Kodi nthawi zina mumadzuka m'mawa ndi ululu waukulu m'mawondo ndi m'chiuno mwanu? Kodi ululuwo umatha pakapita kanthawi, kenako n’kubwerera? Mungaganize kuti izi ndi zachilendo, kapena kuti ndi kupweteka kwa pakhosi komwe kumachitika chifukwa chogwira ntchito mopitirira muyeso. Koma nthawi zina, kumbuyo kwa ululu wosavuta woterewu, pakhoza kukhala vuto lachipatala lomwe tiyenera kuliganizira. Lero, tikambirana za vuto lotere, lomwe ndi Ankylosing Spondylitis (AS).
AS ndi zambiri kuposa kupweteka kwa msana kokha.
Anthu ambiri amaganiza kuti AS ndi matenda omwe amayambitsa kupweteka kwa msana ndi kuuma. Inde, kupweteka kwa msana ndi kuuma kwake ndiye zizindikiro zazikulu za matendawa. Koma zoona zake n'zakuti, AS ndi matenda omwe angakhudze thupi lonse. Kunena zoona, ndi matenda a dongosolo lonse , zomwe zikutanthauza kuti amakhudza machitidwe angapo m'thupi, osati gawo limodzi lokha.
Izi zikachitika mwa achinyamata, nthawi zina kupweteka kwa msana kumatha kuyambitsidwa ndi kupweteka m'malo olumikizirana mafupa akuluakulu monga mapewa ndi chiuno. Komanso, vuto lotchedwa enthesitis ndilofala kwambiri mu matendawa.
Kotero, kodi Enthesitis ndi chiyani?
Mwachidule, ndi kutupa kwa minofu ndi mitsempha yomwe imalumikiza minofu yathu ku mafupa athu. Izi zimawoneka kwambiri mu Achilles tendon pachidendene ndi plantar fascia pansi pa phazi. Ngati mukumva kupweteka kwambiri chidendene mukadzuka koyamba m'mawa, zitha kukhala chifukwa cha vutoli.
Ngakhale ndinali ndi zaka 21, ndinkayenda ngati munthu wazaka 90, thupi langa litalimba ndipo ndinkagwedezeka kuchokera uku ndi uku.
Nkhaniyi inanenedwa ndi munthu amene wadwala matendawa. Nthawi zina zizindikirozi zikabwera, sitizilabadira kwambiri. Kapena timaiwala kuuza dokotala wathu za izi. Ndicho chifukwa chake zingatenge zaka zambiri kuti anthu ena adziwe bwino za AS. Makamaka ngati mukuchiritsidwa ndi dokotala, sangaganize za kutupa kwa mafupa kumeneku. Chifukwa chake , ndikofunikira kwambiri kulankhula ndi dokotala wanu za chizindikiro chilichonse chomwe muli nacho, ngakhale chitakhala chaching'ono bwanji.
Momwe AS imakhudzira msana
Matenda a AS ndi matenda omwe munthu amakhala nawo kwa moyo wake wonse. Ngati sakuthandizidwa bwino, amatha kupindika msana wanu kwamuyaya komanso kusokoneza kuyenda kwanu. Ngati mukumva kupweteka m'malo ena kupatula msana wanu, zikutanthauza kuti mwina muli ndi vuto lalikulu la matendawa. Tiyeni tiwone madera akuluakulu omwe AS ingakhudze kupatula msana wanu.
