Kodi kupweteka kwa msana kwanu sikwabwinobwino? Tiyeni tikambirane za Ankylosing Spondylitis (AS)

Kodi munayamba mwakhalapo ndi ululu wa msana, kuuma m'mawa, kapena kupweteka kwa mafupa kuyambira muli achinyamata? Mungaganize kuti ndi chimfine chokha, chinthu chomwe chimabwera chifukwa chotopa, kapena china chake chomwe chimabwera chifukwa chogona movutikira. Nthawi zambiri zimakhala choncho. Koma nthawi zina zimatha kukhala vuto lalikulu. Lero tikulankhula za vuto lomwe anthu ambiri sadziwa, koma ndikofunikira kudziwa. Ndi Ankylosing Spondylitis , kapena mwachidule AS .

Mwachidule, kodi Ankylosing Spondylitis (AS) ndi chiyani?

Iyi ndi mtundu wa nyamakazi. Koma imakhudza kwambiri msana wanu. Kunena zoona, ndi "matenda otupa a nyamakazi". Izi zikutanthauza kuti chitetezo cha mthupi lanu chimaukira molakwika mafupa a msana wanu. Izi zimayambitsa kutupa, zomwe zikutanthauza kutupa ndi kupweteka, m'mafupa a msana wanu. Matendawa nthawi zambiri amayamba ali aang'ono, pakati pa zaka 20 ndi 40. Pakapita nthawi, kutupa kumeneku kumapangitsa kuti mafupa a msana wanu azilumikizana, kukhala ngati fupa limodzi. Izi zimatchedwa "ankylosis" m'mawu azachipatala. Taganizirani ngati mafupa a msana wanu alumikizidwa pamodzi. Izi zingayambitse kuuma ndi kugoba. Ili ndiye vuto lalikulu ndi AS.

Kodi AS imakhudza aliyense mofanana?

Ayi. Matendawa sakhudza aliyense mofanana. Anthu ena amamva ululu wochepa womwe umabwera ndi kutha. Ena amatha kumva ululu waukulu komanso kuuma komwe kumakhalapo kwa moyo wonse. Kafukufuku wapeza kuti kuopsa kwa matendawa kumatha kusiyana malinga ndi munthu. Mwachitsanzo, kafukufuku wasonyeza kuti magulu ena a anthu ali ndi mwayi waukulu wopeza matendawa kuposa ena. Izi zitha kukhala chifukwa cha majini, zinthu zachilengedwe, komanso kusiyana kwa mwayi wopeza chithandizo chamankhwala. Kuphatikiza apo, anthu ena omwe ali ndi AS ali pachiwopsezo chachikulu chotenga matenda ena, monga kuthamanga kwa magazi, matenda a shuga, kuvutika maganizo, ndi matenda a mtima.

Kodi majini amathandiza pakukula kwa AS?

Palibe amene akudziwa chomwe chimayambitsa matendawa. Koma nthawi zambiri amapezeka m'mabanja, kotero amakhulupirira kuti ndi majini. Ngati amayi anu, abambo anu, kapena m'bale wanu ali ndi AS, inunso muli pachiwopsezo chachikulu chotenga matendawa. MakamakaPali nkhani zambiri zokhudza jini ya HLA-B27 yokhudzana ndi matendawa. Anthu omwe ali ndi jini iyi ali pachiwopsezo chachikulu chotenga matenda a AS. Koma chofunika kwambiri apa ndichakuti simunganene kuti mudzakhala ndi AS chifukwa chakuti muli ndi jini ya HLA-B27 . Ngakhale ku Sri Lanka, pali anthu ambiri omwe ali ndi jini iyi koma alibe matenda aliwonse. Komanso, anthu omwe alibe jini iyi akhozanso kutenga matenda a AS. Izi zikutanthauza kuti madokotala tsopano akukhulupirira kuti si majini okha, komanso zinthu zina zachilengedwe zomwe sitikudziwa bwino zomwe zimayambitsa matendawa.

Kodi zizindikiro zazikulu za AS ndi ziti?

Kuwonjezera pa kupweteka kwa msana, AS ingayambitse zizindikiro zina zingapo. Tiyeni tiwone zizindikiro zazikulu.

