Tose takamborwadziwa nemusana pane imwe nguva muhupenyu hwedu. Dzimwe nguva, kurwadziwa kunouya nekusimudza zvinorema kana kugara zvisina kunaka kunozopera mumazuva mashoma. Asi kana uine kurwadziwa kwemusana kunogara kwemwedzi yakawanda, kunyanya husiku uye paunomuka mangwanani, usangozviregeredza. Nhasi, tichataura nezveNon -Radiographic Axial Spondyloarthritis , kana sezvatinoidaidza isu vanachiremba (nr-axSpA) , rudzi rwearthritis rusingaonekwe paX - ray asi runogona kukanganisa hupenyu hwako.
Zvichitaurwa zviri nyore, chii chinonzi nr-axSpA?
Ungave wakambonzwa nezve osteoarthritis , chirwere chinoita kuti majoini akaita semabvi nehudyu apere simba sezvaunokura. Asi nr-axSpA chirwere chakasiyana, chinokonzerwa nekusashanda zvakanaka kwemasoja emuviri wedu. Zvichitaurwa zviri nyore, masoja emuviri wedu, kana kuti masero emasoja emuviri, anorwisa majoini edu zvisirizvo, ayo akabatana nemusana wedu nechiuno . Izvi zvinokonzera kuzvimba mumajoini iwayo, zvichikonzera kuomarara nekurwadziwa.
Chirwere ichi chakabatana zvakanyanya nechirwere chearthritis chakanyanya kurwadza chinonzi Ankylosing Spondylitis (AS) . Dzimwe nguva nr-axSpA inogona kuva danho rekutanga reAS. Zvisinei, havasi vese vane nr-axSpA vanozotanga AS.
Izvi zvinonzi "Non-Radiographic" (kureva kuti, hazvionekwe paX-rays) nekuti kukuvara kwemajoini pakutanga kwechirwere hakuonekwe paX-ray yenguva dzose. Izvi hazvirevi kuti hapana kukuvara, asi kuti kwakaoma kuona paX-ray.
Ndezvipi zviratidzo zvechirwere ichi?
Chiratidzo chikuru che nr-axSpA kurwadziwa kwemusana . Asi izvi zvakasiyana nekurwadziwa kwemusana kwakajairika. Ngatinzwisisei musiyano uyu zvakajeka.
| Hunhu | Kurwadziwa kwemusana mu nr-axSpA | Kurwadziwa kwemusana kwemuchina |
|---|---|---|
| Kana kurwadziwa kwacho kuchiwedzera | Marwadzo nekuomarara kunowedzera kana munhu achizorora, kunyanya husiku uye kana achimuka mangwanani. | Marwadzo anowedzera kana uchishanda, uchifamba, kana kusimudza zvinorema. Anoderera kana uchizorora. |
| Nguva yekurwadziwa | Pane kutanga kamwe kamwe, zvinotanga zvishoma nezvishoma uye zvinogara kwemwedzi inopfuura mitatu. | Kazhinji zvinopera mukati memazuva mashoma kana mavhiki. |
| Mhedzisiro yekurovedza muviri | Kudzidzira muviri nekufamba zvinoderedza marwadzo nekuomarara. | Marwadzo anogona kuwedzera panguva yekurovedza muviri. |
Kuwedzera kumarwadzo emusana, zvimwe zviratidzo zvinogona kuonekwa:
- Kurwadziwa kwegumbo : Kurwadziwa nekuomarara, kunyanya munzvimbo dzakadai seAchilles tendon iri pasi pechitsitsinho.
- Kuzvimba kweminwe: Munwe kana chigunwe chinozvimba chose sesoseji. Tinozvidaidza kuti dactylitis .
- Kurwadziwa mune mamwe majoini: Kurwadziwa kunogonawo kuitika mune mamwe majoini, akadai sehudyu, mabvi, nemapfudzi.
- Kuneta kwakawanda :Kunzwa kuneta zvakanyanya uye kuneta zvisinei nekuti unorara zvakadii.
Sei izvi zvichiitika? Ndezvipi zvinhu zvinokonzera njodzi?
Sezvatakambotaura, chikonzero chikuru cheizvi chirwere chiri mumasoja edu ekudzivirira muviri. Chikonzero chaicho cheizvi hachizivikanwe. Zvisinei, vaongorori vanotenda kuti pane hukama hwemajini.
Zvikuru, jini rinonzi HLA-B27 rakawanikwa richibatanidzwa neizvi. Vanhu vazhinji vane nr-axSpA neAS vane jini iri. Zvisinei, izvi hazvirevi kuti munhu wese ane jini reHLA-B27 acharwara nearthritis iyi. Ingori fungidziro yechirwere chimwe chete.
Zvimwe zvinhu zvinokonzera njodzi iyi ndeizvi:
- Zera: Zviratidzo zvinowanzotanga muhudiki, pakati pemakore makumi maviri nemakumi mana.
- Nhoroondo yemhuri: Kana mumwe munhu wemumhuri yako yepedyo (vabereki, vanun'una kana hanzvadzi) aine nr-axSpA kana AS, iwe uri panjodzi huru yekuibatawo.
- Kusvuta : Vanosvuta vari panjodzi huru yekubata chirwere ichi, pamwe nenjodzi yekuwedzera kwechirwere ichi.
Nzira yekuziva chirwere nemazvo sei?
