I hnungzang emaw, i hip emaw ah natna i nei em? (Ankylosing Spondylitis) tih hi a awm lo.

I hnungzang hnuai lam, i hip leh i hnute (chu chu i hnute chunglam)-ah natna mak tak tak emaw, i khauh lutuk emaw i nei \hin em? A bik takin zing i thawh chuan. Hei hi hnungzang natna mai mai a ni lo mai thei. Vawiin hian hun rei tak chhunga arthritis chi khat Ankylosing Spondylitis an tih, heng symptoms te lantir thin chungchang kan sawi dawn a ni. Ngaihtuah buai suh, he thu hi awlsam takin kan sawi dawn a ni.

Hei hi eng nge ni (Ankylosing Spondylitis)?

A awlsam zawngin sawi ila, Ankylosing Spondylitis hi arthritis chi khat a ni a, i ruhro (spine) ruhte a nghawng a ni . A chang chuan Doctor ten Axial Spondyloarthritis an ti bawk. I ruh hnuai lam, i hip ruh (pelvis) inzawmna hmun ruh (joint) te a nghawng ber a ni. Heng joint te hi (Sacroiliac joints) kan ti thin.

Ngaihtuah teh, sacroiliac joints hi i ruh (sacrum) tawp lama triangular bone leh i hip bone (ilium) chunglam leh hnunglam inzawmna hmun a ni. Hengte hi i ruhro leh i hip area inzawmkhawmtu main bridge pahnih ang an ni. Dik tak chuan hengte hi i taksa ruh lian ber ber thenkhat an ni. Heng joint te hi i che apiangin, i hips i kal leh hma leh i chelh apiangin i hmang thin. Chuti a nih chuan anmahni nena buaina i neih hian engtin nge i awm?

Tin, mi zawng zawng ni lo mah se, mi thenkhat tan chuan Ankylosing Spondylitis hian ruh dang pawh a nghawng thei bawk. Entir nan:

• I kekawrte chu
• Mawngbawr
• Khup a ni

Hetiang dinhmun hian natna a thlen thei a, a ti na thei a, a châng chuan chaw kawng lam natna a thlen thei bawk . I hnungzang hnuai lam natna i neih chuan, a bik takin a zual zel a, nitin hnathawh a harsat phah a nih chuan doctor pan a, thurawn lak a pawimawh.

Ankylosing Spondylitis natna lan chhuah dan chu engte nge ni?

Mi tin a natna lan chhuah dan a inang lo thei. Mahse, a lan chhuah dan tlangpui chu hnungzang natna a ni . Hei hi sacroiliac joint-a inflammation emaw Sacroiliitis emaw avanga lo awm a ni.

He natna hi a chang chuan hmun dangah a darh thei a, entirnan:

• Hip joints ah natna a awm
• A hnute a na
• Kawng a na
• Mi thenkhat chuan pum na an nei thei bawk.

Chu bakah, a lan chhuah dan dang engemaw zat a awm thei bawk:

• Hip joint leh lower back tha taka che thei lo emaw . Hei hi zing thawh hmasak ber emaw, hmun khata rei tak i din hnu emaw hian a langsar zual hle.
• Chauhna awm reng (Fatigue) . Taksa hian nunna nei lo ang maiin.
• Mi thenkhat chuan thawk harsatna (dyspnea) an nei thei .
• Chaw ei duh lohna emaw chhan hriat loha taksa rihna tlahniam emaw .
• Mi thenkhat chuan diarrhea an nei thei bawk .
• Vun a hring chhuak .
• Mit lama harsatna pawh a awm thei.

Engvangin nge hetiang (Ankylosing Spondylitis) hi a lo awm?

Ankylosing Spondylitis hi autoimmune natna a ni a . A awlsam zawngin kan taksa hian hmelma dotu sipai a nei a, chu chu immune system an ti a. Hei hi natna laka min ven nan a ni. Mahse he autoimmune natnaah hian keimahni sipaite hian kan cell tha tak takte chu an rawn bei sual a ni. Mahni in ngei pawh beih ang mai a ni.

Ankylosing Spondylitis awm chhan dik tak hi hriat a la ni lo. Mahse, zirchianna chuan genetic mutations bik engemaw zat chu natna nen hian a inzawm tlat tih hmuhchhuah a ni. Heng genetic mutations te hi kan cell te inthen darh hian kan DNA a inthlak danglamna tenau tak tak a ni a, chu chu cell thar a lo piang tihna a ni.

He natna nena inzawm nia ngaih, mutated gene 60 chuang a awm a ni. Entirna lian tak pakhat chu HLA-B27 gene hi a ni . Ankylosing Spondylitis vei mipa hring zinga 90% aia tam chuan he mutated HLA-B27 gene hi an nei tih hmuhchhuah a ni.

