Spondyloarthritis: Zomwe Muyenera Kudziwa

Zamkati

• Zizindikiro za Spondyloarthritis
• Kodi chimayambitsa spondyloarthritis ndi chiyani?
• Ndani ali pachiwopsezo cha spondyloarthritis?
• Kuzindikira spondyloarthritis
• Chithandizo cha Spondyloarthritis
• Kodi zomwe mumadya zimathandiza spondyloarthritis?
• Kodi kupita wopanda thandizo kwa spondyloarthritis?
• Maganizo ake ndi otani?

Kodi spondyloarthritis ndi chiyani?

Spondyloarthritis ndi mawu oti gulu la matenda otupa omwe amayambitsa kutupa molumikizana, kapena nyamakazi. Matenda ambiri otupa amaganiza kuti ndi obadwa nawo. Pakadali pano, palibe umboni uliwonse wasayansi wosonyeza kuti matendawa amatha kupewedwa.

Spondyloarthritis imatha kugawidwa ngati axial kapena peripheral. Mawonekedwe a axial amakhudza makamaka malo am'chiuno ndi msana. Mawonekedwe ozungulira amakhudza miyendo. Vutoli limathanso kuyambitsa kutupa m'maso, m'mimba, komanso malo omwe kuli mitsempha ndi mafupa.

Mtundu wofala kwambiri wa spondyloarthritis ndi ankylosing spondylitis (AS). Mtundu uwu umakhudza kwambiri mafupa a msana. Zitha kukhudzanso ziwalo zina zazikulu mthupi.

Mitundu ina ya spondyloarthritis ndi iyi:

• nyamakazi yogwira
• nyamakazi ya psoriatic
• nyamakazi ya enteropathic
• nyamakazi yokhudzana ndi enthesitis yokhudzana ndi enthesitis
• spondyloarthritis yopanda tanthauzo

Zizindikiro za Spondyloarthritis

Zizindikiro zazikulu za spondyloarthritis ndi kupweteka, kuuma, ndi kutupa. Kuwonongeka kwa mafupa kumatha kuchitika. Kumene mumamva zizindikiro m'thupi zimadalira mtundu wa spondyloarthritis womwe muli nawo.

AS ululu nthawi zambiri umayambira m'matako ndi kumbuyo. Ikhoza kufalikira pachifuwa ndi m'khosi. Tendon ndi ligaments amathanso kutengapo gawo. Nthawi zambiri, AS imakhudza mtima ndi mapapo.

Matenda a Enteropathic Zitha kupweteketsa msana, mikono, ndi mfundo zamiyendo. Zitha kupanganso kutsekula kwamagazi ndi kupweteka m'mimba chifukwa chamatenda otupa.

Matenda a nyamakazi nthawi zambiri zimayambitsa kupweteka m'chiuno, m'chiuno, akakolo, ndi mawondo. Vutoli litha kubweretsa kutopa.

Matenda a Psoriatic Zingakhudze msana. Izi zikachitika, amadziwika kuti psoriatic spondyloarthritis. Zitha kupwetekanso m'khosi.

Matenda a nyamakazi zimatha kuyambitsa kutupa kwamikodzo, malo olumikizirana mafupa, ndi maso. Zingayambitse kutupa kwa mafupa a msana.

Nyamakazi yosadziwika Nthawi zambiri zimayambitsa matenda ofanana ndi AS. Izi zimaphatikizapo kupweteka kumbuyo, matako, ndi zidendene.

Kodi chimayambitsa spondyloarthritis ndi chiyani?

Zomwe zimayambitsa spondyloarthritis sizidziwika, ngakhale kuti chibadwa chimagwira ntchito. Jini yayikulu yomwe imakhudzidwa ndimitundu yonse ya spondyloarthritis ndi HLA-B27.

Ngakhale jini ya HLA-B27 siyimayambitsa vutoli, itha kukulitsa chiopsezo chanu chokhala nayo. Kafukufuku akupitilizabe kudziwa momwe majini ena angayambitsire spondyloarthritis.

Ena amati kulumikizana pakati pa kuchepa kwa microbiome yanu ndikukula kwa spondyloarthritis kapena matenda ena otupa. Kafukufuku wowonjezereka amafunikira kuti mumvetsetse ubale womwe ulipo pakati pa mabakiteriya am'matumbo ndi kutupa kwadongosolo.

Matenda a nyamakazi ndi mtundu wokhawo wa spondyloarthritis wodziwika kuti umayambitsidwa ndi matenda a bakiteriya. Nthawi zambiri zimachitika pambuyo pa chlamydia kapena matenda obwera chifukwa cha chakudya.

Ndani ali pachiwopsezo cha spondyloarthritis?

Sikuti nthawi zonse zimamveka chifukwa chake wina amatenga spondyloarthritis. Zowopsa za vutoli zitha kukhala zazikulu ngati:

• khalani ndi wachibale wa spondyloarthritis
• ndi ochokera ku Alaska, Eskimo a ku Siberia, kapena ochokera ku Scandinavia Lapps
• onetsetsani kuti muli ndi jini la HLA-B27
• khalani ndi matenda oyamba ndi bakiteriya m'matumbo mwanu
• ali ndi vuto lina lotupa, monga psoriasis kapena matenda am'matumbo

Kuzindikira spondyloarthritis

Kuzindikira msanga ndikofunikira kuthandizira kuthana ndi zizindikilo ndikuchepetsa chiopsezo chanu chazovuta kapena olumala. Dokotala wanu angakayikire kuti muli ndi spondyloarthritis kutengera zomwe mumakumana nazo, mbiri yazachipatala, komanso mayeso a zamankhwala.

