Te mamae o te tuara, te pakari... He Ankylosing Spondylitis (AS) tēnei?

Kua pāngia hoki koe e te mamae pinepine i tō tuara me tō hope mai i tō tamarikitanga? Ina koa ka ara ake koe i te ata, ka mārō tō tuara, ā, ka uaua ki te piko, ki te mahi rānei i tētahi mahi mō tētahi wā? He maha ngā wā ka wareware tātou ki ēnei mea, me te whakaaro "tērā pea he whāwhā" he "tērā pea nā te ngenge i te mahi." Heoi, he āhuatanga pea tēnei e hiahia ana kia aro nui atu. I tēnei rā kei te kōrero tātou mō tētahi mate e rite ana ki tēnei, ā, he maha ngā tāngata kāore i te tino mōhio, engari he mea tino nui kia mōhio. Koia te Ankylosing Spondylitis .

He aha te tikanga māmā o te Ankylosing Spondylitis (AS)?

He momo mate rumatiki tēnei e pā ana ki ngā hononga o te tuaiwi. Ko te nuinga o te wā ka pā ki tō tuaiwi me ngā hononga sacroiliac, te wāhi e hono ai te wāhanga o raro o tō tuaiwi ki ngā wheua o tō hope. Mā tēnei mate ka whakaekea hētia e te pūnaha ārai mate o tō tinana ēnei hononga, ka puta he mumura mau tonu .

I te roanga o te wā, ka mamae pea te tuara me te hope, ka whakaiti i te ngāwari o te tuaiwi, ā, ka whakawhāiti i te nekehanga . Tērā pea ka pakari te kaki o ētahi tāngata i te roanga o te wā.

E kiia ana kotahi i roto i te 1,000 tāngata puta noa i te ao ka pāngia e tēnei mate. Kāore anō kia kitea he rongoā mō tēnei. Kaua e manukanuka , ki te tika te tātaritanga me te rongoā i te mate i raro i ngā tohutohu a te tākuta whai tohu, ka taea e koe te whakahaere pai i tēnei mate me te noho i te oranga noa.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei mate?

He aha i pāngia ai ētahi tāngata e tēnei mate? Ahakoa kāore anō kia kitea te tino take, kua tautuhia e ngā kaipūtaiao ētahi āhuatanga e whakanui ake ana i te mōrearea.

Te awe ira (ngā ira)

Kua kitea ko ngā awe ira te tino take o tēnei mate.

• Ira HLA-B27: Koinei te ira e tino pā ana ki tēnei mate. Mā tēnei ira ka āwhina te pūnaha ārai mate o tō tātou tinana ki te mōhio 'ko ō tātou ake pūtau ēnei' me 'he huaketo, he huakita rānei ke'. Ko te hunga he momo ira motuhake tō rātou (te momo 'HLA-B27') he nui ake te mōrearea ki te whakawhanake i te AS.
• Ko te mea tino nui: Engari ko te mea tino nui i konei, ahakoa kei roto i tō tinana tēnei ira 'HLA-B27', kāore e taea e koe te kī ka pāngia koe e tēnei mate. Ko te nuinga o te hunga kei a rātou tēnei ira e kore rawa e pāngia e tēnei mate. Waihoki, ko te hunga kāore i a rātou tēnei ira ka pāngia hoki e tēnei mate.
• Ētahi atu ira: Hei tāpiri, kua kitea he maha atu anō ngā ira e pā ana ki te pūnaha ārai mate, pērā i te ERAP1, IL1A, me te IL23R, he hononga ki tēnei mate.

Ētahi atu āhuatanga mumura

Tērā pea ētahi atu mate mumura kei ētahi tāngata whai AS . Hei tauira:

• Psoriasis
• Te mate puku ulcerative
• Te mate a Crohn

Nō reira, ki te mea kei roto i tō whānau ēnei āhuatanga, kei te pāngia rānei koe e te Ankylosing Spondylitis, tera pea ka noho mōrearea koe.

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Te pānga o te ira tangata me te tau ki te

Ko ngā tohu o te AS ka tīmata i mua i te 40 tau te pakeke. I ētahi wā, ka puta mai ngā tohu i te 16 tau te pakeke, e kiia ana ko te 'juvenile-onset ankylosing spondylitis'.

He rerekē te whanonga o tēnei mate i runga i te ira tangata. Mā te mōhio ki ēnei rerekētanga ka tino āwhina i te tautuhi wawe i te mate.

Ko tētahi take e whakaroa ai ngā wāhine ki te whiwhi tātaritanga ko te whakaaro hē i waenga i te hapori, tae atu ki ngā tākuta pea, arā, he 'mate tāne' tēnei. Waihoki, nā te mea he rerekē ngā tohu o ngā wāhine i ngā tohu o ngā tāne (ahakoa ngā matawai MRI, tera pea he iti ake te kino o te tuaiwi e kitea ana), ka roa pea te wā ki te tautuhi i te mate.

He pānga anō tō te iwi me te iwi taketake?

Ae, he pānga nui tō te iwi ki tētahi wāhi. Kua whakaatuhia e ngā rangahau he nui ake te kitea o tēnei mate i roto i te hunga mā, inā koa i ngā whenua o te raki o Ūropi. He iti ake te kitea o tēnei mate i roto i te hunga mangu o Āwherika.

Engari he mea nui tēnei. Ahakoa he iti te mōrearea o te whakawhanaketanga o te mate, e whakaatu ana ngā rangahau mēnā ka pāngia te tangata mangu e te AS, ka taea te whakanui ake i te kaha o te mate .

Waihoki, tata ki te 90% o te hunga mā me te AS kei a rātou te ira HLA-B27. Heoi, 50%-60% anake o te hunga mangu me te AS kei a rātou tēnei ira. Nō reira, he mea nui kia whakaarohia te iwi me te papamuri ira i te wā e tautuhia ai te mate.

Te whakaroa o te tātaritanga me tōna pānga

Mō te tini o te tangata, e 8 ki te 10 tau te roa ka kitea tika ai te mate i muri i te tīmatanga o ngā tohu. Tērā pea ka roa ake tēnei whakaroa mō ngā wāhine, inā koa.

Nā te whakaroa o tēnei mahi ka whakaroa te maimoatanga. Ka nui ake te kino ka pā mai i te mate. I roto i te wā, ka honoa ngā wheua o te tuaiwi (whakakotahi), ā, ka ngaro katoa te nekehanga o te tuaiwi.

He mea nui te tautuhi me te maimoatanga wawe hei pupuri i te hauora pai me te whakahaere i te mate.

Nō reira, ki te mamae tonu tō tuara, te pakari o te ata, me ētahi atu tohumate rānei, inā koa he wahine koe , kaua e warewaretia. Tirohia he tākuta whai tohumate, ā, kōrero mārama mō ō tohumatemate. Kaua e wehi ki te tono mō te matawai X-ray, MRI rānei mēnā e tika ana. Kei a koe te tika ki te kōrero mōu ake.