A châng chuan i hnungzang, i kawr, leh i hip ang chi hmunah te na leh i rilru a na reng em? A bik takin zing i thawh hian i rilru a hah a, i rilru a hah a, rei lo te chhung chu i bawkkhup thei lo va, i kal tha thei lo bawk em? Heng natna lan chhuah chhan awm thei pakhat chu Ankylosing Spondylitis an tih hi a ni. Mi tam takin he hming an hriat hian an hlauthawng thin a, mahse i enkawl thiam chuan nun pangngai i hmang thei a ni. Chuvangin, vawiin hian he thu hi awlsam tak leh chiang takin sawi ila.
Eng thilin nge hei hi a thlen tak tak? (Ankylosing Spondylitis Theih Dan)
Doctor-te chuan natna thlentu dik tak chu an la hre chiang thei lo a, mahse tuna zirchianna chuan a chhan chu genetic leh environmental factors pahnih inzawmkhawm vang a ni
He zirchiannaa thil hmuhchhuah pawimawh ber pakhat chu antigen HLA-B27 hi a ni. A awlsam zawngin sawi ila, antigen hi kan taksa invenna (immune system) tichak thei thil a ni. A tlangpuiin kan immune system-a heng thil (HLA) te hian taksaa hrik lut leh taksa chhunga cell hrisel te thliar hrangtu an ni. Kan taksaah security guard ang mai a ni.
Mahse hei hi HLA-B27 tia koh hi a danglam deuh hlek. Kan cell leh tissue hrisel tak takte pawh a bei fo thin. Ankylosing Spondylitis (AS) vei zinga 90% vel chuan he gene HLA-B27 an tih hi an nei a ni. Chuvangin, mi thisenah he gene hi a awm leh awm loh enfiah hi natna rinhlelhna a awm chuan test theih a ni.
Mahse, hetah hian thil pawimawh tak i hriat reng tur a awm. Mi pakhatin HLA-B27 gene a neih vang mai mai chuan AS an nei ngei ang tihna a ni lo. Tin, AS vei zawng zawng hian he gene hi an nei vek lo. Chumi awmzia chu he gene hi natna thlentu awmchhun a ni lo va, risk factor lian ber chauh a ni tihna a ni.
Hei bakah hian risk factor dang engemaw zat a awm bawk.
- Gender: Hmeichhia pawhin he natna hi an vei thei a, mahse mipa erawh chuan an vei tam zawk.
- Kum: Kum eng pawhah a lo awm thei a, mahse a tam ber chu tleirawl lai , kum 17-20 leh 30 inkar a ni.
Engvangin nge natna hriatchhuah nan hun rei tak a mamawh?
He natna hi dik taka hriat theih nan kum tam tak a ngai fo thin a, a chhan lian ber chu he natna hi chiang taka hriat theihna tur test "perfect" pakhat chauh a awm loh vang a ni.
Doctor i pan hunah i natna lan chhuah dan chu ngun takin a ngaithla ang a, thisen test leh imaging test X-ray emaw MRI emaw ang chi te a ti ang. Heng test te hi tihfel nan hun rei tak a ngai lo. Mahse, natna hmuhchhuah a tlai chhan chu, .Mi tam tak chuan a tir lama a lan chhuah dan chu hnungzang natna awlsam tak emaw, thawhrimna avanga natna leh natna emaw mai mai niin an ngai sual a ni. Chuvang chuan he thil hi Doctor-in a rinhlelh theih nan hun rei tak a ngai a ni. Chuvangin, hnungzang na reng reng i neih chuan ngaihthah lova doctor thurawn lak a pawimawh hle.
Hemi atana enkawlna thar ber berte chu engte nge ni?
