He maha ngā wā ka mamae tō tuara, tō hope rānei? Ina ara ake koe i te ata, ka mārō koe, ā, kāore e taea te neke? He maha ngā wā, ina kōrero tētahi wahine taitamariki mō tētahi mea pēnei, ka whakaaro ētahi he ngenge noa iho, he ahotea rānei. Engari koinei pea te tīmatanga o tētahi kōrero hohonu ake. I tēnei rā kei te kōrero tātou mō tētahi āhuatanga e whakaarohia ana e te tini he pānga ki ngā tāne anake, engari ka pā anō hoki ki ngā wāhine. Koia te Ankylosing Spondylitis (AS).
He aha ngā rerekētanga ina pāngia ngā wāhine e tēnei mate?
He whakarāpopototanga noa iho, ko te ankylosing spondylitis (AS) he momo mate rumatiki e puta ai te mumura, te pupuhi rānei, o te tuaiwi me ōna hononga e pā ana. Nō roto i tētahi rōpū mate nui ake e kiia nei ko te spondyloarthritis. I mua i whakaarohia he "mate tāne". Engari kua kitea ināianei e ngā rangahau he rite tonu te pānga ki ngā wāhine me ngā tāne. Heoi, he nui ngā rerekētanga o te āhua o te puta o ngā tohu, te wā e pau ana ki te tautuhi i te mate, me ngā maimoatanga. Me titiro tātou ki ērā.
1. Te whakaroa i te tautuhi i te mate
Koinei tētahi o ngā wero nui rawa atu e pā ana ki ngā wāhine. Whakaarohia, mēnā e ono tau me te hawhe te roa o te wā e mōhio ai te tāne mai i te tīmatanga o ēnei tohu ki te mōhio he aha te mate, kua kitea e ngā rangahau e iwa tau pea te roa o te wā e mōhio ai te wahine.
Ehara tēnei i te mea nā te rerekētanga o ngā tohu, nā te tau rānei. He maha ngā wā, nā te whakaaro pōhēhē o ētahi tākuta ki te mamae o ngā wāhine. Tērā pea ka warewarehia e rātou tō mamae, ka kīia rānei he ahotea.
2. Te mōrearea o te tātaritanga hē
He uaua pea te tautuhi i te mate, ā, i ētahi wā ka taea te rongoā i te mate hē. Ko te axial spondyloarthritis (axSpA) he momo AS. Kua kitea e ngā rangahau tae atu ki te hauwhā (25%) o ngā wāhine e pāngia ana e te mate ka hē te tautuhi i te tīmatanga.
Nā te mea he maha ngā wā ka pāngia ngā wāhine whai AS e te mamae whānui puta noa i ō rātou tinana, ka pohehe pea ngā tākuta he mate e kiia nei ko te fibromyalgia . Me titiro tātou ki ngā āhuatanga ōrite me ngā rerekētanga i waenganui i ngā mate e rua.
| Āhuatanga | I roto i te ankylosing spondylitis (AS) | I roto i te Fibromyalgia |
|---|---|---|
| Mamae nui | Te mamae e puta mai ana i te mumura o te tuara, o te hope, me ngā hononga. | Te mamae e horapa puta noa i te tinana. Kāore he mumura motuhake e kitea ana i ngā hihi-X. |
| Te pakari o te ata | I te nuinga o te wā, neke atu i te hawhe haora te roa. Ka heke haere i te wā e whakakori tinana ana. | Ahakoa kei reira, kāore pea te whakakori tinana e whai hua nui. |
| Ngā whakamātautau hauora | E whakaatuhia ana e ngā hihi-X, ngā MRI, me ngā whakamātautau toto (ESR, CRP) te kino me te mumura o ngā hononga. | Kāore e whakaatuhia he kino motuhake e ngā hihi-X me ngā MRI. Ka whakawhirinaki te tautuhi mate ki ngā tohumate. |
3. Te taumata o te kino i kitea i ngā whakamātautau hihi-X
I te nuinga o te wā, ina tirohia he hihi-X, ka kitea ake ngā hononga tuaiwi o ngā tāne (te pirau o ngā hononga) i ō ngā wāhine. Nā tēnei, e whakaponohia ana he tere ake te horapa o te mate i roto i ngā tāne.
