Kodi mukumva kupweteka kumbuyo kapena m'chiuno? (Ankylosing Spondylitis)

Kodi nthawi zina mumamva kupweteka kwachilendo kapena kuuma kwa msana wanu, chiuno, ndi matako (kutanthauza pamwamba pa matako anu)? Makamaka mukadzuka m'mawa. Izi sizingakhale kupweteka kwa msana wamba. Lero tikambirana za mtundu wa nyamakazi wokhalitsa wotchedwa Ankylosing Spondylitis womwe umasonyeza zizindikiro izi. Musadandaule, tikambirana izi mosavuta.

Kodi ichi ndi chiyani (Ankylosing Spondylitis)?

Mwachidule, Ankylosing Spondylitis ndi mtundu wa nyamakazi yomwe imakhudza mafupa a msana wanu . Nthawi zina madokotala amatchanso kuti Axial Spondyloarthritis. Imagwira makamaka gawo la pansi la msana wanu, mafupa omwe mafupa anu a m'chiuno (pelvis) amakumana. Timatcha mafupa awa (Sacroiliac joints) .

Taganizirani izi, malo olumikizirana mafupa a sacroiliac ndi komwe fupa la triangular kumapeto kwa msana wanu (sacrum) ndi pamwamba ndi kumbuyo kwa fupa lanu la m'chiuno (ilium) zimakumana. Izi zili ngati milatho iwiri ikuluikulu yomwe imalumikiza msana wanu ndi dera la m'chiuno. Ndipotu, awa ndi ena mwa malo olumikizirana mafupa akuluakulu m'thupi lanu. Malo olumikizirana mafupawa amagwiritsidwa ntchito nthawi iliyonse mukasuntha, nthawi iliyonse mukasuntha m'chiuno chanu. Ndiye mumamva bwanji mukakhala ndi vuto nawo?

Komanso, ngakhale kuti si aliyense, kwa anthu ena, Ankylosing Spondylitis ingakhudzenso mafupa ena. Mwachitsanzo:

• Mapewa anu
• Chiuno
• Mawondo

Matendawa angayambitse kupweteka, kuuma, komanso nthawi zina zizindikiro za m'mimba . Ngati muli ndi ululu wa msana, makamaka ngati ukukulirakulira ndipo zikukuvutani kuchita zinthu za tsiku ndi tsiku, ndikofunikira kuonana ndi dokotala kuti akupatseni upangiri.

Kodi zizindikiro za Ankylosing Spondylitis ndi ziti?

Zizindikiro zimatha kusiyana malinga ndi munthu. Komabe, chizindikiro chofala kwambiri ndi kupweteka kwa msana . Izi zimachitika chifukwa cha kutupa kapena Sacroiliitis m'malo olumikizirana mafupa a sacroiliac.

Ululu uwu nthawi zina ukhoza kufalikira kumadera ena, mwachitsanzo:

• Ululu m'malo olumikizirana mafupa m'chiuno
• Ululu m'matako
• Kupweteka kwa khosi
• Anthu ena angamvenso kupweteka m'mimba.

Kuphatikiza apo, pakhoza kukhala zizindikiro zina zingapo:

• Kuuma kapena kulephera kusuntha bwino malo olumikizirana mafupa a m'chiuno ndi msana . Izi zimaonekera kwambiri mukadzuka koyamba m'mawa, kapena mutayimirira kwa nthawi yayitali pamalo omwewo.
• Kumva kutopa nthawi zonse (Kutopa) . Ngati kuti thupi lilibe moyo.
• Anthu ena amavutika kupuma (dyspnea) .
• Kutaya chilakolako cha chakudya kapena kuchepa thupi popanda chifukwa chomveka .
• Anthu ena akhoza kutsegula m'mimba .
• Ziphuphu pakhungu .
• Mavuto a masomphenya nawonso amatha.

Nchifukwa chiyani izi (Ankylosing Spondylitis) zimachitika?

