Ke haʻi aku kāu kauka iā ʻoe he Ankylosing Spondylitis (AS) kou, e makaʻu iki paha ʻoe a hopohopo. Ua piʻi aʻe paha kēlā makaʻu ke lohe ʻoe, "ʻAʻohe lāʻau lapaʻau no kēia." Akā, mai hopohopo. He ʻoiaʻiʻo ʻaʻohe lāʻau lapaʻau i kēia manawa. Eia naʻe, ʻaʻole like ka ʻike o nā kānaka a pau e noho nei me kēia maʻi. Nui nā lāʻau lapaʻau e hiki ke kōkua iā ʻoe e kāohi i kou ʻeha, hōʻemi i ka hōʻino ʻia o nā hono, a ola i ke ola maʻamau. E kamaʻilio kākou e pili ana iā lākou i kēia lā.
Nā lāʻau lapaʻau i hoʻohana ʻia no ka mālama ʻana
He mea nui e hoʻomaka i ka lāʻau lapaʻau i ka wā hikiwawe loa no kēia maʻi. E kōkua kēia i ka kaohi ʻana i ka hōʻino ʻia o nā hono i hoʻokumu ʻia e ka maʻi. Hiki i kāu kauka ke kuhikuhi i hoʻokahi a ʻoi aku paha o kēia mau lāʻau lapaʻau.
Nā NSAID (nā lāʻau hoʻopau ʻeha)
I ka ʻōlelo maʻalahi, he mau lāʻau lapaʻau kēia e hōʻemi ana i ka ʻeha a me ka ʻoʻoleʻa . ʻO lākou pinepine nā lāʻau lapaʻau mua e hoʻomaka ai. ʻAʻole e loaʻa i nā kānaka a pau ke ʻano like o NSAID, no laila hiki ke lōʻihi ka manawa e ʻike ai i ka mea kūpono iā ʻoe. ʻOiai hiki i kēia mau lāʻau lapaʻau ke kōkua i ka hōʻemi ʻana i ka ʻeha, hōʻike nā haʻawina ʻaʻole lākou e hoʻōki i ka hōʻino ʻana i nā hono i hoʻokumu ʻia e ka maʻi.
Hiki iā ʻoe ke kūʻai i kekahi mau NSAID, e like me ka ibuprofen a me ka naproxen, ma ka hale kūʻai lāʻau lapaʻau. Eia nō naʻe, inā ʻaʻole kōkua kēia mau mea, hiki i kāu kauka ke kuhikuhi i kahi NSAID ikaika aʻe.
| ʻO kekahi mau ʻano NSAID e kuhikuhi ʻia e ke kauka | |
|---|---|
| ʻO Celecoxib (Celebrex) | ʻO Diclofenac (Voltaran) |
| ʻO Diclofenac a me misoprostol (Arthrotec) | ʻO Indomethacin (ʻo Indocin) |
| Meloxicam (Mobic) | |
He mea nui: Hiki i nā NSAID ke hoʻonui iki i ka pilikia o ka maʻi puʻuwai. Inā he moʻolelo kou no ka maʻi puʻuwai, e kamaʻilio me kāu kauka e pili ana i ia mea.E haʻi pono i ke kauka.
Nā DMARD (nā lāʻau lapaʻau hoʻololi maʻi)
He mau lāʻau lapaʻau lōʻihi kēia. Hiki i kāu kauka ke hoʻoholo e hoʻomaka iā ʻoe ma kēia ʻano lāʻau lapaʻau inā ʻaʻole ʻoe e manaʻo i ka lawa o ka hōʻoluʻolu mai nā NSAID a i ʻole inā he mau hopena ʻaoʻao kou. Hoʻopaʻa kēia i ka mumū a pale i ka hōʻino hou ʻana i kou mau hono.
- ʻO Methotrexate (Rheumatrex)
- Sulfasalazine (Azulfidine)
ʻOiai e lawe ana i kēia lāʻau lapaʻau, e hana mau kāu kauka i nā hoʻokolohua koko e nānā i ka hana o kou ake a me nā pilikia ʻē aʻe.
Nā Corticosteroids
He mau steroid synthetic kēia. Hoʻemi koke lākou i ka mumū. Ua kapa ʻia lākou he prednisone a i ʻole cortisone. Hoʻohana ʻia lākou ma ke ʻano he mau pila, kirīmi, a i ʻole nā inikini pololei i loko o ke hono. Eia nō naʻe, he mau hopena pōkole kēia, ʻaʻole nā hopena lōʻihi . Hiki i kāu kauka ke kuhikuhi i kēia mau kulu maka e kōkua i ka mumū i nā maka, he pilikia maʻamau ia o AS.
