Zing lama khum atanga i tho chuan i hnungzang leh i kawr na, board khauh ang maia na, che pawh i che thei lo tih i hre bawk em? I kal kual hnu leh i nitin hna i thawh zawh hnuah a natna chu a reh deuh em, mahse, zan lama i mut emaw, hmun khata rei tak i thut emaw chuan a na zual em? Hei hi hnungzang natna pangngai mai a ni lo mai thei. Ankylosing Spondylitis (AS) tih hming pu, ruh natna bik (special inflammatory joint condition) chhinchhiahna a ni thei. Chuvangin vawiin hian AS hi eng nge a nih, a natna hi natna chi dang aiin a danglam dan te, he natna hi i doctor hnena sawifiah dan tur leh enkawlna dik tak i hmuh nghal dan tur te kan sawi dawn a ni.
A awlsam zawngin, Ankylosing Spondylitis (AS) hi eng nge ni?
Ankylosing Spondylitis, a tawi zawngin AS tih hi kan taksa immune system-in kan ruh, a bik takin ruh leh ruhro (spine) leh pelvis-a awmte a beih thinna a ni. Hei hi autoimmune disease an ti a.
A awlsam zawngin kan taksa ngei sipai (immune cells) te hian kan taksa peng hrisel tak tak te hi hmelma anga ngaiin an rawn bei sual a ni. He attack hian ruh (joint) ah inflammation a siam thin. He inflammation hian zingkar a ti na thei a, a na a, hun rei tak chhung ruh a ti chhe thei bawk. He natna hi puitling naupang, kum 20 leh 40 inkar atanga intan a ni tlangpui.
Engvângin nge natna hi dik taka sawi a pawimawh?
I ngaihtuah mai thei, "Ka hnungzang a na tih ka sawi tawh a, engvangin nge chipchiar zawka ka mamawh?" Mahse chu chu thudik a ni lo. I doctor hnena i natna i sawi dan hi diagnosis dik tak hmuh theihna tur clue lian ber a ni.
Ngaihtuah teh, hnungzang natna hi chhan za tam tak a awm thei. Tlu avanga natna, phurrit rit phur emaw, thut dik loh (mechanical pain kan tih) leh AS ang natna avanga inflammatory pain te hi a danglamna lian tak a awm.
I thil chipchiar tak takte hian i doctor chu natna chi hnih hi a thliar hrang thei ang. Hei hian enkawlna dik tak, NSAIDs (Non-steroidal anti-inflammatory drugs) emaw, biologics ang chi damdawi bik emaw i hmuh theih nan a pui ang che. Detail dik lo i pek chuan diagnosis neih leh enkawlna tan hun i tikhawtlai thei a ni.
He natna hi nangmah chauhin i do a ngai lo tih hre reng ang che. Damdawi lam thurawn leh enkawlna dik tak i neih chuan he natna hi i enkawl tha thei a, nun pangngai takin i hmang thei bawk.
Hei hi doctor hnenah i natna i sawifiah dan chu a ni !
Doctor hmu tura i kal leh hunah chuan heng thilte hi tlem tal chhinchhiah la. Hei hi nang leh doctor tan pawh a remchang hle ang. Hei hi "Pain Diary" kan ti a ni. Hengte hi he diary-ah hian ziak rawh.
| Zawhna i inzawh tur chu | Doctor-in a pek theih entirnan |
|---|---|
| Khawiah chiah nge a na? | "Doctor, ka hnungzang hnuai lam, ka hnute sir lehlamah a na a. A chang chuan ka ke hnuai lam a na ang maiin ka hria. Ka kawr pawh a na bawk." |
| Eng ang nge a natna chu? | "Hei hi dull ache mai a ni lo. Internal inflammation nena lo kal rit tak a ni . Zing lamah chuan board ang maiin a harsa hle . A châng chuan chemte hmanga vuak ang chi natna nasa tak a awm ṭhin. |
| Ni eng hun lai nge a na ber? | " Zing ka thawh hian a harsa ber . Darkar chanve vel pawh ka bawkkhup tha thei lo. Zanah rei tak ka mut hnuah pawh a natna hi a lo thleng thin. Nitin ka kal hian a tlem deuh thin. |
| Eng thilin nge a natna chu a tizual? (Triggers) 1.1. | "Hmun khata rei tak i thut hian, car-a i zin tam hian, zan mut hnua zing i thawh hian a na zual thin. I chawlh hahdam hian a na zual thin |
| Eng nge i tih hian tlakchham nia i hriat? (Relievers) te an ni. | " Tlemte ka kal a, exercise tlem ka tih chuan a na a tlahniam. Shower lum tak lak hian ka rilru a hahdam deuh bawk. Doctor-in min pek painkillers ei hian a tlem zawk hle." |
| Engtin nge a natna chu? (Intensity) a ni. | "1 atanga 10 thlenga scale-ah chuan zing dar 8 vel a natna hi a ni. Nitin 3-4 vel ah a tlahniam a. Zanah 6-7 vel ah a pung leh thin." |
| He natna hi eng chen nge a awm tawh? | "Ka hnungzang hi thla 4-5 chhung zet chu hetiang hian a na tawh a. Tunah chuan a tir aiin a na deuh tawh." |
I natna sawifiahna atana puitu tur thumal tam zawk
A chang chuan a natna sawina tur thumal hmuh harsa kan ti thin. Chutiang chu i tan a nih chuan heng thute hian a pui thei ang:
- Burning: Mei alh ang maiin a lang.
- Tingling/Numbness: Hmuhrui tlan kual vel ang maiin a lang thei a, a nih loh leh i hre thei lo ang maiin a awm thei bawk.
- Sharp/Stabbing pain: Hrem hmanga hliam ang mai.
- Dull ache: Natna dull, rit tak, chhungril atanga lo chhuak.
- Stiffness: Thing ang maia tihngheh theih loh, khauhna.
- Radiating pain: Hmun khata intan a, hmun danga kal (e.g., hnungzang atanga tan a, ke hnuai lam pan) natna.
Hetiang hian i doctor hnenah i natna chiang takin i pe thei a nih chuan i damna kawngah i hmalakna hmasa ber leh pawimawh ber a ni ang.
Take-Home Thuchah a ni
- Ankylosing Spondylitis (AS) hi hnungzang lama harsatna awm fo mai a ni lo. Immune system a malfunction avanga joint inflammatory condition a ni.
- He natna ziarang ber chu chawlh laiin a pung a , exercise nen a tlahniam bawk . Zingkar stiffness hi a symptom lian tak a ni.
- Doctor-in i natna (a nana hmun, a natna awm dan, leh a pun leh a tlahniam hun) dik taka a sawi hi a pawimawh hle a, chu chu dik taka hriat theih nan a ni.
- Pain diary ziah hian nang leh i doctor tan pawh a pui hle ang.
- Thla 3 aia rei hnungzang na i neih chuan, a bik takin zing lama a na zual chuan doctor hnenah thurawn dil ngei ngei tur a ni.
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