I hnungzang, kawr leh hip na reng reng i tuar a, nilengin i chau em? Hetiang dinhmun rei tak nena kan nun hian lungngaihna, lungngaihna leh lungngaihna hi thil pangngai tak a ni. Mahse heng rilru natna te hi depression-a a lo zual hmain thunun a pawimawh. Hemi chungchang hi vawiin hian han sawi ila.
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Ankylosing Spondylitis hi eng nge ni tak tak?
A awlsam zawngin sawi ila, Ankylosing Spondylitis (AS) hi ruh natna chi khat a ni a, a bik takin ruhro a nghawng a ni. A chang chuan radiographic axial spondylitis an ti bawk. A lan dan chu inflammation a ni a, chu chu sacroiliac joints-ah a hring a, chu chu hip ruh nena inzawm a ni. Tleirawl lai atanga tan a ni tlangpui a, kum 17-20 vel a ni.
He natna lan chhuah dan berte chu eng nge ni tih i lo en ang u.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Hnung leh hip na | Aching pain, a bik takin hnungzang hnuai lam leh hnute na. |
| Zingkar a stiffness | Zing i thawh chuan i hnungzang leh i kawr chu a nghet hle tih a hriat. He feeling hi i inher kual deuh chuan a reh thin. |
| Joint dang nena harsatna a awm | Kut zungtang, kekawrte, kekawrte, khup, ruh, kekawrte, leh kawr teah natna, hliam, sen, leh lumna hriatna. |
| Chauhna rei tak a awm | Mut that hnuah pawh chau lutuk leh nunna nei lo anga inhriatna. |
| Chaw chakna | Ei duhna a tlahniam thin. |
Natna a zual zel chuan ruhro (spine) chhunga vertebrae te chu a compress thei a ni. Hei hian ruhro ben leh herh theihna nasa takin a tihtlem thei a, thingpui lum ang maiin a ti nghet thei a ni. Hetianga ribs te hi compress a nih chuan lung hnathawh pawh a nghawng thei bawk. Chu bakah, uveitis, mit inflammation, fracture, leh thinlung natna te pawh a awm thei bawk.
A pawimawh ber chu he natna hi tihdam kim theih ni lo mah se, enkawlna dik tak a nih chuan natna hi tihtawp theih a ni a, ruhro chu a dinglam theih a, ruh leh taksa peng hrang hrangte a chhiat loh nan a veng thei a, nunphung tha tak a awm thei bawk
He natna leh lungngaihna hi eng nge inzawmna a neih?
Research atanga a lan dan chuan ankylosing spondylitis (AS) vei te hi depression an vei theihna a sang hle. Hei hi a chhan chu a chiang khawp mai. Tuar theih loh natna te, hahna te, leh hnathawh theih lohna te hian mi hlimna a tichhe vek thei a ni.
Ngaihtuah teh, hei hi vicious cycle ang mai a ni.
1. AS avanga natna leh lungngaihna hian lungngaihna leh lungngaihna a thlen thin.
2. I lungngaih lai, chu chu rilru hahna i neih chuan i taksaa natna i hriat zat a pung.
3. Natna a zual deuh deuh chuan thinlung a pil zual zel.
He cycle atanga tlanchhuah tur hian depression symptoms i hriat chian a pawimawh hle.
| Depression-ah hian fimkhur tur symptoms | |
|---|---|
| Lungngaihna emaw, rilru natna nei lo emaw tih reng reng | Nun chungchangah negative taka ngaihtuah |
| Tûn hmaa i hlim ṭhin thilte ngaihvenna hloh | Mut theih lohna emaw, mut tam lutuk emaw |
| Chauhna reng reng leh taksa chak lohna hriatna | Ei duhna inthlak danglamna (tihniam emaw tihpun emaw) . |
| Thil engemaw ngaihven harsa | Sawifiah theih loh taksa na, lu na, pum na |
Tunah chuan heng symptom thenkhat (chau, taksa na ang chi) te hi AS natna nen a inang tih i hmu thei ta. Chuvangin hei hi AS vang nge depression vang tih chiang taka hriat theih dan tha ber chu i doctor hmu a, heng symptom zawng zawng hi zalen taka sawi hi a ni. Tichuan taksa lam emaw, rilru lam emaw a nih leh nih loh a hre thei ang a, a tul anga enkawlna atan a refer thei che a ni.
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Check Availability →Hetiang dinhmun hi hmachhawn turin eng nge kan tih theih?
He natna leh lungkhamna cycle hi titawp turin thil tam tak i tih theih a ni. Damdawi, enkawlna, leh nunphung tihdanglamnate inzawmkhawmna ruahmanna chuan natna lan chhuahna chu a na zual hmain a thunun thei a ni.
