me ka mālama ʻana i nā pae cholesterol he mea nui ia no ke olakino o kou puʻuwai. Eia kekahi, inā ʻoe e puhipaka, pono ʻoe e haʻalele koke, no ka mea, ʻoi aku ka hoʻonui ʻana o ka puhipaka i kēia maʻi.
Nā Manaʻo Koʻikoʻi
- ʻAʻole i kaupalena wale ʻia ʻo AS i ka ʻeha kua. Hiki iā ia ke hoʻopilikia i kou mau maka, puʻuwai, māmā, ʻōpū, a me nā ʻano hono like ʻole ma ke kino holoʻokoʻa.
- Inā loaʻa iā ʻoe ka ʻeha o ke kua me nā maka ʻulaʻula, ka ʻeha kuʻekuʻe wāwae, ka ʻeha ʻūhā, a i ʻole ka paʻakikī o ka hanu ʻana, e hōʻoia e haʻi i kēia mau kikoʻī āpau i kāu kauka.
- Me ka ʻike mua ʻana, ka mālama kūpono, a me nā loli maikaʻi o ke ʻano o ka nohona, hiki iā ʻoe ke hoʻokele pono iā AS a alakaʻi i kahi ola maʻamau a piha.
- ʻO ka hoʻokō ʻana i nā hana physiotherapy a me ka hoʻoikaika kino he mea nui ia e like me ka lawe ʻana i kāu lāʻau lapaʻau.
- ʻO ka noho ʻana e ʻike e pili ana i kou kūlana ke ala maikaʻi loa e ola maikaʻi ai me Nirogi Lanka.
ʻO Ankylosing Spondylitis, AS, ʻeha hope, ʻeha hui, mumū, Uveitis, IBD, Sri Lanka
