ʻIke i ka Ankylosing Spondylitis

Anter

• Pehea e ʻike ʻia ai ka AS?
• Nā hoʻāʻo
• He hōʻike kino piha
• Nā hoʻāʻo kiʻi
• Nā hoʻāʻo Laboratory
• He aha nā kauka e hōʻoia ai i ka ankylosing spondylitis?
• Ma mua o kou koho ʻana

ʻO kaʻeha hope kekahi o nā maʻi maʻamau i ʻAmelika Hui Pū ʻIa i kēia lā. Ma kahi o 80 pākēneka o nā mākua ʻike i ka ʻeha hope i kekahi manawa o ke ola.

ʻO ka hapa nui o kēia mau hihia ma muli o ka hōʻeha a hōʻino ʻia paha. Eia nō naʻe, he hopena paha kekahi o kekahi ʻano. ʻO kekahi kahi ʻano o ka maʻi ʻōlapa i kapa ʻia ʻo ankylosing spondylitis (AS).

ʻO AS kahi kūlana kūpikipiki holomua e hoʻonāukiuki i kou kuamoʻo a me nā hono kokoke i ka pelvis. Ma loko o kahi manawa lōʻihi, hiki i ka mumū mau ke hoʻonā i ka vertebrae i loko o kou iwi kuʻekuʻe, e hoʻoliʻiliʻi liʻiliʻi.

Hiki i nā poʻe me AS ke kū i mua no ka mea nāwaliwali nā mākala extensor ma mua o nā mākala flexor e huki i ke kino i mua (flexion).

Ke hele a paʻakikī ke kuamoʻo a me nā fuse, ua ʻoi aku ka maikaʻi o ka ʻimi ʻana. I nā kūlana holomua, ʻaʻole hiki i kahi kanaka me AS ke hāpai i ko lākou poʻo i mea e ʻike ai i mua o lākou.

ʻOiai ʻo AS ka mea nui i ka iwi kuamoʻo a me ka vertebrae kahi e hoʻopili ai nā iwi a me nā ligament i ka iwi, hiki iā ia ke hoʻopili i nā hono ʻē aʻe, e like me nā poʻohiwi, nā wāwae, nā kuli, a me nā pūhaka. I nā hihia kakaikahi, hiki ke hoʻopili i nā ʻōpū a me nā meaola.

Hoʻohālikelike ʻia me nā ʻano ʻē aʻe o ka maʻi o ka maʻi o ka maʻi, kekahi ʻano kū hoʻokahi o AS ʻo sacroiliitis. ʻO kēia ka mumū o ka sacroiliac ami, kahi e pili ai ka iwi kuamoo a me ke pelvis.

Hoʻopili pinepine ʻia nā kāne e AS ma mua o nā wahine, ʻoiai ʻaʻole ʻike iki ʻia i nā wahine.

No nā miliona o ka poʻe ʻAmelika me ka ʻehaʻeha hope, e hoʻomaopopo nei i kēia ʻano he kī paha i ka mālama ʻana i ka ʻeha a me ka ʻike ʻana paha i ka ʻehaʻeha o ke kua e like me AS.

Pehea e ʻike ʻia ai ka AS?

ʻAʻohe o nā kauka i hoʻokahi hōʻike e hōʻoia ai iā AS, no laila pono lākou e kāpae i nā wehewehe ʻē aʻe no kāu mau ʻōuli, a e nānā i ka huina o nā hōʻailona a me nā hōʻailona o AS. E hana ai i kēia, alakaʻi kāu kauka i kahi hoʻokolohua kino a me nā hoʻokolohua ʻē aʻe.

E makemake pū kāu kauka e kiʻi i kāu mōʻaukala olakino piha i mea e ʻike pono ai i kāu mau hōʻailona. E nīnau aku kāu kauka iā ʻoe:

• pehea ka lōʻihi o kou loaʻa ʻana i nā ʻōuli
• ke ʻoi aku ka maikaʻi o kāu mau ʻōuli
• he aha nā hōʻailona āu i hoʻāʻo ai, he aha ka mea i hana, a he aha ka ʻole
• he aha nā hōʻailona ʻē aʻe āu e ʻike nei
• kou mōʻaukala o nā hana olakino a i ʻole nā ​​pilikia
• kekahi moʻolelo o ka ʻohana o nā pilikia e like me ka mea āu e ʻike nei

Nā hoʻāʻo

E nānā i ka mea āu e manaʻo ai no nā hoʻokolohua a kāu kauka e hana ai e hōʻoia iā AS.

He hōʻike kino piha

Mālama kāu kauka i kahi hoʻokolohua kino i mea e ʻike ai i nā hōʻailona Telltale a me nā ʻōuli o AS.

