Thaum koj sawv ntawm txaj thaum sawv ntxov, koj puas hnov koj nraub qaum mob thiab mob? Puas zoo li qhov mob ploj mus tom qab taug kev me ntsis lossis ua ib yam dab tsi uas muaj txiaj ntsig? Muaj ntau tus neeg xav tias qhov no tsuas yog mob nraub qaum lossis ib yam dab tsi uas los ntawm kev qaug zog, tab sis qee zaum nws tuaj yeem yog qhov pib ntawm qee yam tob dua. Niaj hnub no peb tab tom tham txog tus mob zoo li no, uas yog Ankylosing Spondylitis (AS). Tsis txhob txhawj, qhov tseem ceeb tshaj plaws yog kom paub zoo txog qhov no thiab nrhiav kev kho mob kom raug.
Ankylosing Spondylitis (AS) yog dab tsi tiag?
Hais yooj yim xwb, Ankylosing Spondylitis (AS) yog ib hom mob pob qij txha. Hauv qhov no, peb lub cev tiv thaiv kab mob tawm tsam cov pob qij txha hauv peb tus txha nqaj qaum. Qhov no ua rau o ntawm cov pob qij txha ntawm tus txha nqaj qaum. Qhov no feem ntau pib ntawm qhov qis tshaj plaws ntawm tus txha nqaj qaum, uas yog, cov pob qij txha uas txuas rau cov pob txha ntawm lub duav (sacroiliac joints).
Thaum xub thawj, qhov mob no pib ntawm ib sab, thiab tom qab ob peb lub lis piam lossis ob peb lub hlis, nws tuaj yeem kis mus rau ob sab. Qee zaum, qhov mob no kuj tuaj yeem ncav cuag lub pob tw. Tsis zoo li qhov mob nraub qaum ib txwm muaj, qhov mob no tsis ploj mus thaum so, tab sis qhov tshwj xeeb tshaj plaws yog tias nws zoo dua me ntsis thaum lub cev tawm dag zog thiab thaum taug kev .
Raws li lub sijhawm dhau mus, qhov kev o no tuaj yeem ua rau koj xav tias nkees heev txhua lub sijhawm. Qhov no yog vim lub cev siv zog ntau los tawm tsam qhov kev o no.
Peb yuav tsum ua li cas thaum ntxov?
Yog koj muaj cov tsos mob no, thawj qhov koj yuav tsum ua yog mus ntsib kws kho mob rheumatologist, tus kws kho mob uas tshwj xeeb hauv cov kab mob pob qij txha. Nws yuav muab txoj kev npaj kho mob rau koj.
- Cov Tshuaj Tua Kab Mob: Txhawm rau tswj qhov mob thiab o thaum ntxov, koj tus kws kho mob yuav sau ntawv kom noj cov NSAIDs (Cov tshuaj tsis yog steroidal anti-inflammatory) , xws li ibuprofen lossis naproxen.
- Kev Ua Si: Kev ua si zoo li tshuaj rau ib tus neeg uas muaj AS. Nws yog ib feem ntawm txoj kev npaj kho mob. Nrog kev ua si,
- Nws tswj tau tus kab mob kom tsis txhob hnyav zuj zus.
- Txo qhov mob thiab mob nqaij.
- Pab kom lub cev muaj zog thiab ywj pheej.
- Tham nrog koj tus kws kho mob lub cev kom tsim kom muaj kev tawm dag zog zoo uas haum rau koj.
- Kev Noj Haus: Nws yog ib qho tseem ceeb heev uas yuav tsum noj zaub mov uas tiv thaiv kev o. Muab cov zaub ntsuab nplooj, cov zaub muaj xim (piv txwv li, spinach, txiv lws suav), broccoli, thiab zaub qhwv rau hauv koj cov zaub mov noj. Tsis txhob noj cov khoom noj uas muaj suab thaj ntau, hmoov dawb, roj tsis zoo rau kev noj qab haus huv, thiab cov khoom xyaw dag.
- Tsis txhob haus luam yeeb:Yog koj haus luam yeeb, tso tseg sai li sai tau. Kev haus luam yeeb tuaj yeem ua rau qhov mob no hnyav zuj zus. Yog tias tsim nyog, nrog koj tus kws kho mob tham kom tau kev pab.
