Spondyloarthritis: He aha kāu e ʻike ai

Anter

• Nā ʻōuli Spondyloarthritis
• He aha ke kumu o ka spondyloarthritis?
• ʻO wai ka makaʻu no ka spondyloarthritis?
• Nānā i ka spondyloarthritis
• Nā koho lapaʻau Spondyloarthritis
• Kōkua ka mea āu e ʻai ai i ka spondyloarthritis?
• E kōkua ka hele ʻana i ka gluten-free me spondyloarthritis?
• He aha ke kuanaʻike?

He aha ka spondyloarthritis?

ʻO Spondyloarthritis ka huaʻōlelo no kahi hui o nā maʻi ʻōpala e kumu i ka huehue pū, a i ʻole ke kuamoʻo. Manaʻo ka hapa nui o nā maʻi mumū he hoʻoilina. I kēia manawa, ʻaʻohe mea ʻepekema e hōʻike e hiki ke pale ʻia ka maʻi.

Hiki ke hoʻokaʻawale ʻia ʻo Spondyloarthritis ma ke ʻano he axial a peripheral paha. Hoʻopili ka palapala axial i ka hapanui o nā ami pelvic a me ka iwi kuamoʻo. Hoʻopili ke ʻano peripheral i nā lālā. Hiki i ke ʻano ke hoʻoulu i nā maka, nā ʻōpū o ka gastrointestinal, a me nā wahi e hoʻopili ai nā ligament a me nā iwi i kou mau iwi.

ʻO ka ʻano maʻamau o ka spondyloarthritis ka ankylosing spondylitis (AS). Hoʻopili nui kēia ʻano i nā hono o ka iwi kuamoʻo. Hoʻopili paha ia i nā hono nui ʻē aʻe i ke kino.

ʻO nā ʻano spondyloarthritis ʻē aʻe:

• lōkō lōkā
• arthritis psoriatic
• enteropathic arthritis
• juvenile enthesitis-pili arthritis
• spondyloarthritis hoʻokae ʻole ʻia

Nā ʻōuli Spondyloarthritis

ʻO nā ʻōuli nui o ka spondyloarthritis ka ʻeha, ʻoʻoleʻa, a me ka pehu ʻana. Pōʻino paha ka iwi. Ma hea ʻoe e ʻike ai i nā ʻōuli i ke kino e pili ana i ke ʻano o ka spondyloarthritis i loaʻa iā ʻoe.

AS hoʻomaka pinepine ka ʻeha ma ka ʻūhā a me ke kua i lalo. Hoʻolahalaha paha ia i ka umauma a me ka ʻāʻī. Pili pū paha nā tendona a me nā liga. I nā hihia kakaikahi, e loli ka AS i ka puʻuwai a me nā ake māmā.

Enteropathic arthritis hiki ke hōʻeha i ka iwi kuamoʻo, nā lima, a me nā hono o ka wāwae. Hiki iā ia ke kumu i ka maʻi diarrhea a me ka ʻeha o ka ʻōpū ma muli o ka maʻi ʻōpū.

Pā ʻōpio ʻōpio hana pinepine i ka ʻeha ma ka pelvis, ka pūhaka, nā kuʻekuʻe wāwae, a me nā kuli. Hiki i ke ʻano ke luhi.

Pāleʻa psoriatic hiki ke hopena i ka iwi kuamoo. Ke hiki kēia, ʻike ʻia ʻo psoriatic spondyloarthritis. Hiki paha iā ia ke hōʻeha i ka ʻāʻī.

Pākuʻi reactive hiki ke hoʻoulu i ka mimi, nā hono, a me nā maka. Hiki iā ia ke alakaʻi i ka mumū o nā hono o ka iwi kuamoʻo.

Pālahalaha ʻole kumu pinepine i nā ʻōuli e like me AS. Pākuʻi ʻia kēia i ka ʻeha ma ka ʻaoʻao i lalo, ka ʻūhā a me nā kuʻekuʻe wāwae.

He aha ke kumu o ka spondyloarthritis?

ʻAʻole maopopo ke kumu kikoʻī o ka spondyloarthritis, ʻoiai e pāʻani ana nā genetics i kahi ʻāpana. ʻO ka gen nui e pili ana i nā ʻano spondyloarthritis āpau ʻo HLA-B27.

