Ehara i te mamae noa iho tō mamae tuara? Me ako tātou mō te Ankylosing Spondylitis (AS)

Ina ara ake koe i te moenga i te ata, ka pēhia tō tuara, ka mamae rānei? Ka rite ki te mea kua memeha haere te mamae i muri i te hikoi poto, i te mahi rānei i tētahi mea whai hua? He tokomaha e whakaaro ana he mamae tuara noa iho tēnei, he mea rānei nō te ngenge, engari i ētahi wā ka taea te waiho hei tīmatanga o tētahi mea hohonu ake. I tēnei rā kei te kōrero tātou mō tētahi mate pēnei, arā, ko te Ankylosing Spondylitis (AS). Kaua e manukanuka, ko te mea nui ko te mōhio pai ki tēnei mea, me te rapu i te maimoatanga tika.

He aha rawa te Ankylosing Spondylitis (AS)?

He māmā noa iho, ko te Ankylosing Spondylitis (AS) he momo mate rumatiki. I roto i tēnei, ka whakaekea e te pūnaha ārai mate o tō tātou tinana ngā hononga o tō tātou tuaiwi. Ka puta te mumura i roto i ngā hononga o te tuaiwi. He maha ngā wā ka tīmata tēnei i te wāhanga o raro rawa o te tuaiwi, arā, ngā hononga e hono ana ki ngā wheua hope (ngā hononga sacroiliac).

I te tīmatanga, ka tīmata tēnei mamae i te taha kotahi, ā, i muri i ētahi wiki, marama rānei, ka horapa ki ngā taha e rua. I ētahi wā, ka tae atu hoki tēnei mamae ki te papa. Kāore i rite ki te mamae tuara noa, kāore tēnei mamae e memeha i te okiokinga, engari ko te āhuatanga tino motuhake ko te pai ake o te ahua ina whakakorikori tinana, ina hikoi hoki .

I roto i te wā, ka taea e tēnei mumura te whakararuraru i a koe i ngā wā katoa. Nā te mea he nui te kaha e whakamahia ana e te tinana hei whawhai ki tēnei mumura.

Me aha tātou i ngā wāhanga tōmua?

Ki te pā mai ēnei tohu ki a koe, ko te mea tuatahi me mahi e koe ko te toro atu ki tētahi tākuta rumatiki, he tākuta e tohunga ana ki ngā mate hononga. Māna koe e whakarato i tētahi mahere maimoatanga e tika ana māu.

• Ngā rongoā whakamamae: Hei whakahaere i te mamae me te mumura i ngā wāhanga tōmua, ka tohua pea e tō tākuta ngā NSAID (ngā rongoā anti-inflammatory kore-steroidal) , pērā i te ibuprofen, te naproxen rānei.
• Whakakorikori Tinana: He rite te whakakorikori tinana ki te rongoā mō te tangata whai AS. He wāhanga o te mahere maimoatanga. Mēnā he whakakorikori tinana,
• Ka ārai i te kino haere o te mate.
• Ka whakaiti i te mamae me te pakari.
• Āwhina ki te pupuri i te ngāwari o te tinana.
• Kōrero ki tō kaiwhakaora tinana kia whakawhanakehia he mahinga whakakori tinana haumaru e tika ana māu.
• Kai: He mea tino nui te kai ārai-mumura. Tāpirihia ngā huawhenua rau matomato, ngā huawhenua tae kanapa (hei tauira, te pīnihi, te tōmato), te pūrokoro, me te kāpeti ki roto i tō kai. Āta karo i ngā kai tukatuka he nui te huka, te paraoa mā, ngā hinu kino, me ngā kai hangai.
• Te karo i te momi hikareti:Mena he kaipaipa koe, kati wawe tonu. Ka taea e te kaipaipa te whakararu i tēnei āhuatanga. Mena e tika ana, kōrero ki tō tākuta mō te āwhina.

Te whanaketanga o te mate i roto i te wā (Te Ahunga Whakamua)

Ko te tikanga ka āta haere te AS mai i te tuaiwi o raro ki te kaki. Ka taea e ngā matawai pēnei i te MRI te whakaatu i te nui o te kino kua pā ki te tuaiwi. Tērā pea he uaua ki te kite i ēnei huringa i ngā tau tuatahi, engari ka kitea haere i roto i te wā.

