He tokomaha te hunga e whakaaro ana ko te Ankylosing Spondylitis, te AS rānei, he mate e pā ana ki te tuaiwi anake, ka mamae, ka pakari hoki. He pono tēnā, ko te pānga matua o tēnei mate kei te tuaiwi. Engari i mōhio koe tata ki te kotahi i roto i te toru o ngā tūroro AS ka pāngia hoki e ngā raruraru i ētahi atu wāhanga o te tinana, inā koa i ngā waewae? Ae, ka taea e tēnei mate te whakapūmau me te mamae i ngā wāhi pēnei i ō pona waewae, rekereke, matimati, ngā kapu waewae rānei. I ētahi wā he iti noa iho tēnei mamae, engari mō ētahi tāngata ka tino kino rawa atu, ā, kāore e taea e rātou te hikoi. Nō reira, i tēnei rā, me kōrero tātou mō ngā pānga o te AS ki ngā waewae.
He aha ngā raruraru ka pā mai i te AS ki ngā waewae?
Ka pāngia ō waewae e te ankylosing spondylitis (AS) i ngā momo huarahi. Ko te tino take ko te mumura i roto i ngā hononga me te wāhi e piri ai ngā uaua me ngā hononga ki ngā wheua (e kiia nei ko ngā 'entheses'). I roto i ngā kupu māmā, ka whakaekea ēnei wāhi e te pūnaha ārai mate o te tinana. Anei ētahi o ngā raruraru matua ka puta mai i tēnei mumura.
| Āhua o te waewae | Hei whakarāpopototanga, koinei te mea ka tupu. |
|---|---|
| Te Pūnaha Whakapūmau o te Rakau | Ko te plantar fasciitis he pupuhi o te whitiki matotoru o te kiko kei raro i tō waewae e hono ana i te wheua rekereke ki te turanga o ō matimati. Ka puta he mamae nui ki raro i tō waewae me tō rekereke ina takahia e koe te whenua, ina utaina rānei he taumaha ki runga. Ka pāngia ētahi e te mamae nui rawa atu, ā, kāore e taea e rātou te tango i te hikoinga tuatahi mai i te moenga i te ata. I te nuinga o te wā ka memeha te mamae i roto i te 5-10 meneti. |
| Te mamae o te uaua o Ākirī | Ko te uaua Achilles, te uaua nui rawa atu i te tuara o te waewae, i runga ake i te wheua rekereke, ka pupuhi. Koinei te mea e āwhina ana i a tātou ki te hiki i ō tātou rekereke i a tātou e hikoi ana, e oma ana. Ina pupuhi tēnei, ka mamae, ka pakari te tuara o te rekereke me te rohe rekereke. I ētahi wā, ka kitea te pupuhi me ngā puku i taua rohe. |
| Te Tākirikiri o ngā Mātāwae | Ina pāngia ngā matimati e te AS, ka pupuhi, ka whero ngā matimati. Ka kiia hoki tēnei mate ko ngā "sosise digits" nā te mea he rite te āhua o ngā matimati pupuhi ki ngā sōsisi. He tino mamae tēnei. I ētahi wā ka memeha te mamae, engari ka mau tonu te pupuhi. |
| Te huringa o te tūnga hikoi | Nā te mamae me te kōpiko o te tuara me ngā wāhanga rerekē o te tinana, ka whakarerekētia e tātou te ara e hikoi ai, e noho ai, e tū ai hoki kia kore ai e pāngia e te mamae. Ka nui ake te taumahatanga o ngā uaua o te waewae, ka mamae ai, ka kopa ai hoki ngā waewae. |
Ko te mea nui, ki te pāngia koe e te AS, ā, ka tīmata te mamae o ō waewae, kaua e warewaretia. Me whakamōhio atu ki tō tākuta.
Me pēhea te whakahaere i te mamae o te waewae i puta mai i te AS?
Ko ngā huarahi pai hei whakaiti i te mamae me te pakari o te waewae ko te mahi i ngā mea e mahia ana e koe hei whakahaere i tō AS. Ka whakawhirinaki te maimoatanga e taunakitia ana e tō tākuta ki ngā āhuatanga maha, tae atu ki te kaha o ō tohu me tō hauora whānui. Tērā pea kei roto i tētahi mahere maimoatanga noa:
Te Whakangungu Tinana, Te Whakaora Tinana, me te Whakangungu Tū
Ka taea e ēnei te āwhina i te whakaiti i te mamae me te pūmau, te ārai i te kino o ngā hononga, me te whakapai ake i tō tū. Tērā pea ka uru atu ki roto i tō mahere whakakori tinana ngā whakakori tinana iti te pānga , kāore e nui rawa te taumahatanga ki ō hononga. Ka taea hoki e ngā whakakori tinana me te hinengaro pērā i te tai chi me te yoga te āwhina i a koe ki te whakangā me te whakaiti i te mamae.
