Kodi DISH ndiye chifukwa cha kupweteka kwa msana? Ankylosing Spondylitis? Tiyeni tipeze kusiyana kwenikweni pakati pa ziwirizi!

Kodi nthawi zina mumamva kuuma mukadzuka m'mawa? Kapena mumamva kupweteka kwa msana tsiku lonse? Pali mitundu iwiri ya nyamakazi yomwe imakhudza msana yomwe ili ndi zizindikiro zofanana. Imodzi ndi DISH (Diffuse Idiopathic Skeletal Hyperostosis) ndipo inayo ndi AS (Ankylosing Spondylitis) . Zizindikiro za zonsezi zimafanana pang'ono, zomwe nthawi zina zingatisokoneze. Chifukwa chake lero, tiyeni tikambirane za matenda awiriwa mwatsatanetsatane ndikumvetsetsa bwino kusiyana kwake, zizindikiro zake, komanso momwe tingazichiritsire.

Kodi n’chiyani chimayambitsa matenda awiriwa?

Mwachidule, matenda onsewa amakhudza mafupa ndi mitsempha ya msana wathu, koma momwe amakhudzira msanawo ndi osiyana pang'ono.

Kodi DISH (Diffuse Idiopathic Skeletal Hyperostosis) ndi chiyani?

DISH ndi vuto lomwe mchere wa calcium umasonkhana m'mitsempha ndi m'misempha yomwe imazungulira msana wathu. Kalisiyamu iyi imapangitsa kuti madera amenewo akhale olimba pang'onopang'ono ngati fupa, ngati kuti fupa latsopano likukula. Madokotala sakudziwa chomwe chimayambitsa vutoli. Koma amakhulupirira kuti majini, zinthu zachilengedwe, kapena kuphatikiza zonse ziwiri kungathandize.

Kodi Ankylosing Spondylitis (AS) imayamba bwanji?

Amakhulupirira kuti zinthu za majini ndi zachilengedwe zimagwira ntchito mu AS. Anthu omwe ali ndi jini ya HLA-B27 ali pachiwopsezo chachikulu chotenga matendawa. Ma HLA awa amathandiza chitetezo chathu chamthupi kusiyanitsa pakati pa maselo athu ndi omwe amalowa m'thupi. Komabe, kafukufuku akupitilirabe momwe jini iyi imayambitsira AS. Mu AS, chitetezo chamthupi chimaukira mafupa a msana wathu. Izi zimayambitsa kutupa, komwe kumayambitsa kuuma ndi kupweteka msana.

Ndani amene ali ndi mwayi waukulu wopeza matenda amenewa?

Pali kusiyana koonekeratu pakati pa zaka ndi zoopsa zomwe zingachititse matenda awiriwa. Tiyeni timvetse mosavuta kuchokera patebulo ili.

Kodi kusiyana kwa zizindikiro ndi kotani?

Ngakhale zizindikiro zazikulu za matenda onsewa ndi kupweteka kwa msana ndi kuuma kwa msana, pali kusiyana koonekeratu komwe ululu umachokera, momwe umamvekera, ndi zizindikiro zina zomwe zikugwirizana nawo.

Kodi dokotala amasiyanitsa bwanji matenda awiriwa ndikuwazindikira bwanji?

Kuzindikira matenda awiriwa kungakhale kovuta pang'ono. Ngati mukukayikira za matenda anu, palibe cholakwika ndi kupita kwa dokotala wina kuti akakufunseni maganizo.

Dokotala adzakufunsani kaye za zizindikiro zanu ndi mbiri yanu ya matenda. Kenako adzakuyesani thupi. Kuphatikiza apo, akhoza kuyitanitsa mayeso awa.

Mayeso a Magazi

Mu AS, kuyezetsa majini a HLA-B27 nthawi zambiri kumakhala kwabwino. Mayeso omwe amayesa kutupa m'thupi, monga C-reactive protein (CRP) ndi ESR, amathanso kukwera. Izi nthawi zambiri sizimasinthika mu DISH.

Mayeso Ojambula

Mayesowa amajambula zithunzi za mkati mwa thupi ndikuyang'ana kusintha kwa msana ndi malo olumikizirana mafupa.

• X-ray: Yang'anani kusintha kwa mafupa.
• MRI (Magnetic Resonance Imaging): Pezani zithunzi zatsatanetsatane za msana, mafupa, ndi minofu yolumikizana.
• Kujambula kwa CT (Computed Tomography): Pezani zithunzi zatsatanetsatane kwambiri.

Matenda awiriwa amatha kusiyanitsidwa kutengera zomwe zikupezeka mu mayesowa.

• Ngati muli ndi AS: Kutupa ndi kuuma kwa mafupa a sacroiliac ( sacroiliitis)Mungathe kuziona. Nthawi zina misana imalumikizana ndipo imaoneka ngati nsungwi. Izi zimatchedwa msana wa nsungwi .
• Ngati muli ndi DISH: Mutha kuona minofu yolumikizana yomwe ikuyenda kutsogolo kwa msana ikukhuthala ndikusintha kukhala fupa. Koma simudzawona vuto la Sacroiliitis. Ichi ndi chimodzi mwa zifukwa zazikulu zomwe zimasiyanitsa ziwirizi.

Kodi mankhwala ochizira izi ndi otani?

AS ndi DISH zonse sizingathe kuchiritsidwa kwathunthu. Komabe, ndi chithandizo choyenera, zizindikiro zimatha kulamulidwa ndipo moyo wabwinobwino ukhoza kutsogozedwa. Mu matenda onsewa, msana umachepetsedwa, kotero chiopsezo cha kusweka kwa mafupa chimakhala chachikulu ngakhale ngozi yaying'ono. Chifukwa chake, ndikofunikira kwambiri kusamala.

Mankhwala odziwika bwino kwa onse awiri:

• Kuchita masewera olimbitsa thupi ndi kuchita masewera olimbitsa thupi: Izi ndizofunikira kwambiri kuti minofu yozungulira msana ikhale yolimba komanso kuti mafupa azikhala omasuka.
• Mankhwala oletsa ululu: Mankhwala oletsa kutupa (NSAIDs) monga ibuprofen ndi naproxen amachepetsa ululu ndi kutupa.
• Jakisoni wa steroid: Jakisoni wa steroid mwachindunji m'malo olumikizirana mafupa opweteka angapereke mpumulo wa kanthawi kochepa.
• Opaleshoni: Iyi si njira yodziwika bwino yothandizira, koma ngati muli ndi zizindikiro zoopsa zomwe sizingathe kuthetsedwa ndi mankhwala ena, dokotala wanu angakulangizeni opaleshoni.

Mankhwala enieni a AS:

Kuwonjezera pa mankhwala omwe atchulidwa pamwambapa a AS, pali gulu lapadera la mankhwala omwe amachepetsa kutupa mwa kusintha ntchito ya chitetezo cha mthupi. Mankhwalawa amatchedwa DMARD (mankhwala oletsa kupweteka kwa minofu) . Zitsanzo zina ndi izi:

• Interleukin-17 (IL-17) inhibitors (mwachitsanzo, secukinumab, ixekizumab)
• Mankhwala oletsa JAK (monga tofacitinib, upadacitinib)
• Mankhwala oletsa TNF (monga adalimumab, etanercept, infliximab)
• Methotrexate
• Sulfasalazine

Dokotala wanu adzasankha mankhwala omwe ali oyenera kwambiri kwa inu.