Chirongwa cheAnkylosing Spondylitis
Ankylosing spondylitis chirwere cheArthritis chinoratidzwa nekugara kusuruvara kunonyanya kukanganisa musana nemutsipa (kureva, musana). Mune zviitiko zvakakomba, mapfupa ari mumucheto anogona kuputika (anonziwo ankylosis) achiita kuti aome uye asingagadziriswi. Kusagadzikana kwemazuva ano kunogona kuva nemigumisiro. Mimwe majoka angangobatanidzwawo, kusanganisira mahudyu, mabvi, maziso, kana mapepa. Chirwere chacho chinogonawo kubatanidza ne systemic effects , inopinda nhengo dzakasiyana dzomuviri.
> Ona kuti ankylosing spondylitis, chirwere cheArthritis, chinokanganisa musana.
Ankylosing spondylitis ndeyeboka rezviitiko zvinonzi spondyloarthropathies . Zvimwe zvepondyloarthropathies zvinosanganisira:
- Reactive arthritis
- Psoriatic arthritis
- Arthritis inokonzera zvirwere zvinouraya zvirwere (ulcerative colitis kana chirwere cheCrohn)
- Enteropathic arthritis
Spondyloarthropathies inorondedzerwa se axial kana periipheral, zvichienderana nezvipi zvayo zvinosanganiswa.
Axial inoreva kubatanidzwa kwemutsana. Puroperi inoreva mamwe majoini kunze kwemupaka. Ankylosing spondylitis inonzi axial spondyloarthropathy.
Chikonzero cheAnkylosing Spondylitis
Chikonzero chechiitiko hachizivikanwi, asi HLA-B27 geni iripo muzana 90 muzana yevanhu vane chirwere, vachiratidza kuti genetic connection. Zvisinei, zvakakosha kucherechedza kuti havasi vose vane HLA-B27 geni rinokura ankylosing spondylitis. Maererano neSpondylitis Association of America, pane zvinyorwa zvishanu kana zvitanhatu zvakabatanidzwa mukufungidzira kune ankylosing spondylitis. Vatsvakurudzi vanotenda kuti chiitiko chinokonzera mamiriro ekunze pamwe nekufungidzira ndicho chinokonzera chirwere ichi kukura.
Ndiani Anowana Ankylosing Spondylitis?
Mamiriro acho ezvinhu anonyanya kukanganisa varume. Varume vaviri kusvika katatu varume vakawanda kupfuura vakadzi vanoudza chirwere chacho. Zvisinei, chero munhu anogona kukura ankylosing spondylitis. Nguva yehutano inotanga kazhinji inowanzo pakati pemakore 17 kusvika ku35. Maererano neCDC (Centers for Disease Control and Prevention's NHANES study), vanhu vanosvika mamiriyoni 2,7 muUnited States vane axial spondyloarthritis.
Zviratidzo Zvinosangana neAnkylosing Spondylitis
Mavambo ekutanga ankylosing spondylitis inowanzova kurwadziwa uye kuoma mukati memucheto kumashure. Zviratidzo zvinowanzotangira usati wava nemakore makumi mashanu nemashanu. Marwadzo nekuoma zvakagadziridza nekukura kuva zviratidzo zvisingaperi. Kazhinji, marwadzo ankylosing spondylitis anowedzera zvinotevera kuzorora kana kusagadzikana uye kunowedzera nebasa. Inogona kukonzera kuoma kwemangwanani kunopedza maminitsi makumi matatu.
Nhamo uye kuoma, munguva inopfuura, inogona kufambira mberi mumutsana kusvika pamutsipa. Mapfupa emupfu uye mutsipa angangodonha, zvichiita kuti zvishoma zvishoma zvifambe uye zvishoma nezvishoma zvinokonzera kushanduka kwemutsara.
Sezvatotaurwa, mapepa, mahudyu, uye mamwe masangano angabatanidzwa. Urombo hwehup hwakajairika ne ankylosing spondylitis uye inogona kusanganiswa nemarwadzo mumugwagwa kana matako, pamwe nekuoma kufamba kufamba. Kana nhengo yebota ichibatanidzwa, kusaputika kwechifukidzo chechifu kunogona kukonzera matambudziko ekufema. Tendons nemigumisiro inogona kuchinjwa (semuenzaniso, chitsitsinho kubatanidzwa neAchilles tendonitis uye plantar fasciitis ).
Ankylosing spondylitis chirwere che systemic zvakare, zvinoreva kuti vanhu vanogona kukura fivhiri, kuneta, ziso, kana kuputika kwechirwere. Kubatanidzwa kwemwoyo kana mapapu kunowanzoshamisika asi zvinogoneka.
Kuongororwa kweAnkylosing Spondylitis
Kuongororwa kunowanzovakirwa zviratidzo, kuongorora kwepanyama, kuongororwa kweropa, nekuongorora zvidzidzo. Zviratidzo zvokutanga zve ankylosing spondylitis zvinogona kufanana nemamwe mamiriro ezvinhu, saka kuongororwa kunoshandiswa kutonga kunze kune dzimwe svondyloarthropathies nezvimwe zvirwere zverheumatic . Kusavapo kwehrumatoid factor uye rheumatoid nodules kunobatsira kusiyanisa kubva ku rheumatoid arthritis .
Nepo pasina ruzivo rwomumwe rweropa rune simba rinogona kuongorora ankylosing spondylitis, kuongororwa kweHLA-B27 kunopa chikonzero chinokosha chokuongororwa, kunyanya mune mamwe mapoka evanhu. Semuenzaniso, ankylosing spondylitis isingafungidzirwi kuongororwa kune mumwe munhu akachena, wekuEurope, uye asina kunaka neHLA-B27. Miedzo yekusuruvara kwekunze ( sedimentation rate neRPP ) inobatsira pakugadzira kliniki yemifananidzo, asi haisi kuongororwa.
Kufungidzira zvidzidzo zvinoenderana ne ankylosing spondylitis zviratidzo zvinoshandiswa muzvikamu zve sacroiliac . Kunyange zvazvo kuchinja kunogona kuonekwa pa-x-rays, zvinogona kutora makore shure kwekutanga kwezviratidzo kuonekwa. MRI inogonawo kushandiswa kutsvaga chimiro chinoshanduka kuzvikamu zve sacroiliac. X-rays anoshandiswa kuongorora uchapupu hwekukuvadza kumutsipa pamwe chete.
Kurapa kweAnkylosing Spondylitis
Mishonga yemamiriro acho ezvinhu inonyanya kukoshesa kugadzirisa kurwadziwa, kuoma, uye kuputika. Kuchengetedza kuora, kuchengetedza basa, nekugadzirisa kudzidziswa kunewo zvinangwa zvekurapa.
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Ndeapi Axial Spondyloarthritis uye Ankylosing Spondylitis?
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Ndezvipi Zviratidzo zveAnkylosing Spondylitis?
Mishonga inoshandiswa kurapa ankylosing spondylitis inosanganisira zvinotevera:
- Nonsteroidal anti-inflammatory drugs (NSAIDs) ndiwo mutsara wokutanga wemapirmacologic kurapwa. Vanhu vazhinji vanoshandisa mushonga weNSAID woga kuti uutarisire.
- Analgesics kana kurwadziwa kunorwadza kunogona kushandiswa apo marwadzo asinganyatsogadziriswi nemaNSAID chete.
- TNF-blockers ( Humira (adalimumab) , Remicade (infliximab) , Enbrel (etanercept) , Cimzia (certolizumab pegol) , uye Simponi (golimumab) vanobvumirwa kubata chirwere chinonzi ankylosing spondylitis uye vakaratidza kuchinja kukuru mune zvezvirwere.
- Cosentyx (secukinumab) , ine IL-17 inhibitor, yakangobvumirwa munaJanuary 2016 nokuda kwechiitiko chacho.
- DMARDs (chirwere-chinorwisa anti-rheumatic drugs) chinogona kushandiswa kuderedza chirwere chekuwedzera. Kazhinji, sulfasalazine inoshandiswa mu ankylosing spondylitis varwere vane chirwere chepachirwere chemhirizhonga vasingagoni kushandisa TNF blocker. Methotrexate ndoga inogona kubatsira vamwe vanhu, asi kazhinji haina kuonekwa sekubudirira kune ankylosing spondylitis. Imwe DMARD, Arava (yakasara) , inoonekwa seine zvishoma kana zvisingabatsiri.
