Kudziwa Zizindikiro za Ankylosing Spondylitis Flare-Up

Zamkati

• Zizindikiro zakusokonekera
• Zizindikiro zoyambirira zakusokonekera
• Kupweteka kumbuyo, m'chiuno, ndi matako
• Kuuma
• Kupweteka kwa khosi ndi kuuma
• Kutopa
• Zizindikiro zina zoyambirira
• Zizindikiro zakanthawi yayitali zowonekera
• Ululu wopweteka wammbuyo
• Ululu m'malo ena
• Kuuma
• Kutaya kusinthasintha
• Kuvuta kupuma
• Zovuta kusuntha
• Zolimba zala
• Kutupa kwamaso
• Mapapo ndi kutupa kwa mtima
• Kutalika kwakanthawi kumatha
• Zoyambitsa ndi zoyambitsa zamoto
• Kupewa ndikuwongolera zoyipa
• Maganizo ake ndi otani?

Ankylosing spondylitis (AS) ndi mtundu wamatenda amthupi omwe amakhudza msana wanu ndi ntchafu kapena mafupa ammbuyo. Matendawa amachititsa kutupa kumabweretsa ululu, kutupa, kuuma, ndi zizindikilo zina.

Monga mitundu ina ya nyamakazi, ankylosing spondylitis nthawi zina imatha. Kuphulika kumachitika pamene zizindikiro zikuipiraipira. Pakukonzekera, mungafunike chisamaliro ndi chithandizo chochuluka kuposa momwe mumafunira nthawi zina. Kukhululukidwa kapena kukhululukidwa pang'ono ndi pamene mumakhala ndi zochepa, zovuta, kapena zisonyezo.

Kudziwa nthawi yomwe mungakhale ndi vuto komanso zomwe muyenera kuyembekezera kungakuthandizeni kusamalira thanzi lanu. Lankhulani ndi dokotala wanu za njira yabwino yothandizira kupewa ndikuchepetsa zizindikiritso. Pali njira zingapo zochepetsera matenda ndikuchiritsa ankylosing spondylitis.

Zizindikiro zakusokonekera

Zoyipa komanso zizindikilo zake zitha kukhala zosiyana kwambiri kwa munthu aliyense wokhala ndi ankylosing spondylitis.

Anthu ambiri omwe ali ndi vutoli amazindikira zizindikiro kuyambira azaka 17 mpaka 45. Zizindikiro zimathanso kuyamba ali mwana kapena achikulire. Ankylosing spondylitis ndi amuna 2.5 kuposa amuna kuposa akazi.

Pali mitundu iwiri ikuluikulu ya ankylosing spondylitis flare-ups:

• kwanuko: kudera limodzi kapena awiri okha
• general: mthupi lonse

Zizindikiro za ankylosing spondylitis flare-ups zimatha kusintha kutengera kutalika kwa nthawi yomwe mwakhala mukudwala. Kuphulika kwa nthawi yayitali kwa ankylosing spondylitis kumayambitsa zizindikilo m'magulu opitilira thupi limodzi.

Zizindikiro zoyambirira zakusokonekera

Kupweteka kumbuyo, m'chiuno, ndi matako

Ululu ukhoza kuyamba pang'onopang'ono pakadutsa milungu ingapo mpaka miyezi. Mutha kukhala osasangalala mbali imodzi yokha kapena mbali zosinthana. Kupwetekako kumamveka kukhala kosalala ndikufalikira kudera lonselo.

Nthawi zambiri sikumva kuwawa. Kupweteka kumawonjezereka m'mawa ndi usiku. Kupuma kapena kukhala osachita kanthu kumakulitsa ululu.

Chithandizo:

• masewera olimbitsa thupi komanso kutambasula
• shawa ofunda kapena kusamba
• mankhwala otentha, monga compress ofunda
• mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs), monga aspirin, ibuprofen, kapena naproxen
• chithandizo chamankhwala

Kuuma

Mutha kukhala olimba kumunsi kwakumbuyo, m'chiuno, ndi matako. Msana wanu umatha kukhala wolimba ndipo mwina kumakhala kovuta kuyimirira mutakhala kapena kugona. Kuuma kumakhala koipitsitsa m'mawa ndi usiku, ndikusintha masana. Zitha kuwonjezeka panthawi yopuma kapena osagwira ntchito.

Chithandizo:

• zolimbitsa, kuyenda, komanso masewera olimbitsa thupi
• chithandizo chamankhwala
• mankhwala othandizira kutentha
• mankhwala kutikita

Kupweteka kwa khosi ndi kuuma

Spondylitis Association of America ikuti azimayi atha kukhala ndi zizindikilo zomwe zimayambira m'khosi osati kumbuyo kwenikweni.

Chithandizo:

• masewera olimbitsa thupi komanso kutambasula
• shawa ofunda kapena kusamba
• mankhwala othandizira kutentha
• NSAIDs
• chithandizo chamankhwala
• mankhwala kutikita

Kutopa

Kutupa ndi kupweteka kumatha kubweretsa kutopa ndi kutopa. Izi zitha kukulitsidwa ndi kugona tulo usiku chifukwa cha ululu komanso kusapeza bwino. Kulamulira kutupa kumathandiza kuthana ndi kutopa.

Chithandizo:

• NSAIDs
• chithandizo chamankhwala

Zizindikiro zina zoyambirira

Kutupa, kupweteka, komanso kusapeza bwino kumatha kuyambitsa njala, kuchepa thupi, komanso kutentha thupi pang'ono pakamachitika zambiri. Kusamalira ululu ndi kutupa kumathandiza kuchepetsa izi.

Chithandizo:

• NSAIDs
• chithandizo chamankhwala
• mankhwala akuchipatala

Zizindikiro zakanthawi yayitali zowonekera

Ululu wopweteka wammbuyo

Ankylosing spondylitis flare-up imatha kubweretsanso kupweteka kwakanthawi kwakanthawi. Mungamve kukhala wopwetekedwa ndi ululu woyaka mbali zonse zakumbuyo, matako, ndi chiuno. Kupweteka kosatha kumatha miyezi itatu kapena kupitilira apo.

Chithandizo:

• NSAIDs
• mankhwala akuchipatala
• jakisoni wa steroid
• chithandizo chamankhwala, monga masewera olimbitsa thupi pansi ndi madzi

Ululu m'malo ena

Ululu umatha kufalikira kumagulu ena pakadutsa miyezi ingapo mpaka zaka. Mutha kukhala ndi ululu komanso kukoma mtima mkatikati mpaka kumbuyo, khosi, masamba amapewa, nthiti, ntchafu, ndi zidendene.

Chithandizo:

• NSAIDs
• mankhwala akuchipatala
• jakisoni wa steroid
• chithandizo chamankhwala, monga masewera olimbitsa thupi pansi ndi madzi

Kuuma

Muthanso kukhala owuma mthupi lanu pakapita nthawi. Kuuma kumathanso kufalikira kumtunda, khosi, mapewa, ndi nthiti. Kuuma kumatha kukulirakulira m'mawa ndikukhala bwino pang'ono masana. Muthanso kukhala ndi zotupa za minofu kapena kugwedezeka.

Chithandizo:

• NSAIDs
• mankhwala akuchipatala
• mankhwala osokoneza bongo
• chithandizo chamankhwala
• Zochita zapansi ndi zamadzi
• sauna infrared
• mankhwala kutikita

Kutaya kusinthasintha

Mutha kutaya kusinthasintha kwazinthu zina. Kutupa kwakanthawi m'malumikizidwe kumatha kusakanikirana kapena kulumikiza mafupa palimodzi. Izi zimapangitsa kuti malumikizowo akhale olimba, opweteka, komanso ovuta kusuntha. Mutha kukhala osinthasintha pang'ono kumbuyo kwanu ndi m'chiuno.

Chithandizo:

• NSAIDs
• mankhwala akuchipatala
• mankhwala osokoneza bongo
• jakisoni wa steroid
• opaleshoni yam'mbuyo kapena yam'chiuno
• chithandizo chamankhwala

Kuvuta kupuma

Mafupa mu nthiti zanu amathanso kusakanikirana kapena kulumikizana. Nthitoyi inapangidwa kuti izitha kusinthasintha kukuthandizani kupuma. Ngati nthiti zimayamba kuuma, zimatha kukhala zovuta kuti chifuwa ndi mapapu anu zikule. Izi zitha kupangitsa chifuwa chanu kumva kukhala cholimba.

Chithandizo:

• NSAIDs
• mankhwala odana ndi kutupa mankhwala
• jakisoni wa steroid
• chithandizo chamankhwala

Zovuta kusuntha

Ankylosing spondylitis imatha kukhudzanso ziwalo zambiri pakapita nthawi. Mutha kukhala ndi ululu ndi kutupa m'chiuno, mawondo, akakolo, zidendene, ndi zala. Izi zingapangitse kukhala kovuta kuyimirira, kukhala, ndi kuyenda.

Chithandizo:

• NSAIDs
• mankhwala akuchipatala
• mankhwala osokoneza bongo
• jakisoni wa steroid
• chithandizo chamankhwala
• Kulimbitsa bondo kapena phazi

Zolimba zala

Ankylosing spondylitis flare-ups amathanso kufalikira kuzala pakapita nthawi. Izi zitha kupangitsa ziwalo zala kukhala zolimba, zotupa, komanso zopweteka. Mwina mungavutike kusuntha zala zanu, kutayipa, ndikusunga zinthu.

