Peb txhua tus yeej muaj mob nraub qaum qee lub sijhawm hauv peb lub neej, puas yog? Yog tias koj khoov me ntsis tsis raug lossis tsa ib yam khoom hnyav, qhov mob yuav ploj mus li ob peb hnub. Tab sis ... qee zaum qhov mob nraub qaum no tsis yooj yim li ntawd. Nws tuaj yeem yog qhov pib ntawm qhov teeb meem loj dua uas tau ua rau koj ntxhov siab tau ntau xyoo thiab tsis tuaj yeem kuaj mob tau zoo. Hnub no peb tab tom tham txog ib qho mob zoo li no. Ntawd yog Ankylosing Spondylitis, lossis luv luv AS.
Ankylosing Spondylitis (AS) yog dab tsi?
Hais yooj yim xwb, Ankylosing Spondylitis (AS) yog ib hom mob pob qij txha uas mob ntev thiab feem ntau cuam tshuam rau koj tus txha nqaj qaum . Qhov uas tshwm sim yog tias lub cev tiv thaiv kab mob ua yuam kev tawm tsam cov pob qij txha hauv koj tus txha nqaj qaum. Raws li lub sijhawm dhau mus, qhov kev mob no tuaj yeem ua rau cov pob txha caj qaum hauv koj tus txha nqaj qaum sib koom ua ke, txo qhov yooj ywm thiab ua rau koj lub cev khoov.
Muaj ib txhia kws kho mob hais tias kev kuaj mob no zoo li nrhiav koob txhaj tshuaj hauv cov nyom qhuav. Muaj ntau yam ua rau qhov ntawd tshwm sim.
Vim li cas AS thiaj nyuaj rau kuaj mob?
Cov kev tshawb fawb tau qhia tias feem ntau nws yuav siv sijhawm 7-10 xyoo txij li thaum cov tsos mob ntawm AS pib mus txog rau thaum kuaj pom tseeb. Xav seb yuav ntev npaum li cas! Cov laj thawj tseem ceeb rau qhov no yog:
- Mob nraub qaum yog ib qho uas ntau tus neeg mob: Raws li peb tau hais ua ntej lawm, mob nraub qaum yog ib qho uas ntau tus neeg mob heev. Yog li ntawd, ntau tus neeg xav tias nws yog ib qho ib txwm muaj thiab tsis quav ntsej txog nws.
- Kev qeeb hauv cov ntawv qhia X-ray: Hauv AS, kev puas tsuaj rau cov pob qij txha sacroiliac ntawm tus txha nraub qaum thiab lub duav tsuas yog pom tseeb ntawm X-ray tom qab tus kab mob tau nce qib me ntsis.
- Cov tsos mob sib txawv: AS cuam tshuam rau txhua tus neeg sib txawv. Ib txhia neeg tsuas mob nraub qaum xwb, thaum lwm tus kuj yuav muaj teeb meem nrog lawv lub qhov muag, pob taws, thiab lwm yam pob qij txha.
- Tsis muaj ib qho kev kuaj mob: Tseem tsis tau muaj ib qho kev kuaj ntshav lossis kev ntsuas uas tuaj yeem lees paub 100% tias qhov no yog AS.
Cov lus qhia no yuav pab koj nkag siab qhov txawv ntawm qhov mob nraub qaum ib txwm thiab qhov mob los ntawm AS.
| Yam ntxwv | Mob nraub qaum | Mob nraub qaum hauv AS (Inflammatory Back Pain) |
|---|---|---|
| Qhov mob yog qhov loj tshaj plaws. | Tom qab ua haujlwm, thaum kawg ntawm hnub | Thaum sawv ntxov thiab thaum hmo ntuj, tshwj xeeb tshaj yog tom qab so |
| Thaum koj so | Qhov mob tab tom txo qis. | Qhov mob thiab qhov nruj nce ntxiv. |
| Kev Tawm Dag Zog/Kev Txav Mus Los | Qhov mob yuav nce ntxiv. | Qhov mob thiab qhov nruj txo qis |
| Kev Nyuaj Siab Thaum Sawv Ntxov | Kav ntev dua 30 feeb | Kav ntev tshaj 30 feeb (feem ntau ntau tshaj ib teev) |
Lub neej siv thaum muaj kev kuaj mob tsis raug ...
Thaum peb hnov cov kev paub ntawm cov neeg uas muaj tus kab mob no, peb nkag siab txog qhov teeb meem no zoo dua.
Zaj dab neeg ntawm Don: "Zoo li ob lub qhov muag dig muag, tab sis ob lub qhov muag pom tau"
Don siv sijhawm 7 xyoo los kuaj mob. Tiamsis rov qab xav txog nws, nws xav tias nws siv sijhawm 30 xyoo. Thaum nws pib mob hauv caug thaum muaj hnub nyoog 10 xyoo, txhua tus hu nws ua "mob loj hlob."
Tiamsis thaum muaj hnub nyoog li ntawm 40 xyoo, nws lub neej tau hloov pauv txaus ntshai heev. Thaum ntawd nws tau mob uveitis , uas yog ib qho mob qhov muag uas tuaj yeem ua rau muaj teeb meem loj ntawm AS. "Kuv pom tsis meej kiag li. Kuv tsuas pom cov duab xwb, thiab kuv rhiab heev rau lub teeb. Zoo li kuv dig muag, tab sis tsis dig muag tiag tiag," Don hais.
Txawm hais tias cov kws kho qhov muag tsis pom qhov ua rau muaj qhov no los xij, lawv xav tias tej zaum nws yog "ib yam kab mob autoimmune." Vim tsis muaj lus teb meej, Don tso qhov ntawd tseg. Tom qab ntau xyoo ntawm kev mus ntsib ntau dua 30 tus kws kho mob thiab tau kho txhua yam los ntawm mob qog noj ntshav mus rau cov mob hlwb, thaum kawg lawv pom tias nws muaj AS tom qab mus ntsib kws kho mob rheumatologist.
