Kodi X-ray yanu singathe kusonyeza chomwe chikukupangitsani kupweteka kwa msana? Tiyeni tikambirane izi! (Non-Radiographic Axial Spondyloarthritis)

Tonsefe takhala ndi ululu wa msana nthawi ina m'miyoyo yathu. Nthawi zina, ululu womwe umabwera chifukwa chonyamula zolemera kapena kukhala molakwika umatha m'masiku ochepa. Koma ngati muli ndi ululu wa msana womwe umatenga miyezi ingapo, makamaka usiku komanso mukadzuka m'mawa, musamangounyalanyaza. Lero, tikambirana za Non-Radiographic Axial Spondyloarthritis , kapena monga momwe madokotala amatchulira (nr-axSpA) , mtundu wa nyamakazi womwe suonekera pa X- ray koma ungakhudze moyo wanu.

Mwachidule, kodi nr-axSpA ndi chiyani?

Mwina munamvapo za matenda a osteoarthritis , matenda omwe amachititsa kuti mafupa monga mawondo ndi chiuno zisamayende bwino mukamakula. Koma nr-axSpA ndi matenda osiyana, omwe amayamba chifukwa cha kulephera kwa chitetezo cha mthupi mwathu. Mwachidule, chitetezo cha thupi lathu, kapena maselo a chitetezo chamthupi, chimaukira molakwika mafupa athu, omwe amalumikizana ndi msana wathu ndi chiuno . Izi zimayambitsa kutupa m'mafupa amenewo, zomwe zimayambitsa kuuma ndi kupweteka.

Matendawa amagwirizana kwambiri ndi matenda oopsa a nyamakazi otchedwa Ankylosing Spondylitis (AS) . Nthawi zina nr-axSpA ikhoza kukhala siteji yoyambirira ya AS. Komabe, si aliyense amene ali ndi nr-axSpA amene adzadwala AS.

Kodi zizindikiro za vutoli ndi ziti?

Chizindikiro chachikulu cha nr-axSpA ndi kupweteka kwa msana . Koma izi ndi zosiyana ndi kupweteka kwa msana wamba. Tiyeni timvetse kusiyana kumeneku momveka bwino.

Kuwonjezera pa ululu wa msana, zizindikiro zina zingapo zingawonekere:

• Kupweteka kwa akakolo : Kupweteka ndi kuuma, makamaka m'malo monga Achilles tendon pansi pa chidendene.
• Kutupa kwa zala: Chala kapena chala chaching'ono chimatupa kwathunthu ngati soseji. Timachitcha dactylitis .
• Kupweteka m'mafupa ena: Kupweteka kumatha kuchitikanso m'mafupa ena, monga m'chiuno, mawondo, ndi mapewa.
• Kutopa pafupipafupi :Kumva kutopa kwambiri komanso kutopa mosasamala kanthu za kugona kwanu kotani.

N’chifukwa chiyani izi zimachitika? Kodi zinthu zomwe zimayambitsa vutoli ndi ziti?

Monga tanenera kale, chifukwa chachikulu cha izi ndi matenda omwe ali m'thupi lathu. Chifukwa chenicheni cha izi sichikudziwika. Komabe, ofufuza amakhulupirira kuti pali kulumikizana kwa majini.

Makamaka, jini yotchedwa HLA-B27 yapezeka kuti ikugwirizana ndi izi. Anthu ambiri omwe ali ndi nr-axSpA ndi AS ali ndi jini iyi. Komabe, izi sizikutanthauza kuti aliyense amene ali ndi jini ya HLA-B27 adzakhala ndi nyamakazi iyi. Ndi chifukwa cha matenda enaake.

Zinthu zina zomwe zimayambitsa vutoli ndi izi:

• Zaka: Zizindikiro nthawi zambiri zimayamba ali achinyamata, pakati pa zaka 20 ndi 40.
• Mbiri ya banja: Ngati wina m'banja mwanu (makolo, abale ndi alongo) ali ndi nr-axSpA kapena AS, inunso muli pachiwopsezo chachikulu chotenga matendawa.
• Kusuta : Osuta ali pachiwopsezo chachikulu chotenga matendawa, komanso chiopsezo cha matendawa chikuwonjezeka.

Kodi mungadziwe bwanji matendawa molondola?

