ʻIke i nā ʻōuli o kahi Ankylosing Spondylitis Flare-Up
Anter
- Nā ʻōuli o ka lapalapa ʻana
- Nā ʻōuli o ka lapalapa ʻana
- ʻEha ma ka ʻaoʻao i lalo, ka pūhaka, a me ka ʻūhā
- ʻOʻoleʻa
- ʻEha ʻāʻī a me ka ʻoʻoleʻa
- Ka luhi
- Nā hōʻailona mua ʻē aʻe
- Nā ʻōuli wā lōʻihi o kahi lapalapa
- ʻEha ʻeha hope
- ʻEha ma nā wahi ʻē aʻe
- ʻOʻoleʻa
- Loaʻa o ka maʻalahi
- Hanu paʻakikī
- Piʻi ka paʻakikī
- Manamana mānoanoa
- Huʻi maka
- Lū a me ka puʻuwai puʻuwai
- Pehea ka lōʻihi o ke ahi
- Nā kumu a me nā mea e hoʻoheheʻe ai i ke ahi
- Kāohi a me ka mālama ʻana i nā lapalapa ahi
- He aha ke kuanaʻike?
ʻO Ankylosing spondylitis (AS) kahi ʻano o ka autoimmune arthritis e hoʻopili pinepine i kou iwi kuamoʻo a me kou pūhaka a i ʻole nā hui i lalo. ʻO kēia kumu ke kumu o ka mumū e hiki ai i ka ʻeha, pehu, ʻoʻoleʻa, a me nā ʻōuli ʻē aʻe.
E like me nā ʻano ʻēlau ʻē aʻe, hiki i ka ankylosing spondylitis ke lele i kekahi manawa. Hiki ke ahi i ke kūpikipiki o nā ʻōuli. I ka wā o ka lapalapa ahi, pono ʻoe i ka mālama a me ka mālama ʻana ma mua o kāu e pono ai i nā manawa ʻē aʻe. ʻO ke kala ʻana a i ʻole ke kala hapa ʻana ke loaʻa iā ʻoe ka liʻiliʻi, milder, a ʻaʻohe hōʻailona.
Ke ʻike nei inā he lapalapa paha kāu a me nā mea e manaʻo e hiki ke kōkua iā ʻoe e hoʻokele i kou olakino. E kamaʻilio me kāu kauka e pili ana i ke ala ʻoi loa e kōkua ai e pale a hōʻoluʻolu i nā ʻōuli. Nui a hewahewa nā ala e hōʻoluʻolu ai i nā ʻōuli a mālama i ka spondylitis ankylosing.
Nā ʻōuli o ka lapalapa ʻana
Hiki i nā Flare-up a me kā lākou mau hōʻailona ke ʻokoʻa loa no kēlā me kēia kanaka me ka spondylitis ankylosing.
ʻO ka hapa nui o ka poʻe me kēia ʻano e ʻike i nā hōʻailona mai nā makahiki 17 a 45 mau makahiki. Hiki i nā ʻōuli ke hoʻomaka i ka wā kamaliʻi a i ʻole nā mākua makua. ʻO 2.5 ka nui o nā manawa maʻamau o Ankylosing spondylitis i nā kāne ma mua o ka wahine.
ʻElua ʻano nui o ka ankylosing spondylitis flare-up:
- kūloko: ma hoʻokahi a ʻelua paha mau wahi
- laulā: ma ke kino holoʻokoʻa
E loli paha nā hōʻailona a me nā ʻōuli o ka ankylosing spondylitis flare-up ma muli o ka lōʻihi o kou loaʻa ʻana i kēia maʻi. ʻO ka liʻuliʻu ankylosing spondylitis flare-up ke kumu maʻamau i nā hōʻailona a me nā hōʻailona ma mua o hoʻokahi ʻāpana o ke kino.
Nā ʻōuli o ka lapalapa ʻana
ʻEha ma ka ʻaoʻao i lalo, ka pūhaka, a me ka ʻūhā
E hoʻomaka mālie paha ka ʻeha ma loko o kekahi mau pule a i mau mahina. Hiki paha iā ʻoe ke hōʻoluʻolu ma hoʻokahi ʻaoʻao a i ʻole ʻaoʻao ʻaoʻao. Manaʻo ka ʻeha a palapū i ka wahi.
