Tiyeni tiphunzire za matenda ena omwe angatsatire AS? (Ankylosing Spondylitis)

Kodi mumadziwa kuti ngati muli ndi ankylosing spondylitis, kapena AS monga momwe tonse timadziwira, muli pachiwopsezo chachikulu chokhala ndi mavuto ena azaumoyo limodzi ndi vutoli? Ngakhale sizikudziwika nthawi zonse chifukwa chake izi zimachitika, kudziwa zoopsazi kungakuthandizeni kudziteteza ku matendawa. Lero, tiyeni tikambirane za matenda ena omwe amapezeka kwambiri ndi AS.

Matenda a mafupa

Mwachidule, izi zikutanthauza kuti mafupa anu amafooka, mphamvu zawo zimachepa, ndipo amatha kusweka mosavuta ngakhale atagwa pang'ono. Matendawa ndi ofala kwambiri pakati pa anthu omwe ali ndi AS.

Chifukwa chachikulu cha izi ndi kutupa kosatha komwe AS imayambitsa m'thupi komanso kutayika kwa kuyenda. Tangoganizirani, kupweteka ndi kuuma kwa msana ndi mafupa kumapangitsa kuyenda ndi kuchita masewera olimbitsa thupi kukhala kosavuta. Kutaya kumeneku kwa masewera olimbitsa thupi kumakhudza thanzi la mafupa mwachindunji. Koma chodabwitsa n'chakuti, nthawi zina ngakhale AS isanasinthe kwambiri m'thupi, anthu ena amatha kuona zizindikiro za osteoporosis m'mafupa awo.

Mankhwala ena ochepetsa ululu, monga mankhwala oletsa kutupa omwe si a steroidal (NSAIDs), akuganiziridwa kuti amachepetsa chiopsezo cha kusweka kwa mafupa, koma pali deta yochepa pa izi. Chifukwa chake n'zovuta kwa madokotala kunena motsimikiza ngati ali oyenera aliyense. Komanso, ngakhale kuti mankhwala oletsa TNF, omwe ndi gulu la mankhwala omwe amaletsa chinthu chomwe chimayambitsa kutupa, angathandize kuwonjezera kuchuluka kwa mafupa, sizikudziwikabe ngati angaletse kusweka kwa mafupa.

Mavuto okhudzana ndi tulo

Vuto lalikulu kwa anthu ambiri omwe ali ndi AS ndi tulo. Kusagona bwino usiku. Malinga ndi kafukufuku wina, theka la odwala AS amavutika ndi tulo chifukwa cha zifukwa zakuthupi ndi zamaganizo.

Kusowa tulo chifukwa cha ululu

Pali kugwirizana kwachilendo pakati pa tulo ndi ululu. Nthawi zina zimakhala zovuta kudziwa chomwe chinayamba. N'zovuta kudziwa ngati mukumva kupweteka tsiku lonse chifukwa simunagone mokwanira usiku, kapena ngati mukuvutika kugona usiku chifukwa cha ululu wochokera ku AS. Komabe, zapezeka kuti odwala a AS omwe ali ndi vuto la tulo amakhala ndi vuto lalikulu la kuuma m'mawa komanso zizindikiro zina za AS kuposa omwe amagona bwino.

Kupsinjika maganizo ndi nkhawa

Kuvutika maganizo ndi nkhawa zimakhudza tulo tanu komanso thupi lanu. Mwachitsanzo, ngati mwakhala mukumva chisoni, kutaya chiyembekezo, kapena simungathe kuchita zinthu zomwe munkasangalala nazo kwa milungu yoposa iwiri, mungafunike thandizo. Komanso, ngati muli ndi nkhawa yosatha yomwe ikusokoneza moyo wanu kwa miyezi yoposa 6, onetsetsani kuti mwalankhula ndi dokotala wanu za vutoli. Kukhala ndi matenda osatha monga AS sikophweka. Ndicho chifukwa chake ndikofunikira kupeza chithandizo chamaganizo chomwe mukufuna.