- Oral corticosteroids haisati yashandiswa, asi kana inotorwa, inofanira kuva nguva pfupi, kwete nguva refu.
Kurapa kwepanyama uye kurovedza muviri chikamu chinokosha cheurongwa hwehupi hwehutachiwana hwekushongedza spondylitis. Kukosha kwekurovedza muviri, sechikamu chekutarisira chirwere ichi nekuchengetedza kufamba uye basa, hazvikwanisi kudarika.
Zvinyorwa zveAnkylosing Spondylitis
Vamwe vanhu vane chirwere chacho vane chirwere chinorwara uye vanogona kushanda nekushanda zvakanaka. Vamwe vanotanga zvirwere zvakanyanya uye vanogara nemiganhu yakawanda nekuda kwechirwere che axial. Vamwe vanhu vane ankylosing spondylitis vanoita kuti upenyu hutyisidzire zvimwe zvinetso-asi hazvisizvo kune vakawanda.
Kazhinji, murwere mumwe nomumwe anobata nekugadzirisa zvirwere zvekuita izvo, nokuda kwechikamu chikuru, zvinogona kutarisirwa. Vanenge 1 muzana yevanhu vane chirwere chaizvoizvo vanobudirira padanho umo zviratidzo zvinopera uye zvinoonekwa sekuregererwa.
Ngwarira Zvinhu Izvi
Mutsara wakanyatsoputika, kana iyo isinganyatsogadziriswa, inowanzosvibiswa kuputsika. Izvozvo zvakati, unofanira kufungisisa nezvehuwandu hwehutano uye tora matanho. Iwe unofanirwa kurega kana kudzivisa chero maitiro aunogona kuwedzera mungozi yako yekuwa. Izvi zvinogona kusanganisira chimwe chinhu kubva pakugadzirisa muwandu wewaini iwe unopedza kuti uise matanda ekutakura uye uchitora kukanda mabheji mumba mako. Dzivisa basa rakakura. Chaizvoizvo, shandisa pfungwa dzinonzwisisika uye udzivirire mushonga wako.
Iwe unofanirwa kushandisa mushonga unoisa mutsipa wako uye kumashure mukugadzirisa kwakanaka iwe uchizorora kana kurara. Nguva dzose shandisa bhandi rako rechigaro paunenge uchityaira kana semunhu anofamba mumotokari. Uyezve, vanhu vane ankylosing spondylitis vanosvuta vanorairwa kuti varege kuitira kuti vaderedze ngozi yavo yokufema zvinetso. Uye musakanganwa kukosha kwekutora chikamu purogiramu yekurovedza muviri kusimbisa musana wako uye kuvandudza hutano hwako huri pamwe chete.
Shoko Rinobva
Iwe unorarama zvakadini ne-ankylosing spondylitis inotarisana nekuoma kwechirwere chako, uyewo kuti wakazvipira sei kurambira kune chirongwa chako chekurapa, nguva dzose yekurovedza muviri, uye kuva kudzivirira musana wako. yakakupa zvinhu zvinokosha pamusoro pemamiriro acho uye inobva pane zvaunogona kutarisa kune zvehutano hwehutano hwehutano hwaunoda.
> Sources:
> Ankylosing Spondylitis. Spondylitis Association of America. Yakasvika 07/16/2016.
> Spondyloarthritis. Cleveland Clinic. 11/04/2014.
> Van der Linden S et al. Ankylosing Spondylitis. Kelley's Textbook yeRheumatology. Chitsauko 75. Elsevier. Ninth edition.
> Yu DT. Kuongorora nekurapa kweAnkylosing Spondylitis muVakuru. Kusvika pari zvino. 04/21/2016.
> Yu DT. Information Patient: Ankylosing Spondylitis uye Dzimwe Spondyloarthritis (Beyond the Basics). Kusvika pari zvino. Updated 04/12/2016.