Tute nge he natna vei theihna sang zawk?

He natna hi tu pawhin an vei thei a, pawl thenkhat erawh chuan an vei tam zawk.

• Kum 40 hnuai lam : Ankylosing Spondylitis vei zinga 80% aia tam chu kum 30 an tlin chuan an vei tih hmuhchhuah a ni.
• Mipa hian hetiang hi an nei tam zawk.
• I chhungkuaa mi pakhat, a bik takin i nu leh pate hian Ankylosing Spondylitis an vei a nih chuan nang pawhin i vei theihna a hlauhawm hle.

Tin, natna dang thenkhat nei te pawhin Ankylosing Spondylitis an vei tam zawk bawk. Entir nan:

• (Crohn’s disease) ( chaw ei kawng a inflammatory condition) .
• Ulcerative colitis (intestine lian tham natna) .
• (Psoriasis) (vun natna) .

Ankylosing Spondylitis natna avanga harsatna awm thei te chu engte nge ni?

Ankylosing Spondylitis vei te hi an ruh tliak theihna a sang hle a, a chhan chu hun kal zelah ruhro ruh te hi a chak lo thei a ni.

Harsatna dang pawh a awm thei bawk:

• Fused vertebrae : Hei hian ruhro ben emaw, herh emaw a ti harsa a, ruhro pawh a dinglam theih loh phah bawk.
• (Kyphosis) : Chumi awmzia chu ruhro chu hmalam hawiin a ben a, mi pakhatin a hunch over ang maiin a awm tihna a ni.
• Osteoporosis : Ruh chu a chhe thei a, awlsam takin a chhe thei bawk.
• Mit leh mit lama harsatna : Entirnan , uveitis (mit chhung lam layer inflammation) emaw light sensitivity emaw a awm thei.
• Lung natna : (Aortitis) .Condition hrang hrang (heartry lian tak takte inflammation), (Arrhythmia) (rilru thawk mumal lo) leh (Cardiomyopathy) (thinlung ruh chak lo) te.
• Nerve tihchhiat a ni .

Heng harsatnate hi mi zawng zawngah a thleng vek lo a, mahse natna hi uluk taka control a nih loh chuan a thlen theihna a sang zawk.

Engtin nge doctor te hian Ankylosing Spondylitis hi an hriat theih?

Doctor chuan he natna hi taksa enfiahna hmangin a hre hmasa ang . I taksa an enfiah ang a, i symptoms te an sawipui ang che. I doctor hnenah engtikah nge natna emaw, natna dang emaw i neih tan tirh te, ni khata engtik lai nge i hriat tam ber tih te, eng thiltih pawha i na zual em tih te hrilh a pawimawh.

Rheumatologist, arthritis leh natna ang chi doctor-te pawh i pan a ngai mai thei bawk .

Ankylosing Spondylitis hmuhchhuah nan eng test nge hman thin?

He natna hi a awm leh awm loh finfiah theihna tur test pakhat mah a awm lo. Doctor hian test eng emaw zat a tih hnuah chauh thutlukna a siam ang.

• Sacroiliac joint leh spine X-ray : Hengte hian arthritis chhinchhiahna a enfiah thin.
• (Magnetic Resonance Imaging - MRI) : Hei hian X-ray aiin chipchiar zawkin a hmu thei. A ruh (joint)-ah pawh inthlak danglamna fiah lo tak tak a hmu thei bawk.
• Thisen test : A hmaa kan sawi tawh angin mutated gene (HLA-B27) i nei em tih hriat nan thisen test i ti thei ang. Mahse, he gene nei zawng zawng hian Ankylosing Spondylitis an vei vek dawn lo a, he gene nei lote pawhin an vei thei a ni. Chuvangin hei hi thil pakhat chauh a ni.

Ankylosing Spondylitis hi engtin nge enkawl a nih?

I doctor chuan i natna lan chhuah dan control thei tur leh natnain i nitin nunah nghawng a neih tihziaawmna tur damdawi a rawn rawt ang che.

Ankylosing Spondylitis enkawlna atana hman tlanglawn ber berte chu:

• Exercise : Taksa tihchak fo hian ruh natna a tiziaawm thei a, natna a zual zel tur chu a titawp thei bawk. Mi tam tak tan chuan engmah an tih loh hian a na zual sauh sauh thin. Physics therapist chuan i hnungzang leh ruhro thlawptu thau tichaktu tur stretch leh exercise bik a rawt thei a ni.
• Nonsteroidal anti-inflammatory drugs (NSAIDs) : Over-the-counter damdawi ibuprofen leh naproxen te hian natna leh inflammation tihziaawmna kawngah a pui thei a ni. Amaherawhchu, heng damdawi te hi ni 10 aia rei ei hmain Doctor nen inbiak hmasak phawt a tha.
• Biologic disease-modifying anti-rheumatic drugs (DMARDs) : Heng damdawi hi prescription damdawi a ni a, inflammation leh natna tihziaawmna a ni. Tin, natna (Ankylosing Spondylitis) a zual zel tur chu an titawp thei bawk.
• (Corticosteroids) te hi a tha hle.: Hengte hi doctor-in a pek chhuah anti-inflammatory damdawi a ni bawk. A chang chuan cortisone shot hi ruh natna hmunah direct-in pek theih a ni.
• Surgery : Ankylosing spondylitis tan chuan operation hi a ngai tlem hle. Doctor-te chuan natna lan chhuahna na tak nei, enkawlna dang dawng lote tan chauh zai an rawt tlangpui.

Engtiang chiahin nge ka dam leh thuai ang?

Enkawl i tan hnu chuan zawi zawiin i rilru a hahdam tan ang. I natna lan chhuah dan chu a bo vek lo mai thei, mahse i tana tha tur damdawi i hmuh chuan i natna lanchhuahna a tlahniam ang a, i nun a awlsam phah ang. Exercise leh physical therapy hi hnathawhna atana hun mamawh a ni. Tin, damdawi tinte hnathawh hun chhung pawh a inang lo. Chuvangin i doctor hnenah eng chen nge hmasawnna hmuh i beisei theih tih zawt rawh.

Ankylosing Spondylitis vei chuan eng nge a beisei ang?

Ankylosing Spondylitis hi natna rei tak, hun rei tak chhunga awm thei a ni . Hun rei tak chhung, i dam chhung zawng pawh i enkawl a ngai mai thei. Mi thenkhat chuan symptoms (remissions) tlem zawk emaw, na zawk emaw period an nei thei. Mahse, hun engemaw chen chu symptom nei lo mah la, an rawn let leh thei tho.

A pawimawh ber chu, Ankylosing Spondylitis emaw, arthritis chi dang emaw damdawi a awm lo . Mahse chu chu hrehawm taka nun a ngai tihna erawh a ni lo.

I rilru put hmang, i natna lan chhuah danin i nitin thiltih a nghawng dan leh i duhzawng thil i tih dan te chu i doctor nen zalen takin sawipui rawh.

Engtin nge ka in enkawl ang?

Ankylosing Spondylitis treatment regimen zawm bakah hian i taksaa inflammation tihziaawmna tur leh i ruhkawr pressure tihziaawmna turin nangmah ngeiin thil engemaw zat i tih theih a awm a:

• I duh ang ei leh in hrisel leh exercise plan zawm rawh.
• Zu in hi tihtlem rawh.
• Meizial i zu a nih chuan bansan rawh. Hei hian inflammation a tipung thei a ni.

Engtikah nge ka doctor ka hmuh ang?

Symptom thar i neih emaw, i symptom a zual emaw chuan doctor pan rawh. Tin, i enkawlnain a hma angin i natna lan chhuah dan a thunun thei lo niin a lang a nih chuan i doctor hnenah hrilh bawk ang che.

A hnuaia symptoms te hi i neih chuan doctor pan nghal rawh:

• A rilru a na
• Thâwk harsa
• Mit hmuhna lama harsatna a awm
• Back pain na tak emaw, ruh natna dang emaw
• I ruhro chu a danglam bik taka a khauh a, a ben thei lo tih i hriat chuan
• A chhan hriat loha i taksa rihna tihtlem i nih chuan

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor i zawh theih tur zawhna thenkhat chu:

• Ankylosing Spondylitis emaw, arthritis chi dang emaw ka nei em?
• Genetic testing ka neih a ngai dawn em ni?
• Eng enkawlna nge ka natna lan chhuahna control-na atana ṭanpui thei?
• Physics therapy ka mamawh dawn em ni?

A tawp berah chuan thil hriat reng tur

Arthritis chi hrang hrang nena nun chu a harsa thei hle. Ankylosing Spondylitis i neih chuan i hnute natna tak tak a ni thei. A natna, a khauh lutuk leh a lan chhuah dan dangte chuan i nitin nunah nghawng a nei thei a ni. Mahse thu lawmawm tak chu Ankylosing Spondylitis hi enkawl theih a ni.

I doctor chuan Ankylosing Spondylitis i symptoms te hian i nitin nunah nghawng a neih tihziaawmna tur damdawi zawng turin a pui thei che a ni. Zawhna zawh leh i inenkawl dan sawi hlau suh. I rilru put hmang chu i hre chiang ber. Chuvangin i ngaihdan chu i doctor hnenah hrilh rawh.

` Hnung natna, ankylosing spondylitis, ruh natna, taksa hriselna, ruhro, enkawlna, HLA-B27