Kodi nthawi zina mumamva kupweteka ndi kuuma kosalekeza m'malo monga msana wanu, khosi, ndi chiuno? Makamaka mukadzuka m'mawa, kodi mumamva kuuma komanso kuuma, ndipo kwa kanthawi simungathe kupindika kapena kuyenda bwino? Chifukwa chimodzi chomwe chingayambitse zizindikirozi ndi matenda otchedwa Ankylosing Spondylitis. Anthu ambiri amaopa akamva dzinali, koma ngati mutachita bwino, mutha kukhala ndi moyo wabwinobwino. Chifukwa chake, tiyeni tikambirane za izi momveka bwino komanso momveka bwino lero.
Kodi n’chiyani kwenikweni chimayambitsa izi? (Kodi N’chiyani Chingayambitse Ankylosing Spondylitis)
Madokotala sanathe kudziwa chomwe chimayambitsa matendawa, koma kafukufuku waposachedwapa akusonyeza kuti amayamba chifukwa cha kuphatikiza kwa majini ndi zinthu zachilengedwe .
Chimodzi mwa zinthu zofunika kwambiri zomwe zapezeka mu kafukufukuyu ndi antigen HLA-B27 . Mwachidule, antigen ndi chinthu chomwe chingalimbikitse chitetezo cha mthupi lathu. Nthawi zambiri, zinthu izi (HLAs) zomwe zili mu chitetezo chathu cha mthupi zimakhala ndi udindo wosiyanitsa pakati pa majeremusi omwe amalowa m'thupi ndi maselo athanzi m'thupi. Zili ngati mlonda m'thupi lathu.
Koma iyi, yotchedwa HLA-B27, ndi yosiyana pang'ono. Nthawi zina imaukira maselo ndi minofu yathu yathanzi. Pafupifupi 90% ya anthu omwe ali ndi Ankylosing Spondylitis (AS) ali ndi jini iyi yotchedwa HLA-B27. Chifukwa chake, kufufuza jini iyi m'magazi a munthu ndi mayeso omwe angachitike ngati pali kukayikira kulikonse kwa matendawa.
Komabe, pali chinthu chofunikira chomwe muyenera kukumbukira apa. Kungoti munthu ali ndi jini ya HLA-B27 sizikutanthauza kuti adzakula ndi AS. Komanso, si aliyense amene ali ndi AS amene ali ndi jini iyi. Izi zikutanthauza kuti jini iyi si yokhayo yomwe imayambitsa matendawa, koma ndi chinthu chachikulu chomwe chimayambitsa matendawa.
Kupatula izi, palinso zinthu zina zingapo zoopsa.
- Jenda: Ngakhale akazi nawonso angatenge matendawa, amuna ndi omwe ali ndi mwayi waukulu woti atenge matendawa.
- Zaka: Ngakhale zimatha kukula pa msinkhu uliwonse, nthawi zambiri zimayamba muunyamata , pakati pa zaka 17-20 ndi 30.
N’chifukwa chiyani zimatenga nthawi yaitali kuti munthu adziwe matenda?
Nthawi zambiri zimatenga zaka kuti matendawa adziwike molondola, makamaka chifukwa palibe mayeso "abwino" omwe amazindikira matendawa mwachindunji.
Mukapita kukaonana ndi dokotala, adzamvetsera mosamala zizindikiro zanu ndipo adzalamula kuti muyesedwe magazi ndi zithunzi monga X-ray kapena MRI. Mayesowa satenga nthawi yayitali kuti achitike. Komabe, chifukwa cha kuchedwa kwa matenda ndi chakuti,Anthu ambiri amaganiza molakwika kuti zizindikiro zoyambirira ndi kupweteka kwa msana kapena kupweteka komwe kumachitika chifukwa cha kuchita masewera olimbitsa thupi. Chifukwa chake, zimatenga nthawi kuti dokotala akakayikire izi. Chifukwa chake, ngati mukumva kupweteka kwa msana kosalekeza, ndikofunikira kwambiri kufunafuna upangiri wa dokotala popanda kunyalanyaza.
Kodi ndi mankhwala ati aposachedwa kwambiri pa izi?