Ululu m'mapazi

Mwina mukudzifunsa kuti, "Ndili ndi vuto la msana, n'chifukwa chiyani miyendo iyi imapweteka?" N'zotheka kuti miyendo yanu ikupweteka chifukwa cha AS.

AS ingakhudze mafupa ndi minyewa yosiyanasiyana m'thupi.

• Plantar Fasciitis: Ichi ndi chifukwa chofala kwambiri cha kupweteka kwa chidendene. Chimachitika pamene minofu yolimba yomwe imalumikiza fupa la chidendene ndi zala zanu zakunja yatupa.
• Achilles Tendinitis: Kutupa kwa tendon yolimba yomwe imalumikiza chidendene chanu (Achilles tendon) kungayambitse kupweteka kwambiri chidendene ndi kupweteka chikakhudzidwa.

Kuwonjezera pa mapazi, anthu omwe ali ndi AS nthawi zambiri amamva ululu m'malo monga m'chiuno, mapewa, mawondo, ndi akakolo.

Kupweteka pachifuwa (Costochondritis)

Ululu uwu umayamba chifukwa cha kutupa kwa fupa la m'chiuno lomwe limalumikiza nthiti zanu ndi fupa la pachifuwa chanu. Monga munthu amene ali ndi AS, masewera olimbitsa thupi omwe mumachita tsiku ndi tsiku angathandize pa izi. Nthawi zina ululuwu umatha wokha, koma ngati sutha, dokotala wanu adzakupatsani mankhwala.

Kuthamanga kwa magazi ndi matenda a mtima

Kuthamanga kwa magazi (BP)

Vutoli limakhala logwirizana kwambiri ndi mtundu wa mankhwala omwe mumamwa a AS kuposa chinthu chomwe chimayambitsidwa mwachindunji ndi vutoli lokha. Ngati ndinu munthu amene mumagwiritsa ntchito NSAIDs (mankhwala oletsa kutupa omwe si a steroidal) kuti muchepetse ululu wa AS, muli pachiwopsezo chachikulu chotenga kuthamanga kwa magazi, kapena kuthamanga kwa magazi.

Kafukufuku wina adapeza kuti odwala a AS omwe amagwiritsa ntchito NSAID nthawi zonse anali ndi chiopsezo chachikulu cha 12% chokhala ndi kuthamanga kwa magazi kuposa omwe sanawagwiritse ntchito kapena kuwagwiritsa ntchito pokhapokha ngati pakufunika.

Kuopsa kwa matenda a mtima

Ngakhale kuti si zachilendo, madokotala apeza kuti pali kugwirizana pakati pa AS ndi matenda a mtima. Pakati pa 2% ndi 10% ya odwala a AS angakumane ndi mavutowa. Chifukwa chachikulu cha izi ndi chakuti kutupa kosatha m'thupi komwe kumachitika chifukwa cha AS kumakhudzanso thanzi la mtima.

Matenda a Kutupa kwa Matumbo (IBD)

IBD ndi matenda omwe amaphatikizapo matenda a Crohn ndi ulcerative colitis. Sizachilendo kuti IBD ichitike ndi AS. Komabe, chifukwa zonsezi ndi matenda odziteteza ku chitetezo chamthupi, zomwe zikutanthauza kuti chitetezo chamthupi chimaukira thupi lake molakwika, pali mgwirizano pakati pa ziwirizi. Ngati muli ndi zizindikiro monga kupweteka m'mimba ndi kutupa pamodzi ndi AS, ndikofunikira kulankhula ndi dokotala wa nyamakazi.

Matenda a Multiple Sclerosis (MS)

MS ndi matenda omwe amakhudza ubongo ndi msana. Apanso, chitetezo cha mthupi chimaukira chitetezo chozungulira mitsempha. Anthu ochepa ali ndi MS ndi AS. Kafukufuku akupitilirabe kuti adziwe ngati pali kulumikizana kwenikweni pakati pa matenda awiriwa, kapena ngati kupita kwa dokotala wa matenda amodzi kudzapangitsa kuti ena apezeke msanga.