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Nā pale hope no ka spondylitis ankylosing: hana lākou?

He mea kākau ola kino ʻo Lindsey Curtis me ka ʻoi aku o 20 mau makahiki o ka ʻike e kākau ana i nā ʻatikala e pili ana i ke olakino, ʻepekema, a me ka maikaʻi.
ʻO Laura Campedelli, PT, DPT he mea lapaʻau kino me ka ʻike i ka mālama ulia pōpilikia a me ka mālama outpatient no nā keiki a me nā pākeke.
Inā loaʻa iā ʻoe ka ankylosing spondylitis (AS), ua lohe paha ʻoe e hiki i nā braces ke kōkua i ka hōʻemi ʻana i ka ʻeha hope a mālama i ke kūlana maikaʻi.ʻOiai hiki ke kākoʻo i ka ʻāʻī e kōkua i ka mālama ʻana i ka ʻeha, ʻaʻole ia he hopena lōʻihi no ka hōʻemi ʻana i ka ʻeha a i ʻole ka hoʻoponopono ʻana i nā pilikia posture.
ʻO ka ʻimi ʻana i nā mea hana pono e mālama ai i nā hōʻailona o ka spondylitis ankylosing i kekahi manawa e like me ka ʻimi ʻana i kahi nila i loko o kahi mauʻu.Nui nā koho;ʻAʻole ʻo nā pale a me nā mea kōkua ʻē aʻe no nā mea ʻōlelo.Hiki ke ho'āʻo a me ka hewa a ʻike ʻoe i ka mea paahana maikaʻi loa no kāu mau pono.
Kūkākūkā kēia ʻatikala i ka hoʻohana ʻana i nā corsets, orthoses a me nā mea kōkua ʻē aʻe i ka mālama ʻana i ka ankylosing spondylitis.
ʻO ka ʻeha haʻahaʻa haʻahaʻa a me ka ʻoʻoleʻa, nā hōʻailona maʻamau o ka AS, ʻoi aku ka maʻamau me ka hoʻomaha lōʻihi a i ʻole ka hiamoe a hoʻomaikaʻi ʻia me ka hoʻoikaika kino.ʻO ke komo ʻana i ke kākoʻo lumbar hiki ke hōʻoluʻolu i ka ʻeha ma o ka hoʻemi ʻana i ke kaomi ma ka spine (vertebrae) a me ka hoʻopaʻa ʻana i ka neʻe.Hiki ke hoʻomaha i nā ʻiʻo paʻa no ka pale ʻana i nā ʻiʻo.
Hoʻohui ʻia ka noiʻi e pili ana i ka pono o nā corsets no ka ʻeha hope haʻahaʻa.Ua ʻike ka haʻawina ʻo ka hui pū ʻana o ka hoʻonaʻauao hoʻoikaika kino, ka hoʻonaʻauao ʻeha hope, a me ke kākoʻo hope ʻaʻole i hōʻemi i ka ʻeha ke hoʻohālikelike ʻia me ka hoʻomaʻamaʻa a me ka hoʻonaʻauao.
Eia nō naʻe, ʻike ʻia kahi loiloi 2018 o ka noiʻi e hiki i nā lumbar orthoses (braces) ke hōʻemi nui i ka ʻeha a hoʻomaikaʻi i ka hana spinal ke hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe.
I ka wā exacerbations, pili pinepine ʻo AS i nā hui sacroiliac, kahi e hoʻopili ai i ka spine i ke pelvis.Ke holomua nei ka maʻi, hiki i ka AS ke hoʻopilikia i ka iwi kuamoʻo holoʻokoʻa a hana i nā deformities postural e like me:
ʻOiai ʻike ʻia ka maikaʻi o nā braces i ka pale ʻana a i ʻole ka hōʻemi ʻana i nā pilikia posture, ʻaʻohe noiʻi e kākoʻo i ka hoʻohana ʻana i ka pale hope ma AS.Manaʻo ka Arthritis Foundation i ke komo ʻana i ka corset e hoʻoponopono i nā pilikia posture e pili ana me AS, ʻaʻole pono a maikaʻi ʻole.Hiki i ka hoʻoikaika kino no ka spondylitis ankylosing ke kōkua i ka mālama ʻana i nā hōʻailona a hoʻomaikaʻi i ke kūlana o ka poʻe me AS.
