Kana uine Ankylosing Spondylitis, kana kuti AS muchidimbu, chinangwa chako chose chiri pakugadzirisa chirwere ichi nekudzivirira zviratidzo zvacho kuti zvisawedzere kuipa. Paunenge uchirwara nacho, mabhiri ekurapwa asingatarisirwi uye kushanya kwachiremba zvinogona kukuremera. Saka nhasi tichataura nezvekugadzirira mari idzi dzisingatarisirwi pasina kushamisika.
Kutanga, ngationei, chii chinonzi ankylosing spondylitis (AS)?
Zvichitaurwa zviri nyore, ankylosing spondylitis rudzi rwearthritis. Vamwe vanhu vanoidaidzawo kuti "chirwere chaBechterew." Chinhu chikuru chinoitika muchirwere ichi ndechekuti majoini ari pakati pemapfupa emusana wako anozvimba uye anozvimba. Nekufamba kwenguva, mapfupa aya anogona kubatana, uye musana wako unogona kurasikirwa nekuchinjika kwawo. Izvi zvinogona kutungamira kune chimiro chakakombama, chakakotama.
Hazvingogumiri ipapo chete, chirwere ichi chinogona kukonzera marwadzo nekusagadzikana munzvimbo dzakadai sembabvu, majoini ehudyu, uye majoini emafudzi, uye dzimwe nguva kuzvimba kwemaziso kunorwadza.
Chinhu chakakosha ndechekuti hapasati pava nemushonga weAS. Zvisinei , nemishonga yakakodzera uye physiotherapy, zviratidzo zvinogona kudzorwa uye chirwere chinogona kudzikiswa . Kuvhiyiwa kunongodiwa chete kana paine kukuvara kwakanyanya kwemajoini.
Ngatinyatsoongororai marapirwo acho pamwe nemitengo yawo.
Kana chirwere chako che AS chikatanga, mari yako yekurapwa inogona kuwedzera. Izvi zvinogona kuva zvechokwadi kana uchifanira kuona chiremba wako kakawanda uye kushandisa mishonga inodhura. Kunyangwe uine inishuwarenzi yehutano, ingasabhadhara mari yese, saka ungangoda kushandisa mari kubva muhomwe yako. Saka, nekutsvaga uye kuziva nezvemitengo iyi pachine nguva, unogona kugadzirisa mutoro uyu wemari zviri nani.
Kushanyira chiremba kakawanda
Nechirwere ichi, uchafanira kuona chiremba wemapfupa nguva nenguva. Kazhinji, uchafanira kumuona kamwe chete pamwedzi mitatu yega yega kuti ukurukure nezvedambudziko rako uye hurongwa hwekurapa. Kana zviratidzo zvako nemarwadzo ako zvakanyanya, ungangoda kumuona kakawanda.
MuSri Lanka, pamwe unoziva kuti kuona nyanzvi pachako kunoda mari. Saka kushanya uku kakawanda chimwe chinhu chekuwedzera pane zvaunonyora.
Mhando dzemishonga nemitengo yayo
Mari yakawanda pakurapa ndeyemishonga. Chekutanga, chiremba wako angangokupa mushonga wekuderedza marwadzo watinoziva tese. Tinoudaidza kuti `(Nonsteroidal anti-inflammatory drugs)` kana kuti NSAIDs muchidimbu. Mienzaniso inosanganisira `Ibuprofen` ne`Naproxen`. Izvi hazvidhuri zvakanyanya.
Zvisinei, nekufamba kwenguva, mishonga iyi inoderedza marwadzo inogona kusakwana kudzora chirwere ichi. Zvadaro chiremba wako anogona kutaura nezvemishonga yakaoma uye inodhura. Ngatinzwisisei mishonga iyi kubva patafura ino.
| Rudzi rweMishonga | Tsananguro iri nyore uye mienzaniso |
|---|---|
| DMARDs | Mhando dzemapiritsi anowanzo pihwa kudzora marwadzo nekuzvimba mumajoini madiki. Mienzaniso: Sulfasalazine, Methotrexate . |
| Zvivharidzi zveTNF | Iyi mishonga yemuviri. Majekiseni anopiwa kuderedza marwadzo, kuomarara, uye kuzvimba mumajoini. Mienzaniso: adalimumab (Humira), etanercept (Enbrel), infliximab (Remicade) . |
| Zvinodzivirira JAK | Rudzi rwepiritsi rinopihwa vanhu vasingapindure mishonga inovhara TNF. Muenzaniso: tofacitinib (Xeljanz) . |
| Zvinodzivisa IL-17 | Iyi mishonga yemuviri zvakare. Inobatsira kuderedza kuzvimba mumuviri. Mienzaniso: secukinumab (Cosentyx), ixekizumab (Taltz) . |
Mishonga mitsva iyi, kunyanya mishonga inovhara TNF (biologics), inodhura zvakanyanya . Inogona kuva nemari yakawanda pamwedzi. Saka zvakakosha kuti mutaure pachena nachiremba wenyu musati mashandisa imwe yemishonga iyi.
Kurapa Kwemuviri
Kurapa muviri chikamu chakakosha chekurapa uku. Nyanzvi yekurovedza muviri yakanaka inogona kubatsira kuderedza marwadzo ako, kuvandudza simba rako uye kuchinjika, uye kukudzidzisa maekisesaizi aunogona kuita kumba.
Asi izvi zvinouyawo nemari. Fungidzira kuti zvaizokudhura sei kuenda ku physiotherapy kamwe chete pasvondo, pamwedzi kana pagore. Saka zvakakosha kufunga nezvemutengo usati wawedzera izvi muchirongwa chako chekurapa.
Ngativei vanhu vanoshingaira, tisingatyi mari inoshandiswa!
Ichokwadi kuti ankylosing spondylitis inogona kuva chirwere chinorema, mumuviri, mupfungwa, uye mune zvemari. Asi kana ukanyatsoongorora mitengo iyi pachine nguva uye ukagadzirira, unogona kuderedza mutoro uyu zvakanyanya.
Taura pachena nezvemitengo iyi nachiremba wako. Panogona kunge paine mimwe mishonga (mishonga inowanzo shandiswa) yakachipa asi ine hunhu hwakafanana. Kana kuti ungakwanisa kuwana rubatsiro rwekugadzirisa hurongwa hwekurapa hunoenderana nemamiriro ako emari. Taura nezvazvo usingatyi kana kunyara. Nekuti hutano hwako nerugare rwako rwepfungwa zvakakoshawo.
Mharidzo Yekuenda Nayo Kumba
- Ankylosing spondylitis (AS) chirwere chinoda kurapwa kwenguva refu, chinoenderera mberi uye mari inoenderana nacho.
- Mari idzi dzinosanganisira kushanya kuna vanachiremba vane hunyanzvi, mishonga inodhura (kunyanya biologics), uye physiotherapy.
- Taura pachena nezvemitengo nachiremba wako (chiremba wemapfupa). Vangakwanisa kukupa mazano esarudzo dziri nyore kana kuti zvirongwa zvekubhadhara.
- Gadzirira pachine nguva. Ongorora mari inoshandiswa, nzwisisa inishuwarenzi yako (kana unayo), uye ronga mari yako. Usarega mabhiri asingatarisirwi achikunetsa.
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