Icho Chinopfuura Kupfuura Arthritis Yomupaka
Ankylosing spondylitis (AS) chirwere chisingagumi chechirwere chezvikamu zvepona uye zvikamu zve sacroiliac. Vanhu vane AS vanogonawo kuva nekuputika kune mamwe mazamu akafanana namafudzi kana mabvi.
Zviratidzo zve AS zvinowanzotanga mukukura kwemazera pakati pezera remakore makumi maviri nemakumi matatu, uye hazvina kukanganisa munhu wese nenzira imwecheteyo. Mune mamwe mazwi, vamwe vanhu vane AS vane chirwere chakaipa kwazvo chisingakoshi muupenyu hwavo hwezuva nezuva asi vamwe vane zviratidzo zvakawanda zvinoparadza.
Nepo zviratidzo zvichisiyana nemhando uye zvakasimba, zvinopesana nehutano. Mune chidzidzo che2011 muKliniki Rheumatology , kurwadziwa kwekudzokera shure kwakaonekwa sechinhu chikuru AS chinetso kune varume nevakadzi. Asi vakadzi vane AS vaive vaine marwadzo mumutsipa wavo, mabvi, kana kuti chiuno, asi varume vaigona kunge vaine marwadzo.
Low Back Pain
Kuvhiringidza Kurwadziwa
Chiratidzo chakakurumbira che AS chinokonzerwa nekurwadziwa shure uye kuoma, izvo zvinokonzerwa nokuputika kwemashure emumumvuri (anonzi vertebrae).
Kuora kwekudzokera shure kweAA kune zvikamu zvakasiyana. Izvi zvinobatsira vanachiremba kuti vazviparadzanise kubva pamarwadzo ekudzoka shure , izvo zvinowanzoonekwa.
Kuora mwoyo kumarwadzo shure:
- Nguva isingaperi, inogara kwemwedzi mitatu kana kupfuura
- Inotanga kana munhu ari pasi pemakore makumi mana
- Inouya zvishoma nezvishoma pamusoro pemakore emavhiki kusvika kumwedzi
- Inovandudza nekurovedza muviri uye haifambise nekuzorora kana kurara pasi
- Zvakaipisisa usiku (kunyange kumutsa munhu)
- Inogadziridzwa nevasiri-steroidal anti-inflammatory (NSAID)
Unhu hwehurombo mu AS hunogonawo kubatsira pakuhusiyanisa kubva kumarwadzo kumashure kumashure. Nemuenzaniso, munhu ane AS achawanzofananidza marwadzo ake kumashure seasina kunaka uye "kwose kwose," kunze kwekugara munzvimbo imwe.
Kudzokera shure
Nguva yekusimba kwakasimba kunogona kuva chizivo pakuratidza kusuruvara kunorwadza shure.
Kudzoka kusimba muA AS kazhinji kunopedza maminitsi makumi matatu nemasere pakumuka mangwanani, asi kusuruvara shure kubva kune osteoarthritis (iyo isiri iyo inoputira chirwere cheArthritis) inopedza maminitsi makumi matatu.
Kuwedzerwa Kwemarwadzo
Kutambudzika kwakapinda mu AS kunogona kuve kukanganisika, uye kunowedzera kuwedzera pamwe nenguva. Nokudaro apo marwadzo eAA angatanga kune rumwe rutivi rwemashure, inozopedzisira yaenda kumativi ose maviri, kuteverwa nekufambisa musana (kunyange mumutsipa mune vamwe vanhu). Izvi zvinogona kurega kukanganisa kufamba, kuita mabasa ezuva nezuva sekutora chimwe chinhu kubva pasi ichiita basa rinotyisa
Yakagadzirwa AS
Sezvo ankylosing spondylitis inowedzera zvakanyanya (uye izvi zvinongowanikwa chete muchitsetse chevanhu), kuputika kunogona kuita kuti pfupa idzva rigadzikane pamusana. Iyi itsva mapfupa inogona kutungamirira kumutsipa wekunze, zvichiita kuti munhu adzokere mberi (inonzi hyperkyphosis). Mumatambudziko akaoma, izvi zvinogona kugadzira chimiro che "hunchback" zvachose.
Zvimwe zvinetso zvakakomba zvine chokuita nechekare zvinosanganisira ngozi yakawedzerwa yezvinyorwa zvinoputika (pamwe kana pasina mushonga wepauputa kukuvara) kune vanhu vane AS. Mutsipa wechipinha unogona kukonzera zviratidzo zvakasiyana-siyana zvehutano zvakadai sekushaya simba, kupera, kana kunyange kuora mitezo. Kunyatsosarudzwa kwemupaka kubva kuAA kunogona kukonzerawo musana wecinara, kuora kwehutano.
