Zingkar i thawh hian a chang chuan i rilru a na em? A nih loh leh nilengin hnungzang na i nei em? Arthritis chi hnih, ruhro tichhe thei, symptom inang nei a awm. Pakhat chu DISH (Diffuse Idiopathic Skeletal Hyperostosis) a ni a, pakhat chu AS (Ankylosing Spondylitis) a ni. An pahnih symptom hi eng emaw chen a inang a, chu chuan a chang chuan min ti buai thei. Chuvangin vawiinah hian heng natna pahnih chungchang hi chipchiar takin sawi ila, a danglamna chu eng nge ni, a lan chhuah dan leh enkawl dan tur chiang takin i hrethiam ang u.
Heng natna pahnih hi eng thilin nge a thlen?
A awlsam zawngin sawi ila, heng natna pahnih hian kan ruhro (spine)-a ruh leh ruh (ligament) te hi a nghawng a, mahse a nghawng dan erawh a danglam deuh hlek a ni.
DISH (Diffuse Idiopathic Skeletal Hyperostosis) tih hi eng nge ni?
DISH hi kan ruhro vel a ligament leh tendon-ah calcium salt a lo awm khawm thin a ni. He calcium hian chu hmunte chu ruh ang maiin a khauh zauh zauh a, ruh thar a lo thang lian ang maiin a siam a ni. Doctor-te hian eng thil nge a thlen tih chiang takin an hre lo. Mahse, genetics, environment factors, a nih loh leh a pahnih inzawmkhawm hian chanvo a nei thei niin an ngai.
Engtin nge Ankylosing Spondylitis (AS) hi a lo awm?
AS-ah hian genetic leh environmental factors te hian hmun an chang niin an ngai. HLA-B27 gene nei te hian he natna hi an vei theihna a sang hle. Heng HLA te hian kan immune system te hian kan cell leh foreign invader te hi a thliar hrang thei a ni. Mahse, he gene bik hian AS a thlen dan tur zirchianna chu kalpui mek a ni. AS-ah chuan immune system hian kan ruhro (spine) chhunga ruh (joint) te chu a bei thin. Hei hian inflammation a siam a, chu chuan ruhro a tikhauh a, a na bawk.
Heng natnate hi tute nge vei tam ber?
Kum leh heng natna pahnih vei theihna tur risk factor hrang hrangah hian danglamna chiang tak a awm a. He table atang hian awlsam takin i hrethiam ang u.
| Hriattirna | DISH (Diffuse Idiopathic Skeletal Hyperostosis) tih a ni a, a chhuahna tur hmun leh a hmanna tur hmun hi a inang lo hle. | AS (Ankylosing Spondylitis) tih hi a awm lo. |
|---|---|---|
| Kum a nghawng | Kum 50 chunglam ah a awm tlangpui . | Kum naupang tak atanga tan a ni tlangpui , kum 15-30 inkar. |
| A nghawngtu party | Hmeichhia aiin mipaah a tam zawk. | Hmeichhia aiin mipaah a tam zawk. |
| Risk factor dangte pawh a awm thei |
|
A pawimawh ber chu DISH vei tam tak hian symptom an nei lo. Chhan dang avanga X-ray lak a nih chuan accident-a hmuhchhuah a ni fo.
Symptoms inang lote chu engte nge ni?
Natna pahnih chhinchhiahna ber chu hnungzang na leh khauh ni mah se, a natna lo chhuahna hmun, a awm dan leh a kaihhnawih chhinchhiahna dangteah hian danglamna chiang tak a awm a ni.
| Mihring ziarang | DISH-a kan hmuh angin | AS-a kan hmuh angin |
|---|---|---|
| Natna thlenna hmun | Natna hi hnungzang chunglam a awm fo thin. | A natna hi hnungzang hnuai lam atanga tan a ni. |
| Exercise-in nghawng a neih dan | Special effect a awm lo. | Exercise leh kea kal hian natna leh stiffness a tlahniam. |
| Hnung lam natna | Natna hi kekawrte, kekawrte, khup leh kekawrte ang chi hmunah te a awm thei. | Natna chu ruh, kekawrte, hip, khup emaw keah emaw a awm thei. |
| Thil danglam bik dangte | Kawngkhar ruh lian chuan nerve pressure vangin ei harsa emaw, hoarseness emaw a thlen thei. | Taksa pumpui tichhe thei symptoms te chu a lang chhuak thin. Entir nan: - I taksa rihna tihtlem - Chau lutuk - Vun natna (rashes) . - Pum natna - Mit a danglam (redness, pain) . |
Engtin nge doctor hian heng natna pahnih hi a thliar hrang ang a, a hriat theih ang?