ʻAʻole maʻamau ka ʻeha ʻoi. ʻOi aku ka maikaʻi o ka ʻeha i ke kakahiaka a me ka pō. Hoʻomaha a hana ʻole paha e hōʻeha i ka ʻeha.
Iapaau ana:
- hoʻoikaika kino a me ka hohola
- ʻauʻau mahana a ʻauʻau paha
- hoʻōla wela, e like me ka compress compress
- nonsteroidal anti-inflammatory drug (NSAIDs), e like me aspirin, ibuprofen, a naproxen
- hoʻōla kino
ʻOʻoleʻa
Hiki paha iā ʻoe ke ʻoʻoleʻa ma ka ʻaoʻao i lalo, nā pūhaka, a me nā ʻūlū. Pīpī paha kou kua a paʻakikī paha e kū aʻe ma hope o ka noho ʻana a moe paha i lalo. ʻOi aku ka maikaʻi o ka ʻoʻoleʻa i ke kakahiaka a me ka pō, a hoʻomaikaʻi i ke ao. E māhuahua paha ia i ka wā hoʻomaha a hana ʻole paha.
Iapaau ana:
- ke kīloi, ka neʻe, a me ka hoʻoikaika kino
- hoʻōla kino
- hoʻōla wela
- hoʻōla massage
ʻEha ʻāʻī a me ka ʻoʻoleʻa
Hoʻomaopopo ka hui ʻo Spondylitis o ʻAmelika i ka loaʻa ʻana o nā ʻōuli i nā wahine e hoʻomaka i ka ʻāʻī ʻaʻole ʻo ka ʻaoʻao lalo.
Iapaau ana:
- hoʻoikaika kino a me ka hohola
- ʻauʻau mehana ʻauʻau
- hoʻōla wela
- Nā NSAID
- hoʻōla kino
- hoʻōla massage
Ka luhi
Hiki i ka hōʻeha a me ka ʻeha ke alakaʻi i ka luhi a me ka luhi. Hiki ke hoʻonui ʻia kēia e ka hiamoe hiamoe i ka pō ma muli o ka ʻeha a me ka hōʻoluʻolu ʻole. ʻO ke kaohi ʻana i ka mumū e kōkua i ka mālama i ka luhi.
Iapaau ana:
- Nā NSAID
- hoʻōla kino
Nā hōʻailona mua ʻē aʻe
Hiki i ka līlū, ka ʻeha, a me ka hōʻoluʻolu ʻole ke hōʻemi i ka makemake nui, ka pohō kaumaha, a me ke kuni māmā i ka wā o ka wela. Kōkua ka mālama ʻana i ka ʻeha a me ka mumū e hōʻoluʻolu i kēia mau ʻōuli.
Iapaau ana:
- Nā NSAID
- hoʻōla kino
- lāʻau lapaʻau kuhikuhi
Nā ʻōuli wā lōʻihi o kahi lapalapa
ʻEha ʻeha hope
Hiki i kahi ankylosing spondylitis flare-up ke kumu i ka ʻeha hope loa o ka manawa. Hoʻomaʻamaʻa paha ʻoe i ka ʻā ʻana i ka ʻeha ma nā ʻaoʻao ʻelua o ka ʻaoʻao i lalo, ka ʻūhā, a me nā pūhaka. Hiki ke ʻeha mau loa no ʻekolu mau mahina a ʻoi paha.
Iapaau ana:
- Nā NSAID
- lāʻau lapaʻau kuhikuhi
- nā kōkō steroid
- hoʻōla kino, e like me ka papahele a me ka hoʻoikaika kino wai
ʻEha ma nā wahi ʻē aʻe
Hiki ke pāhola ka ʻeha i nā hono ʻē aʻe i loko o kekahi mau mahina i kekahi mau makahiki. Hiki paha iā ʻoe ke ʻeha a palupalu i ka waena ma luna o hope, ka ʻāʻī, nā poʻohiwi, nā ʻiwi, nā ʻūhā, a me nā kuʻekuʻe wāwae.
Iapaau ana:
- Nā NSAID
- lāʻau lapaʻau kuhikuhi
- nā kōkō steroid
- hoʻōla kino, e like me ka papahele a me ka hoʻoikaika kino wai
ʻOʻoleʻa
Hiki paha iā ʻoe ke ʻoi aku ka ʻoi i kou kino i ka hala ʻana o ka manawa. Pālahalaha paha ka paʻa i luna o hope, ʻāʻī, poʻohiwi, a me ka iwi ʻaoʻao. Eʻoi aku paha ka maikaʻi o ka paʻakikī i nā kakahiaka a maikaʻi iki aʻe i ka lā. Hiki iā ʻoe ke loaʻa i nā mākala spasms a i ʻole twitching.
Iapaau ana:
- Nā NSAID
- lāʻau lapaʻau kuhikuhi
- nā lāʻau hoʻohiehie mākala
- hoʻōla kino
- papahele a me nā hoʻoikaika kino wai
- infrared sauna
- hoʻōla massage
Loaʻa o ka maʻalahi
Hiki iā ʻoe ke nalo i ka maʻalahi i kekahi o nā hono. Hiki ke lōʻihi a hui pū paha nā iwi i ka lōʻihi lōʻihi. Mālama kēia i nā hono, ʻeha, a paʻakikī hoʻi i ka neʻe. Hiki paha iā ʻoe ke hoʻoliʻiliʻi liʻiliʻi i kou kua a me kou pūhaka.
Iapaau ana:
- Nā NSAID
- lāʻau lapaʻau
- nā lāʻau hoʻohiehie mākala
- nā kōkō steroid
- ʻoki kua a hope paha
- hoʻōla kino
Hanu paʻakikī
Hiki i nā iwi i loko o kou iwi iwi lou ke fuse a hui pū paha. Hoʻonohonoho ʻia ka pale iwi i mea maʻalahi e kōkua iā ʻoe e hanu. Inā hele a paʻakikī nā iwi ʻaoʻao, ʻoi aku ka paʻakikī o ka hoʻonui ʻana o kou umauma a me kou mau māmā. Hiki paha i kēia i kou umauma ke paʻakikī.
Iapaau ana:
- Nā NSAID
- lāʻau hoʻomake anti-inflammatory
- nā kōkō steroid
- hoʻōla kino
Piʻi ka paʻakikī
Hiki i ka Ankylosing spondylitis ke hoʻopili i nā hono hou aʻe ma mua o ka manawa. Loaʻa paha iā ʻoe ka ʻeha a me ka pehu ʻana ma nā pūhaka, nā kuli, nā kuʻekuʻe wāwae, nā kuʻekuʻe wāwae, a me nā manamana wāwae. Hiki i kēia ke paʻakikī i ke kū, ka noho, a me ka hele wāwae.
Iapaau ana:
- Nā NSAID
- lāʻau lapaʻau
- nā lāʻau hoʻohiehie mākala
- nā kōkō steroid
- hoʻōla kino
- kuli a paʻa wāwae paha
Manamana mānoanoa
Pāhola paha ʻo Ankylosing spondylitis flare-up i nā manamana lima i ka hala ʻana o ka manawa. Hiki i kēia ke hoʻopaʻa i nā hono o ka manamana lima, pehu, a ʻeha hoʻi. Hiki paha iā ʻoe ke paʻakikī ke neʻe i kou mau manamana lima, kikokiko ʻana, a paʻa i nā mea.
Iapaau ana:
- Nā NSAID
- lāʻau lapaʻau
- nā kōkō steroid
- hoʻōla kino
- lima a paʻa lima paha
Huʻi maka
Ma mua o ka hapahā o ka poʻe me ka ankylosing spondylitis i loaʻa ka mumū o ka maka. Kapa ʻia kēia ʻano he iritis a i ʻole uveitis. Kuhi ia i ka ʻulaʻula, ʻeha, ʻike ʻole i ka blurry, a me nā floaters i hoʻokahi a i ʻole ʻelua mau maka. E makaʻala paha kou mau maka i ke kukui ʻōlinolino.
Iapaau ana:
- kulu ka maka steroid
- kulu ka maka e hoʻomāhuahua i nā haumāna
- lāʻau lapaʻau
Lū a me ka puʻuwai puʻuwai
Kākaʻikahi, hiki i ka ankylosing spondylitis flare-up ke hoʻopili i ka puʻuwai a me nā māmā i ka manawa i kekahi poʻe.
Iapaau ana:
- Nā NSAID
- lāʻau lapaʻau
- nā kōkō steroid
Pehea ka lōʻihi o ke ahi
ʻO ka poʻe me ka ankylosing spondylitis he hoʻokahi a ʻelima mau lapalapa i ka makahiki. Pili paha ka lapalapa ahi mai kekahi mau lā a i ʻekolu mau mahina a ʻoi paha.
Nā kumu a me nā mea e hoʻoheheʻe ai i ke ahi
ʻAʻohe kumu i ʻike ʻia no ka spondylitis ankylosing. ʻAʻole hiki ke kāohi mau ʻia ka lapalapa ahi. Hiki paha i kekahi poʻe me ka ankylosing spondylitis ke manaʻo he mau mea hoʻonāukiuki kā kā lākou lapalapa. ʻIke i kāu mau mea hoʻonāukiuki - inā loaʻa iā ʻoe - e kōkua paha i ka pale ʻana i nā uila.
Ua ʻike ʻia kahi olakino he 80 pākēneka o ka poʻe me ka ankylosing spondylitis i manaʻo ua hoʻonāukiuki ke koʻikoʻi i kā lākou mau uila.
Kāohi a me ka mālama ʻana i nā lapalapa ahi
Hiki paha i nā koho olakino olakino ke kōkua i ka mālama ʻana i nā lapalapa. ʻO kahi laʻana, kōkua ka hoʻoikaika mau a me ka hoʻōla kino i mea e hōʻemi ai i ka ʻeha a me ka ʻoʻoleʻa.
E haʻalele i ka puhi ʻana a pale i ka uahi lua. ʻO ka poʻe me ka ankylosing spondylitis e puhipaka ana i ka makaʻu kiʻekiʻe o ka hōʻino iwi kuamoʻo. Hoʻopili kēia ʻano i kou puʻuwai. Hiki paha iā ʻoe ke piʻi aʻe i ka maʻi maʻi a me ka hahau inā he puhipaka ʻoe.
Lawe i nā lāʻau āpau e like me ke kuhikuhi e kōkua ai i ka pale ʻana a hōʻoluʻolu hoʻi i nā kukuna ahi. Kau kau kauka i hoʻokahi a ʻoi aku paha nā lāʻau e kōkua i ka mālama ʻana i ka lī. Hiki i kēia ke kōkua i ka pale a hōʻoluʻolu paha i nā uila. Nā lāʻau i hoʻohana ʻia e mālama i ka spondylitis ankylosing e komo pū me:
- adalimumab (Humira)
- etanercept (Enbrel)
- golimumab (Simponi)
- infliximab (Remicade)
- lāʻau anti-TNF
- lāʻau chemotherapy
- Mea kūpale IL-17, e like me secukinumab (Cosentyx)
He aha ke kuanaʻike?
Hiki i nā maʻi a i ʻole ke ʻano ke alakaʻi i nā ʻōuli o ka naʻau. I, ma kahi o 75 pākēneka o ka poʻe me ka ankylosing spondylitis i hōʻike ua ʻike lākou i ke kaumaha, ka huhū, a me ke kaʻawale. E kamaʻilio me kāu kauka e pili ana i kou naʻau a ʻimi i ke kōkua o kahi ʻoihana olakino noʻonoʻo.
ʻO ka hui ʻana i kahi hui kākoʻo a me ka loaʻa ʻana o ka ʻike hou aku hiki ke kōkua iā ʻoe e noʻonoʻo i ka kaohi o kāu lapaʻau. E hui pū me kahi hui spondylitis ankylosing e mālama i kēia lā me ka noiʻi olakino hou. E kamaʻilio me nā poʻe ʻē aʻe me kēia ʻano e loaʻa ai ke ala ʻoi loa e mālama ai i ka spondylitis ankylosing.
ʻAʻole like kou ʻike me ka ankylosing spondylitis flare-up me kekahi mea ʻē aʻe me kēia maʻi. E nānā i kou kino. E mālama i kahi hōʻailona o ka lā a me ka puke pai. Eia kekahi, hoʻopaʻa moʻolelo hiki ke ʻike ʻia e ʻoe.
E haʻi i kāu kauka inā manaʻo ʻoe ke kōkua nei kahi lapaʻau e pale i nā lapalapa a hoʻēmi paha i nā hōʻailona a i ʻole inā manaʻo ʻoe ʻaʻole kōkua iā ʻoe. He aha ka mea i hana no ʻoe ma mua ʻaʻole hana hou nāu ma mua o ka manawa. Hiki paha i kāu kauka ke hoʻololi i kāu mau mālama ʻana e like me ka hoʻololi ʻana o kāu ankylosing spondylitis.