Puas muaj tej lub sij hawm koj sawv thaum sawv ntxov nrog mob hnyav heev rau hauv koj lub hauv caug thiab lub duav? Puas mob ploj mus tom qab ib pliag, ces rov qab los? Tej zaum koj yuav xav tias qhov no yog ib qho ib txwm muaj, lossis nws tsuas yog mob caj pas los ntawm kev ua haujlwm ntau dhau. Tab sis tej lub sij hawm, tom qab qhov mob yooj yim no, tej zaum yuav muaj ib qho mob uas peb yuav tsum tau them sai sai rau. Hnub no, peb yuav tham txog ib qho mob zoo li no, uas yog Ankylosing Spondylitis (AS).
AS tsis yog tsuas yog mob nraub qaum xwb.
Muaj coob tus neeg xav tias AS tsuas yog ib yam kab mob uas ua rau mob nraub qaum thiab mob nqaij tawv xwb. Yog lawm, mob nraub qaum thiab mob nqaij tawv yog cov tsos mob tseem ceeb ntawm tus kab mob no. Tab sis qhov tseeb yog, AS yog ib yam mob uas tuaj yeem cuam tshuam rau tag nrho lub cev. Yog hais kom meej, nws yog ib yam kab mob thoob plaws lub cev , txhais tau tias nws cuam tshuam rau ntau lub cev hauv lub cev, tsis yog ib qho chaw xwb.
Thaum qhov no tshwm sim rau cov tub ntxhais hluas, qee zaum mob nraub qaum tuaj yeem ua ntej mob rau cov pob qij txha loj xws li xub pwg nyom thiab lub duav. Tsis tas li ntawd, ib qho mob hu ua enthesitis yog ib qho mob uas pom ntau heev hauv tus kab mob no.
Yog li ntawd, Enthesitis yog dab tsi?
Hais yooj yim xwb, nws yog kev o ntawm cov leeg thiab cov leeg uas txuas peb cov leeg rau peb cov pob txha. Qhov no feem ntau pom muaj nyob rau hauv cov leeg Achilles hauv pob taws thiab cov plantar fascia hauv lub hauv paus ntawm ko taw. Yog tias koj mob pob taws hnyav thaum koj thawj zaug sawv ntawm txaj thaum sawv ntxov, nws yuav yog vim qhov mob no.
Txawm hais tias kuv muaj 21 xyoo los, kuv taug kev zoo li ib tug neeg muaj 90 xyoo, nrog lub cev tawv thiab co ntawm ib sab mus rau ib sab.
Zaj dab neeg no yog hais los ntawm ib tug neeg uas tau raug tus kab mob no. Qee zaum thaum cov tsos mob no tshwm sim, peb tsis tau ua tib zoo saib xyuas lawv. Los yog peb tsis nco qab qhia peb tus kws kho mob txog nws. Yog vim li cas nws thiaj li siv sijhawm ntau xyoo rau qee tus neeg kom tau txais kev kuaj mob tseeb ntawm AS. Tshwj xeeb tshaj yog tias koj raug kho los ntawm tus kws kho mob dav dav, nws yuav tsis xav txog hom kev o ntawm cov pob qij txha no. Yog li ntawd , nws yog ib qho tseem ceeb heev uas yuav tsum tham nrog koj tus kws kho mob txog txhua yam tsos mob uas koj muaj, txawm tias nws me me npaum li cas los xij.
AS cuam tshuam li cas rau tus txha nqaj qaum
AS yog ib yam mob uas yuav mob mus ib txhis. Yog tias tsis kho kom zoo, nws yuav ua rau koj tus txha nqaj qaum nkhaus mus tas li thiab tseem cuam tshuam rau koj txoj kev taug kev. Yog tias koj mob lwm qhov chaw ntxiv rau koj nraub qaum, nws txhais tau tias koj yuav muaj tus kab mob hnyav dua. Cia peb saib cov chaw tseem ceeb uas AS tuaj yeem cuam tshuam ntxiv rau koj nraub qaum.
