Kei te pēhia hoki e koe te tuara e te mamae, e te mārō i tō ara ake i te moenga i te ata? Engari ka memeha haere tēnei mamae i muri i tō hikoi iti me te tīmata i tō mahi o te rā? Ahakoa he tokomaha e whakaaro ana he raruraru tuara noa iho tēnei, i ētahi wā he āhuatanga tēnei e hiahia ana kia aro nui atu. I tēnei rā kei te kōrero tātou mō tētahi tangata, ahakoa he mate pēnei tōna, i angitu ia ki te whakatau i taua āhuatanga, ā, i ora i tētahi oranga hihiko.
Chad Baker - Te kaitākaro i wero i te mate
He matua a Chad Baker nō Colorado, USA, mō āna tamariki tokowhā. He kaiwhakahaere kura ia, ā, he tangata e aroha ana ki ngā hākinakina mō tōna oranga katoa. He kaiako anō hoki ia i roto i ngā hākinakina maha, tae atu ki te poitūkohu, te oma, me te whutupaoro.
He ahurei te kōrero mō Chad nā te mea i kitea ia he Ankylosing Spondylitis i ōna tau 20. Ahakoa he uaua ki te noho kaha tonu me tēnei mate, kua 40 tau a Chad inaianei, ā, kei te ora hauora, kei te ora noa. E ai ki a ia ko te take nui mō tēnei, kāore ia i noho ngoikore tinana nā te mate, engari i haere tonu ki te whakakorikori tinana me te pupuri i tōna tinana kia kaha. He tauira pai tana kōrero mō tēnei mate.
He aha te Ankylosing Spondylitis (AS)?
Ahakoa te roa, te rerekē rānei o tēnei ingoa, he māmā noa iho te kaupapa. Me wehewehe kia rua ngā kupu, kia mārama ai tātou.
- Spondylitis: E pā ana tēnei ki te mumura o ngā hononga i waenganui i ngā tuaiwi o te tuaiwi.
- Te Ankylosing: E pā ana tēnei ki te meka ka honoa ngā hononga mumura ki a rātou anō i roto i te wā, ka pakari, ka mārō hoki.
Ara, ko te Ankylosing Spondylitis he mate rumatiki mumura mau tonu e pā nui ana ki te tuaiwi.
He mate pūnaha ārai mate tēnei. Ko te tikanga o tēnei, ka tīmata te pūnaha ārai mate, e tika ana kia tiaki i tō tātou tinana, ki te whakaeke i ngā wāhanga hauora o tō tātou tinana, inā koa ko ngā hononga o te tuaiwi me te hope. Ka pupuhi, ka mamae hoki ngā hononga.
He aha ngā tohu noa o tēnei mate?
Ka rerekē ngā tohu o te AS i ia tangata, i ia tangata, engari he tohu noa ētahi he mea nui kia mōhiotia.
| Tohu | Whakaahuatanga |
|---|---|
| Te mamae me te pakari i te tuara me te papa | Koinei te tohu matua. Ka tino kino ake te mamae me te kōpiko o te tinana i te ata, i muri rānei i te noho roa i te tūranga kotahi (hei tauira, ina ara ake koe i te tūranga noho). |
| Te whakaiti i te mamae i te wā e whakakorikori ana | He rerekē tēnei i ētahi atu raruraru tuara, ka heke te mamae me te kōpiko i te wā e whakakorikori tinana ana, ā, ka piki haere i te wā e okioki ana. |
| Te mamae i roto i ētahi atu hononga | Haunga te tuara, ka pā te mamae me te pupuhi ki ngā wāhi pērā i ngā hononga hope, pakihiwi, turi me ngā rekereke. |
| Ngenge me te ngenge | He tohu noa anō hoki te tino ngenge me te kore take. |
| Te mumura o ngā kanohi (Uveitis) | Tērā pea ka pāngia ētahi tāngata e ngā tohu pēnei i te whero o ngā kanohi, te mamae, me te uaua ki te titiro ki te mārama. He mate tēnei e kiia nei ko te uveitis. |
Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei mate?
Ko te tikanga ka kitea tēnei mate i te wā taitamariki, i waenganui i te 17 me te 45 tau te pakeke. He nui ake te kitea o tēnei mate i roto i ngā tāne i ngā wāhine. He hononga ira anō hoki tōna. Ko te hunga kei a rātou te ira HLA-B27 he nui ake te mōrearea ki te pāngia e tēnei mate. Heoi, he mea nui kia mahara kāore te hunga katoa kei a rātou tēnei ira ka pāngia e tēnei mate.
Ka aha mēnā ka kino haere te mate?
