Koj puas tau muaj mob nraub qaum, mob pob qij txha thaum sawv ntxov, lossis mob pob qij txha txij li thaum koj tseem yog ib tug tub hluas? Tej zaum koj yuav xav tias nws tsuas yog mob khaub thuas hnyav xwb, ib yam dab tsi uas los ntawm kev qaug zog, lossis ib yam dab tsi uas los ntawm kev pw tsaug zog tsis zoo. Feem ntau qhov ntawd yog qhov teeb meem. Tab sis qee zaum nws tuaj yeem yog ib yam dab tsi loj dua. Niaj hnub no peb tab tom tham txog ib qho mob uas ntau tus neeg tsis paub txog, tab sis nws yog ib qho tseem ceeb kom paub txog. Ntawd yog
Ankylosing Spondylitis , lossis luv luv
AS .
Hauv lwm lo lus, Ankylosing Spondylitis (AS) yog dab tsi?
Qhov no kuj yog ib hom mob pob qij txha. Tab sis nws feem ntau cuam tshuam rau koj tus txha nraub qaum. Yog hais kom meej, nws yog ib qho mob "mob pob qij txha". Qhov no txhais tau tias koj lub cev tiv thaiv kab mob ua yuam kev tawm tsam cov pob qij txha hauv koj tus txha nraub qaum. Qhov no ua rau mob, uas txhais tau tias o thiab mob, hauv cov pob qij txha ntawm koj tus txha nraub qaum. Qhov mob no feem ntau pib thaum koj tseem hluas, ntawm hnub nyoog 20 thiab 40. Raws li lub sijhawm dhau mus, qhov mob o no ua rau cov pob txha hauv koj tus txha nraub qaum sib xyaw ua ke, zoo li ib pob txha. Qhov no hu ua "ankylosis" hauv cov lus kho mob. Xav txog nws zoo li koj tus txha nraub qaum cov pob txha tau sib dhos ua ke. Qhov no tuaj yeem ua rau mob thiab khoov. Qhov no yog qhov teeb meem tseem ceeb nrog AS.
AS puas cuam tshuam rau txhua tus tib yam?
Tsis yog. Tus kab mob no tsis cuam tshuam rau txhua tus tib yam. Ib txhia neeg tsuas muaj mob me me xwb uas mob thiab ploj mus. Lwm tus yuav mob hnyav thiab mob nqaij tawv uas kav ntev mus ib sim neej. Kev tshawb fawb pom tias qhov hnyav ntawm tus kab mob no txawv ntawm ib tus neeg mus rau ib tus neeg. Piv txwv li, kev tshawb fawb tau qhia tias qee pawg neeg muaj feem yuav mob ntau dua li lwm tus. Qhov no yuav yog vim muaj kev cuam tshuam los ntawm noob caj noob ces, tej yam ib puag ncig, thiab qhov sib txawv ntawm kev nkag mus rau kev kho mob.
Qee zaum, vim tsis paub txog tus kab mob no, tus neeg uas muaj cov tsos mob yuav ncua kev mus ntsib kws kho mob. Yog li ntawd, tus kab mob yuav hnyav dua me ntsis thaum kuaj pom.
Tsis tas li ntawd xwb, qee tus neeg uas muaj AS muaj feem yuav mob lwm yam mob, xws li ntshav siab, ntshav qab zib, kev nyuaj siab, thiab kab mob plawv.
Cov noob caj noob ces puas muaj lub luag haujlwm hauv kev tsim AS?
Tsis muaj leej twg paub tseeb tias yog dab tsi ua rau nws. Tab sis nws feem ntau tshwm sim hauv tsev neeg, yog li ntawd nws ntseeg tias yog los ntawm caj ces. Yog tias koj niam, txiv, lossis kwv tij neej tsa muaj AS, koj kuj muaj feem yuav mob AS ntau dua. Tshwj xeeb tshaj yog
Muaj ntau tus neeg tham txog tus noob caj noob ces HLA-B27 uas cuam tshuam nrog tus kab mob no. Cov neeg uas muaj tus noob caj noob ces no muaj feem yuav mob AS ntau dua. Tab sis qhov tseem ceeb tshaj plaws ntawm no yog tias koj tsis tuaj yeem hais tias koj yuav mob AS tsuas yog vim koj muaj tus noob caj noob ces HLA-B27 xwb . Txawm tias nyob hauv Sri Lanka, muaj ntau tus neeg uas muaj tus noob caj noob ces no tab sis tsis muaj kab mob dab tsi li. Tsis tas li ntawd, cov neeg uas tsis muaj tus noob caj noob ces no kuj tuaj yeem mob AS tau. Qhov ntawd txhais tau tias cov kws kho mob tam sim no ntseeg tias tsis yog tsuas yog cov noob caj noob ces xwb, tab sis kuj muaj lwm yam teeb meem ib puag ncig uas peb tseem tsis tau paub meej tias yog qhov ua rau mob no. Cov tsos mob tseem ceeb ntawm AS yog dab tsi?
