Kodi nthawi zambiri mumamva kupweteka kumbuyo kapena m'chiuno mwanu? Mukadzuka m'mawa, kodi mumamva kuuma komanso kulephera kuyenda? Nthawi zambiri, mtsikana akamalankhula za chinthu chonga ichi, ena amaganiza kuti ndi kutopa kapena kupsinjika maganizo kwachibadwa. Koma ichi chingakhale chiyambi cha nkhani yozama. Lero tikulankhula za vuto lomwe anthu ambiri amaganiza kuti limakhudza amuna okha, koma lingakhudze akazi mofanana. Ndilo Ankylosing Spondylitis (AS).
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Kodi kusiyana kwake kumasiyana bwanji pamene matendawa amakhudza akazi?
Mwachidule, ankylosing spondylitis (AS) ndi mtundu wa nyamakazi womwe umayambitsa kutupa, kapena kutupa, kwa msana ndi mafupa olumikizana nawo. Ndi m'gulu lalikulu la matenda otchedwa spondyloarthritis. Poyamba unkaganiziridwa kuti ndi "matenda a amuna." Koma kafukufuku wapeza kuti umakhudza akazi mofanana ndi amuna. Komabe, pali kusiyana kwakukulu pa momwe zizindikiro zimaonekera, nthawi yomwe imatenga kuti adziwe matendawa, ndi mankhwala. Tiyeni tiwone zomwe zili.
1. Kuchedwa kupeza matenda
Ili ndi limodzi mwa mavuto akuluakulu omwe akazi amakumana nawo. Tangoganizirani, ngati zimatenga mwamuna pafupifupi zaka 6 ndi theka kuchokera pamene zizindikirozi zayamba kuti adziwe matendawo, kafukufuku wapeza kuti zingatenge mkazi pafupifupi zaka 9 .
Izi sizichitika chifukwa cha kusiyana kwa zizindikiro kapena zaka. Nthawi zambiri, zimachitika chifukwa cha tsankho pa momwe madokotala ena amaonera ululu wa akazi. Anganyalanyaze ululu wanu, kapena anganene kuti ndi chifukwa cha kupsinjika maganizo.
2. Kuopsa kwa matenda olakwika
Zimakhala zovuta kuzindikira vutoli, ndipo nthawi zina vuto lolakwika limatha kuchiritsidwa. Axial spondyloarthritis (axSpA) ndi mtundu wa AS. Kafukufuku wapeza kuti akazi okwana kotala (25%) omwe ali ndi vutoli poyamba amadziwitsidwa molakwika.
Popeza azimayi omwe ali ndi AS nthawi zambiri amamva ululu wofala m'thupi lawo lonse, madokotala angaganize kuti ndi matenda otchedwa fibromyalgia . Tiyeni tiwone kufanana ndi kusiyana pakati pa matenda awiriwa.
| Khalidwe | Mu ankylosing spondylitis (AS) | Mu Fibromyalgia |
|---|---|---|
| Ululu waukulu | Ululu wobwera chifukwa cha kutupa kumbuyo, m'chiuno, ndi m'malo olumikizirana mafupa. | Ululu womwe umafalikira thupi lonse. Palibe kutupa kulikonse komwe kumaoneka pa X-ray. |
| Kuuma kwa m'mawa | Nthawi zambiri zimakhala kwa nthawi yoposa theka la ola. Zimachepa ndi kuchita masewera olimbitsa thupi. | Ngakhale kuti ilipo, kuchita masewera olimbitsa thupi sikungapangitse kusiyana kwakukulu. |
| Mayeso azachipatala | Ma X-ray, MRI, ndi mayeso a magazi (ESR, CRP) amasonyeza kuwonongeka ndi kutupa kwa mafupa. | Ma X-ray ndi ma MRI sawonetsa kuwonongeka kwina. Kuzindikira matendawa kumadalira zizindikiro. |
3. Kuchuluka kwa kuwonongeka komwe kumawonedwa pa mayeso a X-ray
Kawirikawiri, poyang'ana X-ray, mafupa a msana wa amuna (kuwola kwa mafupa) amaonekera bwino kuposa a akazi. Chifukwa cha izi, pali chikhulupiriro chakuti matendawa amakula mofulumira mwa amuna.