Zaj dab neeg ntawm Charis: "Nws tsis yog ib yam kab mob uas tsuas cuam tshuam rau cov txiv neej xwb"
Charis tau loj hlob los ntawm nws niam. Nws txiv muaj AS. "Kuv tsis paub lub npe ntawm tus kab mob. Tab sis kuv paub tias kuv yuav tsis tau tus kab mob no, vim nws yog 'tus kab mob txiv neej,'" Charis hais.
Qhov no yog kev nkag siab yuam kev ntawm ntau tus neeg. Txawm hais tias yav dhau los xav tias AS tsuas yog cuam tshuam rau cov txiv neej xwb, cov ntaub ntawv tshiab qhia tau tias cov poj niam kuj raug tus kab mob no ntau heev.
Charis tau raug kev mob hauv caug thiab lwm yam pob qij txha txij li thaum nws tseem hluas, tab sis nws xav tias nws yog lwm yam teeb meem thaum nws ua si kis las. Ib tug kws kho mob hais rau nws tias nws yog kev ntxhov siab. Tab sis Charis tsis ntseeg nws. Nws xav tias cov tsos mob zoo ib yam li nws txiv li. Thaum kawg, tom qab nug nws txiv, thiab ua raws li nws cov lus qhia, nws mus ntsib kws kho mob thiab tau kuaj pom tias muaj AS.
Kwv yees li 80%-95% ntawm cov neeg mob AS muaj cov noob hu ua HLA-B27 . Qhov no tuaj yeem tau txais los ntawm niam txiv mus rau cov menyuam. Txawm li cas los xij, tsis yog txhua tus neeg uas muaj cov noob no yuav muaj AS, thiab nws kuj tseem ua tau kom muaj AS yam tsis muaj cov noob no. Yog li ntawd, qhov no tsis tuaj yeem txiav txim siab los ntawm kev kuaj noob ib leeg xwb.
Charis piav txog nws txoj kev xav li no:
"Kev nyuaj siab thiab kab mob ntev ntev zoo li cov kwv tij txheeb ze, lawv ib txwm nyob ua ke."
Txoj kev taug kev ntev mus rau kev kuaj mob tuaj yeem ua rau koj lub siab qaug zog. Yog li ntawd, yog tias koj tab tom ntsib teeb meem zoo li no, tsis txhob yig los tham txog nws thiab nrhiav kev pab los ntawm tus kws kho mob hlwb yog tias xav tau.
Vim li cas cov kws kho mob thiaj li nco AS?
Ib qho laj thawj rau qhov no yog lub sijhawm tsawg tsawg los ntsib cov neeg mob. "Tsuas yog 15 feeb nrog tus neeg mob tsis txaus," ib tug kws kho mob tshwj xeeb hais. Yuav kom kuaj tau tus kab mob nyuaj xws li AS, koj yuav tsum mloog zoo rau qhov tus neeg mob hais thiab nug cov lus nug kom raug.
Tsis tas li ntawd xwb, cov tsos mob ntawm AS qee zaum zoo ib yam li lwm yam kab mob. Piv txwv li:
- Mob hauv lub pob tw thiab pob luj taws
- Psoriasis, ib yam kab mob ntawm daim tawv nqaij
- Cov kab mob ntawm lub plab zom mov xws li Crohn's kab mob lossis ulcerative colitis
Yog tias tus kws kho mob dav dav (GP) tsis tau pom ntau tus neeg mob AS hauv nws qhov chaw kho mob, nws yuav tsis xav tias muaj AS thaum nws pom cov tsos mob no.Yog vim li ntawd nws thiaj li tseem ceeb heev uas yuav tsum mus ntsib kws kho mob rheumatologist yog tias koj mob nraub qaum ntev, tshwj xeeb tshaj yog tias nws mob hnyav dua thaum sawv ntxov.
Qhov xov xwm zoo yog tias cov kws kho mob tam sim no paub ntau ntxiv txog cov tsos mob ntawm AS dua li yav dhau los. Tsis tas li ntawd, muaj cov kev kho mob tshiab (xws li kev kho mob biologic) uas zoo heev rau kev tswj tus kab mob. Yog li koj tsis tas yuav raug kev txom nyem zoo li koj tau ua dhau los. Qhov tseem ceeb tshaj plaws yog kuaj mob raws sijhawm thiab pib kho kom raug.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Yog tias koj mob nraub qaum tau ntau tshaj 3 lub hlis, tsis txhob tsis quav ntsej nws.
- Yog tias koj qhov mob nraub qaum hnyav heev thaum sawv ntxov, mob hnyav dua thaum koj so, thiab txo qis thaum koj taug kev lossis ua si nawv, nws yuav yog ib qho tsos mob ntawm AS.
- Ceev faj txog qhov mob tawv nqaij ntawm koj nraub qaum thiab pob qij txha thaum sawv ntxov uas kav ntev tshaj ib nrab teev .
- Ntxiv rau qhov mob nraub qaum, yog tias koj muaj cov tsos mob xws li liab lossis mob hauv qhov muag (uveitis), mob pob taws, lossis o ntawm lwm cov pob qij txha, qhia rau koj tus kws kho mob txog qhov ntawd.
- Tham nrog koj tus kws kho mob txog koj cov tsos mob. Yog tias tsim nyog, thov kom xa mus rau kws kho mob pob qij txha .
- Tsis txhob tso tseg kev sib ntaus sib tua kom txog thaum koj tau txais kev kuaj mob zoo. Qhov tseem ceeb tshaj plaws yog mloog koj lub cev.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus