Pambuyo pa Ululu Wammbuyo: Zizindikiro Zochenjeza 5 za Ankylosing Spondylitis

Zamkati

• Kodi ankylosing spondylitis ndi chiyani?
• Kodi zizindikiro zake ndi ziti?
• Chizindikiro # 1: Muli ndi zowawa zosadziwika kumunsi kwakumbuyo.
• Chizindikiro # 2: Muli ndi mbiri ya banja la AS.
• Chizindikiro # 3: Ndiwe wachichepere, ndipo uli ndi zowawa zosadziwika mu chidendene, minyewa, kapena pachifuwa.
• Chizindikiro # 4: Zowawa zanu zimatha kubwera, koma pang'onopang'ono zimakweza msana wanu. Ndipo zikukulirakulira.
• Chizindikiro # 5: Mumakhala omasuka kuzizindikiro zanu potenga ma NSAID.
• Ndani amakhudzidwa ndi AS?
• Kodi matenda a AS amapezeka bwanji?

Kodi ndi zowawa basi - kapena ndichinthu china?

Ululu wammbuyo ndimadandaulo apamwamba azachipatala. Ndi chifukwa chachikulu chomwe chimasowa ntchito. Malinga ndi National Institute of Neurological Disorders and Stroke, pafupifupi achikulire onse adzafunafuna chithandizo cham'mimba nthawi ina m'miyoyo yawo. American Chiropractic Association inanena kuti anthu aku America amawononga pafupifupi $ 50 biliyoni pachaka kuchiza ululu wammbuyo.

Pali zifukwa zambiri zomwe zimayambitsa kupweteka kwakumbuyo. Kawirikawiri zimayambitsidwa ndi zoopsa kuchokera mwadzidzidzi pamsana. Koma muyenera kudziwa kuti kupweteka kwa msana kungathenso kuwonetsa vuto lalikulu lotchedwa ankylosing spondylitis.

Kodi ankylosing spondylitis ndi chiyani?

Mosiyana ndi ululu wamba wam'mbuyo, ankylosing spondylitis (AS) sichimayambitsidwa ndi kupwetekedwa kwa msana. M'malo mwake, ndi matenda osachiritsika omwe amayamba chifukwa cha kutupa m'mitsempha yamafupa (mafupa a msana). Monga mtundu wamatenda am'mimba.

Zizindikiro zofala kwambiri ndikumapweteka kwakanthawi kwam'mimba komanso kuuma. Komabe, matendawa amathanso kukhudza ziwalo zina, komanso maso ndi matumbo. Kutsogola kwa AS, kukula kwamafupa amtundu wa vertebrae kumatha kupangitsa mafupa kusakanikirana. Izi zitha kuchepetsa kwambiri kuyenda. Anthu omwe ali ndi AS amathanso kukumana ndi mavuto a masomphenya, kapena kutupa m'malo ena, monga mawondo ndi akakolo.

Kodi zizindikiro zake ndi ziti?

Chizindikiro # 1: Muli ndi zowawa zosadziwika kumunsi kwakumbuyo.

Kupweteka kwakumbuyo nthawi zambiri kumamveka bwino mukapuma. AS ndizosiyana. Ululu ndi kuuma nthawi zambiri kumakhala koyipa podzuka. Ngakhale kuchita masewera olimbitsa thupi kumatha kupweteketsa ululu wammbuyo, AS zizindikiritso zimatha kukhala bwino mukamachita masewera olimbitsa thupi.

Kuchepetsa kupweteka kwakumbuyo popanda chifukwa chenicheni sichimachitika mwa achinyamata. Achinyamata ndi achikulire omwe amadandaula za kuuma kapena kupweteka m'munsi kumbuyo kapena m'chiuno ayenera kuyesedwa ngati AS ndi dokotala. Ululu nthawi zambiri umakhala m'malo amisili ya sacroiliac, pomwe mafupa a chiuno ndi msana amakumana.

Chizindikiro # 2: Muli ndi mbiri ya banja la AS.

Anthu omwe ali ndi zilembo zina amatha kutenga AS. Koma si anthu onse omwe ali ndi majini omwe amadwala matendawa, pazifukwa zomwe sizikudziwika bwinobwino. Ngati muli ndi wachibale yemwe ali ndi AS, psoriatic arthritis, kapena nyamakazi yokhudzana ndi matenda opatsirana am'mimba, mutha kukhala ndi majini omwe mudalandira omwe amakupatsani chiopsezo chachikulu cha AS.

Chizindikiro # 3: Ndiwe wachichepere, ndipo uli ndi zowawa zosadziwika mu chidendene, minyewa, kapena pachifuwa.

M'malo mopweteka msana, odwala ena a AS amayamba kumva kupweteka chidendene, kapena kupweteka komanso kuuma pamalumikizidwe amanja, akakolo, kapena mafupa ena. Mafupa a nthiti za wodwala ena amakhudzidwa, pomwe amakumana ndi msana. Izi zimatha kuyambitsa chifuwa m'chifuwa chomwe chimapangitsa kupuma kupuma. Lankhulani ndi dokotala ngati izi zikuchitika kapena zikupitilira.

Chizindikiro # 4: Zowawa zanu zimatha kubwera, koma pang'onopang'ono zimakweza msana wanu. Ndipo zikukulirakulira.

AS ndi matenda osachiritsika, opita patsogolo. Ngakhale masewera olimbitsa thupi kapena opweteka atha kuthandiza kwakanthawi, matendawa amatha kukulirakulira. Zizindikiro zimatha kubwera, koma sizingathe kwathunthu. Nthawi zambiri ululu ndi kutupa zimafalikira kuchokera kutsika kumbuyo mpaka kumbuyo. Ngati satayika, ma vertebrae amatha kulumikizana limodzi, ndikupangitsa kuti msana, kapena mawonekedwe owoneka ngati obvunda abwerere (kyphosis).

Chizindikiro # 5: Mumakhala omasuka kuzizindikiro zanu potenga ma NSAID.

Poyamba, anthu omwe ali ndi AS amalandila mpumulo wazizindikiro pamankhwala othandiza odana ndi zotupa, monga ibuprofen kapena naproxen. Mankhwalawa, otchedwa NSAIDs, samasintha matendawa, komabe.

Ngati madokotala anu akuganiza kuti muli ndi AS, akhoza kukupatsani mankhwala apamwamba kwambiri. Mankhwalawa amalunjika mbali zina za chitetezo cha mthupi. Zida za chitetezo cha mthupi zotchedwa cytokines zimathandiza kwambiri pakatupa. Awiri makamaka - chotupa necrosis factor alpha ndi interleukin 10 - amalimbana ndi njira zamakono zamankhwala. Mankhwalawa amatha kuchepetsa kukula kwa matendawa.

Ndani amakhudzidwa ndi AS?

AS imakhudzanso anyamata, koma imakhudzanso amuna ndi akazi. Zizindikiro zoyambirira nthawi zambiri zimawoneka kumapeto kwa unyamata mpaka zaka zoyambira msinkhu. AS imatha kukula msinkhu uliwonse, komabe. Chizolowezi chokhala ndi matendawa chimachokera kwa makolo, koma sikuti aliyense amene ali ndi majini amtunduwu amakhala ndi matendawa. Sizikudziwika chifukwa chake anthu ena amatenga AS pomwe ena satero. A amene ali ndi matendawa amakhala ndi jini inayake yotchedwa HLA-B27, koma sikuti anthu onse omwe ali ndi jini amakhala ndi AS. Kufikira majini 30 apezeka omwe atha kutenga nawo mbali.

Kodi matenda a AS amapezeka bwanji?

Palibe mayeso amodzi a AS. Kuzindikira kumaphatikizapo mbiri yakale ya wodwalayo komanso kuyezetsa thupi. Dokotala wanu amathanso kuyitanitsa mayeso oyerekeza, monga computed tomography (CT), imaginization resonance imaging (MRI), kapena X-ray. Akatswiri ena amakhulupirira kuti MRI iyenera kugwiritsidwa ntchito pozindikira matenda a AS kumayambiriro kwa matendawa, asanawonekere pa X-ray.