Kum 20 emaw 30 emaw i nih atang khan i hnungzang, i hip leh hmun dangah natna i nei fo tawh em? Zing i harh chuan i taksa chu a khauh a, a nghet hle tih a hriat a, rei vak lo pawh i kun thei lo em ni? Hei hi hnungzang natna pangngai mai, i mut dik loh huna thleng mai mai niin i ngai mai thei. Mahse heng symptoms te hi a awm reng a nih chuan Ankylosing Spondylitis (AS) tih natna bul tanna a ni thei. Vawiin hian he natna leh a kaihhnawih nun hmanga nun tidanglamtu mi tak tak pahnih thil tawn kan sawi dawn a ni.
A awlsam zawngin, Ankylosing Spondylitis (AS) hi eng nge ni?
Hei hi ruh natna chi khat a ni bawk. Mahse hetiang a nih chuan kan ruhro (spine) ruhte a nghawng ber a ni . A awlsam zawngin sawi ila, he natna hian ruhro (spine) ruh (vertebrae) inkar ruh (joint) te chu a ti hring chhuak thin. Hun a kal zel a, he hliam hian ruh thar a siam a, vertebrae te chu a inzawm khawm thei a ni. Hei hian ruhro (spine) a flexibility a tihtlem bakah stooped posture a siam thei bawk. He natna hi ruhroah chauh a awm lo va, hip, shoulder, ribs, leh heels te pawh a nghawng thei bawk.
Hei hi autoimmune disease vang a ni a, chu chu kan taksa humhim tura ngaih immune system hian kan cell hrisel tak takte, he thu-ah hian ruhte hi a bei sual tihna a ni.
Awle, tunah chuan Lovaine leh Deverell-a chanchin hi han thlir ila, he natna vei hian nun an hmachhawn a ni.
Loven-a chanchin: Hrehawmna atanga hnathawh thar thlengin
Loven hi kum 30 vel a ni tih hmuhchhuah a ni. Mahse a natna lan chhuah dan chu a hmain a intan a, a fa hmasa ber a hrin hnuah a ni. A hnungzang natna nen a intan a, zawi zawiin a kal thei tawh lo. A tawpah chuan kea kal turin tiang a hmang a ngai ta a ni.
Kum 31 mi lek a nih laiin AS a vei tih hmuhchhuah a ni a, a natna hi a hnungzang chunglam a darh hnuah a ni. A thisen test-naah pawh positive gene (HLA-B27) a awm tih hmuhchhuah a ni bawk . He gene hi AS vei zawng zawngah te hian hmuh tur a awm vek.
Loven chuan, "Ka natna hming ka neih khan ka hahdam tak zet a ni. A tlem berah chuan ka taksa chunga thil thleng hi ka hre chiang hle a ni," a ti.
Mahse thawnthu chu chutah chuan a tawp lo. Kum 30 a tlin meuh chuan a natna chu tuar theih loh khawpin a natna chu a tuar thei tawh lo. Painkiller rit tak tak a ei a ngai a, a hna chu a bansan ta a ni. A rheumatologist chuan X-ray turin a tir a. Chutah chuan a hip dinglama cartilage tam tak chu a chhe tawh tih a hre ta a, a hip veilam cartilage pawh a bo vek tawh tih a hre ta a ni.
Nun tidanglam thei surgery
Kum 39 mi lek a nih laiin a hip veilam hip replacement surgery a neih a ngai a ni. A surgeon chuan a hmuh tawh zawng zawng zingah chuan inflammation na ber a nih thu a sawi.
"Operation hnua ka harh chuan thil mak tak a thleng a. Tuar theih loh natna chu a bo ta . Ka nun a tidanglam ta. Kum 4-5 chhung zet chu ka lungngai hle. Mahse operation hnuah chuan engkim a danglam ta a ni.
Rehabilitation hun chhung chu a awlsam lo hle. Kea kal a zir leh a ngai a, a taksa ruh a tichak bawk. Thla sarih chhung chu kar khatah ni thum physical therapy a tih a ngai a ni. Kum khat hnuah a dinglam hip joint chu thlak a ngai ta a ni.
