Anthu ambiri amaganiza kuti Ankylosing Spondylitis, kapena AS mwachidule, ndi matenda omwe amakhudza msana wokha, zomwe zimayambitsa kupweteka ndi kuuma. Nzoona, zotsatira zazikulu za matendawa zili pa msana. Koma kodi mukudziwa kuti pafupifupi wodwala mmodzi mwa atatu a AS akhoza kukhala ndi mavuto m'mbali zina za thupi, makamaka m'mapazi? Inde, vutoli lingayambitse kuuma ndi kupweteka m'malo monga akakolo anu, zidendene, zala, kapena pansi pa mapazi anu. Nthawi zina ululu uwu ndi wochepa, koma kwa anthu ena ukhoza kukhala woopsa kwambiri moti sangathe kuyenda. Chifukwa chake lero, tiyeni tikambirane za zotsatira za AS pamapazi.
Kodi ndi mavuto ati omwe AS ingayambitse m'mapazi?
Matenda a Ankylosing spondylitis (AS) angakhudze mapazi anu m'njira zosiyanasiyana. Chifukwa chachikulu ndi kutupa m'malo olumikizirana mafupa komanso komwe minofu ndi mitsempha zimalumikizana ndi mafupa (otchedwa `entheses`). Mwachidule, chitetezo cha mthupi chimaukira madera awa. Nazi zina mwa mavuto akuluakulu omwe angabwere chifukwa cha kutupa kumeneku.
| Matenda a phazi | Mwachidule, izi ndi zomwe zimachitika. |
|---|---|
| Plantar Fasciitis | Plantar fasciitis ndi kutupa kwa minofu yokhuthala pansi pa phazi lanu komwe kumalumikiza fupa la chidendene chanu ndi pansi pa zala zanu zamanja. Izi zimayambitsa kupweteka kwambiri pansi pa phazi lanu ndi chidendene mukaponda pansi kapena kuyikapo kulemera. Anthu ena amamva kupweteka kwambiri kotero kuti sangathe ngakhale kuyamba kudzuka m'mawa. Ululu nthawi zambiri umatha mkati mwa mphindi 5-10. |
| Achilles Tendonitis | Mnofu wa Achilles, womwe ndi mnofu waukulu kwambiri kumbuyo kwa mwendo, pamwamba pa fupa la chidendene, umatupa. Izi ndi zomwe zimatithandiza kukweza zidendene zathu tikamayenda ndi kuthamanga. Izi zikatupa, kumbuyo kwa chidendene ndi dera la chidendene zimakhala zopweteka komanso zolimba. Nthawi zina, mutha kuwona kutupa ndi ziphuphu m'derali. |
| Dactylitis ya zala | AS ikakhudza zala za mapazi, zala za mapazi zimatupa ndi kufiira. Vutoli limatchedwanso "sausage digits" chifukwa zala za mapazi zotupa zimaoneka ngati soseji. Izi zitha kukhala zopweteka kwambiri. Nthawi zina ululu umatha, koma kutupa kumatha kupitirira. |
| Kusintha kaimidwe koyenda | Chifukwa cha ululu ndi kuuma kwa msana ndi ziwalo zosiyanasiyana za thupi, mosadziwa timasintha momwe timayendera, kukhala pansi, ndi kuimirira kuti tipewe ululu. Izi zimapangitsa kuti minofu ya miyendo ikhale yolimba kwambiri, zomwe zingayambitse ululu ndi kupunduka kwa miyendo. |
Chofunika kwambiri ndichakuti, ngati muli ndi AS ndipo mwayamba kumva kupweteka kwatsopano m'mapazi anu, musanyalanyaze. Onetsetsani kuti mwauza dokotala wanu za vutoli.
Kodi mungatani kuti muchepetse ululu wa mwendo chifukwa cha AS?
Njira zabwino kwambiri zochepetsera kupweteka ndi kuuma kwa mapazi ndikuchita zomwezo zomwe mumachita kuti muchepetse matenda anu a AS. Chithandizo chomwe dokotala wanu akulangizani chidzadalira zinthu zambiri, kuphatikizapo kuopsa kwa zizindikiro zanu komanso thanzi lanu lonse. Ndondomeko yanthawi zonse ya chithandizo ingaphatikizepo:
Kuchita Masewera Olimbitsa Thupi, Kuchiritsa Thupi, ndi Kuphunzitsa Kaimidwe
Izi zingathandize kuchepetsa ululu ndi kuuma, kupewa kuwonongeka kwa mafupa, komanso kukonza kaimidwe kanu. Dongosolo lanu lochita masewera olimbitsa thupi mwina lidzaphatikizapo masewera olimbitsa thupi osakhudza kwambiri mafupa anu. Masewera olimbitsa thupi monga tai chi ndi yoga angakuthandizeninso kupumula ndikuchepetsa ululu.
Chofunika kwambiri: Musanayambe pulogalamu iliyonse yochita masewera olimbitsa thupi, onetsetsani kuti mwalankhula ndi dokotala wanu kuti akupatseni upangiri. Iye adzakuuzani masewera olimbitsa thupi omwe ndi abwino kwa inu.
Mankhwala
Dokotala wanu angapereke mankhwala ngati awa kuti achepetse kutupa ndi kuchepetsa ululu ndi kuuma kwa minofu:
- Mankhwala oletsa kutupa omwe si a steroidal (NSAIDs): Zitsanzo za izi ndi monga mankhwala monga ibuprofen ndi naproxen.
- Jakisoni wa Glucocorticoid: Awa ndi jakisoni wa steroid womwe umaperekedwa mwachindunji m'malo olumikizirana mafupa opweteka.
- Mankhwala oletsa matenda a nyamakazi (DMARDs): Mankhwala monga sulfasalazine ndi methotrexate.
- Mankhwala achilengedwe:Izi ndi mankhwala amakono omwe amagwira ntchito m'magulu enaake a chitetezo chamthupi. Zitsanzo zikuphatikizapo mankhwala omwe ali m'magulu a anti-TNF, anti-interleukin 17, ndi JAK inhibitors (monga `infliximab`, `adalimumab`, `secukinumab`, `tofacitinib`).
- Mankhwala Ochepetsa Ululu (Opioids): Angaperekedwe kwa nthawi yochepa kwambiri pa ululu waukulu.
Nthawi zina dokotala wanu angakutumizireni kwa dokotala wa mapazi , amene angakulangizeni za nsapato, zomatira, ndi zomatira zomwe zimagwirizana ndi vuto lanu la mapazi.
Ndi zinthu ziti zomwe mungachite kunyumba?
Pamodzi ndi chithandizo chomwe dokotala wanu wakupatsani, mutha kuchepetsa kwambiri ululu wa mapazi pogwiritsa ntchito zinthu zosavuta zomwe mungachite kunyumba.
- Pakani ayezi: Pakani paketi ya ayezi pamalo opweteka pafupifupi kanayi patsiku, kwa mphindi pafupifupi 20 nthawi imodzi. Izi zichepetsa kutupa ndi ululu.
- Pumulani pang'ono: Pumulani miyendo yanu nthawi iliyonse yomwe mungathe. Ndi bwino kwambiri ngati mungathe kuikweza.
- Yesetsani kuchita masewera olimbitsa thupi: Chepetsani kuchita masewera olimbitsa thupi amphamvu monga kuthamanga ndi kulumpha momwe mungathere. Komabe, sizikutanthauza kuti mukhale pamalo amodzi tsiku lonse. Kuchita zimenezi kungapangitse kuti thupi likhale lolimba komanso lopweteka. Chinthu monga kuyenda mwachangu ndi chabwino.
- Chitani Ma Stretch: Chitani ma Stretch osavuta omwe amapindulitsa chiuno chanu, akakolo, ndi zala zanu.
- Pa matenda a plantar fasciitis: Ikani mpira wa tenisi pansi pa phazi lanu, khalani pampando, ndipo muuzungulire.
- Pa Matenda a Achilles Tendonitis: Imani moyang'anizana ndi khoma, pindani mwendo umodzi pa bondo, ndipo ikani mwendo wopwetekawo molunjika kumbuyo kwanu, chidendene chanu chili pansi. Tsopano kankhirani chiuno chanu ku khoma. Gwirani mpaka mutamva kutambasula m'dera lanu la ntchafu, kenako imani. Chitani izi, ndipo imani ngati ululu ukuwonjezeka.
- Valani nsapato zoyenera: Pewani kuyenda opanda nsapato komanso kuvala masandali momwe mungathere. Ndikofunikira kuvala nsapato zokhala ndi chigongono chabwino komanso zotsekeka bwino , makamaka nsapato zabwino zamasewera.
Uthenga Wopita Nawo Kunyumba
- Matenda a Ankylosing spondylitis (AS) si matenda a msana okha, komanso angayambitse ululu ndi mavuto ena m'mapazi anu.
- Ngati muli ndi ululu watsopano, kutupa, kapena kuuma kwa mapazi anu, zidendene, kapena zala zanu, musanyalanyaze. Zingakhale mbali ya AS.
- Onetsetsani kuti mwalankhula ndi dokotala wanu za izi. Iye adzakupatsani chithandizo choyenera ndi upangiri.
- Ululu uwu ukhoza kuthetsedwa kwambiri pochita masewera olimbitsa thupi monga momwe dokotala wanu walangizira, pogwiritsa ntchito njira zosavuta zochizira kunyumba (ayisi, kutambasula), ndi kuvala nsapato zoyenera.
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