I te piki haere o te mumura, kāore e pā ki te tuaiwi anake engari ki ētahi atu wāhanga o te tinana anō hoki, inā koa ko ngā wāhi e hono ana ngā uaua me ngā hononga ki ngā wheua (entheses).

Ētahi atu āhuatanga hauora e pā ana

• Mumura kanohi: Tata ki te kotahi hautoru o ngā tūroro AS ka pāngia e te mumura kanohi (uveitis, iritis rānei) i tētahi wā o ō rātou oranga. Ko ngā tohu ko te mamae o ngā kanohi, te whero, te roimata, te tirohanga pōuri, me te aro ki te mārama. Mena ka pāngia koe e tētahi o ēnei tohu, tirohia tonutia he tākuta kanohi. Ki te kore e rongoatia, ka ngaro pea te tirohanga.
• Mumura o te ara nakunaku: Tata ki te 70% o ngā tūroro AS ka pāngia e te mumura o te ara nakunaku, engari he tokomaha kāore e whakaatu i ngā tohu. Tata ki te 10% ka pāngia e te IBD (Inflammatory Bowel Disease)., ko te tikanga ka pā mai pea ngā āhuatanga pēnei i te mate a Crohn, te mate puku rānei.
• Ngā mate kiri: Tata ki te 10% o te tangata ka pāngia e te psoriasis.

Te maimoatanga i te whanaketanga o te mate

Ki te kore e whakaora ngā NSAID auau, ka tohua pea e tō tākuta tētahi momo rongoā kaha ake e kiia nei ko ngā biologics . Ka nui ake te whai hua o ēnei nā te mea ka aro tika ki ngā mea o roto i tō tātou pūnaha ārai mate e puta ai te mumura.

Ko ngā rongoā aukati TNF (hei tauira, Adalimumab (Humira), Etanercept (Enbrel), Infliximab (Remicade)) ka taea te hoatu tuatahi. Mēnā kāore ēnei e mahi, ka taea te whakamahi i ngā rongoā aukati IL-17 (hei tauira, Secukinumab (Cosentyx)). I tēnei wā, me āwhina pea koe e ngā tohunga kanohi, tohunga puku, tohunga kiri rānei.

Te wāhanga matatau o te mate

Ina tino kino te mate, ka kī atu te tākuta kei a koe te "tuitui tuaiwi". Ko te tikanga o tēnei ka tupu he wheua hou i waenganui i ngā tuaiwi o te tuaiwi ka honoa ngātahi. Ka kiia tēnei ko te honohono tuaiwi .

Ka whakanui ake tēnei whakakotahitanga i te mōrearea o ngā whati o te tuaiwi. Ka taea hoki e ia te piko whakamua o te tuaiwi, me te whakawhanake i te tū piko . Ka taea e te whakaora tinana te āwhina ki te whakahaere i tēnei mate.

Hei tāpiritanga, ka pā pea tēnei ki ngā hononga i waenganui i ngā rara me te tuaiwi, me ngā wāhi e hono ai ngā rara ki te uma. Kātahi ka uaua ki te manawa hōhonu. I roto i ēnei āhuatanga, ka taea e koe te ako i ngā huarahi hei whakangāwari ake i te manawa mai i tētahi kaiwhakaora manawa.

He tino onge, ka pā mai he mate kino e kiia nei ko te cauda equina syndrome i te pakaru o ngā io i te pūtake o te tuaiwi. Ka pā mai te ngaronga o te mana whakahaere o te pūkahukahu me te puku, te ngoikore o te moepuku, me te mamae me te ngoikore o ngā waewae.

Engari kia maumahara, he tino onge ēnei mate kino. Ki te tango koe i ngā rongoā i tohua e tō tākuta, ā, ki te whai i ana tohutohu, ehara i te mea uaua ki te karo i ēnei mate kino. He mea nui kia kite i te tākuta mō te tirotiro ahakoa kāore koe e whakaatu i ō tohu.

Āhea te wā e kite ai i te tākuta

Ki te puta he tohu hou ki a koe, ki te kino haere rānei ō tohu, kōrero tonu ki tō tākuta. Kaua e whakaroa, ina koa mēnā ka pāngia tētahi tangata whai AS e tētahi o ēnei tohu e whai ake nei: