Axial Spondyloarthritis rudzi rwechirwere chinoputira arthritis chinosanganisira musana uye / kana masangano sacroiliac. Pamwe chete, musoro, rib cage, uye musana wemvura zvinonzi "axial skeleton." Axial spondyloarthritis imwe yerudzi rwepondyloarthritis kana kuti spondyloarthropathy, iyo mhuri yehutamuidhi apo kusuruvara kwepamusoro uye masangano e sacroiliac ndicho chinhu chikuru chinosiyanisa.
Iyi mamiriro ezvinhu anowirirana nokuti anogovana zvizhinji zvezviratidzo zvakafanana, kusanganisira (sezvakataurwa) kuvhiringidza mumutsana, pelvis, nemamwe maungo, pamwe nemukumbo, maziso, ligaments uye tendon. Nepo zvirwere zviri mu "mhuri" zvinosanganisira chinhu chikuru chekuputika, chimwe nechimwe-nechimwe chikamu chinorondedzerwa pasi apa-chinoparadzaniswa zvakasiyana.
Chiremba wako angangoona kuti iwe uri mumwe we "nhengo dzemhuri" zvichienderana nezvimwe zvinhu, kwete zvishoma zvayo kuvhiringidza mune imwe nzvimbo yemuviri, zvakadai semeso ako, zvitsitsinho, mumatumbo kana kumashure. Kuongororwa kunosanganisira kuongorora muviri, kukurukura nezvezviratidzo zvako, uye / kana kufungidzira uye maitiro ekura.
Kana uine axial spondyloarthropathy, iwe unogona kana unogona kunge usina sacroiliitis. Kana sacroiliitis iripo pane yako x-ray, chiremba wako angangokufungidzira ane ankylosing spondylitis, kana AS.
Radiographic and Non-Radiographic
Pakati pemitsetse iyoyo, vatsvakurudzi vakagadzira maitiro maviri e-axial spondyloarthropathy-iyo iyo inoshandiswa nehutachiona hunoonekwa pa x-ray / CT scan uye iyo iyo isingaiti.
Kana kuchinja kwei-ray- CT / CT kuonekwa, ino inonzi radiographic axial spondyloarthropathy (acronym AxSpA.) Uye kana pasina kuchinja kuri pachena, inonzi isiri-radiographic axial spondyloarthropathy (nr-axSpA.)
Inenge vanhu vose vanoonekwa kuti vane ankylosing spondylitis inopinda muchikamu cheAxSpA, sezvakataurwa pamusoro apa.
Vanhu vane mafungiro akasiyana-siyana, enteropathic, psoriatic, uye vamwe vanogona kuwira mune chimwe chikamu.
Chidzidzo che2015 chakabudiswa mu RMD Open kuenzanisa ankylosing spondylitis uye kwete-radiographic axial spondyloarthritis yakawana kufanana kwakawanda pakati pemamiriro maviri aya akafanana. Asi vatsvakurudzi vakawanawo zvitatu zvakasiyana-siyana mukufamba uye kushanda vs kupera, chiyero chekuputika, uye kana varume kana vakadzi vaive vakanyanya kutengesa.
Kazhinji, varume vari pangozi yepamusoro ye ankylosing spondylitis (aka mavara emhando dzakasiyana-siyana zvatinotaura pamusoro apa, kureva, AxSpA.) Asi muchidzidzo ichi nezvimwe zvakaitwa mumakore achangopfuura, vatsvakurudzi vave vachiona kuti vamwe vakadzi vanoratidza zviratidzo zve kwete-radiographic axial spondyloarthritis (nr-AxSpA) yakasiyana.
Izvi zvingave nokuti MRI inotanga kushandiswa pane zvisingazivikanwi zvese. Pane musiyano mukuru pakati peii rayography-iyo, sezvataurwa pamusoro apa, i-x-ray kana CT scan-inogona kuratidza nezve axial spondyloarthritis uye zvisiri izvo zvisiri-radiographic zviyero, zvinowanzoitwa achishandisa MRIs, zvinogona kuzarura. Kunyange zvazvo MRI isingagoni kupa mashoko ose pamusoro peaxial spondyloarthritis, inodurura chiedza chitsva-kusanganisira kukura kwekutanga kwekuputika, chimwe chinhu icho rayography haigoni kupa.
Chimwe che "big-a-ha" chakakonzerwa nekushandiswa kweMRI kuona zviratidzo zvekuputika ndechokuti, zvinopesana nezvakanga zvambofungidzirwa, sacroiliitis (pamwe pamwe nemamiriro ezvinhu akafanana ankylosing spondylitis) inogona kukanganisa varume nevakadzi zvakaenzana . Izvozvo zvakati, juri rekare richiri kunze. Vazhinji vatsvakurudzi vachakuudza zvimwe zvidzidzo zvakakosha vasati vagone kuvimbisa chokwadi ichi chitsva pamusoro peankylosing spondylitis mapoka makuru.
Undifferentiated Spondyloarthritis
Kana uine axial spondylitis pasina sacroiliitis, unogona kuonekwa neaxial undifferentiated spondyloarthritis. Vamwe vanhu vane chirwere ichi vanopedzisira vava sacroiliitis uye vanogona kuwanikwa vane AS.
Vamwe havaiti, asi wavo axial undifferentiated spondyloarthritis haisi kungova munyoro we AS. Iyo chirwere chose chayo, uye kurwadziwa kunogona kunge kwakakosha.
Nenzira, zvisina kufanirwa spondyloarthritis ndeyevanhu vane rumwe rudzi rwechirwere chechirwere chechirwere chinokonzerwa nechirwere chinopisirwa mukati kana vasinawo chimwe chinhu chinosiyanisa, sezvakambotaurwa kare.
Genetic Origins
Axial spondyloarthritis inobatana nekuvapo kwegene rinozivikanwa seHLA-B27. Chiyero chekuberekwa kweHLA-B27 chinowanikwa. Pamwe pamwe ne ankylosing spondylitis, mamwe maviri emhando yezvokuvhiringidza arthritis inosangana nekuvapo kweHLA-B27 ine psoriatic arthritis uye enteropathic arthritis.
> Sources:
> Axial Arthritis. University of Washington Department of Radiology web page. http://rad.washington.edu/about-us/academic-sections/musculoskeletal-radiology/teaching-materials/online-musculoskeletal-radiology-book/axial-arthritis/
> Baraliakos, X., Braun, J. Kwete-radiographic axial spondyloarthritis uye ankylosing spondylitis: chii chakafanana nekusiyana? RMD Vhura. 2015. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4632143/
> Kilic, E., Kilic, G., Akgul, O., Ozgocmen, S. Kusarura kunobvumirana kweAnkylosing Spondylitis Disease Activity Score (ASDAS) kune varwere vasina mavara exial spondyloarthritis uye ankylosing spondylitis: kuongorora kweboka. Rheumatol Int. June 2015. https://www.ncbi.nlm.nih.gov/pubmed/25366469
> Kiltz U., Baraliakos X., Karakostas P., Igelmann M., Kalthoff L., Klink C., Krause D., Schmitz-Bortz E., Flörecke M., Bollow M., Braun J. Vatano vasina -radiographic axial spondyloarthritis yakasiyana nevarwere vane ankylosing spondylitis? Arthritis Care Res September 2012. & https://www.ncbi.nlm.nih.gov/pubmed/22505331
> van Tubergen A., Weber U. Diagnosis uye chikamu mu spondyloarthritis: kuzivisa chameleon. Nat Rev Rheumatol. March 2012. https://www.ncbi.nlm.nih.gov/pubmed/22450552