Ankylosing Spondylitis ndi matenda odziteteza ku matenda . Mwachidule, thupi lathu lili ndi gulu lankhondo lomwe limalimbana ndi adani, lotchedwa chitetezo chamthupi. Izi zimatiteteza ku matenda. Koma mu matenda odziteteza ku matenda awa, gulu lathu lankhondo limaukira maselo athu abwino molakwika. Zili ngati kuukira nyumba yathu.

Chomwe chimayambitsa Ankylosing Spondylitis sichinadziwikebe. Komabe, kafukufuku wapeza kuti kusintha kwa majini angapo kumakhudzana kwambiri ndi matendawa. Kusintha kwa majini kumeneku ndi kusintha kochepa komwe kumachitika mu DNA yathu maselo athu akamagawikana, zomwe zikutanthauza kuti maselo atsopano amapangidwa.

Pali majini opitilira 60 osinthika omwe akuganiziridwa kuti amagwirizana ndi matendawa. Chitsanzo chimodzi chachikulu ndi jini ya HLA-B27 . Zapezeka kuti anthu oyera opitilira 90% omwe ali ndi Ankylosing Spondylitis ali ndi jini ya HLA-B27 yosinthika iyi.

Ndani ali pachiwopsezo chachikulu chotenga matendawa?

Aliyense akhoza kudwala matendawa, koma magulu ena ali ndi mwayi waukulu woti adwale matendawa.

• Anthu osakwana zaka 40 : Anthu oposa 80% omwe ali ndi Ankylosing Spondylitis amapezeka ndi matendawa akafika zaka 30.
• Amuna ndi omwe ali ndi mwayi waukulu wopeza izi.
• Ngati wina m'banja mwanu, makamaka makolo anu, ali ndi Ankylosing Spondylitis, inunso muli pachiwopsezo chotenga matendawa.

Komanso, anthu omwe ali ndi matenda ena amatha kudwala Ankylosing Spondylitis. Mwachitsanzo:

• (Matenda a Crohn) (matenda otupa m'mimba)
• Matenda a ulcerative colitis (kutupa kwa matumbo akulu)
• (Psoriasis) (matenda a pakhungu)

Kodi mavuto omwe angakhalepo chifukwa cha Ankylosing Spondylitis ndi ati?

Anthu omwe ali ndi Ankylosing Spondylitis ali pachiwopsezo chachikulu cha kusweka kwa msana chifukwa mafupa a msana amatha kufooka pakapita nthawi.

Mavuto ena angachitikenso:

• Msana wolumikizana : Izi zimapangitsa kuti zikhale zovuta kupindika kapena kutembenuza msana, ndipo zimapangitsa kuti msanawo ukhale wowongoka.
• (Kyphosis) : Izi zikutanthauza kuti msana wapindika patsogolo, zomwe zimapangitsa kuti uwoneke ngati munthu akuwerama.
• Matenda a mafupa : Mafupa amafooka ndipo amathyoka mosavuta.
• Mavuto a maso ndi maso : Mwachitsanzo , uveitis (kutupa kwa mkati mwa diso) kapena kukhudzidwa ndi kuwala kungachitike.
• Matenda a mtima : (Aortitis)Matenda monga (kutupa kwa mitsempha yayikulu), (Arrhythmia) (kugunda kwa mtima kosakhazikika) ndi (Cardiomyopathy) (kufooka kwa minofu ya mtima).
• Kuwonongeka kwa mitsempha .

Mavuto amenewa sachitika kwa aliyense, koma chiopsezo cha matendawa chimakhala chachikulu ngati matendawa sakulamuliridwa bwino.

Kodi madokotala amazindikira bwanji matenda a Ankylosing Spondylitis?

Dokotala adzayamba wazindikira vutoli mwa kukupima thupi . Adzafufuza thupi lanu ndikukuuzani za zizindikiro zanu. Ndikofunikira kuuza dokotala wanu nthawi yomwe munayamba kumva ululu kapena zizindikiro zina, nthawi yomwe mumamva kwambiri, komanso ngati zimakula kwambiri mukamachita chilichonse.