Kuziva chirwere ichi kwakaoma nekuti hachionekwi paX-ray, uye zviratidzo zvacho zvinowanzoonekwa muvanhu vadiki vane hutano hwakanaka. Saka dzimwe nguva, chinogona kukanganiswa nekurwadziwa kwemusana, zvichiita kuti kurapwa kunonoke.
Paunoenda kunoona chiremba wako, achaita zvinhu zvinotevera:
1. Achanyatsoteerera zviratidzo zvako: bvunza zvakadzama kuti kurwadziwa kunotanga riini, kwagara kwenguva yakareba sei, uye kana kuchipera nekurovedza muviri.
2. Anoita ongororo yemuviri: Anotarisa kufamba kwemusana nenzvimbo dzinorwadza.
3. Kuongororwa ropa kunorayirwa: kutarisa kuvapo kwejini reHLA-B27 uye kurayira bvunzo dzakadai seCRP neESR, izvo zvinoratidza kuzvimba mumuviri.
4. MRI scan: Iyi ndiyo bvunzo inonyanya kukosha yekuongorora nr-axSpA. MRI scan inogona kuratidza zvakajeka kuzvimba kudiki uye kuzvimba mumajoini zvisingaonekwe paX-rays.
Kuongororwa nekukurumidza uye kurapwa kwakakosha zvikuru kudzivirira kukuvara kwechigarire kwemajoini mune ramangwana.
Ndezvipi zviri kurapwa?
Kutarisira nr-axSpA kunosanganisira kurovedza muviri, kurovedza muviri, uye mishonga.
1. Kurovedza muviri
Izvi zvakafanana nemushonga. Kurovedza muviri zuva nezuva kwakakosha. Kurovedza muviri kunoderedza marwadzo, kunoderedza kuoma kwemusana, uye kunoderedza kuneta kwaunonzwa nguva dzese. Zvinobatsirawo kuchengetedza musana wako panzvimbo imwe uye kuti usakotame.
2. Zvinodhaka
Pakutanga, chiremba wako anogona kukupa mishonga inoderedza marwadzo uye isiri steroidal anti-inflammatory drugs (NSAIDs) (semuenzaniso, Indomethacin, Naproxen). Zvisinei, izvi zvinofanirwa kushandiswa chete pasi pekutarisirwa nachiremba . Kushandiswa kwenguva refu kunogona kukonzera migumisiro yakaipa yakadai sekurwadziwa mudumbu uye kukuvara kweitsvo.
Kana mishonga yeNSAIDs isingashande, chiremba wako anogona kukupa mishonga chaiyo (biologics) inodzora mashandiro emuviri wemuviri, senge TNF inhibitors .
3. Kurapa Kwemuviri
Zvakakosha zvikuru kudzidza maekisesaizi akakodzera uchitungamirirwa nenyanzvi yekurovedza muviri yakadzidziswa. Vachakudzidzisa maekisesaizi anosimbisa musana, kutambanudza tsandanyama dzakasimba, kumira zvakanaka, uye nzira dzekufema.
Zvinongokanganisa musana chete here? Pane zvimwe zvinetso here?
Ehe, nr-axSpA haisi chirwere chinongoitika kumusana chete. Kuzvimba uku kwemasoja emuviri kunogona kukanganisawo dzimwe nhengo dzemuviri.
- Maziso: Uveitis chirwere chinowanzoitika chinokonzera kuzvimba mukati meziso. Zviratidzo zvinosanganisira kutsvuka , kurwadziwa, kuona zvisipo , uye kunzwa chiedza. Kana ukaona chimwe chezviratidzo izvi, unofanira kuona chiremba wemaziso nekukasika .
- Sisitimu yekugaya chikafu: Kune vamwe vanhuChirwere cheInflammatory Bowel Disease (IBD) , chakadai seCrohn's Disease kana Ulcerative Colitis , chinogona kukonzera zviratidzo zvakaita sekurwadziwa mudumbu uye manyoka kwenguva refu.
- Ganda: Vanenge 10% yevarwere vanogonawo kurwara ne psoriasis , chirwere cheganda chinokonzera mavanga matsvuku, ane mavanga paganda.
Zvakaoma kutaura kuti chirwere ichi chichakubata sei nekufamba kwenguva. Zviratidzo zvevamwe vanhu zvinogona kuramba zvakafanana, nepo zvimwe zvichiwedzera kuipa. Mamiriro evamwe vanhu anogona kuwedzera kuita AS. Zvisinei, nekurapwa kwakakodzera uye mararamiro, unogona kurarama zvakanaka nechirwere ichi uye kurarama hupenyu hwakajairika.
Mharidzo Yekuenda Nayo Kumba
- Kurwadziwa kwemusana kunogara kwemwedzi yakati wandei, kunyanya mangwanani nehusiku, hakusi kwakajairika. Usazviregeredza. Enda kuna chiremba nekukasika.
- Kunyangwe kana X-ray yako isina matambudziko, unogona kunge uchiri ne nr-axSpA. MRI scan inogona kuona chirwere chacho nemazvo.
- Nekuongorora chirwere ichi nekukurumidza uye kuchirapa nemazvo nekurovedza muviri, mishonga, uye physiotherapy, unogona kudzivirira kukuvara kwemajoini ako uye kurarama hupenyu husina marwadzo.
- Dambudziko iri rinogoneka. Saka usaora mwoyo. Gara uchisangana nachiremba wako nguva dzose uye tevera mazano ake.
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