Ankylosing Spondylitis: Osangokhala "Kubwerera Kumbuyo"

Zamkati

• Kutupa kwaminyewa ya msana
• Kupitirira msana
• Kutenga mizu yamitsempha
• Nkhani yabwino ndi iti?

Msana wanu sukuchita zambiri. Zimagwirizana ndi chitetezo chanu cham'mafupa, cham'mimba, komanso chamanjenje. Chifukwa chake china chake chikalakwika ndi msana wanu, chitha kukhala ndi zotsatirapo zazikulu mthupi lanu lonse. Kusunga msana wanu ndikusangalala ndi gawo lofunikira la thanzi lanu lonse.

Ankylosing spondylitis (AS) ndizochitika. Ndi mtundu wina wa nyamakazi yokhudzana ndi kutupa kwanthawi yayitali kwamalumikizidwe mumsana wanu. Zizindikiro zoyambirira za AS nthawi zambiri zimakhala zopweteka kumbuyo kwanu ndi m'chiuno mwanu, zomwe mungadutse ngati "msana woyipa". Koma AS imayamba kukulirakulira ndi nthawi, makamaka ngati sichichiritsidwa. Matendawa akamakula, zimatha kukhudza ziwalo zambiri za thupi lanu, kuphatikiza ziwalo zina ndi maso anu, matumbo, mapazi, ndi mtima.

Kutupa kwaminyewa ya msana

Monga momwe zimayambira ndi kupweteka kwakumbuyo komanso m'chiuno komwe kumayambitsidwa ndi kutupa kwamagulu amtsempha kumeneko. Nthawi ikamapita, kutupa - ndi zizindikilo zomwe zimayambitsidwa - zimatha kusunthira msana pang'onopang'ono ndikubweretsa zovuta. Ikhozanso kudumpha malo mumsana.

Izi ndi zinthu zitatu zofunika kwambiri za AS:

• Sacroiliitis: Chizindikiro choyambirira cha AS ndikutupa kwamagulu a sacroiliac, komwe msana wanu umakumana ndi chiuno chanu. Kutupa uku kumayambitsa kupweteka m'chiuno mwanu. Nthawi zina ululu umatulutsa ntchafu zanu, koma osakhala pansi pa mawondo anu.
• Matenda opatsirana: Chikhalidwe china cha AS ndikutupa kwa ma entheses - malo omwe mitsempha ndi minyewa imagwirizana ndi mafupa. Kutupa kwamtunduwu kumayambitsa zowawa zambiri komanso kutayika kwa ntchito zomwe zimawoneka m'thupi.
• Kusakanikirana: Kuyesayesa kwanu mobwerezabwereza kwa thupi lanu kuti muchiritse ziphuphu zotupa kumatha kubweretsa kuzilonda zamatenda, ndikutsatira kupangika kwa mafupa owonjezera. Pamapeto pake, mafupa awiri kapena kupitilira apo a msana wanu amatha kusakanikirana, ndikuchepetsa kusinthasintha kumbuyo kwanu. Zikakhala zovuta kwambiri, msana wanu umatha kupindika patsogolo, ndikupangitsa kuti mukhale okhazikika mpaka kalekale. Sizachilendo kufikira pano masiku ano, chifukwa cha kupita patsogolo kwa chithandizo chamankhwala.

Kupitirira msana

Nthawi ikamapita, kutupa komwe kumayambitsidwa ndi AS kumakhudzanso ziwalo zina za thupi lanu:

• Zowonjezera zina: Kutupa kumatha kuyambitsa kupweteka komanso kuuma pamagulu a khosi lanu, mapewa, chiuno, mawondo, akakolo, kapena, kawirikawiri zala ndi zala zakumiyendo.
• Chifuwa chanu: Pafupifupi 70 peresenti ya anthu omwe ali ndi AS amakhala ndi zotupa polumikizana ndi nthiti ndi msana. Malo omwe nthiti zanu zimakumana ndi chifuwa chanu cham'mbuyo kutsogolo amathanso kukhudzidwa, zomwe zimabweretsa kupweteka pachifuwa. M'kupita kwanthawi, kuuma kwa nthiti zanu kumatha kuchepetsa kuchuluka kwa chifuwa chanu, ndikuchepetsa mpweya womwe mapapu anu angasungire.
• Maso anu: Kufikira 40 peresenti ya anthu omwe ali ndi AS amakhala ndi kutupa kwa diso, kotchedwa uveitis kapena iritis. Kutupa uku kumatha kupweteka m'maso ndi kufiira, chidwi pakuwala, ndi kusawona bwino. Ngati simukuchiritsidwa mwachangu, zitha kudzetsa masomphenya.
• Mapazi anu: Zotupa zotentha zimatha kuchitika kumbuyo kapena pansi pa chidendene. Kupweteka ndi kukoma mtima kumatha kulepheretsa kuyenda kwanu.
• Matumbo anu: Kutupa kumatha kuyambitsa matenda am'matumbo, kuphatikiza kukokana m'mimba ndi kutsegula m'mimba, nthawi zina ndimwazi kapena ntchofu.
• Nsagwada yanu: Kutupa kwa nsagwada sikwachilendo, sikukhudza oposa 15 peresenti ya odwala AS. Koma zimatha kukhala zovuta makamaka, zimapangitsa kuti zikhale zovuta kudya.
• Mtima wanu. Nthawi zambiri, mtsempha wamagazi waukulu kwambiri m'thupi lanu, wotchedwa aorta, umatupa. Ikhoza kukulitsa kwambiri kotero kuti imasokoneza mawonekedwe a valavu yolumikiza ndi mtima wanu.

Kutenga mizu yamitsempha

Anthu omwe ali ndi AS otukuka kwambiri amatha kudwala cauda equina syndrome, matenda omwe amakhudza mitolo ya mitsempha pansi pa msana wanu. Mizu ya mitengoyi imatumiza mauthenga pakati pa ubongo wanu ndi thupi lanu. Kuwonongeka kochititsidwa ndi AS kumapanikiza mizu ya mitsempha, kumatha kusokoneza magwiridwe antchito am'chiuno mwanu kapena kutengeka ndi kuyenda m'miyendo yanu m'munsi.

Khalani atcheru kuti muchepetse zizindikiro za cauda equina syndrome:

• Mavuto ndi chikhodzodzo kapena ntchito yamatumbo: Mutha kusunga zinyalala kapena simungathe kuzisunga.
• Mavuto akulu kapena okulirakulirakulirabe m'miyendo yanu yakumunsi: Mutha kutaya kapena kusintha kwakumverera m'malo ofunikira: pakati pa miyendo yanu, matako anu, kumbuyo kwa miyendo yanu, kapena pamapazi anu ndi zidendene.
• Ululu, dzanzi, kapena kufooka kufalikira kumodzi kapena miyendo yonse: Zizindikirozo zimatha kukupangitsani kukhumudwa mukamayenda.

Mukakhala ndi zizindikilozi, ndikofunikira kuti mupite kuchipatala mwachangu. Ngati sanalandire chithandizo, cauda equine syndrome imatha kubweretsa chikhodzodzo ndi matumbo, kulephera kugonana, kapena kufooka.

Nkhani yabwino ndi iti?

Mndandanda wautali wazovuta zomwe zingakhale zovuta zingakhale zowopsa. Komabe, chithandizo cha AS chitha kupewetsa kapena kuchedwetsa mavuto ambiri. Makamaka, gulu la mankhwala otchedwa tumor necrosis factor (TNF) inhibitors amatha kusintha matendawa.