Mena kāore te AS e rongoatia tika, ki te kore rānei e whakahaeretia, ka puta pea ngā raruraru i te roanga o te wā.
- Te Hononga Tuaiwi:Koinei te wāhanga tino kino o te mate. Nā te mumura tonu, ka hangaia e te tinana he wheua hou, ka whakakī i ngā āputa i waenganui i ngā tuaiwi o te tuaiwi. Nā reira, ka pakari te tuaiwi pērā i te rākau kotahi, ka ngaro katoa tōna ngāwari. Ka kiia hoki tēnei he "tuawi bamboo".
- Tūranga Piko: Ka puta pea te tūranga piko whakamua nā te piko o te tuaiwi.
- Te uaua ki te manawa: Ki te mumura, ki te kōpiri hoki ngā rara me ngā hononga e hono ana i te uma ki te tuaiwi, ka raru pea te whānui o te uma, ka uaua ai hoki te manawa.
- Osteoporosis: Ka ngoikore ngā wheua, ā, ka piki ake te mōrearea o te whati ngāwari.
Me pēhea te rongoā me te whakahaere?
Ko te mea nui hei kī tuatahi , kāore anō kia kitea he rongoā mō te Ankylosing Spondylitis. Kaua e manukanuka. He tino whai hua ngā maimoatanga hei whakahaere i ngā tohu, hei whakahaere i te haere whakamua o te mate, me te noho i te oranga noa.
Ko te mea nui ko te tautuhi i te mate me te tīmata i te maimoatanga i te wā e taea ai. Ko te tere o te tīmatanga o te maimoatanga i mua i te pakaru tuturu o ngā hononga, ko te pai ake o ngā hua.
Mena kei a koe tētahi o ngā tohu o runga ake nei, ko te mea pai ko te toro atu ki tō tākuta tonu. Māna koe e tirotiro, ā, ki te tika, ka tukuna koe ki ngā hihi-X, ki ngā matawai MRI, me ngā whakamātautau toto hei tātaritanga tika i te mate.
Ka taea te wehewehe i ngā tikanga maimoatanga ki ētahi wāhanga matua:
1. Te Whakaora Tinana me te Whakakorikori Tinana: Koinei te tūāpapa o te whakahaere AS. He whakangungu motuhake me ngā whakangungu totoro hei pupuri i te ngāwari, hei pupuri i te tūnga tika o te tuaiwi, me te whakaiti i te mamae. He mea nui kia mahia ēnei i raro i te arataki a te kaiwhakaora tinana.
2. Ngā rongoā:
- Ngā NSAID (Nonsteroidal Anti-inflammatory Drugs): Koinei ngā rongoā tuatahi. Ka taea e ngā rongoā mamae me ngā rongoā anti-inflammatory pērā i te Ibuprofen me te Naproxen te āwhina ki te whakahaere i te mamae me te kōpiko.
- Ngā Rongoā Koiora: Ki te kore e taea e ngā NSAID te whakahaere i te mate, ka tūtohu pea tō tākuta i ēnei rongoā matatau ake. Ka mahi ēnei mā te aro tika ki ngā matū motuhake i roto i te pūnaha ārai mate e puta ai te mumura. Hei tauira, ko ngā aukati Tumor Necrosis Factor (TNF) me ngā aukati Interleukin 17 (IL-17).
3. Pokanga: Koinei te huarahi whakamutunga. Mēnā kua tino pakaru ngā hononga, ā, kāore e taea te manawanui i te mamae, ka whakaarohia pea te pokanga pēnei i te whakakapinga hope.
E whakamahara mai ana te kōrero mō Chad Baker ki a tātou he rite te hiranga o te noho ora ki te rongoā , ā, he nui atu pea tōna hiranga i te rongoā.Ā, he mea nui te whakaaro pai hei oranga harikoa me tēnei mate.
Karere Tangohia ki te Kāinga
- Ko te Ankylosing Spondylitis (AS) he momo mate rumatiki e pā nui ana ki te tuaiwi.
- Ko te mamae o te tuara me te kōpiko e puta ana i te ata, ā, ka memeha haere i te wā e whakakorikori tinana ana, koinei ngā tohu matua.
- Mena kei a koe ēnei tohu, kaua e warewarehia, me toro atu ki tō tākuta i te wā e taea ai.
- Ahakoa kāore e taea te whakaora katoa i tēnei mate, mā te maimoatanga angitu, ka taea te whakahaere i te mate, ā, ka taea te noho i te oranga noa.
- He mea tino nui te whakaora tinana me te whakakori tinana o ia rā mō te whakahaere i te AS. He maimoatanga tēnei e rite ana te kaha ki te rongoā.











💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero