Ma hope o ka ʻeha o hope: 5 mau hōʻailona aoʻao o Ankylosing Spondylitis

Anter

• He aha ka spondylitis ankylosing?
• He aha nā hōʻailona hōʻailona?
• Hōʻailona # 1: Loaʻa iā ʻoe ka ʻeha wehewehe ʻole ma ka ʻaoʻao haʻahaʻa.
• Hōʻailona # 2: He moʻolelo ʻohana kāu no AS.
• Hōʻailona # 3: He ʻōpio ʻoe, a loaʻa ʻole ka ʻehaʻeha ma ka kuʻekuʻe (s), nā hono, a me ka umauma.
• Hōʻailona # 4: Hele mai kou ʻeha a hele, akā ke neʻe mālie nei i kou ʻiwi. A ke hele nei i ka ʻino.
• Hōʻailona # 5: Loaʻa iā ʻoe ke hōʻoluʻolu mai kāu mau hōʻailona ma ka lawe ʻana i nā NSAID.
• ʻO wai ka mea maʻamau e AS?
• Pehea e ʻike ʻia ai ka AS?

He ʻeha ʻeha wale paha ia - a i ʻole he mea ʻē aʻe?

ʻO kaʻeha hope kahi hoʻopiʻi lapaʻau kiʻekiʻe. He kumu nui nō hoʻi ia o ka hana nalo. Wahi a ka National Institute of Neurological Disorder a me ka Stroke, ʻaneʻane e ʻimi nā mākua āpau i ka ʻeha no ka ʻeha hope i kekahi manawa i ko lākou ola. Ua hōʻike ka ʻAmelika Chiropractic Association e hoʻolilo nā ʻAmelika i kahi $ 50 biliona i kēlā me kēia makahiki no ka mālama ʻana i ka ʻeha o ke kua.

Nui nā kumu kūpono o ka ʻehaʻeha o ke kua. ʻO ka mea maʻamau ke kumu ʻia e ka trauma mai kahi ulia pōpō ma ka iwi kuamoʻo. Akā e hoʻomaopopo ʻoe i ka ʻeha o ke kua i ke hōʻailona ʻana i kahi kūlana koʻikoʻi i kapa ʻia ʻo ankylosing spondylitis.

He aha ka spondylitis ankylosing?

ʻAʻole like me ka ʻehaʻeha maʻamau, ankylosing spondylitis (AS) ʻaʻole i hoʻokumu ʻia e ka ʻeha kino i ka iwi kuamoʻo. Akā, he kūlana maʻi mau ia i hoʻokumu ʻia e ka mumū ma ka vertebrae (nā iwi o ka iwi kuamoʻo). ʻO AS kahi ʻano o ka maʻi ʻōpū.

ʻO nā ʻōuli maʻamau ka lapalapa ʻana o ka ʻeha o ke kuamoʻo a me ka ʻoʻoleʻa. Eia nō naʻe, hiki i ka maʻi ke hoʻopili i nā hono ʻē aʻe, a me nā maka a me nā ʻōpū. I ka holomua AS, ulu ka iwi iwi ku ʻole i ka vertebrae i kumu e fuse. Hiki i kēia ke hōʻemi loa i ka neʻe. Hiki paha i ka poʻe me AS ke ʻike i nā pilikia o ka hihi, a i ʻole ka mumū i nā hono ʻē aʻe, e like me nā kuli a me nā kuʻekuʻe wāwae.

He aha nā hōʻailona hōʻailona?

Hōʻailona # 1: Loaʻa iā ʻoe ka ʻeha wehewehe ʻole ma ka ʻaoʻao haʻahaʻa.

ʻOi aku ka maikaʻi o ka ʻeha hope ma hope o ka hoʻomaha. ʻO AS ka ʻaoʻao ʻē aʻe. ʻOi aku ka ʻeha a me ka ʻoʻoleʻa i ka ala ʻana. ʻOiai ka hana i ka ʻehaʻeha o ke kua i ke kino, ʻoi aku ka maikaʻi o nā hōʻailona AS ma hope o ka hoʻoikaika kino.

ʻO ka ʻehaʻeha o ke kua i lalo no ke kumu kumu ʻole ʻaʻole ʻano maʻamau i ka poʻe ʻōpio. ʻO nā ʻōpio a me nā ʻōpio ʻōpio e ʻōhumu no ka ʻoʻoleʻa a ʻeha paha ma ka ʻaoʻao haʻahaʻa a i ʻole ka hope e loiloi ʻia no AS e ke kauka. Noho pinepine ka ʻeha ma nā hono sacroiliac, kahi e hui ai ka pelvis a me ka iwi kuamoʻo.

Hōʻailona # 2: He moʻolelo ʻohana kāu no AS.

ʻO ka poʻe me kekahi māka genetable hiki ke maʻalahi iā AS. Akā ʻaʻole ka poʻe āpau i loaʻa nā gen i ulu i ka maʻi, no nā kumu i maopopo ʻole i ka maopopo. Inā he pili kou me AS, psoriatic arthritis, a i ʻole arthritis e pili ana i ka maʻi ʻōpū, loaʻa iā ʻoe nā ʻāpana i hoʻoiho iā ʻoe no ka AS.

Hōʻailona # 3: He ʻōpio ʻoe, a loaʻa ʻole ka ʻehaʻeha ma ka kuʻekuʻe (s), nā hono, a me ka umauma.

Ma kahi o ka ʻeha o ke kua, ʻike kekahi mau mea maʻi AS i ka ʻeha ma ka kuʻekuʻe, a i ʻole ka ʻeha a me ka ʻoʻoleʻa i nā hono o nā pūlima, nā kuʻekuʻe wāwae, a i ʻole nā ​​ami ʻē aʻe. Hoʻopili ʻia kekahi iwi iwi ʻaoʻao o ka mea maʻi, ma ke kiko e hui ai lākou me ka iwi kuamoʻo. Hiki i kēia ke hoʻonā i ka paʻa i ka umauma e paʻakikī e hanu. E kamaʻilio me kāu kauka inā kū a hoʻomau paha kekahi o kēia mau ʻano.

Hōʻailona # 4: Hele mai kou ʻeha a hele, akā ke neʻe mālie nei i kou ʻiwi. A ke hele nei i ka ʻino.

ʻO AS kahi maʻi hoʻomau, holomua. ʻOiai ʻo ka hoʻoikaika kino ʻana a i ʻole nā ​​lāʻau ʻeha paha e kōkua i ka manawa pōkole, e piʻi mālie paha ka maʻi. Hele a hele paha nā ʻōuli, akā ʻaʻole lākou e pau loa. Hoʻolahalaha pinepine kaʻeha a me ka mumū mai ka haʻahaʻa i luna o ke kuamoʻo. Inā haʻalele ʻole ʻia, hiki i ka vertebrae ke hoʻopili pū, e hoʻoulu ana i ka curvature o ka iwi kuamoʻo, a i ʻole ke ʻano humpbacked (kyphosis).

Hōʻailona # 5: Loaʻa iā ʻoe ke hōʻoluʻolu mai kāu mau hōʻailona ma ka lawe ʻana i nā NSAID.

I ka manawa mua, e loaʻa i ka poʻe me AS ka hōʻoluʻolu o nā hōʻailona mai nā lāʻau āpau anti-inflammatory counter over-the-counter, e like me ka ibuprofen a i ʻole naproxen. ʻO kēia mau lāʻau, i kapa ʻia ʻo NSAID, mai hoʻololi i ka papa o ka maʻi.

Inā manaʻo kāu kauka he AS kāu, kauoha paha lākou i nā lāʻau iʻoi aku ka maikaʻi. Hoʻopili kēia mau lāʻau i nā ʻāpana kikoʻī o ka ʻōnaehana pale. ʻO nā ʻenehana ʻōnaehana pale i kapa ʻia he cytokines ka mea nui i ka lī. ʻElua mau mea kikoʻī - tumor nekrosis factor alpha a me interleukin 10 - i hoʻokumu ʻia e nā meaolaola olaola o kēia manawa. Hoʻolohi paha kēia mau lāʻau i ka holomua o ka maʻi.

ʻO wai ka mea maʻamau e AS?

Pili paha ʻo AS i nā kāne ʻōpio, akā hiki ke hoʻopili i nā kāne a me nā wahine. Hōʻike pinepine ʻia nā ʻōuli mua i ka wā ʻōpio a i nā makahiki makua mua. Hiki iā AS ke ulu i kēlā me kēia makahiki. Ua hoʻoili ʻia ka maʻa e hoʻomohala i ka maʻi, akā ʻaʻole ka poʻe āpau me kēia mau gener marker e hoʻomohala i ka maʻi. ʻAʻole maopopo ke kumu e loaʻa ai kekahi poʻe iā AS a ʻo nā poʻe ʻē aʻe ʻole. Hāpai ʻo A me kēia maʻi i kahi ʻano kikoʻī i kapa ʻia HLA-B27, akā ʻaʻole ka poʻe āpau me ka ʻāpana e hoʻomohala iā AS. Ua ʻike ʻia a hiki i 30 mau aʻa ke hana i kahi kuleana.

Pehea e ʻike ʻia ai ka AS?

ʻAʻohe hōʻike hoʻokahi no AS. Hoʻopili ka diagnostics i kahi moʻolelo hoʻomanawanui kikoʻī a me ka hoʻokolohua kino. Hiki paha i kāu kauka ke kauoha i nā hoʻokolohua kiʻi, e like me ka tomography compute (CT), ke kiʻi ʻana i ka resonance magnet (MRI), a me ka X-ray. Manaʻo kekahi mau loea e pono e hoʻohana i ka MRI e hōʻike pono i ka AS i nā wā mua o ka maʻi, ma mua o ka hōʻike ʻana ma X-ray.