AS (Ankylosing Spondylitis) natna nena nun dan tur .

Ankylosing Spondylitis (AS) ang natna hrehawm tak, nunna atana hlauhawm tak i vei tih hriatchhuah a nih hun tha ber, i naupan lai leh mumang, beiseina leh ruahmanna nena khat i nih lai hian tawngkam hmanga sawi a harsa hle. Khawthlang lamah chuan i nun bul tan thar i tum a, khawthlang lamah chuan chutiang harsatna chu i hmachhawn a ngai a ni. Hei hi phurrit rit tak a ni tak zet a ni. Mahse, kan zingah hian he dinhmun hi hlawhtling taka nun dan tur zawng chhuak a, an nun thar nena inrem thei an awm. Vawiin hian chutiang mi pahnih chungchang kan sawi dawn a ni.

‘Ka hlau hle mai’ – Ivan chanchin

Ivan hian a naupan lai atang tawhin kea kal harsatna a tuar a. A châng chuan ni khat a hman theih nân kekawrte a hmang a, natna tidamtu damdawi a ei a ngai bawk. He natna hi tuar chhuak turin a naupan lai atang tawhin ngaihtuahna a hmang tan bawk.

Kum 21 mi lek a nih laiin nursing exam a zir laiin Ivan-a chuan hun rei tak a lo tawn tawh symptoms te chu exam atana textbook-a a sawi tawh dinhmun nen a inang hle tih a hrechhuak ta a ni. Chu rinhlelhna nen chuan rheumatologist, ruh leh ruhro lama harsatna nei doctor hnenah a kal ta a. Test a neih hnuah Ankylosing Spondylitis (AS) a vei tih hmuhchhuah a ni.

He thuthang nen hian a rilru a hlauhthawn ber chu a hnathawh thlan chungchang a ni.

Ivan chuan, "Emergency Treatment Unit (ETU)-a thawk nurse hna ka hmuh khan ka hlau tak zet a ni," a ti. "Flare-up ka neih chuan hna ka thawk thei dawn lo tih ka hlau a. Kum 20 vela rualbanlo nih tumna mumang chhia hi a lo thlen loh nan ka tihtawp duh chuan kawng engkimah ka hriselna ka enkawl a ngai tih ka hrechhuak a ni.

Chuvangin, damdawi tel lova natna enkawl dan tur zirtirtu pain psychologist a hmu tan ta a ni. Acceptance and Commitment Therapy (ACT) tih therapy pawh a lo enchhin tawh bawk. A awlsam zawngin, he therapy hian kan ngaihtuahna leh rilru put hmang do chu bansan a, chu ai chuan pawm turin min pui a ni.

"Chutiang therapy session tlemte chauh ka tel a. Mahse, kum sawm chuang zet rilru natna leh lungngaihna ka tawh chu hneh turin min pui a ni," tiin Ivan chuan a sawi. "Hetiang dinhmun hi pawm ka thlang a. He harsatna hi hneh theihna hun remchang ka neih avangin ka lawm hle a, nun hlim tak ka hmang thei a ni."

Viktor Frankl-a lehkhabu ‘Man’s Search for Meaning’ tih pawh hi he rilru put hmang nei tura a fuihna ropui tak a ni. He lehkhabu hian Nazi concentration camp-a tang a nih lai chanchin a sawi a. Chu hun harsa tak kara zahawm taka a khawsak dan leh nun awmzia a hmuh dan a sawi a ni.

Tunah hian Ivan dinhmun hi thla 14 zet a remission tawh a ni.Ei leh in mumal, damdawi a pek, leh exercise (yoga a ti a, a rihna a ti sang a, kar khatah minute 75 tal cardio a ti bawk) te hian a dam lehna kawngah nasa takin a pui a ni.

"Nurse hna thawk tha tak leh hlawhtling taka ka inhriat theihna hun remchang ka neih hi ka lawm hle a ni. Tin, AS hi ka lawm hle a, kawng khatah chuan. A chhan chu hetiang kum naupang takah hian ka rilru leh taksa hriselna hi dah pawimawh hmasak turin min nawr a ni.

"Natna leh rilru hahna ka la nei a, mahse vawiin hian ka nun ka hmang thei hi ka lawm hle a, kum 10 chhung zet min tibuaitu natna khirh tak tak laka ka fihlim thei hi ka lawm hle a ni," a ti. A duhthusam lian ber pakhat hlen chhuah tumin a inbuatsaih mek bawk a, chu chu nursing leh continent hrang hranga cycle khalh atanga kum khat emaw kum hnih emaw chawlh lak a ni.

‘Ka sualna zawng zawngah ka ngai a’ – Tristan chanchin

Kum 2013 khan Tristan hi zirlai fing tak niin chemistry lamah degree a zir a. Mahse, chu kum thlasik lai chuan sawifiah theih loh khawpin a chau ta hle mai. Zingah a tho thei lo va, sikul hna pawh a tlai tan ta.

"Discipline nei lo ka ni tih ka hria. Ka sualna zawng zawngah ka ngai a ni," a ti.

A hnuah chauh Tristan-a chuan AS chi khat non-radiographic axial spondyloarthritis (nr-AxSpA) an tih natna a nei tih a hre ta a ni. A awlsam zawngin AS leh nr-AxSpA te hi ruhro inflammation an ni. nr-AxSpA-ah chuan natna hi a bul tan tirh avangin X-ray-ah chuan ruhro chhiatna hi a lang chiang lo. Natna a zual zel chuan ruhro (spine) chhunga vertebrae te chu an inzawm khawm thei a ni. A châng chuan, hei hian taksa peng dang, mit ang chite a nghawng thei bawk.

"Buaina chu, ka taksa chhunga inflammation a pun chuan ka thluak hnathawh a tlahniam ang maiin ka hria. 'brain fog' ang mai a ni," tiin a sawifiah.

"Chemistry ka zir lai khan lab hna ka thawk thei lo. Hun rei tak ding a, glassware uluk taka enkawl a ngai a, mahse ka harsat hle."

A tawpah chuan thutlukna harsa tak a siam a ngai ta a ni - sikul chawlhsan a ngai ta a ni.

"Chemistry lama hnathawh hi tui tak leh mumang nei tak ka ni. Chu zawng zawng hloh chu tuar harsa tak a ni," a ti.

Mahse Tristan chu a tawp lo. Kawngkhar dang hawn a tum ta a. Infiammi ni ngai lo mah se, exercise chu a nunah thil pawimawh tak a lo ni ta a ni. Hip leh back stretch a ti tan a, moderate weights a chawi tan bawk. Mahse a workout regimen star tak chu vibration plate an tih device a ni . He device hian second khatah vawi tam tak taksa ruhte a tikhawlo a, a ti hahdam bawk. Chakna a tipung a, a insiamrem theihna a tipung a, natna a tiziaawm bawk niin an sawi. Tristan hian zing tin minute 10 chhung a hmang thin.

"Chutiang vibrations chuan ka taksa a stiffness chu a ti reh tak zet a ni. A chang chuan ka ruhte nen hian nasa takin ka buai thin a, mahse hetianga ka tih hnu hian ka hahdam nghal vat thin."

Tlem a dam leh hnu chuan a nun thar nena inmil hna zawn a hun ta. Tristan hian computer programming a zirtir a. Tunah chuan computer programmer hna a thawk mek a ni.

Tunah chuan Tristan hian a dinhmun leh a harsatnate hrethiamtu boss hnuaiah hna a thawk mek a ni.

"Midang ang bawkin zing dar 9 atanga tlai dar 5 thleng hna hi ka la harsat hle. Zingkar rush hi a harsa ber. Mahse ka vannei hle a, a chhan chu ka boss hian min hrethiam a, min pui bawk."

"I duh ang nun neih loh hi hmachhawn a harsa hle," a ti. "Tun hma chuan overachiever, 'type-A' personality ka ni thin. Tun hma angin ka tlan chak lo tih hi ka pawm a ngai tawh a, hlim tur chuan thil extreme tak tak ka tih a ngai lo tih ka pawm a ngai tawh bawk."

"Tun dinhmunah chuan in lamah ka haw thei tawh a, zan reh tak ka hmang thei tawh a, park chhunga kea kal rei pawh nuam ka ti thei tawh bawk. Hetiang dinhmun thleng hi a harsa hle a, mahse nun ka thlir dan erawh a danglam vek tawh a ni."

Heng thawnthu pahnihte hian AS ang natna khirh tak nena nun a harsatzia min tilang chiang hle. Mahse, damdawi lam thurawn dik tak, rilru lam ṭanpuina, nunphung tihdanglam leh rilru put hmang nghet tak neih chuan .He harsatna hi kan hneh dun thei tih min finfiah mek a ni. Hetiang dinhmun hi i tuar ve a nih chuan nangmah chauh nia inngai suh. I doctor nen inbia la, i mamawh tanpuina dawng rawh.