Mena kei a koe te ankylosing spondylitis (AS), ko tāu pakanga nui ko te whakahaere i te mate, te whakaiti i te mamae, me te haere tonu ki ō mahi o ia rā. I a koe e raru ana i aua uauatanga tinana, ka taea hoki e koe te pōuri i te taenga ohorere mai o ngā pire hauora nui me ngā utu tākuta. Nō reira, me kōrero tātou mō ngā utu o tēnei mate me pēhea te whakahaere i aua mea.
Tuatahi, he aha te ankylosing spondylitis (AS)?
Ki te whakarapopoto, he momo mate rumatiki te ankylosing spondylitis. Ka pā nui ki tō tuaiwi. I roto i te wā, ka taea e tēnei mate te whakakotahi i ō tuaiwi. Ka taea e tēnei te whakaiti i te ngāwari o tō tuaiwi, ka piko whakamua.
Haunga tēnei, ka pāngia pea koe e te mamae me te kore whakamarie i roto i ō rara, i ngā hononga hope, me ngā hononga pakihiwi. I ētahi wā, ka puta hoki te mumura mamae o ngā kanohi.
Ko te mea nui , kāore anō kia kitea he rongoā mō tēnei mate . Heoi, mā te whakamahi i ngā rongoā tika me te whakaora tinana, ka taea te whakahaere i ngā tohumate, ā, ka taea te whakahaere i te nuinga o te wā i te whanaketanga o te mate. Me mahi pokanga anake mēnā he kino rawa te kino o ngā hononga, ā, he tino onge tēnei.
He aha ngā utu mō te maimoatanga?
I te wā e pā mai ana te mate urutā AS, ka piki ake ō utu hauora. Ka taea te wehewehe i ēnei utu ki ētahi wāhanga matua.
1. Ngā Haerenga Tari Auau
Mō tēnei mate, ko te nuinga o te wā ka toro atu koe ki tētahi tākuta rumatiki . I te nuinga o te wā ka tirotirohia koe e rātou, ka kōrerohia hoki tō mahere maimoatanga i ia toru marama. Heoi, i ngā wā e nui haere ana te mamae me te kore whakamarie, me toro atu pea koe ki te tākuta i ngā wā maha. E mōhio ana koe, he utu nui ia o ēnei tirotiro.
2. Ngā Wāhanga Whakaora Tinana
He wāhanga tino nui o te mahere maimoatanga AS te whakaora tinana. Ka taea e te kaiwhakaora tinana pai te āwhina i a koe ki te whakaiti i tō mamae, ki te whakapai ake i tō kaha me tō ngāwari, me te whakaako i a koe ki ngā mahi whakakori tinana ka taea e koe te mahi i te kāinga.
Heoi anō, he utu anō hoki mō ēnei maimoatanga. Nā te mea he maha ngā wā e hiahiatia ana, ka taea te tāpiri haere i roto i te wā. Mena he inihua hauora tāu, he mea pai kia tirohia i mua i te wā kia kite ai mēnā kei te hipokina te whakaora tinana.
Ngā momo rongoā e whakamahia ana mō te maimoatanga me ō rātou utu
He maha ngā momo rongoā e whakamahia ana hei rongoā i te AS. Ka tohua ēnei e tō tākuta i runga i te āhua o tō mate. Tērā pea he rerekētanga nui i waenga i ēnei rongoā me ō rātou utu.
