Ankylosing Spondylitis (AS) hian kal harsatna a thlen em? Hei hi eng nge a nih chiang takin i zawng chhuak ang u.

Ankylosing Spondylitis, a tawi zawngin AS i nei em? Tichuan, ruh leh hip inkar ruh (joint) a nghawng nasat zia chu i hre tawh ngei ang. Mahse i hriat loh chu AS vei thenkhat chuan kal lama harsatna an nei thei bawk. Hetiang hi mi zawng zawngah a thleng lova, mahse hei hi hriat chian a pawimawh.

A awlsam zawngin sawi ila, Ankylosing Spondylitis (AS) hi ruh natna chi khat a ni a, ruh leh a kaihhnawih ruhte a nghawng a ni. Hemiah hian thil thleng chu taksaah hian hun rei tak chhung inflammation a awm a ni. He taksaa inflammation thunun theih loh hi a thu mai mai lo. Taksa peng hrang hrang a nghawng tan a. Chutiang hmun pakhat chu kal (kidney) hi a ni. Research thar chuan he inzawmna hi tunah chuan a hmaa ngaihtuah aiin a hluar zawk mai thei tih a tarlang. Chuvangin vawiin hian he thu hi han sawi ila.

AS vang hian eng kal lama harsatna nge awm thei?

AS hian kal (kidney) a nghawng theih dan tlangpui engemaw zat a awm. Eng nge an nih i han thlir teh ang.

1. Secondary Renal Amyloidosis natna a awm thin

Hei hi hming buaithlak tak angin a lang thei a, mahse a awlsam hle. Kan taksaah hian hun rei tak chhung inflammatory condition a awm avangin protein pangngai lo ‘amyloid’ an tih chu siam chhuah theih a ni. He protein hi zawi zawiin kal chhungah a lo awm tan ta a ni. Pipe chhunga rust lo awm ang mai a ni. Protein a lo pung zel chuan kal hian an hna pangngai, thisen filter hi an thawk thei tawh lo. Hetiang dinhmun hi ‘AA amyloidosis’ an ti bawk.

2. Immunoglobulin A rilru natna (IgAN) .

Hei hi kal natna dang a ni a, AS vei te zingah pawh hmuh theih a ni. Hemi a thil thleng chu kan immune system-a tel IgA an tih protein chu kal chhungah a awm a, chutah chuan inflammation a siam a, kal a tichhia a ni. To confirm whether this is really the case , biopsy neih a ngai a, chu chu kidney atanga tissue te tak te lak chhuah a, enfiah a ni.

3. Kal natna rei tak (CKD) .

Chronic kidney disease, CKD tih hi hun kal zelah kal a chhiat a, zawi zawiin a hnathawh a hloh thin. AS hi a chhan pakhat a nih theih laiin, natna dang, zunthlum leh thisen sang te pawhin he natna hi a thlen thei a ni. Kidney-in thisen atanga bawlhhlawh a filter thiam loh chuan chu bawlhhlawh chu taksaah a pungkhawm a, chu chuan lung natna leh stroke ang chi harsatna lian tak tak a thlen theihna a tipung a ni.

4. Kidney Lung (Kidney) a awm

Zirchianna thenkhatah chuan AS vei te, a bik takin hun rei tak nei tawhte chuan mi hrisel aiin kal (kidney stone) an nei tam zawk tih an hmuchhuak. Chungte chu salt leh mineral atanga siam deposit te tak te, khauh tak tak an ni. A chang chuan zun-ah an pass out thin a, mahse a na thei hle.A theih a ni. A chang chuan heng lungte hi zun kawngah a tang a, natna hrik a thlen thei bawk.

Kidney lama harsatna nei hian eng symptoms nge a neih?

Heng dinhmun tin hian symptom inang leh chiang tak a nei vek a ni. Hengte hi i hriat chian a pawimawh hle a, a chhan chu chutih hunah chuan doctor i hmu thuai thei a ni.

AS i vei a, heng symptoms pakhat emaw a aia tam emaw i neih chuan ngaihthah suh. I doctor nen pawh hemi chungchang hi sawipui ngei ang che.

Engvângin nge heng harsatnate hi a lo awm? Risk factors te chu engte nge ni?

Kidney natna thlentu dik tak hriat chian a harsa fo thin a, mahse AS nena inzawm chhan lian tak tak engemaw zat a awm.

• Uncontrolled inflammation: AS natna bulpui ber, chronic inflammation hi a mawhphurtu ber a ni. Hei hi Amyloidosis leh IgAN ang chi natna thlentu a ni.
• Damdawi: AS leh arthritis natna tidamtu thenkhat, a bik takin NSAIDs (Nonsteroidal anti-inflammatory drugs) te hi rei tak hman a nih chuan kal tan a pawi thei hle. Chuvang chuan doctor rawn hmasa lovin mahni chauha natna tidamtu damdawi ei loh tur a ni.
• Damdawi lam thil dang: Thisen sang, zunthlum, thinlung natna, leh thau lutuk ang chi natna i neih chuan kal natna vei theihna a sang zawk.
• Meizial zu leh chhungkaw history: Meizial zu leh chhungkaw history-a kal natna nei tawhte chu an hlauhawm zawk.

Engtin nge enkawl leh enkawl dan?

A tha ber chu heng dinhmunte hi enkawl theih a ni. Enkawl dan tur chu i kal harsatna chi hrang hrangah a innghat.

A pawimawh ber chu i AS control tha hi a ni. Inflammation i control tam poh leh i kal (kidney) tihchhiatna a tlem zawk thin. Hei hian i doctor enkawlna, biologic agents (TNF blocker ang chi) ang chi, dik taka zawm tihna a ni.

Chubakah chuan,

• I doctor nen damdawi i ei dan (painkiller te pawh tel) sawipui la, i kal tana hlauhawm lo tur dang sawiho rawh.
• Damdawi dang, thisen sang leh zunthlum te chu control la.
• Tui tam tak in thin ang che.
• Doctor thurawn zawm la, chi leh protein tlemna ei leh in zawm rawh.
• Doctor rawn hmasa lovin vitamin leh supplement engmah ei suh.

Chronic kidney disease (CKD) a nasat chuan dialysis emaw kidney transplant emaw a thlen thei a, chuvangin hei hi a hmaa enkawl a tha ber.