ʻOiai ʻaʻole ka kumu HLA-B27 i kumu i ke ʻano, hiki ke hoʻonui i kou makaʻu i ka hoʻomohala ʻana iā ia. Ke hoʻomau nei ka noiʻi e hoʻoholo pehea e hiki ai i nā genes ke hana i spondyloarthritis.

Hōʻike kekahi i kahi loulou ma waena o kahi kaulike ʻole o kāu microbiome a me ka hoʻomohala ʻana o spondyloarthritis a i ʻole nā ​​maʻi inflammatory. Pono nā noiʻi hou e hoʻomaopopo i ka pilina ma waena o ka bacteria bacteria a me ka ʻōnaehana ʻōnaehana.

ʻO ka arthritis reactive wale nō ke ʻano o spondyloarthritis i ʻike ʻia e ka maʻi bacteria. ʻO nā hopena maʻamau ma hope o chlamydia a i ʻole kahi maʻi i lawe ʻia e ka meaʻai.

ʻO wai ka makaʻu no ka spondyloarthritis?

ʻAʻole maopopo i ke kumu no ka loaʻa ʻana o ka spondyloarthritis i kekahi. ʻOi aku ke kiʻekiʻe o kāu makaʻi no ke ʻano inā ʻoe:

• he lālā o kou ʻohana me ka spondyloarthritis
• no Alaskan, Siberian Eskimo, a i ʻole Skandinavian Lapps ka hanauna
• hōʻoia maikaʻi no ka HLA-B27 gen
• loaʻa i nā maʻi bacteria i kou ʻōpū
• loaʻa kahi maʻi hōʻeha ʻē aʻe, e like me psoriasis a i ʻole maʻi maʻi ʻōpala

Nānā i ka spondyloarthritis

He mea nui ka ʻike mua e kōkua i ka mālama ʻana i nā ʻōuli a hoʻēmi i kou makaʻu i nā pilikia a me ke kīnā ʻole. Manaʻo paha kāu kauka he spondyloarthritis kāu e pili ana i kāu mau ʻōuli, ka mōʻaukala, a me kahi hōʻike olakino.

E hōʻoia ʻia ke ʻano me:

• ʻO nā kukuna X o nā hono sacroiliac i ka pelvis
• kiʻi resonance ʻume mākenēki
• kahi hōʻoia koko e nānā ai no ka ʻohana HLA-B27

Nā koho lapaʻau Spondyloarthritis

ʻAʻohe lāʻau lapaʻau no spondyloarthritis. Mālama ka mālama ʻana i ka hoʻēmi ʻana i ka ʻeha, hoʻomaikaʻi a mālama ʻana i ka neʻe, a me ka hōʻemi ʻana i kou makaʻi o nā pilikia.

ʻOiai paha he counterintuitive ia, he mea koʻikoʻi ka neʻe maʻamau e mālama i ka hōʻoluʻolu e pili ana i kēia ʻano.

Hoʻolālā ʻia nā hoʻolālā lapaʻau i kēlā me kēia kanaka, akā ʻo ka hapa nui e hoʻopili pū ʻia:

• hoʻōla kino
• hoʻoikaika kino haʻahaʻa
• nā lāʻau anti-inflammatory non-steroidal
• injections corticosteroid
• lāʻau antirheumatic
• Nā lāʻau lapaʻau TNF alpha-blocker

Hoʻohana ʻia nā antibiotic e mālama i kahi maʻi bacteria i hana ʻia me ka arthritis reactive. Pono nā hihia koʻikoʻi o spondyloarthritis i ke ʻoki e mālama i ka iwi iwi a i ʻole ka hōʻino cartilage.

ʻO ke puhi puhi kahi kumu i ʻike ʻia o ka mumū i loko o ke kino. Inā puhipaka ʻoe, pono e hoʻokū. Hiki i kāu kauka ke kōkua iā ʻoe e ʻike i kahi polokalamu hoʻomaha puhipaka kūpono iā ʻoe.

Kōkua ka mea āu e ʻai ai i ka spondyloarthritis?

ʻAʻohe meaʻai kikoʻī no ka spondyloarthritis. Eia nō naʻe, he mea nui ka ʻai olakino i kou olakino holoʻokoʻa a kōkua i ka pale ʻana i ka loaʻa ʻana o ke kaumaha. Kau ka nui o ke kaupaona i ke kaomi ma luna o kou mau ami.

Hoʻokumu paha kekahi mau meaʻai a me nā mea hoʻohui i ka mumū a pono e kaupalena ʻia. Pākuʻi ʻia kēia mau mea:

• nā kō
• nā meaʻai palai
• nā momona momona a me nā transfats
• ʻohe kālika
• monosodium glutamate
• aspartame
• ʻalekohola

I mea e kōkua ai i ke kaua ʻana i kou kino, e hoʻoikaika e ʻai i ka papaʻai i waiwai i:

• kahi waihoʻoluʻu like ʻole o nā huaʻai a me nā mea kanu
• palaoa holoʻokoʻa
• puluniu
• protein protein
• iʻa momona

Hiki i ka Spondyloarthritis ke kumu i ka lahilahi o ka iwi a me ka osteoporosis, no laila he mea nui e lawa ka calcium i loko o kāu papaʻai pū kekahi. Paipai ka National Ankylosing Spondylitis Society e kiʻi iā 700 milligrams o ka calcium i kēlā me kēia lā.

ʻO nā huahana waiū kahi waiwai maikaʻi o ka puna. Hōʻike ka noiʻi e hiki i ka waiū waiū ke hoʻonā i nā kānaka āpau i ka lactose. Inā pili ʻoe i ka lactose, e koho i nā kumuwaiwai i hoʻokumu ʻia o ka calcium ma kahi o, e like me:

• lau lau ʻōmaʻomaʻo
• legume
• fiku maloʻo

Hiki iā ʻoe ke kiʻi i ka kalipuna mai ka wai ʻalani alani paʻa. ʻOi aku ka spinach i ka calcium, akā kiʻekiʻe pū kekahi ia i nā oxalates. Hoʻopili nā oxalates i ka calcium a pale i kona lawe ʻana.

E kōkua ka hele ʻana i ka gluten-free me spondyloarthritis?

Wahi a kekahi poʻe i ka hele ʻana o ka gluten-free e hōʻemi i ko lākou spondyloarthritis symptoms. ʻOiai ʻaʻole hiki ke hōʻole ʻia e pono e hōʻalo ʻia ka gluten inā loaʻa ʻoe i ka maʻi celiac, ʻike nui ka gluten i ka poʻe me ka maʻi celiac.

I kekahi mau mea, manaʻo paha ka poʻe e hoʻonāukiuki ana ka gluten iā lākou ma hope o ka ʻai ʻana, ʻo ka palaoa ka mea hewa a i ʻole kekahi mea ʻē aʻe. Inā ʻoe e ʻike i ka gluten e hoʻonui i kāu mau ʻōuli, e kamaʻilio me kāu kauka e pili ana i ka hoʻāʻo ʻana no ka maʻi celiac a me ka hoʻāʻo ʻana i kahi papaʻai gluten-ʻole.

He aha ke kuanaʻike?

ʻO Spondyloarthritis kahi kūlana holomua. He paʻakikī kāna papa e wānana. Eia nō naʻe, maikaʻi ka nānā no ka hapanui o nā kānaka inā lākou e hana i nā kaʻina e mālama ai i kā lākou mau hōʻailona a noho i ke olakino hiki.

ʻO ka hoʻoikaika kino maʻamau a me ka hoʻōla kino e hele i kahi ala lōʻihi e kākoʻo i ka neʻe a hoʻemi i ka ʻoʻoleʻa a me ka ʻeha. ʻO nā lāʻau lapaʻau over-the-counter a me nā lāʻau e kuhikuhi ai e hōʻemi i ka mumū kekahi mea maikaʻi pinepine.

E like me nā kūlana maʻi ʻē aʻe, hiki i nā spondyloarthritis hōʻailona ke hele a hele. Hoʻololi paha nā ʻōuli i kēlā me kēia lā. Kūpilikiʻi nā pilikia, e like me nā pilikia puʻuwai a me ka maʻi ʻōpū ma muli o ka mumū lōʻihi.

He koʻikoʻi ʻo Spondyloarthritis.Akā me nā hoʻolālā kūpono kūpono a me kahi hoʻolālā mālama maʻamau, ʻo ka hapanui o ka poʻe me ke ʻano e ola nei i nā ola piha.