Chithandizo:

• NSAIDs
• mankhwala akuchipatala
• jakisoni wa steroid
• chithandizo chamankhwala
• Cholimba dzanja kapena dzanja

Kutupa kwamaso

Oposa theka lachinayi la anthu omwe ali ndi ankylosing spondylitis ali ndi kutupa kwamaso. Vutoli limatchedwa iritis kapena uveitis. Zimayambitsa kufiira, kupweteka, kusawona bwino, ndi kuyandama m'maso amodzi kapena onse awiri. Maso anu amathanso kutengeka ndi kuwala kowala.

Chithandizo:

• madontho a steroid
• madontho a m'maso kuti achepetse ana asukulu
• mankhwala akuchipatala

Mapapo ndi kutupa kwa mtima

Nthawi zambiri, ankylosing spondylitis flare-ups imatha kukhudza mtima ndi mapapo pakapita nthawi mwa anthu ena.

Chithandizo:

• NSAIDs
• mankhwala akuchipatala
• jakisoni wa steroid

Kutalika kwakanthawi kumatha

Anthu omwe ali ndi ankylosing spondylitis amakhala ndi moto umodzi mpaka asanu pachaka. Zoyipa zimatha kuyambira masiku ochepa mpaka miyezi itatu kapena kupitilira apo.

Zoyambitsa ndi zoyambitsa zamoto

Palibe zifukwa zodziwika za ankylosing spondylitis. Ziwombankhanga sizingayang'aniridwe nthawi zonse. Anthu ena omwe ali ndi ankylosing spondylitis atha kukhala ndi zovuta zina zomwe zimayambitsa. Kudziwa zomwe zimayambitsa - ngati muli nazo - kungathandize kupewa kuwonongeka.

Wachipatala anapeza kuti 80 peresenti ya anthu omwe ali ndi ankylosing spondylitis amamva kuti kupsinjika mtima kumawakulitsa.

Kupewa ndikuwongolera zoyipa

Kusankha moyo wathanzi kumathandizanso kuwongolera moto. Mwachitsanzo, kuchita masewera olimbitsa thupi pafupipafupi komanso kuthandizira thupi kumathandizira kuchepetsa ululu komanso kuuma.

Siyani kusuta fodya ndikupewa utsi wa fodya. Anthu omwe ali ndi ankylosing spondylitis omwe amasuta amakhala pachiwopsezo chachikulu cha kuwonongeka kwa msana. Vutoli limakhudzanso mtima wanu. Mutha kukhala ndi chiopsezo chachikulu cha matenda amtima ndi sitiroko ngati mumasuta.

Imwani mankhwala onse ndendende momwe akufunira kuti muthane ndikuthana ndi ziphuphu. Dokotala wanu akhoza kukupatsani mankhwala amodzi kapena angapo omwe amathandiza kuchepetsa kutupa. Izi zitha kuthandiza kupewa kapena kuchepetsa kukwiya. Mankhwala omwe amagwiritsidwa ntchito pochizira ankylosing spondylitis ndi awa:

• adalimumab (Humira)
• etanercept (Enbrel)
• golimumab (Simponi)
• infliximab (Kutulutsa)
• Mankhwala oletsa-TNF
• mankhwala a chemotherapy
• IL-17 inhibitor, monga secukinumab (Cosentyx)

Maganizo ake ndi otani?

Matenda aliwonse kapena vuto lililonse limatha kubweretsa zizindikiro zam'maganizo. Mu, pafupifupi 75 peresenti ya anthu omwe ali ndi ankylosing spondylitis adanena kuti akumva kukhumudwa, kukwiya, komanso kudzipatula. Lankhulani ndi dokotala wanu zakumverera kwanu kapena pemphani chithandizo cha akatswiri azaumoyo.

Kuyanjana ndi gulu lothandizira ndikupeza zambiri kungakuthandizeni kumva kuti mukuyang'anira chithandizo chanu. Lowani nawo bungwe la ankylosing spondylitis kuti mukhale ndi chidziwitso chatsopano chazaumoyo. Lankhulani ndi anthu ena omwe ali ndi vutoli kuti mupeze njira yabwino yoyendetsera ankylosing spondylitis kwa inu.

Zomwe mumakumana nazo ndi ankylosing spondylitis flare-ups sizikhala zofanana ndi wina amene ali ndi vutoli. Samalani thupi lanu. Sungani chizindikiro cha tsiku ndi tsiku ndi magazini ya chithandizo. Komanso lembani zomwe zingayambitse zomwe mungaone.

Uzani dokotala wanu ngati mukuganiza kuti mankhwala akuthandizira kupewa kuyatsa kapena kuchepetsa zizindikilo kapena ngati mukuwona kuti chithandizo sichikuthandizani. Zomwe zidakugwirirani ntchito mwina sizikugwirani ntchito pakapita nthawi. Dokotala wanu angafunikire kusintha mankhwala anu momwe ankylosing spondylitis amasinthira.