Kana uine ankylosing spondylitis (AS), dambudziko rako guru nderekugadzirisa chirwere ichi, kuderedza marwadzo, uye kuramba uchiita mabasa ako ezuva nezuva. Paunenge uchitambura nematambudziko iwayo emuviri, unogona zvakare kunzwa wakaremerwa nekuuya kamwe kamwe kwemari huru yekurapwa nemari yachiremba. Saka pasina kumwe kunonoka, ngatitaurei nezvemitengo yechirwere ichi uye maitiro ekuzvigadzirisa.
Kutanga, chii chinonzi ankylosing spondylitis (AS)?
Zvichitaurwa zviri nyore, ankylosing spondylitis rudzi rwearthritis. Inonyanya kukanganisa musana wako. Nekufamba kwenguva, chirwere ichi chinogona kukonzera kuti mapfupa emusana wako abatane. Izvi zvinogona kukonzera kuti musana wako usashande zvakanaka wokotama mberi.
Pamusoro peizvi, unogona kunzwa kurwadziwa uye kusagadzikana mumbabvu dzako, majoini ehudyu, uye majoini emafudzi. Dzimwe nguva, kuzvimba kunorwadza kwemaziso kunogonawo kuitika.
Chinhu chinonyanya kukosha ndechekuti hapasati pava nemushonga wechirwere ichi . Zvisinei, nemishonga yakakodzera uye physiotherapy, zviratidzo zvinogona kudzorwa uye kufambira mberi kwechirwere kunogona kudzorwa zvakanyanya. Kuvhiyiwa kunodiwa chete kana paine kukuvara kwakanyanya kumapfundo, uye izvo hazviwanzoitiki.
Mari yekurapwa ndeyei?
Munguva yekuwedzera kweAS, mitengo yekurapwa kwako inowedzera. Mitengo iyi inogona kukamurwa kuita zvikamu zvikuru zvakasiyana.
1. Kushanya Kwenguva Dzose Muhofisi
Panyaya iyi, ungangoona chiremba wemapfupa . Vanowanzo ongorora uye vokurukura nezvehurongwa hwekurapa kwako kwemwedzi mitatu yega yega. Zvisinei, panguva yekurwadziwa kwakanyanya uye kusagadzikana, ungangoda kuona chiremba kakawanda. Sezvaunoziva, imwe neimwe yeiyi mazano inodhura mari.
2. Misangano yeKurapa Kwemuviri
Kurapa muviri chikamu chakakosha kwazvo chechirongwa chekurapa cheAS. Nyanzvi yekurapa muviri yakanaka inogona kukubatsira kuderedza marwadzo ako, kuvandudza simba rako uye kuchinjika, uye kukudzidzisa maekisesaizi aunogona kuita kumba.
Zvisinei, kurapwa uku kunouyawo nemari. Sezvo kunowanzo diwa nguva dzakawanda, kunogona kuwedzera nekufamba kwenguva. Kana uine inishuwarenzi yehutano, zvakanaka kuti utarise pachine nguva kuti uone kana kurapwa kwemuviri kuchikodzera.
Mhando dzemishonga inoshandiswa pakurapa uye mutengo wayo
Kune mhando dzakasiyana dzemishonga dzinoshandiswa kurapa AS. Chiremba wako achakupa mishonga iyi zvichienderana nemamiriro echirwere chako. Panogona kuva nemusiyano mukuru pakati pemishonga iyi nemitengo yayo.
