Ankylosing spondylitis

Ankylosing spondylitis ndi matenda a Bekhterev, amatchulidwa ndi dokotala wina wa ku Russia amene poyamba anafotokoza zizindikiro ndi zamaliseche.

Spondyloarthritis ankylosing amatanthauza matenda aakulu omwe amatha kupita patsogolo. Amadziwika ndi kutupa kwa ziwalo za msana, zomwe zimabweretsa kufooka, ndipo pamapeto pake msanawo wafa.

Malemba ndi mafayiko a ankylosing spondylitis

Mndandanda wa ankylosing spondylitis ukhoza kuchitidwa molingana ndi zifukwa zingapo:

• pansi;
• ndi siteji ya chitukuko.

Mitundu inayi imasiyanasiyana pakati pa matendawa:

• kupititsa patsogolo;
• Kupititsa patsogolo pang'onopang'ono ndi zovuta;
• kupititsa patsogolo;
• chowopsa cha septic, momwe matendawa amayamba pachimake ndi malungo, zipsera ndi thukuta lalikulu.

Zizindikiro ndi magawo a ankylosing spondylitis:

1. Gawo loyamba. Gawo ili limatchedwanso nagolnoy. Panthawi imeneyi pali choletsedwa mu msana wa chikhalidwe cholingalira. Pogwiritsa ntchito X-ray, munthu amatha kuona kusagwirizana kwa ziwalo m'dera la Sacral, komanso malo odwala matenda a osteosclerosis komanso kufalikira kwa zidutswa zamagulu.
2. Gawo lachiwiri. Panthawi imeneyi pamakhala kuchepa kwa kayendedwe kake m'magulu a msana kapena m'magulu ozungulira. Zipangizo zapadera za m'dera la sacral zinachepetsedwa. Pa nthawiyi, zizindikiro za ankylosis n'zotheka.
3. Gawo lachitatu. Gawo lotsirizali likudziwika ndi chilepherero chachikulu mu kayendetsedwe ka msana.

Komanso madokotala amasiyanitsa magawo atatu a zochitika za matenda:

1. Pa sitepe yochepa, wodwalayo ali ndi kuuma pang'ono kwa kayendedwe, makamaka m'mawa. ESR pa izi ndi 20 mm / h.
2. Pakati pa wodwalayo, kupweteka kosalekeza m'magulu kumasokonezeka, kutalika kwa kuuma kwa kayendedwe kumawonjezeka mpaka maola 3-4 mutadutsa. ESR pankhaniyi ili mpaka 40 mm / h.
3. Pa malo otchulidwa, kuuma kwa kayendetsedweko kukupitirira tsiku lonse ndipo ululu wopitirira mu msana ukupitirirabe. Panthawi imeneyi, pali kutentha kwakukulu, ndipo ESR iposa 40 mm / h.

Komanso, madokotala amadziŵitsa kuchuluka kwa matendawa malinga ndi momwe ziwalo zimakhudzira:

1. Pa digiri yoyamba pali kusintha kwa kugwedezeka kwa msana, komwe kumaphatikizapo kuyenda kochepa m'magulu ndi vertebrae.
2. Pachiwerengero chachiwiri kuletsedwa kwa kayendetsedwe ka kayendetsedwe kawonjezereka, chifukwa cha zomwe wodwalayo amalandira digiri yachitatu ya ulemala.
3. Pa digiri yachitatu, ankylosis imapezeka m'madera onse a vertebra ndi ziwalo za m'chiuno. Chifukwa cha zomwe zatayika mphamvu zogwira ntchito kapena pali kuthekera kwa kudzikonda. Pa digiri iyi wodwalayo amalandira kulemala kwa digiri yoyamba kapena yachiwiri. Panthawiyi, ndi kotheka kuti ana angathenso kutulutsa spondylitis, yomwe imadziwika ndi kuwonongeka kwa zomangamanga.

Kuzindikira kwa ankylosing spondylitis

Njira yaikulu yodziwira kuti ankylosing spondylitis ndi x-ray. Zimakulolani kuti muwone zosavuta ziwalo, kupotoka, kukula kwa ming'alu ndi mfundo zina zofunika pakukhazikitsa gawoli.

Komanso pozindikira, ntchito yofunika kwambiri imayesedwa ndi kusanthula magazi ndi maginito opanga chithunzithunzi cha msana .

Kuchiza kwa ankylosing spondylitis

Ndi matenda a Bechterew, madokotala tsopano akugwiritsa ntchito mankhwala oletsa kupweteka. Odziwika kwambiri ndi Diclofenac.

Komanso pofuna kuchotsa kutupa, glucocorticosteroids amalembedwa (mwachitsanzo, Prednisolone). Mankhwala a gululi amalembedwa panthawi ya kuchulukitsidwa kwa kuchotsedwa kwa zotupa.

Mankhwala osokoneza bongo - sulfasalazine, methotrexate, ndi zina zotero, amauzidwa kuti asiye ankylosis.

Pa nthawi ya kukhululukidwa, kutentha kwa thupi ndi kupuma kwa masewera olimbitsa thupi kumapindulitsa mkhalidwe wa wodwalayo.