Tonsefe takhala tikuvutika ndi ululu wa msana nthawi ina m'miyoyo yathu, sichoncho? Ngati muwerama pang'ono molakwika kapena kunyamula chinthu cholemera, ululuwo umatha pakatha masiku angapo. Koma ... nthawi zina ululu wa msanawu si wophweka. Ukhoza kukhala chiyambi cha vuto lalikulu lomwe lakhala likuvutitsani kwa zaka zambiri ndipo silingathe kuzindikirika bwino. Lero tikulankhula za vuto limodzi lotere. Ndi Ankylosing Spondylitis, kapena AS mwachidule.
Kodi Ankylosing Spondylitis (AS) ndi chiyani?
Mwachidule, Ankylosing Spondylitis (AS) ndi mtundu wa nyamakazi womwe umatupa kwa nthawi yayitali womwe umakhudza kwambiri msana wanu. Chomwe chimachitika ndichakuti chitetezo cha mthupi chimaukira molakwika mafupa a msana wanu. Pakapita nthawi, kutupa kumeneku kungayambitse kuti msana wanu ugwirizane, zomwe zimachepetsa kusinthasintha ndikupangitsa kuti munthu agone pansi.
Madokotala ena amanena kuti kupeza matenda amenewa kuli ngati kufunafuna singano mu udzu. Pali zifukwa zingapo zomwe zimayambitsa zimenezi.
Nchifukwa chiyani AS ndi yovuta kwambiri kuzindikira?
Kafukufuku wasonyeza kuti nthawi zambiri zimatenga zaka 7-10 kuchokera pamene zizindikiro za AS zimayamba mpaka munthu atazindikira matenda molondola. Tangoganizirani nthawi yomwe matendawa amatenga! Zifukwa zazikulu za izi ndi izi:
- Kupweteka kwa msana n'kofala: Monga tanenera kale, kupweteka kwa msana n'kofala kwambiri. Chifukwa chake, anthu ambiri amaganiza kuti ndi zachilendo ndipo amanyalanyaza.
- Kuchedwa kwa malipoti a X-ray: Mu AS, kuwonongeka kwa mafupa a sacroiliac a msana ndi chiuno kumawonekera kokha pa X-ray matendawa atakula pang'ono.
- Zizindikiro zimasiyana: AS imakhudza munthu aliyense mosiyana. Anthu ena amamva kupweteka kwa msana kokha, pomwe ena amathanso kukumana ndi mavuto m'maso, zidendene, ndi mafupa ena.
- Kusowa kwa mayeso amodzi: Palibe mayeso amodzi a magazi kapena scan omwe angatsimikizire 100% kuti iyi ndi AS.
Tebulo ili likuthandizani kumvetsetsa kusiyana pakati pa ululu wamba wamsana ndi ululu woyambitsidwa ndi AS.
| Khalidwe | Ululu Wam'mbuyo Wamakina | Kupweteka kwa msana mu AS (Ululu Wotupa wa Msana) |
|---|---|---|
| Ululu ndi waukulu kwambiri. | Pambuyo pa ntchito, kumapeto kwa tsiku | M'mawa ndi usiku, makamaka mukatha kupuma |
| Mukapuma | Ululu ukuchepa. | Ululu ndi kuuma kumawonjezeka. |
| Kuchita Maseŵera Olimbitsa Thupi/Kuyenda | Ululu ukhoza kuwonjezeka. | Ululu ndi kuuma kumachepa |
| Kuuma kwa Mmawa | Zimatenga mphindi zosakwana 30 | Zimatenga mphindi zoposa 30 (nthawi zambiri zoposa ola limodzi) |
Miyoyo yomwe yakhala pakati pa matenda olakwika ...
Tikamva zomwe anthu omwe ali ndi matendawa akumana nazo, timamvetsetsa bwino kufunika kwa vutoli.
Nkhani ya Don: "Zili ngati maso ndi akhungu, koma maso amawoneka"
Zinamutengera Don zaka 7 kuti adziwe matendawa. Koma akayang'ana m'mbuyo, akumva ngati zinamutengera zaka 30. Pamene anayamba kupweteka bondo ali ndi zaka 10, aliyense ankati ndi "kupweteka kokulira."
Koma ali ndi zaka 40, moyo wake unasintha kwambiri. Pamenepo ndi pamene anayamba kukhala ndi uveitis , matenda otupa maso omwe angakhale vuto lalikulu la AS. "Ndinasiya kuona. Ndinkangoona mawonekedwe okha, ndipo ndinali wokhudzidwa kwambiri ndi kuwala. Zinali ngati kuti ndinali wakhungu, koma osati wakhungu kwenikweni," akutero Don.
Ngakhale kuti madokotala a maso sanapeze chomwe chimayambitsa vutoli, anaganiza kuti mwina ndi "mtundu wina wa matenda odziteteza ku matenda a autoimmune." Popanda yankho lomveka bwino, Don anasiya zimenezo. Pambuyo pa zaka zambiri akuonana ndi madokotala oposa 30 komanso kuthandizidwa ndi chilichonse kuyambira khansa mpaka matenda amitsempha, pomaliza pake zinapezeka kuti anali ndi AS atawonana ndi dokotala wa nyamakazi.
