Kuzindikira Ankylosing Spondylitis

Zamkati

• Kodi matenda a AS amapezeka bwanji?
• Mayeso
• Kuyezetsa kwathunthu
• Kuyesa mayeso
• Kuyesa kwantchito
• Ndi madotolo ati omwe amapeza ankylosing spondylitis?
• Musanachitike

Ululu wammbuyo ndichimodzi mwazofala kwambiri ku United States masiku ano. Pafupifupi 80 peresenti ya achikulire amamva kupweteka kwakumbuyo nthawi ina m'moyo.

Zambiri mwazimenezi zimachitika chifukwa chovulala kapena kuwonongeka. Komabe, zina zitha kukhala zotsatira za vuto lina. Imodzi ndi mtundu wina wa nyamakazi wotchedwa ankylosing spondylitis (AS).

AS ndi vuto lotupa lomwe limapitilira patsogolo lomwe limayambitsa kutupa msana wanu komanso ziwalo zapafupi m'chiuno. Pakadutsa nthawi yayitali, kutupa kwakanthawi kochepa kumatha kupangitsa kuti ma vertebrae mumsana wanu azilumikizana, ndikupangitsa msana wanu kusasinthasintha.

Anthu omwe ali ndi AS amatha kusaka patsogolo chifukwa minofu yotulutsa mphamvu ndiyofooka kuposa minofu yosinthasintha yomwe imakoka thupi kutsogolo (kupindika).

Pamene msanawo umakhala wolimba ndikusakanikirana, kusaka kumawonekera kwambiri. Pazochitika zapamwamba, munthu yemwe ali ndi AS sangathe kukweza mutu wake kuti awone pamaso pawo.

Ngakhale kuti AS imakhudza kwambiri msana ndi mafupa am'mimba komwe ma tendon ndi mitsempha imalumikizana ndi fupa, imakhudzanso ziwalo zina, kuphatikiza mapewa, mapazi, mawondo, ndi chiuno. Nthawi zambiri, imathanso kukhudza ziwalo ndi minofu.

Poyerekeza ndi mitundu ina ya nyamakazi, mawonekedwe apadera a AS ndi sacroiliitis. Uku ndikutupa kwa mgwirizano wa sacroiliac, pomwe msana ndi chiuno zimalumikizana.

Amuna amakhudzidwa ndi AS pafupipafupi kuposa akazi, ngakhale atha kukhala osadziwika kwenikweni mwa akazi.

Kwa anthu mamiliyoni aku America omwe ali ndi ululu wopweteka kwambiri, kumvetsetsa izi kungakhale kofunika kwambiri pakuthana ndi ululu komanso mwina kuzindikira kuti zotupa zimapweteka monga AS.

Kodi matenda a AS amapezeka bwanji?

Madokotala alibe mayeso amodzi oti adziwe ngati ali ndi AS, chifukwa chake ayenera kufotokoza zina mwazizindikiro zanu, ndikuyang'ana gulu limodzi lazizindikiro za AS. Kuti muchite izi, dokotala wanu amayesa thupi lanu ndi mayeso ena.

Dokotala wanu adzafunanso kuti mukhale ndi thanzi lanu lonse kuti mumvetsetse bwino zomwe mukudziwa. Dokotala wanu adzakufunsaninso:

• kwanthawi yayitali bwanji mwakhala mukukumana ndi zizindikilo
• pamene zizindikiro zanu zikuipiraipira
• ndi mankhwala ati omwe mwayesapo, zomwe zagwira ntchito, ndi zomwe sizinachitike
• zizindikiro zina ziti zomwe mukukumana nazo
• mbiri yanu yamankhwala kapena mavuto
• mbiri iliyonse yabanja yamavuto ofanana ndi omwe mukukumana nawo

Mayeso

Tiyeni tiwone zomwe mungayembekezere pamayeso omwe dokotala wanu angachite kuti mupeze AS.

Kuyezetsa kwathunthu

Dokotala wanu amachita mayeso kuti mupeze zizindikiritso za AS.

