Akukho vavanyo olulodwa, ngoko kufuneka uviwo olufanelekileyo lwezonyango
Ukuxilongwa kwe- spondylitis e-ankylosing kudinga ukuba umcuphi osebenza kakuhle kwinxalenye kagqirha wakho, njengokuba kungekho vavanyo lwegolide lwezinga eliphezulu. Kunoko ugqirha kufuneka aqwalasele iimpawu zomntu, uvavanyo lweemvelo, kunye neemvavanyo zonyango ezifana ne-ray-ray kunye nokusebenza kwegazi ukwenzela ukuba ukuxilongwa-kufana nokuhlanganisa iiplani.
Imbali Yonyango
Umntu onokuqala u-AS ubona ugqirha okanye ugqirha weentsapho ngokuyinkqonkqozo ngesibetho, ngokuqhelekileyo kumqolo okanye ngasentla.
Ukucwangcisa imbangela yale ntlungu, ugqirha unokubuza imibuzo elandelayo:
- Uneminyaka engama-40?
- Ingaba intlungu iqhubeka iinyanga ezintathu okanye ngaphezulu?
- Ingaba intlungu iphucula ngokuzivocavoca?
- Ingaba intlungu ibuhlungu ngokuphumla, ingakumbi ebonakalayo ebusuku?
- Ingaba intlungu iphucule kakhulu emva kokuthatha i-NSAID? (umzekelo, ibuprofen)
Ukuphendula ewe kwininzi yale mibuzo kuya kwenza ugqirha wakho ukuba acinge ngolu hlobo lwe-arthritis evuvuzayo (njenge-splinkylitis e-ankylosing), ngokuchasene nentlungu ephindaphindiweyo yomsana (umzekelo, ukuxhatshazwa kwemisipha okanye isifo se-disenerative disad ).
Ugqirha wakho uza kubuza malunga neempawu zomzimba wonke ezinjengokukhathala okanye ukunyuka, njengoko oku kunokuxhasa ukuxilongwa kwe-spondylitis e-ankylosing. Oku kungenxa yokuba iimpawu zomzimba wonke ziyimpawu ezinokuthi izinto ezingavamile ziqhubeka kunye nesistim somzimba sakho. Kwi-anklyosing spondylitis, isistim somzimba sakho sokulwa nomzimba sihlasela amanxilongwane enempilo (ingakumbi amaninzi omgulane kunye ne- sacroiliac ).
Imbali yentsapho ye-spondylitis engabonakaliyo, okanye imbali yomntu wesifo sesisu, isifo sesibilini , u- uveitis (ukuvutha kwesahluko sebala lakho), okanye i- psoriasis yinkcazelo yokuxilonga eyongezelelweyo.
Ukuba ugqirha wakho osisiseko okanye ugqirha wentsapho ugxeka i-spondylitis engavumelaniyo okanye enye inkqubo ye-anti-system mediation, uya kukuthumela kwi-rheumatologist-ugqirha ogxininisa kwizifo ezidibeneyo nezizimeleyo.
Uvavanyo lweMvelo
Ngethuba lovavanyo lomzimba lwe-spondylitis engavumelaniyo, ugqirha wakho uya kuhlolisisa umlenze wakho, i-hip, kunye namalungu e-sacroiliac ngokucinezela kubo ukujonga ukunyamekela. Xa uhambisa amanqaku akho, ugqirha wakho unokuvavanya uluhlu lwezithuthi kunye nokuguquguquka. Ugqirha wakho uya kuphinda ahlole amancinci amanyathelo kunye neenyawo zakho, kunye namanye amalunga afana neendlovu zakho, amadolo, kunye namagxa, ukuchonga ukuba kukho ukuvuvukala, ukufudumala, okanye ukuhamba kwamanzi.
Ukuhlolisisa izithende zakho kwi- enthesitis , ukuphulaphula imiphunga yakho, nokwenza ukukhangela kwesikhumba kunye ne-scalp (ukukhangela i-psoriasis) ziindawo eziqhelekileyo zokuhlolwa komzimba xa umntu ecelwa ukuba une-spondylitis e-ankylosing.
Ungamangaliswa ukuba ugqirha wakho ekubhekiselele kumgqirha weziliso (i-ophthalmologist) ukuba unayo nayiphi na intlungu okanye ubomvu kunye / okanye umbono oqhaqhaqhayo, njenge-uveitis yinto eqhelekileyo yengxaki ye-anklyosing spondylitis.
Uvavanyo lweemvavanyo
I-ray-ray kunye namaxesha athile (i-MRI) yama-sacroiliac (kunye namaxesha athile umgudu) ngokuqhelekileyo isetyenziselwa ukuqinisekisa ukuxilongwa kwe-spondylitis e-ankylosing. Ingxaki ngeemvavanyo zengqondo kukuthi ukuvutha kungathatha iminyaka ukubonisa, nangona i-MRI ingayifumana ngaphambi kwe-x-ray.
