Thaum koj tus kws kho mob qhia rau koj tias koj muaj Ankylosing Spondylitis (AS), koj yuav ntshai thiab ntxhov siab me ntsis. Qhov kev ntshai ntawd yuav nce ntxiv thaum koj hnov, "Tsis muaj kev kho rau qhov no." Tab sis tsis txhob txhawj. Muaj tseeb tiag tias tseem tsis tau muaj kev kho. Txawm li cas los xij, tsis yog txhua tus neeg uas muaj tus kab mob no muaj tib yam kev paub. Muaj ntau yam kev kho mob uas tuaj yeem pab koj tswj koj qhov mob, txo qhov puas tsuaj ntawm cov pob qij txha, thiab ua neej nyob li qub. Cia peb tham txog lawv hnub no.
Cov tshuaj siv rau kev kho mob
Nws yog ib qho tseem ceeb uas yuav tsum pib kho mob sai li sai tau rau tus kab mob no. Qhov no yuav pab tswj kev puas tsuaj rau cov pob qij txha uas tshwm sim los ntawm tus kab mob. Koj tus kws kho mob yuav sau ib lossis ntau yam tshuaj no.
Cov tshuaj NSAIDs (tshuaj mob)
Hais yooj yim xwb, cov no yog cov tshuaj uas txo qhov mob thiab mob nqaij . Feem ntau lawv yog cov tshuaj thawj zaug uas yuav pib siv. Tsis yog txhua tus neeg yuav tau txais tib hom NSAID, yog li nws yuav siv sijhawm me ntsis los nrhiav qhov zoo rau koj. Txawm hais tias cov tshuaj no tuaj yeem pab txo qhov mob, kev tshawb fawb qhia tias lawv tsis tiv thaiv kev puas tsuaj rau cov pob qij txha los ntawm tus kab mob.
Koj tuaj yeem yuav qee cov tshuaj NSAIDs, xws li ibuprofen thiab naproxen, ntawm lub tsev muag tshuaj. Txawm li cas los xij, yog tias cov no tsis pab, koj tus kws kho mob yuav sau ntawv kom siv cov tshuaj NSAID uas muaj zog dua.
| Qee hom NSAIDs uas tus kws kho mob yuav sau ntawv rau | |
|---|---|
| Celecoxib (Celebrex) | Diclofenac (Voltaran) |
| Diclofenac thiab misoprostol (Arthrotec) | Indomethacin (Indocin) |
| Meloxicam (Mobic) | |
Tseem Ceeb: Cov tshuaj NSAIDs tej zaum yuav ua rau muaj kev pheej hmoo ntawm kab mob plawv me ntsis. Yog tias koj muaj keeb kwm ntawm kab mob plawv, nrog koj tus kws kho mob tham txog nws.Qhia rau tus kws kho mob paub tseeb.
DMARDs (tshuaj kho kab mob)
Cov no yog kev kho mob mus sij hawm ntev. Koj tus kws kho mob yuav txiav txim siab pib noj hom tshuaj no rau koj yog tias koj tsis hnov zoo txaus los ntawm NSAIDs lossis yog tias koj muaj cov kev mob tshwm sim. Cov no thaiv kev o thiab tiv thaiv kev puas tsuaj ntxiv rau koj cov pob qij txha.
- Tshuaj Methotrexate (Rheumatrex)
- Sulfasalazine (Azulfidine)
Thaum noj cov tshuaj no, koj tus kws kho mob yuav kuaj ntshav tas li kom paub tseeb tias koj lub siab ua haujlwm li cas thiab lwm yam teeb meem.
Cov tshuaj Corticosteroids
Cov no yog cov tshuaj steroids uas tsim los ntawm cov tshuaj. Lawv ua rau kom qhov o sai sai. Lawv hu ua prednisone lossis cortisone. Lawv siv ua tshuaj ntsiav, tshuaj pleev, lossis tshuaj txhaj ncaj qha rau hauv pob qij txha. Txawm li cas los xij, cov no yog cov kev daws teeb meem luv luv, tsis yog cov kev daws teeb meem ntev . Koj tus kws kho mob yuav sau cov tshuaj no rau qhov muag los pab kho qhov o ntawm qhov muag, uas yog ib qho teeb meem uas tshwm sim ntawm AS.
