Ngati muli ndi Ankylosing Spondylitis, kapena mwachidule AS, mwina mukudziwa bwino kupweteka kwa msana ndi kuuma kwa m'mawa. Koma kodi mukudziwa kuti vutoli silimangokhudza msana wokha? Pafupifupi gawo limodzi mwa magawo atatu a odwala a AS amakumananso ndi kutupa m'mbali zina za thupi. Chifuwa ndi chimodzi mwa malo omwe amakhudzidwa kwambiri. Kodi mumamvanso kupweteka pachifuwa chanu mukapuma mpweya wozama, kutsokomola, kuyetsemula, kapena kuchita masewera olimbitsa thupi? Ndiye nkhaniyi idzakhala yofunika kwambiri kwa inu.
Kodi AS imakhudza bwanji chifuwa chanu?
Mwachidule, AS ndi vuto lomwe limapangitsa kuti mafupa m'thupi atupa, kapena kutupa. Limayamba m'malo olumikizirana mafupa a msana, koma pakapita nthawi limatha kufalikira ku mafupa ena m'thupi. Mafupa a cartilaginous omwe amalumikiza nthiti zanu ndi fupa lathyathyathya pakati pa chifuwa chanu lotchedwa sternum amathanso kutupa mwanjira imeneyi.
Pamene mafupa amenewa atupa, madokotala amati ndi matenda a costochondritis . Matendawa ndi ofala kwambiri pakati pa odwala a AS. Malinga ndi kafukufuku, 70% ya odwala a AS amamva kupweteka pachifuwa nthawi ina m'miyoyo yawo.
Chabwino kwambiri n'chakuti costochondritis si matenda oopsa. Koma imatha kukhala yopweteka. Nthawi zina ululuwu ukhoza kukhalapo kwa milungu ingapo mpaka miyezi ingapo, kapena chaka chimodzi. Koma nthawi zambiri umachira wokha.
Kupweteka pachifuwa si chinthu chongofunika kuchitenga mopepuka. Kungayambitsidwe ndi costochondritis, kapena kungakhale chizindikiro cha matenda aakulu kwambiri, monga matenda a mtima. Chifukwa chake, ngati muli ndi nkhawa iliyonse, onetsetsani kuti mwaonana ndi dokotala nthawi yomweyo.
Kodi zizindikiro za kupweteka pachifuwa ndi ziti?
Zizindikiro zazikulu za costochondritis zomwe zimayambitsidwa ndi AS ndi kupweteka pachifuwa, kuuma, ndi kufewa. Ululu uwu umasiyana malinga ndi munthu. Kwa ena, ungamve ngati ululu wosasangalatsa, wopweteka, pomwe kwa ena, ungamve ngati ululu wakuthwa, wobaya.
Tiyeni tifotokoze zizindikiro izi mwatsatanetsatane mu tebulo ili m'munsimu.
| Mbali / Mwayi | Kufotokozera |
|---|---|
| Zochita zomwe zimawonjezera ululu |
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| Nthawi ya tsiku | Anthu ena angamve kupweteka kwambiri ndi kuuma akadzuka m'mawa, koma pang'onopang'ono kumachepa pakatha mphindi 15-30. |
| Zizindikiro zochenjeza zomwe zimafuna thandizo lachipatala mwachangu! | |
| Zochitika zadzidzidzi | Ngati muli ndi chimodzi kapena zingapo mwa izi pamodzi ndi kupweteka pachifuwa, pitani ku dipatimenti yadzidzidzi ya chipatala (ETU) nthawi yomweyo:
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Kodi mungatani kuti muthane ndi ululu pachifuwa womwe umayambitsidwa ndi AS?
Kupweteka pachifuwa kumeneku kungasokoneze zochita zanu za tsiku ndi tsiku. Chifukwa chake, m'malo moyembekezera kuti kutha kokha, ndi bwino kuonana ndi dokotala wanu ndikupeza chithandizo choyenera. Dokotala wanu angakulangizeni mankhwala ochepetsa ululu, masewera olimbitsa thupi, physiotherapy, kapena kuphatikiza zonsezi. Ngakhale kuti mankhwala awa sangachiritse matendawa kwathunthu, angakuthandizeni kuchepetsa ululu ndikukupatsani mpumulo.
Mankhwala Ochiritsira
Chofunika kwambiri, musagwiritse ntchito mankhwala ochepetsa ululu popanda upangiri wa dokotala. Mankhwala ena ali ndi zotsatirapo zoyipa komanso chiopsezo cha chizolowezi.