Nā mea olaola
He mau lāʻau lapaʻau i hoʻolālā ʻia kēia i hana ʻia mai nā pūnaewele ola. Hiki iā lākou ke hana wikiwiki a maikaʻi loa i ka AS.
| ʻAno olaola | Ka wehewehe a me nā laʻana |
|---|---|
| Nā mea hoʻopaʻa TNF | He mea kūpono loa ia no ka mumū o nā hono, nā ʻōpū, a me nā maka. ʻO kēia mau mea: Adalimumab (Humira), Certolizumab (Cimzia), Etanercept (Enbrel), Infliximab (Remicade), Golimumab (Simponi). |
| Nā mea hoʻopaʻa Interleukin 17 (IL-17) | Hāʻawi ʻia kēia mau mea inā ʻaʻole hana nā mea hoʻopaʻa TNF. Nā laʻana: Ixekizumab (Taltz), Secukinumab (Cosentyx). |
| Mea hoʻopaʻa JAK | Hoʻomalu i ka mumū i loko o nā ʻōpū a me nā ʻōpū ʻē aʻe. Nā laʻana: Tofacitinib (Xeljanz, Xeljanz-XR). |
| Nānā: Hiki i kēia mau lāʻau lapaʻau biologic ke hōʻemi i ka hiki o kou kino ke hakakā i nā maʻi ( palekana ). No laila, pono ʻoe e mālama pono e pale iā ʻoe iho mai nā maʻi i ka wā e lawe ana i kēia mau lāʻau. | |
Nā lāʻau lapaʻau anti-ulcer
I kekahi manawa hiki i ka AS ke hoʻoulu i nā pilikia ʻōpū, e like me ka ʻeha o ka ʻōpū a me ka maʻi kahe. Hiki i nā lāʻau lapaʻau e like me ka misoprostol (Cytotec) a i ʻole sucralfate (Carafate) ke kōkua i ka pale ʻana i ka uhi o ka ʻōpū a me nā ʻōpū.
Nā ʻano nohona
Hoʻokahi wale nō ʻāpana o ka lāʻau lapaʻau ka lāʻau lapaʻau. ʻO kahi hoʻoikaika iki ma kāu ʻaoʻao e hiki ke kōkua nui iā ʻoe e ola maikaʻi me kēia maʻi.
E noho hana.
Ua hōʻike ʻia he pono nui ka hoʻoikaika kino no ka poʻe me AS. Hiki iā ia ke hōʻemi i kou ʻeha, hoʻoikaika i kou mau ʻiʻo, a hoʻonui i kou maʻalahi . He koho maikaʻi ka hoʻoikaika kino ʻana me kahi hui. A i ʻole hiki iā ʻoe ke hana i kēia mau mea ma kāu iho.
- ʻAuʻau ʻana
- Ka hele wāwae
- Ke hoʻomaʻamaʻa nei i ke kūlana kūpono
- Nā hoʻomaʻamaʻa hanu
- Hoʻolōʻihi
- Ka hāpai kaumaha (nā kaupaona manuahi)
- Yoga
- Tai chi
ʻAi olakino
Kōkua kekahi mau meaʻai i ka hōʻemi ʻana i ka mumū i loko o nā hono a hoʻomaikaʻi i ke olakino o ka iwi.
- E ʻai i nā meaʻai waiwai i ka calcium.
- E ʻai hou aku i ka iʻa, nā pī, nā nati, a me nā hua manu.
- E kaupalena i ka ʻiʻo ʻulaʻula.
- E ʻai i nā mea momona Omega-3, i loaʻa i nā meaʻai e like me ka salmon a me ka flaxseed.
- E kaupalena i ka waiʻona.
- E ʻai i nā huaʻai a me nā mea kanu hou.
- E inu i 8-10 mau aniani wai i ka lā.
- E hōʻemi i nā meaʻai ʻaila, nā mea i hana ʻia, a me nā mea i palai ʻia.
- E kamaʻilio me kāu kauka e pili ana i ka lawe ʻana i kahi mea hoʻopihapiha huaora i kēlā me kēia lā.