Hun a kal zel a, hmeichhe hip artificial pahnih neia khawsa a nih thu a hre ta a ni. Natna enkawl dan tur leh natna nena nun dan tur a chhiar tan ta a ni. A thunun theih thilte chu a ngaihtuah ber a ni. Chu chuan ei leh in, exercise, leh ngaihtuahna ṭha neih ang chi thilte a kawk a ni . Tunah chuan health counselor a ni tawh a, natna ang chi nei te tanpui thin a ni.
Deverell-a chanchin: Doctor-te pawhin an rin loh natna
Deverell hi kum 22 mi a ni a, heng symptoms te hi a lo lang tan a. Stairs chhoh emaw, bawnghnute carton khat chawi emaw ang chi thil awlsam tak tak pawh a ti thei lo. A taksa chhung lam atanga natna nasa tak leh inflammation lo chhuak chungchang a doctor hnena a hrilh chuan doctor chuan a ngai pawimawh lo.
"Chutiang a nih chuan nangmah leh nangmah i inrintawkna a hloh thin. Ka taksa hian a danglam tih ka hria a, mahse ka doctor thusawi chu ka ngaithla a ngai a ni."
Kum hnih hnuah, damdawi engmah ei avanga hahdamna awm lovin doctor chuan, "Hei zawng zawng hi i lu-ah a awm vek a, ka tih theih tur a awm lo," a ti a.
Diagnosis hmuh chhuah chu beidawng lovin
Mahse Deverell-a chuan a beidawng lo. Doctor dang a hmu leh a. Cancer, arthritis, leh gastrointestinal diseases lama specialist doctor engemaw zat a hmu a. Test ṭhenkhatah chuan muscular dystrophy ang chi natna a awm tih an sawi a, mahse chiang taka hmuh theih a ni lo.
Hemi hun chhung hian a khawtlang nun chu a tawp ta vek a ni. Online support group a zawm a, a thil tawn te a sawi chhuak a ni. Chutah chuan mi pakhatin test nei turin a fuih a (HLA-B27) .
Kum 2010-a test-naah a positive leh chuan Deverell chu a lawm hle a ni. Kum li chhung zet a lo buaipui tawh zawhna chhanna chu a tawpah chuan a hmu ta a ni. Mahse a hlimna chu a rei lo hle. A doctor chuan damdawi a awm loh thu leh natna khirh tak a nih thu a hrilh a.
Natna i thlir dan thlak danglam
Chu thawnthu hnu chuan Deverell-a chuan thutlukna mak tak mai a siam ta a. A neih zawng zawng hralh chhuakin South Africa khawpui Cape Town-ah a insawn ta a ni. Chutah chuan hlim takin a hun a hmang a, tuifinriat, tlângte chu a en a, mi nuihzatthlak tak takte chu a en reng a. Thi mai ang maia inhriat ai chuan a rilru leh taksa chu a inzawm khawm ang maiin a inhria tan ta zawk a ni .
Chutah chuan Hot Yoga a ti leh ta a. Room lum takah yoga exercise a tih hian a natna a tiziaawm a, a hnungzang a tichak bawk. ‘Natna’ tih thumal a hmang tawh lo. Chu ai chuan ‘discomfort’ a ti zawk a ni.
"Natna spectrum-ah i awm a. Hrisel lohna atanga thlamuanna lamah i kal thei."
