Kodi tikambirane za chithandizo cha Ankylosing Spondylitis (AS)?

Dokotala wanu akakuuzani kuti muli ndi Ankylosing Spondylitis (AS), mungamve mantha pang'ono komanso nkhawa. Mantha amenewo mwina awonjezeka mukamva kuti, "Palibe mankhwala a izi." Koma musadandaule. Ndi zoona kuti palibe mankhwala pakadali pano. Komabe, si aliyense amene ali ndi matendawa amene ali ndi vuto lofanana. Pali mankhwala ambiri omwe angakuthandizeni kuchepetsa ululu wanu, kuchepetsa kuwonongeka kwa mafupa, ndikukhala moyo wabwinobwino. Tiyeni tikambirane za iwo lero.

Mankhwala ogwiritsidwa ntchito pochiza

Ndikofunikira kuyamba kulandira chithandizo mwamsanga cha matendawa. Izi zithandiza kuchepetsa kuwonongeka kwa mafupa komwe kumachitika chifukwa cha matendawa. Dokotala wanu angakupatseni mankhwala amodzi kapena angapo mwa awa.

Mankhwala oletsa ululu (NSAIDs)

Mwachidule, awa ndi mankhwala omwe amachepetsa ululu ndi kuuma . Nthawi zambiri ndi mankhwala oyamba kuyamba nawo. Si aliyense amene angatenge mtundu womwewo wa NSAID, kotero zingatenge nthawi kuti mupeze yoyenera kwa inu. Ngakhale kuti mankhwalawa angathandize kuchepetsa ululu, kafukufuku akusonyeza kuti saletsa kuwonongeka kwa mafupa komwe kumachitika chifukwa cha matendawa.

Mukhoza kugula mankhwala ena a NSAID, monga ibuprofen ndi naproxen, ku pharmacy. Komabe, ngati izi sizikuthandizani, dokotala wanu angakulembereni mankhwala amphamvu a NSAID.

Mankhwala ochepetsa matenda (DMARDs)

Izi ndi mankhwala a nthawi yayitali. Dokotala wanu angasankhe kuyamba kumwa mankhwala amtunduwu ngati simukumva bwino chifukwa cha mankhwala a NSAID kapena ngati muli ndi zotsatirapo zoyipa. Izi zimaletsa kutupa ndikuletsa kuwonongeka kwina kwa mafupa anu.

• Methotrexate (Rheumatrex)
• Sulfasalazine (Azulfidine)

Dokotala wanu nthawi zonse amachita mayeso a magazi kuti aone momwe chiwindi chanu chikugwira ntchito komanso mavuto ena.

Corticosteroids

Izi ndi mankhwala opangidwa ndi ma steroids. Amachepetsa kutupa mwachangu. Amadziwika kuti prednisone kapena cortisone. Amagwiritsidwa ntchito ngati mapiritsi, mafuta, kapena jakisoni mwachindunji m'malo olumikizirana mafupa. Komabe, awa ndi mankhwala a nthawi yochepa, osati mankhwala a nthawi yayitali . Dokotala wanu angakulembereni madontho a maso awa kuti athandize kutupa m'maso, komwe ndi vuto lofala la AS.

Zamoyo

Izi ndi njira zochiritsira zomwe zimapangidwa kuchokera ku maselo amoyo. Zitha kugwira ntchito mwachangu komanso moyenera mu AS.

Mankhwala oletsa zilonda

Nthawi zina AS ingayambitse mavuto a m'mimba, monga kupweteka m'mimba ndi kutsegula m'mimba. Mankhwala monga misoprostol (Cytotec) kapena sucralfate (Carafate) angathandize kuteteza mkati mwa m'mimba ndi matumbo.

Zizolowezi za Moyo

Mankhwala ndi gawo limodzi lokha la chithandizo. Kuyesetsa pang'ono kungakuthandizeni kukhala ndi moyo wabwino ndi matendawa.

Khalani otanganidwa.

