Isifo esinamandla nesivamile esingavamile, okuthiwa i-ankylosing spondylitis, sithinta amadoda kaningi, kodwa abesifazane abancane (abaneminyaka engu-20 kuya kwengu-30 ubudala) nabo bayabonakala kuwo. Kunzima kakhulu ukuthola ukuthi isifo sikaBechterew siphila kahle - izimpawu zesifo zifana kakhulu ne-osteochondrosis nezibonakaliso eziyinhloko ze-hernia intervertebral.
Izimbangela zezifo zikaBechterew
Okuwukuphela kwento efaka isandla ekwakhiweni kwe-pathology ekukhulunywe ngayo yilokho okushiwo izakhi zofuzo. Lesi sifo sibonakala ngezici zokusebenza kwesimiso somzimba sokuzivikela, esizuzwe njengefa.
Kumele kuqashelwe ukuthi ukutholakala kwezifo ezingenasifo ezingapheli ezithombeni zangaphakathi, ngokuvamile emathunjini noma ohlelweni lwe-urogenital, kwandisa ingozi yokuchazwa kwesifo. Okunye okubalulekile ukutheleleka okukhulu, kokubili amabhaktheriya kanye negciwane.
Esinye sezicabangela ezivame kakhulu ezichaza ukubonakala kwesifo yi-psychosomatics yesifo sikaBekhterev. Ngokwale nguqulo, ukukhubazeka kubonakala ngenxa yokuvezwa isikhathi eside ekucindezelekeni okukhulu, ukucindezeleka noma ukucindezeleka ngokomzwelo. Ngenxa yezizathu ezingenhla, izinqubo ezizenzakalelayo ezingenakuguqulwa zibangelwa, futhi zivusa ukuvuvukala kwamalungu angaphakathi.
Izimpawu nezibonakaliso zesifo sikaBechterew kubesifazane
Ekuqaleni, izinhlungu ezingavamile nezibuhlungu ziphawulwe esifundeni se-lumbar, i-sacrum, izinguquko zenzeka ezigumbini zomgogodla. Ukubonakaliswa okuqhubekayo kwemitholampilo:
- ukuqina kohambo, ukuqhutshwa kokuphumula, ebusuku nangaphambi kokuvusa;
- ukwanda kwesifo sobuhlungu, ikakhulukazi ngesikhathi sokusebenza ngokomzimba nokunyakaza okungazelelwe;
- ukuxubana kwezixhobo ze-muscular zangemuva;
- ukwehla ukuhamba komgogodla;
- ubuhlungu ekuhlanganyeleni kwe-hip;
- ukugoba, ukuvinjelwa kwikholomu yomgogodla;
- umkhawulo wokuthuthukiswa kwesifuba;
- ukukhula kwehla;
- fusion (ankylosing) yamalungu.
Izigaba kamuva zokuqhubeka kwesifo sikaBechterew zibhekene nalezi zimpawu ezilandelayo:
- i-aortitis;
- ukwehluleka kwamagundane enhliziyo;
- ukuphazamiseka kwesigqi;
- i-pericarditis;
- ukunqotshwa kwezingqimba, amaqabunga kanye namalungu emadolo;
- i-amyloidosis yezinso;
- aveitis (ukuvuvukala kwamehlo);
- ukulahlekelwa ukudla, futhi esikhathini esizayo - isisindo;
- ukwanda kokushisa;
- ubuhlungu esithendeni.
Izimpawu ze-X zesifo sikaBechterew
Uhlobo oluthile lokucwaninga lokucwaninga ukugula lungumuthi wama-magnetic resonance noma ama-X-rays. Isithombe ngokugcwele sibonisa izinguquko emgodleni, kanye nenani lamajoyina, usayizi wabo. Ngaphezu kwalokho, i-X-rays inganquma ukutholakala kwenqubo yokuvuvukala nokusabalalisa kwayo.
Izici eziyinhloko:
- i-fusion ebonakala kahle ye-vertebrae (izindawo eziningi ezimhlophe esifundeni sesifunda se-lumbar noma se-sacrum);
- izinguquko ekubunjweni nobukhulu bamajoyina;
- ukungabikho kwezicubu ezibonakalayo zomzimba ngaphakathi kwe-intervertebral lumen.
I-ESR nesifo sikaBechterew
Kwezinye izimo, ukuhlola igazi kwegazi kuyasetshenziselwa ukuxilonga lesi sifo. Njengomthetho, ikuvumela ukuba unqume inqubo yokuvuvukala ekhona ngokubala izinga le-sedimentation ye-erythrocyte. Ngisho nasesiteji sokuqala, lesi sibonakaliso sikhulu kakhulu kunezindinganiso ezijwayelekile futhi cishe cishe 35-40 mm ngehora, ngezinye izikhathi - ngaphezulu.
Kufanele kuqaphele ukuthi isifo sikaBekhterev kwabesifazane sifana kakhulu nesifo samathambo . I-pathology echazweyo ingahlukaniswa kuphela ukungabi khona kwesici se-rheumatic esivumelwaneni se-serum ngaphansi kokucwaninga.