Koma si zoona zimenezo. Ngakhale kuti kuwonongeka kwa X-ray kuli kochepa, ululu, kuvutika kuchita zinthu za tsiku ndi tsiku, ndi matenda omwe akazi amakumana nawo ndi ofanana ndi amuna, ndipo nthawi zina amakula kwambiri.
Zizindikiro, chithandizo, ndi kusintha kwa moyo
Kuwonjezera pa kupweteka kwa mafupa, AS ingayambitsenso zizindikiro zina. Izi zimasiyana pakati pa akazi ndi amuna, motere.
- Matenda a Enthesitis: Awa ndi mawu azachipatala pang'ono. Mwachidule, amatanthauza kutupa komwe minyewa ndi mitsempha yathu imalumikizana ndi mafupa. Matendawa amapezeka kwambiri mwa akazi ndipo amapweteka kwambiri . Angayambitse ululu waukulu m'malo monga zidendene ndi zigongono.
- Matenda a m'maso: Matenda a Acute Anterior Uveitis ndi matenda omwe amayambitsa maso ofiira, kupweteka kwambiri, komanso kusawona bwino. Kafukufuku wina akusonyeza kuti matendawa amapezeka kwambiri mwa akazi, pomwe ena akusonyeza kuti amapezeka kwambiri mwa amuna. Choncho palibe mgwirizano pankhaniyi.
- Matenda Okhudzana ndi Matenda Okhudzana ndi Matenda a M'mimba: Azimayi angakhalenso ndi matenda ena omwe amabwera chifukwa cha matenda a m'mimba. Mwachitsanzo, matenda a m'mimba otchedwa inflammatory bowel disease (IBD) ndi matenda a pakhungu otchedwa psoriasis amapezeka kwambiri mwa akazi omwe ali ndi matenda a m'mimba otchedwa AS.
- Kuyankha pa chithandizo: Iyi ndi mfundo yofunika kwambiri. Kafukufuku akusonyeza kuti mankhwala a AS sagwira ntchito bwino mwa akazi monga momwe amachitira amuna. Chifukwa chenicheni cha izi sichikudziwika, koma akuganiza kuti akazi amakhala ndi matenda monga enthesitis ndipo amapezeka mochedwa. Izi zimapangitsa akazi kusiya chithandizo ngati sakupeza zotsatira zomwe akufuna.
- Moyo Wabwino: Kafukufuku wambiri wasonyeza kuti akazi omwe ali ndi AS amakhala ndi moyo wochepa poyerekeza ndi amuna. Izi zimachitika makamaka chifukwa cha ululu wosatha, kutopa, komanso kuvutika kukwaniritsa maudindo a ntchito ndi a m'banja.
Chofunika kwambiri ndi kuzindikira kuti ululu wanu ndi weniweni. Musauone ngati "ululu wa msana womwe atsikana amakhala nawo nthawi zonse." Mvetserani zomwe thupi lanu likukuuzani.
Uthenga Wopita Nawo Kunyumba
- Matenda a Ankylosing spondylitis (AS) si matenda omwe amakhudza amuna okha, koma amakhudza akazi mofanana.
- Ngati muli ndi ululu wa msana, chiuno, kapena kuuma kwa m'mawa komwe kwakhala kukuchitikirani kwa miyezi ingapo, makamaka muli aang'ono, musanyalanyaze. Pitani kwa dokotala wodziwa bwino ntchito nthawi yomweyo.
- Popeza akazi amatha kuchedwa kupeza matenda, muyenera kukhala ndi mawu anu. Lembani zizindikiro zanu (pamene ululu umayamba, momwe umakulira, momwe umabwerera ndi kutha). Zidzakhala zothandiza kwambiri kwa dokotala wanu.
- Mankhwala sagwira ntchito mofanana kwa aliyense. Ngati simukumva bwino ndi mankhwala omwe mwapatsidwa kapena muli ndi zotsatirapo zoyipa, lankhulani ndi dokotala wanu za izi. Kambiranani za mankhwala ena.
- Simukuyenera kudutsa ulendowu nokha. Lankhulani ndi banja lanu ndi anzanu za izi. Musazengereze kupeza chithandizo chamaganizo ngati mukuchifuna.
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