Ankylosing spondylitis i neih chuan i doctor-in damdawi a pek ruala exercise neih a pawimawhzia i hre tawh ngei ang. Heng enkawlnate hian i natna a tihziaawm thei a, i ni chu awlsam zawka i hman theih nan a pui thei bawk. Mahse, a chang chuan heng damdawi te hian side effect tenau te a thlen thei a ni. Mahse lungngai suh, hei hi mi zawng zawng tan a ni lo. Mi tin taksain damdawi ei hi a chhân lêt dan a inang lo. Chuvangin, i tan damdawi dik tak, side effects tlem ber nei tur zawng chhuah a pawimawh. Vawiin hian heng damdawi te leh a side effect awm thei te kan sawi dawn a ni.
Damdawi hmasa ber: NSAIDs
Hengte hi doctor-te’n ankylosing spondylitis vei te tana an pek thin painkiller hmasa berte an ni. Chûngte chu nonsteroidal anti-inflammatory drugs, a nih loh leh NSAIDs . Heng hmingte hi i hre tawh mai thei: Ibuprofen, Naproxen, Indomethacin, Celecoxib, etc. Hengte hi he category-a tel damdawi te hi an ni.
Hengte hian i ruhkawr inflammation leh natna tihziaawmna hmangin hna an thawk ber a ni. Mahse, heng damdawi te hi rei tak ei tam chuan side effect engemaw zat a nei thei a ni.
A pawimawh ber chu mi zawng zawng hian heng side effects te hi kan nei vek lo a, pakhat emaw pahnih emaw i tawn chuan doctor nen inbiakna neih a pawimawh.
| Side effect a awm thei | Hemi chungchang hi awlsam takin i zir ang u. |
|---|---|
| Lungchhung natna | A chhan chu kan pum venhimna lining a hring (thinning) vang a ni thei. A rilruah kang ang maiin a lang. |
| Gastric inflammation leh ulcer te a awm thei | He damdawi hi hman chhunzawm zel chuan pum chhung bangah inflammation emaw ulcer te te a thlen thei a ni. |
| Thisen chhuak | A tlem hle a, pum chhunga ulcer hian chhungril thisen a chhuah thei. |
| Lung natna hlauhawmna | Lung natna i neih tawh chuan he damdawi hian heart attack emaw stroke emaw i neih theihna a tipung deuh thei a ni. Hemi chungchang hi doctor hriattir a pawimawh. |
Tunlai damdawi: Biologics (IL-17 leh JAK Inhibitors) te hi a tha hle.
NSAIDs hian i natna lan chhuahna control a harsat chuan i doctor chuan a dawtah damdawi class bik biologics tih chu a rawn rawt thei ang. Hengte hian taksaa chemical bik, inflammation thlentu target-in hna a thawk thei lo.
IL-17 Inhibitor te hi a awm a
Secukinumab (Cosentyx) leh Ixekizumab (Taltz) te hi heng damdawi chi hnih an ni. Injection angin pek an ni. An thawk tha hle nachungin side effect engemaw zat an nei thei.
- Inflammatory Bowel Disease (IBD): He damdawi hian mi thenkhatah IBD natna thar a thlen thei a, i neih tawh chuan a natna lan chhuahna a tizual thei bawk.
- Infection: Heng damdawi te hian taksa dodalna kawngah nghawng tlem a neih avangin natna tlanglawn (flu leh khawsik ang chi) vei theihna hi tlem a sang thei hle.
- Cancer hlauhawmna: Laboratory test-ah chuan mice hnena pek a nih chuan cancer vei theihna a awm tih hmuhchhuah ni mahse, mihring tan a hlauhawmna finfiahna chiang tak a la awm lo. Hemi chungchangah hian tul lo takin lungngai suh, i doctor chuan hemi chungchangah hian a zirtir ang che.
