Mi tam tak chuan `Ankylosing Spondylitis` hi ruhro chauh a nghawng niin an ngai. Chu chu a dik a, a bik takin ruhro (spinal joints) a nghawng a ni. Mahse, he natna hian taksa peng dang, a bik takin kan mit a nghawng thei bawk tih i hria em? Vawiin hian mi tam takin an hriat loh inzawmna pawimawh tak kan sawi dawn a ni. Chu chu `Ankylosing Spondylitis` leh mit natna `Uveitis` inzawmna chu a ni.
Uveitis hi eng nge ni?
A awlsam zawngin, `Uveitis` hi kan mit chhunga membrane pakhat inflammation, chu chu swelling, a ni. Kan mit hi layer engemaw zat atanga siam a ni a, onion ang mai a ni. A lai layer chu (Uvea) an ti a. I mit rawng nei, chu chu mi thenkhatah chuan (Iris) a sen emaw, a sen emaw pawh hi he `Uvea`-ah hian a tel ve a ni. Chuvangin, he `Uvea` membrane swelling hi (Uveitis) an ti a. `Iris` chauh a nghawng a nih chuan (Iritis) an ti bawk.
Ankylosing Spondylitis vei zinga 30% leh 40% inkar chuan an dam chhungin engtik lai pawhin Uveitis an vei dawn a, chuvangin hei hi hriat a pawimawh hle.
Eng nge a lan chhuah dan? Engtin nge i hriat chian?
Ngaihtuah teh, hun engemaw chen chu hnungzang na i nei a, zing lamah i rilru a na hle. Doctor i hmuh chuan `Ankylosing Spondylitis` tiin a diagnose thin. Tunah chuan a damdawi i ei ta a ni. Chutianga i awm lai chuan rang takin mit pakhat chu a sen a, a hring tan ta a ni. Eng lam pawh en a har khawp mai. I ngaihtuah mai thei, `Hei hi eng nge thleng, i mit chungah thil a thleng em?` Mi tam tak chuan hei hi mit natna tlanglawn tak niin an ngai. Mahse hei hi `Uveitis` chhinchhiahna a ni thei a, chu chu i `Ankylosing Spondylitis` natna nena inzawm a ni.
Okay, tunah chuan he `Uveitis` natna hian eng symptom nge a rawn thlen tih hi han en ila. Hengte hi a lo lang nghal thei a, chuvangin hei hi hriat chian a pawimawh hle.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Mit sen hring | Mit var a sen. |
| Mit na a na | Mit chhung atanga natna na tak, hliam na tak lo chhuak. |
| Eng laka hriatna (Photophobia) . | Eng êng tak en harsa, mit chu a sen vek. |
| Mit hmuh a fiah lo | Vision chiang tak a tlahniam a, fog- ah i awm ang maiin i inhria. |
| Mittui tam lutuk | Mit atang hian chhan bik awm lovin mittui a luang chhuak thin. |
Heng symptoms te hi mit pakhatah a lang hmasa tlangpui a, mahse a chang chuan mit pahnih a nghawng thei a ni. Hei hi a intan thut thei a, enkawl that loh chuan mitdelna nghet tak a thlen thei a, chuvangin heng symptoms zinga pakhat tal i neih chuan mit lam doctor, mit lama mithiam doctor, tihkhawtlai lohvin i pan hmasa phawt tur a ni.
Uveitis chi hrang hrang a awm em?
Ni e, Uveitis hi mit chhunga inflammation awmna hmun a zirin chi paliah then theih a ni. Eng nge an nih i en ang u.
| Uveitis chi khat a ni | Mit chhunga a nghawng na hmun |
|---|---|
| Hma lam uveitis a awm | Mit hmalam ( cornea leh mit rawng nei inkar ) a nghawng a ni. Hei hi iritis an ti bawk . Hei hi Ankylosing Spondylitis vei zingah iritis chi khat a ni ber. |
| Uveitis inkar (intermediate uveitis) a awm | Retina , thisen kalna kawng, leh lens hnung lama mit (vitreous body) jelly ang chi te a nghawng a ni. |
| Hnunglam uveitis a awm | Mit hnung lama inner layer, chu chu retina emaw choroid emaw a nghawng a ni. |
| Panuveitis natna a ni | Inflammation chu uvea layer zawng zawngah a darh chuan , mit hmalam atanga mit hnunglam thlengin. |
Engtin nge natna hi hriatchhuah leh enkawl a nih?
Ankylosing Spondylitis i vei a nih chuan i mit hi ngun taka ngaihven a pawimawh. A bik takin i mitah shooting sensation, sen leh na, emaw, mit hmuh fiah lo emaw i neih chuan ngaihthah suh. A rang thei ang berin i doctor nen inbia ang che. Hei hian misdiagnosis venna kawngah a pui thei a, a rang thei ang bera enkawlna dik tak a tan thei bawk.
A châng chuan, persistent anterior uveitis nei mi an enfiah chuan, a hmaa Ankylosing Spondylitis an la hriat loh thu an hmuchhuak ṭhin. Chutiang khawpa natna pahnih inzawmna nghet tak chu a awm a ni.
Diagnosis tih a ni
I doctor chuan i natna lan chhuah chhan dik tak chu hriat a tum hmasa ang a, uveitis hi natna dang (syphilis, TB, emaw Lyme natna ang chi) vang pawh a ni thei a ni.
Test bik pakhat pawh tih thin chu thisen test a ni a, chu chu (HLA-B27) tih gene a awm leh awm loh enfiah a ni. He gene hi Ankylosing Spondylitis vei zinga za zela tam takah hmuh a ni a, 88% vel a ni. He test hian natna hriat chian nan nasa takin a pui a ni.
Tihdamna
Enkawlna atan hian mittui tlakna emaw, mit chhunga inflammation leh swelling control thei corticosteroids awmna injection emaw a ni tlangpui.
Mahse, i natna nasat dan leh a lo awm fo dan azirin i doctor chuan damdawi dang a pe thei bawk. Doctor rawn hmasa lovin damdawi ei kha titawp ngai suh, chawlhsan ngai suh.
Take-Home Thuchah a ni
- Ankylosing Spondylitis hi ruhro natna mai a ni lo. I mit a nghawng thei bawk a, uveitis an tih natna a thlen thei bawk.
- Mit sen, na, êng en harsa, leh mit hmuh harsa tih ang chi symptoms te chu hre reng ang che.
- Heng symptoms te hi i neih chuan mit lam doctor pan nghal rawh. Enkawlna tihkhawtlai hian mit hmuhna a tichhe vek thei.
- Mit lam doctor i hmuh hunah Ankylosing Spondylitis i vei tih hrilh ngei ang che.
- Hemi atan hian enkawlna tha tak tak a awm a. Enkawl tan hma chuan a rah a tha zawk.











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