Zovuta za 7 za Ankylosing Spondylitis ndi Momwe Mungapewere Izi

Zamkati

• 1. Mayendedwe ochepa
• 2. Mafupa ofooka ndi mafupa
• 3. Kutupa m'maso
• 4. Zowonongeka zonse
• 5. Vuto lakupuma
• 6. Matenda amtima
• Matenda amtima
• Matenda aortitis ndi aortic valve
• Nyimbo yokhazikika pamtima
• 7. Cauda equina syndrome (CES)
• Kupewa zovuta za AS

Chidule

Ankylosing spondylitis (AS) ndi mtundu wa nyamakazi yomwe imayambitsa kutupa m'malo am'munsi mwanu. Popita nthawi, imatha kuwononga ziwalo zonse ndi mafupa a msana wanu.

Kupweteka ndi kuuma m'munsi mwako ndi matako ndizizindikiro zazikulu za AS. Koma matendawa amathanso kubweretsa mavuto kwakanthawi m'mbali zina za thupi lanu, kuphatikiza maso anu ndi mtima wanu.

1. Mayendedwe ochepa

Thupi lanu limayesetsa kuchiritsa kuwonongeka kwa AS popanga fupa latsopano. Magulu atsopanowa a mafupa amakula pakati pa mafupa a msana wanu. Popita nthawi, mafupa a msana wanu amatha kulumikizana.

Malo olumikizana pakati pa mafupa anu a msana amakupatsani mayendedwe athunthu, omwe amakulolani kugwada ndi kutembenuka. Kusakanikirana kumapangitsa mafupa kukhala ouma komanso ovuta kusuntha.Fupa lowonjezera limatha kuchepetsa kuyenda m'munsi mwa msana wanu, komanso kuyenda kwa pakati ndi msana.

2. Mafupa ofooka ndi mafupa

AS imayambitsa thupi lanu kupanga mafupa atsopano. Mapangidwe awa amachititsa kusakanikirana (ankylosing) kwamalumikizidwe a msana. Mapangidwe atsopano a mafupa nawonso ndi ofooka ndipo amatha kusweka mosavuta. Mukakhala ndi AS nthawi yayitali, ndizotheka kuti mutha kuthyola fupa kumsana wanu.

Osteoporosis ndiofala kwambiri kwa anthu omwe ali ndi AS. Oposa anthu omwe ali ndi AS ali ndi matenda ofooketsa mafupa. Dokotala wanu amatha kuthandizira kulimbitsa mafupa anu ndikupewa ma fracture polemba bisphosphonates kapena mankhwala ena.

3. Kutupa m'maso

Ngakhale maso anu sali pafupi ndi msana wanu, kutupa kwa AS kumawakhudzanso. Matenda a diso uveitis (omwe amatchedwanso iritis) amakhudza pakati pa 33 ndi 40 peresenti ya anthu omwe ali ndi AS. Uveitis imayambitsa kutupa kwa uvea. Umenewu ndi mzere wosanjikiza pakati pa diso lanu pansi pa khungu lanu.

Uveitis imayambitsa kufiira, kupweteka, kusawona bwino, komanso kuzindikira kuwala, nthawi zambiri m'diso limodzi. Ndi vuto lalikulu lomwe lingayambitse glaucoma, cataract, kapena kutaya masomphenya kwamuyaya ngati sanalandire chithandizo.

Dokotala wanu wa diso angakupatseni madontho a steroid kuti muchepetse kutupa m'diso lanu. Steroid mapiritsi ndi jakisoni ndizonso njira ngati madontho sakugwira ntchito.

Komanso, ngati dokotala wanu akupatsani mankhwala a biologic kuti muchiritse AS yanu, itha kugwiritsidwanso ntchito kuchiza komanso kupewa magawo amtsogolo a uveitis.

4. Zowonongeka zonse

Monga mitundu ina ya nyamakazi, AS imayambitsa kutupa kwamafundo ngati chiuno ndi mawondo. Popita nthawi, kuwonongeka kumatha kupangitsa kulumikizana kumeneku kukhala kolimba komanso kowawa.

5. Vuto lakupuma

Nthawi iliyonse mukapuma, nthiti zanu zimakulanso kuti mapapu anu akhale ndi malo okwanira mkati mwa chifuwa chanu. Mafupa a msana wanu akaphatikizana, nthiti zanu zimakhala zolimba ndipo zimalephera kukulira. Zotsatira zake, mulibe malo ochepa pachifuwa chanu kuti mapapu anu akwere.

Anthu ena amakhalanso ndi zipsera m'mapapu zomwe zimalepheretsa kupuma kwawo. Kuwonongeka kwa mapapo kumatha kukupangitsani kukhala kovuta kuchira mukadwala matenda am'mapapo.