Kuchita masewera olimbitsa thupi kwawonetsedwa kuti n'kothandiza kwambiri kwa anthu omwe ali ndi AS. Kungathandize kuchepetsa ululu wanu, kulimbitsa minofu yanu, komanso kukulitsa kusinthasintha kwanu . Kuchita masewera olimbitsa thupi ndi gulu ndi chisankho chabwino. Kapena mutha kuchita izi nokha.

• Kusambira
• Kuyenda
• Kuchita kaimidwe koyenera
• Kuchita masewera olimbitsa thupi popuma
• Kutambasula
• Kunyamula zolemera (Zolemera zaulere)
• Yoga
• Tai chi

Zakudya Zopatsa Thanzi

Zakudya zina zingathandize kuchepetsa kutupa m'malo olumikizirana mafupa ndikulimbitsa thanzi la mafupa.

• Idyani zakudya zokhala ndi calcium yambiri.
• Idyani nsomba zambiri, nyemba, mtedza, ndi mazira.
• Chepetsani kudya nyama yofiira.
• Idyani mafuta ambiri a Omega-3, omwe amapezeka muzakudya monga salimoni ndi mbewu za fulakesi.
• Chepetsani kumwa mowa.
• Idyani zipatso ndi ndiwo zamasamba zatsopano.
• Imwani magalasi 8-10 a madzi patsiku.
• Chepetsani zakudya zokhala ndi mafuta, zokonzedwa, komanso zokazinga.
• Lankhulani ndi dokotala wanu za kumwa vitamini yowonjezera tsiku ndi tsiku.

Kuwonekera padzuwa

Zapezeka kuti odwala a AS ali ndi vitamini D yochepa. Vitamini D imathandiza kuteteza mafupa athu ndikuwathandiza kukhala olimba. Matupi athu amapanga vitamini D dzuwa likalowa pakhungu lathu. Chifukwa chake , ndi bwino kwambiri kudziika padzuwa kwa kanthawi kochepa tsiku lililonse m'mawa .

Pewani kusuta fodya.

Ngati mukusuta fodya, chimodzi mwa zinthu zabwino kwambiri zomwe mungachite ndikuyesera kusiya lero . Kusuta fodya kungathandize kuti mafupa awonongeke mofulumira komanso kupangitsa kupuma kukhala kovuta. Funsani dokotala wanu kuti akuthandizeni kusiya kusuta.

Mankhwala Owonjezera ndi Ena

Mankhwalawa, akaphatikizidwa ndi mankhwala anu ndi masewera olimbitsa thupi, angathandize kwambiri kuchepetsa zizindikiro.

• Kujambula ndi Acupuncture: Izi ziyenera kuchitidwa ndi katswiri wodziwa bwino ntchito. Izi zingathandize kuchepetsa ululu.
• Kusisita: Kafukufuku wasonyeza kuti kusisita kungachepetse ululu, kuuma, ndi kutopa komwe kumachitika chifukwa cha AS.
• Mankhwala otentha ndi ozizira: Kusamba ndi ma heatsink otenthetsera kungathandize kuchepetsa ululu ndi kuuma. Ma compress ozizira, monga ma ice packs, angathandize kuchepetsa kutupa.
• Kuchiza ndi Thupi: Ndikofunikira kwambiri kuonana ndi katswiri wa thupi ndikuphunzira masewera olimbitsa thupi olimbitsa minofu ndi kutambasula omwe ndi oyenera kwa inu.
• Chithandizo cha Kulankhula: N'zofala kumva chisoni, nkhawa, kapena kupsinjika maganizo mukakhala ndi matenda a nthawi yayitali ngati awa. Nthawi ngati zimenezi, ndikofunikira kwambiri kulankhula ndi mlangizi ndikukhazika mtima pansi.

Opaleshoni

Iyi ndi njira yosowa kwambiri kwa odwala a AS. Dokotala wanu angakulangizeni opaleshoni pokhapokha ngati muli ndi ululu waukulu womwe sungathetsedwe ndi mankhwala kapena ngati msana wanu wapindika kwambiri ndipo zikukuvutani kuchita zinthu za tsiku ndi tsiku. Ena mwa opaleshoniyi ndi monga Laminectomy, Osteotomy, Spinal fusion, ndi Hip replacement. Izi zidzasankhidwa mutayang'anitsitsa bwino momwe mulili.