Hiki i ka ʻeha a me ka ʻoʻoleʻa ke paʻakikī i nā hana o kēlā me kēia lā, ʻoi aku hoʻi i ka wā o AS flare-ups (a i ʻole nā ​​manawa o ka lapalapa a i ʻole ka piʻi ʻana o nā hōʻailona).Ma kahi o ka ʻeha, e noʻonoʻo i nā mea kōkua e hōʻemi i ka ʻeha a hoʻoikaika i ke ola o kēlā me kēia lā.
Nui nā ʻano hāmeʻa, mea hana a me nā mea hana ʻē aʻe i loaʻa.ʻO ke ala kūpono iā ʻoe e pili ana i kāu mau hōʻailona, ​​​​ke ola, a me nā pono.Inā ʻike hou ʻia ʻoe, ʻaʻole pono ʻoe i kēia mau hāmeʻa, akā hiki i ka poʻe me AS kiʻekiʻe ke ʻike i kēia mau mea hana kōkua i ka hoʻomohala ʻana i ke kūʻokoʻa a me ka mālama ʻana i kahi kūlana maikaʻi o ke ola.
ʻOiai ke ʻano holomua o AS, nui ka poʻe e ola lōʻihi a hoʻohua i ka maʻi.Me nā mea hana kūpono a me ke kākoʻo, hiki iā ʻoe ke launa pū me AS.
Hiki i nā kōkua hele wāwae e like me kēia ke kōkua iā ʻoe e neʻe maʻalahi ma ka home, ma ka hana, a ma ke alanui:
ʻO ka mālama ʻana i ka ʻeha he ʻāpana koʻikoʻi o ke ola no ka poʻe me ka spondylitis ankylosing.Ma waho aʻe o ka lawe ʻana i nā lāʻau i kuhikuhi ʻia e kāu mea mālama ola, hiki i kekahi mau lāʻau lapaʻau, e like me kēia, ke kōkua i ka hōʻemi ʻana i ka ʻeha a me ka ʻoʻoleʻa:
Hiki ke paʻakikī nā hana o kēlā me kēia lā i ka wā e hoʻoponopono ai ʻoe me nā ahi ahi AS.Hiki i nā mea kōkua ke kōkua iā ʻoe e hana i nā hana o kēlā me kēia lā me ka ʻeha liʻiliʻi, me:
Me nā koho he nui, hiki ke paʻakikī ke kūʻai ʻana i nā mea kōkua.Makemake paha ʻoe e kūkākūkā me kāu kauka mālama mua a i ʻole ka mea lapaʻau hana (OT) ma mua o ka hoʻoholo ʻana.Hiki iā lākou ke loiloi i kāu mau hōʻailona a kōkua iā ʻoe e ʻimi i nā mea hana kūpono no kāu mau pono.
ʻO nā kōkua, nā mea hana, a me nā hāmeʻa hiki ke uku.ʻO nā kōkua spondylitis ankylosing inexpensive hiki ke uku koke iā lākou iho inā pono ʻoe iā lākou.ʻO ka mea pōmaikaʻi, he nui nā ala e kōkua ai iā ʻoe e uhi i nā kumukūʻai, me:
ʻO Ankylosing spondylitis (AS) kahi maʻi maʻi ʻeha i hōʻike ʻia e ka ʻeha haʻahaʻa a me ka ʻoʻoleʻa.Ke holomua nei ka maʻi, hiki i ka AS ke alakaʻi i nā hōʻino o ke kuamoʻo e like me kyphosis (humpback) a i ʻole spine ʻohe.
ʻO kekahi poʻe me AS e hoʻohana i kahi pale e hoʻemi ai i ka ʻeha a i ʻole e mālama i ke kūlana maikaʻi.Eia naʻe, ʻaʻole kahi corset kahi hopena lōʻihi no ka hōʻemi ʻana i ka ʻeha a i ʻole ka hoʻoponopono ʻana i nā pilikia posture.
Hiki i nā hōʻailona o AS ke paʻakikī a hiki ʻole paha ke hana i nā hana o kēlā me kēia lā.Hiki i nā kōkua, nā mea hana, a me nā hāmeʻa ke kōkua iā ʻoe e hana ma ka hana, ma ka home, a ma ka hele.Hoʻolālā ʻia kēia mau mea hana e hōʻoluʻolu i ka ʻeha a / a i ʻole ke kākoʻo ʻana i ka alignment spinal kūpono e kōkua i ka poʻe me AS e noho kūʻokoʻa a ola i kahi ola maikaʻi.
Hiki i ka ʻinikua olakino, nā papahana aupuni a me nā hana aloha ke kōkua i ka uku ʻana i nā mea hana e hōʻoia i ka loaʻa ʻana o nā mea hana i ka poʻe e pono ai.
Hiki i kekahi mau maʻamau ke hōʻino i nā hōʻailona spondylitis ankylosing: puhi puhi, ʻai ʻana i nā meaʻai i hoʻoponopono ʻia, kūlana maikaʻi ʻole, noho malū, ke kaumaha mau, a me ka hiamoe ʻole.ʻO ka hana ʻana i nā koho ola olakino a me ka hahai ʻana i nā ʻōlelo aʻo a kāu mea mālama ola hiki ke kōkua i ka mālama ʻana i nā hōʻailona a hoʻolohi i ka piʻi ʻana o ka maʻi.
ʻAʻole pono nā kānaka āpau me ka spondylitis ankylosing i kahi noho huila, koʻokoʻo, a i ʻole nā ​​​​mea kōkua hele wāwae e hele a puni.Hoʻopilikia ʻo AS i kēlā me kēia kanaka.ʻOiai he mea maʻamau nā hōʻailona kikoʻī e like me ka ʻeha hope i ka poʻe me AS, ʻokoʻa ka paʻakikī a me ke kīnā ʻole mai kēlā me kēia kanaka.
ʻAʻole weliweli ka Ankylosing spondylitis, a ʻo ka poʻe me AS ke ola maʻamau.Ke holomua nei ka maʻi, hiki ke ulu aʻe kekahi mau pilikia olakino, e like me ka maʻi cardiovascular a me ka maʻi cerebrovascular (nā kīʻaha koko i loko o ka lolo), hiki ke hoʻonui i ka hopena o ka make.
Annaswami TM, Cunniff KJ, Kroll M. et al.Kākoʻo Lumbar no ka ʻeha haʻahaʻa haʻahaʻa haʻahaʻa: kahi hoʻokolokolo hoʻokele randomized.Am J Phys Med Rehabil.2021;100(8):742-749.doi: 10.1097/PHM.0000000000001743
Short S, Zirke S, Schmelzle JM et al.Ka maikaʻi o nā lumbar orthoses no ka ʻeha haʻahaʻa haʻahaʻa: kahi loiloi o ka palapala a me kā mākou hopena.Orthop Rev (Pavia).2018;10(4):7791.doi:10.4081/or.2018.7791
Maggio D, Grossbach A, Gibbs D, et al.Hoʻoponopono i nā deformities spinal i ka spondylitis ankylosing.ʻO Surg Neurol Int.2022;13:138.doi: 10.25259/SNI_254_2022
Menz HB, Allan JJ, Bonanno DR, a me al.ʻO nā Insole Orthotic Kuʻuna: He Kaʻina no ka hana ʻana o ka ʻōlelo kuhikuhi o Australian Commercial Orthopedic Laboratories.J oki wawae.10:23.doi: 10.1186/s13047-017-0204-7
Nalamachu S, Goodin J. Nā hiʻohiʻona o nā ʻāpana hoʻomaha ʻeha.Jay Pain Res.2020;13:2343-2354.doi:10.2147/JPR.S270169
Chen FK, Jin ZL, Wang DF He haʻawina retrospective o ka transcutaneous electrical nerve stimulation no ka ʻeha mau ma hope o ka spondylitis ankylosing.Lapaau (Baltimore).2018;97(27):e11265.doi: 10.1097/MD.00000000000011265
ʻAhahui Spondylitis ʻAmelika.Ka hopena o nā pilikia kaʻa i ka hana i nā maʻi me ka axial spondyloarthritis.
National Institute of Disability and Rehabilitation.He aha kāu mau koho uku no nā mea kōkua?
National Academies of Sciences, Engineering and Medicine, Department of Health and Medicine, Health Services Commission.Nā hōʻike huahana a me ka ʻenehana pili.

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Ka manawa hoʻouna: Mei-06-2023