Heng natna pahnih hi hriatchhuah hi a buaithlak deuh thei. I diagnosis chungchangah rinhlelhna i neih chuan doctor dang pan a, second opinion neih hi thil dik lo a ni lo.
Doctor chuan i symptoms leh medical history te a zawt hmasa ang che. Tichuan taksa enfiahna a nei ang. Chu bakah, heng test te hi a order thei bawk.
Thisen Test neih a ni
AS-ah chuan HLA-B27 gene test-naah a positive fo thin. Taksa inflammation tehna test, C-reactive protein (CRP) leh ESR te pawh a sang thei bawk. Hengte hi DISH-ah chuan a danglam lo tlangpui.
Imaging Test te pawh a awm
Heng test te hian taksa chhungril thlalak an la a, ruhro leh ruhkawr inthlak danglamna an zawng thin.
- X-ray: Ruh inthlak danglamna zawng rawh.
- MRI (Magnetic Resonance Imaging): Ruhro, ruhkawr leh inzawmna tissue te chipchiar taka thlalak lak.
- CT scan (Computed Tomography): Thlalak chipchiar tak tak la rawh.
Heng test-a kan hmuh dan a\angin natna pahnih hi thliar hran theih a ni.
- AS i neih chuan: Sacroiliac joints a inflammation leh stiffness ( sacroiliitis) .I hmu thei ang. A châng chuan a ruhte chu a inzawm khawm a, bamboo ang maiin a lang. Hei hi bamboo spine an ti a .
- DISH i neih chuan: Spine hmalam atanga kal connective tissue chu a thim a, ruh ah a chang tih i hmu thei. Mahse Sacroiliitis dinhmun hi i hmu lovang. Hei hi an pahnih danglamna ber pakhat a ni.
Hei hi eng enkawlna nge ni?
AS leh DISH te hi a dam kim thei lo. Amaherawhchu, enkawl dan dik tak a awm chuan natna lan chhuah dan chu thunun theih a ni a, nun pangngaiin a awm thei a ni. Heng natna pahnihah hian ruhro hi a compress a, chuvangin accident tenau takah pawh ruh tliak theihna a sang hle. Chuvangin fimkhur a pawimawh hle a ni.
An pahnih tan enkawlna tlangpui:
- Physical therapy leh exercise: Hei hi ruhro vel a thau te tihchak nan leh ruhkawr chhunga flexibility awm reng nan a pawimawh hle.
- Painkillers: NSAIDs (Nonsteroidal anti-inflammatory drugs) ibuprofen leh naproxen te hian natna leh hliam a tiziaawm.
- Steroid injection: Steroid injection direct-a ruh natnaah hian hun rei lote chhungin a reh thei.
- Surgery: Hei hi damdawi hman tlanglawn tak a ni lo va, mahse enkawlna dang hmanga thunun theih loh natna na tak i neih chuan i doctor chuan zai a rawt thei ang.
AS enkawlna bik: 1.1.
AS enkawlna atana kan sawi tawhte bakah hian damdawi chi khat bik a awm a, chu chuan taksa hriselna (immune system) hnathawh dan a thlak danglam a, inflammation a tiziaawm a ni. Chungte chu DMARDs (Natna tidanglam thei antirheumatic drugs) an ti a. Entirna thenkhat chu:
- Interleukin-17 (IL-17) inhibitor (entir nan, secukinumab, ixekizumab) te hi a tha hle.
- JAK inhibitor (entir nan, tofacitinib, upadacitinib) te hi a tha hle.
- TNF inhibitor (entir nan, adalimumab, etanercept, infliximab) te hi a tha hle.
- Methotrexate hmanga siam a ni
- Sulfasalazine a ni
I doctor chuan heng damdawi zingah hian eng damdawi nge i tan a tha ber tih a rel ang.
Take-Home Thuchah a ni
- DISH leh AS hi ruh natna chi hnih a ni a, ruhro a nghawng a ni. A lan chhuah dan inang viau mah se, a chhan leh a nghawng erawh a inang lo.
- DISH hi mipa kum 50 chunglam ah a awm tlangpui a, a tam zawkah chuan symptom a nei lo. AS hi kum naupang zawkah a intan thei.
- Natna awmna hmun (DISH - hnungzang chunglam, AS - hnungzang hnuai lam) leh exercise lakna (AS-a natna tlahniam) te hian an pahnih hi a danglamna a siam a ni.
- I doctor chuan i medical history, i examination, thisen test, leh imaging test (a bik takin X-ray leh MRI) te hmangin diagnosis dik tak a siam ang.
- Hêng natnate hi tihdam kim theih ni lo mah se, taksa lam enkawlna, damdawi leh nunphung tihdanglamnate hian i natna lan chhuah dânte chu i enkawl thei a, nun hlawhtling tak i nei thei a ni. Hemi chungchang hi i doctor nen inbia fo ang che.
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