He mamae uma te uma nā te Ankylosing Spondylitis (AS)? Kia mōhio tātou he aha rawa te take?

Mena kei a koe te Ankylosing Spondylitis, te AS rānei hei whakarāpopototanga, kua mōhio pea koe ki te mamae o te tuara me te pakari o te ata. Engari i mōhio koe kāore tēnei mate e herea noa ki te tuaiwi? Tata ki te hautoru o ngā tūroro AS ka pāngia hoki e te mumura i ētahi atu wāhanga o te tinana. Ko te uma tētahi o ngā wāhi e tino pāngia ana. Kei te mamae anō hoki tō uma ina manawa hōhonu koe, ina maremare, ina tihe, ina whakakorikori tinana rānei? Kātahi ka tino nui tēnei tuhinga ki a koe.

He aha te pānga o te AS ki tō uma?

He māmā noa iho, he mate te AS e pupuhi ai, e mumura ai rānei ngā hononga o te tinana. Ka tīmata i ngā hononga o te tuaiwi, engari i roto i te wā ka horapa ki ētahi atu hononga o te tinana. Ka taea hoki e ngā hononga cartilaginous e hono ana i ō rara ki te wheua papatahi i waenganui o tō uma e kiia nei ko te sternum te mumura i tēnei ara.

Ina mumura ēnei hononga, ka kiia e mātou i roto i te rongoā ko te costochondritis . He mate tino noa tēnei i waenga i ngā tūroro AS. E ai ki ngā rangahau, 70% o ngā tūroro AS ka pāngia e tēnei mamae o te uma i tētahi wā o ō rātou oranga.

Ko te mea pai rawa atu, ehara te costochondritis i te mate kino. Engari ka mamae pea. I ētahi wā ka roa pea tēnei mamae mai i ētahi wiki ki ētahi marama, tae atu ki te tau. Engari ka pai ake i a ia anō.

Ehara te mamae o te uma i te mea māmā noa iho. Tērā pea ka puta mai i te costochondritis, he tohu rānei nō tētahi mate kino ake, pērā i te mate manawa. Nō reira, ki te mea he āwangawanga āu, me toro atu ki te tākuta tonu.

He aha ngā tohu o te mamae o te uma?

Ko ngā tohu matua o te costochondritis i puta mai i te AS ko te mamae o te uma, te pakari, me te ngawari. Ka rerekē pea tēnei mamae i ia tangata, i ia tangata. Ki ētahi, tera pea he mamae puhoi, he mamae, ki ētahi atu ia, tera pea he mamae koi, he mamae wero.

Me whakamārama ake ēnei tohu i roto i te ripanga i raro nei.

Me pēhea te whakahaere i te mamae o te uma i puta mai i te AS?

Ka taea e tēnei mamae o te uma te whakararuraru i ō mahi o ia rā. Nō reira, kaua e tatari kia memeha noa iho, he pai ake te toro atu ki tō tākuta kia whiwhi ai i te maimoatanga tika. Ka tūtohu pea tō tākuta i ngā rongoā whakamamae mamae, te whakakori tinana, te whakaora tinana, te whakakotahitanga rānei o ēnei katoa. Ahakoa kāore e taea e ēnei maimoatanga te whakaora katoa i te mate, ka taea e rātou te āwhina i a koe ki te whakahaere i te mamae me te whakarato i te whakamarie ki a koe.

Ngā Maimoatanga Hauora

Ko te mea nui, kaua e whakamahi i ngā rongoā whakamamae mamae me te kore he tohutohu a tō tākuta. He pānga kino tō ētahi rongoā, ā, ka tūpono hoki te waranga.

He maha ngā wā ka tūtohu tuatahi tō tākuta i ngā rongoā anti-inflammatory kore-steroidal (NSAID) , pērā i te ibuprofen me te naproxen. Me tango pea ēnei mō ētahi wiki, mō ētahi marama rānei.

Mena kāore ngā NSAID e mahi māu, kāore rānei e whakahaere i tō mamae, ka tūtohu pea tō tākuta i ētahi atu rongoā, pēnei i:

• Ngā rongoā mamae pēnei i te acetaminophen.
• He rongoā poto ngā opioid mō te mamae nui.
• Ngā werohanga glucocorticoid e hoatu tika ana ki te hononga e mamae ana.
• Ngā rongoā motuhake e whakahaere ana i te mumura o te AS. Ngā tauira:
• Ngā rongoā ārai-TNF: Adalimumab, Golimumab
• Nga raau anti-interleukin 17: Ixekizumab, Secukinumab
• Ngā aukati Janus kinase (JAK): Tofacitinib
• Ka whakamahia hoki ētahi rongoā antidepressants me ngā rongoā anti-hopu hei whakahaere i te mamae o ngā io.

Te Whakakorikori Tinana me te Whakaora Tinana

He wāhanga nui te whakakori tinana i roto i te whakahaere i te mate AS. Mā te whakakori tinana tika ka āwhina i te ārai i te pakari me te kino o ngā hononga.

• Korikori tinana māmā: Ka tūtohu te tākuta i tētahi kaupapa korikori tinana iti te pānga, pērā i te hikoi, te kaukau rānei, kāore e whakanui ake i te mamae.
• Ngā mahi whakakori tinana me te hinengaro: Ka taea e ngā mahi whakakori tinana pēnei i te yoga, te Tai Chi rānei te whakaiti i te ahotea me te whakamamae i te mamae.

Tērā pea ka tukuna koe e tō tākuta ki tētahi kaiwhakaora tinana , māna e whakawhanake he kaupapa motuhake māu.

• Ngā mahi totoro: Ka āwhina ēnei ki te whakaiti i te kikī o te uma, me te whakangāwari ake i te manawa.
• Te whakaohooho io: Ka ngana tētahi taputapu motuhake ki te aukati i ngā tohu mamae kei tae atu ki te roro.
• Ngā mahi whakangungu tū tika: Mā te pupuri i te tū tika ka taea te whakaiti i te ahotea ki ngā hononga.

Ngā mea ka taea e koe te mahi māu ake (Ngā Huringa Āhua Noho)

Haunga te maimoatanga, ka taea e ngā huringa iti ki tō momo noho te āwhina nui i a koe ki te whakahaere i tēnei mamae.

• Whakawhāitihia ngā mea e whakanui ana i te mamae: Whakaarohia kei te kino ake tō āhua ina hiki i tētahi mea taumaha. Kātahi ka kati te mahi i tēnā mō tētahi wā.
• Te whakamahi wera, te whakamahi makariri rānei: Ko te whakamahi i te pounamu wai wera, i te kete huka rānei ki te wāhi mamae ka taea te whakaora mō te wā poto.
• Okiokinga: Ki te ngenge koe, me whakangā koe i a koe anō.
• Oranga hinengaro: Mahia ngā mea hei āwhina i a koe kia marino. Ka taea e ngā mea pēnei i te whakaaroaro, te whakarongo rānei ki te puoro te āwhina. He mea nui anō hoki kia rapu tohutohu hei āwhina i a koe ki te whakahaere i te ahotea o te noho me te AS.