Hapana chiitiko chimwe chete, saka kuongorora kwakanaka kwechiremba kunodiwa
Kuongororwa kwe ankylosing spondylitis kunoda muchengeti akanaka basa pane chikamu chechiremba wako, sezvo pasina chiyero chegoridhe chekuedzwa. Asi chiremba anofanira kufunga nezvezviratidzo zvemunhu, kuongorora mumuviri, uye miedzo yezvechiremba yakadai se-ray-rays uye neropa rinoshandisa kuita kuti kuongororwa-kufanana nekuisa pamwe zvikamu zvepikicha.
History Medical
Munhu ane AS kanowanzotanga kuona chiremba wavo mukuru kana chiremba wemhuri nekunyunyuta pamusoro pekutambudzika, kazhinji kumashure kana kumusoro.
Kugadzirisa chinokonzera kurwadziwa uku, chiremba angabvunza mibvunzo inotevera:
- Uri muduku kudarika makore makumi mana here?
- Ko kurwadziwa kwacho kwakaramba kwemwedzi mitatu kana kupfuura here?
- Iro kurwadziwa kunowedzera nekurovedza muviri here?
- Kutambudzika kunowedzera here nekuzorora, kunyanya kuonekwa usiku?
- Ko kurwadziwa kunonyanya kuvandudzwa mushure mokutora NSAID here? (semuenzaniso, ibuprofen)
Kupindura hungu kune vazhinji vemu mibvunzo iyi kuchaita kuti chiremba wako afunge nezvekutsvaga kwechirwere chechirwere (kufanana ne ankylosing spondylitis), asi zvinopesana nehutachiona hwehutano hwemashure (somuenzaniso, kushungurudzika kwemasisita kana chirwere chinoparara ).
Chiremba wako achabvunza zvakare pamusoro pezviratidzo zvemuviri-wose sekutya kana kuti marise, sezvo izvi zvingaramba zvichiri kutsigira kuonekwa kwe ankylosing spondylitis. Ichi ndechokuti zviratidzo zvemuviri-muviri zvinogona kunge zvichinyatsojekesa kuti chimwe chinhu chisina kuitika chiri kuitika nemaune immune system yako. Mu anklyosing spondylitis, maune immune system anorwisa majoini ane utano (kunyanya marendi emusana uye sacroiliac ).
Mhuri yehupenyu hwekushongedzwa kwepondylitis, kana nhau yega yehutachiona hwehutachiona, chirwere chinoputika chirwere , uveitis (kuputika kwechivara chemavara eziso rako), kana psoriasis kune mamwe maitiro ekuongorora.
Kana chiremba wako mukuru kana chiremba wemhuri achifungidzira ankylosing spondylitis kana imwe zvirongwa zvemuviri-immune-mediated process, iye achakuendesa kune rheumatologist-chiremba uyo anonyanya kugadzirisa zvirwere pamwe nevamwe.
Kuongorora Kwepanyama
Panguva yekuongororwa kwepanyama kune ankylosing spondylitis, chiremba wako achaongorora musana wako, hip, uye masangano sacroiliac kuburikidza navo kuti vaongorore unyoro. Kana uchinge uchifamba majointsheni ako, chiremba wako anogona kuongorora rutivi rwekufamba uye kuchinja. Chiremba wako achazoongororawo zviduku zviduku zvemaoko ako netsoka, uyewo mamwe mazamu akafanana nemakumbo ako, mabvi, uye mapepa, kuti uone kana kune kuvhara, kushambidzika, kana kushanduka kwemvura.
Kuongorora zvitsitsinho zve enthesitis , kuteerera mapapu ako, nekuita chekuchechera uye ganda (kutsvaga psoriasis) zvakarewo zvikamu zvekuongorora kwepanyama apo munhu anokanganiswa kuti ane ankylosing spondylitis.
Usashamiswa kana kana chiremba wako achikutaura iwe kuchipatara cheziso (an ophthalmologist) kana iwe une dambudziko reziso chero ripi kana kuti kubwinya uye / kana kusvibiswa kwemaonero, sekuveitisitis inowanzosangana neyaylyosing spondylitis.
Kufungidzira Miedzo
X-ray uye dzimwe nguva magnetic resonance imaging (MRI) yezvikamu zve sacroiliac (uye dzimwe nguva musana) zvinowanzoshandiswa kusimbisa kuongororwa kwe ankylosing spondylitis. Dambudziko rekufungidzira zviedzo nderokuti kuvhiringidza kunogona kutora makore kuti aratidze, kunyange zvazvo MRI inogona kuiona yapfuura ma-ray-ray.
