I-Ankylosing spondylitis (AS) sisinye isifo esifunyenwe kunye neemeko zezidumbu ezivuthayo ezichaphazela umgudu nesigrum. I-spectrum ebanzi, eyaziwa ngokuba yi-axial spondyloarthritis (edlalwa ngokubhaliweyo njenge "Spacy Axial"), ifaka izifo ezinjenge-spondylitis e-ankylosing njenge-subsets.
Ezi zifo ezichaphazela umlenze kunye nezakhiwo ezidibanisa kuyo.
Igama elithi "axial skeleton" ngokuqinisekileyo libhekisela kwisiqu sakho, isikhala, umlenze, i-pelvis, kunye ne-rib cage. Xa i-spondyloarthritis ichaphazela iiphelo, ibhekiselwa kwipipipyloththritis yechungechunge.
Sibanzi
I-Ankylosing spondyloarthritis yincwadana engavumelekanga kodwa eyonakalisa i- axial spondyloarthritis apho umgudu uphazamisa ixesha. Ingunaphakade kwaye ihamba phambili. Ingozi iphakamileyo kakhulu xa uvavanya uvavanyo lwegciwane leHLA-B27, nangona izazinzulu aziqinisekanga nendima yeHLA-B27 edlala kule nkqubo.
Ngoko, kwenzeka ntoni xa unayo AS? Ngokuqhelekileyo iqala nge- sacroiliac (SI) ukuvuvukala kunye nokuqina. Amalungu e-SI ahlanganiswa phakathi kwe-sacrum kunye ne-pelvis. Zifumaneka ngaphesheya kwe-sacrum, eyona nxalenye ephantsi kunazo zonke.
Ngenxa yokuba i-AS iyimeko engapheliyo, iimpawu zexesha ziqhubela phambili kwezinye iindawo ze-axial squelet-ezizikhohlo zakho, i-vertebrae, kunye ne-rib cage.
Ekugqibeleni, i-spondylitis engabonakaliyo ingakhokelela ekugqithiseni ngokupheleleyo umgudu kunye nokulahleka okupheleleyo kokuhamba komgogodla.
Iimpawu
NJENGOBA iimpawu zibandakanya ukuhlangana kwentsasa ekuseni / ukuqina komgudu kunye nentlungu eyona embi emva kokuphumla (kodwa ivakalelwa kangcono njengoko imini iyaqhubeka okanye emva kokuzivocavoca). Ukukhathala, iimvakalelo zesifo, kunye / okanye ukukhwaza ebusuku kunempawu.
Qaphela ukuba iimpawu ze-AS zihlala zihamba ngokukhawuleza, zihlala zithatha iiveki okanye iinyanga ukuze zenzeke.
Ukuxilongwa
Abanye abantu bafumana ukufumana i-spondylitis yabo engabonakaliyo yinto ecelomngeni okanye eyakhazamisayo. I-Ankylosing spondylitis, kunye nezinye izifo ze-subset kunye ne-axial spondylitis spectrum, ngamanye amaxesha ibonisa i-x-ray okanye i-MRI-kodwa ngamanye amaxesha ayikho.
Ngokuqhelekileyo xa isifo se-subset "singekho i-radiographic" (xa kungekho bu bungqina baloo mafilimu e-imaging diagnostic), kungenxa yokuba isifo sisesekuqaleni. Oku kunokuthetha ukuba iimpawu zingabonakalisa kwiifilimu ezizayo-isizathu esilungileyo sokuzibeka esweni ngogqirha wakho.
Iimpawu zeRadioographic zibalulekile kuba zinceda ugqirha wakho ufumane i-AS. Ukufumana ukuxilongwa kuyinjongo ebalulekileyo yokusebenzela-kungekudala uyenzayo, ngokukhawuleza ungaqalisa irejimeni yonyango enokuthenjwa ukuba uyakufanele.
I-AS idla ngokudibanisa ne-rheumatoid arthritis, ngoko ngaphambi kokuba ufike kwisigqibo malunga noko kukubangela iimpawu zakho, ugqirha uya kufuneka ahlule phakathi kwezi zimbini izifo. Kodwa, ukuba ifunyaniswe ne-AS, ngokuqhelekileyo iphathwa ngamachiza-inani elitsha ngoku liyakhweba. Ukuzivocavoca kunokunceda ukunciphisa isifo sokukhula kunye nokulawula intlungu kunye nezinye iimpawu.
> Imithombo:
> Deodhar, A., Reveille, J., van den Bosch, F., Braun, J., Burgos-Varga, R., et al. I-Concept ye-Axial Spondyloarthritis: Ingxelo edibeneyo ye-Spondyloarthritis Research and Treatment Network kunye noVavanyo lwe-SpondyloArthritis yamazwe ngamazwe ngamazwe ekuphenduleni ama-Comments kunye neengxaki zoLawulo lweeDrama. Septemba 2014.
> Kiltz U., Baraliakos X., Braun J. Ulawulo lwe-axial spondyloarthritis. Internist (Berl). Septemba 2016.