Chizindikiro Choyambirira cha Spondylitis Ankylosing
Sacroiliitis, yomwe ili kutupa pamagulu a sacroiliac, ndi chizindikiro chachikulu cha mitundu yambiri ya kutupa nyamakazi ndipo nthawi zambiri imadziwika yokha mu matendawa.
Matenda a osteoarthritis (kuganiza kupweteka, osati kutupa, pamagulu,) kukhumudwa, kusalongosoka kwaseri, ndi zina zoterezi ndi zina mwazimene zingayambitse kupweteka kwapakati pa sacroiliac.
Sacroiliitis imayambitsa kupweteka kumalo omwewo, koma mosiyana.
Kupweteka komwe kumagwirizanitsidwa ndi sacroiliitis, pamodzi ndi kusintha kwa mgwirizano komwe kungawonedwe pa MRI kumakhudzana ndi nyamakazi yotupa yotuluka m'mimba . Mungaganize za kusiyana pakati pa sacroiliitis ndi zifukwa zomwe zimayambitsa njirayi: Sacroiliitis imabwera ndi njira ya mkati yomwe ena amawonera ndipo ena sachita; Zomwe zimayambitsa kupweteka kwa SI zimachokera ku mphamvu zakunja ndi / kapena zamagome zomwe zingakhudze dera.
Matenda otsekemera othamanga msana amatchedwanso spondylitis. Monga chizindikiro chachipatala, sacroiliitis imathandiza kwambiri kupeza matenda a spondylitis.
Zizindikiro
Sacroiliitis nthawi zambiri imamva ngati ululu wakuya kumbuyo kapena kumbuyo komwe kumakhala bwino ndi ntchito. Zingasokonezenso dera lonse la kumunsi kwao kuchokera kumapiri (s), mpaka kumapazi anu.
Ululu wochokera ku sacroiliitis umakhala woipitsitsa usiku kapena m'mawa, ndipo umawonjezeka ndi kuima.
Ululu wokhudzana nawo umatha kukhala woipitsitsa pamene muli ndi kulemera kwambiri pa mwendo umodzi kuposa wina. Kukwera masitepe, kuyenda ndi kuyenda kwakukulu, ndi kuthamanga ndi zinthu zina zolemetsa zomwe zimapangitsa ululu kukhala wovuta kwambiri.
Zizindikiro za sacroiliitis zimakonda kuchitika kumayambiriro kwa ankylosing spondylitis (AS,) monga momwe zimakhalira umboni pa MRI.
Ngati muli ndi ululu mkati ndi kuzungulira SI yanu komanso / kapena MRI yanu imasonyeza kusintha kwa mgwirizano, izi zikhoza kufotokoza chifukwa chake ziwalo zanu za sacroiliac zili zabwino (ngati muli ndi AS.)
Onani kuti AS ndiyo mtundu wochuluka wa spondylitis, koma nyamakazi yotupa yopanda matenda imatenga mitundu yambiri, komanso. Nthawi zina sacroiliitis ndi zina mwa zizindikiro za mitundu ina ndipo nthawi zina siziri.
Kudziwa
Kuti mudziwe sacroiliitis, dokotala wanu akhoza kulamula x-ray, MRI kapena CT scan . Angapangenso kuti ayesetse mayesero kuti aone ngati matenda ndi omwe amachititsa. X-ray ikuwonetsa zomwe zikuchitika m'mafupa anu, kupanga chida chabwino chotsatira kusintha kwa mafupa anu a m'mimba ndi matumbo pamene matendawa akuyenda.
Kwa zaka makumi ambiri, x-ray inali yesero yokha yoyesera yogwiritsira ntchito sacroiliitis (ndi spondylitis). Vuto pogwiritsira ntchito x-ray, ndilokuti zimatenga nthawi yaitali (zaka) kuti ziwonetsedwe kuti ziwonekere.
Posachedwapa, njira zamakono za MRI zakhazikitsidwa kuti zikhale zothandiza pakufufuza. Njirazi zimalola madokotala kuwona kutupa kokhazikika komwe kumayambitsa kusintha kwa fupa (pambuyo pake kutengedwa ndi ma-ray). Chifukwa cha ichi, kugwiritsa ntchito MRI, nthawi zina, imathamangitsa kwambiri nthawi yomwe akufunikira kuti odwala apeze kupweteka kwawo kwa SI kumapweteka.
Ngati mwamsanga dokotala akukayikira spondylitis, akhoza kulamula kuti MRI ichite ndi njira yapadera yotchedwa short tau inversion recovery (STIR). Njira yowonjezera ya MRI ya sacroiliitis ndi gadolinium T1 MRI. Ngati muli ndi gadolinium test, muyenera kujambula jekeseni.
A CT scan ingakhale yamtengo wapatali pozindikira spondylitis. Koma, MRIs yapadera nthawi zambiri imatsimikizira kuti ndizofunikira kwambiri pazithunzi zonse zojambula.
Chithandizo
Cholinga chachikulu cha mankhwala a sacroiliitis, ndi axial sponylitis (omwe sacroiliitis ndi chizindikiro chimodzi,) kukuthandizani kuti mukhale ndi moyo wautali kwa nthawi yaitali poyendetsa kutupa ndi zotsatira zake.
Zingathenso njira zosiyanasiyana, ndi rheumatologist ngati wotsogolera wamkulu.
Pomwe mukukwaniritsa izi, mungapeze luso lanu lochita ntchito zanu za tsiku ndi tsiku, komanso kutenga nawo mbali pamagulu anu, ndikuwongolera. Chotsatira china chofunika cha mankhwala ndikuteteza kuwonongeka kwa kayendedwe kake.
Pofika pamapeto pake, dokotala wanu angapereke mankhwala ochepetsa kupweteka, kupuma kwa minofu, injini za corticosteroid , DMARDs kapena TNF-alpha blockers, komanso mankhwala opatsirana. Mu chithandizo chamankhwala, mutha kukhala ndi pulogalamu yochita zolimbitsa zoyenera kwa inu zomwe zimaphatikizapo kutambasula, kulimbitsa ndi kuyimitsa machitidwe. Dokotala wanu angathenso kulingalira njira monga kutentha kwa mpweya kapena magetsi kuti asamve ululu. Opaleshoni nthawi zambiri samaperekedwa.
> Zotsatira:
> Bollow M, Braun J, Hamm B., Sacroiliitis: chizindikiro chachikulu cha spondyloarthropathies. 1. Zochitika zachipatala. Rofo. 1997 Feb; 166 (2): 95-100.
> Elyan, M. MD, Asim Khan, M., MD. Spondyloarthropathies: Zindikirani pa Kuzindikira ndi Chithandizo. UBM Medica. Musculoskeletal Network.
> Sacroiliitis. CHORUS Yogwirizana ndi Mafilimu Othandizira. Adasinthidwa komaliza: 1 September 2006.
> van der Heijde, D., 2016 ndondomeko zowonongeka kwa ASAS-EULAR kwa axial spondyloarthritis. Annals wa Rheumatic Diseases. Jan. 2017. http://ard.bmj.com/content/early/2017/01/13/annrheumdis-2016-210770