Dzimwe nguva unomuka mangwanani uchirwadziwa zvakanyanya mumabvi ako nemuchiuno here? Marwadzo anodzikira here mushure mechinguva, wozodzoka? Ungafunga kuti izvi zvakajairika, kana kuti ingori kurwadziwa kwehuro kunokonzerwa nekushanda nesimba zvakanyanya. Asi dzimwe nguva, shure kwekurwadziwa kwakadaro, panogona kunge paine chirwere chatinofanira kutarisisa. Nhasi, tichataura nezvechirwere chakadaro, chinonzi Ankylosing Spondylitis (AS).
AS inopfuura kungova kurwadziwa kwemusana chete.
Vanhu vazhinji vanofunga nezveAS sechirwere chinokonzera kurwadziwa kwemusana nekuomarara. Ehe, kurwadziwa kwemusana nekuomarara ndizvo zviratidzo zvikuru zvechirwere ichi. Asi chokwadi ndechekuti, AS chirwere chinogona kukanganisa muviri wese. Kutaura chokwadi, chirwere chesystemic , zvichireva kuti chinokanganisa masisitimu akawanda mumuviri, kwete nzvimbo imwe chete.
Kana izvi zvikaitika kune vechidiki, dzimwe nguva kurwadziwa kwemusana kunogona kutangira pakurwadziwa mumajoini makuru akadai semapendekete nechiuno. Uyewo, chirwere chinonzi enthesitis chinowanzoitika muchirwere ichi.
Saka chii chinonzi enthesitis?
Zvichitaurwa zviri nyore, kuzvimba kwematendo nemarunda zvinobatanidza tsandanyama dzedu kumapfupa edu. Izvi zvinonyanya kuonekwa muAchilles tendon muchitsitsinho uye plantar fascia iri pasi petsoka. Kana uchirwadziwa zvakanyanya nechitsitsinho paunomuka mangwanani, zvinogona kunge zvichikonzerwa nechirwere ichi.
Kunyangwe ndaiva nemakore makumi maviri nerimwe ekuberekwa, ndaifamba semunhu ane makore makumi mapfumbamwe ekuberekwa, muviri wangu wakaoma uye ndichizunguzika kubva kune rimwe divi kuenda kune rimwe divi.
Nyaya iyi yakataurwa nemumwe munhu akamborwara nechirwere ichi. Dzimwe nguva kana zviratidzo izvi zvikauya, hatizvitarisiri zvakanyanya. Kana kuti tinokanganwa kuudza chiremba wedu nezvazvo. Ndosaka zvichitora makore kuti vamwe vanhu vaongororwe chirwere cheAS nemazvo. Kunyanya kana uri kurapwa nachiremba, anogona kusafunga nezverudzi urwu rwekuzvimba kwemajoini. Saka , zvakakosha kutaura nachiremba wako nezvechiratidzo chega chega chaunacho, zvisinei nekuti chidiki sei.
Maitiro eAS anokanganisa sei musana
AS chirwere chinogara kwenguva refu. Kana chikasabatwa zvakanaka, chinogona kukotama musana wako zvachose uye kutokanganisa kugona kwako kufamba. Kana uchinzwa kurwadziwa mune dzimwe nzvimbo dzisiri kumusana wako, zvinoreva kuti ungangove uine chirwere chakanyanya. Ngatitarisei nzvimbo huru dzinogona kukanganiswa neAS kunze kwemusana wako.