Ankylosing Spondylitis hi damdawi a la awm lo. Mahse, lungngai suh, tunah chuan i natna lan chhuah dan tur enkawl thei tur, natna zual zelna nasa taka tihziaawm thei tur leh nun nuam tak nei thei tur enkawlna tha tam tak a awm tawh a ni.
| Enkawl dan tur | A sawifiahna awlsam tak |
|---|---|
| Natna tidamtu (NSAIDs) . | Hengte hi first-line treatment te an ni. Natna leh natna tihziaawmna atan an pui thin. A châng chuan i doctor chuan natna i neih lai chauh ni lovin, hmang chhunzawm zêl tûrin a hrilh thei che a ni. Mahse, i doctor-in a tih ang chauha hman a pawimawh , hriselna lama harsatna lian tak, thisen sang ang chi an thlen thei a ni. |
| TNF inhibitor te hi an ni | Hengte hi biological medicine chi khat a ni. Taksa a inflammation tihziaawmna leh natna zual zel tur tihtawp nan an pui bawk. Painkiller pangngai nen pawh hman theih a ni. |
| IL-17 inhibitor te hi a ni | Hei hi inflammation control thei damdawi class dang a ni a, TNF inhibitor ang chi hi a ni. Hengte hi Doctor-in a pek danah pawh hman a ni. |
| Taksa lam enkawlna | Hei hi i tih ngei ngei tur a ni. Natna tihziaawmna atan a pui nasa hle a, taksaah flexibility leh chakna a tipung bawk. Physics therapist chuan i posture vawng reng tur chuan eng exercise nge i tih tur tih a zirtir ang che. |
| Inzai | Surgery hi a ngai lo fo thin. Mahse, i doctor chuan a nasat em em lai chauhvin operation neih a rawt thei , chu chu ruh natna nasa tak a awm emaw, hip-a harsatna lian tak a awm emaw a nih chuan. |
Symptoms enkawl dan tur thil i tih theihte
Damdawi leh taksa lam enkawlna bakah hian i nunphung tihdanglamna tenau te hian heng natna lan chhuahnate hi enkawl kawngah nasa takin a pui thei a ni.
- Meizial zu hi pumpelh vek rawh: Meizial hi taksa pum tan a tha lo tih i hria mai thei. A bik takin AS vei tan chuan meizuk hian thawk harsatna ang chi thil a thlen tam zawk.
- Posture tha vawng reng rawh: Chair-a ṭhut leh ding lai hian i hnungzang dinglam hawia awm tir thin ang che. Hei hian natna avanga hnungzang natna a tihziaawm thei a ni. Physical therapy hian hei hi a pui thei che a ni.
- Khua leh lum hmang rawh: Ice pack hi ruh hring (swelling joints)-a hnawih hian a hring (swelling) a tiziaawm thei a ni. Heating pad hnawih emaw, tui lum taka inbual emaw hian a khauh leh natna a tiziaawm thei a ni.
- Exercise: Exercise neih fo hian flexibility vawng reng turin a pui thei a, natna a tiziaawm thei bawk. Nitin hun rei lote chhung kea kal leh insiam hi thil tha tak a ni. Mahse, i doctor emaw, physical therapist emaw hnenah eng exercise nge i tan a tha tih zawt rawh.
- Chaw hrisel ei rawh: Fast food, oil food, leh fried foods ang chi ei tur hian taksaah inflammation a tipung thei a ni. Chu ai chuan i ei leh inah inflammation tihziaawmna tur ei tur , thei, thlai, legumes, whole grains, leh sangha omega-3 tamna te dah tel bawk ang che.
Take-Home Thuchah a ni
- Ankylosing Spondylitis hi hnungzang natna tlangpui mai a ni lo. Hun rei tak chhunga inflammatory condition a ni a, ruh leh ruhkawr a nghawng a ni.
- HLA-B27 gene neih hi natna vei theihna tur risk factor lian tak ni mahse, a nei zawng zawng hian he natna hi an vei vek lo.
- Hriatchhuah hmasak hi a pawimawh hle. I hnungzang na leh i khauh reng a nih chuan, a bik takin zing lamah, i doctor nen inbiakna neihpui ngei ang che .
- Enkawlnain natna hi a tidam kim thei lo nain, natna lan chhuah dan a thunun thei a, natna zual zel tur a veng thei bawk. Chumi atan chuan damdawi, taksa enkawlna leh nunphung thlak danglam te hi a pawimawh hle.
- Meizial zuk loh te, dinhmun dik tak vawn te, exercise lak te, leh ei leh in hrisel ei te hian he natna hi hlawhtling taka nunpui turin chakna nasa tak a pe ang che.
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