Kuzindikira matendawa n'kovuta pang'ono chifukwa saonekera pa X-ray, ndipo zizindikiro zake nthawi zambiri zimawonekera mwa achinyamata komanso athanzi. Chifukwa chake nthawi zina, zimatha kusokonezedwa ndi kupweteka kwa msana, zomwe zimapangitsa kuti chithandizo chichedwe.

Mukapita kukaonana ndi dokotala wanu, adzachita zinthu izi:

1. Iye adzamvetsera mosamala zizindikiro zanu: funsani mwatsatanetsatane za nthawi yomwe ululu umayamba, nthawi yayitali bwanji, komanso ngati umachepa ndi masewera olimbitsa thupi.

2. Amayesa thupi: Amayesa kayendedwe ka msana ndi malo opweteka.

3. Kuyezetsa magazi kumalamulidwa: kuti aone ngati pali jini ya HLA-B27 komanso kuti apemphe mayeso monga CRP ndi ESR, zomwe zimasonyeza kutupa m'thupi.

4. Kujambula kwa MRI: Iyi ndi njira yofunika kwambiri yodziwira nr-axSpA. Kujambula kwa MRI kungasonyeze bwino kutupa pang'ono m'malo olumikizirana mafupa komwe sikuoneka pa X-ray.

Kodi mankhwala ake ndi otani?

Kusamalira nr-axSpA ndi kuphatikiza masewera olimbitsa thupi, chithandizo cha thupi, ndi mankhwala.

1. Kuchita masewera olimbitsa thupi

Izi zili ngati mankhwala. Kuchita masewera olimbitsa thupi tsiku lililonse n'kofunika kwambiri. Kuchita masewera olimbitsa thupi kumachepetsa ululu, kumachepetsa kuuma kwa msana, komanso kumachepetsa kutopa komwe mumamva nthawi zonse. Zimathandizanso kuti msana wanu ukhale pamalo amodzi komanso kuti usagwedezeke.

2. Mankhwala osokoneza bongo

Poyamba, dokotala wanu angakulembereni mankhwala ochepetsa ululu ndi mankhwala oletsa kutupa omwe si a steroidal (NSAIDs) (monga Indomethacin, Naproxen). Komabe, izi ziyenera kugwiritsidwa ntchito pokhapokha ngati dokotala akuyang'anira . Kugwiritsa ntchito kwa nthawi yayitali kungayambitse mavuto monga kuyabwa m'mimba ndi kuwonongeka kwa impso.

Ngati mankhwala a NSAID sagwira ntchito, dokotala wanu angakupatseni mankhwala enaake (biologics) omwe amawongolera ntchito ya chitetezo chamthupi, monga TNF inhibitors .

3. Kuchiza Thupi

Ndikofunikira kwambiri kuphunzira masewera olimbitsa thupi oyenera motsogozedwa ndi katswiri wodziwa bwino ntchito za thupi. Adzakuphunzitsani masewera olimbitsa thupi omwe amalimbitsa msana, kutambasula minofu yolimba, kaimidwe koyenera, komanso njira zopumira.

Kodi zimakhudza msana wokha? Kodi pali mavuto ena?

Inde, nr-axSpA si matenda omwe amakhudza msana wokha. Kutupa kwa chitetezo chamthupi kumeneku kungakhudzenso ziwalo zina za thupi.

• Maso: Uveitis ndi matenda ofala omwe amayambitsa kutupa mkati mwa diso. Zizindikiro zake ndi kufiira , kupweteka, kusawona bwino , komanso kumva kuwala. Ngati mukukumana ndi zizindikiro izi, muyenera kuwonana ndi dokotala wa maso nthawi yomweyo .
• Kugaya chakudya: Kwa anthu enaMatenda a m'mimba otchedwa Inflammatory Bowel Disease (IBD) , monga matenda a Crohn kapena ulcerative colitis , angayambitse zizindikiro monga kupweteka m'mimba komanso kutsegula m'mimba kwa nthawi yayitali.
• Khungu: Pafupifupi 10% ya odwala amathanso kudwala psoriasis , matenda a pakhungu omwe amayambitsa mawanga ofiira komanso otupa pakhungu.

N'zovuta kunena momwe matendawa adzakukhudzirani pakapita nthawi. Zizindikiro za anthu ena zitha kukhalabe zomwezo, pomwe zina zimatha kuipiraipira. Matenda a anthu ena amatha kupita ku AS. Komabe, ndi chithandizo choyenera komanso moyo wabwino, mutha kuthana ndi vutoli bwino ndikukhala moyo wabwinobwino.