Ko te mea nui: I mua i te tīmatanga o tētahi kaupapa whakakori tinana, me kōrero koe ki tō tākuta mō ētahi tohutohu. Māna koe e kī ko ēhea ngā whakakori tinana e pai ana mōu.
Ngā rongoā
Tērā pea ka tohua e tō tākuta ētahi rongoā pēnei hei whakaiti i te pupuhi me te whakahaere i te mamae me te pakari:
- Ngā rongoā anti-inflammatory kore-steroidal (NSAID): Ko ētahi o ēnei ko ngā rongoā pēnei i te ibuprofen me te naproxen.
- Werohanga hukarokotioiti: He werohanga steroid ēnei e hoatu tika ana ki te hononga e mamae ana.
- Ngā rongoā ārai-rūmātiki whakarerekē-mate (DMARD): Ngā rongoā pēnei i te sulfasalazine me te methotrexate.
- Ngā rongoā koiora:He rongoā hou ēnei e aro ana ki ngā wāhanga motuhake o te pūnaha ārai mate. Ko ētahi tauira ko ngā rongoā o ngā akomanga anti-TNF, anti-interleukin 17, me ngā aukati JAK (pēnei i te `infliximab`, `adalimumab`, `secukinumab`, `tofacitinib`).
- Ngā rongoā whakamamae mamae (Opioids): Ka taea te hoatu mō te wā poto noa iho mō te mamae nui.
I ētahi wā ka tukuna koe e tō tākuta ki tētahi tākuta waewae , māna koe e tohutohu mō ngā hū, ngā taputapu tāpiri, me ngā taputapu orthotic e tika ana mō tō raruraru waewae.
He aha ngā mea ka taea e koe te mahi i te kāinga?
Haunga te maimoatanga e tukuna ana e tō tākuta, ka taea e koe te whakaiti i te mamae o tēnei waewae mā te whakamahi i ētahi mea ngāwari ka taea e koe te mahi i te kāinga.
- Tāpirihia he hukapapa: Tāpirihia he putea hukapapa ki te wāhi mamae kia whā ngā wā i te rā, mō te 20 meneti i ia wā. Mā tēnei ka whakaiti i te pupuhi me te mamae.
- Whakatā: Whakatā ō waewae i ngā wā katoa e taea ai. He pai ake mēnā ka taea e koe te pupuri kia teitei ake.
- Whakatauritehia tō whakakori tinana: Whakaitihia ngā whakakori tinana taumaha pēnei i te oma me te pekepeke kia rite ki te taea. Heoi, ehara i te mea ko te noho noa i te wāhi kotahi i te rā katoa. Mā te mahi pēnā ka piki ake te kaki me te mamae. He pai te hikoi tere.
- Totoro: Totoro ngāwari hei painga mō ō hope, ō pona waewae, me ō matimati.
- Mō te plantar fasciitis: Whakatakotoria he pōro tēnehi ki raro i te kapu o tō waewae, noho ki runga i tētahi tūru, ka huripokitia.
- Mō te Ānini o te Tendonitis Achilles: Tū atu ki te pakitara, pikohia tetahi waewae i te turi, ka whakatakoto tika i te waewae mamae ki muri i a koe, me tō rekereke ki te papa. Na, panaia ō hope ki te pakitara. Puritia kia rongo koe i te totoro i tō rohe o te uaua o te hope, kātahi ka mutu. Me mahi tēnei, ā, kati mēnā ka piki haere te mamae.
- Mauria ngā hu tika: Kaua e hikoi waewae kore, kaua hoki e mau i ngā hu tārai i ngā wā katoa e taea ana. He mea nui kia mau i ngā hu he pai te tautoko o te piko me ngā kapu kua whakangāwarihia , inā koa ngā hu hākinakina pai.
Karere Tangohia ki te Kāinga
- Ehara i te mea he mate noa iho o te tuaiwi te Ankylosing spondylitis (AS). Ka taea hoki e ia te whakararu i ō waewae me ētahi atu raruraru.
- Ki te mea he mamae hou, he pupuhi, he kōpiko rānei ō waewae, ō rekereke, ō matimati rānei, kaua e warewaretia. Tērā pea he wāhanga o te AS.
- Kia mahara ki te kōrero ki tō tākuta mō tēnei. Māna koe e hoatu ki a koe te maimoatanga me ngā tohutohu tika.
- Ka taea te whakahaere i tēnei mamae mā te whakakorikori tinana e ai ki ngā tohutohu a tō tākuta, mā te whakamahi i ngā maimoatanga kāinga ngāwari (te hukapapa, te totoro), me te mau i ngā hu e tika ana.
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