Tunah chuan Deveral hi Hot Yoga zirtirtu a ni ta. Damdawi engmah a ei ngai lo. A enkawlna awmchhun chu yoga leh ei leh in tha tak a ni.
| Nihphung | Khawvel thil tawn | Deverell-a thil tawn a ni |
|---|---|---|
| A lan chhuah hmasak ber | Hnung leh hip na, kal harsa. | Taksa chak lo, stairs chhoh harsa, natna nasa tak leh inflammation te. |
| Diagnosis tih a ni | Ka natna lan chhuah tirh atanga rei vak lovah, kum 31 ka nih laiin ka natna hi hmuhchhuah a ni. | Kum 4 chhung zet indona rei tak ka neih hnuah, Doctor-te rin lohna karah chuan ka natna chu ka hmuchhuak ta a ni. |
| Harsatna ber chu | Taksa natna tuar theih loh leh ruh tihchhiatna. | Doctor-te mahni inrintawk lohna leh lungngaihnaa tlu lut. |
| Ka nun tidanglamtu chu | Hip replacement surgery leh ngaihtuahna tha tak neih a ni. | Environment thlak danglam, Hot Yoga, leh natna i hriat dan thlak danglam. |
| Tuna a hnuaia awm mekte | Damdawi (TNF-inhibitor), ei leh in, exercise light, leh counselling te pek a ni. | Yoga exercise nasa tak, diet control (damdawi tel lo). |
Heng thawnthu pahnih atang hian eng nge kan zir theih ang?
I taksa chungchang hi nangmah leh nangmah sawipui rawh.
Deverell-a thawnthuin a tarlan angin, doctor-te pawh hi a chang chuan an dik lo thei a ni. I taksain a hriat danah inrintawkna i neih chuan sawi chhuah hlau suh. Chhanna i hmuh hma loh chuan beidawng suh. Nangmah ngei pawh hi i thian tha ber i ni .
Mentality hi thiltithei tak a ni.
Loven leh Deverell te pahnih hian natna an thlir dan an thlak danglam a. Natna hi nun tawpna a ni lo va, nunpui theih leh enkawl theih a ni tih an hrechhuak ta a ni. Thil \ha ngaihtuah chu indona chanve hnehna ang a ni.
One-size-fits-all solution a awm lo.
Surgery leh damdawi ei hian Loven-a chu a pui hle. Yoga leh nunphung inthlak danglamna chuan Deverell-a chu a pui hle. Chuvangin he natna hi i neih chuan i doctor nen inbia a , i tana tha tur enkawlna leh nunphung i zawn a pawimawh hle.
Diet leh exercise lak dan
An pahnih hian an ei leh in an enkawl tha hle. Lowen chuan sugar, flour leh sa chi hrang hrang tihtlem hian natna leh hliam a tihziaawm thei tih a sawi. Tin, nitin exercise low-impact, kea kal leh yoga tih hian ruhro a tichak a, a inthlak danglam thei bawk.
"I natna rei tak i hmachhawn huna i indona lian ber chu i rilru chu natna leh stress tuar theihna hmuna i hruai hi a ni." - Hmangaihna
Heng symptoms te hi i neih chuan ngaihthah suh. Diagnosis leh enkawlna dik tak neih theih nan doctor thiam tak pan nghal rawh . Enkawlna i tan hma poh leh i ruh (joint) tihchhiat i control theih a tlem zawk.
Take-Home Thuchah a ni
- Ankylosing Spondylitis (AS) hi ruh natna a ni a, ruhro a nghawng a, kum naupan lai atanga tan theih a ni. I hnungzang na fo leh zingkar natna hi ngaihthah suh.
- I taksa chu ngaithla rawh. Eng symptom pawh i chiang lo a nih chuan chhanna chiang tak i hmuh hma loh chuan damdawi lam thurawn zawng rawh.
- He natna hi damdawi bik awm lo mah se, natna hi thunun theih a ni a, damdawi, taksa enkawlna, exercise leh nunphung tihdanglamna hmangin nun tha tak a awm thei a ni.
- Natna chungchanga i rilru put hmang hi a pawimawh hle. Thil tha ngaihtuah leh stress management hian natna tuar theihna a tipung thei a ni.
- I tana tha ber tur zawng rawh. Damdawi ei hian mi thenkhat tan hna a thawk tha hle laiin, yoga emaw exercise dang emaw hi mi thenkhat tan chuan a hlawk zawk mai thei. I doctor nen inbia la, i tana tha tur ruahmanna siam rawh.
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