Nā Kūlana ʻē aʻe a me nā pilikia o Ankylosing Spondylitis

Anter

• Nā hōʻailona maʻamau o AS
• Nā pilikia kūpono o AS
• Nā pilikia maka
• Nā hōʻailona Neurological
• Nā pilikia Gastrointestinal
• Kuʻi iwi kuʻi
• Nā haki
• Nā pilikia puʻuwai a me ka māmā
• ʻEha hui a me nā hōʻino
• Ka luhi
• Ka wā e ʻike ai i ke kauka

Inā ua loaʻa iā ʻoe kahi hōʻailona o ka ankylosing spondylitis (AS), e noʻonoʻo paha ʻoe i ke ʻano o kēlā. ʻO AS kahi ʻano o ka maʻi kōā e hoʻopili pinepine i ka iwi kuamoo, e hoʻoulu ai i nā hono o ka sacroiliac (SI) i ka pelvis. Hoʻohui kēia mau hono i ka iwi kapu i ka ʻaoʻao haʻahaʻa o ka iwi i kou pelvis.

ʻO AS kahi maʻi maʻi e hiki ʻole ke hoʻōla ʻia, akā hiki ke mālama ʻia me ka lāʻau a, i nā manawa kakaikahi, ʻoki kino.

Nā hōʻailona maʻamau o AS

ʻOiai pili ʻo AS i ka poʻe ma nā ʻano like ʻole, pili mau kekahi mau ʻōuli me ia. Pākuʻi ʻia kēia mau mea:

• ʻeha a paʻakikī paha i kou kua i lalo a me kou mau puʻupuʻu
• ka hoʻomaka iki ʻana o nā hōʻailona, ​​e hoʻomaka ana ma kekahi ʻaoʻao
• ʻeha e hoʻomaikaʻi me ka hoʻoikaika kino a hōʻino hoʻi me ka hoʻomaha
• luhi a me ka hōʻoluʻolu holoʻokoʻa

Nā pilikia kūpono o AS

ʻO AS kahi maʻi mau, nāwaliwali. ʻO kēia ke hiki ke hele i mua o ka maikaʻi. Hiki i nā pilikia koʻikoʻi ke ala aʻe i ka manawa, keu hoʻi inā ʻaʻole mālama ʻia ka maʻi.

Nā pilikia maka

Kāhea ʻia ka mumū o kekahi a i ʻole nā ​​maka ʻelua i ka iritis a i ʻole ka uveitis. ʻO ka hopena he ʻulaʻula, ʻeha, maka maka pehu a ʻike hihi.

Ma kahi o ka hapalua o nā mea maʻi me ka AS ʻike iritis.

ʻO nā pilikia o ka maka e pili pū ana me AS ka mea pono e mālama koke ʻia e pale i ka hōʻino hou ʻana.

Nā hōʻailona Neurological

Hiki i nā pilikia neurological ke ulu i ka poʻe i loaʻa iā AS no kahi manawa lōʻihi loa. Loaʻa kēia i ka cauda equina syndrome, i kumu ʻia e ka ulu nui ʻana o ka boney a me ka ʻili ʻana o nā aʻa ma ke kumu o ka iwi kuamoʻo.

ʻOiai he kakaikahi ka maʻi maʻi, hiki i nā pilikia koʻikoʻi ke ala aʻe, me:

• kāohi ʻole
• nā pilikia moekolohe
• paʻa mimi
• ʻeha ʻelua mau wāwae / ʻeha o ka wāwae kiʻekiʻe
• nāwaliwali

Nā pilikia Gastrointestinal

Hiki i ka poʻe me AS ke ʻike i ka lī o ka gastrointestinal tract a me nā ʻōpū ma mua o ka hoʻomaka ʻana o nā hōʻailona hui a i ʻole i ka hōʻike ʻana o kēia maʻi. Hiki i kēia ke hopena i ka ʻeha o ka ʻōpū, diarrhea, a me nā pilikia digestive.

I kekahi mau hihia,, ulu paha ka ulcerative colitis, a i ʻole Crohn's disease.

Kuʻi iwi kuʻi

Hiki i ka iwi hou ke hana ma waena o kāu vertebrae i ka wā e hōʻino ai nā hono a laila ho'ōla. Hiki i kēia ke kuhi i kou kuamoʻo, e paʻakikī ana i ka piʻo a wili. Kapa ʻia kēia fusing ʻo ankylosis.

I ka poʻe mālama ʻole i ke kūlana kūlike ʻole ("maikaʻi"), hiki i ke kuamoʻo i hoʻopili ʻia ke hopena i kahi kūlana stooped i hoʻopaʻa ʻia ma kahi. Hiki i ka hoʻoikaika kino ʻana ke kōkua i ka pale ʻana i kēia.

ʻO ka holomua i nā mālama e like me nā biologics ke kōkua i ka pale ʻana i ka holomua o ka ankylosis.

