I hnungzang ruh te pawh a na em? Spondyloarthritis chungchang hi i zir dawn teh ang!

I ni pawh hi hnungzang khauh tak leh zing i thawh hian na takin i tan thin em? A nih loh leh i hnungzang natna hi i hnute thlengin a darh ang maiin i hria em? Hetiang symptoms hi i hrethiam lo deuh mai thei. Hetiang dinhmun hi hnungzang natna awlsam tak a ni lo mai thei. Vawiin hian natna buaithlak deuh, mahse hriatthiam theih tak Spondyloarthritis tih kan sawi dawn a ni.

Spondyloarthritis hi eng nge ni? A awlsam zawngin...

A awlsam zawngin, spondyloarthritis hi i ruhro (spine) ruh (spine) a lo awm thin arthritis natna a ni . "Spondyl-" tih hian ruhro nena inzawm tihna a ni. "Arthritis" tih awmzia chu ruh natna leh ruh na tihna a ni. Hetiang dinhmun hian i ruhro inzawmkhawmtu ruh (joint) te a nghawng ber a ni. Chu chu i ruhro leh i hip ruh inzawmkhawmtu vertebrae leh sacroiliac joint inkar joint te (facet joints) te hi a ni. Hei vang hian lower back na hi a symptom ber a ni fo thin . Mahse, ruhroah chauh a innghat lo. Ruh dang a nghawng thei a, symptom dang a thlen thei bawk.

Hei hi natna pakhat a ni lo va, natna chi hrang hrang, a lan chhuah dan inang chiah chiah a ni tih hre reng ang che. Doctor te chuan he natna hi spondyloarthropathy tiin an sawi bawk. A awmzia chu ruh ruh (`arthro-`) natna (`-pathy`) tihna a ni. Osteoarthritis (joint wear avanga lo awm) leh rheumatoid arthritis (RA) (immune system lama harsatna avanga lo awm) te hi i hre tawh mai thei. Spondyloarthritis hi chutiang pahnih aiin a danglam a, mahse ruh ruh (spine) ruh (spine) a nghawng thei bawk.

Hetiang dinhmun hi engte nge ni? Ngun zawkin han thlir ila!

Spondyloarthritis nena inzawm hian symptom bik engemaw zat a awm a:

• Hei hi rheumatic disease a ni: Spondyloarthritis hi arthritis chi khat a ni a, rheumatic diseases category-ah a tla a, chu chu inflammatory type of arthritis a ni. Chronic inflammation hian ruh natna a thlen a, ruh a ti na bawk. Osteoarthritis ang chi ruh tichhe thei dinhmun a ni lo. Inflammatory arthritis hi a tlangpuiin autoimmune natna a ni . Chumi awmzia chu i taksa immune system hian i ruh ruhte chu a rawn bei sual a, chu chuan inflammation kal zel a siam tihna a ni. He inflammation hian ruhkawr chauh ni lovin, taksa peng dang pawh a nghawng thei a ni.

• Hei hi rheumatoid arthritis (RA) a ni lo: Rheumatic arthritis hi arthritis chi khat ni mahse, hei hi kan hriat vek rheumatoid arthritis (RA) chu a ni.No. Hei hi kan hriat chhan chu spondyloarthritis vei thisen test-ah hian RA tana bik antibody rheumatoid factor , a awm tih a lang lo. Hei vang hian doctor-te chuan he natna hi "seronegative spondyloarthropathy " tiin an sawi fo thin. "Seronegative" tih hian thisen test-ah RA a negative tihna a ni. Spondyloarthritis (SpA) hi antibody bik hmuhchhuah a la ni lo.

• Enthesitis: Spondyloarthritis chhinchhiahna pawimawh dang chu i enthesis-a inflammation (enthesitis) a ni . Doctor-te chuan natna an hmuhchhuah hian hei hi an zawng thin. Entheses hi fibrous connective tissue a ni. A bik takin, i ruh leh i ruh (tendon) leh ligament te inzawmkhawmna "joints" te an ni. Spondyloarthritis hian taksa peng hrang hrangah enthesitis a thlen thei a. Hetiang dinhmun hi kekawr leh khup te hi a langsar ber a ni.

• HLA-B27 gene: Europe hmar lam atanga lo piang spondyloarthritis vei zinga 80% leh 95% inkar chuan HLA-B27 gene an nei a ni . He gene hi hnam danga he natna vei te zingah a tam lo hle. Tin, he gene hi neih hian automatic in natna a thlen lo. Mahse, a awm fo tawh a, doctor chuan he gene hi a test thei a, chu chuan natna a hriat theih nan a pui thei a ni.

He natna hi engtiang chiahin nge a hluar?

Mi tam takin an hre tam lo nain, a takah chuan spondyloarthritis hi rheumatoid arthritis aiin a tam zawk a ni . Khawvel mihring 0.5% atanga 2% velin spondyloarthropathy chi khat emaw an vei nia chhut a ni.

Spondyloarthritis chi hrang hrangte chu engte nge ni?

Natna chi hrang hrang engemaw zat a awm a, chungte chu spondyloarthritis tih thupui tlangpui hnuaiah a awm a ni. Doctor-te chuan hengte hi chi hnih-ah an ṭhen a, chungte chu: axial spondyloarthritis leh peripheral spondyloarthritis .

Axial Spondyloarthritis natna a ni

I axial skeleton , chu chu i kawr, i rilru leh i ruhro (spine) ruhte a nghawng ber a ni. Natna a zual zel chuan ruh dang leh taksa peng hrang hrang pawh a nghawng thei a ni.

Ankylosing Spondylitis hi axial spondyloarthritis natna khirh tak a ni a, a natna hi a na hle a ni. A lan dan chu ruh ruh (spine ruh)-a inthlak danglamna langsar tak a ni a, chu chu ankylosis an ti a ni.(ruh inzawmkhawm ang chi). A tlangpuiin hei hi spondyloarthritis chi khat zingah chuan a tam ber a ni.

Peripheral Spondyloarthritis natna a ni

Hetiang chi hian i peripheral joint leh entheses te a nghawng hmasa ber a ni. Chu chu axial skeleton pawn lama ruh (entir nan, ke ruh chhunga ruh) te tihna a ni. Natna a zual zel chuan ruhro a nghawng thei a, a chhe thei hial a ni.

Peripheral spondyloarthritis hian taksa peng dangah pawh inflammation a nei tlangpui. Chi hrang hrang hian taksa peng hrang hrang (mit, vun, leh intestines ang chi) a nghawng thei a ni. Mahse, a natna lan chhuah dan chu eng emaw chen a inang thei. A chi hrang hrang thenkhat chu:

• Psoriatic Arthritis: Hei hi arthritis condition a ni a, psoriasis , autoimmune skin disease, inflammatory skin rash siamtu nen a awm dun a ni. (Kan khawvel hmun hrang hrangah chuan hei hi "scaly skin" an ti bawk). Kut leh ke ruh te te a khawih fo va, kut zungtang a ti na a, a na bawk.
• Enteropathic Arthritis: Hei hi ruh natna a ni a , Inflammatory Bowel Disease (IBD) nen a awm dun a ni. "Enteropathic" tih hian i intestine a huam tihna a ni.
• Reactive arthritis: Hei hi autoimmune condition a ni a, i intestines emaw urinary tract-a infection a awm chuan a lo awm thin. I mit, vun, bladder, genitals emaw intestines emaw a nghawng thei a ni. A tlangpuiin hun eng emaw chen atan a ni a, mahse thla 12 thleng a daih thei. Mi thenkhatah chuan chronic arthritis ah a chang thei bawk.

Spondyloarthritis hi a danglam bik lo

Hei hi i symptoms te chu spondyloarthritis symptoms nen a inmil tlangpui a, mahse subtype bik engmah ah a inmil lo a nih chuan diagnosis pek thin a ni.

Naupangte zingah Spondyloarthritis a awm

Hei hi naupan lai atanga lo awm, a tlangpuiin kum 16 an tlin hmaa lo awm thin spondyloarthritis natna a ni a, naupangte hian chi khat emaw, chi hrang hrang inzawmkhawm emaw an nei thei a ni.

Spondyloarthritis natna lan chhuah dan chu engte nge ni?

Spondyloarthritis chi hrang hrangte chhinchhiahna hi a inang thei fo. Symptom thenkhat chu chi thenkhat tan bik ni mahse, a symptoms eng pawh hi eng chi pawhah hmuh theih a ni.

A lan chhuah dan ber chu:

• A hnungzang hnuai lam natna, a chang chuan hnute thlengin a radiate (sacroiliitis). Mi thenkhat tan chuan hei hi hip ruh chhung atanga natna lo chhuak ang maiin a lang thei.
• Zing lama ruhkawr (joints) a nghet lo, i kal kual chuan a reh deuh thin. Zing i thawh chuan i taksa chu thing ang maiin a awm a, tlem i che vel chauhvin a lo inher chhuak thin.
• Hnunglam leh hnungzang na, rilru ruh natna emaw, kawng na emaw.
• Spine chu a curvature zauh zauh (scoliosis ang chi).
• Ke leh ke ruhkawr – hip, shoulder, khup, elbows, wrists, ankles-a natna leh nghet lo.
• Kut zungtang na tak ("sausage fingers" emaw dactylitis emaw) a hring chhuak nasa hle. Hei hi kut zungtang emaw ke ruh pakhat emaw a hring vek a, sausage ang maia lang a nih chuan a ni.
• Digestive system symptoms, entirnan, pum na leh riltam.
• Zun kawng natna leh inflammation.
• Itchy, scaly skin rash (psoriasis) a awm thin.
• Nail-ah hian khur te te (nail psoriasis) a awm.
• Chauhna rei tak a awm.
• Chaw chu a thlum lo.
• Mit natna (uveitis) a awm. Hei hian a ti sen thei a, a ti na thei a, êng a ti na thei bawk.
• Kawngkhar natna.
• Heel natna (enthesitis vang).
• Ruh spur te te siam chhuah.