JAK Inhibitors te pawh a awm
Tofacitinib (Xeljanz) hi damdawi chi khat a ni a, pill anga ei theih a ni. Inflammation tihziaawmna hmangin hna a thawk bawk. A kaihhnawih side effect thenkhat chu :
- Lu na
- Kawthalo
- Chau
- Lung na tak tak
- Liver chhiatna hlauhawmna tlemte
Damdawi hman tlem te
A then phei chuan damdawi dang pawh i enkawl dan tur ruahmannaah a dah tel thei bawk.
Steroid damdawi (Corticosteroids) te hi a tha hle.
Hengte hi ankylosing spondylitis hun rei tak enkawlna atan an pe tlangpui lo. Mahse, a na leh a hring a lo tam lutuk chuan i doctor chuan steroid injection chu ruh hring chhungah a pe thei che a ni. Hun rei tak chhung heng damdawi te hman hian side effect tam tak a thlen thei a ni. Chuvangin, hun rei lote chhung chauh, a tul hunah chauh hman an ni. A side effect thenkhat chu:
- Ei duhna a tipung a, taksa rihna a tipung bawk
- Hmai a hring, hmai vun
- Taksa sam a lo thang lian
- Bruising awlsam tak
- Diabetes (diabetes) emaw, a awm chuan a zual zel emaw
- Thisen sang a sang
- Cataract emaw glaucoma emaw a awm thei
- Ruh natna (Osteoporosis) a awm
Ruh natna damdawi dang (Sulfasalazine leh Methotrexate) .
I hnungzang na bakah hian i ruh dang, i ke, i kut leh keah pawh na i neih chuan, i doctor chuan heng damdawi te hi a rawn rawt thei ang.
Sulfasalazine (Azulfidine): Hei hi pill a ni. Side effects hi a tlem hle a, mahse mi thenkhat chuan khawsik, luak chhuak, vun natna leh lu na te an nei thei.
Methotrexate: Hei hi pill angin emaw, injection angin emaw ei theih a ni. He damdawi hi i ei hian i doctor chuan a side effects tihziaawm nan vitamin folic acid hi ei turin a rawt mai thei. Side effects chu luak chhuak, hmui natna leh hahna te a ni thei.
Side effect a awm chuan engtin nge tih tur?
Hei hi a pawimawh ber a ni. Damdawi i ei avanga i taksaah danglamna emaw, lungawi lohna emaw i neih chuan i tih hmasak ber leh tha ber chu i doctor hnena hrilh hi a ni.
I damdawi ei kha bansan ngai suh la, nangmah chauhin a dose pawh thlak ngai suh. Chutianga tih chuan i dinhmun chu a tichhe nghal thei a ni.
Hemi chungchang hi i doctor hnenah i hrilh chuan:
- Damdawi i ei tur chu tihtlem rawh.
- I duh ang damdawi dang lamah switch rawh.
- Side effect control nan damdawi dang pe leh bawk ang che.
Entirnan, NSAID avanga pum na i neih chuan i doctor chuan chutih rual chuan i pum venghimtu damdawi dang a pe thei bawk. Chuvangin, heng zawng zawng hi i doctor nen inhawng takin sawipui hlau suh. Nang leh i doctor in thawhhona chuan i tana tha ber leh side effects tlem ber nei treatment plan chu i hmu thei ang.
Take-Home Thuchah a ni
- Ankylosing spondylitis damdawi hian side effect a nei thei a, mahse mi zawng zawngah a thleng lo. Chuvangin tul lovah hlau suh.
- Damdawi i ei avanga natna lanchhuahna thar emaw, lungawi lohna emaw i neih chuan doctor hnenah hriattir nghal rawh.
- Doctor rawn hmasa lovin damdawi ei kha bansan suh emaw, eng thil vang pawh nise a dose thlak loh tur a ni.
- I tana tha ber leh side effects nei tlem ber damdawi zawn chu nang leh i doctor-in in zawh dun tur a ni. Hun engemaw chen a la ngai thei.
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