| Chiwalo cha thupi chomwe chakhudzidwa | Zinthu zoti mudziwe ndi zizindikiro zake |
|---|---|
| Chiuno ndi mapewa | Pafupifupi munthu m'modzi mwa anthu atatu omwe ali ndi AS amamva kupweteka m'malo olumikizirana mafupa awa. Ululuwu ukhoza kuyambira m'chiuno, m'mawondo, kapena kutsogolo kwa ntchafu. |
| Maso | Pafupifupi 40% ya odwala omwe ali ndi AS amadwala matenda otchedwa uveitis , omwe ndi kutupa kwa diso. Ngati muli ndi zizindikiro monga kufiira kwa maso, kupweteka, komanso kuvutika kuyang'ana kuwala, pitani kwa dokotala nthawi yomweyo. |
| Dongosolo la m'mimba (matumbo) | Pafupifupi munthu m'modzi mwa anthu 10 omwe ali ndi AS akhoza kudwala matenda otupa m'matumbo (IBD) , monga matenda a Crohn kapena ulcerative colitis . Zizindikiro zake ndi kutsegula m'mimba komwe kumatuluka magazi, kuchepa thupi, komanso kutopa kwambiri. |
| Nsagwada | Pafupifupi 10% ya odwala a AS amakumana ndi kutupa kwa nsagwada, zomwe zimapangitsa kuti zikhale zovuta kudya. Ndikofunikira kupita kwa dokotala wa mano ngati muli ndi ululu wamtunduwu. |
| Mafupa | Pafupifupi theka la odwala a AS ali pachiwopsezo cha matenda a osteoporosis , matenda omwe amachititsa kuti mafupa azichepa. Kumwa mankhwala owonjezera a calcium ndi vitamini D komanso kuchita masewera olimbitsa thupi monga kuyenda kungathandize kuti mafupa akhale olimba. |
| Mapapu | Nthawi zina, AS ingayambitse kuti malo olumikizirana pakati pa msana ndi nthiti zikhale zolimba, zomwe zimapangitsa kuti chifuwa chisakule bwino mukamapuma. Izi zingayambitse kupuma movutikira. Ngati mukumva kupweteka pachifuwa, pitani kwa dokotala nthawi yomweyo. |
| Mtima | AS imawonjezera chiopsezo cha matenda a mtima. Mtsempha waukulu wamagazi womwe umapopa magazi m'thupi lonse, ukhoza kutupa. Kugunda kwa mtima kumathanso kufulumira kapena pang'onopang'ono. Chifukwa chake, ndikofunikira kuchita echocardiogram (ultrasound test) kamodzi pachaka. |
Tiyeni tiphunzirenso za chithandizo ndi kasamalidwe kake.
Ngati muli ndi zizindikiro izi, chinthu chabwino kuchita ndikupita kwa dokotala wa nyamakazi . Iye adzakuyang'anirani ndipo, ngati kuli kofunikira, ayitanitsani mayeso monga X-ray, MRIs, ndi magazi kuti atsimikizire matendawa.
Monga chithandizo, mankhwala ochepetsa ululu otchedwa NSAIDs (Nonsteroidal anti-inflammatory drugs) nthawi zambiri amaperekedwa kaye. Komabe, anthu ena amatha kukhala ndi zotsatirapo zina monga kuyabwa m'mimba komanso nseru chifukwa cha mankhwalawa. Ngati zimenezo zitachitika, muyenera kuuza dokotala wanu za izi. Kenako akhoza kusintha mtundu wa mankhwala kapena kusintha mlingo.
Ngati matendawa ndi oopsa kwambiri, tsopano pali mankhwala amakono monga biologics omwe angathe kuwongolera kuwonongeka komwe kumachitika chifukwa cha matendawa m'thupi.
Chofunika kwambiri ndikuchita masewera olimbitsa thupi komanso kuchita masewera olimbitsa thupi oyenera , komanso kumwa mankhwala. Izi zithandiza kwambiri kuchepetsa kuuma kwa mafupa ndi kusunga thupi lofewa.
Kulamulira kulemera kwanu, kuthamanga kwa magazi, ndi kuchuluka kwa mafuta m'thupi n'kofunika kwambiri pa thanzi la mtima. Komanso, ngati mukusuta fodya, muyenera kusiya nthawi yomweyo. Kusuta fodya kumaipitsa vutoli.
Uthenga Wopita Nawo Kunyumba
- Matenda a AS si matenda a msana okha. Amathanso kukhudza maso, mtima, mapapo, matumbo, ndi mafupa ena.
- Ngati muli ndi zizindikiro zina pamodzi ndi kupweteka kwa msana wanu, monga maso ofiira, kupweteka kwa chidendene, kupweteka kwa chiuno, kapena kupuma movutikira, uzani dokotala wanu za zonsezi.
- Ngati matendawa apezeka msanga, pamodzi ndi chithandizo choyenera komanso kusintha kwa moyo, AS ikhoza kusamalidwa bwino ndipo moyo wabwinobwino ukhoza kukhalamo.
- Kuchita masewera olimbitsa thupi ndi mankhwala ochiritsira thupi monga momwe dokotala wanenera n'kofunika kwambiri monga kumwa mankhwala.
- Kudziphunzitsa nokha za matenda anu ndiyo njira yabwino kwambiri yokhalira bwino ndi matendawa.
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