Izifo ezinqabileyo neziqhaqhaqhayo, ezibizwa ngokuba yi-ankylosing spondylitis, zichaphazela abantu ngokuphindaphindiweyo, kodwa abafazi abancinci (abaneminyaka engama-20 ukuya kwimi-30 ubudala) nabo bayabonakala kuyo. Kunzima kakhulu ukufumanisa ngokufanelekileyo isifo sikaBechterew - iimpawu zesifo zifana kakhulu ne-osteochondrosis kunye neempawu eziphambili ze-internebral hernia.
Izizathu zeSifo seBechterew
Okukuphela kwento ebangela ukuphuhliswa kwentsholongwane ekubhekiselele kuyo kuyimfuneko yezofuzo. Esi sifo sibonakaliswe yimpawu zokusebenza kwe-immune system, ezuze ilifa.
Kufuneka kuqatshelwe ukuba ubukho naziphi na izifo ezingapheliyo zezifo zangaphakathi, ngokuqhelekileyo umathumbu okanye inkqubo ye-urrogenital, yandisa umngcipheko wesifo esichazwe. Kwakhona kubalulekile ukusuleleka kwezifo ezinzima, zombini iintsholongwane kunye nentsholongwane.
Enye yeengcamango eziqhelekileyo ezichazela ukubonakala kwentsholongwane yi-psychosomatics yesifo sikaBekhterev. Ngokwale nguqulelo, i-pathology ibonakala njengesiphumo sokubandezeleka okukhulu, ukuphazamiseka kwamazwe okanye ukunyuka kwengqondo . Ngenxa yezi zilapha zingentla zizathu ezingenakwenzeka ezingenakunyuswa, ezikhupha izibilini zamathambo.
Iimpawu kunye neempawu zesifo seBechterew kubasetyhini
Ekuqaleni, iintlungu ezingabonakaliyo kunye nobunzima ziphawulwe kwingingqi ye-lumbar, i-sacrum, utshintsho luvela kwizinto ezigulisa umlenze. Eminye imbonakalo yekliniki:
- ubunzima bokuhamba, ukuhlaziywa ngokuphumla, ebusuku nangaphambi kokuvuswa;
- ukwanda kweentlungu zesifo, ngokukodwa ngexesha lokuzikhandla ngokomzimba kunye nokuhamba ngokukhawuleza;
- ukuxhatshazwa kwezixhobo ze-muscular zangasemva;
- kuncipha kokuhamba komgudu;
- intlungu ehlangeneyo;
- umqubu, ukujikeleza kwikholamu yomgcini;
- umda wokuphuhliswa kwesifuba;
- ukukhula kwehla;
- ukuxuba (i-ankylosing) yamalungu.
Izigaba ezilandelayo zokuqhubeka kwesifo seBechterew zibonakaliswe ziimpawu ezilandelayo:
- aortitis;
- ukungaphumeleli kweentsimbi zentliziyo;
- ukuphazamiseka kwengqungquthela;
- pericarditis;
- ukunqotshwa kweengqungquthela, amaqaqa kunye namadolo;
- i-amyloidosis yeentso;
- aveitis (ukuvuvukala kwamehlo);
- ukulahleka kwesidlo, kunye nobunzima;
- ukwanda kweqondo lokushisa;
- intlungu esithendeni.
Iimpawu ze-X-ray zesifo sikaBechterew
Uhlobo olunolwazi olunzulu lophando lokufumanisa ukugula kugqirha lwe-resonance okanye i-X-rays. Umfanekiso ngokugcwele ubonisa utshintsho kwintlambo, kunye nenani lamalungu, ubungakanani bawo. Ukongezelela, ii-X-ray ziyakwazi ukubona ubungqina benkqubo yokuvuvukala kunye nokuxhaphaka kwayo.
Iinkalo eziphambili:
- ukuxuba okubonakalayo kweentlobo (iindawo ezimhlophe ezimhlophe kwingingqi ye-lumbar okanye i-sacrum);
- utshintsho kwimilo kunye nobukhulu bamalungu;
- ukungabikho kwezicubu ezibonakalayo ezinqabileyo kwi-lumen intervertebral.
ESR kunye nesifo sikaBechterew
Kwezinye iimeko, uvavanyo lwegazi lwe-biochemical lusetyenziswa ukuxilonga lesi sifo. Njengomthetho, kukuvumela ukuba uqinisekise inkqubo ekhoyo yokuvuvukala ngokubala isantya se-sedimentation ye-erythrocyte. Ngaphandle kwinqanaba lokuqala, eli lathisi liphezulu kunexabiso eliqhelekileyo kwaye li malunga ne-35-40 mm ngeyure, ngamanye amaxesha - ngaphezulu.
Kubalulekile ukuba uqaphele ukuba isifo sikaBekhterev kubasetyhini sifana nesifo se-rheumatoid arthritis . I-pathology echazwe ingachazwa kuphela ngokungabikho kwe-rheumatic factor in the serum phantsi kokufunda.