Cov khoom siv tshuaj lom neeg
Cov no yog cov kev kho mob uas tsom mus rau cov neeg mob uas ua los ntawm cov hlwb uas muaj sia nyob. Lawv tuaj yeem ua haujlwm sai thiab zoo heev hauv AS.
| Hom kab mob | Kev piav qhia thiab piv txwv |
|---|---|
| Cov tshuaj TNF inhibitors | Zoo heev rau kev o ntawm cov pob qij txha, txoj hnyuv, thiab qhov muag. Cov no yog: Adalimumab (Humira), Certolizumab (Cimzia), Etanercept (Enbrel), Infliximab (Remicade), Golimumab (Simponi). |
| Cov tshuaj tiv thaiv Interleukin 17 (IL-17) | Cov no yog muab rau yog tias TNF inhibitors tsis ua haujlwm. Piv txwv li: Ixekizumab (Taltz), Secukinumab (Cosentyx). |
| JAK inhibitor | Tswj kev o ntawm txoj hnyuv thiab lwm yam kabmob. Piv txwv li: Tofacitinib (Xeljanz, Xeljanz-XR). |
| Lus Cim: Cov tshuaj no yuav txo koj lub cev lub peev xwm los tawm tsam cov kab mob ( kev tiv thaiv kab mob ). Yog li ntawd, koj yuav tsum tau ceev faj tshwj xeeb los tiv thaiv koj tus kheej ntawm cov kab mob thaum noj cov kev kho mob no. | |
Cov tshuaj tiv thaiv kab mob qog
Qee zaum AS tuaj yeem ua rau muaj teeb meem zom zaub mov, xws li mob plab thiab raws plab. Cov tshuaj xws li misoprostol (Cytotec) lossis sucralfate (Carafate) tuaj yeem pab tiv thaiv cov ntaub ntawm lub plab thiab cov hnyuv.
Kev coj ua neej nyob
Tshuaj tsuas yog ib feem ntawm kev kho mob xwb. Kev siv zog me ntsis ntawm koj ib sab tuaj yeem pab tau koj kom nyob zoo nrog tus kab mob no.
Ua kom nquag.
Kev tawm dag zog tau pom tias muaj txiaj ntsig zoo rau cov neeg uas muaj AS. Nws tuaj yeem txo koj qhov mob, ua kom koj cov leeg muaj zog, thiab ua rau koj lub cev yooj ywm dua . Kev tawm dag zog nrog ib pab pawg yog ib qho kev xaiv zoo. Los yog koj tuaj yeem ua cov no ntawm koj tus kheej.
- Ua luam dej
- Kev taug kev
- Xyaum ua kom lub cev zoo
- Kev tawm dag zog ua pa
- Kev ncab
- Nqa Hnyav (Cov Hnyav Dawb)
- Yoga
- Tai chi
Kev noj zaub mov zoo
Qee cov khoom noj pab txo qhov o ntawm cov pob qij txha thiab txhim kho kev noj qab haus huv ntawm pob txha.
- Noj cov khoom noj uas muaj calcium ntau.
- Noj ntses, taum, txiv ntoo qhuav, thiab qe ntau ntxiv.
- Txwv cov nqaij liab.
- Noj ntau cov Omega-3 fatty acids, uas pom muaj nyob rau hauv cov khoom noj xws li ntses salmon thiab flaxseed.
- Txwv kev haus dej cawv.
- Noj cov txiv hmab txiv ntoo thiab zaub tshiab.
- Haus 8-10 khob dej ib hnub.
- Txo cov khoom noj uas muaj roj ntau, cov khoom noj uas tau ua tiav lawm, thiab cov khoom noj uas kib.
- Tham nrog koj tus kws kho mob txog kev noj cov tshuaj vitamin ntxiv txhua hnub.
