Palibe mayesero amodzi, kotero kuyesedwa bwino kwa mankhwala ndikofunikira
Kutulukira kwa ankylosing spondylitis kumafuna kuti woyang'anira wabwino azigwira ntchito kwa dokotala wanu, popeza palibe mayeso a golide. M'malo mwake dokotala ayenera kulingalira za zizindikiro za munthu, kuyezetsa thupi, ndi mayesero a zachipatala monga x-rays ndi ntchito ya magazi kuti azindikire-mofanana ndi kuyika pamodzi zidutswa za puzzles.
Mbiri ya Zamankhwala
Munthu yemwe ali ndi AS nthawi zambiri amawona dokotala wamkulu kapena dokotala wawo chisamaliro chachikulu chodandaula za ululu, kawirikawiri kumbuyo kapena kumtunda.
Pofuna kuthetsa vutoli, dokotala angafunse mafunso awa:
- Kodi ndinu wamng'ono kuposa zaka 40?
- Kodi kupweteka kwapitirira kwa miyezi itatu kapena yoposa?
- Kodi kupweteka kumakhala bwino ndi zochita zolimbitsa thupi?
- Kodi kupweteka kumakhala koipitsitsa ndi kupumula, makamaka kuonekera usiku?
- Kodi ululuwu umasintha kwambiri atatenga NSAID? (mwachitsanzo, ibuprofen)
Kuyankha inde kwa ambiri a mafunsowa kungachititse dokotala kuganizira za matenda a kutupa nyamakazi (monga ankylosing spondylitis), mosiyana ndi ululu wambiri wopweteka kwambiri (mwachitsanzo, kupweteka kwa minofu kapena matenda osokoneza bongo ).
Dokotala wanu adzafunsanso za zizindikiro za thupi lathunthu monga kutopa kapena malaise, chifukwa izi zingathe kuthandizira kupeza matenda a ankylosing spondylitis. Ichi ndi chifukwa chakuti zizindikiro zonse za thupi ndizozidziwitsa kuti chinthu china chosawonongeka chikuchitika ndi ma chitetezo cha mthupi. M'magulu a anklyosing spondylitis, chitetezo chanu cha mthupi chimagonjetsa ziwalo zathanzi (makamaka ziwalo zam'mimba ndi sacroiliac ).
Mbiri ya banja ya ankylosing spondylitis, kapena mbiri yaumwini ya matenda a m'mimba, matenda opweteka a m'mimba , uveitis (kutupa kwa mbali ya mtundu wa diso lanu), kapena psoriasis ndizozidziwitsa zina zowonjezera.
Ngati dokotala wanu wamkulu kapena dokotala wanu akudandaula kuti ali ndi spondylitis kapena njira ina yotetezera chitetezo cha mthupi, iye adzakulozerani kwa rheumatologist-dokotala yemwe amadziwika kwambiri ndi matenda ophatikizana ndi omwe amadzimadzimadzimodzi.
Kusanthula thupi
Pomwe mukufufuza kafukufuku wa antikylosing spondylitis, dokotala wanu adzafufuza msana wanu, mchiuno, ndi ziwalo za sacroiliac powakakamiza kuti azifufuza mwachifundo. Pogwiritsa ntchito mapepala anu, dokotala wanu amatha kuyendayenda ndi kusintha kwake. Dokotala wanu nayenso angayang'ane zigawo zing'onozing'ono za manja anu ndi mapazi, komanso ziwalo zina monga zigoba zanu, mawondo, ndi mapewa, kuti mudziwe ngati pali kutupa, kutentha, kapena zamadzi.
Kufufuza zidendene za matenda a enthesitis , kumvetsera mapapu anu, ndikuyang'ana khungu ndi khungu (kuyang'ana psoriasis) ndi ziwalo zomwe zimawoneka ngati munthu akuganiza kuti ali ndi spondylitis ankylosing.
Musadabwe ngakhale dokotala wanu atakuuzani kwa dokotala wamaso (ngati muli ndi ululu wa diso kapena kuunika kapena / kapena kuwonetseratu kosaoneka, monga uveitis ndi vuto lofala la anklyosing spondylitis.
Mayesero Ojambula
X-ray ndipo nthawi zina kujambula kwa magnetic resonance (MRI) ya ziwalo za sacroiliac (ndipo nthawi zina msana) zimagwiritsidwa ntchito kuti zitsimikizidwe kuti zimapezeka ndi ankylosing spondylitis. Vuto ndi zojambula zojambula ndikuti kutupa kungatenge zaka kuti ziwonetsere, ngakhale kuti MRI ikhoza kuizindikira kale kusiyana ndi x-ray.
