Nā pilikia o Ankylosing Spondylitis

Anter

• He aha ka AS?
• Nā pilikia o AS
• ʻOʻoleʻa a hoʻemi i ka maʻalahi
• Iritis
• Poino hui pū
• Ka luhi
• Osteoporosis a me nā haʻi iwi
• Maʻi maʻi puʻuwai
• Maʻi GI
• Nā pilikia paʻakikī
• Cauda Equina Syndrome
• ʻO Amyloidosis
• Ka wā e ʻike ai i ke kauka

ʻO kaʻeha hope kekahi o nā hoʻopiʻi lapaʻau maʻamau i ʻAmelika i kēia lā.

I ka ʻoiaʻiʻo, e like me ka National Institute of Neurological Disorder a me ka Stroke, ma kahi o 80 pākēneka o nā mākua ʻike i ka ʻehaʻeha o ke kua i kekahi manawa i ko lākou ola.

ʻO ke kumu o ka ʻehaʻeha ke waiho pinepine ʻole ʻia. Hoʻemi ʻia ia ma ke ʻano he pilikia huhū, hūnā ʻia e nā lāʻau ʻehaʻeha a waiho pinepine ʻole ʻia.

Eia nō naʻe, hiki ke ʻike ʻia kahi kikoʻī o ke kumu. I kekahi mau hihia, ʻehaʻeha hope paha ka hopena o ka ankylosing spondylitis (AS).

He aha ka AS?

ʻO AS kahi holomua, ʻano ʻāpala o ka arthritis e hoʻololi ana i ka iwi axial (spine) a me nā hono kokoke.

Hiki i ka mumū mau i ka manawa ke kumu i ka iwi kuamoʻo i ka iwi kuʻekuʻe e hui pū. A ʻo kahi hopena, e emi ana ka maʻalahi o ka iwi kuamoʻo.

Ke holo nei ka maʻi, ua nalowale ke kuamoʻo i kona maʻalahi, a ʻoi aku ka ʻeha o ke kua. ʻO nā ʻōuli mua o ka maʻi ʻo:

• ʻeha mau ma kou kua i lalo a me kou pūhaka
• ʻoʻoleʻa i kou kua i lalo a me kou pūhaka
• hoʻonui i kaʻeha a me ka paʻakikī i ke kakahiaka a ma hope paha o ka lōʻihi o ka hana ʻole

Nui nā poʻe me ka maʻi e kū i mua. I nā kūlana holomua o ka maʻi, ʻinoʻino loa paha ke kuni i hiki ʻole i kahi kanaka ke hāpai i ko lākou poʻo i mea e ʻike ai i mua o lākou.

ʻO nā kumu pilikia no AS pū me:

• Makahiki: ʻO ka wā ʻōpio ʻōpio a i ʻole ke kakahiaka nui ke hiki ke hoʻomaka.
• Moekolohe: ʻOi aku ka ulu pinepine o nā kāne iā AS.
• Nā Genetics: ʻO ka hapa nui o ka poʻe me AS ka, ʻoiai ʻaʻole ia e hōʻoia i ka ulu ʻana o ka maʻi.

Nā pilikia o AS

ʻOʻoleʻa a hoʻemi i ka maʻalahi

Inā haʻalele ʻole ʻia, hiki i ka mumū mau ke hoʻonā i ka vertebrae i kou iwi kuʻekuʻe e hui pū. Ke hiki mai kēia, e lilo i kou kuamoʻo i mea maʻalahi a maʻalahi hoʻi.

Ua hōʻemi paha ʻoe i ke ʻano o ka neʻe ke:

• kūlou
• wili
• huli ana

Hiki paha iā ʻoe ke ʻehaʻeha hope ʻoi aku ka nui a pinepine hoʻi.

ʻAʻole kau palena ʻia ka mumū i kou kuamoʻo a me ka vertebrae. Hiki iā ia ke hoʻopili i nā hono kokoke, me kāu:

• pūhaka
• poʻohiwi
• iwi ʻaoʻao

ʻO kēia ke kumu o ka ʻeha a me ka ʻoʻoleʻa i kou kino.

Hiki paha i ka mumū ke hoʻopili i nā olonā a me nā liga e hoʻopili i kou mau iwi, i mea e paʻakikī ai ka neʻe ʻana o nā hono.

I kekahi mau hihia, hiki i nā ʻōpū, e like me kou ʻōpū, ka puʻuwai, a i ʻole hiki i kou mau māmā ke hoʻopili ʻia e ke kaʻina inflammatory.

Iritis

ʻO Iritis (a i ʻole uveitis mua) kahi ʻano lī o ka maka ma kahi o 50 pākēneka o ka poʻe me ka ʻike AS. Inā pālahalaha ka palapū i kou mau maka, hiki iā ʻoe ke hoʻomohala:

• ʻeha ka maka
• ʻike i ka mālamalama
• ʻike hihi ʻole

Hoʻomaʻamaʻa pinepine ʻia ʻo Iritis me nā kulu maka corticosteroid topical a pono i ka lāʻau lapaʻau koke e pale i ka pohō.