Engari ehara tēnā i te pono. Ahakoa he iti ake te kino o ngā hihi-X, he rite tonu te mamae, te uaua ki te mahi i ngā mahi o ia rā, me ngā mahi mate e pā ana ki ngā wāhine ki ngā tāne, ā, i ētahi wā he nui ake.
Ngā tohu, te maimoatanga, me ngā huringa kounga o te oranga
Haunga te mamae o ngā hononga, ka taea hoki e te AS te whakaputa i ētahi atu tohu. He rerekē ēnei i waenga i ngā wāhine me ngā tāne, e whai ake nei.
- Enthesitis: He kupu hauora tēnei. Ki te whakarapopoto, e pā ana ki te mumura e hono ai ō tātou uaua me ngā hononga ki ngā wheua. He nui ake te kitea o tēnei mate i roto i ngā wāhine, ā, he mamae ake . Ka taea e ia te whakararu i ngā wāhi pēnei i ngā rekereke me ngā tuke.
- Ngā mate kanohi: Ko te Acute Anterior Uveitis he mate e puta ai ngā kanohi whero, te mamae nui, me te tirohanga pōuri. E kī ana ētahi rangahau he nui ake te kitea i roto i ngā wāhine, ko ētahi e kī ana he nui ake te kitea i roto i ngā tāne. Nō reira, kāore anō kia whakaaetia tēnei e te katoa.
- Ngā Mate Pāwera: Tērā pea ka nui ake te tūponotanga o ngā wāhine ki te pāngia e ētahi atu mate pāwera e haere tahi ana me te AS. Hei tauira, ko te mate puku mumura (IBD) me te mate kiri psoriasis he mea noa ake i roto i ngā wāhine whai AS.
- Te urupare ki te maimoatanga: He mea tino nui tēnei. E whakaatu ana ngā rangahau kāore ngā maimoatanga mō te AS e tino whai hua ana i roto i ngā wāhine pērā i ngā tāne. Kāore i te mōhiotia te take tika mō tēnei, engari e whakaarohia ana he nui ake te tūponotanga o ngā wāhine ki te pāngia e ngā mate pēnei i te enthesitis, ā, he nui ake te tūponotanga ka kitea tōmuri. Nā tēnei ka nui ake te tūponotanga o ngā wāhine ki te whakamutu i te maimoatanga mēnā kāore e puta ngā hua e hiahiatia ana.
- Te kounga o te oranga: Ina huihuia, he maha ngā rangahau kua whakaatu he iti ake te kounga o te oranga o ngā wāhine whai AS i ngā tāne. Ko te nuinga o tēnei nā te mamae tonu, te ngenge, me te uaua ki te whakatutuki i ngā kawenga mahi me te whānau.
Ko te mea nui ko te mōhio he pono tō mamae. Kaua e whakakorea he "mamae tuara noa iho e pāngia ana e ngā kōtiro." Whakarongo ki tā tō tinana e kōrero ana ki a koe.
Karere Tangohia ki te Kāinga
- Ehara te Ankylosing spondylitis (AS) i te mate e pā ana ki ngā tāne anake. He rite tonu te pānga ki ngā wāhine.
- Ki te mamae tō tuara, tō hope, tō kōpiko rānei i te ata, kua roa nei e pāngia ana, inā koa i te wā e tamariki ana koe, kaua e warewaretia. Tirohia tonutia he tākuta whai tohu.
- Nā te mea ka tomuri pea ngā wāhine ki te whiwhi tātaritanga, me waiho koe hei reo mōu ake. Puritia he pukapuka tuhi mō ō tohumate (te wā ka tīmata te mamae, te kaha o te mamae, te āhua o tōna putanga mai me tōna haerenga atu). He āwhina nui tēnei ki tō tākuta.
- Kāore e rite te mahi a ngā maimoatanga mō te katoa. Ki te kore koe e pai ake i ngā maimoatanga kua tohua ki a koe, ki te pāngia rānei koe e ngā pānga taha, kōrero ki tō tākuta. Kōrerohia ētahi atu maimoatanga.
- Kāore koe e hiahia ki te haere ko koe anake i tēnei haerenga. Kōrero ki tō whānau me ō hoa mō tēnei. Kaua e mangere ki te tiki tautoko hinengaro mēnā e hiahiatia ana.
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