Chizindikiro	Momwe mungamverere
Ululu ndi kuuma kumbuyo ndi matako	Msana wanga umamva kuuma, makamaka ndikadzuka m'mawa, kapena nditaimirira nditakhala pamalo omwewo kwa nthawi yayitali. Ululuwu umachepa ndikayenda pang'ono kapena ndikachita chinthu chothandiza. Ululu umawonjezeka usiku ndipo ukhoza kundidzutsa ku tulo.
Ululu m'mafupa ena	Kutupa ndi kupweteka kungachitike m'malo monga m'chiuno, mapewa, mawondo, akakolo, ndi zidendene.
Kuvuta kupuma	Ngati kutupa kumeneku kufalikira ku nthiti zomwe zili pachifuwa, chifuwa chingachepe kukula ndipo kupweteka pachifuwa kungamveke mukapuma mpweya wambiri.
Matenda a maso (Uveitis)	Pafupifupi gawo limodzi mwa magawo atatu a odwala a AS amadwala matenda a maso otchedwa uveitis. Zizindikiro zake ndi kufiira mwadzidzidzi, kupweteka kwa maso, kuvutika kuona, komanso kusawona bwino. Izi ndi zadzidzidzi ndipo zimafuna thandizo lachipatala mwamsanga .
Zinthu zina zodziwika bwino	Kutopa kosamveka bwino, kutentha thupi, kuchepa thupi, ziphuphu pakhungu, ndipo mwa anthu ena, matenda am'mimba monga matenda a Crohn amatha kuchitika.

Kodi mumatani ngati muli ndi zizindikiro izi?

Ngati inu, makamaka ngati muli aang'ono, mwakhala mukuvutika ndi kupweteka kwa msana komwe kumakulirakulira m'mawa komanso kumakulirakulira masana kwa miyezi yoposa itatu, muyenera kuwonana ndi dokotala wa banja lanu .

Ndikofunikira kunena zoona za ululu wanu. Ngati simunaufotokoze bwino, mukumaganiza kuti, "Ndi kupweteka pang'ono," zingakhale zovuta kuti dokotala adziwe vuto lenilenilo. Choncho lankhulani momveka bwino za kusasangalala kwanu konse.

Dokotala adzakuyang'anirani ndipo, ngati pakufunika, adzalamula mayeso angapo, monga:

• Mayeso a X-ray : Yang'anani kusintha kwa msana ndi chiuno.
• Kujambula kwa MRI : Poyamba matendawa, matenda otupa omwe sapezeka ndi X-ray amatha kudziwika.
• Mayeso a magazi : Mayeso monga ESR ndi CRP omwe amayesa kutupa m'thupi.
• Kuyezetsa majini: Ngati kuli kofunikira, yang'anani jini la HLA-B27 .

Kodi mankhwala ake ndi otani?

Ngakhale kuti AS singathe kuchiritsidwa kwathunthu, tsopano pali mankhwala ambiri abwino omwe angathandize kuchepetsa zizindikiro, kupewa kuuma kwa msana, komanso kukhala ndi moyo wabwinobwino.

Moyo wokangalika

Chimodzi mwa njira zabwino kwambiri zochizira izi ndikukhalabe wochita masewera olimbitsa thupi . Kuchita masewera olimbitsa thupi nthawi zonse, makamaka masewera olimbitsa thupi omwe amalimbitsa minofu ya msana ndi yapakati komanso kutambasula, kungathandize kuchepetsa ululu ndikusunga kusinthasintha kwa msana. Katswiri wa physiotherapy angakuthandizeni kupeza pulogalamu yoyenera yochitira masewera olimbitsa thupi.

Mankhwala

Dokotala wanu akhoza kukupatsani mankhwala ngati awa kutengera momwe mulili:

• Mankhwala oletsa kutupa omwe si a steroidal ( NSAIDs ): Awa ndi mankhwala oyamba omwe amaperekedwa kuti achepetse ululu ndi kutupa.
• Mankhwala oletsa kutupa (TNF): Awa ndi mtundu wa mankhwala achilengedwe. Amalimbana ndi chinthu chomwe chimayambitsa kutupa ndikulamulira matendawa ngati NSAIDs sizikulamulira.
• Mankhwala ochepetsa matenda a nyamakazi (DMARDs):Mankhwala monga Sulfasalazine nthawi zina amagwiritsidwanso ntchito.
• Corticosteroids : Amaperekedwa kwa kanthawi kochepa pamene kutupa kuli kwakukulu.

Pa milandu ina yoopsa, opaleshoni ingafunike kuti ilowe m'malo mwa cholumikizira chowonongeka kapena kukonza kusintha kwa msana.

Uthenga Wopita Nawo Kunyumba

• Ankylosing Spondylitis (AS) ndi mtundu wa nyamakazi womwe umakhudza kwambiri msana ndipo umayamba ali mwana.
• Kuuma kwa msana m'mawa ndi kupweteka (komwe kumachepa ndi masewera olimbitsa thupi) ndi chizindikiro chachikulu.
• Matendawa angakhudze osati msana wokha, komanso ziwalo zina za thupi, monga maso, mapewa, ndi chiuno.
• Ngati mukumva kupweteka kwa msana kosalekeza, musanyalanyaze ndipo pitani kwa dokotala. Kuzindikira msanga kungathandize kuti mupeze chithandizo chabwino.
• Mwa kukhalabe ndi zochita zolimbitsa thupi, kuchita masewera olimbitsa thupi nthawi zonse, komanso kumwa mankhwala monga momwe mwalangizidwira, mutha kukhala ndi moyo wabwinobwino komanso wathanzi.

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