I X-ray hian i hnungzang na chhan a tarlang thei lo em ni? Hemi chungchang hi han sawi ila! (Non-Radiographic Axial Spondyloarthritis natna hi a awm lo) tih a ni.

Kan dam chhung hian engtik lai pawhin hnungzang natna kan nei vek tawh. A châng chuan, rit phurh emaw, thut dik loh emaw avanga natna lo awm chu ni engemaw zat hnuah a reh mai ṭhin. Mahse thla tam tak chhung hnungzang na i neih chuan, a bik takin zanah leh zing i thawh hunah chuan ngaihthah mai mai suh. Vawiin hian Non-Radiographic Axial Spondyloarthritis , emaw keini doctor-te’n kan tih angin (nr-axSpA) , X- ray-a lang lo mahse i nun a nghawng thei arthritis chi khat chungchang kan sawi dawn a ni.

A awlsam zawngin, nr-axSpA chu eng nge ni?

Osteoarthritis , i tar chhoh zel chuan khup leh hip ang chi ruhte a ti chhe thin tih i hre tawh mai thei. Mahse nr-axSpA hi thil danglam tak a ni a, kan taksa immune system a thawk tha lo vang a ni . A awlsam zawngin, kan taksa ngeia invenna system, a nih loh leh immune cell-te chuan kan ruhro leh kan ruhro nena inzawm kan ruhte chu a rawn bei sual a ni . Hei hian chu ruhte chu a ti na a , a tikhauh a, a na bawk.

He natna hi arthritis natna na zawk Ankylosing Spondylitis (AS) tih nen a inzawm tlat a ni. A châng chuan nr-axSpA hi AS hmasa ber a ni thei bawk. Mahse, nr-axSpA nei zawng zawng hian AS an nei vek dawn lo.

Hetiang natna lan chhuah dan hi engte nge ni?

nr-axSpA chhinchhiahna ber chu hnungzang natna a ni . Mahse hei hi hnungzang natna pangngai nen a danglam. He danglamna hi chiang takin i hrethiam ang u.

Back na bakah hian symptom dang engemaw zat hmuh tur a awm thei a:

• Ankle pain : Natna leh nghet lo, a bik takin kephah hnuaia Achilles tendon ang chi hmunah te.
• Kut zungtang hring: Kut zungtang emaw ke ruh emaw chu sausage ang maiin a hring vek a. Hei hi dactylitis kan ti a .
• Ruh dangah natna: Ruh dang, hip, khup leh kekawrteah pawh natna a awm thei bawk.
• Chauhna awm fo : .Eng ang pawhin mut pawh ni ila chau lutuk leh chau lutuk anga inhriatna.

Engvangin nge hetiang hi a lo awm? Risk factors te chu engte nge ni?

Kan sawi tawh ang khan a chhan ber chu kan taksa hriselna (immune system) a buai vang a ni. Hei hi a chhan dik tak hriat a la ni lo. Mahse, zirchiangtute chuan genetic link a awm niin an ngai.

A bik takin, gene pakhat HLA-B27 tih chu he thil nen hian a inzawm tih hmuhchhuah a ni. nr-axSpA leh AS vei tam tak chuan he gene hi an nei a. Mahse, hei hian HLA-B27 gene nei zawng zawng hian he arthritis hi an nei vek dawn tihna erawh a ni lo. Natna pakhat vei duhna mai a ni.

Hetiang dinhmun thlentu risk factor dangte chu:

• Kum: A lan chhuah dan hi puitling naupang, kum 20 leh 40 inkar atanga tan a ni.
• Chhungkaw chanchin: I chhungte hnai ber (nu leh pa, unau) mi pakhatin nr-axSpA emaw AS emaw a neih chuan nang pawhin i vei theihna a sang zawk.
• Meizial zuk : Meizial zutute hian he natna hi an vei theihna a sang zawk a, chubakah natna a zual zel theihna a sang bawk.

Engtin nge natna hi dik taka kan hriat theih ang?

He natna hi hriatchhuah a harsa deuh a, a chhan chu X-ray-ah a lang lo a, a natna lan chhuah dan hi naupang, hrisel tak takah a lang fo bawk. Chuvangin, a châng chuan, hnungzang natna awlsam tak anga ngaih sual theih a ni a, chu chuan enkawlna tihkhawtlai a thlen thei a ni.

Doctor hmu tura i kal hunah hengte hi a ti ang:

1. I natna lan chhuah dan chu ngun takin a ngaithla ang: engtikah nge natna a lo intan tih te, eng chen nge a awm tawh tih te, exercise hmanga a that leh that loh te chipchiar takin zawt rawh.

2. Taksa endikna a ti: Ruhro che vel leh natna hmunte a enfiah thin.

3. Thisen test tura tih a ni: HLA-B27 gene awm leh awm loh enfiah tur leh taksaa inflammation awm tih hriattirna CRP leh ESR ang chi test order tur a ni.

4. MRI scan: Hei hi nr-axSpA hriat theihna atana test pawimawh ber a ni. MRI scan hian X-ray-a hmuh theih loh ruhroah inflammation leh swelling fiah lo tak tak a awm tih chiang takin a lang thei a ni.

Enkawlnate chu engte nge ni?

nr-axSpA enkawl hi exercise, physical therapy, leh damdawi hmanga enkawl a ni.

1. Exercise tih tur a ni

Hei hi damdawi ang a ni. Nitin exercise neih hi a pawimawh hle. Exercise hian natna a tiziaawm a, hnungzang khauhna a tiziaawm a, i rilru hahna zawng zawng a tihziaawm bawk. Tin, i ruhro chu hmun khatah a awmtir a, a ben loh nan a pui bawk.

2. Ruihhlo

A tirah chuan i doctor chuan natna tidamtu leh nonsteroidal anti-inflammatory drugs (NSAIDs) (e.g., Indomethacin, Naproxen) a pe thei ang. Mahse, hengte hi damdawi lam enkawlna hnuaiah chauh hman tur a ni . Hun rei tak hman chuan side effects a thlen thei a, chu chu pum na leh kal a tichhe thei a ni.

NSAIDs hian a hlawkpui loh chuan i doctor chuan immune system hnathawh control thei damdawi bik (biologics) a pe thei a, chu chu TNF inhibitor te hi a ni.

3. Taksa lam enkawlna

Physics therapist trained kaihhruaina hnuaia exercise dik tak zir hi a pawimawh hle. Anni hian ruhro tichaktu exercise, taksa ruh tight stretch, posture dik leh thawk dan tur an zirtir ang che.

Spine chauh a nghawng em? Harsatna dang a awm em?

Ni e, nr-axSpA hi ruhroah chauh natna a ni lo. He immune system inflammation hian taksa peng dang a nghawng thei bawk.

• Mit: Uveitis hi natna tlanglawn tak a ni a, mit chhungah inflammation a thlen thin. Symptoms te chu redness , natna, blurred vision , leh light sensitivity te a ni. Heng symptoms te hi i neih chuan mit doctor pan nghal tur a ni .
• Digestive system: Mi thenkhat tan chuanInflammatory Bowel Disease (IBD) , Crohn’s Disease emaw Ulcerative Colitis , ang chi hian pum na leh rei tak riltam ang chi natna a thlen thei a ni.
• Vun: Damlo 10% velin psoriasis , vun natna, vunah sen, hnah hring a siam thei bawk.

He natna hian hun kal zelah engtin nge a nghawng ang che tih chiang taka sawi a harsa hle. Mi thenkhat symptoms chu a la awm reng thei a, thenkhat erawh chu a na zual thei bawk. Mi thenkhat dinhmun chu AS-ah a kal thei. Mahse, enkawl dan dik leh nunphung dik tak i neih chuan he natna hi i enkawl tha thei a, nun pangngai takin i hmang thei bawk.