Zvimwe Zviratidzo
Joint Pain
Kunze kwekudzivirira kurwadziwa shure uye kuomesera, kurwadziwa kwepamusoro kwekumusoro kunowanzoonekwawo mu AS. Izvi zvinoratidza kubatanidzwa kwezvikamu zve sacroiliac (apo musana unobatana kusvika pamapanga). Urombo hunogonawo kuitika muzvibatanidze kunze kwepamusoro pepamusoro semapfudzi, mahudyu, mabvi, makumbo, uye makumbo.
Enthesitis
Chimwe chiratidzo cheA AS kuvhiringidzika kwezvinonzi entheses (inonzi enthesitis ), iyo ndiyo nzvimbo dzomuviri apo tete kana kuti ligament inowanirana nefupa. Chitsitsinho ndiyo nzvimbo inowanikwa yakawanda ye enthesitis. Ndiyo apo mbeu inonzi fascia (iyo ligament inobatanidza chifukidzo chako chetende kumapfupa ako ezvigunwe) inoisa.
Chitsitsinho ndechokutiwo maAlly tendon (anobatanidza mhuru yemhuru yako pachipfupa bone) inopinza.
Symptoms System
Mukuwedzera kune kuvhiringidza pamwe nekunyanya kwenyama, munhu angavawo nezviratidzo zvekuputika kwemuviri zvakadai sa malaise, kuneta, fivha ine simba, uye kudya kunopera.
Zvinetso zveMuviri
Zvinetso zvisina kubatana zvinogona kuitika mu AS kufanana nemwoyo, mapapu, kana kuti zvisingawanzo zvirwere zvepfungwa. Nezvematambudziko anokonzerwa nemwoyo mu AS, kuputika kweaorta (iyo arteri inotakura ropa reoksijeni kubva pamwoyo) uye aortic valve kudzokerazve kunogona kukonzera kukanganisa kwemwoyo, iyo inogona kuuraya. Matambudziko emakumbo muA AS angasimuka kubva kumativi mashoma emadziro uye kufamba kwepfungwa.
Anterior uveitis , iyo inoreva kuvhiringidza kwechivara chemavara eziso, inowanikwa munenge 26 kubva muzana yevanhu vane AS, maererano nechidzidzo che2015 muna Annals of Rheumatic Disease . Uveitis kazhinji inokonzera marwadzo muziso rimwe, kunzwisiswa kwechiedza, uye kuonekwa kwakashata. Izvi zvinowanzoitika kune avo vakambove neA AS kwenguva yakareba uye vanoedza kuti vaone kuti munhu anonzi leukocyte antigen (HLA) -B27. Kutsvakurudza kunoratidzawo kuwedzera kwekuwedzera kwechirwere chechirwere chirwere uye psoriasis kune vanhu vane AS.
Shoko Rinobva
Ankylosing spondylitis inorarama upenyu hweArthritis hupenyu hwose hunobata musana, zviputi zve sacroiliac, majoini emumativi, uye zvinogona kunge dzimwe nhengo mumuviri seziso, mwoyo, uye mapapu. Asi ne ruzivo rwakakodzera uye kutevedza pedyo nekukurukurirana newe kana wehutano hwehudiwa hwako (kunyange kana zviratidzo zvako zviri zvinyoro), unogona kuwedzera yako AS utano uye kuderedza zvinetso zvingangodaro.
> Sources:
> Roussou E, Sultana S. Spondyloarthritis pakati pevakadzi: kusiyana kwezvirwere, kutaurirana, uye Bhati Ankylosing Spondylitis Disease Basa uye Nhamba Dzakashanda (BASDAI neBASFI) pakati pevarume nevakadzi vane spondyloarthritides. Clin Rheumatol . 2011 Jan; 30 (1): 121-7.
> Sieper J et al. Nzira itsva dzekuvhiringidza marwadzo kumashure kune varwere vane marwadzo mushure mekusingaperi: chirwere chaiye chechiremba neyanyanzvi kubva kuChishodzo cheSpondyloArthritis International Society (ASAS). Ann Rheum Dis . 2009 Jun; 68 (6): 784-8.
> Spondylitis Association of America. Ankylosing Spondylitis: Zviratidzo.
> Stolwijk C, van Tubergen A, Castillo-Ortiz JD, Kuita A. Kuwanda kwezviratidzo zvekare kune varwere vane ankylosing spondylitis: kurongeka kwekuongorora uye meta-analysis. Ann Rheum Dis . 2015; Jan; 74 (1): 65-73.
> Taurog JD, Chhabra A, Colbert RA. Ankylosing spondylitis uye axial spondyloarthritis. N Eng J Med . 2016 Jun 30; 374 (26): 2563-74.