Kodi kupweteka kwa msana wanu si kupweteka kokha? Tiyeni tiphunzire za Ankylosing Spondylitis (AS)

Mukadzuka pabedi m'mawa, kodi msana wanu umamva kuuma komanso kupweteka? Kodi mumamva ngati ululu umachepa mutayenda pang'ono kapena kuchita chinthu chothandiza? Anthu ambiri amaganiza kuti uwu ndi ululu wa msana kapena chinthu chomwe chimabwera chifukwa cha kutopa, koma nthawi zina chingakhale chiyambi cha chinthu chakuya. Lero tikulankhula za vuto lotere, lomwe ndi Ankylosing Spondylitis (AS). Musadandaule, chinthu chofunikira kwambiri ndikudziwa bwino za izi ndikupempha chithandizo choyenera.

Kodi Ankylosing Spondylitis (AS) kwenikweni ndi chiyani?

Mwachidule, Ankylosing Spondylitis (AS) ndi mtundu wa nyamakazi. Pankhaniyi, chitetezo cha mthupi lathu chimaukira mafupa a msana wathu. Izi zimayambitsa kutupa m'mafupa a msana. Izi nthawi zambiri zimayambira pansi pa msana, ndiko kuti, mafupa omwe amalumikizana ndi mafupa a m'chiuno (mafupa a sacroiliac).

Poyamba, ululu uwu umayamba mbali imodzi, ndipo patatha milungu kapena miyezi ingapo, ukhoza kufalikira mbali zonse ziwiri. Nthawi zina, ululu uwu ukhozanso kufika m'matako. Mosiyana ndi kupweteka kwa msana wamba, ululu uwu sutha mukapuma, koma chodziwika kwambiri ndichakuti umamveka bwino pang'ono thupi likamachita masewera olimbitsa thupi komanso likamayenda .

Pakapita nthawi, kutupa kumeneku kungakupangitseni kumva kutopa kwambiri nthawi zonse. Izi zili choncho chifukwa thupi limagwiritsa ntchito mphamvu zambiri polimbana ndi kutupa kumeneku.

Kodi tiyenera kuchita chiyani poyamba?

Ngati muli ndi zizindikiro izi, chinthu choyamba chomwe muyenera kuchita ndikuonana ndi dokotala wa nyamakazi, dokotala yemwe ndi katswiri wa matenda a mafupa. Iye adzakupatsani dongosolo la chithandizo lomwe likugwirizana ndi inu.

• Mankhwala Ochepetsa Ululu: Kuti muchepetse ululu ndi kutupa kumayambiriro, dokotala wanu angakupatseni mankhwala oletsa kutupa monga ibuprofen kapena naproxen (NSAIDs) .
• Kuchita Masewera Olimbitsa Thupi: Kuchita masewera olimbitsa thupi kuli ngati mankhwala kwa munthu amene ali ndi matenda a AS. Ndi gawo la dongosolo la chithandizo. Ndi kuchita masewera olimbitsa thupi,
• Zimathandiza kuti matendawa asakule kwambiri.
• Amachepetsa ululu ndi kuuma kwa minofu.
• Zimathandiza kuti thupi likhale losinthasintha.
• Lankhulani ndi katswiri wanu wa masewera olimbitsa thupi kuti mupange njira yotetezeka yochitira masewera olimbitsa thupi yomwe ili yoyenera kwa inu.
• Zakudya: Ndikofunikira kwambiri kudya zakudya zochepetsa kutupa. Phatikizani ndiwo zamasamba zobiriwira, ndiwo zamasamba zokongola (monga sipinachi, tomato), broccoli, ndi kabichi muzakudya zanu. Pewani zakudya zokonzedwa zomwe zili ndi shuga wambiri, ufa woyera, mafuta osapatsa thanzi, ndi zosakaniza zopangidwa.
• Kupewa kusuta:Ngati ndinu wosuta fodya, siyani msanga. Kusuta fodya kungapangitse vutoli kukhala loipa kwambiri. Ngati kuli kofunikira, lankhulani ndi dokotala wanu kuti akuthandizeni.

Momwe matendawa amapitira patsogolo pakapita nthawi (Kupita patsogolo)

AS nthawi zambiri imayenda pang'onopang'ono kuchokera pansi pa msana kupita pakhosi. Ma scan monga MRI amatha kusonyeza kuchuluka kwa kuwonongeka kwa msana. Kusintha kumeneku kungakhale kovuta kuzindikira m'zaka zingapo zoyambirira, koma kumaonekera bwino pakapita nthawi.

