Kua pāngia koe e te mamae o te tuara mai i tō tamarikitanga? He mamae rerekē tēnei e mau tonu ana, e rite ana ki te mea he kōhatu tō tuaiwi ina ara ake koe i te ata, ā, ka pai ake mā te whakakori tinana? Kua whakamātau pea koe i ngā momo maimoatanga mōna, engari kāore anō kia mōhio he aha tonu? Mena koinā, he mea nui tēnei tuhinga ki a koe. I tēnei rā ka kōrero tātou mō te Ankylosing Spondylitis, te AS rānei hei whakarapopototanga.
He aha te uaua o te tautuhi i te AS?
Ki te kī māmā noa, ko te Ankylosing Spondylitis (AS) he mumura mau tonu o ngā hononga o te tuaiwi me te hope. He maha ngā take matua e uaua ai te tautuhi.
Ko te mea tuatahi, he tino puhoi te puta mai o ngā tohu o tēnei mate. Kāore koe e rongo i tētahi rerekētanga nui i te wā tonu. Ko te tuarua, ko te mea nui rawa atu, ko te tohu matua o tēnei mate ko te mamae o te tuara . Whakaarohia, he aha te auau o te mamae o te tuara? Ki te hapai koe i tētahi mea, ki te noho roa koe, ki te moe koe i te tūranga hē, ka mamae pea tō tuara. Nō reira, he tokomaha te hunga e whakaaro ana he raruraru tuara noa tēnei.
Nā ēnei take, kua kitea e ngā rangahau ka roa pea te wā e 8 ki te 10 tau mai i te wā ka tīmata te whakaatu i ngā tohu o te mate ki te tangata kia tautuhia ai ia he AS. Heoi, he mea nui te kitenga wawe i te mate kia pai ake ai te whai huatanga o te maimoatanga.
Nō reira, kāore he whakamātautau kotahi e taea ai te whakaū 100% "Kei a au te AS?" i te wā kotahi. Heoi, ka whakamahia e te tākuta he huinga o ngā whakamātautau hei tātaritanga i tēnei mate, pērā i te whakaoti rapanga, kia tae atu ai ki tētahi whakatau.
He aha ngā mahi ka whakamahia e te tākuta hei tautuhi i te mate?
Ina haere koe ki te kite i tētahi tākuta mō tō mamae tuara, ka whai ia i ētahi mahi mēnā e whakapae ana rātou kei a koe tēnei mate.
1. Te pātai atu ki a koe mō ētahi atu kōrero me te tirotiro tinana i a koe
Ko te mea tuatahi māu ko te kōrero ki a koe me te pātai atu mō ō tohumate. Ka pātai atu rātou ki a koe i ngā pātai hōhonu, inā koa mō tō mamae tuara. Mena ka rite tō mamae tuara ki te iti rawa e whā o ngā āhuatanga e whai ake nei, tera pea ka whakapae tō tākuta he AS koe.
| Āhuatanga whakapae | Whakaahuatanga |
|---|---|
| Tau | I tīmata ngā mamae i mua i te 35 tau te pakeke? |
| Tīmatanga | I piki haere te mamae? |
| Wā | Kua neke atu i te toru marama tēnei e haere tonu ana? |
| Te pānga o te whakakori tinana | Ka iti haere te mamae ina whakakorikori tinana koe, ina hikoi rānei? |
| Te pakari o te ata | Ina oho ake koe i te ata, he mārō, he uaua rānei te piko o tō tuara mō te haora pea? |
Hei tāpiritanga, ka pātai te tākuta mēnā kua pāngia tētahi o tō whānau e tēnei momo mate hononga. Tērā pea he hononga ira tēnei. Ka tirohia hoki e ia te pakari me te ngāwari o tō tuaiwi. Ka tirohia e ia te mamae ina pēhia e koe tō tuaiwi me ētahi atu hononga. I ētahi wā, ka tirohia pea e ia te whānui o tō uma (ina manawa koe).
2. Ngā Rangahau Whakaahua
He whakamātautau ēnei e tango pikitia ana i roto i te tinana. He tino āwhina ēnei ki te tautuhi i ngā mate.
- X-ray: Mena kei te whakapaehia he AS, ka tono pea te tākuta i te tuatahi he X-ray. Ko te hononga sacroiliac, te wāhi e tīmata ai te tuaiwi me te hono atu ki te wheua hope, ka kiia ko te hononga sacroiliac. Ko ngā huringa o tēnei hononga ngā tohu tino kitea o te AS. Engari, kāore ēnei huringa e kitea i runga i te X-ray tae noa ki ētahi tau i muri i te tīmatanga o ngā tohu .
- Matawai CT (Matawai Tomography Rorohiko): Mena kāore he mea e kitea mārama ana i te hihi-X, engari e whakapae ana te tākuta he AS koe, ka tukuna pea koe e ia ki te matawai CT. Ka taea e tēnei te whakaputa i tētahi ahua taipitopito, toru-ahu (3D) atu i te hihi-X.
- Matawai MRI (Whakaahua Āhua Aukume):Koinei te whakamātautau tino āwhina mō te tautuhi i te AS i ōna wāhanga tōmua. Kāore te MRI e whakamahi i ngā hihi-X, engari e whakamahi ana i tētahi aukume nui me te hangarau rorohiko hei tiro mārama i te roto o te tinana, inā koa ngā kiko ngohengohe me ngā hononga, te wāhi ka puta ai te mumura.
- Matawai Ultrasound: Ka whakamahia ngā ngaru oro hei hanga whakaahua. Kei te rangahauhia tonutia tēnei hei huarahi ki te kite wawe i te AS.
3. Ngā Whakamātautau Toto
Ka taea hoki e tō tākuta te tono i ētahi whakamātautau toto, ko te nuinga hei rapu i ngā tohu mumura e tohu ana mēnā he mumura kei roto i te tinana.
Waihoki, tētahi atu whakamātautau ira tino motuhake , arā, ko te whakamātautau mō te ira HLA-B27 .
Ko te mea nui ko tēnei: ahakoa kei roto i tō tinana te ira HLA-B27, ehara i te mea kei a koe tonu te AS i te nuinga o te wā . Engari ko te nuinga o te hunga whai AS kei a rātou tēnei ira. Nō reira, ki te mea kei a koe tēnei ira me ō tohumate, he tohu tino nui tēnei mā tō tākuta ki te whakatau i te mate.
Nō reira, ka kite koe, he rite te tātaritanga o te AS ki te mahi hei kaitirotiro. He nui ngā taunakitanga e hiahiatia ana, ehara i te mea kotahi noa te taunakitanga, kia tae atu ai ki te whakatau tika.
Karere Tangohia ki te Kāinga
- Kāore e taea te tautuhi i te Ankylosing Spondylitis (AS) mā te whakamātautau kotahi. He tukanga maha-taahiraa.
- Mena kua pāngia koe e te mamae me te kōpiko tonu o tō tuara mai i tō tamarikitanga, inā koa i te ata, kaua e warewaretia he mea noa, engari me toro atu ki te tākuta.
- Ko te wawe o te tautuhi i tēnei mate, ka nui ake te angitu o te maimoatanga.
- Ka whakakotahi tō tākuta i ngā mōhiohio e homai ana e koe, te whakamātautau tinana, ngā whakamātautau whakaahua (X-ray, MRI), me ngā whakamātautau toto (ina koa ko te HLA-B27) kia puta ai he tautuhi tika.
- Kaua e manukanuka mēnā ka roa te wā ki te tautuhi i te mate. He mate uaua tēnei, nō reira he mea noa te roa o te wā. Ko te mea nui ko te whakapā atu ki tō tākuta me te whakahaere i ngā whakamātautau e tika ana.
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