| Momo Rongoā | He aha ai te whakamahi? | Ngā tauira |
|---|---|---|
| Ngā rongoā whakamamae mamae (NSAID) | Hei whakahaere i te mamae me te mumura i ngā wāhanga tōmua. He iti te utu mō ēnei. | Ibuprofen, Naproxen, Indomethacin |
| Ngā DMARD (Ngā Rongoā Ārai Rūmātiki Whakarerekē Mate) | Hei whakaiti i te pupuhi me te mamae o ngā hononga ina uaua te whakahaere i te mate mā te whakamahi i ngā NSAID anake. | Sulfasalazine, Methotrexate |
| Ngā rongoā koiora (Ngā rongoā koiora) - Ngā aukati TNF - Ngā aukati IL-17 | He rongoā tino kaha e whakamahia ana i ngā wā tino kino o te mate, he uaua ki te whakahaere. Ka whakaiti i te mamae, te pakari, me te mumura. He tino utu nui ēnei. | Adalimumab (Humira), Etanercept (Enbrel), Infliximab (Remicade), Secukinumab (Cosentyx) |
| Ngā Ārai JAK | Ko tētahi atu momo rongoā kaha e whakamahia ana mō ngā tūroro kāore e aro ki ētahi atu rongoā koiora. He tino utu nui hoki ēnei. | Tofacitinib (Xeljanz) |
E kite ana koe, ahakoa kāore i te tino utu nui ngā rongoā whakamamae mamae tuatahi, ko ngā rongoā e hoatu ana i te wā e piki haere ana te mate ka uaua ake te whakahaere, pērā i ngā rongoā koiora me ngā aukati JAK, ka tino utu nui . Ka tae mai ēnei hei werohanga, hei pire rānei, ā, ka mutu ka nui te moni ka utua e koe mō ia horopeta.
Nā, me pēhea te whakahaere i ēnei whakapaunga?
Ka taea e tēnei mate te whakararu i te tinana, te hinengaro, me te pūtea. Engari kaua e manukanuka. Ka taea e koe te whakaiti i tēnei taumahatanga mā te whakaaroaro i mua i te wā, me te mahi i tetahi mea.
- Kōrero mārire ki tō tākuta: Koinei te taahiraa tuatahi, te taahiraa nui rawa atu . Kōrero ki tō tākuta mō ō mataku me ō āwangawanga mō te utu o te maimoatanga, me te kore e whakaroa. Ka taea e ia te tuku tohutohu ki a koe mō ngā maimoatanga rerekē e tika ana, e iti ake ana hoki te utu māu.
- Kia mārama ki te rerekētanga i waenga i te rāngai tūmatanui me te rāngai tūmataiti: Ko tētahi o ngā painga nui kei a tātou i Sri Lanka ko te pūnaha hōhipera tūmatanui. Pātai atu ki tō tākuta mēnā ka taea e koe te tiki i ētahi rongoā utu nui mā roto i ngā hōhipera tūmatanui. Mena kei te tiki koe i ēnei rongoā mai i te rāngai tūmataiti, he mea pai hoki kia whakatauritehia ngā utu i ngā whare rongoā rerekē.
- Tirohia tō kapinga inihua: Mena he inihua hauora tūmataiti tāu, tirohia mēnā kei roto ngā whakaritenga hauora, ngā maimoatanga whakaora tinana, me ngā rongoā e pā ana ki tēnei mate, me te nui hoki.
- Rapua ngā rōpū tautoko: Tērā pea he rōpū tautoko, he rōpū tautoko rānei i whakatūria e te hunga e pāngia ana e ēnei mate roa. Ka kitea e koe ngā mōhiohio me te tautoko kare ā-roto mai i ēnei wāhi.
Karere Tangohia ki te Kāinga
- He mate roa te Ankylosing spondylitis (AS) e hiahia ana kia whakahaerea tonutia.
- Kei roto i ēnei utu ko ngā haerenga ki te tākuta, te whakaora tinana, me ngā rongoā tino utu nui pēnei i ngā matū koiora.
- Ko te mea nui ko te kōrero tuwhera, pono hoki ki tō tākuta mō tō mahere maimoatanga me ngā utu e pā ana.
- Kaua e whakaroa i te maimoatanga nā te nui o te utu. Engari, me whakamahere wawe ki te whakatau i te raruraru.
- Rangahauhia ngā ratonga e wātea ana i ngā hōhipera kāwanatanga me ngā painga o te inihua mēnā kei a koe tētahi. Kia maumahara, ehara i te mea ko koe anake i tēnei haerenga.
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