Hiki paha iā lākou ke neʻe i kāu mau hono a i ʻole hana ʻoe i kekahi mau hana i hiki iā lākou ke nānā i ke ʻano o ka neʻe i kāu mau hono.

Nā hoʻāʻo kiʻi

Hāʻawi i nā hoʻokolohua kiʻi i kāu kauka i kahi manaʻo o nā mea e hana nei i loko o kou kino. ʻO nā hoʻokolohua kiʻi āu e pono ai e komo pū:

• X-Ray: Hāʻawi kahi X-ray i kāu kauka e ʻike i kou mau hono a me nā iwi. E nānā lākou i nā hōʻailona o ka lū, ka hōʻino, a me ka fusion.
• MRI scan: Hoʻouna kahi MRI i nā nalu lekiō a me ka māla uila ma o kou kino e hana i kiʻi o nā palupalu o kou kino. Kōkua kēia i kāu kauka e ʻike i ka mumū ma loko a me nā hono.

Nā hoʻāʻo Laboratory

Hoʻokolohua nā Lab i kāu kauka e kauoha pū:

• HLA-B27 hōʻike hoʻāʻo: Ua hōʻike ʻia he mau makahiki hebedoma o ka noiʻi ʻana iā AS i kahi mea e ʻike ʻia ai ka pilikia: ʻo kāu mau genes. ʻO ka poʻe me ka HLA-B27 ʻoi aku ka maʻalahi o ka gen i ka hoʻomohala ʻana iā AS. Eia naʻe, ʻaʻole kēlā me kēia kanaka me ka ʻāpana e hoʻomohala i ka maʻi.
• Helu piha koko (CBC): Ana kēia hōʻike i ka helu o nā hunaola ʻulaʻula a keʻokeʻo i kou kino. Hiki i kahi hōʻike CBC ke kōkua i ka ʻike a kāpae i nā kūlana kūpono ʻē aʻe.
• Ka helu sedimentation ʻErythrocyte (ESR): Hoʻohana kahi hōʻike ESR i kahi laʻana koko e ana i ka mumū i kou kino.
• C-reactive protein (CRP): ʻO ke ana ʻana o ka CRP kahi ana hoʻi i ka mumū, akā ʻoi aku ka maʻalahi ma mua o kahi hōʻike ESR.

He aha nā kauka e hōʻoia ai i ka ankylosing spondylitis?

E kūkākūkā paha ʻoe i kou ʻehaʻeha me kou kauka mālama mua.

Inā kuhi kāu kauka mua iā AS, e kuhikuhi paha lākou iā ʻoe i ka rheumatologist. ʻO kēia kahi ʻano kauka e loea ana i ka maʻi kōlani a me nā kūlana ʻē aʻe e hoʻopili i nāʻiʻo, nā iwi, a me nā ami, e like me ke ʻano o nā maʻi autoimmune.

ʻO ka rheumatologist ka mea maʻamau e hōʻoia pono a mālama iā AS.

Ma muli o ka maʻi maʻi o AS, hiki iā ʻoe ke hana pū me kāu rheumatologist i mau makahiki. Makemake ʻoe e ʻike i kahi āu e hilinaʻi ai a me ka ʻike me AS.

Ma mua o kou koho ʻana

Hiki i kekahi manawa i ke koho kauka ke holo a kaumaha. Maʻalahi e poina i ka nīnau ʻana i kahi nīnau a haʻi ʻana paha i kahi kikoʻī e pili ana i kāu mau hōʻailona.

Eia kekahi mea e hana ai ma mua o ka manawa i hiki ke kōkua iā ʻoe e loaʻa ka mea nui mai kāu wā i koho ai.

• E hana i kahi papa inoa o nā nīnau āu e makemake ai e nīnau i ke kauka.
• E kākau i kahi kaʻina manawa o kāu mau hōʻailona, ​​e like me ka wā i hoʻomaka ai a pehea lākou e holomua ai.
• E hōʻiliʻili i nā hopena a i ʻole nā ​​palapala olakino e hōʻike i ke kauka.
• E kākau i nā mea āpau e pili ana i ka mōʻaukala olakino o kou ʻohana āu e manaʻo ai hiki ke kōkua i ke kauka me ka ʻike a me ka lāʻau.

ʻO ka mākaukau e kōkua iā ʻoe e hoʻohana pono i kou manawa ke ʻike ʻoe i kāu kauka. Hiki ke kōkua i ka lawe ʻana i nā leka i ke kōkua o ka manaʻo e like me ka mea e pono ai e hoʻomanaʻo i nā mea āpau.