I-Axial Spondyloarthritis ngumhlobo wesifo samathambo esingapheliyo esibandakanya umgudu kunye / okanye i-sacroiliac joints. Ngokubambisana, intloko, intambo yomthi, kunye nomgudu kuthiwa yi-"axial skeleton". I-Axial spondyloarthritis yindlela enye ye-spondyloarthritis okanye i-spondyloarthropathy, yintsapho yeemeko zengxubusho apho ukuvuvukala komlenze kunye namajoyina e-sacroiliac yinto ebonakalayo ebalulekileyo.
Ezi meko zihlobene ngenxa yokuba zinokwabelana ezininzi iimpawu ezifanayo, kubandakanye (njengoko kuchaziwe) ukuvuvukala emthonjeni, i-pelvis, kunye namanye amalunga, kunye namathumbu, amehlo, iigaments kunye neeton. Ngelixa izifo "kwintsapho" zabelana ngesitshixo esibalulekileyo sokuvuvukala, ngasinye-ngaphandle kwesinye sichazwe apha ngezantsi-sinokuhlukana kwayo.
Ugqirha wakho uya kucinga ukuba ungomnye "lwamalungu entsapho" esekelwe ezintweni ezininzi, kungekhona ubuncinane bokuthi ukuvuvukala kwindawo ethile yomzimba, njengamahlo, izithende, amathumbu okanye umva. Ukuxilongwa kubandakanya ukuhlolwa ngokomzimba, ingxoxo malunga neempawu zakho, kunye / okanye ukucinga kunye neemvavanyo zebhu.
Ukuba une-splonyloarthropathy, uvumelekile okanye unokungenawo sacroiliitis. Ukuba i-sacroiliitis ikhona kwi-x-ray yakho, ugqirha wakho uya kukufumanisa nge-spondylitis ene-ankylosing, okanye i-AS.
Radiographic and Non-Radiographic
Kule miqolo, abaphandi bacebise iintlobo ezimbini ze-axial spondyloarthropathy-uhlobo apho utshintsho lwe-arthritic lubonakala kwi-x ray / CT scan kunye nohlobo apho lungenalo.
Xa utshintsho kwi- x-ray / CT scan lubonakala, oku kubizwa ngokuthi i-radiographic axial spondyloarthropathy (igama elithi AxSpA.) Nangona kungekho tshintsho ebonakalayo, kuthiwa yi-non-radiographic axial spondyloarthropathy (ngesivakalisi nr-axSpA.)
Phantse bonke abantu abaxilongwa nge-ankylosing spondylitis baxhomekeke kwicandelo le-AxSpA, njengoko kuchaziwe ngasentla.
Abantu abane-active, i-enteropathic, i-psoriatic, kunye nabanye bangase bawele kuyo.
Uphononongo luka-2015 olupapashwe kwi- RMD Uluhlu ngokuthelekisa i-spondylitis engaxhaswanga kunye ne-radiographical axial spondyloarthritis yafumanisa ukufana okuphakathi kwezi zimbini. Kodwa abaphandi bafumanisa ukungafani emithathu-ekuhambeni nasekusebenzeni ngokunciphisa, isantya sokuvuvukala, nokuba ngaba amadoda okanye amabhinqa ayengaphezulu.
Ngokuqhelekileyo, abantu besemngciphekweni ophezulu we-spondylitis engabonakaliyo (aka isicaciso se-radiographic esiyithethayo apha, oko kukuthi, i-AxSpA.) Kodwa kulesi sifundo nakwezinye ezenziwe kwiminyaka yamuva, abaphandi baye bafumanisa ukuba amabhinqa angaphezulu abonisa iimpawu i-axial spondyloarthritis (nr-AxSpA) eyahlukileyo.
