I hnungzang na hi thil thleng fo mai mai a ni em? Ankylosing Spondylitis (AS) chungchang hi han sawi ila!

Kan dam chhung hian engtik lai pawhin hnungzang natna kan nei vek tawh a ni lawm ni? Tlem i kun dik lo emaw, thil rit tak i chawi emaw chuan ni hnih khat hnuah a natna chu a reh mai ang. Mahse... a chang chuan he hnungzang na hi chutiang chuan a awlsam lo. Kum tam tak chhunga i tihbuai tawh, uluk taka hriat theih loh harsatna lian zawk bul tanna a ni thei. Vawiin hian chutiang dinhmun pakhat kan sawi dawn a ni. Chu chu Ankylosing Spondylitis, a tawi zawngin AS a ni.

Ankylosing Spondylitis (AS) hi eng nge ni?

A awlsam zawngin, Ankylosing Spondylitis (AS) hi hun rei tak chhunga awm, inflammatory type of arthritis a ni a, a bul berah chuan i ruhro a nghawng a ni . Thil thleng chu taksa immune system hian i ruhro chhunga ruhkawrte chu a rawn bei sual a ni. Hun a kal zel a, he inflammation hian i ruhro chhunga vertebrae te chu a fuse khawm thei a, chu chuan flexibility a ti tlem a, stooped posture a thlen thei bawk.

Doctor thenkhat chuan he natna hi hriatchhuah chu buh hmuna needle zawn ang mai a ni an ti. Chutiang a nih chhan hi eng emaw zat a awm.

Engvangin nge AS hi hriat a harsat em em?

Zirchianna atanga a lan dan chuan AS symptoms a awm tan atanga diagnosis dik tak a nih thlengin kum 7-10 vel a ngai tlangpui. Chu chu eng chen nge a rei tih han ngaihtuah teh! Hei hi a chhan ber chu:

• Back pain hi a awm fo: Kan sawi tawh ang khan hnungzang na hi a tam hle. Chuvangin mi tam tak chuan thil pangngaiah an ngai a, an ngaihsak lo.
• X-ray report tihkhawtlai: AS-ah chuan ruh leh pelvis sacroiliac joint chhiatna chu natna a lo zual deuh hnuah X-ray-ah chauh a lang chhuak thin.
• Symptoms a inang lo: AS hian mi tin a nghawng dan a inang lo. Mi thenkhat chuan hnungzang na chauh an nei a, thenkhat erawh chuan an mit, kekawrte leh ruh dangteah harsatna an nei thei bawk.
• Test pakhat chauh neih loh: Thisen test emaw scan emaw pakhat mah a la awm lo a, hei hi AS a ni tih 100% a finfiah theih a ni.

He table hian hnungzang natna pangngai leh AS vanga natna inthlauhna a hriatthiam theih nan a pui ang che.

Misdiagnoses kara nun hman...

He natna vei mite thil tawn kan hriat hian he thil pawizia hi kan hrethiam lehzual a ni.

Don-a chanchin: "Mit chu a mitdel ang mai a ni a, mahse mit chu hmuh theih a ni".

Don hian kum 7 chhung zet diagnosis a nei a ni. Mahse a hnunglam a thlir chuan kum 30 vel a la ngai niin a hria. Kum 10 a nih atanga khup na a neih tan tirh khan mi zawng zawngin "growing pains" an ti vek a ni.

Mahse kum 40 vel a nih laiin a nun chu hlauhawm takin a inthlak ta a ni. Chu chu AS natna khirh tak ni thei, mit natna (inflammatory eye condition) uveitis , a vei lai kha a ni. "Literally ka mit ka hloh ta. Shape chauh ka hmu thei a, light pawh ka sensitive hle. Mitdel ang mai a ni a, mahse mitdel tak tak erawh a ni lo," tiin Don chuan a sawi.

Mit lam doctor-te chuan a chhan hi hmu thei lo mah se, "autoimmune disease chi khat" a ni mai thei niin an sawi. Chhanna chiang tak nei lovin Don chuan chu chu a dah bo ta a ni. Kum tam tak chhung doctor 30 chuang a hmuh hnuah cancer atanga thluak lam natna thlengin enkawl a nih hnuah a tawpah chuan rheumatologist a hmuh hnuah AS a vei tih hmuhchhuah a ni ta a ni.

Charis chanchin: "Mipa chauh natna a ni lo".

Charis hi a nuin a enkawl a. A pa chuan AS a nei a. "Natna hming pawh ka hre lo. Mahse ka kai dawn lo tih ka hria a, a chhan chu 'mipa natna' a nih vang a ni," tiin Charis chuan a sawi.

Charis hian a naupan lai atang tawhin khup leh ruh natna dang a nei thin a, mahse infiamna a khelh lai chuan harsatna dang a ni tih a ngaihtuah a. Doctor pakhat chuan lungkhamna a nih thu a hrilh a. Mahse, Charis chuan a ring lo. A symptoms chu a pa symptoms nen a inang niin a ngai. A tawpah chuan a pa a zawh hnuah, a thurawn zawmin, doctor hnenah a kal a, AS a vei tih hmuhchhuah a ni.

AS vei zinga 80%-95% vel hian HLA-B27 tih gene an nei a. Hei hi nu leh pa atanga fate rochun theih a ni. Mahse, he gene nei zawng zawng hian AS an nei vek dawn lo va, he gene tel lo chuan AS hi a lo awm thei bawk. Chuvangin hei hi genetic testing ringawt pawha hriat theih a ni lo.

Charis chuan a rilru put hmang chu hetiang hian a sawi a:

Diagnosis thlenna kawng thui tak chu rilru hahthlak tak a ni thei. Chuvangin hetiang thil hi i tawk a nih chuan sawi hreh suh la, a tul chuan rilru lam hriselna lama mithiam tanpuina zawng rawh.

Engvangin nge doctor te hian AS hi an miss?

Hei hi a chhan pakhat chu damlo en theihna hun tlem vang a ni. Specialist pakhat chuan, "Damlo pakhat nena minute 15 chauh awm chu a tawk lo," a ti. AS ang natna khirh tak hriat chian nan chuan damlo thusawi chu ngun taka ngaihthlak a ngai a, zawhna dik tak zawh a ngai bawk.

Tin, AS natna lan chhuah dan hi natna dang nen pawh a inang fo bawk. Entir nan:

• A hnute leh kekawrte na
• Psoriasis, vun natna a ni
• Digestive system natna chi hrang hrang Crohn’s disease emaw ulcerative colitis emaw a ni thei

General practitioner (GP) chuan a practice-ah AS damlo tam tak a hmu lo a nih chuan heng symptoms te hi a hmuh hian AS a ringhlel lo mai thei.Chuvang chuan hun rei tak chhung hnungzang natna i neih chuan rheumatologist hmuh a pawimawh em em a, a bik takin zing lamah a na zual a nih chuan.

Thu lawmawm tak chu tunah chuan doctor-te chuan AS natna lan chhuah dan hi a hma aia nasain an hre chiang tawh zawk a ni. Tin, enkawlna thar (biologic therapies ang chi) pawh a awm a, chu chuan natna hi a titawp thei hle. Chuvangin i tuar thin angin i tuar a ngai tawh lo. A pawimawh ber chu a hun taka natna hriatchhuah a, enkawlna dik tak tan a ni.