Pamene kutupa kukuchulukirachulukira, sikungakhudze msana wokha komanso ziwalo zina za thupi, makamaka malo omwe minyewa ndi mitsempha zimalumikizana ndi mafupa (entheses).

Matenda ena okhudzana ndi matenda

• Kutupa kwa maso: Pafupifupi gawo limodzi mwa magawo atatu a odwala omwe ali ndi AS adzayamba kutupa kwa maso (uveitis kapena iritis) nthawi ina m'miyoyo yawo. Zizindikiro zake ndi monga kupweteka kwa maso, kufiira, kung'ambika, kusawona bwino, komanso kumva kuwala. Ngati mukukumana ndi zizindikiro izi, pitani kwa dokotala wa maso nthawi yomweyo. Ngati simulandira chithandizo, masomphenya angatayike.
• Kutupa kwa njira yogaya chakudya: Pafupifupi 70% ya odwala omwe ali ndi AS amatupa njira yogaya chakudya, koma ambiri sasonyeza zizindikiro. Pafupifupi 10% amadwala IBD (Inflammatory Bowel Disease)., zomwe zikutanthauza kuti matenda monga matenda a Crohn kapena Ulcerative Colitis amatha kuchitika.
• Matenda a pakhungu: Pafupifupi 10% ya anthu amathanso kudwala psoriasis.

Chithandizo pamene matendawa akupita patsogolo

Ngati mankhwala a NSAID okhazikika sapereka mpumulo, dokotala wanu angakupatseni gulu la mankhwala amphamvu otchedwa biologics . Mankhwalawa akhoza kukhala othandiza kwambiri chifukwa amalimbana mwachindunji ndi zinthu zomwe zili m'thupi lathu zomwe zimayambitsa kutupa.

Mankhwala oletsa TNF (monga Adalimumab (Humira), Etanercept (Enbrel), Infliximab (Remicade)) angaperekedwe kaye. Ngati awa sagwira ntchito, mankhwala oletsa IL-17 (monga Secukinumab (Cosentyx)) angagwiritsidwe ntchito. Pakadali pano, mungafunikenso thandizo la akatswiri a maso, gastroenterology, kapena dermatology.

Gawo lapamwamba la matendawa

Matendawa akakula kwambiri, dokotala adzakuuzani kuti muli ndi "kulumikizana kwa msana." Izi zikutanthauza kuti fupa latsopano limakula pakati pa mafupa a msana ndikuwagwirizanitsa. Izi zimatchedwa kulumikizana kwa msana .

Kulumikizana kumeneku kumawonjezera chiopsezo cha kusweka kwa msana. Kungayambitsenso kuti msana upinde patsogolo ndikukhala wowerama . Kuchita masewera olimbitsa thupi kungathandize kuwongolera vutoli.

Kuphatikiza apo, izi zitha kukhudza malo olumikizirana pakati pa nthiti ndi msana, komanso malo omwe nthiti zimalumikizana ndi fupa la pachifuwa. Kenako zimakhala zovuta ngakhale kupuma mozama. Pazochitika zotere, mutha kuphunzira njira zopumulira mosavuta kuchokera kwa katswiri wothandiza kupuma.

Kawirikawiri, kuwonongeka kwa mitsempha pansi pa msana kungayambitse matenda oopsa otchedwa cauda equina syndrome . Kungayambitse kulephera kwa chikhodzodzo ndi matumbo, kusowa mphamvu zogonana, komanso kupweteka kwa miyendo ndi kufooka.

Koma kumbukirani kuti matenda aakulu awa ndi osowa kwambiri. Ngati mumwa mankhwala omwe dokotala wanu wakupatsani ndikutsatira malangizo ake, sikovuta kupewa matenda aakulu otere. Ndikofunikira kupita kwa dokotala kuti akakufufuzeni ngakhale mutakhala kuti mulibe zizindikiro.

Nthawi yoti mukaonane ndi dokotala

Ngati mukupeza zizindikiro zatsopano kapena ngati zizindikiro zanu zikuipiraipira, lankhulani ndi dokotala nthawi yomweyo. Musazengereze, makamaka ngati munthu amene ali ndi matenda a AS akumana ndi zizindikiro zotsatirazi: