Zing lamah i khup leh i hip natna nasa tak neiin i tho \hin em? Hun engemaw chen hnuah a natna chu a reh a, a lo let leh em? Hei hi thil pangngaiah i ngai mai thei a, a nih loh leh thawhrim lutuk avanga rilru natna mai mai a ni mai thei. Mahse, a châng chuan, chutiang hrehawmna awlsam tak hnuaiah chuan, kan ngaihven tûr damdawi lam thil a awm thei a ni. Vawiin hian hetiang dinhmun, Ankylosing Spondylitis (AS) chungchang kan sawi dawn a ni.
AS hi hnungzang natna mai ni lovin a tam zawk.
Mi tam tak chuan AS hi hnungzang na leh natna thlentu natna mai niin an ngai. Ni e, hnungzang na leh khauh lutuk hi he natna lan chhuahna ber a ni. Mahse thudik tak chu AS hi taksa pumpui nghawng thei dinhmun a ni. To be precise, it is a systemic disease , chu chu taksa chhunga system hrang hrang a nghawng tihna a ni a, hmun khat chauh ni lovin.
Hetiang hi tleirawlteah a lo thlen hian a chang chuan hnungzang natna hi a hma hian ruh lian tak tak, kekawrte leh kekawrte natnain a awm thei a ni. Tin, he natnaah hian enthesitis an tih hi a awm fo bawk.
Chuti a nih chuan Enthesitis chu eng nge ni?
A awlsam zawngin kan ruh nena kan taksa ruh inzawmtu tendon leh ligament inflammation a ni. Hei hi kephah (heel)-a Achilles tendon leh kephah hnuai lama plantar fascia-ah hmuh tur a tam ber. Zing lama i mut atanga i tho hmasak ber khan i kephah natna nasa tak i neih chuan he natna vang pawh a ni thei.
Kum 21 mi ni mah ila, kum 90 mi ang maiin ka kal a, taksa khauh tak leh sir lehlamah ka inher a.
He thawnthu hi mi pakhatin he natna vei tawhin a sawi a ni. A chang chuan heng symptoms te hi a lo thlen hian kan ngaihven vak lo. A nih loh leh kan doctor hnenah kan sawi theihnghilh thin. Chuvangin mi thenkhat chuan AS natna dik tak an hriat theih nan kum tam tak a ngai thei a ni. A bik takin general practitioner-in a enkawl i nih chuan hetiang joint inflammation hi a ngaihtuah lo mai thei. Chuvangin , i symptom neih apiang, eng ang pawhin tenau pawh ni se, i doctor nen inbiakna neih a pawimawh hle.
AS hian ruhro a nghawng dan
AS hi dam chhung zawnga natna a ni. A enkawl tha loh chuan i ruhro chu a ben reng thei a, i kal theihna pawh a nghawng thei bawk. I hnungzang tih loh hmun dangah natna i neih chuan natna khirh zawk i nei thei tihna a ni. I ruhro bakah AS hian a nghawng theih dan ber berte han thlir ila.
| Taksa peng a nghawng | Thil hriat tur leh symptoms te |
|---|---|
| Hips leh shoulder te | AS vei mi 3 zinga 1 vel chuan heng ruh natna hi an nei thin. A natna hi groin, khup emaw, kawr hmalam emaw atanga tan thei a ni. |
| Mit | AS vei zinga 40% vel chuan uveitis an tih chu an nei a, chu chu mit inflammation a ni. Mit sen, natna, leh êng en harsa tih ang chi symptom i neih chuan doctor pan nghal tur a ni. |
| Chaw ei dan (intestine) . | AS vei mi 10 zinga 1 vel chuan inflammatory bowel disease (IBD) , Crohn’s disease emaw ulcerative colitis emaw an vei thei a ni. A lan chhuah dan chu thisen chhuak riltam, taksa rihna tlahniam, leh hah lutuk te a ni. |
| Khabe | AS vei zinga 10% vel chuan jaw joint-ah inflammation an nei a, hei hian ei a ti harsa thei hle. Hetiang natna i neih chuan dentist pan a pawimawh. |
| Ruh te | AS vei zinga a chanve vel chu osteoporosis , ruh hring (thinning) thlentu natna vei an ni. Calcium leh vitamin D supplement ei leh kea kal ang chi exercise tih hian ruh a tichak thei a ni. |
| Chuap | A chang chuan AS hian ruh leh ruh inkar ruhkawr a tikhauh thei a, chu chuan thawk i thawh laiin i rilru a tizau tha lo thei a ni. Hei hian thawk harsatna a thlen thei a ni. I rilru natna i neih chuan Doctor pan nghal tur a ni. |
| Thinlung | AS hian lung natna vei theihna a tipung a ni. Taksa pum puia thisen pump chhuaktu thisen kalna kawng lian ber aorta chu a lo hring thei a ni. Heart rate pawh a rang thei a, a hniam thei bawk. Chuvangin kum khatah vawi khat tal echocardiogram (ultrasound test of the heart) neih a pawimawh. |
Enkawl dan leh enkawl dan tur pawh i zir ve ang u.
Heng symptoms te hi i neih chuan a tha ber chu rheumatologist hmuh hi a ni . A enfiah ang che a, a tul chuan X-ray, MRI, leh thisen test ang chi test a order ang a, chu chuan i natna chu a finfiah ang.
Enkawlna atan chuan natna tidamtu NSAIDs (Nonsteroidal anti-inflammatory drugs) an tih chu pek hmasak a ni tlangpui. Mahse, mi thenkhat chuan heng damdawi te hian side effects an nei thei a, chu chu pum na leh nausea te hi a ni. Chutiang a nih chuan doctor hnenah i hrilh tur a ni. Tichuan, damdawi chi hrang hrang a thlak danglam thei a, a hman dan tur pawh a siamrem thei bawk.
Natna hi a na zawk a nih chuan tunah hian tunlai damdawi, biologics ang chi, natnain taksa a tihchhiat dan a thunun thei tawh a ni.
A pawimawh ber chu physiotherapy leh exercise dik tak neih hi a ni , chubakah damdawi ei pawh a ni. Hei hian ruh (joint stiffness) tihziaawmna leh taksa a inthlak danglam theih nan nasa takin a pui ang.
I taksa rihna, thisen sang leh cholesterol level control hi thinlung hriselna atan pawh a pawimawh hle. Tin, i zuk chuan i bansan nghal tur a ni. Meizial zuk hian he dinhmun hi a ti na zual hle.
Take-Home Thuchah a ni
- AS hi ruhroah chauh natna a ni lo. Mit, thinlung, lung, ril leh ruh dangte a nghawng thei bawk.
- I hnungzang na nen hian symptom dang i neih chuan mit sen, kekawrte na, hip na, thawk harsa emaw, heng zawng zawng hi doctor hnenah hrilh rawh.
- Natna hi a hmaa hriatchhuah a nih a, enkawlna dik leh nunphung tihdanglamna nena inzawm chuan AS hi uluk taka enkawl theih a ni a, nun pangngaia nun theih a ni.
- Doctor-in a tih angin exercise leh physical therapy treatment pek anga inhmang hi damdawi ei ang bawkin a pawimawh hle.
- I dinhmun chungchang inzirtirna hi hlawhtling taka nunpui theihna kawng tha ber a ni.
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