Axial Spondyloarthritis ndi mtundu wa nyamakazi yotupa yamphongo ndi / kapena ziwalo za sacroiliac. Pamodzi, mutu, nthiti, ndi msana zimatchedwa "axial mafupa." Axial spondyloarthritis ndi mtundu umodzi wa spondyloarthritis kapena spondyloarthropathy, yomwe ndi banja la chifuwa chachikulu komwe kutupa kwa msana ndi ziwalo za sacroiliac ndi chinthu chofunika kwambiri.
Izi zimagwirizana chifukwa zimagawana zizindikiro zambiri, kuphatikizapo (kutchulidwa) kutupa msana, pakhosi, ndi ziwalo zina, komanso m'matumbo, maso, mitsempha ndi matumbo. Ngakhale matenda omwe ali mu "banja" amagawana mbali yofunikira ya kutupa, aliyense-ndi chimodzi chosiyana chomwe chatchulidwa pansipa-ali ndi kusiyana kwake kosiyana.
Dokotala wanu angakuzindikiritseni kuti mukhale "mmodzi wa" mamembala ake omwe amachokera ku zinthu zingapo, osati momwe kutukulira kumadera ena a thupi, monga maso anu, zidendene, matumbo kapena kumbuyo. Kusanthula kumaphatikizapo kuunika kwa thupi, kukambirana za zizindikiro zanu, ndi / kapena kujambula ndi mayeso.
Ngati muli ndi axial spondyloarthropathy, mukhoza kapena musakhale sacroiliitis. Ngati sacroiliitis ilipo pa x-ray yanu, dokotala wanu adzakuonani kuti muli ndi ankylosing spondylitis, kapena AS.
Radiographic and Non-Radiographic
Pakati pa mizere imeneyi, ofufuza asankha mitundu iŵiri ya axial spondyloarthropathy-mtundu umene kusintha kwa nyamakazi kumayambira pa x-ray / CT kanthani ndi mtundu womwe suli.
Pamene kusintha kwa x-ray / CT kukuonekera, izi zimatchedwa radiographic axial spondyloarthropathy (mawu akuti AxSpA). Ndipo pamene palibe kusintha kulikonse, kumatchedwa non-radiographic axial spondyloarthropathy (zilembo nr-axSpA.)
Pafupi anthu onse omwe amapezeka ndi ankylosing spondylitis amalowa m'gulu la AxSpA, monga tafotokozera pamwambapa.
Anthu omwe ali ndi mphamvu zowonongeka, zapopopathik, psoriatic, ndi zina zingagwere mu gawo lililonse.
Phunziro la 2015 lomwe linafalitsidwa mu RMD Open poyerekeza ndi antikylosing spondylitis ndi lachilendo la axial spondyloarthritis linapeza zofanana zambiri pakati pa zinthu ziwirizi. Koma ochita kafukufukuwa adapezanso kusiyana kwakukulu kwakukulu ndi kuyendetsa ntchito, kuchepetsa kutentha, komanso amuna kapena akazi.
Kawirikawiri, amuna amakhala pachiopsezo chachikulu cha ankylosing spondylitis (aka ndi maonekedwe osiyanasiyana omwe tikukamba pano, mwachitsanzo, AxSpA.) Koma mu phunziro ili ndi zina zomwe zachitika m'zaka zaposachedwa, ofufuza akhala akuzindikira kuti akazi ambiri amasonyeza zizindikiro za zosiyana ndi za axial spondyloarthritis (nr-AxSpA) zosiyanasiyana.
Izi zikhoza kukhala chifukwa MRI ikuyamba kugwiritsidwa ntchito pazochitika zosawerengeka. Pali kusiyana kwakukulu pakati pa zomwe zimajambula mafilimu-zomwe, monga tazitchula pamwambapa, ndi X-ray kapena CT-zimatha kudziwa za axial spondyloarthritis ndi miyeso yomwe siiiiiiiiii, yomwe imagwiritsidwa ntchito pogwiritsa ntchito MRIs, ikhoza kuwulula. Ngakhale kuti MRI singapereke zonse zokhudza axial spondyloarthritis, imayambitsa kuwala kwatsopano-kuphatikizapo kukula koyambirira kwa kutupa, chinthu chomwe sichikhoza kupereka mafilimu.
Imodzi mwa "ha-ha" yayikulu yomwe yakhala ikugwiritsidwa ntchito pogwiritsa ntchito MRI kuti izindikire zizindikiro za kutupa ndi kuti, zotsutsana ndi zomwe kale zinaganiziridwa, sacroiliitis (ndipo mwinamwake zofanana za ankylosing spondylitis) zingakhudze amuna ndi akazi mofanana . Izi zikuti, makhoti akadali kunja. Ambiri ofufuza amakuuzani zofunikira zambiri asanatsimikizire mfundo yatsopanoyi ponena za magulu akuluakulu oopsa a spondylitis.
Spondyloarthritis yosavomerezeka
Ngati muli ndi axial spondylitis popanda sacroiliitis, mukhoza kupezeka ndi axial undifferentiated spondyloarthritis. Anthu ena omwe ali ndi matendawa amayamba sacroiliitis ndipo amatha kupezeka ndi AS.
Ena samatero, koma awo axial undifferentiated spondyloarthritis sali chabe kufanana kwa AS. Ndi matenda onse, ndipo ululu ukhoza kukhala wabwino kwambiri.
Mwa njirayi, spondyloarthritis osagwiritsidwa ntchito ndi gulu la anthu omwe ali ndi nyamakazi yotupa yotentha yotentha imayikidwa ngati alibe kachilombo kaye, monga momwe tafotokozera kale.
Chiyambi cha Genetics
Axial spondyloarthritis ikugwirizana ndi kupezeka kwa jini wotchedwa HLA-B27. Chiyeso cha majeremusi cha HLA-B27 chilipo. Pamodzi ndi ankylosing spondylitis, mitundu ina iwiri ya kutupa nyamakazi yokhudzana ndi kukhalapo kwa HLA-B27 ndi nyamakazi yotchedwa psoriatic nyamakazi komanso nyamakazi yokhala m'thupi.
> Zotsatira:
> Axial Arthritis. Dipatimenti ya Yunivesite ya Washington ya Mafilimu. http://rad.washington.edu/about-us/academic-sections/musculoskeletal-radiology/teaching-materials/online-musculoskeletal-radiology-book/axial-arthritis/
> Baraliakos, X., Braun, J. Osati mafilimu axial spondyloarthritis ndi ankylosing spondylitis: kodi kufanana ndi kusiyana kuli ndi chiyani? RMD Yatsegulidwa. 2015. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4632143/
> Kilic, E., Kilic, G., Akgul, O., Ozgocmen, S. Otsutsa malingaliro a Ankylosing Spondylitis Matenda a Zotsatira za Ntchito (ASDAS) kwa odwala omwe alibe oxial axial spondyloarthritis ndi ankylosing spondylitis: phunziro la kagulu. 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. Kodi odwala popanda -radiographic axial spondyloarthritis amasiyana ndi odwala ndi ankylosing spondylitis? Kusamalira Matenda a Nyamakazi September 2009. & https://www.ncbi.nlm.nih.gov/pubmed/22505331
> van Tubergen A., Weber U. Matenda ndi mndandanda mu spondyloarthritis: kuzindikira mchenga. Nat Rev Rheumatol. March 2012. https://www.ncbi.nlm.nih.gov/pubmed/22450552