Nā haki

ʻIke pū ka poʻe me AS i nā iwi lahilahi, a i ʻole osteoporosis, ʻo ia hoʻi i kēlā mau mea me nā pilikia ʻōiwi i hoʻopili ʻia. Hiki i kēia ke alakaʻi i nā haʻihaʻi o ka compression.

Ma kahi o ka hapalua o nā maʻi AS i loaʻa ka osteoporosis. ʻO ka mea maʻamau kēia ma ka iwi kuamoʻo. I kekahi mau hihia, ua hōʻino ʻia paha ka iwi kuamoʻo.

Nā pilikia puʻuwai a me ka māmā

Hiki ke laha ka līlū i ke aorta, ka aʻa nui o kou kino. Hiki i kēia ke pale i ka aorta mai ka hana maʻamau, ke alakaʻi i.

ʻO nā pilikia puʻuwai e pili pū me AS:

• aortitis (hoʻāhu o ka aorta)
• maʻi maʻi aorta
• cardiomyopathy (maʻi o ka puʻuwai puʻupuʻu)
• maʻi maʻi ischemic (e hopena ana i ke kahe ʻana o ke koko a me ka oxygen i ka puʻuwai puʻuwai)

Hiki ke hoʻomohala i ka scarring a i ʻole fibrosis i nā akemāmā luna, a me ka hōʻino ʻia o ka ventilatory, maʻi maʻi ma waena, a me nā ʻūhā i hiolo. Paipai nui ʻia ka haʻalele ʻana i ka puhipaka inā ʻoe he puhipaka me AS.

ʻEha hui a me nā hōʻino

Wahi a ka Spondylitis Association of America, ma kahi o 15 pākēneka o ka poʻe me AS ʻike i ka pehu iwi.

ʻO ka hoʻohaunaele ma nā wahi e hui ai kou iwi ā hiki ke hana i ka ʻehaʻeha a me ka paʻakikī e wehe a pani i kou waha. Hiki i kēia ke alakaʻi i nā pilikia me ka ʻai ʻana a me ka inu ʻana.

Hoʻomaʻamaʻa kahi e hoʻopili ai nā ligament a i ʻole nā ​​kaula i ka iwi i AS. Hiki ke hana i kēia ʻano lī ma ka hope, nā iwi pelvic, ka umauma, a ʻo ka kuʻekuʻe hoʻi.

Hoʻolahalaha paha ka huhū i nā hono a me ka cartilage i kou iwi. Ma hope o ka manawa, kuhi paha nā iwi i loko o kou iwi, e paʻakikī ana i ka hoʻonui ʻana o ka umauma a me ka hanu ʻeha ʻana.

ʻO nā wahi ʻē aʻe i hoʻopili ʻia e hoʻopili ʻia:

• ʻeha o ka umauma e hoʻohālikelike i ka angina (puʻuwai puʻuwai) a i ʻole pleurisy (ʻeha ke hanu nui)
• ʻehaʻeha a me ka ʻūhā

Ka luhi

ʻIke nā mea maʻi he nui i ka luhi ma mua o ka luhi wale. Hoʻopili pinepine ia me ka nele o ka ikaika, ka luhi nui, a me ka noe o ka lolo.

ʻO ka luhi e pili ana iā AS hiki ke kumu ʻia e kekahi mau kumu:

• nalo o ka hiamoe mai ka ʻeha a hōʻoluʻolu ʻole paha
• anemia
• ka nāwaliwali o ka mākala e hana ikaika ana i kou kino e neʻe a puni
• kaumaha, nā pilikia olakino ʻē aʻe, a
• kekahi mau lāʻau i hoʻohana e mālama ai i ka maʻi kō

E kuhi paha kāu kauka ma mua o hoʻokahi ʻano o ka mālama ʻana i nā pilikia o ka luhi.

Ka wā e ʻike ai i ke kauka

Inā ʻoe e ʻeha nei i ka ʻeha o ke kua, he mea nui ia e ʻike i ka mea mālama ola ke hiki iā ʻoe. Maikaʻi ka mālama mua ʻana no ka hōʻemi ʻana i nā ʻōuli a me ka lohi o ka holo ʻana o ka maʻi.

Hiki iā AS ke ʻike ʻia me kahi X-ray a me MRI scan e hōʻike ana i ka hōʻike o ka mumū a me kahi hoʻokolohua lab no kahi māka genetery i kapa ʻia HLA B27. Hōʻike nā mea kuhikuhi o AS i ka mumū o ka hui ʻana o SI ma ka ʻaoʻao haʻahaʻa o ke kua a me ka ilium ma ka ʻaoʻao luna o ka ʻūhā.

ʻO nā kumu pilikia AS e:

• Makahiki: ʻO ka hoʻomaka mua ʻana ka hopena o ke ʻōpio a i ʻole ke oʻo makua ʻana.
• Nā Genetics: Loaʻa ka hapa nui o ka poʻe me AS. ʻAʻole hōʻoia kēia gena e loaʻa ʻoe iā AS, akā hiki iā ia ke kōkua i ke kuhi.