| Nhengo yemuviri yakakanganiswa | Zvinhu zvekuziva nezviratidzo |
|---|---|
| Zviuno nemapfudzi | Munhu mumwe chete pavanhu vatatu vane AS anonzwa kurwadziwa mumajoini aya. Kurwadziwa uku kunogona kutanga muhudyu, mumabvi, kana kumberi kwezvidya. |
| Maziso | Varwere vanosvika 40% veAS vanowana chirwere chinonzi uveitis , icho chiri kuzvimba kweziso. Kana uine zviratidzo zvakaita sekutsvuka kwemaziso, kurwadziwa, uye kuoma kutarisa chiedza, enda kuna chiremba nekukasika. |
| Sisitimu yekugaya chikafu (matumbu) | Munhu mumwe chete pavanhu gumi vane AS anogona kutanga chirwere chemudumbu chinonzi inflammatory bowel disease (IBD) , chakadai seCrohn's disease kana ulcerative colitis . Zviratidzo zvinosanganisira manyoka ane ropa, kudzikira kwehuremu, uye kuneta zvakanyanya. |
| Rushaya | Varwere vanosvika gumi muzana (10%) veAS vanonzwa kuzvimba kwemajoini eshaya, izvo zvinogona kuita kuti zviome kudya. Zvakakosha kuona chiremba wemazino kana uine rudzi urwu rwekurwadziwa. |
| Mapfupa | Vanenge hafu yevarwere vane AS vari panjodzi yekubatwa ne osteoporosis , chirwere chinokonzera kutetepa kwemapfupa. Kutora mishonga yecalcium nevhitamini D uye kuita maekisesaizi akadai sekufamba kunogona kubatsira kuchengetedza mapfupa akasimba. |
| Mapapu | Dzimwe nguva, AS inogona kukonzera kuti majoini ari pakati pemusana nembabvu anyatsosimba, zvichiita kuti chipfuva chisakure zvakanaka paunofema. Izvi zvinogona kukonzera kuoma kufema. Kana uchinzwa kurwadziwa muchipfuva, enda kuna chiremba nekukasika. |
| Mwoyo | AS inowedzera njodzi yekurwara nemoyo. Aorta, iyo tsinga huru inopomba ropa mumuviri wese, inogona kuzvimba. Kurova kwemoyo kunogonawo kukurumidza kana kunonoka. Saka, zvakakosha kuti uongororwe echocardiogram (ultrasound test yemoyo) kanenge kamwe chete pagore. |
Ngatidzidzeiwo nezvekurapa uye manejimendi.
Kana uine zviratidzo izvi, chinhu chakanakisa chekuita ndechekuona chiremba wemapfupa . Iye achakuongorora uye, kana zvichidikanwa, oraira bvunzo dzakadai seX-rays, MRIs, uye bvunzo dzeropa kuti asimbise chirwere chacho.
Sekurapa, mishonga inoderedza marwadzo inonzi NSAIDs (Nonsteroidal anti-inflammatory drugs) inowanzo pihwa kutanga. Zvisinei, vamwe vanhu vanogona kusangana nemigumisiro yakadai sekutsamwa mudumbu uye kuda kurutsa kubva mumishonga iyi. Kana izvozvo zvikaitika, unofanira kuudza chiremba wako nezvazvo. Ipapo anogona kukwanisa kuchinja mhando yemushonga kana kugadzirisa mwero wemushonga.
Kana chirwere ichi chakanyanya kuipa, ikozvino kwava nemishonga yemazuva ano yakaita se biologics inogona kudzora kukuvara kunokonzerwa nechirwere ichi mumuviri.
Chinhu chinonyanya kukosha ndechekuita physiotherapy uye maekisesaizi akakodzera , pamwe nemishonga. Izvi zvichabatsira zvikuru kuderedza kuomarara kwemajoini uye kuchengetedza muviri uchichinjika.
Kudzora huremu hwako, BP, uye huwandu hwecholesterol mumuviri wako zvakakoshawo pahutano hwemwoyo. Zvakare, kana ukasvuta, unofanira kurega ipapo ipapo. Kusvuta kunoita kuti dambudziko iri riwedzere kuipa.
Mharidzo Yekuenda Nayo Kumba
- AS haisi chirwere chinongoitika kumusana chete. Inogonawo kukanganisa maziso, moyo, mapapu, ura, nemamwe majoini.
- Kana uine zvimwe zviratidzo pamwe chete nekurwadziwa kwemusana, zvakaita semaziso matsvuku, kurwadziwa kwechitsitsinho, kurwadziwa kwehudyu, kana kuoma kufema, udza chiremba wako nezvezvose izvi.
- Kana chirwere ichi chikaonekwa nekukurumidza, pamwe chete nekurapwa kwakakodzera uye shanduko dzemararamiro, AS inogona kutarisirwa zvakanaka uye hupenyu hwakajairika hunogona kuraramwa.
- Kushanda nemazvo pakurovedza muviri kwakanyorwa nachiremba uye kurapwa kwemuviri kwakakosha sekunwa mishonga.
- Kuzvidzidzisa nezvechirwere chako ndiyo nzira yakanakisisa yekurarama nacho zvinobudirira.
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