Ankylosing spondylitis (AS) ndiyo imwe chirwere chinowanikwa pamwe chete nehutachiona hwechirwere chinokonzera chirwere chepine uye sacrum. Iyo yakawanda yakareba, inonzi axial spondyloarthritis (inowanzonyorerwa se "axial SpA"), inosanganisira zvirwere zvakadai se ankylosing spondylitis se subsets.
Izvi zvirwere zvinokanganisa musana uye zvivako zvinosangana nazvo.
Izwi rokuti "axial skeleton" chaizvoizvo rinoreva chitunha chako, shangu, musana, pelvis, uye rib cage. Apo spondyloarthritis inokanganisa migumo, inonzi inonzi peripheral spondyloarthritis.
Overview
Ankylosing spondyloarthritis ishoma asi iyo inokonzera kushandiswa kweaxial spondyloarthritis umo iyo musana inoputira kwenguva. Iyo isingaperi uye inobudirira. Ngozi inonyanya kukosha kana iwe uchitaridzika zvakanaka kune HLA-B27 geni, kunyange zvazvo masayendisiti haasi kunyatsoziva nezvebasa iro HLA-B27 iri kutamba muchiito.
Saka, chii chinoitika kana une AS? Iko inowanzotanga ne sacroiliac (SI) kubatana nekubatana nekuoma. Masangano eSI ndiwo masangano pakati pe sacrum nemapanga. Iyo iri kune rumwe rutivi rwe sacrum, iyo ndiyo chikamu chakaderera chemukati wemutsara.
Nokuti AS inenge isingagumi, zviratidzo zvenguva zvinopfuurira mberi kune dzimwe nzvimbo dze-axial skeleton-iyo mahudyu ako, vertebrae, uye rib cage.
Pakupedzisira, ankylosing spondylitis inogona kukonzera kukanganiswa zvakakwana kwepasina uye kurasikirwa kwese kwepelinha kufamba.
Zviratidzo
ZVINONYANYA zviratidzo zvinosanganisira mangwanani-ngwanani kubatanidza / kuoma kwepini uye marwadzo anowedzera kupfuura mushure mekuzorora (asi anonzwa zviri nani kana zuva richienderera mberi kana mushure mekuita zvekuita). Kuneta, manzwiro efivha, uye / kana usiku kusvetuka zvakare zviratidzo.
Cherechedza kuti AS zviratidzo zvinowanzouya zvishoma nezvishoma, kazhinji kutora vhiki kana mwedzi kuti zvizivikanwe.
Kuziva
Vamwe vanhu vanoona kuwanikwa kwavo kweplondylitis yavo inoratidzirwa ndeyekuvhiringidza kana kunetseka. Ankylosing spondylitis, pamwe chete nedzimwe zvirwere zvepassethe pedyo ne axial spondylitis spectrum, dzimwe nguva inoratidzira pa x-ray kana MRI-asi dzimwe nguva kwete.
Kakawanda apo chirwere chinonzi "subset" "chisingazivikanwi" (kana pasina uchapupu hwayo pahutano hwekufananidza mafirimu), ndechikonzero nokuti chirwere ichi chiri muchigamba chekutanga. Izvi zvinogona kureva kuti zviratidzo zvinogona kuratidzira mafirimu emangwana-chikonzero chakanaka chekuramba uchitarisa navo nechiremba wako.
Radiographic zviratidzo zvakakosha nokuti dzinobatsira chiremba wako kuti ave nechokwadi chekuongorora AS. Kuwana kutsvaga chinangwa chakakosha chekushanda-nekukurumidza iwe waunoita, nokukurumidza iwe unogona kutanga chirongwa chekurapa icho chichatarisira kuti chakanaka kwauri.
AS inowanzovhiringidzika ne rheumatoid arthritis, naizvozvo usati wasvika pakugumisa pamusoro pezvinokonzera zviratidzo zvako, chiremba wako achafanirwa kusiyanisa pakati pezvirwere zviviri. Asi, kana ichionekwa neAAS, inowanzobatwa nemishonga-nhamba yezvitsva ikozvino mumusika. Kudzidzira muviri kunogona kubatsirawo kutapudza chirwere chekuwedzera uyewo kugadzirisa kurwadziwa uye zvimwe zviratidzo.
> Sources:
> Deodhar, A., Reveille, J., van den Bosch, F., Braun, J., Burgos-Varga, R., et al. Izwi reAxial Spondyloarthritis: Joint Statement yeSpondyloarthritis Research and Treatment Network uye Kuongorora kweSpondyloArthritis International Society muKupindura kweAmerica Food and Drug Administration's Comments uye Zvinetseka. Sept 2014.
> Kiltz U., Baraliakos X., J. Braun Mutungamiri weaxial spondyloarthritis. Internist (Berl). Sept. 2016.