Pawimawh tak chu, spondyloarthritis symptoms hi arthritis chi dang aiin a lo lang hma tlangpui a, a tlangpuiin kum 45 an tlin hmain a lang a, heng symptoms te hi zawi zawiin a intan thei a, zawi zawiin a na zual thei bawk. A tam zawkah chuan heng symptoms te hi a awm reng thin.

Spondyloarthritis hi engte nge ni?

Spondyloarthritis symptoms hi i ruh leh tissue dangte a inflammation rei lutuk vang a ni. He inflammation hi nangmah ngeiin i immune system atanga lo chhuak a ni . Hei hi autoimmune disease kan tih chu a ni .

Researcher te hian heng autoimmune natna te hi engvangin nge an lo awm tih hi an la hre chiang lo hle. Mahse, thil engemaw zatin hmun a chang a nih a rinawm. Autoimmune condition tam tak, spondyloarthritis te pawh hian genetic component a nei niin a lang .

HLA (Human Leukocyte Antigen) chhungkaw gene hi inflammatory arthritis nen a inzawm fo thin. Heng genes siam chhuah protein hi immune system chuan i cell leh ramdang cell inthlauhna hriat nan a hmang thin. Heng gene hrang hranga danglamna thenkhat hian immune system a tichhe thei a ni. Hei hian immune system hian nangmah ngeiin i cell te chu a hriat sual tir thei a, nangmah ngeiin i cell te chu a bei thei a ni.

Spondyloarthritis thlentu chu engte nge ni?

Genetic influence awm mahse, natna thlentu awmchhun a ni lo. Spondyloarthritis vei tam tak chuan HLA-B27 gene nei mahse, chu gene nei zawng zawng chuan spondyloarthritis an vei vek dawn lo.

Hetiang kalphung hi thil dangin a tichhuak a ngai a ni. He thil tichhuaktu hi zirchiangtute chuan ngaihdan hrang hrang an nei a. Chûng zînga ṭhenkhat chu hri kai na tak, boruak chhia, meizuk leh zu in te a ni.

Theory pakhat chu spondyloarthritis hi i gut microbiome- a imbalance (dysbiosis) nen a inzawm thei tih a ni . Spondyloarthritis (SpA) vei te hian gut microbes chi hrang hrang an nei tlem zawk a, hei hian microbes tha lo tak takte chu a tipung awlsam zawk a ni. Hetianga gut-a inthlauhna (`gut dysbiosis`) hian natna hrik kai awlsam zawkin, gut-ah chronic inflammation a thlen thei a, i immune system a tichak lo thei bawk. I gut microbes mix pawh hi i pian tirh atanga eng emaw chen chu i rochun thin a ni.

Engtin nge spondyloarthritis hi an hriat theih?

Spondyloarthritis hi hriat chian a harsa deuh thei a, a bik takin symptoms chiang tak i neih loh chuan. Mi thenkhat chuan ruh na leh ruh na mai mai an nei a, a chhan dang tam tak a awm thei bawk.

Doctor chuan i symptoms te a zawt hmasa ang che a, symptom dang i sawi loh mahse a inzawm thei te a enfiah ang. Tin, i hriselna chanchin leh i chhungte hriselna chanchin an zawt bawk ang.

Tichuan, i ruhro emaw, i ruh dangte chu eng chen nge i sawn theih tih hriat tumin taksa enfiah a ni ang. X-ray hmangin arthritis emaw enthesitis emaw a awm tih finfiahna zawng a ni ang a, mahse he evidence hi thlalak-ah hian a lang ngai lo.

Thisen test pawh tih theih a ni a, inflammation emaw autoimmune disease emaw a awm leh awm loh enfiah theih a ni bawk. HLA-B27 gene pawh an test thei bawk . Heng test te hian spondyloarthritis (SpA) hi natna dang aiin a thliar hrang thei a ni.

Spondyloarthritis hi eng enkawlna nge ni?

Enkawlna chu i natna lan chhuah dan bik a innghat a ni. Doctor-te chuan enkawlna kawngah step by step-in an zawm a, exercise leh over-the-counter pain reliever (OTC nonsteroidal anti-inflammatory drugs / NSAIDs) hmangin an tan a ni.

Hengte hian i natna leh inflammation control nan a tawk lo a nih chuan i doctor chuan hetiang hian a rawt thei ang:

• Localized pain tihziaawmna turin cortisone shot hi a hun hunah pek thin a ni.
• Conventional emaw biologic emaw DMARDs (Natna tidanglam thei Anti-Rheumatic Drugs / DMARDs) te hi a ni. Hengte hi natna awm dan tidanglam thei damdawi an ni.

Spondyloarthritis chi hrang hrang thenkhat, psoriatic arthritis leh enteropathic arthritis te tan chuan a hnuaia dinhmun bik (psoriasis emaw inflammatory bowel disease (IBD)) atana hman tur enkawlna dang a awm bawk.

He dinhmun hi engtiang chiahin nge a pawi? Engtin nge hma kan sawn ang?

Inflammatory arthritis hi a nasat a, rei tak a awm chuan harsatna lian tham engemaw zat a awm thei a ni. Mahse, heng harsatnate hian i dam chhung aiin i nunphung a nghawng tlangpui. Entirnan, i ruh (joint mobility) a tlahniam a, ruh tliak pawh a sang thei bawk. Mahse, mi zawng zawngin natna lan chhuahna na tak an nei vek dawn lo va, enkawlna hian natna kal zel dan tur a thunun thei a ni.

Spondyloarthritis natna a lo zual zel dan hi mi hrang hrangah a inang lo. Ṭhenkhat tan chuan zawi zawiin a kal zel a, enkawlna hmangin awlsam takin a thunun thei a ni. Midang tan chuan kum tlemte chhungin ankylosing spondylitis, spinal fusion thlentu natnaah a kal thei bawk.

I inflammation nasat dan hian spondyloarthritis a lo zual chak dan a nghawng a ni. I enkawlna dik tak zawm hian inflammation control nan a pui thei a, complication a veng thei bawk.

Spondyloarthritis natna vei hian eng nge i tih theih ang?

Arthritis vei tan chuan ruh inzawmna (joint mobility) a tam thei ang ber neih theih nan exercise neih fo hi a pawimawh hle . Doctor tam tak chuan hei hi damdawi zawng zawng aiin a pawimawh zawkin a hlawk zawk niin an sawi.

Eng exercise chi nge i tan a tha tih i hriat chian loh chuan doctor zawt rawh. Doctor tam tak chuan ruh bik emaw, harsatna awmna hmun emaw bik target-a physical therapy an rawt a ni.

Spondyloarthritis hi natna inzawm, mahse a danglam bik pawl a ni. Doctor-te chuan an inangna aṭangin an hre chiang hle a, mahse chi hrang hrang – leh mi pakhat zel natna – chu a danglam vek a ni.

Mi tam tak tan chuan spondyloarthritis hi dam chhung zawnga natna a ni. Mahse, i nun a nghawng nasat zia chu a inang lo thei. I doctor chu i symptoms leh mimal taka i beisei theih turte enkawlna kawngah i partner tha ber a ni ang.

I hriat reng tur pawimawh ber berte

Okay, chuvang chuan spondyloarthritis chungchang hi kan sawi nasa hle. A tawi zawngin, kan hriat reng tur thenkhat chu hetiang hi a ni:

• Spondyloarthritis hi ruh ruh (spine ruh)-a awm thin, inflammatory arthritis condition a ni.
• Hei hi autoimmune natna a ni a ; chu chu nangmah ngeiin i immune system hian i ruh (joint) a bei tihna a ni.
• A lan chhuah dan ber chu hnungzang na (a bik takin zing lamah a na zual), ruh natna, leh enthesitis (ruh-a tendon inzawm na ruh natna) te hi a ni.
• Gene HLA-B27 hi a inrawlh thei a, mahse a chhan awmchhun a ni lo.
• A chi hrang hrang a awm a, chu chu Ankylosing Spondylitis leh Psoriatic Arthritis te hi a ni.
• Symptoms te, test te, a chang chuan genetic test te hmangin natna hriat theih a ni.
• Enkawlnaah hian exercise, natna tidamtu, leh a châng chuan damdawi bik (DMARD) te pawh a tel a ni.
• Hetiang dinhmun hi enkawl nan hian exercise neih fo leh damdawi lam thurawn zawm hi a pawimawh hle.

Heng symptoms te hi i neih chuan Doctor pan a, thurawn lak hlau suh. A hmaa natna hmuhchhuah leh enkawl hian i nunphung a vawn that theih nan kawng thui tak a zawh ang.

` Spondyloarthritis, Spondyloarthropathy, Back arthritis, Joint inflammation, Back na, Autoimmune natna, HLA-B27, Ankylosing Spondylitis, Psoriatic Arthritis