Ntxiv rau qhov mob nraub qaum, AS tuaj yeem ua rau muaj ntau yam tsos mob ntxiv. Cia peb saib cov tsos mob tseem ceeb. | Cov tsos mob | Txoj kev uas koj tuaj yeem xav |
|---|
| Mob thiab mob nqaij hauv thaj tsam nraub qaum thiab pob tw | Kuv nraub qaum mob heev, tshwj xeeb tshaj yog thaum kuv sawv thaum sawv ntxov, lossis tom qab sawv tom qab nyob tib qho chaw ntev heev. Qhov mob no txo qis thaum kuv taug kev me ntsis lossis ua ib yam dab tsi muaj txiaj ntsig. Qhov mob no nce ntxiv thaum hmo ntuj thiab tuaj yeem tsa kuv sawv los ntawm kev pw tsaug zog. |
| Mob hauv lwm cov pob qij txha | Kev o thiab mob tuaj yeem tshwm sim rau thaj chaw xws li lub duav, xub pwg nyom, hauv caug, pob luj taws, thiab pob taws. |
| Ua pa nyuaj | Yog tias qhov o no kis mus rau cov tav hauv lub hauv siab, qhov kev nthuav dav ntawm lub hauv siab yuav raug txwv thiab yuav hnov mob hauv siab thaum ua pa tob tob. |
| Teeb meem qhov muag (Uveitis) | Kwv yees li ib feem peb ntawm cov neeg mob AS muaj mob qhov muag, hu ua uveitis. Cov tsos mob muaj xws li liab tam sim ntawd, mob qhov muag, pom tsis meej, thiab pom tsis meej. Qhov no yog xwm txheej ceev thiab xav tau kev kho mob tam sim ntawd . |
| Lwm yam ntxwv zoo sib xws | Qaug zog tsis paub meej, kub taub hau, poob phaus, tawv nqaij ua pob, thiab rau qee tus neeg, tej zaum yuav muaj cov kab mob plab hnyuv xws li Crohn's disease. |
Yog koj muaj cov tsos mob no, koj yuav ua li cas?
Yog tias koj, tshwj xeeb tshaj yog tias koj tseem hluas, tau muaj mob nraub qaum uas mob hnyav dua thaum sawv ntxov thiab zoo dua thaum nruab hnub rau ntau tshaj 3 lub hlis, koj yuav tsum mus ntsib koj tus kws kho mob hauv tsev neeg . Nws yog ib qho tseem ceeb uas yuav tsum qhia qhov tseeb txog koj qhov mob. Yog tias koj tsis piav qhia nws kom raug, xav tias, "Nws tsuas yog mob me ntsis xwb," nws yuav nyuaj rau tus kws kho mob kuaj mob qhov mob tseem ceeb. Yog li ntawd, qhib siab txog txhua yam uas koj tsis xis nyob.
- Kev kuaj mob X-ray : Nrhiav kev hloov pauv ntawm tus txha nqaj qaum thiab lub duav.
- Kev kuaj MRI : Thaum ntxov ntawm tus kab mob, cov mob o uas tsis pom los ntawm X-rays tuaj yeem kuaj pom.
- Kev kuaj ntshav : Kev kuaj xws li ESR thiab CRP uas ntsuas qhov o ntawm lub cev.
- Kev kuaj noob caj noob ces: Yog tias tsim nyog, xyuas seb puas muaj noob caj noob ces HLA-B27 .
Cov kev kho mob yog dab tsi?
Txawm hais tias AS tsis tuaj yeem kho tau tag nrho los xij, tam sim no muaj ntau yam kev kho mob zoo uas tuaj yeem pab tswj cov tsos mob, tiv thaiv kev mob nraub qaum, thiab ua lub neej ib txwm muaj. Kev ua neej nquag
Ib qho ntawm cov kev kho mob zoo tshaj plaws rau qhov no yog ua kom koj lub cev nquag . Kev tawm dag zog tsis tu ncua, tshwj xeeb yog cov kev tawm dag zog uas ua rau cov leeg nraub qaum thiab cov leeg nqaij hauv plab muaj zog thiab ncab, tuaj yeem pab txo qhov mob thiab tswj kev ywj pheej ntawm nraub qaum. Tus kws kho lub cev tuaj yeem pab koj nrhiav kev tawm dag zog uas tsim nyog. Cov tshuaj kho mob
Koj tus kws kho mob yuav sau ntawv rau cov tshuaj xws li cov no nyob ntawm seb koj tus mob zoo li cas:- Cov tshuaj nonsteroidal anti-inflammatory drugs ( NSAIDs ): Cov no yog cov tshuaj thawj kab uas tau muab los txo qhov mob thiab o.
- Cov tshuaj thaiv kab mob Tumor necrosis factor (TNF): Cov no yog ib hom tshuaj siv los kho mob. Lawv tsom mus rau ib yam khoom uas ua rau mob o thiab tswj tau tus kab mob yog tias cov NSAIDs tsis tswj tau nws.
- Cov tshuaj kho mob rheumatic uas hloov kho kab mob (DMARDs):Cov tshuaj xws li Sulfasalazine kuj qee zaum siv.
- Corticosteroids : Muab rau lub sijhawm luv luv thaum muaj kev o.
Muaj tej zaum yuav tsum tau phais mob los hloov qhov pob qij txha uas puas lawm lossis kho qhov kev hloov pauv ntawm tus txha nqaj qaum. Cov Lus Qhia Txog Kev Coj Mus Tsev
- Ankylosing Spondylitis (AS) yog ib hom mob pob qij txha uas feem ntau cuam tshuam rau tus txha nqaj qaum thiab pib thaum tseem hluas.
- Thaum sawv ntxov mob nraub qaum thiab mob (uas txo qis nrog kev tawm dag zog) yog cov tsos mob tseem ceeb.
- Tus kab mob no tsis yog tsuas yog cuam tshuam rau tus txha nraub qaum xwb, tab sis kuj tseem cuam tshuam rau lwm qhov ntawm lub cev, xws li lub qhov muag, xub pwg nyom, thiab lub duav.
- Yog koj mob nraub qaum tas li, tsis txhob tso tseg thiab mus ntsib kws kho mob. Kev kuaj mob thaum ntxov tuaj yeem ua rau kev kho mob zoo.
- Thaum koj ua ub ua no tas li, tawm dag zog tsis tu ncua, thiab noj tshuaj raws li tau qhia, koj tuaj yeem ua neej nyob zoo li qub.
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus