Hetiang chi ruh natna nen hian symptom dang i nei bawk em? Reactive Arthritis chungchang hi i zir dawn nia!

A châng chuan ruh natna kan nei thut thei a ni lawm ni? Chumi rual chuan natna dang, taksa na leh mit sen te pawh a lang thei bawk. I ngaihtuah pawh i ngaihtuah lo mai thei, mahse hei hi a hmaa i lo neih tawh natna tenau tak avanga side effect a ni thei. Chu chu vawiin a kan sawi tur condition chi khat, Reactive Arthritis tih chu a ni.

Reactive Arthritis hi eng nge ni?

A awlsam zawngin, reactive arthritis, Reiter’s Syndrome an tih pawh hi hun rei lote chhunga awm a ni a, ruhte a ti na a, a na bawk. Bacteria infection avanga lo awm a ni. I taksa hmun dangah, i zun kawng, mipat hmeichhiatna hmun, a nih loh leh i intestines-ah pawh bacteria infection i nei a, i enkawl hnuah i immune system chuan mak tak maiin a chhang let ve ang tih han ngaihtuah teh.

A tlangpuiin kan immune system hian natna hrik a do a, a that thin. Mahse he reactive arthritis-a thil thleng chu a natna a bo hnuah pawh immune system chuan, "Indona chu a la tawp lo," tiin a ngaihtuah thin. Chuvangin natna hrik awm lohna hmunah chuan inflammation a siam a, a bik takin i ruh, i mit leh vunah te a siam thin. Sipai indo hnu pawha an la inkap tawn reng a, mahse an thut mai mai a, an nghak thei lo ang mai a ni.

Mahse, arthritis chi tam zawk ang bawkin hei hi dam chhung zawnga natna a ni lo. Kum khat pawh tling lovah a bo fo thin. Chu chu thlamuanna ropui tak a ni lo maw?

Eng nge a lan chhuah dan?

Tunah chuan he reactive arthritis-ah hian eng symptom nge kan beisei theih ang tih i lo en ang u.

A lan chhuah dan pawimawh ber leh langsar ber chu ruh natna leh ruh natna , a bik takin a hnuaia hmun hrang hrangah hian:

• I hnungzang hnuai lam chu a tha.
• Khup a ni
• Ke rek
• Ke

Mahse hei bakah hian symptom dang chi hrang hrang a lo lang thei bawk. Eng nge an nih i en ang u:

• Mit sen, hring, leh na (mit chhungah thil awm ang maiin a lang thei).
• Gastrointestinal symptoms , pum na leh riltam te.
• Zun tam a tulna leh zun laiin natna hriat.
• Vun natna leh hmui natna .
• Heel na, Achilles tendinitis pawh a ni thei.
• Kut zungtang, a bik takin kut zungtang leh ke ruhte a hring. Mi thenkhat chuan hei hi ‘sausage fingers’ an ti a, a chhan chu a finger ngei pawh hi sausage ang maia a lo hring chhuak thin vang a ni.
• Flu ang chi natna chi hrang hrang, khawsik, taksa na, leh hah lutuk.

He ‘Triad’ hi eng nge ni?

A châng chuan doctor-te’n reactive arthritis an sawi hian ‘triad’ an sawi ṭhin. Chu chu, symptom pathum inzawmkhawm tihna a ni . Hei hian he natna hi rang taka hriat theih nan a pui a ni. A lan chhuah dan pathumte chu:

1. Arthritis - Hei hian ruh natna (inflammation) tihna a ni.

2. Conjunctivitis - Hei hian mit a na, mit a sen tihna a ni.

3. Urethritis - Hei hian urethra inflammation, zun laiin a kang tihna a ni.

Mahse, mi zawng zawng hian heng symptom pathumte hi a rualin kan nei vek lo tih hre reng ang che. Mi thenkhat chuan a rualin pathum hi an nei ngai lo. Symptom hrang hrang a lo thleng thei a, a kal leh thei bawk. Chuvangin he ‘triad’-a tel lo symptom dang i nei thei bawk.

Eng thilin nge a thlen?

Reactive arthritis hi bacteria infection atanga tan a ni tih kan sawi tawh a . Hei hi a thleng tam ber chu a ni:

• Zun kawng natna (UTI) .
• Mipat hmeichhiatna hmanga kai theih natna (STI) .
• Gastrointestinal infection, ei tur rimchhia ang chi .
• A rilru a na hle .

Hei hi a nghawng thei bacteria chi hrang hrang thenkhat pawh a awm bawk:

• Chlamydia natna (Chlamydia) a awm
• Gonorrhea a awm
• Salmonella natna a ni
• Shigella chuan a rawn ti a
• Campylobacter tih hi a ni
• Yersinia a ni
• Mycoplasma a awm a
• C. harsa tak a ni
• Streptococcus natna a ni

Reiter’s Syndrome hi a kai tirh atanga ni engemaw zat emaw, kar engemaw zat emaw hnuah a intan thin. Tin, mi zawng zawngah a thleng lo va, hri kai zinga za zela tlemte chauh a thleng thin. I immune system-a autoimmune response tichhuaktu infection avanga lo awm niin a lang. Chu chu i immune system hian tihsual takin i taksa peng hrisel tak takte chu a rawn bei tan a, inflammation a siam tihna a ni.

Mahse vanneihthlak takin autoimmune natna tam tak ang lo takin reactive arthritis hi hun rei lote chhunga awm a ni tlangpui.

Reactive arthritis hi inflammatory arthritis pawl pakhat, spondyloarthritis an tih zinga mi a ni. Chung zinga tam tak chu autoimmune diseases an ni. Mi thenkhatin heng natna hi an vei a, thenkhatin an vei loh chhan hi Scientist-te chuan an la hre chiang lo hle. Reactive arthritis hi a lo awm theih nan infection lian tak, na tak a ngai lo.

Hei hi nghawng thei thil pakhat chu HLA-B27 tih gene hi a ni. Mi tam tak chuan spondyloarthritis leh Reiter’s syndrome vei te hian he gene hi an nei a.

Hemi hian tute nge nghawng nei tam ber?

Tu pawhin reactive arthritis vei thei mahse, mi thenkhat chuan an vei theihna a sang zawk. Chung zingah chuan:

• Mipa kum 40 hnuai lam.
• HIV kai i neih chuan .
• Autoimmune natna dang i neih chuan .
• I taksaah a hmaa kan sawi tawh HLA-B27 gene i neih chuan.

Engtin nge hei hi i hriat chian?

Tun hnaia arthritis symptoms i neih chuan ruh na leh hliam te i neih chuan doctor hnenah i hrilh tur a ni. A enfiah ang che. Symptom thenkhat a lo awm khawm chuan i doctor chuan reactive arthritis a ringhlel mai thei. A bik takin, tun hnaia hri kai, a thlen thei tur i dam leh tawh em tih a zawt ang.

He natna hi dik taka hriat theih nan test hrang hrang neih a ngai mai thei. Entir nan:

• X-ray hmanga enfiah a ni.
• CT scan (Computed Tomography - CT scan) hmanga tihchhuah a ni .
• MRI (Magnetic Resonance Imaging - MRI) hmanga enfiah a ni.
• Joint aspiration/arthrocentesis: Hei hi ruh chhunga inflammation leh infection dang awm leh awm loh enfiah nan tih a ni .
• Throat culture lak (throat infection rinhlelh a nih chuan).
• Urinalysis tih a ni .
• Thisen test : Hengte hian inflammation, HLA-B27 gene awm leh awm loh leh infection dangte a enfiah thei a ni.

Engtin nge enkawl a nih?

Doctor-te chuan reactive arthritis enkawlna chi hrang hrang an rawt thei a ni.

• Antibiotics: Infection hnuaia awm leh a la active em tih a zirin antibiotics doxycycline leh rifampin te pawh pek theih a ni. Hengte hian reactive arthritis tihdamna tihtawp emaw, tihdamna tikhawtlai emaw a pui thei a ni.
• NSAIDs (Nonsteroidal anti-inflammatory drugs): Hengte hi nonsteroidal anti- inflammatory drugs an ni. NSAID chak tak Indomethacin ang chi hi a tam zawkin hun eng emaw chen pek theih a ni. Symptoms a reh chuan dose hi tihhniam a ni.
• DMARDs (Natna tidanglam thei anti-rheumatic drugs): DMARDs, sulfasalazine ang chi hian i immune system hnathawh thenkhat a titawp a, inflammatory arthritis a tidam a ni. Hengte hian NSAIDs hi control tha a nih loh chuan a pui thei a ni.
• Corticosteroids te hi a hnuaia mi ang hian a ni.Hengte hi anti-inflammatory drugs chak tak tak an ni. Reiter’s Syndrome vei tam zawk tan chuan oral steroid hian hlawkna tam tak pe lo mah se, a chang chuan vunah cream angin hnawih emaw, ruh natna hmunah direct-a injection angin emaw pek theih a ni.

Pawimawh: Heng enkawlna zawng zawng hi damdawi lam thurawn hnuaiah chauh ei tur a ni. Mahni damdawi in hian natna a tizual thei a ni.

Hei hi a dam kim thei ang em?

A tam zawkah chuan Reiter’s Syndrome hi ‘self-limited’ a ni . Chu chu hun kal zelah (a tlangpuiin thla 3 atanga thla 12 chhungin) a mah chauhin a reh dawn tihna a ni. Chutih lai chuan enkawlna hian natna lan chhuah dan a thunun thei a, i dam leh thuai thei bawk.

Mahse, reactive arthritis hi autoimmune disorder a nih avangin autoimmune natna engmah hi ‘dam’ tak tak theih a ni lo. Hei hian symptoms a lo let leh theihna chance a awm reng tihna a ni. Entirnan, infection dang i neih chuan.

Mi tlemte takah chuan Reiter’s syndrome hian arthritis na zawk, hun rei tak chhunga awm thei, spondyloarthritis an tih chu a thlen thei a ni. Hun rei tak chhung ruh natna (inflammation) an nei a, chu chuan a tawpah chuan ruh a tichhia thei a ni. Hei hi chronic reactive arthritis nge, natna dang avanga lo awm tih chiang taka sawi a harsa hle. Autoimmune natna pakhat hian natna dang a thlen thei a, mi thenkhat chuan pakhat aia tam an nei thei bawk.

Hetiang dinhmun nen hian eng nge i tih theih ang?

Hun eng emaw chen atan ni mah se, reactive arthritis hian i nitin nunah nghawng lian tak a nei thei a ni. Mi thenkhat chuan come-and-go symptoms na lo tak tak an nei a, thenkhat erawh chuan hah lutuk leh hrehawmna nasa tak an nei thei thung. Hemi hun chhung hian i nitin nunphung leh hnathawh danah pawh inthlak danglamna engemaw zat i siam a ngai mai thei bawk.

I doctor chuan hetiang hi a rawt thei ang:

• Physical therapy: Physical therapist chuan i ruh natna thlawptu thau leh ruhkawr te chu zawi zawia exercise dan tur a zirtir thei che a ni. Hei hian joint stiffness a tihziaawm bakah joint-a pressure a tihziaawm thei bawk. Sameera hian khup na vangin kal harsa a ti hle ang tih han ngaihtuah teh. Nitin exercise awlsam tak tak a tih hian physical therapist chuan a natna chu a tihziaawm zauh zauh a, a hnathawh dan pangngaiin a thawk leh thei ta a ni.
• Orthotics: Occupational therapist chuan i ruh i hman dan tur i thlawp dan tur emaw, i siam danglam dan tur emaw a hrilh thei che a ni. Brace, splint, a nih loh leh pheikhawk insert hman hian hlawkna i hmu thei ang.
• Hot/cold therapy: Ice pack leh heat pack te hian kawng hrang hrangin natna a tiziaawm thei a ni. Entîr nân, i doctor chuan ruh natnaah ice hnawih emaw, taksa ruh tight-ah lumna emaw hnawih emaw a rawt thei a ni.
• Power naps: Chronic fatigue hian a ti chau thei. Mahse khumah rei tak awm hi i ruh natna emaw, i taksa ruh tight emaw tan chuan a tha lo. Chu ai chuan power nap la la, chutih lai chuan tlem tal inher kual tum ang che.

Ngaihtuah teh, i natna chu a tawp tawh nia i ngaih lai tak chuan he mi hriat loh, reactive arthritis tia koh hi a lo lang nghal a, i natna hmasa ber chhinchhiahnate chu a rawn hruai kir leh che a, chubakah natna lan chhuahna thar, a bik takin ruh natna (joint inflammation) te chu a rawn hruai kir leh che a ni. Tlem emaw, nasa emaw a nghawng che emaw, hei hi engtikah nge a tawp dawn tih hriat chian lohna nen nun a harsa hle. Mahse, mi tam tak tan chuan a tawp a, chutih hun thleng chuan enkawlna hian a pui thei a ni.

Thil hriat reng tur tawi te tein

Okay, chuvangin Reactive Arthritis chungchanga i hriat reng tur thilte chu khaikhawm ila.

• Reactive arthritis hi bacteria infection hnua ruh natna (joint) a lo awm rei lo te a ni.
• Hei hian symptoms a thlen thei a, chu chu ruh na, a hring, mit sen, leh zun kawng infection te a ni.
• Mi zawng zawng hian symptom inang an nei vek lo va, symptoms pawh a lo thleng thei a, a kal zel thei bawk.
• Hei hi natna hrik kai theih a ni lo va, a thlentu natna hrik (e.g. STIs, food poisoning) te hi kai theih a ni.
• Hei hi thla engemaw zat atanga kum khat chhungin a dam tlangpui.
• Enkawlna hian symptoms a control thei. Doctor thupek zawm ngei ngei tur a ni.
• Hei hi autoimmune condition a nih avangin a lo lang leh thei lo va, rei tak a daih thei bawk.
• Heng symptoms te hi i neih chuan doctor rawn la, thurawn la rawh. Ngaihtuah buai suh, he natna hi enkawl dan dik leh enkawl dan dik tak hmangin control theih a ni.

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