I-ankylosing spondylitis

I-ankylosing spondylitis isifo sikaBekhterev, sabizwa ngokuthi udokotela waseRussia oqale wachaza izimpawu kanye ne-etiology.

I-spondyloarthritis i-ankylosing ibhekisela ezifweni ezingapheli ezivame ukuqhubekela phambili. Kubonakala ukuvuvukala kwamalungu omgogodla, okuwumphumela okuholela ekuhambeni okungazimele, futhi ekugcineni umgogodla ukhubazekile.

Ukuhlukaniswa kanye nama-smptomas we-spondylitis ankylosing

Ukuhlelwa kwe-spondylitis e-ankylosing kungenziwa ngokwezibalo eziningana:

• phansi;
• ngesigaba sokuthuthukiswa.

Izinhlobonhlobo ezine ziyahlukaniswa phakathi nesifo:

• ukuqhubeka kancane;
• ukuthuthuka okuphuthumayo nokuzikhukhumeza;
• ukuqhubeka okusheshayo;
• i-variptic septic, lapho lesi sifo sinokuqala ngomkhuhlane, izikhukhula kanye nokujuluka okukhulu.

Izimpawu nezigaba ze-anondlosing spondylitis:

1. Isigaba sokuqala. Lesi sigaba sibizwa nangokuthi nagolnoy. Phakathi nalesi sikhathi kunomkhawulo ekuhambeni komgogodla wezinga elilinganiselwe. Lapho wenza i- X-ray, umuntu angabona ukungalingani kwamalungu e-sacral esifundeni, kanye nezikhungo ze-osteosclerosis kanye nokwandiswa kwe-slits ehlangene.
2. Isigaba sesibili. Phakathi nalesi sikhathi kunciphisa okulinganisako kokunyakaza emathanjeni omgogodla noma kumalungu ohlangothini. Iziphazamiso zomhlaba zesifunda se-sacral zincane. Ngalesi sikhathi, izimpawu ze-ankylosis zingenzeka.
3. Isigaba sesithathu. Lesi sigaba sekwephuzile sibonakala umkhawulo obalulekile ekuhambeni komgogodla.

Kanti futhi odokotela bahlukanisa izigaba ezintathu zesifo:

1. Esigabeni esincane, isiguli sinokunyuka okuncane kokunyakaza, ikakhulukazi emahoreni asekuseni. I-ESR kulokhu ifika ku-20 mm / h.
2. Esigabeni esilinganiselwe sesiguli, ubuhlungu obuqhubekayo emajoyini buphazamiseka, ubude bokuqina kohambo luyanda emahoreni angu-3-4 emva kokuvuswa. ISR kuleli cala lifinyelela ku-40 mm / h.
3. Esigabeni esivelele, ukuqina kohambo kuqhubeka usuku lonke futhi izinhlungu eziqhubekayo emgodleni ziqhubeka ziphikisana nazo. Kulesi sigaba, kunezinga lokushisa elincane, kanti i-ESR idlula u-40 mm / h.

Futhi, odokotela bahlukanisa izinga lesifo ngokusho kwamalunga:

1. Esigabeni sokuqala kukhona ushintsho emaphethweni omgogodla, ohambisana nokunyakaza okulinganiselwe kumalunga nama-vertebrae.
2. Ngezinga lesibili ukuvinjelwa kokunyakaza kukhula, ngenxa yalokho okushiwo isiguli isilinganiso sokukhubazeka sesithathu.
3. Ngezinga lesithathu, i-ankylosis ivela kuzo zonke izingxenye zama-vertebra namajoyini we-hip. Ngenxa yalokho okushiwo amandla okusebenza noma kukhona okungenakwenzeka kokuzikhandla. Ngalesi sifo isiguli sithola ukukhubazeka kwesigaba sokuqala noma sesibili. Ngalesi sigaba, futhi kungenzeka ukuthi izingane ezincane ezingenayo i-spondylitis e-ankylosing, ebonakala ngokulimala ezakhiweni zemisipha.

Ukuxilongwa kwe-spondylitis e-ankylosing

Indlela eyinhloko yokuthola ukuthi i-spondylitis e-ankylosing i-x ray. Ikuvumela ukuba ubone cishe izigameko amalunga, ukuguqulwa, ubukhulu bokuqhekeka kanye nolunye ulwazi olubalulekile lokusungula isigaba sesifo.

Futhi lapho kutholakala ukuhlolwa, indima ebalulekile idlalwe ukuhlaziywa kwegazi legazi kanye nokufaneka kwe-magnetic resonance yomgogodla .

Ukwelashwa kwe-spondylitis e-ankylosing

Ngesifo sikaBechterew, odokotela manje basebenzisa imithi yokulwa nokuvuvukala ngenkuthalo. Okuthandwa kakhulu yiDiclofenac.

Futhi ukususa ukuvuvukala, i-glucocorticosteroids inqunywe (isibonelo, i-Prednisolone). Imithi yaleli qembu inqunywe phakathi nesikhathi sokwenyuka kokususwa kwenqubo yokuvuvukala.

Ama-immunosuppressants - sulfasalazine, methotrexate, njll, nawo anqunyelwe ukuyeka i-ankylosis.

Phakathi nesikhathi sokuxoxwa, umzimba we-physiotherapy oshisayo kanye nokuzivocavoca okuphefumulayo kuyazuzisa esimweni sesiguli.