Sikuti Ndi Matenda Achimake Okhaokha a M'thengo
Ankylosing spondylitis (AS) ndi matenda aakulu opweteka a m'mphepete mwa msana ndi ziwalo za sacroiliac. Anthu omwe ali ndi AS angakhale ndi kutupa m'magulu ena monga mapewa kapena mawondo.
Zizindikiro za AS zimayamba kuyambira ali wamkulu pakati pa zaka zapakati pa 20 ndi 30, ndipo sizikhudza aliyense mofanana. Mwa kuyankhula kwina, anthu ena omwe ali ndi AS ali ndi matenda oopsa kwambiri omwe sangakhudze moyo wawo wa tsiku ndi tsiku pamene ena ali ndi zizindikiro zambiri zofooketsa.
Ngakhale kuti zizindikiro zimasiyana mosiyanasiyana ndi zovuta, zimasiyanasiyana ndi amuna. Mu phunziro la 2011 mu Clinical Rheumatology , ululu wammbuyo unanenedwa ngati waukulu monga VUTO mwa amuna ndi akazi. Koma amayi omwe ali ndi AS ankakhala ndi ululu pamutu, bondo kapena mchiuno, pamene amuna amatha kupweteka miyendo.
Kutsika Kwathu Kumbuyo
Kupweteka Kwambiri Kumbuyo
Chizindikiro chofala kwambiri cha AS ndikumva kupweteka kwapweteka ndi kuuma, komwe kumayambitsidwa ndi kutupa kwa magulu a msana (wotchedwa vertebrae).
Ululu wopweteka kumbuyo kwa AS uli ndi mbali zosiyana. Izi zimathandizira madokotala kuti azizisiyanitsa ndi ululu wopweteka , zomwe zimakhala zofala kwambiri.
Kupweteka kumbuyo kwapweteka ndi:
- Miyezi itatu yokhazikika, yokhalitsa
- Zimayamba pamene munthu ali ndi zaka zosachepera 40
- Amadza pang'onopang'ono kwa masabata mpaka miyezi
- Kulimbitsa ndi kuchita masewera olimbitsa thupi ndipo sikusintha ndi kupumula kapena kugona pansi
- Choipa kwambiri usiku (ngakhale kudzutsa munthu)
- Kupititsa patsogolo ndi non-steroidal anti-inflammatory (NSAID)
Mtundu wa ululu wa AS ungathandizenso posiyanitsa ndi ululu wopweteka. Mwachitsanzo, munthu yemwe ali ndi AS nthawi zambiri amafotokoza kuti ululu wake wam'mbuyo ndi wofewa komanso "konsekonse," kusiyana ndi malo amodzi.
Kutha Kumbuyo
Kutalika kwa kuuma kwa msana kungakhale chitsimikizo pakuzindikiritsa kupweteka kwakumbuyo kwakumbuyo.
Kuuma kolimba mu AS nthawi zambiri kumakhala mphindi 30 podzuka m'mawa, pamene kuuma kolimba kwa osteoarthritis (matenda osakanikirana ndi nyamakazi) kumatenga mphindi zosachepera 30.
Kukula kwa Chisoni
Kupweteka kumbuyo mu AS kungathe kulepheretsa kwambiri, ndipo kumawonjezeka ndi nthawi. Choncho ngakhale ululu wa AS ukhoza kuyamba kumbali imodzi, kumapeto kwake kumapita kumbali zonse ziwiri, kenako kumayenda msana (ngakhale m'khosi mwa anthu ena). Izi zikhoza kuchepetsa kwambiri kuyenda, kupanga ntchito za tsiku ndi tsiku monga kunyamula chinachake kuchokera pansi pa ntchito yovuta
Zapamwamba AS
Monga ankylosing spondylitis imakhala yopambana kwambiri (ndipo izi zimachitika kokha mu gawo la anthu), kutupa kungachititse fupa latsopano kupanga pa msana. Matenda atsopanowa angapangitse msana kusakanikirana, kupangitsa munthu kubwerera kutsogolo (wotchedwa hyperkyphosis). Mavuto aakulu, izi zingachititse kuoneka kosasunthika.
Zovuta zina zokhudzana ndi msana zimaphatikizapo chiopsezo chowonjezereka cha kupweteka kwa m'mimba (popanda kapena kupweteka kwa msana) kwa anthu omwe ali ndi AS. Kuvulala kwa msana kumatha kuwonetsa zizindikiro zosiyanasiyana za ubongo monga kufooka, kufooka, kapena ngakhale ziwalo. Kusalongosola kwakukulu kwa msana kuchokera kwa AS kungayambitsenso kupweteka kwa msana, msanga.
