Mbali Yofunika Kwambiri ya Spondyloarthritis
Ngati mwawona mawu akulowetsa, kutsekemera, kapena kutsekemera m'mayendedwe anu a x-ray kapena zachipatala, mawuwa mwina sakudziwika kwa inu. Tiyeni tiwone tanthawuzo komanso momwe limakhudzira mitundu yambiri ya nyamakazi ndi matenda a rheumatic.
- Kuphatikizira (kuchuluka: kumalowa) kumatanthawuza minofu yothandizana nayo yomwe matope , mitsempha, kapena makapulisi ophatikizana amagwirizana ndi fupa. Mitundu iwiri ikhalepo: fibrous entheses ndi fibrocartilaginous entheses. Ngakhale kuti ndilo tanthauzo lachidule, tsatanetsatane yatsopano, yowonjezera imasonyeza kuti kutanthauzira sikutanthauza kungowonjezera chabe kapena kuyika malo otetezera malo monga gawo lomwe limaphatikizapo zida zozungulira (mwachitsanzo, fupa ndi fibrocartilage zogwirizana ndi synovium). Chipangizochi chimatchulidwa kuti "chiwalo chogwiritsira ntchito".
- Kusagwirizana ndi vuto lina lililonse limene limakhudza zofunikira (mwachitsanzo, kuvuta kwa zofunikira). Kusagwirizana kwa mankhwala kungakhale chifukwa cha kutupa kwa thupi, monga psoriatic nyamakazi , kapena chikhalidwe chokhudzana ndi kuvulala kapena kulemedwa, monga plantar fasciitis.
- Kuthamanga kwa thupi kumatanthawuza kutupa kwazinthu.
Zizindikiro
Kuthamanga kwa thupi kumayanjanitsidwa ndi ululu, kuuma, ndi chifundo pa tsamba lolowetsa, nthawi zina popanda kutupa. Komabe, pamene pali kulowetsa kwa ziwalo zazikulu za m'munsi, kutupa kungakhale kofunika komanso kotchuka. Ngati kutupa kulibe, kutsekemera kwa thupi kungakhale kovuta kuzindikira kapena kukayikira panthawi yofufuza.
Kuthamanga kwa thupi kumakhala kofala pa malo awa:
- Achilles tendon
- Patellar tendon
- Plantar fascia
- Zojambulajambula za Elbow
- Kuponya
- Vertebrae
- Iliac kwambiri
Makhalidwe Okhudzana ndi Kugonana
Kuthamanga kwa thupi kumatha kugwirizanitsidwa ndi zinthu zotupa kapena zingakhale zomangika chifukwa cha kuvulala.
Matendawa amadziwika ndi matenda onse a spondyloarthropathies , kuphatikizapo matenda osokoneza bongo , a ankylosing spondylitis , nyamakazi ya psoriatic, ndi nyamakazi yowonongeka .
Matenda a nyamakazi ndi mtundu wa nyamakazi umene umabwera chifukwa cha matenda. Kutupa kwa nyamakazi yowonongeka kawirikawiri kumayambitsidwa ndi matenda kumbali ya thupi lakutali, monga tsamba la mkodzo, m'matumbo kapena m'mimba.
Kawirikawiri manjenje a mawondo, mapazi, ndi mavoti ndi zolinga za kutupa kwachilendo kaŵirikaŵiri mpaka kudwala nyamakazi. Makamaka, kupatsirana m'mimba mwa anthu omwe ali ndi nyamakazi yowonongeka kaŵirikaŵiri amapezeka mumtambo wa plantar, mafupa a m'mimba kapena Achilles tendon. Matenda a nyamakazi ndi achilendo ndipo kawirikawiri amatuluka mwa anthu ambiri mkati mwa chaka chiyambireni.
Ankylosing spondylitis ndi matenda otupa omwe amapezeka kwambiri mwa amuna. Kutupa kwa spylylitis ankylosing kumakhudza mavitamini ndipo kumawapangitsa kuti aziphwanyidwa. Matenda a tizilombo ta tizilombo timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timayambira. Anthu omwe ali ndi anondlosing spondylitis amatha kukhala ndi matenda a chiwombankhanga , kapena ziwalo za nthiti. Pafupifupi 10 peresenti ya anthu omwe ali ndi spondylitis ankylosing amakhalanso ndi matenda a chilonda cha Achilles tendon ndi plantar aponeurosis (zigawo zowonongeka, zazikulu, zofanana). Mawu akuti plantar aponeurosis amatanthauza minofu yowonongeka yomwe imathandiza phazi.
Zina zomwe zimakhudzana ndi matendawa zimaphatikizapo Achilles tendinitis, nyamakazi ya nyamakazi , osteoarthritis , ndi matenda oopsa a hyperostosis (DISH).
Zingakhale zowonjezereka zowonjezereka zomwe zimayamba ndi matenda a mitsempha. Kusintha kwachimake komwe kumachitika ndi kutsegula m'mimba komanso kutsegula m'mimba kumakhudzanso fibrocartilages.
Kujambula Kuzindikira
Kujambula kungathandize kuthandizira matenda a chiwindi, koma kugwiritsira ntchito mafanizo kumadalira ngati mafupa a axial kapena a piritsi amakhudzidwa. MRI imagwiritsidwa ntchito pa axial mafupa. Ultrasound imakondwera ndi mafupa am'thupi. MRI ingakonzedwenso pazowonjezera zilizonse zomwe sizingatheke.
Malinga ndi Up-To-Date, "Kuwona kwa mwana kumatenda kumaphatikizapo kusintha kwakukulu kapena kusintha kwakukulu kwa kusintha kwa tendon, edema wa kuikidwa kwa tendon, calcific yomwe imayikidwa pa intaneti, kutulutsa, kutulutsa, fupa latsopano, kapangidwe ka periosteal.
Komanso, pafupi ndi bursitis amawonedwa ngati chizindikiro cha matenda a enthesitis. Mphamvu yamphamvu ya Doppler US yomwe ikugwirizana ndi kuwonjezeka kwa mitsempha ingapezekedwe m'thupi lachilendo. "
Chithandizo
Kuchiza kwa matenda a chiwindi kumayambira pa vutoli. Mwachitsanzo, ngati matenda a kutupa m'mimba amayamba chifukwa cha kutupa, nthawi zambiri chithandizochi chimagwiritsidwa ntchito pochiza kutupa kwa polyarthritis. Chithandizo, muzochitika zoterezi, chingaphatikizepo:
Mankhwala amtundu wa corticosteroid amatha kugwiritsidwa ntchito ngati mankhwala a pamlomo sakukwanira. Mitundu ya biomechanical ya enthesitis imalongosoledwanso pogwiritsira ntchito insoles ndi makositiki.
> Zotsatira:
> Bruyn, George AW, MD. PhD. Musculoskeletal Ultrasonography - Ntchito Zamakono. Zaposachedwa. Anakambiranso kumapeto kwa February 2017.
> Kehl, AS, MD. et al. Kuthamanga. Arthritis & Rheumatology. 2016 Feb; 68 (2): 312-322.
> McGonagle D. ndi Benjamini, M. Entheses, Enthesitis, ndi Enthesopathy. Kagulu kafukufuku wa Arthritis. Zotsatira zamakono. Kumapeto kwa 2009.