Mungafunikenso kuonana ndi dokotala wa nyamakazi, dokotala yemwe ndi katswiri wa matenda a nyamakazi ndi matenda ena ofanana nawo .

Ndi mayeso ati omwe amagwiritsidwa ntchito pozindikira Ankylosing Spondylitis?

Palibe mayeso amodzi omwe angatsimikizire kupezeka kwa matendawa. Dokotalayo adzatsimikizira pokhapokha atachita mayeso angapo.

• Ma X-ray a mafupa a sacroiliac ndi msana : Izi zimayesa zizindikiro za nyamakazi.
• (Maginito Oona Maginito - MRI) : Izi zimatha kuona zambiri kuposa X-ray. Zimatha kuonanso kusintha pang'ono m'malo olumikizirana mafupa.
• Kuyezetsa magazi : Mutha kuyesa magazi kuti muwone ngati muli ndi jini yosinthika (HLA-B27) yomwe yatchulidwa kale. Komabe, si aliyense amene ali ndi jini iyi amene angadwale Ankylosing Spondylitis, ndipo ngakhale amene alibe jini iyi akhoza kudwala. Choncho ichi ndi chinthu chimodzi chokha.

Kodi matenda a Ankylosing Spondylitis amachiritsidwa bwanji?

Dokotala wanu adzakulangizani mankhwala omwe angathandize kuchepetsa zizindikiro zanu ndikuchepetsa mphamvu ya matendawa pa moyo wanu watsiku ndi tsiku.

Mankhwala odziwika bwino a Ankylosing Spondylitis ndi awa:

• Kuchita Masewera Olimbitsa Thupi : Kuchita masewera olimbitsa thupi nthawi zonse kungathandize kuchepetsa kuuma kwa mafupa ndikuletsa matendawa kuti asakule kwambiri. Kwa anthu ambiri, ululu umakula kwambiri akapanda kuchita chilichonse. Dokotala wothandiza anthu pa masewera olimbitsa thupi angakupatseni malangizo otambasula minofu yomwe imathandizira msana ndi msana wanu.
• Mankhwala oletsa kutupa osagwiritsa ntchito steroidal (NSAIDs) : Mankhwala ogulitsidwa kunja kwa chipatala monga ibuprofen ndi naproxen angathandize kuchepetsa ululu ndi kutupa. Komabe, ndi bwino kulankhula ndi dokotala musanamwe mankhwalawa kwa masiku opitilira 10.
• Mankhwala oletsa kupweteka kwa minofu ndi mafupa (DMARDs) : Awa ndi mankhwala olembedwa ndi dokotala omwe amachepetsa kutupa ndi ululu. Angathenso kuletsa matendawa (Ankylosing Spondylitis) kuti asakule kwambiri.
• (Corticosteroids): Awa ndi mankhwala oletsa kutupa omwe dokotala amawapatsa. Nthawi zina, jakisoni wa cortisone amatha kuperekedwa mwachindunji ku mafupa omwe akhudzidwa.
• Opaleshoni : Opaleshoni siifunikira kawirikawiri pa ankylosing spondylitis. Madokotala nthawi zambiri amalimbikitsa opaleshoni yokha kwa anthu omwe ali ndi zizindikiro zazikulu omwe sanalandire chithandizo china.

Kodi ndidzakhala bwino nthawi yayitali bwanji?

Mukangoyamba kulandira chithandizo, pang'onopang'ono mudzayamba kumva bwino. Zizindikiro zanu sizingatheretu, koma mukapeza chithandizo chomwe chingakuthandizeni, zizindikiro zanu zidzachepa ndipo moyo wanu udzakhala wosavuta. Kuchita masewera olimbitsa thupi ndi chithandizo cha thupi ndi zinthu zomwe zimatenga nthawi kuti zigwire ntchito. Komanso, nthawi yomwe imatenga kuti mankhwala aliwonse agwire ntchito imasiyana. Choncho funsani dokotala wanu za nthawi yomwe mungayembekezere kuwona kusintha.

