Nthenda yotchedwa Ankylosing spondylitis (AS) ndi matenda amodzi omwe amapezeka pamtundu wa nyamakazi yomwe imakhudza msana ndi sacrum. Mitundu yambiri yotchedwa axial spondyloarthritis (yomwe nthawi zambiri imalembedwa monga "axial SpA") imaphatikizapo matenda monga ankylosing spondylitis monga subsets.
Izi ndi matenda omwe amakhudza msana ndi zomangamanga zomwe zimagwirizana nazo.
Mawu akuti "axial mafupa" kwenikweni amatanthauza thunthu, fupa, msana, pelvis, ndi nthiti. Pamene spondyloarthritis imakhudza mapeto, imatchedwa peripheral spondyloarthritis.
Mwachidule
Ankylosing spondyloarthritis ndi kawirikawiri koma yofooketsa ya axial spondyloarthritis imene msana umathamangira pakapita nthawi. Ndizokhazikika komanso zopitirira. Ngozi ndi yayikulu kwambiri ngati mutayesa chitsimikizo cha jeni la HLA-B27, ngakhale asayansi sadziŵa zenizeni za zomwe HLA-B27 imachita pothandizira.
Kotero, nchiyani chikuchitika mukakhala ndi AS? Amayamba ndi sacroiliac (SI) kutukumula pamodzi ndi kuuma. Mankhwala a SI ndiwo mgwirizano pakati pa sacrum ndi pelvis. Iwo ali kumbali zonse za sacrum, yomwe ili gawo laling'ono kwambiri la mzere wa msana.
Chifukwa chakuti AS ndi matenda aakulu, zizindikiro zimatha kupita kumalo ena a mafupa a axial-omwe ndi m'chiuno mwako, pamtambo, ndi nthiti.
Potsirizira pake, ankylosing spondylitis amatha kusokoneza msana komanso kutaya kwathunthu kwa msana.
Zizindikiro
NTHAWI zizindikiro zimaphatikizapo kumayambiriro kwa mmawa / kuuma kwa msana ndi kupweteka komwe kumakhala kovuta pambuyo poti akupumula (koma amamva bwino ngati tsikulo likupitirira kapena pambuyo pochita masewera olimbitsa thupi). Kutopa, kutentha thupi, ndi / kapena kutukuta usiku ndi zizindikiro.
Dziwani kuti monga zizindikiro zimayambira pang'onopang'ono, nthawi zambiri zimatenga masabata kapena miyezi kuti dzidziwitse.
Kudziwa
Anthu ena amapeza kuti matenda awo otchedwa ankylosing spondylitis amapezeka ndi zovuta kapena zokhumudwitsa. Matenda otchedwa Ankylosing spondylitis, komanso matenda ena osungirako magulu a aalpha spondylitis, nthawi zina amawoneka pa x-ray kapena MRI-koma nthawizina osati.
Kawirikawiri pamene matenda a subset ndi "osakhala mafilimu" (pamene palibe umboni wa mafilimu ojambula), chifukwa chakuti matendawa akadali pachiyambi. Izi zikutanthauza kuti zizindikiro zikhoza kuwonetsa mafilimu amtsogolo-chifukwa chabwino chowunika kuyang'anitsitsa ndi dokotala wanu.
Zizindikiro za Radiographic ndizofunikira chifukwa zimathandiza dokotala wanu kupeza bwinobwino AS. Kupeza chidziwitso ndi cholinga chofunikira kuti muzigwira-mwamsanga mutangotha, mwamsanga mungayambe dongosolo la mankhwala limene mukuyembekeza kuti likhale loyenera kwa inu.
Monga momwe nthawi zambiri zimasokonekera ndi matenda a nyamakazi, kotero musanafike pamapeto pa zomwe zimayambitsa matenda, dokotala wanu ayenera kusiyanitsa pakati pa matenda awiriwa. Koma, ngati atapezeka ndi AS, nthawi zambiri amadwala ndi mankhwala osokoneza bongo-angapo atsopano ali pamsika. Kuchita masewera olimbitsa thupi kungathandizenso kuchepa kwa matenda komanso kuchepetsa ululu ndi zizindikiro zina.
> Zotsatira:
> Deodhar, A., Reveille, J., van den Bosch, F., Braun, J., Burgos-Varga, R., et al. Phunziro la Axial Spondyloarthritis: Nkhani Yowonjezera ya Spondyloarthritis Research and Treatment Network ndi Kuunika kwa Society Society yapadziko lonse kuyankha kwa Comments a US Food and Drug Administration's and Concerns. Sept 2014.
> Kiltz U., Baraliakos X., Braun J. Utsogoleri wa axial spondyloarthritis. Lowani (Berl). Sept. 2016.