Zovuta za Ankylosing Spondylitis

Zamkati

• AS ndi chiyani?
• Zovuta za AS
• Kuuma ndikuchepetsa kusinthasintha
• Iritis
• Zowonongeka zonse
• Kutopa
• Osteoporosis ndi mafupa osweka
• Matenda amtima
• Matenda a GI
• Zovuta zambiri
• Cauda Equina Syndrome
• Amyloidosis
• Nthawi yoti muwonane ndi dokotala

Ululu wammbuyo ndichimodzi mwazodandaula zamankhwala ku America masiku ano.

M'malo mwake, malinga ndi National Institute of Neurological Disorder and Stroke, pafupifupi 80% ya achikulire amamva kupweteka kwakumbuyo panthawi ina m'moyo wawo.

Zomwe zimayambitsa kupweteka kwakumbuyo nthawi zambiri zimasiyidwa osazindikira. Amachotsedwa ngati vuto losasangalatsa, lobisika ndi mankhwala owawa owawa ndipo nthawi zambiri samasiyidwa.

Komabe, kuzindikira komwe kumayambitsa vutoli ndikotheka. Nthawi zina, kupweteka kwa msana kumatha kukhala chifukwa cha ankylosing spondylitis (AS).

AS ndi chiyani?

AS ndimatenda othamanga, otupa omwe amakhudza mafupa a axial (msana) ndi mafupa oyandikira.

Kutupa kwakanthawi kwakanthawi kumatha kupangitsa kuti ma vertebrae mumsana azilumikizana. Zotsatira zake, msana sudzatha kusintha.

Matendawa akamakula, msana umasiya kusinthasintha, ndipo ululu wammbuyo umakulirakulira. Zizindikiro zoyambirira za matendawa ndi monga:

• kupweteka kwakumbuyo msana ndi m'chiuno mwanu
• kuuma kumbuyo kwanu ndi m'chiuno
• kuwonjezeka kupweteka ndi kuuma m'mawa kapena patatha nthawi yayitali osagwira ntchito

Anthu ambiri omwe ali ndi matendawa amasaka mtsogolo. Matenda atadwaladwala, kutupa kumatha kukhala koipa kwambiri kwakuti munthu sangathe kukweza mutu wake kuti awone patsogolo pawo.

Zowopsa za AS zimaphatikizapo:

• Zaka: Kuchedwa msinkhu kapena msinkhu woyambirira ndipamene nthawi yoyamba imayenera kuchitika.
• Kugonana: Amuna nthawi zambiri amakhala ndi mwayi wokhala ndi AS.
• Chibadwa: Anthu ambiri omwe ali ndi AS ali ndi, ngakhale sizikutsimikizira kukula kwa matendawa.

Zovuta za AS

Kuuma ndikuchepetsa kusinthasintha

Ngati simukuchiritsidwa, kutupa kosatha kumatha kupangitsa kuti ma vertebrae mumsana wanu azilumikizana. Izi zikachitika, msana wanu umatha kusinthasintha komanso kukhala wolimba.

Mutha kukhala kuti mwachepetsa mayendedwe osiyanasiyana pamene:

• kupinda
• kupindika
• kutembenuka

Mwinanso mungakhale ndi ululu wopweteka kwambiri.

Kutupa sikungokhala pamsana panu komanso ma vertebrae. Itha kuphatikizira malo ena apafupi, kuphatikiza:

• mchiuno
• mapewa
• nthiti

Izi zitha kupweteketsa komanso kuuma mthupi lanu.

Kutupa kumakhudzanso ma tendon ndi mitsempha yolumikizana ndi mafupa anu, zomwe zingapangitse malo osunthika kukhala ovuta kwambiri.

Nthawi zina, ziwalo, monga matumbo, mtima, kapena mapapu anu zimatha kukhudzidwa ndi njira yotupa.

Iritis

Iritis (kapena anterior uveitis) ndi mtundu wa kutupa kwamaso komwe pafupifupi 50 peresenti ya anthu omwe ali ndi chidziwitso cha AS. Ngati kutupa kufalikira kwa maso anu, mutha kuyamba:

• kupweteka kwa diso
• kutengeka ndi kuwala
• kusawona bwino

Iritis imathandizidwa ndimatope am'maso a corticosteroid ndipo imafunikira chithandizo chamankhwala mwachangu kuti muchepetse kuwonongeka.

Zowonongeka zonse

Ngakhale gawo lalikulu la kutupa ndi msana, kupweteka ndi kuwonongeka kwamagulu kumathanso kupezeka mu:

• nsagwada
• chifuwa
• khosi
• mapewa
• mchiuno
• mawondo
• akakolo

Malinga ndi Spondylitis Association of America, pafupifupi 15% ya anthu omwe ali ndi AS ali ndi kutupa kwa nsagwada, komwe kumatha kukhudza kutafuna ndi kumeza.

Kutopa

Kafukufuku wina adawonetsa za anthu omwe ali ndi chidziwitso cha AS:

• kutopa, mawonekedwe owopsa a kutopa
• chifunga chaubongo
• kusowa mphamvu

Zinthu zingapo zimatha kuyambitsa izi, monga:

• kuchepa kwa magazi m'thupi
• kusowa tulo chifukwa cha ululu kapena kusapeza bwino
• kufooka kwa minofu kukakamiza thupi lanu kugwira ntchito molimbika
• kukhumudwa, zovuta zina zamaganizidwe, ndi
• mankhwala ena omwe amachiza nyamakazi

Kuthana ndi kutopa nthawi zambiri kumafunikira mankhwala angapo kuti athane ndi omwe akuthandizira.

Osteoporosis ndi mafupa osweka

Osteoporosis ndimavuto afupipafupi kwa anthu omwe ali ndi AS ndipo amatha kuyambitsa mafupa ofooka. Pafupifupi theka la anthu omwe ali ndi vutoli amakhalanso ndi matenda otupa mafupa.

Mafupa owonongeka, ofooka amatha kuthyola mosavuta. Kwa anthu omwe ali ndi AS, izi ndizowona makamaka m'mitsinje ya msana. Kutyoka m'mafupa a msana wanu kumatha kuwononga msana wanu komanso mitsempha yolumikizidwa nayo.

Matenda amtima

AS yakhala ikugwirizana ndi angapo, kuphatikiza:

• minyewa
• matenda a aortic valve
• matenda a mtima
• ischemic matenda amtima

Kutupa kumatha kukhudza mtima wanu ndi aorta. Popita nthawi, minyewa imatha kukulitsidwa ndikusokonekera chifukwa cha kutupa. Valavu yowonongeka ya aortic imatha kusokoneza mtima wanu kuti igwire bwino ntchito.

zingaphatikizepo:

• fibrosis ya ma lobes apamwamba
• matenda am'mapapo amkati
• kuwonongeka kwa mpweya
• kugona tulo
• mapapo anakomoka

Matenda a GI

Anthu ambiri omwe ali ndi AS amamva kutupa kwam'mimba ndi matumbo omwe amachititsa:

• kupweteka m'mimba
• kutsegula m'mimba
• mavuto ena am'mimba

AS ilumikizana ndi:

• anam`peza matenda am`matumbo
• Matenda a Crohn

Zovuta zambiri

Cauda Equina Syndrome

Cauda equina syndrome (CES) ndizovuta zofooketsa zamitsempha zama AS zomwe zimapezeka kwambiri mwa anthu omwe akhala ndi AS kwazaka zambiri.

CES imatha kusokoneza ntchito yamagalimoto komanso yamphamvu mpaka kumiyendo yakumunsi ndi chikhodzodzo. Itha kuyambitsa ziwalo.

Mutha kuwona:

• kupweteka kwakumbuyo komwe kumatha kutsika mwendo
• dzanzi kapena kuchepetsedwa bongo m'miyendo
• kutaya mphamvu pa chikhodzodzo kapena matumbo

Amyloidosis

Amyloidosis imachitika pamene puloteni yotchedwa amyloid imakula m'matumba ndi ziwalo zanu. Amyloid sapezeka mwachilengedwe m'thupi ndipo amatha kuyambitsa ziwalo.

Renal amyloidosis ndiye mawonekedwe omwe amapezeka kwambiri mwa anthu omwe ali ndi AS.

Nthawi yoti muwonane ndi dokotala

Momwemo, inu ndi dokotala mudzazindikira ndi kuzindikira AS yanu mofulumira. Mutha kuyamba chithandizo cham'mbuyomu chomwe chingakuthandizeni kuchepetsa zizindikilo ndikuchepetsa mwayi wazovuta zazitali.

Komabe, si aliyense amene adzapezeke ndi vutoli koyambirira. Ndikofunika kuwona dokotala wanu ngati mukumva kupweteka kwa msana ndipo simukudziwa chomwe chimayambitsa.

Ngati mukuganiza kuti matenda anu akukhudzana ndi AS, onani dokotala wanu mwachangu momwe mungathere. Mukamadikirira, pamakhala mpata waukulu wokumana ndi zovuta komanso zovuta zina.