Zizindikiro Zina
Mavuto Ophatikizana
Kuphatikizapo kupweteka kwam'mbuyo ndi kuuma, ululu wam'mwamba wamtunduwu umakhala wamba mu AS. Izi zikutanthauza kugwirizana kwa ziwalo za sacroiliac (kumene msana umagwirizanitsa ndi pakhosi). Ululu ukhoza kupezeka m'magulu kunja kwa msana monga mapewa, chiuno, mawondo, zigoba, ndi mabotolo.
Kuthamanga
Chizindikiro china cha AS ndi kutukusira kwa phokoso (lotchedwa enthesitis ), zomwe ndi mbali za thupi pamene tendon kapena ligament imagwirizana ndi fupa. Chitendene ndi malo omwe amagwiritsidwa ntchito kwambiri. Ndi kumene malo osungira mbeu (mitsempha yomwe imagwirizanitsa mafupa anu ndi mafupa anu) imalowa.
Chidendene ndilo komwe tchire la Achilles (kugwirizanitsa minofu ya mwana wanu ku chifuwa) imayika.
Zizindikiro Zooneka
Kuphatikizana ndi kutukumula ndi minofu, munthu akhoza kuona zizindikiro za kutupa thupi lonse monga malaise, kutopa, kutentha thupi, ndi chilakolako chochepa.
Zovuta za thupi
Mavuto osagwirizanitsa angathe kuchitika mu mtima ngati wa mtima, mapapo, kapena matenda a impso. Ponena za mavuto okhudzana ndi mtima mu AS, kutupa kwa aorta (mitsempha yomwe imanyamula mwazi wa oxygen kuchoka pamtima) ndi kubwezeretsanso kwa valve kungayambitse mtima, umene ukhoza kupha. Mavuto a mitsempha mu AS angakhalepo kuchokera ku khoma laling'ono la mthunzi ndi kayendedwe ka msana.
Anterior uveitis , yomwe imatanthawuza kutentha kwa mbali ya mtundu wa diso, imapezeka pafupifupi 26 peresenti ya anthu omwe ali ndi AS, malinga ndi phunziro la 2015 mu Annals of Rheumatic Disease . Uveitis nthawi zambiri imayambitsa ululu m'diso limodzi, kukhudzidwa kuunika, ndi masomphenya ophwanyika. Zimakhala zovuta kuti zichitike kwa anthu omwe akhala ndi AS kwa nthawi yayitali komanso omwe amayesa chithandizo cha mankhwala a leukocyte antigen (HLA) -B27. Kafukufuku akuwonetsanso kuchulukitsitsa kwa matenda opatsirana m'mimba ndi psoriasis mwa anthu omwe ali ndi AS.
Mawu Ochokera
Ankylosing spondylitis ndi mtundu wonse wa nyamakazi umene umakhudza msana, ziwalo za sacroiliac, ziwalo zapachiwalo, ndi ziwalo zina m'thupi monga diso, mtima, ndi mapapo. Koma ndi chidziwitso chabwino ndikutsata mwatsatanetsatane ndi kuyankhulana ndi inu kapena gulu la thanzi la wokondedwa wanu (ngakhale kuti zizindikiro zanu ndi zochepa), mukhoza kukulitsa thanzi lanu ndi kuchepetsa mavuto omwe mungathe.
> Zotsatira:
> Roussou E, Sultana S. Spondyloarthritis kwa amayi: kusiyana kwa matenda, kuwonetsetsa, ndi matenda a Ankylosing Spondylitis Matenda ndi ntchito zowonjezera (BASDAI ndi BASFI) pakati pa abambo ndi amai omwe ali ndi spondyloarthritides. Clin Rheumatol . 2011 Jan; 30 (1): 121-7.
> Sieper J et al. Njira zatsopano zopweteka kumbuyo kwa odwala omwe amamva kupweteka kwapweteka: Zochita zolimbitsa thupi ndi akatswiri ochokera ku Kufufuza kwa SpondyloArthritis Society Society (ASAS). Ann Rheum Dis . 2009 Jun; 68 (6): 784-8.
> Spondylitis Association of America. Ankylosing Spondylitis: Zizindikiro.
> Stolwijk C, van Tubergen A, Castillo-Ortiz JD, Boonen A. Kuwonekera kwa mawonetsedwe owonjezera odwala omwe ali ndi ankylosing spondylitis: ndondomeko yowonongeka ndi meta. Ann Rheum Dis . 2015 Jan; 74 (1): 65-73.
> Taurog JD, Chhabra A, Colbert RA. Ankylosing spondylitis ndi axial spondyloarthritis. N Eng J Med . 2016 Jun 30; 374 (26): 2563-74.