Health Library
October 10, 2025
Question on this topic? Get an instant answer from August.
Ko te ankylosing spondylitis tētahi momo mate ngārara e pā ana te nuinga ki tō tuaiwi, e pāngia ana e te mumura me te pakari ka taea te whakaiti i ō nekehanga. Whakaarohia ko te pūnaha ārai mate o tō tinana e whakaeke ana ki ngā hononga i roto i tō tuaiwi, ā, ka puta mai te mamae me te whakakotahitanga o ngā wheua i etahi wā.
Ko te tikanga ka tupu haere tenei āhuatanga i roto i ngā marama, i ngā tau rānei, ka tīmata i te wā taitamariki. Ahakoa he wehi te ahua, he tokomaha ngā tāngata e ora ana i te oranga kaha, i te oranga whai hua me te rongoā tika me te whakahaere.
Ko te ankylosing spondylitis tētahi o ngā āhuatanga e kiia nei ko te spondyloarthritis, kei reira te mumura roa e pā ana ki te tuaiwi, ā, i etahi wā ki ētahi atu hononga. Ko te kupu 'ankylosing' e whakaatu ana i te pakari, i te whakakotahitanga rānei, ā, ko te 'spondylitis' e tohu ana i te mumura o te tuaiwi.
Kei roto i tō tuaiwi ngā hononga iti e kiia nei ko ngā hononga facet me ngā wāhi e hono atu ana ngā hononga iwi ki te wheua. Ka puta te mumura i ēnei wāhi, ka ngana tō tinana ki te whakaora mā te hanga i te kōiwi hou. I te roa o te wā, ka taea e tēnei te whakakotahi i ngā wheua, ka hanga he tuaiwi pakari e rite ana ki te rakau parapara i runga i ngā X-rays.
Ko te āhuatanga e pā ana ki te 1 i roto i ngā tāngata 200, ā, ko ngā tāne te nuinga e whakatauhia ana i te wā atu i ngā wāhine. Heoi, ko ngā rangahau hou e whakaatu ana pea he ngoikore ngā tohu o ngā wāhine, ā, ka roa te kore e kitea.
Ko te tohu tino nui ko te mamae o muri o raro me te pakari e kino ake ana i te ata, i muri rānei i ngā wā okioki. Kāore i rite ki te mamae o muri noa i te whara, ka pai ake tēnei mamae mā te nekehanga me te whakakori tinana.
Ko ēnei ngā tohu tino noa ka pā ki a koe:
Ka rongo hoki ētahi i ngā tohu i tua atu i te tuaiwi. Ka whero pea ō kanohi, ka mamae, ka ngawari ki te mārama nā te mumura e kiia nei ko te uveitis. Ka puta mai hoki ngā āhuatanga o te kiri pērā i te psoriasis me te ankylosing spondylitis.
I etahi wā, ka pā te mate ki tō ngakau, ngā pūkahukahu, kōtiti rānei. Ko ngā raruraru o te ngakau pea ko te mumura o te waewae aortic, ko ngā raruraru o ngā pūkahukahu pea ko te tohu o te kiko pūkahukahu. Ka puta tēnā raruraru i ngā tāngata kua roa te mate, kāore hoki i te ārai tika.
Ka wehewehe ngā tākuta i te ankylosing spondylitis i runga i ngā wāhanga o tō tinana e pā ana, me te āhua o te mate i ngā whakamātautau whakaahua. Ka āwhina te mārama ki ēnei momo ki te arahi i ngā whakatau ārai.
Ko te wehenga matua e wehewehe ana i te mate ki ngā momo axial me peripheral:
I roto i te mate axial, e rua ngā momo iti. Ka whakaatu te radiographic axial spondyloarthritis i te pakaru o te hononga mārama i runga i ngā X-rays, engari ko te non-radiographic axial spondyloarthritis e pā ana ki ngā tohu, engari pea kāore ano kia whakaatu i ngā huringa e kitea ana i runga i ngā X-rays noa.
Ko ētahi atu tāngata ka whanake i te enthesitis, arā, te mumura kei ngā wāhi e hono atu ai ngā uaua me ngā hononga ki ngā wheua. Ko te tikanga ka pā te mamae ki te rekereke, ki raro o te waewae, ki te taha o te turi, ā, ka nui te mamae i te wā e hikoi ana, e tū ana rānei.
Ka whanake te ankylosing spondylitis ina whakaeke he te pūnaha ārai mate o tō tinana i ngā kiko ora o ō hononga, engari kāo te take tino mārama. E whakapono ana ngā kairangahau nō te whakakotahitanga o ngā take ira me ngā āhuatanga o te taiao.
Ko te hononga ira tino kaha ko te ira e kiia nei ko te HLA-B27, kei te tata ki te 90% o ngā tāngata e pangia ana e te ankylosing spondylitis. Heoi, ki te whai koe i tēnei ira, kāore e whakaatu mai he tino pangia koe e te mate. He tokomaha ngā tāngata e mau ana i te HLA-B27 engari kāore e kitea he tohu.
Ko ngā āhuatanga o te taiao ka taea te whakaoho i te mate:
He nui te wāhi o te hītori whānau, ā, tata ki te 20% o ngā tāngata he whānau tata kei a rātou te mate. Ki te whai koe i tētahi mātua, te teina rānei e pangia ana e te ankylosing spondylitis, ka piki ake tō tūponotanga, engari kāore tonu e tino mōhiotia he tino pangia koe.
Kua kitea e ngā rangahau hou neke atu i te 40 ira ka taea te whakauru ki te mate, e whakaatu ana he maha ngā take ira e mahi tahi ana me ngā whakaoho o te taiao hei whakaoho i te ankylosing spondylitis.
Me whakarite koe i te whakatau me tō taote ki te pāngia koe e te mamae o muri me te ngoikore e roa atu i te toru marama, ina koa ki te kino ake i te ata. He rerekē tēnei momo mamae roa i te mamae o muri noa, ā, e tika ana kia arotakehia e te taote.
Rapua te tiaki hauora i te wa poto mena ka kite koe i ēnei tohu whakatupato:
Me whai koe i te tiaki hauora i te wa poto mena ka puta mai te mamae o te kanohi nui, te whero, me te mārama, na te mea ka taea e tenei te tohu i te uveitis e hiahia ana ki te rongoa i te wa poto. Pēnei anō, me arotake tonu te mamae o te uma nui, te uaua ranei ki te manawa.
Ka taea e te whakamātautau me te rongoa wawe te whakaheke i te tere o te pakaru o ngā hononga, ā, ka āwhina i te pupuri i tō kaha nekehanga me te kounga o te ora. Kaua e tatari kia kaha rawa ngā tohu i mua i te rapu awhina.
He maha ngā take ka taea te whakapiki ake i tō tūponotanga ki te whanake i te ankylosing spondylitis, ahakoa te whai i ēnei take whakarahi kahore e tikanga ka whiwhi koe i te mate. Ka taea e te mārama ki a rātou te āwhina i a koe ki te mohio wawe ki ngā tohu.
Ko ngā take whakarahi tino nui ko:
He wāhi anō te wāhi whenua me ngā take iwi. Ka puta ake te āhuatanga i roto i te hunga o te whenua o te Raki o Uropi, me ētahi iwi taketake. Heoi, ka taea te pānga ki te hunga o tetahi iwi.
Ko te whai i te psoriasis, te mate pūkahukahu ranei pēnei i te mate Crohn, te mate kolitis ulcerative rānei, ka piki ake ai tō tūponotanga, nā te mea he rite ngā āhuatanga o te pūnaha mate pūkohukohu o ēnei āhuatanga. E 10% te tata o te hunga e whai ana i te mate pūkahukahu e whānau ana i te ankylosing spondylitis.
Ahakoa kaore e taea e koe te whakakapi i ō ira tuku iho, i tō hītori whānau rānei, ko te mōhio ki ēnei take tūponotanga ka āwhina i a koe, i tō tākuta hoki ki te mohio wawe ki ngā tohu, ā, ki te tīmata i te rongoā tika.
Me kore te rongoā tika, ka taea e te ankylosing spondylitis te arahi ki ētahi atu raruraru e pā ana ki tō nekehanga, tō manawa, me tō hauora whānui. Ko te rongo pai, ko te whakatau wāwe me te rongoā mau tonu ka taea te aukati, te whakaiti rānei i te nuinga o ēnei raruraru.
Ko ngā raruraru tino noa e pā ana ki tō tuawhenua me tō tu:
Ka puta ngā raruraru kanohi ki te 25% o te hunga e whai ana i te ankylosing spondylitis. Ko te uveitis te take o te mamae o te kanohi, te whero, me te ngawari ki te mārama. Ahakoa ka taea te rongoā, ka taea e ngā wāhanga maha te arahi ki ngā raruraru tirohanga ki te kore e whakahaeretia tika.
He iti ake te noa o ngā raruraru ngakau, engari he nui ake te kino ina puta. Ka taea e te āhuatanga te whakaoho i te upoko o te aortic, ka arahi ki ngā raruraru o te au o te ngakau, te korenga o te ngakau rānei. Ka taea hoki te whānau o te mumura o te upoko o te ngakau, e kiia nei ko te myocarditis.
Ko ngā raruraru onge engari he kino, ko te whākāka o te pūkahukahu, ngā raruraru whatukuhu, me te komirimi o ngā uaua cauda equina i raro o tō tuawhenua. Ko ēnei te nuinga ka whānau anake ki te hunga e whai ana i te mate roa, kaore i whakahaeretia pai.
Ko te whakamātautau me te rongoā tūturu e whakaiti nui ana i te tūponotanga o ēnei raruraru, koia te take i tino nui ai te hono atu ki tō rōpū hauora.
I tēnei wā, kāore he huarahi hei ārai i te ankylosing spondylitis, nā te mea he mate ira tino nui te take, e whakaohotia ana e ngā take kei tua atu o tō mana whakahaere. Heoi, ka taea e koe te mahi i ētahi mahi hei whakaiti i tō tūponotanga ki ngā raruraru, ā, hei whakaheke i te tere o te mate.
Mēnā he hītori whānau koe mō te āhuatanga, kāore rānei e mau ana i te ira HLA-B27, ko te mataara ki ngā tohu o te tīmatanga hei āwhina i te whakatinanatanga o te rongoā. Ko te whakakori tinana tūturu me te pupuri i te tuunga pai i roto i tō oranga katoa pea ka āwhina i te tiaki i te ngawari o te tuaiwi.
Ko te pupuri i te hauora o te pūnaha ārai mate katoa mā ēnei mahi pea ka whai hua:
Mēnā kua pangia koe e te ankylosing spondylitis, ka huri te aro ki te ārai i ngā raruraru. Ko te whakakori tinana tūturu, ina koa te kauhoe me te whakatete, hei āwhina i te pupuri i te nekehanga o te tuaiwi. Ko ngā tikanga tuunga pai me ngā wāhi mahi ergonomic ka taea te ārai i te tāpānga atu ki tō tuaiwi.
Ko te mahi tata atu ki tō rōpū hauora hei whakamātautau i te āhuatanga me te whakarite i te rongoā i te mea e hiahiatia ana, ko tō rautaki pai rawa atu hei ārai i ngā raruraru roa me te pupuri i te kounga o te ora.
Ko te whakamātautau i te ankylosing spondylitis e hiahia ana ki te whakakotahitanga o tō hītori hauora, te whakamātautau tinana, ngā whakamātautau toto, me ngā rangahau whakaahua. Kāore he whakamātautau kotahi e whakau ana i te whakamātautau, no reira ka whakakotahi tō tākuta i ngā tohu maha.
Ka tīmata tō tākuta mā te ui i ngā pātai taipitopito e pā ana ki ō tohu, tae atu ki te wā i tīmata ai, ngā mea e pai ake ai, ngā mea e kino ake ai rātou, me te mea kei a koe ngā whānau e whai ana i ngā āhuatanga rite. Ka mahi hoki rātou i te whakamātautau tinana hei tirotiro i te kiko o tō tuawhenua me te nekehanga o ngā hononga.
He awhina ngā whakamātautau toto ki te tautoko i te whakatau:
Ka whakarato ngā rangahau whakaahua i ngā mōhiohio nui e pā ana ki te pakaru o ngā hononga me te mumura. Ka taea e ngā X-ray o tō wheua me tō tuawhenua te whakaatu i ngā huringa āhuatanga, engari i te tīmatanga o te mate, ka puta pea he noa.
Ka nui ake te mārama o ngā whakamātautau MRI, ā, ka taea te kimi i te mumura i mua i te whakaeke i te pakaru e kitea ana i runga i ngā X-ray.
Ka tūtohu pea tō tākuta ki ētahi atu whakamātautau mēnā ka whakaaro rātou he raruraru. Ka tirotirohia te kanohi mō te uveitis, ka taea hoki e ngā whakamātautau ngakau pēnei i te echocardiogram te kimi i te whakauru o te ngakau.
Ka roa pea te tukanga whakatau, mō te tupu haere tonu o ngā tohu, ā, ka pohehe pea hei mamae tuawhenua noa. Kaua e ngakau pouri ki te roa o ngā whakaritenga kia tae rawa ki te whakatau mārama.
Ka aro te maimoatanga mō te ankylosing spondylitis ki te whakaiti i te mumura, ki te whakahaere i te mamae, ki te pupuri i te nekehanga me te mahi. Ahakoa kāore he rongoā, ka taea e ngā maimoatanga whai hua te whakaheke i te tere o te mate, ā, ka āwhina i a koe ki te ora i te oranga noa, mahi.
Ko ngā rongoā te turanga o te maimoatanga:
Kua hurihia te rongoā mō te ankylosing spondylitis e ngā rongoā Biologic. Ka taea e ēnei rongoā, tae atu ki ngā kaihoroi TNF me ngā kaihoroi IL-17, te whakaiti nui i te mumura me te ārai i te pakaru o ngā hononga. Ka kōrero tō tākuta ki a koe mō ngā painga me ngā tūponotanga o ēnei rongoā kaha.
He mahi nui te whakaora tinana ki roto i tō mahere rongoā. Ka taea e te kaiwhakaora tinana motuhake te whakaako i a koe ki ngā mahi whakakori tinana hei pupuri i te ngawari o te tuawhenua, hei whakapai ake i te tu, me te whakakahangia i ngā uaua tautoko. Ka āwhina te whakakori tinana tūturu, ina koa te kauhoe me te whakatete, ki te tiaki i te mahi o ngā hononga.
I ētahi wā onge i puta ai te pakaru kino o ngā hononga, ka whakaarohia ngā whiringa pokanga penei i te whakakapi hononga, kāore rānei te pokanga tuawhenua. Heoi, me ngā rongoā hauora hou, kua iti haere te hiahia mō te pokanga.
Ka whakaritea tō mahere rongoā ki ō tohu motuhake, te kaha o te mate, me te whakautu ki ngā rongoā. Ka taea e te tirotiro tūturu tō rōpū hauora te whakarereke i ngā rongoā kia rite ki te hiahia.
Ko te whakahaere i te ankylosing spondylitis i te kāinga e whakauru ana i te hanga i ngā mahi o ia rā e tautoko ana i tō rongoā me te āwhina i a koe ki te pai o tō ahua. Ka mahi tahi ēnei rautaki tiaki whaiaro me tō rongoā hauora hei whakapai ake i te kounga o tō oranga.
Ko te whakakori te rongoā kāinga tino nui mō te ankylosing spondylitis. Ka āwhina te nekehanga tūturu ki te pupuri i te ngawari, ka whakaiti i te ngoikore, ā, ka taea tonu te whakaiti i te mamae i te roa o te wā. He tino pai te kaukau, nā te mea ka tautoko te wai i te taumaha o tō tinana me te tuku i te whānuitanga o te nekehanga.
Ko ētahi mahi o ia rā e taea te āwhina:
He nui te pānga o te kounga o te moe ki ō tohu. Ka tautoko te moenga pakari i te tuunga tika o te tuawhenua, ā, ko te moe i runga i tō tua, i tō taha rānei me te urupare i waenganui i ō turi ka taea te whakaiti i te pehanga. Kaua e moe i runga i tō puku, ka taea te whakaiti i te kōroke o te tuawhenua.
Ka taea e ngā tikanga whakahaere ahotea pēnei i te manawa hohonu, te whakaaroaro, te yoga rānei te whakaiti i te mumura me te whakapai ake i tō oranga whānui. He tokomaha te iwi e kite ana i te whakaiti o ō rātou tohu e te ahotea, no reira he mea nui te ako i ngā rautaki whakahaere hauora.
Pupurihia he pukapuka tohu hei aroturuki i ngā mea e āwhina ana me ngā mea e whakaiti ana i ō tohu. Ka āwhina ēnei kōrero i a koe me tō tākuta ki te whakatau i ngā whakatau whakamārama mō tō mahere rongoā.
Ko te whakarite mō tō whakatau ka āwhina i te whakarite kia whiwhi koe i te painga nui mai i tō wā me tō kaiwhakarato hauora. Ka ārahi te whakarite pai ki te tautuhi tika me ngā whakatau rongoā pai ake.
I mua i tō whakatau, tuhituhia ngā kōrero taipitopito mō ō tohu. Whakauruhia te wā i tīmata ai rātou, ngā mea e whakaohooho ana i a rātou, ngā mea e whakaora ana, me te āhua o te pānga ki ō mahi o ia rā. Tātaihia ngā tauira, pēnei i te ngoikore o te ata, i te mamae rānei e pai ake ana me te nekehanga.
Kohikohia ngā kōrero nui hei kawe mai:
Whakaarohia te kawe mai i te hoa whakawhirinaki, i te mema whānau rānei ki tō whakatau. Ka taea e rātou te awhina i te maumahara i ngā kōrero nui, me te whakarato i te tautoko hinengaro i ngā kōrero mō tō mate.
Whakamahia ngā pātai motuhake mō ngā whiringa maimoatanga, ngā pānga taha pea, me ngā mea e tatari ana koe ki te haere mai. Kaua e whakaroa ki te ui mō ngā whakarerekētanga noho, ngā tūtohu whakakori tinana, te wā rānei hei rapu i te tiaki mate.
Kia pono ki ō tohu, ahakoa ka whakama rānei, kāore rānei e hono. Me whai kōrero kākāo tō tākuta hei whakarato i te tiaki pai rawa atu, ā, ka kite pea ia i ngā hononga kāore koe i whakaaro.
He mate whakahaere te mate spondylitis ankylosing e whakautu pai ana ki te whakamātautau wawe me te maimoatanga tika. Ahakoa he mate roa e hiahia ana ki te tiaki haere tonu, ka taea e te nuinga o te hunga e pangia ana e te mate spondylitis ankylosing te pupuri i ngā oranga mahi, whai hua.
Ko te mea nui rawa atu hei maumahara ko te kore koe e noho kotahi i roto i tēnei haerenga. Kua tino whakapai ake ngā maimoatanga hou, tae atu ki ngā rongoā pāngarau me te whakaora tinana e whai take ana, i ngā hua mō te hunga e pangia ana e tēnei mate. Ka taea e te maimoatanga wawe te aukati i te maha o ngā raruraru me te tiaki i tō kaha neke me tō mana motuhake.
He mea nui tō whakauru mahi ki te maimoatanga. Ko te whakakori tinana auau, te tango rongoā rite tonu ki te whakahau, me te pupuri i te whakawhitiwhiti korero tuwhera ki tō rōpū hauora ka awhina i ngā hua pai ake i te wa roa.
Ahakoa pea ka tino pā te whakatau i te tuatahi, kia mahara ko te matauranga te mana. Mā te mārama ki tō mate ka āhei ai koe ki te whakatau whakamārama mō tō tiaki, ā, ka kitea e koe te wā e hiahia ana koe ki te tautoko atu.
Kia tūmanako tonu, ā, kia aro ki ngā mea ka taea e koe te whakahaere. Mā te rongoā tika me te tiaki whaiaro, ka taea e koe te whai tonu i ō whāinga me te koa ki ngā mahi e tino nui ana ki a koe.
I tēnei wā, kāo te rongoā mō te ankylosing spondylitis, engari ka taea te whakahaere pai mā te rongoā tika. Ka taea e ngā rongoā hou te whakaiti i te tere o te mate, ā, te whakaiti i ngā tohu, nā reira ka ora ai te nuinga o te iwi i te oranga noa, mahi. He mea nui te whakatau i te mate i te tīmatanga me te rongoā hei ārai i ngā raruraru me te pupuri i te kounga o te ora.
Ko te nuinga rawa o te iwi he ankylosing spondylitis kāore e mutu i roto i ngā wīra hīkoi. Mā ngā rongoā o nāianei, he onge te mate kino. Ahakoa pea ka raru te toronga o te tuaiwi i te wā, ka pupuri tonu te nuinga i to rātou kaha ki te hikoi me te mahi i ngā mahi o ia rā. Ko te tīmatanga o te rongoā i te tīmatanga me te noho mahi ka whakaiti i te tūponotanga o ngā raruraru kino.
Kāore noa iho te whakakori tinana i te haumaru, engari he mea nui mō te whakahaere i te ankylosing spondylitis. Ka āwhina te mahi tinana tūturu ki te pupuri i te toronga o te tuaiwi, te whakaiti i te ngoikore, ā, ka taea te whakaiti i te mamae. He pai rawa te kauhoe, te hikoi, te yoga, me ngā whakakorikori toronga motuhake. Ka taea e tō tākuta, e tō kaiwhakaora tinana rānei te awhina i te hanga i te kaupapa whakakori e tika ana mō tō āhuatanga motuhake.
He maha ngā wāhine e pangia ana e te ankylosing spondylitis e whai tamariki ora ana, ahakoa he mea nui te whakahaere tika i te mate i tēnei wā. Ka pai ake te āhuatanga o ētahi wāhine i te wā hapu, engari ka raru pea ētahi atu. Me whakarerekē, me mutu rānei ētahi rongoā i te wā hapu, na reira he mea nui te whakarite me tō rōpū hauora i mua i te whakaaro ki te whānautanga mō ngā hua pai.
He kaha te whakauru ira a te ankylosing spondylitis, ā, tata ki te 90% o te iwi kei a rātou te ira HLA-B27. Heoi, ki te whai koe i tēnei ira, kāo e whakaatu mai he mate koe. Ki te whai koe i te mātua, te teina rānei e pangia ana e te ankylosing spondylitis, ka nui ake tō tūponotanga, engari he tokomaha ngā tāngata e whai whānau nei e kore e puta mai he tohu. Ka taea e te tohutohu ira te āwhina i a koe ki te mārama ki ō tūponotanga motuhake.
6Mpeople
Get clear medical guidance
on symptoms, medications, and lab reports.