I hnungzang na hi a pangngai lo mai mai em ni? Ankylosing Spondylitis (AS) chungchang hi han sawi ila

I tleirawl lai a\angin hnungzang na, zing khawvar emaw, ruh natna emaw i nei tawh em? Khawsik na tak mai emaw, hah lutuk avanga lo awm emaw, mut that loh avanga lo awm mai mai emaw niin i ngai mai thei. Chutiang chu a ni fo. Mahse a chang chuan thil pawi zawk a ni thei. Vawiin hian mi tam takin an hriat loh condition kan sawi dawn a, mahse hriat a pawimawh hle. Chu chu Ankylosing Spondylitis , a tawi zawngin AS a ni.

A awlsam zawngin, Ankylosing Spondylitis (AS) hi eng nge ni?

Hei hi ruh natna chi khat a ni bawk. Mahse i ruhro a nghawng ber. A dik tak chuan "inflammatory arthritis" natna a ni. Chumi awmzia chu i taksa ngeia immune system hian i ruhro chhunga ruhkawrte chu a rawn bei sual tihna a ni. Hei hian i ruhro (spine) ruhteah inflammation a siam a, chu chu a hring leh a na tihna a ni. Hetiang dinhmun hi kum naupang, kum 20 leh 40 inkar atanga intan a ni tlangpui a, hun kal zelah he inflammation kal zel hian i ruhro chhunga vertebrae te chu a inzawm khawm a, ruh pakhat ang maiin a awm thin. Hei hi damdawi lam chuan "ankylosis" an ti a. I ruhro (spine vertebrae) te chu cement-a inzawm khawm ang maiin ngaihtuah rawh. Hei hian stiffness leh hunched posture a thlen thei. Hei hi AS-a harsatna lian ber a ni.

AS hian mi zawng zawng hi a nghawng dan inang vek em?

Ni lo, he natna hian mi zawng zawng a nghawng dan inang vek lo. Mi thenkhat chuan natna na lo tak tak lo thleng leh chhuak chauh an nei thin. Mi dangte chuan dam chhung zawnga natna nasa tak leh rilru hahna nasa tak an nei thei bawk. Zirchianna atanga a lan dan chuan he natna nasat dan hi mi hrang hrangah a inang lo thei a ni. Entirnan, zirchianna atanga a lan dan chuan mi pawl thenkhat chuan midang aiin he natna hi an vei tam zawk a ni. Hei hi genetic influence, environment factor, leh hriselna enkawlna dawn dan inang lo vang a ni thei. Tin, AS vei thenkhat chu damdawi lam natna dang, thisen sang, zunthlum, lungngaihna, leh thinlung natna te an vei theihna a sang hle bawk.

AS siam chhuahnaah hian genes hian chanvo a nei em?

A chhan dik tak chu tumahin an hre lo. Mahse chhungkaw hrang hrangah a kal duh avangin genetic a nih rin a ni. I nu, i pa emaw, i unaupa emaw hian AS a vei a nih chuan nang pawhin i vei theihna chance a sang deuh hlek a ni. Bik takinHe natna nena inzawm hian gene HLA-B27 chungchang hi sawi a tam hle. He gene nei te hi AS vei theihna chance a sang zawk. Mahse hetah hian a pawimawh ber chu HLA-B27 gene i neih vang mai maiin AS i nei dawn tih i sawi thei lo . Sri Lanka-ah phei chuan he gene nei mahse natna nei lo mi tam tak an awm. Tin, he gene nei lote pawhin AS an nei thei bawk. Chumi awmzia chu tunah chuan doctor-te chuan genes chauh ni lovin, kan la hriat chian loh environmental factor dangte pawh hi he natna thlentu an ni tih an ring ta a ni.

AS natna lan chhuah dan ber berte chu engte nge ni?

Back na bakah hian AS hian symptom dang engemaw zat a thlen thei bawk. A lan chhuah dan bulpui te han thlir ila.

