Ankylosing Spondylitis (AS) hi natna khirh tak a ni a, ruh leh ruhkawr na leh ruhkawr a ti na tih i hria mai thei. Hei hi kan enkawl dawnin exercise lak a pawimawh hle a, doctor-in damdawi a pekte hi dik taka hman a pawimawh hle. Mahse, a chang chuan heng damdawi te hian side effect tenau te a thlen thei a ni. Mahse, hlau suh. Mi zawng zawng hian heng side effects te hi kan nei vek lo va, mi tinte tawn dan pawh a inang lo. A pawimawh ber chu i doctor nen inbia la, i tana tha ber leh side effects tlem ber nei tur treatment method thlang rawh.
Natna tihdamna tur first-line: NSAIDs
Doctor-te chuan AS tan hian he damdawi chi hi an pe hmasa fo thin. Hengte hi Nonsteroidal Anti-inflammatory Drugs, a tawi zawngin NSAIDs kan ti a. Hengte hian ruh natna leh ruh natna tihziaawmna turin hna an thawk a ni. Heng hmingte hi i hre tawh mai thei:
- Ibuprofen (Advil, Motrin) tih hi a tha hle.
- Naproxen (Naprosyn) hman a ni.
- Indomethacin (Indocin, Tivorbex) te hi a tha hle a ni.
- Celecoxib (Celebrex) hmanga tihdam theih a ni.
Amaherawhchu, heng damdawi te hi a tam taka rei tak kan ei chuan kan pum chhunga venhimna mucus layer chu a thim thei a, chu chuan side effect engemaw zat a thlen thei a ni.
| NSAIDs hian side effect a neih theih dan |
|---|
| Lungchhung natna |
| Pum chhunga natna (inflammation) a awm |
| Pum ulcer leh thisen chhuak |
| Lung natna i neih tawh chuan heart attack emaw stroke emaw i neih theihna a sang hle. |
A pawimawh ber chu he damdawi hi a dose leh doctor-in a pek hun chhung chauh hman tur a ni. I pum a na i hriat chuan doctor hnenah hrilh nghal rawh.
Tunlai enkawlna hmanraw: Biologics (IL-17 Inhibitors) .
Hengte hi damdawi chi hrang hrang, a hmasawn deuh deuh, specialized type a ni. Taksa chhunga chemical bik pakhat, inflammation thlentu target-in a hnathawh dan tur block-in hna an thawk a ni. Secukinumab (Cosentyx) leh Ixekizumab (Taltz) te hi heng damdawi chi hnih a ni. Anni hi IL-17 inhibitor an ti a . Hengte hi enkawlna tha tak ni mahse, side effect engemaw zat a awm thei.
| Biologics hmanga side effect awm thei | A awlsam zawngin... |
|---|---|
| Inflammatory Bowel Disease (IBD) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk a. | He damdawi hian IBD natna thar a thlen thei a, a nei tawhte tan pawh a natna lan chhuahna a tizual thei bawk. |
| Infection awm thei te | Hengte hian immune system hnathawh chu eng emaw chen a tihtlem thei a, chu chuan khawsik leh flu ang chi natna vei theihna a tipung deuh thei a ni. |
| Cancer vei theihna a ni | Rannung zirchiannaah chuan cancer vei theihna a awm tih hmuhchhuah ni mah se, mihringah hian he hlauhawmna hi eng nge a nih tih erawh hriat chian a la ni lo. Hemi avang hian a tul lovah hlauthawng suh la, i doctor nen hemi chungchang hi sawipui rawh. |
JAK inhibitor hi pill anga ei thin a ni
Hei hi inflammation tihziaawmna damdawi class dang a ni. Tofacitinib (Xeljanz) hi heng damdawi zinga pakhat a ni a, pill anga ei a ni. Hengte hian side effect a nei thei a ni.
- Lu na
- Kawthalo
- Chau
- Lung na tak tak
- Liver tihchhiat theihna a awm
Chuvangin, he damdawi hi i ei lai hian i doctor chuan i hriselna a enfiah fo ang.
Corticosteroids, a chang chuan pek thin chauh a ni
Hengte hi AS damdawi hun rei tak chhunga hman tur a ni lo tlangpui. Mahse, ruh pakhata natna leh hliam chu nasa takin a pung nghal a nih chuan (a flare-up) , chu ruh chu corticosteroid chauh pek theih a ni .Doctor chuan shot pek che a tum mai thei. Heng side effects te hi rei tak i hman chuan a awm tam zawk. Mahse hun rei lote chhunga shot hian heng zawng zawng hi a thlen vek dawn lo. Mahse hriat a tha.
| Corticosteroids hian a nghawng tha lo awm thei (a bik takin hun rei tak hman a nih chuan) . | |
|---|---|
| Ei duhna a tipung a, taksa rihna a tipung bawk | Bruising awlsam tak a ni |
| Mood a inthlak danglam thin | Muscle chak lohna |
| Mit hmuh a fiah lo | Infection dona theihna tlahniam |
| Hmai a hring emaw, acne emaw a awm thei | Thisen sang a sang |
| Zunthlum emaw, zunthlum awm tawhte a zual zel emaw | Mu thei lo |
Damdawi dang (Sulfasalazine leh Methotrexate) te .
Sulfasalazine a ni
NSAIDs hian i ruh natna (a bik takin i ke, i kut leh keah) a thunun loh chuan i doctor chuan Sulfasalazine (Azulfidine) tih damdawi a pe thei ang. Hei hian side effects a nei tlem hle.
- Joint natna
- Khawsik
- Lu na
- Ni êng laka vun sensitivity a tipung
- Vun vun rawng emaw, itching emaw
- Luhai
Methotrexate hmanga siam a ni
He damdawi hi pill angin emaw, injection angin emaw ei theih a ni. Hei hi i ei lai hian doctor chuan folic acid vitamin ei a rawt ngei ang. A chhan chu Methotrexate side effects hi folic acid hian nasa takin a tihziaawm theih vang a ni.
- Nausea leh luak chhuak
- Kawngkhar natna
- Lu na
- Chau tih hriatna
Heng side effects te hi a lo awm a nih chuan engtin nge kan tih ang?
Hei hi a pawimawh ber a ni. AS damdawi i ei avanga i taksaah danglamna, symptom thar i neih emaw, i rilru hahna emaw i neih chuan i tih hmasak ber leh tha ber chu i doctor hnenah hriattir nghal hi a ni.
I damdawi ei kha bansan ngai suh la, nangmah chauhin a dose pawh thlak ngai suh. Chutianga tih chuan i dinhmun thunun a harsat phah thei a ni.
I doctor chuan a pui ang che. Amah chuan:
- Damdawi pek i nih dan tur chu a tlahniam deuh ang .
- Damdawi dang hmangin i inthlak ang .
- Tuna damdawi hman mek nen hian a side effects control nan damdawi dang pek a ni ang .
Heta thupui ber chu nang leh i doctor hian team anga thawhhona tha ber, i taksa tana tha ber, side effects tlem ber leh risk tlem ber tur zawng chhuak tur a ni. Chuvangin engmah hlau suh la, i doctor hnenah engkim hi zalen takin sawipui rawh.
Take-Home Thuchah a ni
- Ankylosing Spondylitis (AS) damdawi zawng zawng hian side effect a nei vek lo va, mi zawng zawng hian side effect an nei vek dawn lo.
- Side effects hriat reng hi a enkawl dan tha ber pakhat a ni.
- I damdawi ei avanga harsatna i neih chuan nangmah chauhin thutlukna siam ngai suh la, i doctor nen inbia fo ang che.
- I doctor thil tum ber chu i tana tha ber leh side effect tlem ber nei damdawi zawng chhuah hi a ni.
- Clinic-ah a hun taka kal a, doctor nen i dinhmun sawipui fo a pawimawh hle.
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