Chikhalidwecho chingatsimikizidwe ndi:

• X-ray ya mafupa a sacroiliac m'chiuno
• kujambula kwa maginito
• kuyezetsa magazi kuti muwone ngati majini a HLA-B27

Chithandizo cha Spondyloarthritis

Palibe mankhwala a spondyloarthritis. Chithandizo chimayang'ana pakuchepetsa kupweteka, kukonza kapena kupitiliza kuyenda, ndikuchepetsa chiopsezo chanu chazovuta.

Ngakhale zitha kuwoneka ngati zopanda pake, kuyenda pafupipafupi ndikofunikira kuti muchepetse zovuta zomwe zimakhudzana ndi vutoli.

Ndondomeko zamankhwala ndizosiyana, koma zambiri zimaphatikizapo:

• chithandizo chamankhwala
• zolimbitsa thupi zochepa
• non-steroidal odana ndi kutupa mankhwala
• jakisoni wa corticosteroid
• mankhwala antirheumatic
• Mankhwala osokoneza bongo a TNF

Maantibayotiki amagwiritsidwa ntchito pochiza matenda omwe amabakiteriya amapezeka ndi nyamakazi yothandizira. Matenda owopsa a spondyloarthritis angafunike kuchitidwa opaleshoni kuti athetse kuwonongeka kwa mafupa kapena kuwonongeka kwa cartilage.

Kusuta ndichodziwika chomwe chimayambitsa kutupa mthupi. Ngati mumasuta, ndikofunikira kusiya. Dokotala wanu akhoza kukuthandizani kupeza pulogalamu yosiya kusuta yomwe ili yoyenera kwa inu.

Kodi zomwe mumadya zimathandiza spondyloarthritis?

Palibe zakudya zenizeni za spondyloarthritis. Komabe, kudya wathanzi ndikofunikira pa thanzi lanu lonse komanso kuthandizira kupewa kunenepa. Kulemera kwambiri kumapangitsa kupanikizika kwanu pamagulu anu.

Zakudya zina ndi zosakaniza zimatha kuyambitsa kutupa ndipo ziyenera kuchepetsedwa. Izi zikuphatikiza:

• shuga
• zakudya zokazinga
• mafuta odzaza ndi kusinthitsa
• Zakudya zoyera
• monosodium glutamate
• aspartame
• mowa

Pofuna kuthana ndi kutupa mthupi lanu, yesetsani kudya zakudya zomwe zili ndi:

• zipatso ndi ndiwo zamasamba zokongola zosiyanasiyana
• mbewu zonse
• CHIKWANGWANI
• mapuloteni owonda
• nsomba zamafuta

Spondyloarthritis imatha kuyambitsa mafupa ndi kufooka kwa mafupa, chifukwa chake ndikofunikira kuti mupeze kashiamu wokwanira pazakudya zanu. National Ankylosing Spondylitis Society ikulimbikitsa kupeza calcium mamiligalamu 700 tsiku lililonse.

Zakudya za mkaka ndizochokera ku calcium. Kafukufuku akuwonetsa kuti mkaka ungayambitse kutupa kwa anthu omwe matupi awo sagwirizana ndi lactose. Ngati mulibe vuto la lactose, sankhani malo opangira calcium m'malo mwake, monga:

• masamba obiriwira obiriwira
• nyemba
• nkhuyu zouma

Muthanso kupeza calcium kuchokera ku madzi otetezedwa a lalanje. Sipinachi imakhala ndi calcium yambiri, komanso imakhalanso ndi oxalates. Oxalates amamanga kashiamu ndikupewa kuyamwa kwake.

Kodi kupita wopanda thandizo kwa spondyloarthritis?

Anthu ena amati kupita kwaulere kumachepetsa zizindikiritso za spondyloarthritis. Ngakhale ndizosatsutsika kuti gluten iyenera kupewedwa ngati muli ndi matenda a celiac, chidwi cha gluten mwa anthu opanda matenda a leliac chimatsutsana.

Nthawi zina, anthu amatha kuganiza kuti gluten ikuwapangitsa kumva kuwawa atadya, pomwe wolakwayo amakhala tirigu kapena vuto lina lililonse. Ngati mukumva kuti gluten imapangitsa kuti matenda anu aziwonjezereka, kambiranani ndi dokotala wanu za kukayezetsa matenda a leliac ndikuyesa zakudya zopanda thanzi.

Maganizo ake ndi otani?

Spondyloarthritis ndizopita patsogolo. Njira yake ndi yovuta kuneneratu. Ngakhale zili choncho, malingaliro a anthu ambiri ndiabwino ngati atengapo gawo pothana ndi matendawa ndikukhala athanzi momwe angathere.

Kuchita masewera olimbitsa thupi pafupipafupi komanso kulimbitsa thupi kumathandizira kwambiri kuti musamavutike komanso kuti muchepetse kuuma komanso kupweteka. Mankhwala owonjezera pa makalata ndi mankhwala ochepetsa kutupa amathandizanso nthawi zambiri.

Monga matenda ena ambiri, matenda a spondyloarthritis amatha kubwera. Zizindikiro zimasiyananso tsiku ndi tsiku. Zovuta, monga mavuto amtima ndi m'mapapo chifukwa cha kutupa kwanthawi yayitali, ndizosowa.

Spondyloarthritis ndi yoopsa.Koma ndi njira zoyenera kuthana ndi vuto la mankhwala, anthu ambiri omwe ali ndi vutoli amakhala moyo wathunthu.