Kodi munthu amene ali ndi Ankylosing Spondylitis ayenera kuyembekezera chiyani?

Matenda a Ankylosing Spondylitis ndi matenda osatha komanso a nthawi yayitali . Mungafunike kuthana ndi zizindikiro zanu kwa nthawi yayitali, mwina moyo wanu wonse. Anthu ena akhoza kukhala ndi zizindikiro zochepa kapena zochepa (kutuluka kwa zizindikiro). Komabe, ngakhale mutakhala opanda zizindikiro kwa kanthawi, zimatha kubwereranso.

Chofunika ndichakuti, palibe mankhwala a Ankylosing Spondylitis kapena mtundu wina uliwonse wa nyamakazi. Koma sizikutanthauza kuti muyenera kukhala ndi ululu.

Kambiranani momasuka ndi dokotala wanu za momwe mukumvera, momwe zizindikiro zanu zikukhudzira zochita zanu za tsiku ndi tsiku, komanso momwe mukuchitira zinthu zomwe mumakonda.

Kodi ndiyenera kudzisamalira bwanji?

Kuwonjezera pa kutsatira njira yanu ya chithandizo cha Ankylosing Spondylitis, pali zinthu zingapo zomwe mungachite nokha kuti muchepetse kutupa m'thupi lanu ndikuchepetsa kupanikizika kwa mafupa anu:

• Tsatirani zakudya zabwino komanso dongosolo lochita masewera olimbitsa thupi lomwe likuyenererani.
• Chepetsani kumwa mowa.
• Ngati mukusuta, siyani. Izi zitha kuwonjezera kutupa.

Ndiyenera kupita kwa dokotala liti?

Kaonaneni ndi dokotala ngati mukuyamba zizindikiro zatsopano kapena ngati zizindikiro zanu zikuipiraipira. Uzaninso dokotala wanu ngati chithandizo chanu sichikukuthandizani kuthetsa zizindikiro zanu monga kale.

Ngati mukukumana ndi zizindikiro zotsatirazi, pitani kwa dokotala nthawi yomweyo:

• Kupweteka pachifuwa
• Kuvuta kupuma
• Mavuto a masomphenya
• Kupweteka kwambiri kwa msana kapena kupweteka kwina kwa mafupa
• Ngati msana wanu ukumva wolimba kwambiri ndipo sungathe kupindika
• Ngati mukuchepetsa thupi popanda chifukwa chomveka

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mafunso ena omwe mungafunse dokotala wanu:

• Kodi ndili ndi Ankylosing Spondylitis kapena mtundu wina wa nyamakazi?
• Kodi ndiyenera kuyesedwa majini?
• Ndi mankhwala ati omwe angathandize kuchepetsa zizindikiro zanga?
• Kodi ndifunika chithandizo cha thupi?

Pomaliza, zinthu zoti muzikumbukira

Kukhala ndi matenda aliwonse a nyamakazi kungakhale kovuta. Ngati muli ndi Ankylosing Spondylitis, ikhoza kukhala ululu waukulu. Ululu, kuuma, ndi zizindikiro zina zingakhudze moyo wanu watsiku ndi tsiku. Koma nkhani yabwino ndi yakuti Ankylosing Spondylitis ndi vuto lomwe lingathe kuthetsedwa.

Dokotala wanu angakuthandizeni kupeza mankhwala omwe angakuthandizeni kuchepetsa mphamvu ya zizindikiro zanu za Ankylosing Spondylitis pa moyo wanu watsiku ndi tsiku. Musaope kufunsa mafunso ndikulankhula za chithandizo chanu. Mukudziwa bwino momwe mukumvera. Choncho gawanani maganizo anu ndi dokotala wanu.

Ululu wa msana , ankylosing spondylitis, nyamakazi, chitetezo chamthupi, msana, chithandizo, HLA-B27