Tose takamborwadziwa nemusana pane imwe nguva muhupenyu hwedu, handiti? Kana ukakotama zvishoma kana kusimudza chinhu chinorema, kurwadziwa kwacho kunozopera mumazuva mashoma. Asi... dzimwe nguva kurwadziwa kwemusana uku hakusi nyore. Kunogona kuva kutanga kwedambudziko guru rave richikunetsa kwemakore uye risingakwanise kuongororwa nemazvo. Nhasi tiri kutaura nezvechimwe chezvirwere zvakadaro. Ikoko Ankylosing Spondylitis, kana kuti AS muchidimbu.
Chii chinonzi Ankylosing Spondylitis (AS)?
Zvichitaurwa zviri nyore, Ankylosing Spondylitis (AS) imhando yearthritis inogara kwenguva refu, inotapukira iyo inonyanya kukanganisa musana wako. Chinoitika ndechekuti masoja emuviri anorwisa zvisizvo majoini ari mumusana wako. Nekufamba kwenguva, kuzvimba uku kunogona kukonzera kuti mapfupa emusana wako abatane, zvichideredza kuchinjika uye zvichiita kuti umire wakakotama.
Vamwe vanachiremba vanoti kuongorora chirwere ichi kwakafanana nekutsvaga tsono muhuswa. Pane zvikonzero zvakawanda zveizvozvo.
Sei AS yakaoma kuongorora chirwere ichi?
Ongororo dzakaratidza kuti zvinowanzotora makore 7-10 kubva panguva iyo zviratidzo zveAS zvinotanga kuonekwa kuti zvine chirwere ichi. Fungidzira kuti zvinotora nguva yakareba sei! Zvikonzero zvikuru zveizvi ndeizvi:
- Kurwadziwa kwemusana kwakajairika: Sezvatakambotaura, kurwadziwa kwemusana kwakajairika. Nokudaro, vanhu vazhinji vanofunga kuti zvakajairika uye havazvifariri.
- Kunonoka kweX-ray: MuAS, kukuvara kwemajoini e sacroiliac emusana nechiuno kunoonekwa chete paX-ray mushure mekunge chirwere chawedzera zvishoma.
- Zviratidzo zvinosiyana: AS inokanganisa munhu mumwe nemumwe zvakasiyana. Vamwe vanhu vanongonzwa kurwadziwa kwemusana chete, nepo vamwe vanogonawo kusangana nematambudziko nemaziso avo, zvitsitsinho, uye mamwe majoini.
- Kusavapo kwebvunzo imwe chete: Hakuchina kuongororwa kweropa kamwe chete kana scan inogona kusimbisa 100% kuti iyi iAS.
Tafura iyi ichakubatsira kunzwisisa musiyano uripo pakati pekurwadziwa kwemusana kwakajairika nekurwadziwa kunokonzerwa neAS.
| Hunhu | Kurwadziwa Kwemusana Kwemakanika | Kurwadziwa kwemusana muAS (Kurwadziwa Kwemusana Kunozvimba) |
|---|---|---|
| Marwadzo ndiwo akanyanya. | Mushure mebasa, pakupera kwezuva | Mangwanani nehusiku, kunyanya mushure mekuzorora |
| Paunozorora | Marwadzo ari kuderera. | Marwadzo nekuomarara zvinowedzera. |
| Kurovedza muviri/Kufamba-famba | Marwadzo anogona kuwedzera. | Kurwadziwa nekuomarara kunoderera |
| Kuoma Kwemangwanani | Zvinotora nguva isingasviki maminetsi makumi matatu | Zvinotora maminetsi anopfuura makumi matatu (kazhinji anopfuura awa imwe) |
Hupenyu hwakashandiswa pakati pekuongororwa zvisirizvo ...
Patinonzwa zviitiko zvevanhu vanorarama nechirwere ichi, tinonzwisisa kukomba kwenyaya iyi zviri nani.
Nyaya yaDon: "Zvinoita sekuti maziso haaoneki, asi maziso anoonekwa"
Zvakatora Don makore manomwe kuti aonekwe chirwere ichi. Asi achitarisa kumashure, anonzwa sekunge zvakamutorera makore makumi matatu. Paakatanga kurwadziwa nemabvi pazera remakore gumi, munhu wese akazviti "marwadzo ekukura."
Asi ava nemakore makumi mana, hupenyu hwake hwakachinja zvinotyisa. Ndipo paakatanga kuva nechirwere chemaziso chinonzi uveitis , chirwere chemaziso chinokonzeresa kuzvimba chinogona kukonzera AS. "Ndakarasikirwa nekuona kwangu. Ndaingoona maumbirwo chete, uye ndainzwa chiedza zvakanyanya. Zvaiita sekunge ndiri bofu, asi kwete bofu chairo," anodaro Don.
