Chiratidzo Chepakutanga cheAnkylosing Spondylitis
Sacroiliitis, iyo kuvhiringidzika kunowanikwa muzvikamu zve sacroiliac, chiratidzo chakakosha chemhando dzakasiyana-siyana dzekuvhiringidza arthritis uye inowanzotanga kuzvizivisa ichi mune zvirwere.
Osteoarthritis (funga kupfeka uye kubvarura, panzvimbo yekuputika, pamakumbo,) kushungurudza, kusarudzwa kwemashure, uye mamwe mimwe mitambo ndeimwe yemamiriro ezvinhu anogona kukonzera kurwadza kwe sacroiliac.
Sacroiliitis inokonzera marwadzo munzvimbo imwechete, asi nenzira yakasiyana.
Marwadzo anowanikwa ne sacroiliitis, pamwe chete nekuchinja kwekugoverana kunogona kuonekwa paMRI kunobatana nekusingaperi kuputika arthritis mumusana . Unogona kufunga nezvekusiyana pakati pe sacroiliitis uye zvinokonzera zvinokonzera nenzira iyi: Sacroiliitis inouya nechomukati chekuti vamwe vanhu vanoona uye vamwe havaiti; zvinokonzera zvinokonzera kurwadziwa kweS SI zvinokonzerwa nekunze uye / kana biomechanical simba rinogona kukanganisa nzvimbo.
Chirwere chekuputika kwepasina arthritis chinonziwo spondylitis. Sechiratidzo chechipatori, sacroiliitis ine basa guru pakuongorora spondylitis.
Zviratidzo
Sacroiliitis inowanzonzwa sekurwadziwa kwakadzika mumashure mashoma kana mabako anoita kuti ave nani nebasa. Icho chinogona kuchinjawo nzvimbo yose yekumucheto kwako kwakadzika kubva kunzvimbo yekunaya (s), kusvika kumakumbo ako.
Pain inobva sacroiliitis inowedzera kuipa usiku kana mangwanani, uye yakanyanya kumira nekumira, zvakare.
Kushungurudzika kwakagadzikana kwakadaro kunogona kuwedzerwa kana iwe uine uremu hwakawanda pane rimwe gumbo kupfuura pane imwe. Kukwira masitepisi, kufamba nemakumbo makuru, uye kumhanya kune zvimwe zvinorema zvine mabasa anoita kuti kurwadziwa kuwedzere.
Zviratidzo zve sacroiliitis zvinowanzoitika pakuvamba munguva ye ankylosing spondylitis (AS,) sezvinoita uchapupu hwayo paMRI.
Kana iwe uine marwadzo mukati uye zvakapoteredza SI yako yakabatana uye / kana MRI yako inoratidza zvimwe zvekushandurwa kwekubatana, izvi zvinogona kutsanangura kuti nei zvikamu zvako zve sacroiliac zviri nyoro (kana, iwe zvechokwadi une AS).
Cherechedza kuti AS ndiyo iyo inowanzozivikanwa yeplondylitis, asi chirwere chisingaperi chinoputika arthritis chinotora mamwe maitiro, zvakare. Dzimwe nguva sacroiliitis iri pakati pezviratidzo mune mamwe maitiro uye dzimwe nguva hazvisi.
Kuziva
Kuti uongorore sacroiliitis, chiremba wako anogona kuraira x-ray, MRI kana CT scan . Anogonawo kugadzirisa maitiro ekuongorora kuti kana utachiona chikonzero. I -x-ray inoratidzira zviri kuitika mumapfupa ako, zvichiita kuti ive chigadziro chakanaka chekutevedzera kuchinja mumapfupa ako emumapapiro uye mumapfupa sezvo chirwere chacho chinopfuurira.
Kwemazana makumi emakore, x-ray ndiyo yomuedzo wokufungidzira chete wakashandiswa kuongororwa sacroiliitis (uye spondylitis). Dambudziko rekushandisa x-rays, zvakadaro, ndeyekuti zvinotora nguva yakareba (makore) nokuda kwehutano hwechiitiko chekuonekwa.
Munguva pfupi ichangopfuura, maitiro eMRI akashandurwa kusvika paanokwanisa kushandiswa mukugadzirisa chirongwa. Aya maitiro anobvumira vanachiremba kuti vaone kuputika kunoshandiswa kunokonzera kuchinja kwemapfupa (zvichizozotorwa ne-ray-ray.) Nokuda kwechikonzero ichi, kushandiswa kweMRI kune, pane dzimwe nguva, kunokonzera nguva iyo inotora kuti varwere vawane kunyatsoongororwa kwehurombo hwavo hweS SI.
Kana uchitanga chiremba wako achifungidzira spondylitis, anokwanisa kuraira MRI yakaitwa nehutano hwakananga inonzi short tau inversion recovery (STIR). Imwe nzira yakajairika yeMRI ye sacroiliitis ndiyo gadolinium T1 MRI. Kana iwe uine gadolinium test, iwe uchada kupinda mune jai jekisi.
A CT scan ingavewo inokosha pakutsvaga spondylitis. Asi, iyo MRIs yakasiyana-siyana inowanzoratidza kuti inonyanya kukosha pane zvese zvokufungidzira zvekufungidzira.
Kurapa
Chinangwa chikuru chekurapa sacroiliitis, uye axial sponylitis (iyo sacroiliitis chiratidzo chimwe,) kukubatsira iwe kukudziridza hupenyu hurefu hwehupenyu nekudzora zvose kugomera uye zviratidzo zvinoguma.
Icho chinogona kutora nzira yakasiyana-siyana, uye rheumatologist yako semukuru mukuru.
Mukugadzirisa kwekuita izvi, iwe unogona kuwana hukwanisi hwako hwekuita mabasa ako ezuva nezuva, uyewo kutora chikamu munzanga, inovandudza. Chimwe chiitiko chinokosha chekurapa ndechekudzivirira kukanganisa kwemaitiro kubva pakufambira mberi.
Kusvikira kumagumo acho, chiremba wako angarondedzera marwadzo-kununura mishonga , kubudisa musuru, injini ye corticosteroid , DMARDs kana TNF-alpha blockers, pamwe nekurapa kwepanyama. Mukurapa kwepanyama, iwe unogona kunge uine chirongwa chekuita zvekudzidzira chakakodzero kwauri iwe chinosanganisira kutarisa, kusimbisa nekugadzirisa maitiro. Chiremba wako anogonawo kuratidza nzira dzakadai sedharafrequency denation kana kuti magetsi kukurudzira kupedza marwadzo. Kuvhiya hakuwanzorehwa.
> Sources:
> Bollow M, Braun J, Hamm B., Sacroiliitis: chiratidzo chikuru chepondyloarthropathies. 1. Makiriniki. Rofo. 1997 Feb; 166 (2): 95-100.
> Elyan, M. MD, Asim Khan, M., MD. Spondyloarthropathies: Kuvandudza Kuziva nekurapa. UBM Medica. Musculoskeletal Network.
> Sacroiliitis. CHORUS Inobatana Hypertext of Radiology. Yakagadziridzwa kushandurwa: 1 Svondo 2006.
> van der Heijde, D., 2016 shanduro yeAASAS-EULAR mazano ekutungamirira kweaxial spondyloarthritis. Annals weRheumatic Diseases. Jan. 2017. http://ard.bmj.com/content/early/2017/01/13/annrheumdis-2016-210770