Ka ʻike ʻia ʻana o ka lā
Ua ʻike ʻia he haʻahaʻa nā pae o ka wikamina D i nā maʻi AS. Kōkua ka wikamina D i ka pale ʻana i ko kākou mau iwi a mālama iā lākou i ka ikaika. Hoʻopuka ko kākou kino i ka wikamina D ke pā ka lā i ko kākou ʻili. No laila , he mea maikaʻi loa ke hoʻokuʻu iā kākou iho i ka lā no kekahi manawa pōkole i kēlā me kēia lā i ke kakahiaka .
E pale i ka puhipaka.
Inā ʻoe e puhipaka ana, ʻo kekahi o nā mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke hoʻāʻo e haʻalele i kēia lā . Hiki i ka puhipaka ke hoʻolalelale i ka hōʻino ʻana o nā hono a hoʻolilo i ka hanu ʻana i mea paʻakikī. E nīnau i kāu kauka e pili ana i ke kōkua e haʻalele i ka puhipaka.
Nā Lapaʻau Hoʻohui a me nā Lapaʻau ʻē aʻe
ʻO kēia mau lāʻau lapaʻau, i ka wā e hui pū ʻia me kāu lāʻau lapaʻau a me ka hoʻoikaika kino, hiki ke kōkua hou i ka hōʻoluʻolu ʻana i nā hōʻailona.
- Acupuncture: Pono e hana ʻia kēia e kahi mea lapaʻau i aʻo ʻia. Hiki i kēia ke kōkua i ka hōʻoluʻolu ʻana i ka ʻeha.
- Lomilomi: Ua hōʻike nā haʻawina e hiki i ka lomilomi ke hōʻemi i ka ʻeha, ka ʻoʻoleʻa, a me ka luhi i hoʻokumu ʻia e AS.
- Nā lāʻau wela a me ke anu: Hiki i nā ʻauʻau wela a me nā pā hoʻomehana ke kōkua i ka hōʻemi ʻana i ka ʻeha a me ka ʻoʻoleʻa. Hiki i nā ʻūlū anu, e like me nā ʻeke hau, ke kōkua i ka hōʻemi ʻana i ka mumū.
- Hoʻōla Kino: He mea waiwai nui ka ʻike ʻana i kahi mea hoʻōla kino a aʻo i nā hoʻoikaika kino a me nā hoʻoikaika kino i kūpono iā ʻoe.
- Kamaʻilio Lapaʻau: He mea maʻamau ka manaʻo kaumaha, hopohopo, a kaumaha paha i ka wā e noho ana me kahi maʻi lōʻihi e like me kēia. I kēlā mau manawa, he mea nui loa ke kamaʻilio me kahi kākāʻōlelo a hoʻomālielie i kou manaʻo.
ʻoki kino
He koho kākaʻikahi loa kēia no nā maʻi AS. Hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino inā loaʻa iā ʻoe ka ʻeha nui i hiki ʻole ke kāohi ʻia me ka lāʻau lapaʻau a inā ua kūlou nui kou kua a paʻakikī ke hana i nā hana o kēlā me kēia lā. ʻO kekahi o kēia mau ʻoki kino e komo pū me Laminectomy, Osteotomy, Spinal fusion, a me Hip replacement. E hoʻoholo ʻia kēia ma hope o ka nānā pono ʻana i kou kūlana.
Leka Lawe-Home
- ʻOiai ʻaʻole hiki ke ho'ōla loa ʻia ka Ankylosing Spondylitis (AS), hiki ke mālama maikaʻi ʻia ma ka kaohi ʻana i ka ʻeha a me ka hōʻemi ʻana i ka hōʻino ʻia o nā hono.
- He mea nui loa ka hoʻomaka ʻana i ka lāʻau lapaʻau i ka wā e ʻike ʻia ai ka maʻi, e hahai ana i nā kuhikuhi a ke kauka.
- Me nā lāʻau lapaʻau, ʻo nā loli o ke ʻano o ka nohona e like me ka hoʻoikaika kino, ka ʻai olakino, a me ka pale ʻana i ka puhipaka he mea nui nō hoʻi ia no ka kaohi ʻana i ka maʻi.
- E mālama i kou olakino noʻonoʻo a me kou olakino kino. Inā ʻoe e hopohopo nei, mai kānalua e kamaʻilio e pili ana i ia mea.
- E kūkākūkā mau me kāu kauka i ke koho lapaʻau kūpono loa iā ʻoe.
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