Mayesero ojambula amagwiritsidwanso ntchito kuyang'anira matenda a munthu, atapezeka kuti ali ndi ankylosing spondylitis.
HLA-B27 Mayeso a Magazi
Kuyezetsa magazi kwakukulu koyesa matenda a anglyosing spondylitis ndi mayeso a HLA-B27 . HLA-B27 ndi mtundu wa mapuloteni omwe amapezeka pa maselo oyera a magazi (maselo anu akumenyana ndi maselo). Pamene zilipo, zingayambitse maselo oyera a m'magazi kuti asokoneze maselo abwino m'thupi lanu, monga omwe ali m'kati mwa msana, khosi, kapena maso.
Mungadabwe kumva kuti mapuloteni HLA-B27 alipo pafupifupi 95 peresenti ya Caucasus ndi anklyosing spondylitis. Izi zikunenedwa, za omwe ali ndi chitsimikizo cha jeni la HLA-B27, pafupifupi 5 peresenti yokhala ndi ankylosing spondylitis.
Mu African-American ndi AS, HLA-B27 jini sizowoneka ngati wamba-kotero siyeso yabwino yoyezetsa matenda.
Kotero ngati muli ndi zizindikiro zoganizira za AS, dokotala wanu angakuyeseni puloteni ya HLA-B27 kuti atsimikizire kuti akudziwa, makamaka ngati pali zovuta zomwe zikuchitika (mwina pali mbali zina zosokoneza za kufufuza kwanu kapena mbiri). Koma kachiwiri, kukhalapo kwa HLA-B27 sizomwekusowa "inde muli ndi AS" yeseso-zidutswa zonse ziyenera kugwirizana. Chiyeso chabwino popanda zizindikilo kapena zizindikilo za matenda omwe amadzimadzimitsa okha sizitanthauza zambiri. Mosiyana ndi zimenezi, anthu ena (kuphatikizapo Caucasians, ngakhale kawirikawiri) ali ndi AS, koma amayesa zovuta za jini.
Zonse mwazo, kutanthauzira kwa mayesero a HLA-B27 ndibodza, choncho kumafuna kufufuza mosamala ndi dokotala wodziwa zambiri.
Mayesero Ena a Magazi
Mayeso ena awiri a magazi anu adokotala akhoza kulamula ngati akuganiza kuti ankylosing spondylitis ndi awa:
Mmodzi kapena zonsezi zikhoza kukwezedwa ngati kutukuka kumatuluka thupi.
Izi zikunenedwa, CRP ndi ESR ndizomwe zimayambitsa magazi, zomwe zikutanthauza kuti zikhoza kukwezedwa m'madera osiyanasiyana osiyana ndi matenda omwe amapezeka m'malo mwa anklyosing spondylitis. Izi zikuphatikizapo:
- Matenda ena amadzimadzi (monga matenda a nyamakazi kapena lupus )
- Kutenga (mwachitsanzo, chibayo)
- Khansa
Kuonjezera apo, ESR ndi CRP zingakhale zachilendo, ndipo munthu akhoza kukhala ndi ankylosing spondylitis (makamaka ngati matenda awo sakuwombera nthawi ya kutengeka kwa magazi).
Mawu Ochokera
Ndikofunika kuti musagwedezeke kwambiri pazomwe muli pano. Chithunzi chachikulu ndi chakuti kuganizira za ankylosing spondylitis kumafuna kulingalira moganizira zinthu zambiri ndi dokotala wanu, ndi crux akugona mu mbiri yabwino ya zamankhwala ndi kuunika kwa thupi. Mayeso a magazi ndi x-ray akhoza kumalimbitsa matenda.
Onetsetsani kuti mufunse dokotala wanu mafunso alionse okhudzana ndi matenda anu kapena zotsatira zanu. Kugwira ntchito mwakhama mu umoyo wanu kungakuthandizeni.
> Zotsatira:
> American Association for Clinical Chemistry. HLA-B27: Mayeso.
> Institute of Arthritis and Musculoskeletal and Skin Liseases. Mafunso ndi Mayankho Okhudza Spondylitis Ankylosing.
> Rudwaleit M et al. Kufufuza kwa SpondyloArthritis Makhalidwe a Mayiko a Mayiko Onse Mipangidwe ya Mphindi Spondyloarthritis ndi Spondyloarthritis mu General. Ann Rheum Dis . 2011 Jan; 70 (1): 25-31.
> Spondylitis Association of America. Chidule cha Ankylosing Spondylitis.