Dokotala wanu nthawi zambiri amalangiza mankhwala oletsa kutupa omwe si a steroidal (NSAIDs) , monga ibuprofen ndi naproxen. Mankhwalawa angafunike kumwedwa kwa milungu ingapo kapena miyezi ingapo.
Ngati mankhwala a NSAID sakugwira ntchito kwa inu kapena sakulamulirani ululu wanu, dokotala wanu angakulangizeni mankhwala ena, monga:
- Mankhwala ochepetsa ululu monga acetaminophen.
- Ma opioid ndi mankhwala a nthawi yochepa ochizira ululu waukulu.
- Jakisoni wa glucocorticoid woperekedwa mwachindunji ku malo opweteka.
- Mankhwala enieni omwe amachepetsa kutupa kwa AS. Zitsanzo:
- Mankhwala oletsa TNF: Adalimumab, Golimumab
- Anti-interleukin 17 mankhwala: Ixekizumab, Secukinumab
- Zoletsa za Janus kinase (JAK): Tofacitinib
- Mankhwala ena oletsa kuvutika maganizo ndi mankhwala oletsa khunyu amagwiritsidwanso ntchito pochepetsa ululu wa mitsempha.
Kuchita Masewera Olimbitsa Thupi ndi Kuchiritsa Thupi
Kuchita masewera olimbitsa thupi ndi gawo lofunika kwambiri pakuwongolera matenda a AS. Kuchita masewera olimbitsa thupi moyenera kungathandize kupewa kuuma ndi kuwonongeka kwa mafupa.
- Kuchita masewera olimbitsa thupi pang'ono: Dokotala akulangiza pulogalamu yochita masewera olimbitsa thupi yomwe siidzakhudza kwambiri thupi, monga kuyenda kapena kusambira, yomwe siidzawonjezera ululu.
- Maseŵero olimbitsa thupi monga yoga kapena Tai Chi angathandize kuchepetsa nkhawa komanso kuchepetsa ululu.
Dokotala wanu angakutumizireninso kwa katswiri wa physiotherapist , amene angakupangireni pulogalamu inayake.
- Masewero olimbitsa thupi: Izi zimathandiza kuchepetsa kulimba kwa chifuwa komanso zimapangitsa kupuma kukhala kosavuta.
- Kulimbikitsa mitsempha: Chipangizo chapadera chimayesa kuletsa zizindikiro za ululu kufika muubongo.
- Masewero olimbitsa thupi: Kusunga kaimidwe koyenera kungathandize kuchepetsa kupsinjika kwa mafupa.
Zinthu zomwe mungachite nokha (Kusintha kwa Moyo)
Pamodzi ndi chithandizo, kusintha pang'ono kwa moyo wanu kungakuthandizeni kwambiri kuthana ndi ululuwu.
- Chepetsani zinthu zomwe zimawonjezera ululu: Tangoganizani kuti kunyamula chinthu cholemera kumakupangitsani kumva kupweteka kwambiri. Kenako siyani kuchita zimenezo kwakanthawi.
- Kugwiritsa ntchito kutentha kapena kuzizira: Kuyika botolo la madzi otentha kapena paketi ya ayezi pamalo opweteka kungathandize kuchepetsa ululu kwakanthawi.
- Mpumulo: Ngati mukumva kutopa, dzipatseni mpumulo wofunikira.
- Umoyo wabwino wamaganizo: Chitani zinthu zomwe zimakuthandizani kupumula. Zinthu monga kusinkhasinkha kapena kumvetsera nyimbo zingathandize. Ndikofunikanso kufunafuna uphungu kuti ukuthandizeni kuthana ndi nkhawa zomwe mumakhala nazo chifukwa chokhala ndi AS.
Uthenga Wopita Nawo Kunyumba
- Anthu omwe ali ndi Ankylosing Spondylitis (AS) amatha kumva kupweteka pachifuwa kuwonjezera pa kupweteka kwa msana. Chifukwa chachikulu cha izi ndi matenda otchedwa costochondritis.
- Izi nthawi zambiri sizimakhala zoopsa, koma zimatha kupweteka. Komabe, ndikofunikira kufunafuna upangiri wa dokotala kuti muwonetsetse kuti palibe zifukwa zina zazikulu zomwe zimayambitsa kupweteka pachifuwa.
- Ululu womwe umawonjezeka ndi kupuma mozama, kukhosomola, kapena kuyetsemula ndi chizindikiro chofala.
- Musamwe mankhwala ochepetsa ululu popanda upangiri wa dokotala. Nthawi zonse lankhulani ndi dokotala wanu.
- Ululu uwu ukhoza kuthetsedwa bwino ndi masewera olimbitsa thupi oyenera, chithandizo cha thupi, komanso kusintha moyo.
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