Ankylosing spondylitis

Ankylosing spondylitis chirwere chaBekhterev , chinonzi zita rechiremba weRussia uyo akatanga kutsanangura zviratidzo uye etiology.

Spondyloarthritis ankylosing inoreva zvirwere zvisingaperi zvinokonzerwa nekufambira mberi. Iyo inoratidzirwa nekuputika kwezvibatanidza zvepamusoro, izvo sechiguma zvinokonzera kufamba kusina simba, uye pakupedzisira musana wechipfuva wakaoma mitezo.

Kuenzanisa uye smptomas ye ankylosing spondylitis

Chikamu che ankylosing spondylitis chinogona kuitwa maererano nemitemo yakawanda:

• pasi;
• nechitambo chekufambira mberi.

Zvimwe zvakasiyana-siyana zvinoratidzirwa munguva yechirwere ichi:

• kukurumidza kupfuurira;
• kuwedzera kunonoka uye kuwedzera;
• kukurumidza kufambira mberi;
• septic variant, umo chirwere chacho chinotanga kusangana nefivha, chills uye kutuka kwakaoma.

Zviratidzo uye zvikamu zve ankylosing spondylitis:

1. Nzvimbo yekutanga. Iyi danho rinonziwo nagolnoy. Munguva iyi pane chidziro mumatendero emusana wemamiriro ekuenzanisa. Paunenge uchiita X-ray, munhu anogona kuona kusagadzikana kwezvibatanidzi munzvimbo ye sacral, uyewo nzvimbo dze osteosclerosis uye kuwedzera kwezvibatanidza slits.
2. Chikamu chechipiri. Munguva iyi pane kuderera kunononoka kwekufamba mune zvinyorwa zvemupenya kana muzviputi zvepakati. Zvisikwa zvepamusoro zveharaunda ye sacral zvakaderera. Panguva ino, zviratidzo zve ankylosis zvinogoneka.
3. Chikamu chechitatu. Iyi nharaunda yekupedzisira inoratidzirwa nechirevo chakakosha mukufamba kwepamusoro.

Uyewo, vanachiremba vanosiyanisa zvikamu zvitatu zvechiito chekurwara:

1. Pachinzvimbo chiduku, murwere ane kuoma kwakanyanya kwekufamba, kunyanya mangwanani. ESR pane izvi kusvika kusvika 20 mm / h.
2. Pachinzvimbo chepamusoro chemurwere, marwadzo anoramba aripo muzvibatanidza anokanganiswa, nguva yekuoma kwemafambiro inowedzera kusvika maawa 3-4 mushure mekumuka. ESR munyaya iyi inosvika kusvika 40 mm / h.
3. Pakutaurirana kwakananga, kuoma kwemafambiro kunopfuurira zuva rose uye marwadzo anoramba ari mumupfupa unoramba uchirwisana nawo. Panguva ino, pane inopisa yekushisa, uye ESR inodarika 40 mm / h.

Uyewo, vanachiremba vanosarudza kuwanda kwechirwere maererano nehutano hwezvibatanidzwa:

1. Pakutanga kwechipiri pane kuchinja kwehutanda hwemutsana, huri pamwe chete nekufamba zvishoma muzvibatanidza uye vertebrae.
2. Pachipiri chechipiri kubviswa kwekufambisa kunowedzera, nekuda kwezvakagadziriswa nemurwere wehutatu hwekuremara.
3. Panhamba yechitatu, ankylosis inowanikwa munzvimbo dzose dze vertebra uye zvinyorwa zvechiuno. Nokuda kwezvinhu zvinorasikirwa nehutano hwebasa kana pane kusakwanisa kwekuzviitira. Panguva iyi murwere anogamuchira urema hwekutanga kana yechipiri degree. Panguva ino, uyewo zvinogona kuitwa vechidiki ankylosing spondylitis, iyo inoratidzirwa nekukuvadza kune zvivako zvemasimba.

Kuongororwa kwe ankylosing spondylitis

Nzira huru yekuziva kuti ankylosing spondylitis i x-ray. Iko inokubvumira kuti uone zvinenge zvisina kukodzera joints, deformation, ukuru hwekuputika uye mamwe mazano anokosha ekugadzirisa danho rechirwere.

Uyewo pakuonekwa, basa rinokosha rinowedzerwa nehutachiona hwekuongorora ropa uye magnetic resonance imaging of the spine .

Kurapa kwe ankylosing spondylitis

Ne chirwere cheBechterew, vanachiremba vava kunyatsotsanangura mishonga inorwisa kupisa. Nyaya yakakurumbira kwavari ndeyeDiclofenac.

Uyewo kuitira kubviswa kwechiremera, glucocorticosteroids inorayirwa (somuenzaniso, Prednisolone). Mishonga yeboka iri inorayirwa panguva yekuwedzerwa kwekubviswa kwezvokuvhiringidza.

Immunosuppressants - sulfasalazine, methotrexate, nezvimwewo, inorayirwa kuti irege ankylosis.

Munguva dzenguva yekuregererwa, kupisa muviri muviri uye kuporesa gymnastics kunobatsira mumamiriro evarwere.