Tus kab mob no loj hlob li cas raws sijhawm (Kev nce qib)
Feem ntau AS maj mam zuj zus los ntawm tus txha nraub qaum qis mus rau caj dab. Cov kev ntsuas xws li MRI tuaj yeem qhia tau tias tus txha nraub qaum tau raug puas tsuaj ntau npaum li cas. Cov kev hloov pauv no yuav nyuaj rau pom hauv ob peb xyoos thawj zaug, tab sis lawv yuav pom tseeb dua thaum lub sijhawm dhau mus.
Thaum qhov mob o nce ntxiv, nws tuaj yeem cuam tshuam tsis yog rau tus txha nraub qaum xwb tab sis kuj rau lwm qhov ntawm lub cev, tshwj xeeb tshaj yog thaj chaw uas cov leeg thiab cov leeg txuas nrog cov pob txha (entheses).
| Lwm qhov chaw uas yuav raug cuam tshuam | Kev piav qhia |
|---|---|
| Nqaij tav | Yuav mob hauv siab los yog ua pa nyuaj. |
| Xub pwg | Mob thiab txwv kev txav mus los hauv cov pob qij txha xub pwg. |
| Cov pob qij txha ntawm lub duav | Mob thaum taug kev thiab khoov. |
| Cov khau khiab siab | Mob hauv cov leeg uas txuas lub pob taws rau lub hauv paus ko taw. |
Lwm yam mob nkeeg uas cuam tshuam nrog
- Qhov muag o: Kwv yees li ib feem peb ntawm cov neeg mob AS yuav mob qhov muag (uveitis lossis iritis) rau qee lub sijhawm hauv lawv lub neej. Cov tsos mob suav nrog mob qhov muag, liab, kua muag, pom kev tsis meej, thiab rhiab rau lub teeb. Yog tias koj muaj cov tsos mob no, mus ntsib kws kho qhov muag tam sim ntawd. Yog tias tsis kho, qhov muag yuav tsis pom kev.
- Kev o ntawm txoj hnyuv zom zaub mov: Kwv yees li 70% ntawm cov neeg mob AS muaj kev o ntawm txoj hnyuv zom zaub mov, tab sis ntau tus tsis qhia cov tsos mob. Kwv yees li 10% muaj IBD (Kab Mob Plab Hnyuv)., uas txhais tau tias cov mob xws li Crohn's kab mob lossis Ulcerative Colitis tuaj yeem tshwm sim.
- Kab mob ntawm daim tawv nqaij: Kwv yees li 10% ntawm cov neeg kuj tseem yuav muaj tus kab mob psoriasis.
Kev kho mob thaum tus kab mob loj zuj zus
Yog tias cov tshuaj NSAIDs ib txwm tsis pab kho mob, koj tus kws kho mob yuav sau ntawv kom noj cov tshuaj muaj zog dua hu ua biologics . Cov no yuav ua tau zoo dua vim tias lawv tsom mus rau cov khoom hauv peb lub cev tiv thaiv kab mob uas ua rau mob.
Cov tshuaj TNF inhibitor (piv txwv li, Adalimumab (Humira), Etanercept (Enbrel), Infliximab (Remicade)) yuav raug muab ua ntej. Yog tias cov no tsis ua haujlwm, cov tshuaj IL-17 inhibitor (piv txwv li, Secukinumab (Cosentyx)) yuav raug siv. Thaum lub sijhawm no, koj kuj tseem yuav xav tau kev pab los ntawm cov kws kho qhov muag, kws kho mob plab hnyuv, lossis kws kho mob tawv nqaij.
Theem siab heev ntawm tus kab mob
Thaum tus kab mob hnyav heev, tus kws kho mob yuav qhia rau koj tias koj muaj "spinal fusion." Qhov no txhais tau tias pob txha tshiab loj hlob ntawm cov vertebrae ntawm tus txha caj qaum thiab sib txuas ua ke. Qhov no hu ua spinal fusion .