Kev raug tshav ntuj
Tau pom tias cov neeg mob AS muaj cov vitamin D tsawg. Vitamin D pab tiv thaiv peb cov pob txha thiab ua kom lawv muaj zog. Peb lub cev tsim cov vitamin D thaum lub hnub ci ntsa iab rau peb daim tawv nqaij. Yog li ntawd , nws zoo heev rau peb raug tshav ntuj rau lub sijhawm luv luv txhua hnub thaum sawv ntxov .
Tsis txhob haus luam yeeb.
Yog koj haus luam yeeb, ib qho ntawm qhov zoo tshaj plaws uas koj ua tau yog sim tso tseg hnub no . Kev haus luam yeeb tuaj yeem ua rau cov pob qij txha puas tsuaj sai dua thiab ua rau ua pa nyuaj dua. Nug koj tus kws kho mob txog kev tau txais kev pab kom tso tseg kev haus luam yeeb.
Kev Kho Mob Ntxiv thiab Lwm Yam Kev Kho Mob
Cov kev kho mob no, thaum ua ke nrog koj cov tshuaj thiab kev tawm dag zog, tuaj yeem pab txo cov tsos mob ntxiv.
- Kev Siv Koob Tshuaj: Qhov no yuav tsum tau ua los ntawm ib tus kws kho mob uas tau kawm tiav. Qhov no tuaj yeem pab txo qhov mob.
- Zaws: Cov kev tshawb fawb tau qhia tias kev zaws tuaj yeem txo qhov mob, mob nqaij, thiab qaug zog los ntawm AS.
- Kev Kho Mob Kub thiab Txias: Da dej kub thiab cov ntaub qhwv cua sov tuaj yeem pab txo qhov mob thiab mob nqaij. Cov ntaub qhwv txias, xws li cov dej khov, tuaj yeem pab txo qhov o.
- Kev Kho Mob Lub Cev: Nws muaj nqis heev rau kev mus ntsib kws kho mob lub cev thiab kawm txog kev txhawb zog cov leeg thiab kev ncab cov leeg uas yog rau koj.
- Kev Kho Mob Nrog Kev Tham: Nws yog ib qho uas feem ntau yuav tu siab, ntxhov siab, lossis nyuaj siab thaum nyob nrog tus kab mob ntev zoo li no. Thaum lub sijhawm zoo li no, nws yog ib qho tseem ceeb heev uas yuav tsum tham nrog tus kws pab tswv yim thiab ua kom koj lub siab tus.
Kev phais mob
Qhov no yog ib qho kev xaiv tsawg heev rau cov neeg mob AS. Koj tus kws kho mob yuav pom zoo kom phais tsuas yog tias koj muaj mob hnyav uas tsis tuaj yeem tswj tau nrog tshuaj lossis yog tias koj nraub qaum nkhaus heev thiab ua rau nws nyuaj rau ua cov haujlwm niaj hnub. Qee qhov kev phais no suav nrog Laminectomy, Osteotomy, Spinal fusion, thiab Hip replacement. Qhov no yuav raug txiav txim siab tom qab kuaj xyuas koj tus mob kom zoo.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Txawm hais tias Ankylosing Spondylitis (AS) tsis tuaj yeem kho tau tag nrho, nws tuaj yeem tswj tau zoo los ntawm kev tswj qhov mob thiab txo qhov kev puas tsuaj ntawm cov pob qij txha.
- Nws yog ib qho tseem ceeb heev uas yuav tsum pib kho sai li sai tau thaum kuaj pom tias muaj tus kab mob, ua raws li cov lus qhia ntawm tus kws kho mob.
- Nrog rau kev siv tshuaj, kev hloov pauv hauv lub neej xws li kev tawm dag zog, kev noj zaub mov zoo, thiab kev tsis txhob haus luam yeeb kuj tseem ceeb heev rau kev tswj tus kab mob.
- Saib xyuas koj lub siab thiab koj lub cev kom zoo. Yog tias koj ntxhov siab, tsis txhob yig los tham txog qhov no.
- Nco ntsoov tham nrog koj tus kws kho mob seb txoj kev kho mob twg zoo tshaj plaws rau koj.
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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