Ukuvavanywa kweemvavanyo kusetyenziswa ukubeka esweni isifo somntu, emva kokuba sele kufunyanwe ukuba ne-spondylitis e-ankylosing.
I-HLA-B27 Iimvavanyo zegazi
Uvavanyo oluphambili lwegazi lokufumanisa i-anklyosing spondylitis nguvavanyo lwe- HLA-B27 . I-HLA-B27 luhlobo lweprotheni efunyenwe kwiiseli ezimhlophe zegazi (iintsholongwane zokulwa nesifo). Xa sikhona, kunokubangela ukuba iiseli zamhlophe zegazi zihlasele amaseli enempilo emzimbeni wakho, njengalezo ezisemngceleni wakho, intanyeni, okanye amehlo.
Unokumangaliswa xa ufumanisa ukuba iprotheni i-HLA-B27 ikhona malunga nama-95 ekhulwini aseCaucasian nge-anklyosing spondylitis. Oko kuthethwa, kulabo abanomdla kwi-HLA-B27, i-5% kuphela i-spondylitis e-ankylosing.
KwamaAfrika-aseMelika kunye ne-AS, i-HLA-B27 i-gene ayifani ngokuqhelekileyo-ngoko ayikho into efanelekileyo yokuhlola uvavanyo.
Ngoko ukuba unempawu ezibonisa ukuba u-AS, ugqirha wakho unokukuvavanya kwiprotheni ye-HLA-B27 ukuze uncede uqinisekise ukuxilongwa, ngakumbi ukuba kukho ukungaqiniseki okuqhubekayo (mhlawumbi kukho ezinye izinto ezididekayo zokuhlolwa kwakho ngokomzimba okanye imbali). Kodwa kwakhona, ubukho be-HLA-B27 abuyiyo i-slam dunk "ewe unayo" uvavanyo lwe-AS "zonke izicatshana kufuneka zihlangane kunye. Uvavanyo oluntle olungenayo impawu okanye iimpawu zesifo esingenzi-mali singathanga nto. Ngakolunye uhlangothi, abanye abantu (kuquka neCaucasians, nangona kunjalo).
Kukho konke, ukuchazwa kweemvavanyo ze-HLA-B27 kuyinkathazo, ngoko ke kufuneka uhlalutyo oluchanekileyo ngugqirha onamava.
Ezinye iimvavanyo zeGazi
Uvavanyo oluninzi lwegazi ezimbini ugqirha wakho unokuyalela ukuba uyayikrokra i-spondylitis engenayo iquka:
Omnye okanye bobabini beemakishi bangaphakanyiswa xa kukho ukuvutha komzimba emzimbeni.
Oko kuthethwa, iRPP ne-ESR ayimfuneko yokuhlolwa kwegazi, oku kuthetha ukuba inokuphakanyiswa kwiimeko ezahlukeneyo zempilo ngaphandle kwe-anklyosing spondylitis. Ezi ziquka:
- Esinye isifo esizimele (umzekelo we- rheumatoid arthritis okanye i- lupus )
- Usulelo (umzekelo, i-pneumonia)
- Cancer
Ukongeza, i-ESR kunye ne-CRP ingaqhelekanga, kwaye umntu unokukwazi ukuba ne-spondylitis engavumelaniyo (ingakumbi ukuba isifo sabo asiqhubi ngexesha le-draw draw).
ILizwi
Kubalulekile ukuba ungayitholi phantsi kwiinkcukacha apha. Umfanekiso omkhulu kukuba ukuxilongwa kwe-spondylitis e-ankylosing kudinga uhlalutyo olucingileyo lwezinto ezininzi ugqirha wakho, kunye ne-crux elele kwimbali yezobugcisa kunye nokuhlolwa komzimba. Iimvavanyo zegazi kunye ne-x-ray ziyakomeleza ukuxilongwa.
Qiniseka ukuba ubuze ugqirha wakho malunga nayiphi na imibuzo ephathelele ukuxilongwa okanye iziphumo zovavanyo lomntu. Ukuthatha indima ebalulekileyo kwimpilo yakho kunokukunceda kuphela.
> Imithombo:
> Umbutho waseMelika weKlinikhi yeKhemistry. HLA-B27: Uvavanyo.
> Isizwe seSizwe seArthritis kunye neMisculoskeletal kunye nezifo zesikhumba. Imibuzo Neempendulo Nge-Ankylosing Spondylitis.
> Rudwaleit M et al. Uvavanyo lwe-SpondyloArthritis I-International Society Classification Criteria ye-Peripheral Spondyloarthritis kunye ne-Spondyloarthritis ngokubanzi. Ann Rheum Dis . NgoJan 2011; 70 (1): 25-31.
> I-Spondylitis Association of America. Ubume obanzi be-Ankylosing Spondylitis.