Ankylosing spondylitis

I-ankylosing spondylitis isifo sikaBekhterev, sagqithiselwa igama logqirha waseRashiya owathi waqala ukuchaza iimpawu kunye ne-etiology.

I-Spondyloarthritis ankylosing ibhekisela kwizifo ezingapheliyo ezixhomekeke ekuqhubeleni phambili. Ubonakaliswa ukuvuvukala kwamalungu omgudu, okubangelwa yimpembelelo yokungahambi kakuhle, kwaye ekugqibeleni umgudu ukhubazekile.

Ukwahlula kunye ne-smptomas ye-spondylitis engavaliyo

Ukuhlelwa kwe-spondylitis engavumelekanga kungenziwa ngokubhekiselele kwiinkalo eziliqela:

• ngaphantsi;
• kwinqanaba lokuphuhlisa.

Ezihlukeneyo ezine ziyaziwayo kwixesha le sifo:

• ukuphuculwa kwexesha;
• ukuqhubela phambili ngokukhawuleza;
• ukuqhubela phambili ngokukhawuleza;
• i-variptic septic, apho isifo sinobuchopho obunzima nangomkhuhlane, ukubola kunye nokujuluka okukhulu.

Iimpawu kunye nezigaba ze-spondylitis engavumelekanga:

1. Isigaba sokuqala. Eli nqanaba libizwa ngokuba yi-nagolnoy. Ngeli thuba kukho umqobo kwimimandla yomgudu womgangatho olinganayo. Xa uqhuba i- X-ray, umntu unokubona ukungalingani kwamalungu e-sacral kwingingqi, kunye namaziko osteosclerosis kunye nokwandiswa kwee-slits ezidibeneyo.
2. Isigaba sesibini. Ngethuba lexesha kukho ukuhla kweyantlukwano kwiminyango kumanqaku omgudu okanye kumacandelo omnxeba. Izifungo ze-Articular zesithili se-sacral zincinci. Kule nqanaba, iimpawu ze-ankylosis zinokwenzeka.
3. Isigaba sesithathu. Eli nqanaba elide libonakaliswe ngumqobo omkhulu ekuhambeni komgudu.

Kananjalo, oogqirha bahlula izigaba ezintathu zesifo:

1. Kwinqanaba elincinci, isigulane sinokuqina kancinci kokuhamba, ngokukodwa ngeeyure zokusa. I-ESR kule ndawo ifike kwi-20 mm / h.
2. Kwinqanaba elincinci lesigulane, intlungu eqhubekayo kumalungu axhatshazwayo, ubude bokunyuka kokunyuka kwanda ukuya kwiiyure ezingama-3-4 emva kokuvuswa. I-ESR kule meko ifikelela kuma-40 mm / h.
3. Kwinqanaba elikhankanyiweyo, ukuqina kohambo kuqhubela yonke imihla kwaye ubuhlungu obuqhubekayo emlanjeni buqhubekayo. Kule nqanaba, kukho ubushushu obuncinane, kwaye i-ESR idlula 40 mm / h.

Kananjalo, oogqirha bahlela isantya sesi sifo ngokwemisebenzi yamalungu:

1. Kwinqanaba lokuqala kukho utshintsho kwiintambo zomgudu, ohamba kunye nokuhamba okuncinane kumalungu kunye nama-vertebrae.
2. Kwinqanaba lesibili ukuthintela ekuhambeni kwenyuka, ngenxa yoko isiguli sifumana iqondo lesithathu lokukhubazeka.
3. Kwinqanaba lesi-3, i-ankylosis ivela kuzo zonke iindawo ze-vertebra kunye namajoyina. Ngenxa yezinto ezilahlekileyo zengqesho okanye kukho ukungakwazi ukuzenzela. Ngeli nqanaba isigulane sithoba ukukhubazeka kwesibini sokuqala okanye yesibini. Kule nqanaba, kwinto enokwenzeka ukuba umntwana osemntwaneni angenayo i-spondylitis, ebonakaliswa ngumonakalo kwizakhiwo ze-muscular.

Ukuxilongwa kwe-spondylitis engavumelaniyo

Indlela ephezulu yokufumanisa i-spylylitis ye-ankylosing yi-ray-ray. Ikuvumela ukuba ubone iimeko ezingenanto amaqhinga, ukuguqulwa, ubukhulu beentambo kunye nolunye ulwazi olubalulekileyo lokuseka isigaba sesifo.

Kwakhona ukuxilongwa, indima ebalulekileyo idlalwe ngokuhlalutya kwegazi kunye nokucatshulwa kwamandla omnkantsha .

Unyango lwe-spondylitis engasebenzi

Ngesi sifo sikaBechterew, oogqirha ngoku baye bachazela ngokunyanisekileyo imithi yokuchasa. Into eyaziwayo kakhulu yiDiclofenac.

Kwakhona ukususwa kwesibindi, i-glucocorticosteroids imiselwe (umzekelo, iPrednisolone). Amachiza ale qela amiselwe ngexesha lokuxhatshazwa kokususwa kwenkqubo yokuvuvukala.

I-immunosuppressants - sulfasalazine, methotrexate, njl., Nayo iyalelwe ukuba imise i-ankylosis.

Ngexesha lokuxolelwa, i-physiotherapy ye-thermal kunye ne-gymnastics yokuphefumula inenzuzo kwisimo somguli.