Kurwadziwa kwemusana wako hakusi kwakajairika here? Ngatitaurei nezveAnkylosing Spondylitis (AS)

Wakamborwadziwa nemusana, kuomarara mangwanani, kana kurwadziwa kwemajoini kubvira pawaiva mudiki here? Ungafunga kuti ingori dzihwa, chimwe chinhu chinobva mukuneta, kana chimwe chinhu chinobva mukurara zvisina kunaka. Ndizvo zvinowanzoitika. Asi dzimwe nguva zvinogona kuva chimwe chinhu chakakomba. Nhasi tiri kutaura nezvechirwere chisingazivikanwe nevanhu vazhinji, asi chakakosha kuziva nezvacho. Ndiyo Ankylosing Spondylitis , kana muchidimbu AS .

Zvichitaurwa zviri nyore, chii chinonzi Ankylosing Spondylitis (AS)?

Iyi imhando yearthritis. Asi inonyanya kukanganisa musana wako. Kutaura chokwadi, i "inflammatory arthritis". Izvi zvinoreva kuti masoja emuviri wako anorwisa zvisizvo majoini ari mumusana wako. Izvi zvinokonzera kuzvimba, zvinoreva kuzvimba nekurwadziwa, mumajoini emusana wako. Dambudziko iri rinowanzo tanga pazera diki, pakati pemakore makumi maviri nemakumi mana. Nekufamba kwenguva, kuzvimba uku kunoramba kuripo kunoita kuti vertebrae iri mumusana wako ibatane, ichiita sepfupa rimwe chete. Izvi zvinonzi "ankylosis" mukurapa. Funga nezvazvo sekunge vertebrae yemusana wako yakabatana. Izvi zvinogona kukonzera kuomarara uye kumira kwakakotama. Iri ndiro dambudziko guru neAS.

Ko AS inobata munhu wese zvakafanana here?

Kwete. Chirwere ichi hachibate munhu wese zvakafanana. Vamwe vanhu vanongonzwa kurwadziwa kudiki kunouya nekuenda. Vamwe vanogona kunzwa kurwadziwa kwakanyanya uye kuomarara kunogara kweupenyu hwese. Tsvagiridzo yakawana kuti kuoma kwechirwere kunogona kusiyana kubva pamunhu nemunhu. Semuenzaniso, zvidzidzo zvakaratidza kuti mamwe mapoka evanhu ane mukana wekuwana chirwere ichi kupfuura mamwe. Izvi zvinogona kunge zvichikonzerwa nemajini, zvinhu zvakatipoteredza, uye kusiyana kwekuwana rubatsiro rwehutano. Pamusoro pezvo, vamwe vanhu vane AS vari panjodzi yakakura yekubatwa nezvimwe zvirwere, zvakaita seBP, chirwere cheshuga, kushushikana, uye chirwere chemwoyo.

Majini ane basa here mukukura kweAS?

Hapana anoziva chaizvo chinokonzera chirwere ichi. Asi chinowanzo itika mumhuri, saka zvinofungidzirwa kuti chine chekuita nemajini. Kana amai vako, baba, kana munin'ina wako aine AS, uri panjodzi huru yekuchibatawo.Pane zvakawanda zvinotaurwa nezve gene reHLA-B27 maererano nechirwere ichi. Vanhu vane gene iri vari panjodzi huru yekubatwa neAS. Asi chinonyanya kukosha pano ndechekuti haugone kutaura kuti uchava neAS nekuti une gene reHLA-B27 . Kunyangwe muSri Lanka, kune vanhu vazhinji vane gene iri asi vasina chirwere. Zvakare, vanhu vasina gene iri vanogonawo kuva neAS. Izvi zvinoreva kuti vanachiremba ikozvino vanotenda kuti kwete majini chete, asiwo zvimwe zvinhu zvakatipoteredza zvatisati taziva chaizvo ndizvo zvinokonzera chirwere ichi.

Ndezvipi zviratidzo zvikuru zveAS?

Pamusoro pekurwadziwa kwemusana, AS inogona kukonzera zvimwe zviratidzo zvakawanda. Ngatitarisei zviratidzo zvikuru.