Palibe mankhwala a Ankylosing Spondylitis pakadali pano. Koma musadandaule, tsopano pali mankhwala ambiri abwino omwe angakuthandizeni kuthana ndi zizindikiro zanu, kuchepetsa kwambiri kupitirira kwa matendawa, komanso kukhala ndi moyo wabwino.
| Njira yochizira | Kufotokozera kosavuta |
|---|---|
| Mankhwala Ochepetsa Ululu (NSAIDs) | Izi ndi njira zoyambira zothandizira. Zimathandiza kuchepetsa ululu ndi kuuma. Nthawi zina dokotala wanu angakuuzeni kuti muzigwiritsa ntchito nthawi zonse, osati mukakhala ndi ululu wokha. Komabe, ndikofunikira kuzigwiritsa ntchito monga momwe dokotala wanu walangizira , chifukwa zingayambitse mavuto aakulu azaumoyo, monga kuthamanga kwa magazi. |
| Zoletsa za TNF | Izi ndi mtundu wa mankhwala achilengedwe. Zimathandiza kuchepetsa kutupa m'thupi ndikuletsa matendawa kuti asakule kwambiri. Zingagwiritsidwe ntchito limodzi ndi mankhwala ochepetsa ululu wamba. |
| Zoletsa za IL-17 | Iyi ndi mtundu wina wa mankhwala omwe amaletsa kutupa, monga zoletsa za TNF. Izi zimagwiritsidwanso ntchito ndi dokotala. |
| Kuchiza Thupi | Ichi ndi chinthu chomwe muyenera kuchita. Chimathandiza kwambiri kuchepetsa ululu, kuwonjezera kusinthasintha ndi mphamvu m'thupi. Dokotala wochita masewera olimbitsa thupi adzakuphunzitsani masewera olimbitsa thupi omwe muyenera kuchita kuti mukhalebe ndi kaimidwe kanu. |
| Opaleshoni | Opaleshoni nthawi zambiri si yofunikira. Komabe, dokotala wanu angakulangizeni opaleshoni pokhapokha ngati pali kuwonongeka kwakukulu kwa mafupa kapena vuto lalikulu la chiuno. |
Zinthu zomwe mungachite kuti muchepetse zizindikiro
Pamodzi ndi mankhwala ndi chithandizo cha thupi, kusintha pang'ono kwa moyo wanu kungathandize kwambiri kuthetsa zizindikirozi.
- Pewani kusuta fodya kotheratu: Mwina mukudziwa kuti kusuta fodya n’koipa thupi lonse. Makamaka kwa munthu amene ali ndi matenda a AS, kusuta fodya kungayambitse mavuto monga kupuma movutikira.
- Khalani ndi kaimidwe kabwino: Yesetsani kusunga msana wanu mowongoka mukakhala pampando ndi kuyimirira. Izi zitha kuchepetsa chiopsezo cha kupweteka kwa msana chifukwa cha matendawa. Kuchiza thupi kungakuthandizeni pa izi.
- Gwiritsani ntchito kuzizira ndi kutentha: Kupaka ma pulasitiki oundana m'malo otupa kungathandize kuchepetsa kutupa. Kupaka chotenthetsera kapena kusamba ndi madzi otentha kungathandize kuchepetsa kuuma ndi ululu.
- Kuchita Masewera Olimbitsa Thupi: Kuchita masewera olimbitsa thupi nthawi zonse kungathandize kukhalabe omasuka komanso kuchepetsa ululu. Kuyenda ndi kutambasula thupi kwa kanthawi kochepa tsiku lililonse ndi lingaliro labwino. Komabe, funsani dokotala wanu kapena katswiri wa masewera olimbitsa thupi kuti ndi masewera olimbitsa thupi ati omwe ali oyenera kwa inu.
- Idyani zakudya zopatsa thanzi: Zakudya monga chakudya chofulumira, chakudya chamafuta, ndi zakudya zokazinga zimatha kuwonjezera kutupa m'thupi. M'malo mwake, onjezerani zakudya zomwe zimachepetsa kutupa m'zakudya zanu, monga zipatso, ndiwo zamasamba, nyemba, tirigu wonse, ndi nsomba zokhala ndi omega-3 yambiri.
Uthenga Wopita Nawo Kunyumba
- Ankylosing Spondylitis si ululu wamba wa msana, koma ndi kutupa kwa nthawi yayitali komwe kumakhudza msana ndi mafupa.
- Ngakhale kukhala ndi jini ya HLA-B27 ndi chinthu chachikulu chomwe chimayambitsa matendawa, si aliyense amene ali ndi jiniyi amene amadwala matendawa.
- Kuzindikira matenda msanga n'kofunika kwambiri. Ngati mukumva kupweteka kwa msana komanso kuuma kwa msana nthawi zonse, makamaka m'mawa, onetsetsani kuti mwalankhula ndi dokotala wanu .
- Ngakhale kuti chithandizo sichingathe kuchiza matendawa kwathunthu, chingathe kuwongolera zizindikiro ndikuletsa kupitirira kwa matendawa. Mankhwala, chithandizo cha thupi, ndi kusintha kwa moyo ndizofunikira kwambiri pa izi.
- Kupewa kusuta fodya, kukhala ndi kaimidwe koyenera, kuchita masewera olimbitsa thupi, komanso kudya zakudya zabwino kudzakuthandizani kukhala ndi moyo wabwino ndi vutoli.
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