Kuenzanisa miedzo inoshandiswawo kutarisa kuwedzera kwechirwere chemunhu, mushure mekunge vaongororwa vane ankylosing spondylitis.
HLA-B27 Ropa Ropa
Kuongororwa kweropa kukuru kwekutsvaga anklyosing spondylitis ndiko kuedza kweHLA -B27 . HLA-B27 rudzi rwepuroteni inowanika pamachena masero eropa (yako utachiona kurwisa masero). Paunenge uripo, zvinogona kuita kuti masero ako eropa arwise masero ane utano mumuviri wako, kufanana neavo mukati memumusana wako, mutsipa, kana maziso.
Iwe unogona kushamisika kuziva kuti protein HLA-B27 iripo inenge 95 muzana yeCaucasians neyaylyosing spondylitis. Izvo zvataurwa, kune avo vanove vakanaka nokuda kweHLA-B27 geni, chete inenge 5 muzana ine ankylosing spondylitis.
MuAfrica -America ane AS, HLA-B27 chirwere hachina kufanirwa-saka hazvina kunaka kwekuongorora kuongororwa.
Saka kana iwe uine zviratidzo zvinoratidzira AS, chiremba wako angakuedza kuti uwane chirongwa cheHLA-B27 kuti ubatsire kuongorora, kunyanya kana pane zvimwe kusava nechokwadi kuchienderera mberi (zvichida kune zvimwe zvivhiringidza zvekuongorora kwako kwepanyama kana nhoroondo). Asizve, kuvapo kweHLA-B27 hakusi slam dunk "hongu iwe une AS" kuedza-zvikamu zvose zvinosangana pamwe chete. Muedzo wakanaka usina zviratidzo kana zviratidzo zvehutachiona hwemoto hazvirevi zvakawanda. Kusiyana naizvozvo, vamwe vanhu (kusanganisira Caucasians, zvisinei nevanenge vasina kazhinji) vane AS, asi kuedza kuipa kwejeni.
Zvose mune zvose, kududzirwa kweongororo dzeHLA-B27 inonyangadza, saka zvinoda kuongorora kwakanyatsonaka nechiremba ane ruzivo.
Mimwe Miedzo Yeropa
Mamwe maviri eropa kuongororwa chiremba wako anogona kuraira kana iye achifungidzira ankylosing spondylitis inosanganisira:
Imwe kana mbiri idzi idzi dzinogona kukwidziridzwa kana pane kuputika kunobata mumuviri.
Izvo zvichiti, CRP neE ESR isingaenzaniswi kuongorora ropa, zvichireva kuti inogona kukwidziridzwa mumamiriro ezvinhu akasiyana-siyana ehutano kunze kweiyelyosing spondylitis. Izvi zvinosanganisira:
- Zvimwe zvirwere zvinotapira (zvichienzaniswa nerheumatoid arthritis kana lupus )
- Utachiona (somuenzaniso, pneumonia)
- Cancer
Mukuwedzera, ESR neRPP zvinogona kuva zvakasikwa, uye munhu anokwanisa kunge ane ankylosing spondylitis (kunyanya kana chirwere chavo chisina kupera panguva yekuwedzerwa ropa).
Shoko Rinobva
Zvakakosha kuti urege kuvharirwa zvakare pamusoro pemashoko apa. Mufananidzo mukuru ndewokuti kuongororwa kwe ankylosing spondylitis kunoda kuongorora kufungisisa kwezvikonzero zvakawanda nechiremba wako, ne crux akarara munhau yakanaka yezvokurapa uye kuongorora mumuviri. Kuyera ropa uye x-ray zvinogona kusimbisa kuongororwa.
Iva nechokwadi chekubvunza chiremba wako nezvemibvunzo ipi neipi ine chokuita nekuongororwa kwako kana mhinduro dzemunhu oga. Kushanda nesimba mune hutano hwako kunogona kungokubatsira chete.
> Sources:
> American Association for Clinical Chemistry. HLA-B27: Muedzo.
> National Institute of Arthritis uye Musculoskeletal uye Skin Diseases. Mibvunzo neMhinduro Pamusoro peAnkylosing Spondylitis.
> Rudwaleit M et al. Kuongorora kweSpondyloArthritis International Society Classification Criteria for Peripheral Spondyloarthritis uye yeSpondyloarthritis muGeneral. Ann Rheum Dis . 2011 Jan; 70 (1): 25-31.
> Spondylitis Association of America. Nhoroondo yeAnkylosing Spondylitis.