I ruh leh i intestine-ah harsatna i nei em? Enteropathic Arthritis chungchang hi han sawi ila!

Hetiang hian a chang chuan i inhria em? Zing i thawh chuan i ruh a na a, a hring bawk... Chumi rual chuan i pum a na a, ni khatah vawi tam tak toilet i kal a ngai bawk. Heng symptom pahnih hi a ruala i neih chuan enteropathic arthritis an tih condition i hriat a ngai mai thei.

Enteropathic Arthritis hi eng nge ni?

A awlsam zawngin, enteropathic arthritis hi i ruh (arthritis)-a natna leh hring (arthritis) bakah i chaw ei dan, emaw, i intestines-a inflammation (Inflammatory Bowel Disease - IBD) Vawi khatah an pahnih hian buaina i nei ang tih han ngaihtuah teh. Mi thenkhat chuan hei hi enteropathic arthropathy, emaw IBD nena inzawm arthropathy an ti thin.

Tunah chuan, en teh, arthritis kan tih hian, ruh natna, ruh natna thlentu, leh chronic thei dinhmun a ni tih kan hre vek a ni . A lehlamah chuan IBD kan tih hian hun rei tak chhunga inflammation emaw hliam emaw a awm tihna a ni a, chu chu i digestive tract thenkhat emaw, a zawng zawng emaw, a bik takin i intestines-ah a awm tihna a ni. Chuvangin, EnA i neih chuan heng ruhteah hian natna leh hliam i nei a, mahse i intestines-ah pawh inflammation i nei bawk.

EnA hi ruh natna chi hrang hrang, ruhkawr tibuaitu pawl lian zawka tel a ni. Spondyloarthropathy an ti a. Hming buaithlak tak a ni a, mahse hun rei tak chhunga ruh natna sawina a ni. This condition can be a bit of a barrier to your normal life , mahse thu lawmawm tak chu a enkawlna tur a awm tih hi a ni.

Enteropathic arthritis (EnA) natna lan chhuah dante chu engte nge ni?

EnA vei tan chuan a nghawng ber chu i ruh leh i chaw ei dan (Gastrointestinal - GI system) ah a ni.

Joint nena inzawm natna lan chhuah dan:

Chûngte chuan i kut leh ke ruhkawrte chu a nghawng nasa ber ṭhin a, mahse a châng chuan heng natna leh hrehawmnate hi i hnungzang-ah pawh a awm thei bawk .

• Joint pianzia inthlak danglamna: Entirnan, kut zungtangte chu a chhuak ang maiin a lang thei a, a nih loh leh a knobby ang maiin a lang thei bawk.
• Vun rawng danglam: Joint chunglam vun chu a sen thei a, a rawng pawh a danglam thei bawk.
• Natna: Hei hi a symptom ber a ni.
• Joint stiffness/stiffness: Zingkar i harh chuan i ruhte chu rei lo te chhung ben emaw, tihzauh emaw harsa i ti thei.
• Swelling: A ruh chu a hring leh a lianin a lang.
• Tenderness: Joint khawih emaw, press emaw hian a na .
• Joint warmth: Joint awmna hmun chu hmun dang aiin a lum zawkin a hria.

Digestive system (GI system) nena inzawm natna lan chhuah dan:

• Pum na: Pum na fo thin.
• Toilet kal dawna bawlhhlawh chhunga thisen awm: Hei hi i ngaihven em em tur symptom a ni.
• Luak chhuak fo: Ni khatah vawi tam tak bathroom-a kal.
• Tum loh taka taksa rihna tihtlem: I taksa rihna tihtlem tumna a ni lo va, i taksa rihna tihtlem vang chauh a ni.

Mi thenkhat chuan GI symptoms an nei hmasa thei a, chutah chuan joint symptoms an nei leh thei bawk . A nih loh leh a lehlamah pawh a ni thei bawk. Chu chu, ruh (joint) a na tan a, chutah chuan pum lam thil a intan tihna a ni. A châng chuan symptom pahnih hi a rualin a flare up thei bawk.

Engvangin nge enteropathic arthritis (EnA) hi a lo awm? A chhante chu engte nge ni?

Dik tak chuan scientist-te chuan EnA thlentu hi eng nge ni tih chiang takin an la hre lo . Mahse, kan thisen var chunglama awm, HLA-B27 an tih protein chu a inrawlh niin an ring.

Hetiang hian han ngaihtuah teh, he `HLA-B27` protein avang hian kan taksa immune system hian a chang chuan kan cell hrisel tak tak te, a bik takin kan ruh chhunga cell te hi a rawn bei sual tan thin Keimahni sipai ngeiin an rawn bei ang mai a ni.

Mahse hetah hian thil dang a awm. He `HLA-B27` hi he natnaah chauh a ni lo. Chu chu `HLA-B27` positive zawng zawng hian enteropathic arthritis an vei vek dawn lo tihna a ni. Mi hrisel thenkhat pawhin a positive thei bawk. Chuvangin, hei hi factor ni thei mahse, research stage-a la awm thil a la ni reng a ni .

Tute nge enteropathic arthritis (EnA) vei theihna sang zawk?

Inflammatory bowel disease (IBD) vei mi panga zinga pakhat velin enteropathic arthritis an vei dawn nia chhut a ni. IBD hian ulcerative colitis leh Crohn’s disease ang chi natna a huam ber a ni.

Chu bakah, EnA hi i small intestine tichhe thei dinhmun dang nen pawh a inzawm thei bawk . Entir nan:

• Celiac disease: Hei hi autoimmune condition a ni bawk. Chumi awmzia chu taksa invenna (immune system) hian a cell-te a bei tihna a ni.
• Bacteria infection Salmonella leh Shigella te hnua lo awm thin inflammation. Bacteria infection thenkhat chuan intestine a ti na thei bawk a, chu chuan ruh natna a thlen thei bawk.
• Intestinal surgery thenkhat (intestinal bypass surgery) tih a ni.
• Whipple natna: Hei hi bacteria atanga kai hmuh tur awm lo tak a ni.

Engtin nge doctor-te hian hei hi an hriat chian?

Heng symptoms nei doctor pan i kal hian a tih hmasak ber tur chu taksa enfiahna kimchang a pe che a ni.. Tichuan, i mimal hriselna chanchin chipchiar takin an en ang . I symptoms chungchangah pawh zawhna tam tak an zawt ang che. A bîk takin, ni khat chhûnga i ruh natna a inthlâk dân chungchâng zawhna an zâwt ang che, chu chu zing emaw, zan emawa a na zâwk em tih te hi a ni .

I digestive system (GI) symptoms , bowel habits inthlak danglam leh ei duh lohna te pawh an zawt bawk ang.

Chu bâkah, i chhûngte damdawi lam chanchin hriat a pawimawh , a bîk takin i chhûngkuaa tu emaw chuan IBD emaw, arthritis emaw a vei tawh a nih chuan.

Enteropathic arthritis (EnA) hi eng test nge hman thin?

EnA hriat theihna tur test bik a awm lo . Mahse, i doctor chuan IBD leh arthritis i vei tih finfiah nan emaw, i natna lan chhuah chhan dang hriat chian nan emaw test eng emaw zat a ti thei ang . Heng test-ah hian:

• Arthrocentesis: Hei hian i ruh atanga synovial fluid an tih tui sample tlemte lak a, test a huam a ni . Hei hian ruh chhunga inflammation chungchang hriatna a pe thei a ni.
• I bawlhhlawh sample lak a, bacterial culture test tih.
• Biopsy hi test a ni a, digestive system atanga tissue thenkhat lak a ni.
• Thisen test-ah inflammation a lang: Entirnan, erythrocyte sedimentation rate (ESR) emaw C-reactive protein (CRP) emaw test. Chûngte chuan taksa khawi emaw laiah swelling emaw inflammation emaw a awm em tih ngaihtuahna a pe thei a ni.
• Thisen test a ni a , `HLA-B27` .
• Colonoscopy: Hei hi Camera hmanga tube hmanga intestine lian enfiahna a ni .
• X-ray hmanga ruh natna, khawih a na emaw, a hmin emaw.

Engtin nge enteropathic arthritis (EnA) hi enkawl a nih?

Enteropathic arthritis enkawlna tum ber chu i ei leh in lama harsatna awm bakah i ruh natna tihziaawm hi a ni Tin , ruhkawr a chhiat belh zel loh nan a pawimawh bawk .

A hnuaia mi hi enkawlna kawng hrang hrang atan hman theih a ni:

• Glucocorticoids injection: Hengte hian natna leh hliam tihziaawmna turin a pui a ni. Tin, ruh chhungah direct-in an inject theih bawk.
• Disease-modifying antirheumatic drugs (DMARDs): Heng damdawi te hian i immune system hnathawh dan a tidanglam a, natna kal zel dan a tikhawlo bawk. Entirnan methotrexate , sulfasalazine , .Hydroxychloroquine leh Leflunomide ang chi damdawi te .
• Tumor necrosis factor-alpha inhibitors (TNF-alpha inhibitors): Hei hi damdawi chi dang chak tak, immune system tichhe thei a ni. Entirnan Infliximab hi a ni.
• Physical therapy: Hei hian ruh hnathawh thatna tur leh ruh chhiatna leh piansualna venna kawngah a pui hle.
• Surgery: Thil na tak tak thenkhatah, a bik takin hnungzang lama harsatna a awm chuan zai a ngai mai thei.
• Nunphung thlak danglam: Fimkhur a pawimawh hle a, a bik takin i ei leh in (diet) chungchangah hian fimkhur a pawimawh hle .

Enteropathic arthritis (EnA) vei hian engtin nge ka hriselna ka enkawl ang?