Damdawi chi hrang hrang
I doctor chuan i dinhmun a zirin a hnuaia damdawi te hi a pe thei ang:
- Nonsteroidal anti-inflammatory drugs (NSAIDs): Heng damdawi te hi inflammation leh natna tihziaawmna damdawi an ni. Ṭhenkhat chu counter aṭanga lei theih a ni a, mahse doctor-in a tih angin hman a pawimawh.
- Disease-modifying antirheumatic drugs (DMARDs): Heng damdawi te hi natna kal dan tidanglamtu leh ruh natna vengtu damdawi te an ni.
- Biologics: Hengte hi DMARDs group-a targeted therapies-a tel ve an ni bawk. Taksa chhunga inflammation thlentu protein bik (tumor necrosis factor - TNF ang chi) target-in hna an thawk a ni.
- Corticosteroids: Hengte hi hnungzang natna atan pek ni lo mah se, ruh dang, khup emaw, kekawr emaw-ah na tak leh hliam na tak a awm chuan chu ruh chu injection angin direct-in pek theih a ni.
Taksa leh Hnathawh lam Therapy
Physics therapist chuan i taksa ruh tichak turin exercise dik tak a zirtir ang che a, i ruhro chu a dinglam theih nan a pui ang che a, natna tihziaawmna turin a pui ang che. Occupational therapist chuan nitin hnathawh awlsam zawka siam thei tur hmanrua leh hmanraw hrang hrang a zirtir ang che.
Nunphung inthlak danglamna
- Exercise: I ruh i hman loh chuan a khauh thei a, a na thei bawk. Kal, tui chawi, yoga ang chi exercise te hi a ropui hle. I tana tha tur exercise plan siam turin physical therapist hnen atangin tanpuina la rawh.
- Ei leh in tha: I eitur ah sangha, thei, thlai, legumes, leh whole grains te telh bawk ang che. Sa sen, sugar leh processed foods te chu a theih ang anga tihtlem thin ang che.
- Posture tha tak vawng reng rawh:Hnathawh lai hian i thutna leh ding dan pawh thlak danglam tum ang che. I natna nasa ber ni-ah chuan i taksa thu ngaithla la, hna atanga chawlh hahdam rawh.
- Meizial zuk loh: Meizial in hian AS symptoms leh ruh tihchhiatna a tizual thei a, enkawlna hlawhtlinna pawh a ti tlem thei bawk.
- Mut tawk: Mut tlem hian natna a tizual thei. Mut tha tur chuan a hun taka i damdawi ei la, nilengin exercise la la, zanah coffee/tea in loh tur a ni a, mut hmaa i phone/TV en hun pawh ti tlem rawh.
Mahni leh inlaichinna enkawl a pawimawhzia
Stress hi AS symptoms tizualtu lian tak a ni. Chuvangin stress control hi a pawimawh hle. Rilru ti thlamuang thei thilah inhmang rawh. Entirnan, ngaihtuahna seng te, music ngaihthlak te, ran vulh nena hun hman te, lehkhabu chhiar te ang chi thil i ti thei a ni.
Beidawnna ngaihtuahna i neih emaw, rilru lama harsatna nasa tak i tawk emaw a nih chuan damdawi in hnai ber Emergency Department (ETU) pan nghal mai tur a ni. A nih loh leh 1333 ah call la Sumithrayo hnen atangin tanpuina dil rawh . Hei hi thuruk rawngbawlna a ni.
Thil pawimawh dang chu mahni chauhna hneh hi a ni. I rintlak leh ngaithlatu tur hnenah i rilru put hmang sawipui rawh. Hei hi chhungte emaw, ṭhian emaw pawh a ni thei. A tul chuan counselling zawng rawh. Cognitive behavioral therapy (CBT) hi lungngaihna leh lungkhamna damdawi tha tak a ni. Counsellor nena inbiak hian in ngaihtuahna, rilru put hmang, leh nungchangte in nghawng dan hriatthiamna leh nun hmachhawn tura i mamawh chakna siam turin a pui thei che a ni.
Take-Home Thuchah a ni
- Ankylosing spondylitis (AS) hi hnungzang natna mai a ni lo. Natna khirh tak a ni a, i taksa pum leh nunphung a nghawng thei a ni.
- Rilru hriselna hi taksa hriselna ang bawkin a pawimawh . Natna chuan lungngaihna a thlen thei che a, lungngaihna chuan rilru a ti na zual thei bawk.
- I taksa natna chungchang te, chubakah i rilru lama i lungngaihna te, i lungngaihna te, leh i lungkhamna te chu hreh lovin i doctor nen inbia ang che.
- Damdawi inenkawlna dik, taksa enkawlna leh nunphung hrisel tihdanglamna nen chuan he natna hi hlawhtling takin i nung thei ang.
- Nangmah chauh i ni lo. I hmangaih tak takte hnen atangin, i doctor-te hnen atangin leh a tul chuan rilru lam hriselna lama counselor hnen atangin tanpuina la rawh.
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