Symptom a ni	I hriat theih dan tur
Hnung leh hnute area-ah na leh a nghet lo	Ka hnungzang chu a nghet hle a, a bik takin zing ka harh hian emaw, rei tak dinhmun inang reng chunga ka din hnuah emaw. He natna hi tlem ka kal emaw, thil tangkai tak ka tih emaw hian a tlahniam thin. Zanah a na hi a zual a, mut atanga min kaitho thei hial a ni.
Ruh dang a na	Hip, shoulder, khup, ke ruh, leh kephah teah te hian a hring leh a na thei a ni.
Thâwk harsa	He inflammation hi rilru chhunga ribs-ah a darh chuan rilru a zau thei a, thawk laknaah rilru natna a awm thei bawk.
Mit lama harsatna (Uveitis) .	AS vei hmun thuma ṭhena hmun khat vel chuan mit natna an nei a, chu chu uveitis an ti a ni. A lan chhuah dan chu a sen nghal vat a, mit na a, mit a harsat a, mit a fiah lo bawk. Hei hi emergency a nih avangin damdawi lam pan vat a ngai a ni .
Thil awm dan tlangpui dangte	Sawifiahna awm lova hahna, khawsik, taksa rihna tlahniam, vun vun rawng, mi thenkhatah chuan Crohn natna ang chi intestinal diseases a awm thei bawk.

Heng symptoms te hi i neih chuan engtin nge i tih?

Nangmah, a bik takin i naupan lai chuan thla 3 aia tam zing lama na zawk leh nitin a tha zawk hnungzang na i neih chuan i chhungkaw doctor i pan ngei tur a ni

I natna chungchangah hian rinawm taka sawi a pawimawh. I sawifiah dik loh chuan, "A natna tlemte chauh a ni," tia i ngaihtuah chuan, a bulpui ber chu doctor tan chuan hriat a harsa thei hle. Chuvangin i lungawi lohna zawng zawng chu inhawng takin sawi rawh.

Doctor chuan a enfiah ang che a, a tul chuan test engemaw zat a ti ang a, chungte chu:

• X-ray test: Spine leh hips-a inthlak danglamna zawng rawh.
• MRI scan : Natna bul tan tirh lamah chuan X-ray hmanga hriat theih loh inflammatory condition te chu hriat theih a ni.
• Thisen test : ESR leh CRP ang chi test, taksaa inflammation tehna.
• Genetic testing: A tul chuan HLA-B27 gene a awm leh awm loh enfiah thin ang che.

Enkawlnate chu engte nge ni?

AS hi tihdam kim theih ni lo mah se, tunah chuan natna lan chhuahna control thei tur, hnungzang khauh lohna tur leh nun pangngai nei thei tur enkawlna tha tam tak a awm tawh a ni.

Active nunphung

Hei hi enkawlna tha ber pakhat chu active taka awm hi a ni . Exercise neih fo thin, a bik takin hnungzang leh core muscle tichaktu exercise leh stretching te hian natna tihziaawmna leh hnungzang a flexibility a awm reng thei a ni. Physiotherapist chuan exercise program tha tak zawng turin a pui thei che a ni.

Damdawi chi hrang hrang

I doctor chuan i dinhmun a zirin hetiang damdawi hi a pe thei ang:

• Nonsteroidal anti-inflammatory drugs ( NSAIDs ): Hengte hi natna leh inflammation tihziaawmna atana first-line damdawi pek thin an ni.
• Tumor necrosis factor (TNF) blocker: Hengte hi biologic damdawi chi khat a ni. Anni hian inflammation thlentu thil pakhat an target a , NSAIDs in a control loh chuan natna chu an control thin.
• Natna tidanglam thei antirheumatic damdawi (DMARDs):Sulfasalazine ang damdawi pawh hi a chang chuan hman a ni.
• Corticosteroids : Inflammation a san chuan hun rei lote chhung atan pek thin.

Thil na tak ṭhenkhatah chuan ruh chhia thlak emaw, ruhroa inthlâk danglamna siam ṭhat emaw nân operation neih a ngai thei a ni.

Take-Home Thuchah a ni

• Ankylosing Spondylitis (AS) hi ruh natna chi khat a ni a, ruhro a nghawng ber a, kum naupan lai atanga tan a ni.
• Zing lama hnungzang khauh leh natna (exercise neih hian a tlahniam) hi a lan chhuahna lian tak a ni.
• He natna hian ruhro chauh ni lovin, taksa peng dang, mit, kekawr, leh hip te pawh a nghawng thei a ni.
• I hnungzang na reng reng i neih chuan ngaihthah suh la, doctor pan rawh. Hriat hmasak chuan enkawlna hlawhtling tak a thlen thei a ni.
• Active taka awm a, exercise i tih fo a, damdawi i tih ang taka i ei hian nun pangngai leh hrisel takin i nung thei a ni.

ankylosing spondylitis, as, hnungzang na, hnungzang na, ruh natna, hla-b27, hnungzang na, ruh natna, hnungzang na, sri lanka