Övningar för Behçets sjukdom — vaskulit-medveten, ögon-skov pausat, NSAID-försiktig

ICBD 2014 international criteria + EULAR 2018 Behçet's management framework. Behçet's disease is a vasculitis affecting arteries AND veins of all vessel sizes — this is the distinguishing feature versus most other vasculitides. Clinical features: recurrent oral ulcers (mandatory for diagnosis), genital ulcers, uveitis (panuveitis classic and the leading cause of blindness in untreated Behçet's), skin pathergy test (papular reaction to needle prick), erythema nodosum, pseudofolliculitis. Endemic along the Silk Road (Turkey, Iran, Japan, Korea); also seen elsewhere with lower prevalence. Major morbidity comes from vascular events (aneurysm + thrombosis — pulmonary artery aneurysm is a major cause of mortality), ocular involvement (uveitis blindness risk), and neuro-Behçet's (parenchymal CNS involvement + dural sinus thrombosis). Exercise during active ocular or vascular flare: AVOID strenuous activity entirely — talk to rheumatology + ophthalmology before resuming. Outside flares: graded low-impact aerobic + range-of-motion + posture work. The critical drug interaction is AVOID NSAIDs if vascular involvement — bleeding from an aneurysm in Behçet's is life-threatening; paracetamol/acetaminophen usually safer.

Volya's catalogue carries the foundation moves: supported-glute-bridge for posterior chain, wall-push-up for scaled upper-body, scapular-retraction for posture, cat-cow for spinal mobility + parasympathetic, supine-knee-to-chest for low-back release, diaphragmatic-breathing for parasympathetic regulation + chest-wall mobility, seated-march for cardio without joint impact (especially during oral/genital ulcer flares when movement is uncomfortable), ankle-pump for circulation + DVT prevention (Behçet's thrombosis risk), sit-to-stand for functional + bone-loading (steroid osteoporosis). The AI coach also knows the nutrition side — Mediterranean anti-inflammatory backbone (Bayraktar 2015 + Türsen 2018 reduce oral ulcer frequency), zinc 15-30 mg/day for oral ulcer healing (food-first oysters/beef/cashews), vitamin B12 + folate + iron check (chronic anemia common), vitamin D often low target 40-60 ng/mL (Sahin 2020 immune modulation), omega-3 1-3 g/day, AVOID acidic + spicy + crunchy during oral ulcer flares (citrus + tomato + hot sauce + chips compound pain + delay healing), AVOID alcohol (medication + mucosal irritation), neuro-Behçet's vascular CRITICAL AVOID NSAIDs + AVOID dehydration ≥2.5 L/day, soft + moist textures during oral ulcer flares (soups, stews, smoothies), AVOID skipping meals on steroid days (hyperglycaemia + bone loss). CRITICAL: American Behçet's Disease Association + International Society for Behçet's Disease (ISBD) + EULAR + rheumatology + ophthalmology (uveitis specialist — risk of blindness) + neurology if neuro-Behçet's + vascular surgery if aneurysm + dental/oral medicine. This is NEVER a replacement for rheumatology + multispecialty care.