Amatha kusunthira malo anu kapena kuchita masewera olimbitsa thupi kuti athe kuwona mayendedwe anu.

Kuyesa mayeso

Kujambula mayeso kumamupatsa dokotala lingaliro lazomwe zikuchitika mkati mwa thupi lanu. Mayeso ojambula omwe mungakhale nawo ndi monga:

• X-ray: X-ray imalola dokotala wanu kuwona ziwalo ndi mafupa anu. Afufuza ngati pali zizindikiro za kutupa, kuwonongeka, kapena kusakanikirana.
• Kujambula kwa MRI: MRI imatumiza mafunde a wailesi komanso maginito kudzera mthupi lanu kuti apange chithunzi cha minofu yofewa ya thupi lanu. Izi zimathandiza dokotala wanu kuwona kutupa mkati ndi mozungulira mafupa.

Kuyesa kwantchito

Mayeso a labu omwe dokotala angaitanitse ndi awa:

• HLA-B27 mayeso amtundu: Zaka zambiri zafukufuku ku AS zawulula chinthu chimodzi chodziwikiratu: majini anu. Anthu omwe ali ndi HLA-B27 majini ali pachiwopsezo chotenga AS. Komabe, sikuti aliyense amene ali ndi jini amayamba kudwala.
• Kuwerenga magazi kwathunthu (CBC): Kuyesaku kumayeza kuchuluka kwa maselo ofiira ndi oyera mthupi lanu. Kuyesa kwa CBC kumatha kuthandiza kuzindikira ndikuwongolera zina zomwe zingachitike.
• Mlingo wa sedimentation wa erythrocyte (ESR): Mayeso a ESR amagwiritsa ntchito kuyesa magazi kuti ayese kutupa m'thupi lanu.
• Mapuloteni othandizira C (CRP): Kuyesa kwa CRP kumayesanso kutupa, koma kumakhala kovuta kuposa mayeso a ESR.

Ndi madotolo ati omwe amapeza ankylosing spondylitis?

Mutha kuyamba kukambirana za ululu wanu wam'mbuyo ndi dokotala wanu woyang'anira.

Ngati dokotala wanu wamkulu akukayikira AS, atha kukutumizirani kwa rheumatologist. Uwu ndi mtundu wa dokotala wodziwa za matenda a nyamakazi ndi zina zomwe zimakhudza minofu, mafupa, ndi mafupa, kuphatikiza matenda osiyanasiyana amthupi.

Rheumatologist nthawi zambiri ndi amene amayenera kudziwa ndi kuchiza AS.

Chifukwa AS ndi matenda osachiritsika, mutha kugwira ntchito ndi rheumatologist wanu kwazaka zambiri. Mufuna kupeza yemwe mumamukhulupirira komanso wodziwa zambiri za AS.

Musanachitike

Maimidwe a madokotala nthawi zina amatha kumva kuthamanga komanso kupsinjika. Ndikosavuta kuiwala kufunsa funso kapena kutchula tsatanetsatane wazizindikiro zanu.

Nazi zina zomwe muyenera kuchita pasadakhale zomwe zingakuthandizeni kuti mupindule kwambiri ndi zomwe mwasankha:

• Lembani mndandanda wa mafunso omwe mukufuna kufunsa adotolo.
• Lembani mndandanda wazizindikiro zanu, kuphatikiza nthawi yomwe adayamba komanso momwe amakulira.
• Sonkhanitsani zotsatira za mayeso kapena zolemba zamankhwala kuti muwonetse adotolo.
• Lembani chilichonse chokhudza mbiri yakuchipatala ya banja lanu yomwe mukuganiza kuti ingathandize adotolo pakuzindikira kapena kulandira chithandizo.

Kukhala wokonzeka kudzakuthandizani kugwiritsa ntchito bwino nthawi yanu mukadzawona dokotala wanu. Kubweretsa zolemba kumathandizanso kuti muchepetse kupsinjika kwakumverera ngati muyenera kukumbukira chilichonse.