Kunyange hazvo vanachiremba vemaziso vasina kukwanisa kuwana chikonzero chacho, vakafungidzira kuti chingave "chimwe chirwere che autoimmune." Pasina mhinduro yakajeka, Don akaisa izvozvo parutivi. Mushure memakore ekuona vanachiremba vanopfuura makumi matatu uye achirapwa zvese kubva kukenza kusvika kumatambudziko etsinga, zvakazoonekwa kuti aive ne AS mushure mekuona chiremba we rheumatologist.
Nyaya yaCharis: "Haisi chirwere chinongobata varume chete"
Charis akarerwa naamai vake. Baba vake vaiva nechirwere cheAS. "Ndaisatomboziva zita rechirwere ichi. Asi ndaiziva kuti ndaisazochibata, nekuti chaive 'chirwere chevarume,'" anodaro Charis.
Uku kufunga kusina kururama pakati pevanhu vazhinji. Kunyange zvazvo zvaimbofungidzirwa kuti AS inobata varume chete, data razvino rinoratidza kuti vakadzi vanobatwawo nechirwere ichi zvakanyanya.
Charis aitambura nekurwadziwa kwemabvi nemamwe majoini kubvira achiri mudiki, asi aifunga kuti yaive imwe dambudziko paaitamba mitambo. Chiremba akamuudza kuti yaive kuzvidya mwoyo. Asi Charis haana kumutenda. Aifunga kuti zviratidzo zvacho zvakafanana nezvababa vake. Pakupedzisira, mushure mekubvunza baba vake, uye kutevera zano ravo, akaenda kuna chiremba uye akaonekwa aine AS.
Vanenge 80%-95% yevarwere veAS vane jini rinonzi HLA-B27 . Izvi zvinogona kugarwa nhaka kubva kuvabereki kuenda kuvana. Zvisinei, havasi vese vane jini iri vachakura AS, uye zvinokwanisikawo kukura AS pasina jini iri. Saka, izvi hazvigone kuonekwa nekuongororwa kwemajini chete.
Charis anotsanangura manzwiro ake seizvi:
"Kuora mwoyo nechirwere chisingaperi zvakafanana nehama dzemukoma, vanogara vari pamwe chete."
Rwendo rurefu rwekuongororwa chirwere ichi runogona kukunetesa mupfungwa. Saka kana uri kusangana nechimwe chinhu chakadai, usazeza kutaura nezvazvo uye tsvaga rubatsiro kubva kuna chiremba wepfungwa kana zvichidikanwa.
Sei vanachiremba vachishaya AS?
Chimwe chikonzero cheizvi inguva shoma iripo yekuona varwere. "Kungova nemaminitsi gumi nemashanu chete nemurwere hazvina kukwana," anodaro mumwe nyanzvi. Kuti uongorore chirwere chakaoma seAS, unofanirwa kunyatsoteerera zviri kutaurwa nemurwere uye kubvunza mibvunzo yakakodzera.
Uyewo, zviratidzo zveAS dzimwe nguva zvakafanana nezvezvimwe zvirwere. Semuenzaniso:
- Kurwadziwa mumagaro nezvitsitsinho
- Psoriasis, chirwere cheganda
- Zvirwere zvemudumbu zvakaita sechirwere cheCrohn kana ulcerative colitis
Kana chiremba mukuru (GP) asina kuona varwere vakawanda vane AS muchipatara chake, anogona kusafungira AS paanoona zviratidzo izvi.Ndosaka zvichikosha kuona chiremba wemapfupa kana uchirwadziwa nemusana kwenguva refu, kunyanya kana zvanyanya kuipa mangwanani.
Mashoko akanaka ndeekuti vanachiremba vava kuziva zviratidzo zveAS kupfuura kare. Zvakare, kune mishonga mitsva (yakadai sekurapa kwe biologic) inoshanda zvikuru mukudzivirira chirwere ichi. Saka haufanirwe kutambura sezvawaiita kare. Chinhu chakakosha ndechekuongorora chirwere ichi nenguva uye kutanga kurapwa kwakakodzera.
Mharidzo Yekuenda Nayo Kumba
- Kana wave nekurwadziwa kwemusana kwemwedzi inopfuura mitatu, usazviregeredza.
- Kana kurwadziwa kwemusana wako kwakanyanya mangwanani, kukawedzera paunozorora, uye kuderera paunofamba kana kurovedza muviri, zvinogona kunge zviri chiratidzo cheAS.
- Ngwarira kuomarara kwemusana wako nemapfundo ako mangwanani kunotora nguva inopfuura hafu yeawa .
- Pamusoro pekurwadziwa kwemusana, kana uine zviratidzo zvakaita sekutsvuka kana kurwadziwa mumaziso (uveitis), kurwadziwa kwechitsitsinho, kana kuzvimba mune mamwe majoini, udza chiremba wako nezvazvo.
- Taura nachiremba wako nezvezviratidzo zvako. Kana zvichidikanwa, kumbira kuti akutumire kuna chiremba wemapfupa .
- Usarega kurwisa kusvika wawana chirwere chakakodzera. Chinhu chakakosha kuteerera muviri wako.
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