EnA hian i nitin nun a nghawng thei a, mahse , i rilru hahdam leh i hnathawh that theihna tur kawng engemaw zat a awm :

• Ruh natnaah lumna hnawih hian taksa ruhte a ti hahdam thei a ni. Chutiang bawkin khawsik hnawih hian ruh natna a tiziaawm thei bawk. Mi thenkhat chuan lumna hian a pui thei niin an ngai a, thenkhat erawh chuan khaw lum hian a pui thei niin an ngai thung. I tan eng nge tha ber tih zawng rawh.
• Anti-inflammatory ei leh in tur thlang rawh. Chu chu ei tur rimtui leh hriak ei tlem a, i ei leh inah thlai, thei leh thlai chi tam zawk dah tel tihna a ni.
• Posture tha tak practice rawh. Chu chu ṭhut leh ding laia ding nghet tihna a ni.
• Support group-ah te tel thin ang che. Midang, arthritis emaw IBD ang chi natna nei te nena inbiakna neih hi chakna leh hriatna tha tak a ni thei.
• Zuk leh hmuam i in emaw, zuk leh hmuam i hman emaw chuan bansan rawh. Hengte hian symptoms a ti na zual thei.
• Stretch la, taksa tihchakna mumal tak nei rawh. I doctor hnenah eng exercise nge i tan a tha tih zawt la, ti rawh.
• Complementary therapies, massage , meditation , acupuncture , guided imagery, leh relaxation techniques te hi enchhin rawh. Mahse hengte hi i enchhin hmain doctor nen inbiakna neih hmasak phawt a tha.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hmu tura i kal hunah hetiang zawhna hi zawh hi i tan a \angkai hle ang:

• Eng ang enkawlna nge min rawt?
• Ka ei loh tur chaw bik a awm em?
• Flare-ups ven nan eng nge ka tih theih ang?
• Ka fate pawhin he natna hi an nei thei ang em? (Chu chu rochun atanga lo piang a ni em?)

Enteropathic arthritis (EnA) hi ven theih a ni em?

Scientist-te chuan enteropathic arthropathy thlentu hi an la hrethiam tawk lo a, chuvang chuan he natna hi pumpelh vek theih dan tur a awm lo . Mahse, symptom flare-ups venna kawngah i puih theih dan a awm .

Thlai leh thei thar tam tak awmna ei leh in hrisel tak i ngaihtuah thei ang . Nitin taksa tihchakna engemaw zat neih tum ang che. Meizial i zuk chuan, bânsan ngei ang . Heng natna lan chhuah tam dan tihtlem dan tur dang i doctor nen sawiho rawh.

Enteropathic arthritis (EnA) vei tan chuan eng prognosis nge a awm?

EnA vei mi pakhatah chuan natna kal dan hi mi hrang hrangah a inang lo thei hle . Symptoms hi a awm reng emaw a lo kal leh zel emaw pawh a ni thei . Flare-up hi mi thenkhat tan chuan thinrimna tenau tak a ni thei a, thenkhat tan chuan an ni tibuai thei khawpa na a ni thei bawk.

Mahse, a pawimawh ber chu enteropathic arthritis vei tam tak chuan nun pangngai, productive tak an nei a, nun pangngai an hmang thin .

Joint pain chauh ni lovin tunah chuan gut issues i nei ve bawk em? Enteropathic arthritis hi natna hrehawm tak, nunna atana hlauhawm tak a ni thei. Symptoms a inang lo thei a, mahse a natna a nasat chuan i nitin a nghawng thei a ni. Vanneihthlak takin enkawlna kawng hrang hrang a awm . Mahse, i tana enkawlna dik tak zawn nan hun engemaw chen a la ngai thei. I danglam bik a, chuvangin midang symptoms a that angin i symptoms te chu a tha lo mai thei. I doctor nen inbia ang che. I tana ṭha ber tur enkawlna ruahmanna siam turin a pui thei che a ni.

He thawnthu atang hian kan hriat reng tur thil (Take-Home Message) .

Okay, chuvangin kan sawi tawh enteropathic arthritis chungchanga hriat reng tur awlsam tak tak thenkhat han thlir ila:

• EnA hi arthritis leh inflammatory bowel disease (IBD) te nen a lo awm dun thin a ni.
• A lan chhuah dân chu ruh natna, hliam, leh hruihrual te, chu bâkah, pum na, rilṭâm, leh ek chhunga thisen chhuak te pawh a ni thei .
• Hemi chhan dik tak hi hmuhchhuah a la ni lo , mahse genetic factors `HLA-B27` ang chi te hian hmun a chang thei a ni.
• IBD (a bik takin Crohn’s disease leh ulcerative colitis) vei te hi an vei theihna a sang zawk.
• Test chi hrang hrang (thisen, ek, colonoscopy, X-ray) hmangin natna hriat theih a ni.
• Enkawlnaah hian damdawi, taksa enkawlna leh nunphung tihdanglam te a tel a ni.A pawimawh khawp mai.
• Natna hi pumpelh kim theih ni lo mah se, a natna lan chhuah dan chu thunun theih a ni a, nun tha tak neih theih a ni .
• A pawimawh ber chu hlauthawng lo, doctor nena inbia a, i tana tha ber tur enkawlna leh thurawn lak hi a ni.

Heng symptoms te hi i neih chuan nangmah chauhin tuar suh la, a rang thei ang bera damdawi lam pan la. Tichuan hahdamna i hmu thuai thei ang.

` Enteropathic arthritis, arthritis, ril natna, chaw ei kawng, ruh natna, IBD, Crohn natna