| Qhov chaw ntawm lub cev uas raug kev txom nyem | Tej yam yuav tsum paub thiab cov tsos mob |
|---|---|
| Lub duav thiab xub pwg nyom | Kwv yees li ntawm 1 ntawm 3 tus neeg uas muaj AS mob cov pob qij txha no. Qhov mob yuav pib ntawm qhov chaw mos, hauv caug, lossis pem hauv ntej ntawm ob txhais ceg. |
| Qhov muag | Kwv yees li 40% ntawm cov neeg mob AS muaj tus mob hu ua uveitis , uas yog o ntawm lub qhov muag. Yog tias koj muaj cov tsos mob xws li qhov muag liab, mob, thiab nyuaj rau saib lub teeb, mus ntsib kws kho mob tam sim ntawd. |
| Lub cev zom zaub mov (hnyuv) | Kwv yees li 1 ntawm 10 tus neeg uas muaj AS yuav muaj tus kab mob inflammatory bowel disease (IBD) , xws li tus kab mob Crohn lossis ulcerative colitis . Cov tsos mob muaj xws li raws plab ntshav, poob phaus, thiab qaug zog heev. |
| Lub puab tsaig | Kwv yees li ntawm 10% ntawm cov neeg mob AS muaj mob o ntawm cov pob qij txha ntawm lub puab tsaig, uas ua rau nyuaj rau noj mov. Nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho hniav yog tias koj muaj hom mob no. |
| Cov pob txha | Kwv yees li ib nrab ntawm cov neeg mob AS muaj feem yuav mob pob txha tawg , uas yog ib yam kab mob uas ua rau cov pob txha nyias. Kev noj cov tshuaj calcium thiab vitamin D thiab kev tawm dag zog xws li kev taug kev tuaj yeem pab kom cov pob txha muaj zog. |
| Lub ntsws | Qee zaum, AS tuaj yeem ua rau cov pob qij txha ntawm tus txha nqaj qaum thiab tav tav nruj, ua rau lub hauv siab tsis nthuav dav thaum koj ua pa. Qhov no tuaj yeem ua rau ua pa nyuaj. Yog tias koj mob hauv siab, mus ntsib kws kho mob tam sim ntawd. |
| Lub plawv | AS ua rau muaj feem mob plawv ntau ntxiv. Lub aorta, uas yog cov hlab ntsha tseem ceeb uas tso ntshav mus thoob plaws lub cev, tuaj yeem o tuaj. Lub plawv dhia kuj tuaj yeem dhia ceev lossis qeeb. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum tau kuaj echocardiogram (kev kuaj ultrasound ntawm lub plawv) tsawg kawg ib xyoos ib zaug. |
Cia peb kawm txog kev kho mob thiab kev tswj hwm.
Yog tias koj muaj cov tsos mob no, qhov zoo tshaj plaws uas yuav tsum ua yog mus ntsib kws kho mob rheumatologist . Nws yuav kuaj koj thiab, yog tias tsim nyog, xaj kev kuaj mob xws li X-rays, MRIs, thiab kev kuaj ntshav kom paub meej tias koj tau kuaj mob.
Ua kev kho mob, cov tshuaj tua mob hu ua NSAIDs (Cov tshuaj tsis yog steroidal anti-inflammatory drugs) feem ntau yog muab ua ntej. Txawm li cas los xij, qee tus neeg yuav muaj cov kev mob tshwm sim xws li mob plab thiab xeev siab los ntawm cov tshuaj no. Yog tias qhov ntawd tshwm sim, koj yuav tsum qhia rau koj tus kws kho mob txog qhov ntawd. Tom qab ntawd nws yuav hloov tau hom tshuaj lossis kho qhov ntau npaum li cas.
Yog tias tus kab mob hnyav dua, tam sim no muaj cov tshuaj niaj hnub zoo li cov tshuaj biologics uas tuaj yeem tswj qhov kev puas tsuaj los ntawm tus kab mob rau lub cev.
Qhov tseem ceeb tshaj plaws yog kev kho mob lub cev thiab kev tawm dag zog kom zoo , nrog rau kev noj tshuaj. Qhov no yuav pab txo qhov mob ntawm cov pob qij txha thiab ua rau lub cev yoog tau yooj yim.
Kev tswj koj qhov hnyav, ntshav siab, thiab cov roj cholesterol kuj tseem ceeb heev rau kev noj qab haus huv ntawm lub plawv. Tsis tas li ntawd, yog tias koj haus luam yeeb, koj yuav tsum tso tseg tam sim ntawd. Kev haus luam yeeb ua rau qhov mob no hnyav zuj zus.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- AS tsis yog ib yam kab mob uas tsuas yog mob rau ntawm tus txha nqaj qaum xwb. Nws kuj tseem tuaj yeem cuam tshuam rau lub qhov muag, lub plawv, lub ntsws, txoj hnyuv, thiab lwm yam pob qij txha.
- Yog tias koj muaj lwm cov tsos mob nrog rau koj qhov mob nraub qaum, xws li qhov muag liab, mob pob taws, mob duav, lossis ua pa nyuaj, qhia rau koj tus kws kho mob txog txhua yam no.
- Yog tias tus kab mob raug kuaj pom thaum ntxov, ua ke nrog kev kho mob zoo thiab kev hloov pauv hauv lub neej, AS tuaj yeem tswj tau zoo thiab muaj lub neej zoo li qub.
- Kev tawm dag zog thiab kev kho lub cev raws li kws kho mob tau sau tseg yog qhov tseem ceeb ib yam li kev noj tshuaj.
- Kev kawm koj tus kheej txog koj tus mob yog txoj hauv kev zoo tshaj plaws los ua neej zoo nrog nws.
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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