Ankylosing spondylitis tih hi i hre tawh em? Spine leh pelvis-a joint te chu a inflamed a, a stiff a, a tawpah chuan a fuse khawm thinna condition a ni. Chuvangin, mi tam tak chuan mipaah a tam zawk niin an ngai. Mahse, chutiang chu a ni tak tak em? Tun hnaia zirchianna hrang hrangah chuan he natna hian hmeichhia leh mipa a nghawng danah hian danglamna pawimawh tak tak a awm tih a tarlang. Vawiin hian heng inthlauhna te hi eng nge ni a, engvangin nge a lo awm tih hi han sawi ila.
Hei hi ‘mipa natna’ a ni tak tak em?
Tun hma chuan doctor leh zirchiangtute zingah ngaihdan lar tak chu ankylosing spondylitis (AS) hi mipa natna a ni ber tih hi a ni. Hei hi a chhan pakhat chu chutih laia zirchianna tam zawk chu mipa damlote an nih vang a ni. Chuvangin result chu chutiang chuan a chhuak ta a ni.
Mahse tunah chuan thil awmdan a danglam ta. Zirchianna thar atanga a lan dan chuan he natna vei theihna hi hmeichhia leh mipa tan pawh a inang tlang hle . Hun a kal zel a, he natna vei hmeichhia leh mipa inkara inthlauhna hi a tlahniam zauh zauh a.
Mahse hei hi a sir dang a awm. Genetic leh cellular level-ah chuan danglamna engemaw zat a awm. Entirnan, zirchianna atanga a lan dan chuan AS vei mipa te hian Th17 leh IL-17A an nei sang zawk a, chungte chu cell chi hrang hrang, inflammation thlentu an ni. Mahse, AS vei hmeichhiate chuan heng cell te hi level inangah an nei lo. Hei hian natna lo awm chhan biological process-ah hmeichhia leh mipa inthlauhna a awm tih a tilang a ni.
Diagnostic delays hian tute nge a nghawng ber?
Hetah hian thu pawimawh tak a awm. Hmeichhia leh mipa inkara natna lan chhuah tan kum hi a danglam vak lo nain, hmeichhiaah chuan natna hmuhchhuah hi a hnu lamah a lang nasa hle a ni .
Hei hi han ngaihtuah teh: Kum 2017-a zirchianna pakhatah chuan hmeichhiain he natna hi a vei theih nan a vaiin kum 8.8 vel a ngai a , mahse mipa pakhatin a vei theih nan a vaiin kum 6.5 vel a mamawh tih a tarlang. Chu chu tihkhawtlai tlemte a ni lo, a dik em?
Engvangin nge hetiang hi a lo awm? AS hriat theihna tur test pakhat mah a awm lo. I doctor, a bik takin rheumatologist chuan i natna lan chhuah dan te, i damdawi lam chanchin te, taksa enfiahna te, leh test engemaw zat, X-ray ang chi te a zirin diagnosis a siam ang. He natna hi "mipa natna" anga ngaih a nih fo avangin, hmeichhiain heng symptoms a neih hian a rinhlelh hun a tlai fo thei.
Natnain nghawng a neih dan inang lo: hmeichhia vs mipa
Natna hriat chhuah a nih hnuah pawh taksa a nghawng danah danglamna chiang tak a awm. Heng inthlauhna te hi table pakhatah han thlir ila. Hei hian i hriatthiam a awlsam phah ang.
| A nghawng sector | Mipa | Hmeichhia |
|---|---|---|
| X-ray-a inthlak danglamna | Spine leh joint chhiatna leh inthlak danglamna chu a langsar zual a , a na zual zel bawk . | X-ray-a chhiatna leh inthlak danglamna hmuh theih hi mipaah a tlem hle. |
| Joint Fusion a ni | Joint stiffness leh erosive damage hi a na zawk a , a rang zawk bawk. | Joint degeneration leh erosion awm mahse, mipa angin a na lo . |
| Diagnosis tihkhawtlai a ni | He natna hi kum 6.5-ah hmuhchhuah a ni tlangpui. | A vaiin he natna hmuhchhuah hi kum 8.8 thleng a tlai thei a ni . |
| Damdawi ina dah te | Natna nasat dan hi damdawi ina dah leh clinic-a refer theihna sang zawk nen a inzawm niin a lang. | Diagnosis a tlai avangin healthcare hman dan data hi a tlem thei hle . |
Chûng inthlâk danglamna chhante chu engte nge ni thei ang?
Hei hi chhan hrang hrang a awm thei.
1. Natna nasat dan:A hmaa kan sawi tawh ang khan mipa natna hi X-ray-a hmuh theih aiin a na zawk. Chumi avang chuan lungawi lohna an tawk nasa zawk. Chuvang chuan Doctor hmuh tam a ngai mai thei a, clinic-ah an kal a ngai mai thei a, damdawi ina awm pawh an ngai mai thei.
2. Diagnosis tihkhawtlai: Hei hi thil lian dang a ni. Hmeichhia hi natna hmuhchhuah tlai an nih avangin hriselna lama service an zawng tlai tan bawk. Chuvangin, research data kan en hian hmeichhiate hi he natna avanga damdawi inah an kal tlem zawk niin a lang mai thei. Mahse a chhan dik tak chu an natna hi an hriat tlai vang pawh a ni thei.
A pawimawh ber chu khawtlang nunah he natna hi ‘mipa natna’ anga ngaih a nih avangin, hmeichhiain hnungzang na leh zing khawvar ang chi symptom a neih hian AS a ni thei tih rinhlelhna a tlai tawh hle. Chumi avang chuan diagnosis tihkhawtlai hi harsatna lian tak a ni.
Chuvangin hmeichhia emaw mipa emaw pawh ni ila, hun rei tak chhung hnungzang na, zing i thawh dawna i hnungzang, i kawng leh i hip area-a na leh natna i neih chuan hnungzang natna pangngai angin ngaihthah suh la, i doctor hmu la, sawipui ngei ang che. Natna hi a hriat hma poh leh natna enkawl leh thunun theihna chance a sang zawk thin.
Take-Home Thuchah a ni
- Ankylosing spondylitis (AS) hi mipa chauh natna a ni lo . Hmeichhia leh mipa a nghawng thei a ni.
- He natna hian taksa a nghawng dan leh a lan chhuah nasat dan hi mipa leh hmeichhiaah a inang lo thei hle . Mipa hian X-ray-a hmuh theih tur ruh chhiatna nasa tak an nei tam zawk.
- Hmeichhia tan chuan natna hmuhchhuah a tlai hle thei tih hriat a pawimawh.
- I mipa leh hmeichhia pawh ni se, hun rei tak chhung hnungzang na leh zing lama i natna i neih chuan ngaihthah suh la, doctor thurawn la nghal rawh .
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