Thaum tus txha nqaj qaum pib sib koom ua ke li no, tus txha nqaj qaum yuav poob nws qhov kev ywj pheej ntau heev. Txawm hais tias qhov no tshwm sim qeeb qeeb, qee zaum tag nrho tus txha nqaj qaum tuaj yeem zoo li ib tug pas nrig.
Qhov kev sib koom ua ke no ua rau muaj kev pheej hmoo ntawm kev tawg pob txha caj qaum. Nws kuj tseem tuaj yeem ua rau tus txha caj qaum khoov mus tom ntej thiab tsim kom muaj lub cev khoov . Kev kho lub cev tuaj yeem pab tswj qhov mob no.
Ntxiv mus, qhov no tuaj yeem cuam tshuam rau cov pob qij txha ntawm cov tav thiab tus txha nqaj qaum, thiab qhov chaw uas cov tav txuas rau lub hauv siab. Ces nws tuaj yeem nyuaj rau txawm tias ua pa tob tob. Hauv cov xwm txheej zoo li no, koj tuaj yeem kawm txoj hauv kev los ua kom yooj yim dua los ntawm tus kws kho mob ua pa.
Tsis tshua muaj, kev puas tsuaj rau cov hlab ntsha ntawm lub hauv paus ntawm tus txha nqaj qaum tuaj yeem ua rau muaj mob hnyav hu ua cauda equina syndrome . Nws tuaj yeem ua rau tsis muaj peev xwm tswj tau lub zais zis thiab txoj hnyuv, ua rau kev sib deev tsis zoo, thiab mob ceg thiab qaug zog.
Tiam sis nco ntsoov, cov mob hnyav no tsis tshua muaj. Yog tias koj noj cov tshuaj uas koj tus kws kho mob tau sau tseg thiab ua raws li nws cov lus qhia, nws tsis nyuaj rau zam cov mob hnyav no. Nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob kom kuaj xyuas txawm tias koj tsis muaj tsos mob los xij.
Thaum twg yuav tsum mus ntsib kws kho mob
Yog koj muaj tej yam tsos mob tshiab los yog koj tej yam tsos mob hnyav zuj zus, nrog koj tus kws kho mob tham tam sim ntawd. Tsis txhob ncua sij hawm, tshwj xeeb yog tias ib tug neeg uas muaj AS muaj ib qho ntawm cov tsos mob hauv qab no:
| Nrhiav kev pab kho mob tam sim ntawd! | |
|---|---|
| Cov tsos mob | Kev piav qhia |
| Ua pa nyuaj | Yog koj hnov tias koj lub hauv siab nruj lossis ua pa nyuaj. |
| Teeb meem pom kev | Qhov muag liab, mob, pom kev tsis meej. |
| Mob hauv siab | Nws yog ib qho tseem ceeb kom paub tseeb tias nws tsis yog mob plawv nres. |
| Mob nraub qaum lossis mob pob qij txha hnyav | Ib qho mob hnyav dua li koj qhov mob ib txwm. |
| Poob phaus yam tsis muaj laj thawj | Nws yuav yog ib qho tsos mob ntawm lwm yam mob. |
| Ua kom rov qab nruj dua | Yog tias muaj kev txo qis ntawm kev txav mus los tom qab. |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Ankylosing Spondylitis (AS) tsis yog mob nraub qaum xwb, nws yog ib hom mob pob qij txha uas cuam tshuam rau tus txha nraub qaum.
- Nws yog ib qho tseem ceeb heev uas yuav tsum kuaj mob thaum ntxov thiab mus ntsib kws kho mob tshwj xeeb.
- Kev tawm dag zog yog ib qho kev kho mob tseem ceeb rau tus kab mob no. Tsis txhob tso tseg nws.
- Noj cov tshuaj uas koj tus kws kho mob tau sau tseg raws li tau sau tseg thiab rau lub sijhawm uas tau teem tseg. Tsis txhob tsum noj cov tshuaj tsuas yog vim koj cov tsos mob tau ploj mus lawm.
- Tsis txhob haus luam yeeb kiag li. Noj zaub mov kom zoo.
- Yog koj muaj cov tsos mob tshiab xws li mob qhov muag, teeb meem pom kev, lossis ua pa nyuaj, qhia rau koj tus kws kho mob tam sim ntawd.
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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