| Rudzi rweMushonga | Sei uchifanira kushandisa? | Mienzaniso |
|---|---|---|
| Mishonga Inoderedza Marwadzo (NSAIDs) | Kudzora marwadzo nekuzvimba pakutanga. Izvi hazvidhuri zvakanyanya. | Ibuprofen, Naproxen, Indomethacin |
| DMARDs (Mishonga Inogadzirisa Marwadzo) | Kuderedza kuzvimba nekurwadziwa kwemajoini kana chirwere chacho chakaoma kudzora nekushandisa NSAIDs chete. | Sulfasalazine, Methotrexate |
| Mishonga yezvebhayoloji (Biologics) - Zvinodzivirira TNF - Mishonga inodzivirira IL-17 | Mishonga ine simba kwazvo inoshandiswa muzvirwere zvakakomba zvakaoma kudzora. Inoderedza marwadzo, kuomarara, uye kuzvimba. Iyi inodhura zvikuru. | Adalimumab (Humira), Etanercept (Enbrel), Infliximab (Remicade), Secukinumab (Cosentyx) |
| Zvinodzivirira JAK | Imwe mhando yemishonga ine simba inoshandiswa kuvarwere vasingapindure kune zvimwe zvinhu zvipenyu. Iyi inodhurawo zvikuru. | Tofacitinib (Xeljanz) |
Sezvamunoona, kunyange zvazvo mishonga yekutanga inoderedza marwadzo isingadhuri zvakanyanya, mishonga inopihwa sechirwere ichi inova yakaoma kudzora, yakadai semishonga yebiologics neJAK inhibitors, inogona kudhura zvikuru . Iyi inouya sejekiseni kana mapiritsi, uye unogona kupedzisira wabhadhara mari yakawanda padosi imwe neimwe.
Saka, unotarisira sei mari idzi?
Chirwere ichi chinogona kukunetesa mumuviri, mupfungwa, uye mune zvemari. Asi usazvidya mwoyo. Unogona kuderedza mutoro uyu nekufunga nezvazvo pachine nguva uye kutora matanho.
- Taura pachena nachiremba wako: Iri ndiro danho rekutanga uye rinokosha kupfuura ose . Taura nachiremba wako nezvekutya kwako uye kusagadzikana kwako pamusoro pemutengo wekurapwa usingazenguriri. Iye achakwanisa kukupa mazano ekurapa kwakasiyana kwakakodzera uye kwakachipa kwauri.
- Nzwisisa musiyano uripo pakati pemakambani ehurumende neevanhu: Chimwe chezvakanakira zvikuru zvatinazvo muSri Lanka ihurongwa hwezvipatara zvehurumende. Bvunza chiremba wako kana uchigona kuwana mishonga inodhura kuburikidza nezvipatara zvehurumende. Kana uri kuwana mishonga iyi kubva kumakambani akazvimirira, zvakanakawo kuenzanisa mitengo muma pharmacy akasiyana.
- Tarisa inishuwarenzi yako: Kana uine inishuwarenzi yehutano yakazvimirira, tarisa kuti inobatanidza here nguva dzekuonana nachiremba, kurapwa kwemuviri, uye mishonga ine chekuita nechirwere ichi, uye kuti inosvika papi.
- Tsvaga mapoka ekutsigira: Panogona kunge paine masangano kana mapoka ekutsigirana akaumbwa nevanhu vane zvirwere zvakadaro zvenguva refu. Unogona kuwana ruzivo nerutsigiro rwepfungwa kubva munzvimbo dzakadaro.
Mharidzo Yekuenda Nayo Kumba
- Ankylosing spondylitis (AS) chirwere chinogara kwenguva refu chinoda kurapwa nguva dzose.
- Mari idzi dzinosanganisira kushanya kwachiremba, physiotherapy, uye kunyanya mishonga inodhura zvikuru senge biologics.
- Chinhu chinonyanya kukosha ndechekutaura pachena uye nekuvimbika nachiremba wako nezvehurongwa hwekurapa kwako uye mari inoenderana nazvo.
- Dzivisa kunonoka kurapwa nekuda kwemutengo. Pane kudaro, ronga kugadzirisa dambudziko racho nekukurumidza.
- Tsvaga mabasa aripo muzvipatara zvehurumende uye zvakanakira inishuwarenzi kana uine inishuwarenzi. Yeuka, hausi wega parwendo urwu.
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