Poino hui pū

ʻOiai ʻo ka ʻāpana nui o ka mumū ka iwi kuamoʻo, ʻeha a me nā ʻino pū pū pū kekahi i ka:

• iwi ā
• umauma
• ʻāʻī
• poʻohiwi
• pūhaka
• nā kuli
• kuʻekuʻe wāwae

Wahi a ka Spondylitis Association of America, ma kahi o 15 pākēneka o ka poʻe me AS i pehu ka iwi ā, hiki ke hoʻopili i ka nau a me ka ale ʻana.

Ka luhi

Ua hōʻike ʻia kahi noiʻi e pili ana i ka poʻe me ka ʻike AS.

• luhi, ʻano luhi loa
• ohu lolo
• he ikaika ole

Hiki i kekahi mau kumu ke hāʻawi i kēia, e like me:

• anemia
• nalo o ka hiamoe mai ka ʻeha a hōʻoluʻolu ʻole paha
• ke hoʻoikaika nei i ka nāwaliwali i kou kino e hana ʻoi aku ka ikaika
• kaumaha, nā pilikia olakino ʻē aʻe, a
• kekahi mau lāʻau i hoʻohana e mālama ai i ka maʻi kō

ʻO ka mālama ʻana i ka luhi ke koi pinepine ʻia i nā mālama he nui e hoʻoponopono i nā mea hāʻawi ʻokoʻa.

Osteoporosis a me nā haʻi iwi

ʻO ka Osteoporosis kahi pilikia pinepine no nā poʻe me AS a hiki ke hoʻonā i nā iwi nāwaliwali. Loaʻa i ka hapalua o nā poʻe āpau me kēia ʻano he osteoporosis.

ʻOi aku ka maʻalahi o ka haʻihaʻi o nā iwi i hōʻino ʻia, nāwaliwali hoʻi. No ka poʻe me AS, he ʻoiaʻiʻo maoli nō kēia i ka iwi kuamoʻo. ʻO nā haki i nā iwi o kou iwi kuʻikuʻi e hōʻino paha i kou iwi kuamoʻo a me nā ʻalolo e pili ana iā ia.

Maʻi maʻi puʻuwai

Ua pili ʻo AS me ka helu o, me:

• aortitis
• maʻi maʻi aorta
• cardiomyopathy
• maʻi maʻi ischemic

Hiki i ka līlū ke hoʻopili i kou puʻuwai a aorta. I ka hala ʻana o ka manawa, hiki ke hoʻonui ʻia a hoʻonui ʻia ka aorta ma muli o ka hopena. Hiki i ke kiwikā aortic i hōʻino ke hōʻino i ka hiki i kou puʻuwai ke hana kūpono.

komo pū paha:

• fibrosis o nā lobes o luna
• maʻi ma waena
• hoʻāhu ventilatory
• ʻāpana moe
• hāhā hāhā

Maʻi GI

Nui nā poʻe me AS ʻike i ka lī o ka gastrointestinal tract a me nā ʻōpū e hoʻoulu ana:

• ʻeha ka ʻōpū
• pāhoehoe
• nā pilikia digestive

He loulou kā AS i:

• ulcerative colitis
• Maʻi ʻo Crohn

Nā pilikia paʻakikī

Cauda Equina Syndrome

ʻO Cauda equina syndrome (CES) kahi maʻi neurological hoʻonāwaliwali loa o AS i loaʻa pinepine i ka poʻe i loaʻa iā AS no nā makahiki he nui.

Hiki i nā CES ke hoʻopilikia i ka motika a me ka hana sensory i nā wāwae o lalo a me ka ʻai. Hiki iā ia ke kumu i ka maʻi lōlō.

Hiki iā ʻoe ke ʻike:

• ʻehaʻeha haʻahaʻa e lele paha i ka wāwae
• helu a hōʻemi paha i nā reflexes i nā wāwae
• lilo o ka kaohi ma luna o ka bladder a i ʻole ka ʻōpū

ʻO Amyloidosis

Hana ʻia ʻo Amyloidosis ke kūkulu ʻia kahi protein i kapa ʻia ʻo amyloid i loko o kāu mau aʻa. ʻAʻole i loaʻa maoli ʻo Amyloid i loko o ke kino a hiki ke hōʻeha i nā ʻōpū.

ʻO ka amyloidosis renal ka mea maʻamau i loaʻa i ka poʻe me AS.

Ka wā e ʻike ai i ke kauka

Ma ke kūpono, ʻike ʻoe a me kāu kauka a hōʻoia mua i kāu AS. Hiki iā ʻoe ke hoʻomaka i ka mālama mua ʻana i hiki ke kōkua iā ʻoe e hōʻemi i nā hōʻailona a hoʻemi i ka manawa kūpono i nā wā lōʻihi.

Eia naʻe, ʻaʻole e ʻike ʻia kēlā me kēia kanaka i kēia ʻano i ka wā mua. He mea nui ia e ʻike i kāu kauka inā ʻeha ʻoe i ke kua i hope a maopopo ʻole ke kumu.

Inā manaʻo ʻoe ua pili kāu mau hōʻailona iā AS, e ʻike i kāu kauka i ka wā hiki. ʻO ka lōʻihi o kou kali ʻana, ʻo ka nui o nā manawa e ʻike ʻoe i nā hōʻailona ʻoi loa a me nā pilikia.