Chiratidzo	Manzwiro aunogona kuita
Marwadzo nekuomarara kwemusana nepamagaro	Musana wangu unonzwa wakaoma, kunyanya pandinomuka mangwanani, kana mushure mekumira mushure mekunge ndagara panzvimbo imwe chete kwenguva yakareba. Kurwadziwa uku kunoderera pandinofamba zvishoma kana kuita chimwe chinhu chinobatsira. Kurwadziwa kunowedzera husiku uye kunogona kutondimutsa kubva kuhope.
Marwadzo mune mamwe majoini	Kuzvimba nekurwadziwa zvinogona kuitika munzvimbo dzakadai semuhudyu, mapendekete, mabvi, zvitsitsinho, uye zvitsitsinho.
Kuoma kufema	Kana kuzvimba uku kukapararira kumbabvu dziri muchipfuva, chipfuva chinogona kukura zvishoma uye kurwadziwa kwechipfuva kunogona kunzwika kana uchifema zvakadzika.
Matambudziko emaziso (Uveitis)	Vanenge chikamu chimwe muzvitatu chevarwere vane AS vanowana hutachiona hwemaziso, hunonzi uveitis. Zviratidzo zvinosanganisira kutsvuka kamwe kamwe, kurwadziwa kwemaziso, kuoma kuona, uye kuona zvisipo. Izvi zvinoda kurapwa nekukurumidza .
Zvimwe zvinhu zvakajairika	Kuneta kusingatsananguriki, fivha, kudzikira kwehuremu, mapundu paganda, uye mune vamwe vanhu, zvirwere zvemudumbu zvakaita sechirwere cheCrohn zvinogona kuitika.

Unoita sei kana uine zviratidzo izvi?

Kana iwe, kunyanya kana uri mudiki, uine kurwadziwa kwemusana kwakanyanya mangwanani uye kuri nani masikati kweanopfuura mwedzi mitatu, unofanira kuona chiremba wemhuri yako .

Zvakakosha kutaura chokwadi nezvekurwadziwa kwako. Kana usingatsanangure zvakanaka, uchifunga kuti, "Kungorwadziwa zvishoma," zvinogona kuoma kuti chiremba azive chirwere chaicho. Saka taura pachena nezvekurwadziwa kwako kwese.

Chiremba achakuongorora uye, kana zvichidikanwa, acharaira bvunzo dzakawanda, dzakadai se:

• Kuongororwa kweX-ray : Tarisa shanduko mumusana nemuchiuno.
• MRI scan : Pakutanga kwechirwere, zvirwere zvekuzvimba zvisingaonekwe neX-rays zvinogona kuonekwa.
• Kuongororwa kweropa : Kuongororwa kweropa kwakadai seESR neCRP kunoyera kuzvimba mumuviri.
• Kuongororwa kwemajini: Kana zvichidikanwa, tarisai jini reHLA-B27 .

Ndezvipi zviri kurapwa?

Kunyangwe AS isingarapike zvachose, ikozvino kune nzira dzakawanda dzakanaka dzekurapa dzinogona kubatsira kudzora zviratidzo, kudzivirira kuomarara kwemusana, uye kurarama hupenyu hwakajairika.

Mararamiro ekushanda nesimba

Imwe yenzira dzakanakisisa dzekurapa izvi ndeyekugara uchiita maekisesaizi . Kurovedza muviri nguva dzose, kunyanya maekisesaizi anosimbisa musana nemhasuru dzemukati uye kutambanudza muviri, kunogona kubatsira kuderedza marwadzo uye kuchengetedza kuchinjika kwemusana. Nyanzvi yekurovedza muviri inogona kukubatsira kuwana chirongwa chakakodzera cheekisesaizi.

Mishonga

Chiremba wako anogona kukupa mishonga yakadai zvichienderana nemamiriro echirwere chako:

• Mishonga isingashandisi masteroidal inorwisa kuzvimba ( NSAIDs ): Iyi ndiyo mishonga yekutanga inopiwa kuderedza marwadzo nekuzvimba.
• Zvidziviriro zveTumor necrosis factor (TNF): Izvi zvinodzivirira chirwere ichi mumuviri. Zvinoshandisa mushonga unokonzera kuzvimba uye zvinodzora chirwere ichi kana NSAIDs dzikasachidzora.
• Mishonga inogadzirisa zvirwere (DMARDs):Dzimwe nguva mishonga yakaita seSulfasalazine inoshandiswawo.
• Corticosteroids : Inopiwa kwenguva pfupi kana kuzvimba kwakanyanya.

Mune zvimwe zviitiko zvakakomba, kuvhiyiwa kunogona kudiwa kuti pave nekutsiva joini rakakuvara kana kugadzirisa shanduko mumusana.

Mharidzo Yekuenda Nayo Kumba

• Ankylosing Spondylitis (AS) rudzi rwearthritis runonyanya kukanganisa musana uye runotanga pazera diki.
• Kuoma kwemusana mangwanani uye kurwadziwa (kunodzikira nekurovedza muviri) chiratidzo chikuru.
• Chirwere ichi chinogona kukanganisa kwete musana chete, asiwo dzimwe nhengo dzemuviri, dzakadai semaziso, mapendekete, uye chiuno.
• Kana uchirwadziwa nemusana nguva dzose, usazviregeredza wobva waona chiremba. Kuongororwa kwechirwere ichi nekukurumidza kunogona kuita kuti ubudirire.
• Nekugara uchiita maekisesaizi, uchirovedza muviri nguva dzose, uye uchitora mishonga sezvakarairwa, unogona kurarama hupenyu hwakanaka uye hwakajairika.

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