Nkhani ya Charis: "Si matenda omwe amakhudza amuna okha"
Charis analeredwa ndi amayi ake. Bambo ake anali ndi AS. "Sindinkadziwa ngakhale dzina la matendawa. Koma ndinkadziwa kuti sindingawapeze, chifukwa anali 'matenda a amuna,'" akutero Charis.
Izi ndi malingaliro olakwika pakati pa anthu ambiri. Ngakhale kale anthu ankaganiza kuti AS imakhudza amuna okha, deta yaposachedwa ikuwonetsa kuti akazi nawonso amakhudzidwa ndi matendawa pamlingo waukulu.
Charis wakhala akuvutika ndi ululu wa bondo ndi mafupa kuyambira ali mwana, koma ankaganiza kuti ndi vuto lina akamachita masewera. Dokotala anamuuza kuti ndi nkhawa. Koma Charis sanamukhulupirire. Anaganiza kuti zizindikirozo zinali zofanana ndi za abambo ake. Pomaliza, atafunsa abambo ake, ndikutsatira upangiri wawo, anapita kwa dokotala ndipo anapezeka ndi AS.
Pafupifupi 80%-95% ya odwala a AS ali ndi jini yotchedwa HLA-B27 . Izi zitha kutengera kwa makolo kupita kwa ana. Komabe, si aliyense amene ali ndi jini iyi amene adzakula ndi AS, ndipo n'zothekanso kukula ndi AS popanda jini iyi. Chifukwa chake, izi sizingadziwike ndi mayeso a majini okha.
Charis akufotokoza momwe akumvera motere:
"Kuvutika maganizo ndi matenda osatha zili ngati abale, nthawi zonse zimakhala limodzi."
Ulendo wautali wopita kuchipatala ukhoza kukhala wotopetsa kwambiri. Choncho ngati mukukumana ndi vuto ngati ili, musazengereze kukambirana za vutoli ndipo funsani thandizo kwa katswiri wa zamaganizo ngati pakufunika kutero.
Nchifukwa chiyani madokotala amaphonya AS?
Chifukwa chimodzi cha izi ndi nthawi yochepa yoti muone odwala. "Kungokhala ndi mphindi 15 zokha ndi wodwala sikokwanira," akutero katswiri wina. Kuti mudziwe matenda ovuta monga AS, muyenera kumvetsera mosamala zomwe wodwalayo akunena ndikufunsa mafunso oyenera.
Komanso, zizindikiro za AS nthawi zina zimafanana ndi za matenda ena. Mwachitsanzo:
- Ululu m'matako ndi zidendene
- Psoriasis, matenda a pakhungu
- Matenda a m'mimba monga matenda a Crohn kapena ulcerative colitis
Ngati dokotala wamkulu (GP) sanawone odwala ambiri a AS m'chipatala chake, sangaganize kuti AS akawona zizindikirozi.Ndicho chifukwa chake ndikofunikira kwambiri kuonana ndi dokotala wa nyamakazi ngati muli ndi ululu wamsana kwa nthawi yayitali, makamaka ngati ukukulirakulira m'mawa.
Nkhani yabwino ndi yakuti madokotala tsopano akuzindikira bwino zizindikiro za AS kuposa kale lonse. Komanso, pali njira zatsopano zochiritsira (monga mankhwala a biologic) zomwe zimathandiza kwambiri poletsa matendawa. Chifukwa chake simuyenera kuvutika monga momwe munkachitira kale. Chofunika kwambiri ndikupeza matendawa nthawi yake ndikuyamba chithandizo choyenera.
Uthenga Wopita Nawo Kunyumba
- Ngati mwakhala mukupweteka msana kwa miyezi yoposa itatu, musanyalanyaze.
- Ngati ululu wanu wamsana ndi waukulu kwambiri m'mawa, ukuwonjezeka mukapuma, komanso umachepa mukamayenda kapena kuchita masewera olimbitsa thupi, izi zitha kukhala chizindikiro cha AS.
- Samalani ndi kuuma kwa msana ndi mafupa anu m'mawa komwe kumatenga nthawi yoposa theka la ola .
- Kuwonjezera pa kupweteka kwa msana, ngati muli ndi zizindikiro monga kufiira kapena kupweteka m'maso (uveitis), kupweteka kwa chidendene, kapena kutupa m'mafupa ena, uzani dokotala wanu za izi.
- Lankhulani ndi dokotala wanu za zizindikiro zanu. Ngati kuli kofunikira, pemphani kuti akutumizireni kwa dokotala wa nyamakazi .
- Musasiye kulimbana mpaka mutapeza matenda oyenera. Chofunika kwambiri ndi kumvetsera thupi lanu.











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