Oku kungenzeka kukuba i-MRI iqalisa ukusetyenziswa kwiimeko ezingaqhelekanga. Kukho umahluko omkhulu phakathi kweyiphi i-radiography-leyo, njengoko ikhankanywe ngasentla, i-x-ray okanye i-CT-ingabonisa malunga ne-splonydarthritis ne-non-radiographic measurements, eyenziwa ngokusetyenziswa kwe-MRIs, ityhila. Nangona i-MRI ingenako ukunika lonke ulwazi malunga ne-axial spondyloarthritis, igalela ukukhanya okutsha-kubandakanywa nokuphuhliswa kokuqala kokuvuvukala, into enokuthi i-radiography ayikwazi ukubonelela.
Enye yeyona "enkulu ye-hayi" eye yabangela ukusetyenziswa kweMRI ukufumana iimpawu zokuvuvukala kukuba, ukuphikisana noko kwakucingwa ngaphambili, i-sacroiliitis (kwaye mhlawumbi imeko ehambelanayo ye-spondylitis engavumelaniyo) inokuchaphazela amadoda namabhinqa ngokulinganayo . Oko kwathiwa, ijaji isaphuma. Uninzi lwabaphandi baya kukuxelela ezinye izifundo eziyimfuneko ngaphambi kokuba baqinisekise le ntsha ngcaciso malunga namaqela atyingozi kakhulu ase-spondylitis.
I-Spondyloarthritis engabonakaliyo
Ukuba une spondylitis ye-axial ngaphandle kwe-sacroiliitis, unokuthi ufumane ukuba une-spsilothritis ye-axial. Abanye abantu abaneli meko ekugqibeleni bahlakulela i-sacroiliitis kwaye banokufumana i-AS.
Abanye abayithandi, kodwa i-spacyloarthritis yabo ye-axial ayiyiyo nje into elula ye-AS. Yisifo sonke, kwaye intlungu ingaba yinto enhle.
Ngendlela, i-spondyloarthritis engabonakaliyo yinkalo yabantu abanomnye uhlobo lwesifo samarthritis esingapheliyo esabekwayo ukuba ngaba bengenayo into ebonakalayo, njengoko kuthethwa ngaphambili.
Imvelaphi yeGenesis
I-Axial spondyloarthritis ihambelana nobukho bomzimba obizwa ngokuba yi-HLA-B27. Uvavanyo lofuzo lwe-HLA-B27 lufumaneka. Kanye kunye ne-spondylitis engavumelaniyo, ezimbini ezinye iintlobo zesifo samathambo esivuthayo ezinxulumene nobukho be-HLA-B27 ziyi-arthritis ye-psoriatic kunye ne-arthritis ye-enteropathic.
> Imithombo:
> Axial Arthritis. Idilesi yewebhu yaseYunivesithi yaseWashington. http://rad.washington.edu/about-us/academic-sections/musculoskeletal-radiology/teaching-materials/online-musculoskeletal-radiology-book/axial-arthritis/
> Baraliakos, X., Braun, J. A-non-radiographic spacyloarthritis kunye ne-spondylitis engavumelaniyo: yintoni efanayo nokungafani? RMD Vula. 2015. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4632143/
I-Kilic, E., i-Kilic, iG., i-Akgul, i-Ozgocmen, i-Aliclosant validity of the Ankylosing Spondylitis Disease Work Score (ASDAS) kwizigulane ezingenayo i-spacyloarthritis ne-radiological axialing spondylitis: isifundo seqela. Rheumatol Int. Juni 2015. https://www.ncbi.nlm.nih.gov/pubmed/25366469
> Kiltz U., Baraliakos X., Karakostas P., Igelmann M., Kalthoff L., Klink C., Krause D., Schmitz-Bortz E., Flörecke M., Bollow M., Braun J. Ngaba izigulane ezingekho -radiographic axial spondyloarthritis ihluke kwiigulane ezine-spondylitis ezingenayo i-ankylosing spondylitis? Ukunyamekela kweArthritis Septemba 2012. & https://www.ncbi.nlm.nih.gov/pubmed/22505331
> van Tubergen A., Weber U. Ukuxilonga kunye nokwahlula kwi-spondyloarthritis: ukuchonga i-chameleon. Nat Rev Rheumatol. Matshi 2012. https://www.ncbi.nlm.nih.gov/pubmed/22450552