Ngati muli ndi AS, tetezani mapapu anu posasuta. Komanso, funsani dokotala wanu za katemera wa matenda a m'mapapo monga chimfine ndi chibayo.

6. Matenda amtima

Kutupa kumathanso kukhudza mtima wanu. Mpaka 10 peresenti ya anthu omwe ali ndi AS ali ndi matenda amtima. Kukhala ndi vutoli kumawonjezera chiopsezo chanu chodwala matenda a mtima kapena sitiroko mpaka 60%. Nthawi zina mavuto amtima amayamba AS asanapezeke.

Matenda amtima

Anthu omwe ali ndi AS ali pachiwopsezo chachikulu cha matenda amtima (CVD). Ngati muli ndi CVD, mumakhala ndi vuto la mtima kapena sitiroko.

Matenda aortitis ndi aortic valve

AS imatha kuyambitsa kutupa kwa msempha, mtsempha waukulu womwe umatumiza magazi kuchokera mumtima mwanu kupita mthupi lanu lonse. Izi zimatchedwa aortitis.

Kutupa kwa aorta kumatha kuletsa mtsempha wamagazi kunyamula magazi okwanira kupita mthupi. Ikhozanso kuwononga valavu ya aortic - njira yomwe imasunga magazi kuyenda moyenera kupyola pamtima. Pambuyo pake, valavu ya aortic imatha kuchepa, kutayikira, kapena kulephera kugwira ntchito moyenera.

Mankhwala angathandize kuchepetsa kutupa kwa msempha. Madokotala amachiza valavu yowonongeka ya aortic ndi opaleshoni.

Nyimbo yokhazikika pamtima

Anthu omwe ali ndi AS nthawi zambiri amatha kugunda mwachangu kapena pang'onopang'ono. Nyimbo zosasinthasintha izi zimalepheretsa mtima kupopa magazi momwe amayenera kukhalira. Mankhwala ndi chithandizo china chamankhwala chingabwezeretse mtima mumkhalidwe wawo wabwinobwino.

Nazi njira zina zomwe mungatetezere mtima wanu ngati muli ndi AS:

• Sungani zinthu zomwe zimawononga mtima wanu. Chitani matenda ashuga, kuthamanga kwa magazi, ma triglycerides, komanso cholesterol m'mankhwala, zakudya zolimbitsa thupi, komanso mankhwala ngati mukufuna.
• Lekani kusuta. Mankhwala omwe amasuta utsi amawononga m'mbali mwa mitsempha yanu ndipo amathandizira kukulitsa zikwangwani zomwe zingayambitse matenda amtima kapena kupwetekedwa mtima.
• Kuchepetsa thupi ngati dokotala wanena kuti ndinu wonenepa kwambiri. Anthu onenepa kwambiri kapena onenepa kwambiri amakhala ndi zoopsa zambiri zamatenda amtima monga kuthamanga kwa magazi komanso cholesterol. Kulemera kwina kumapangitsanso mavuto pamtima wanu.
• Chitani masewera olimbitsa thupi. Mtima wanu ndi minofu. Kuchita masewera olimbitsa thupi kumalimbitsa mtima wanu momwe umalimbikitsira ma biceps kapena ana anu amphongo. Yesetsani kuchita masewera olimbitsa thupi osachepera mphindi 150 sabata iliyonse.
• Funsani dokotala ngati mukuyenera kumwa mankhwala a TNF. Mankhwalawa amachiza AS, komanso amachulukitsa mafuta m'thupi, omwe amathandizira matenda amtima.
• Onani dokotala wanu pafupipafupi. Onetsetsani kuti magazi anu ali ndi shuga, magazi, cholesterol, ndi manambala ena. Funsani ngati mukufuna echocardiogram kapena mayeso ena azidziwitso kuti muwone zovuta ndi mtima wanu.

7. Cauda equina syndrome (CES)

Vuto losawerengeka limachitika pakakhala kukakamiza pamtolo wamitsempha wotchedwa cauda equina pansi pa msana wanu. Kuwonongeka kwa mitsempha iyi kumayambitsa zizindikiro monga:

• kupweteka ndi dzanzi kumsana ndi matako
• kufooka kwa miyendo yanu
• kutaya mphamvu pakukodza kapena kukodza
• mavuto ogonana

Pitani kuchipatala mwamsanga ngati muli ndi zizindikiro ngati izi. CES ndi vuto lalikulu.

Kupewa zovuta za AS

Njira zabwino zopewera mavutowa ndikuchiritsidwa ndi AS. Mankhwala monga NSAIDs ndi TNF inhibitors amachepetsa kutupa mthupi lanu. Mankhwalawa amathandizira kupewa kuwonongeka kwa mafupa anu, maso anu, ndi ziwalo zina za thupi lanu zisanayambitse mavuto okhalitsa.