Zovuta Zina ndi Zovuta za Ankylosing Spondylitis

Zamkati

• Zizindikiro zenizeni za AS
• Zovuta zotheka za AS
• Mavuto amaso
• Zizindikiro zamitsempha
• Mavuto am'mimba
• Msana wosakanikirana
• Mipata
• Mavuto amtima ndi mapapo
• Ululu wophatikizana ndi kuwonongeka
• Kutopa
• Nthawi yoti muwonane ndi dokotala

Ngati mwalandira matenda a ankylosing spondylitis (AS), mwina mukudabwa kuti izi zikutanthauza chiyani. AS ndi mtundu wamatenda omwe nthawi zambiri amakhudza msana, kuyambitsa kutupa kwa ziwalo za sacroiliac (SI) m'chiuno. Malowa amalumikiza fupa la sacrum kumunsi kwa msana kumimba.

AS ndi matenda osachiritsika omwe sangachiritsidwebe, koma amatha kuthandizidwa ndi mankhwala ndipo, nthawi zambiri, opaleshoni.

Zizindikiro zenizeni za AS

Ngakhale AS imakhudza anthu m'njira zosiyanasiyana, zizindikilo zina nthawi zambiri zimalumikizidwa. Izi zikuphatikiza:

• kupweteka kapena kuuma m'munsi mwako ndi matako
• kuyamba pang'onopang'ono kwa zizindikilo, nthawi zina kuyambira mbali imodzi
• ululu womwe umakula bwino ndikulimbitsa thupi ndikuwonjezeka ndikupuma
• kutopa ndi kusapeza kwathunthu

Zovuta zotheka za AS

AS ndi matenda osatha, ofooketsa. Izi zikutanthauza kuti imatha kukula pang'onopang'ono. Zovuta zazikulu zimatha kubwera pakapita nthawi, makamaka ngati matendawa sanasamalidwe.

Mavuto amaso

Kutupa kwa diso limodzi kapena onse awiri kumatchedwa iritis kapena uveitis. Zotsatira zake nthawi zambiri zimakhala zofiira, zopweteka, zotupa komanso kusawona bwino.

Pafupifupi theka la odwala omwe ali ndi chidziwitso cha iritis.

Nkhani zamaso zokhudzana ndi AS ziyenera kuthandizidwa mwachangu kuti zisawonongeke.

Zizindikiro zamitsempha

Mavuto amitsempha amatha kukhala mwa anthu omwe akhala ndi AS kwanthawi yayitali. Izi ndichifukwa cha matenda a cauda equina, omwe amayamba chifukwa cha kuchuluka kwa boney komanso mabala am'mitsempha m'munsi mwa msana.

Ngakhale matendawa sapezeka kawirikawiri, zovuta zazikulu zitha kuchitika, kuphatikizapo:

• kusadziletsa
• mavuto ogonana
• kusunga mkodzo
• kupweteka kwapakati / kupweteka kwa mwendo wapakati
• kufooka

Mavuto am'mimba

Anthu omwe ali ndi AS amatha kutupa m'mimba ndi m'mimba matendawo asanafike kapena zizindikiro za matendawa. Izi zitha kubweretsa kupweteka m'mimba, kutsegula m'mimba, komanso mavuto am'mimba.

Nthawi zina,, ulcerative colitis, kapena matenda a Crohn atha kuyamba.

Msana wosakanikirana

Fupa latsopano limatha kupangika pakati pama vertebrae anu pamene malumikizowo awonongeka kenako nkuchira. Izi zitha kupangitsa kuti msana wanu usakanike, ndikupangitsa kuti zikhale zovuta kupindika ndi kupotoza. Kusakanikirana kumeneku kumatchedwa ankylosis.

Mwa anthu omwe samakhazikika ("chabwino") osalowerera ndale, msana wosakanikirana ungapangitse kukhazikika komwe kumakhazikika komwe kumakhazikika. Kuchita masewera olimbitsa thupi moyenerera kumathandizanso kupewa izi.

Kupita patsogolo kwamankhwala monga biologics kumathandizira kupewa kupititsa patsogolo kwa ankylosis.

Mipata

Anthu omwe ali ndi AS amakumananso ndi mafupa ochepetsa mafupa, kapena kufooka kwa mafupa, makamaka kwa iwo omwe ali ndi vuto la msana. Izi zitha kubweretsa kuphulika kwapompo.

Pafupifupi theka la odwala AS ali ndi matenda otupa mafupa. Izi ndizofala kwambiri msana. Nthawi zina, msana ungawonongeke.

Mavuto amtima ndi mapapo

Nthawi zina kutupa kumatha kufalikira kwa aorta, mtsempha waukulu kwambiri mthupi lanu. Izi zitha kuteteza kuti aorta isamagwire bwino ntchito, zomwe zingayambitse.

Mavuto amtima okhudzana ndi AS ndi awa:

• aortitis (kutupa kwa aorta)
• matenda a aortic valve
• cardiomyopathy (matenda am'mimba)
• ischemic matenda amtima (chifukwa cha kuchepa kwa magazi ndi mpweya wam'mimba)

Kutupa kapena fibrosis m'mapapu apamwamba kungayambike, komanso kuwonongeka kwa mpweya, matenda am'mapapo am'mapapo, kugona tulo, kapena mapapo omwe agwa. Kusiya kusuta kumalimbikitsidwa ngati mukusuta fodya ndi AS.

Ululu wophatikizana ndi kuwonongeka

Malinga ndi Spondylitis Association of America, pafupifupi 15% ya anthu omwe ali ndi AS amakhala ndi zotupa za nsagwada.

Kutupa m'malo omwe nsagwada zanu zimakumana kumatha kubweretsa ululu waukulu komanso kuvuta kutsegula ndikutseka pakamwa panu. Izi zitha kubweretsa zovuta pakudya ndi kumwa.

Kutupa komwe mitsempha kapena tendon yolumikizana ndi fupa imakhalanso yofala ku AS. Kutupa kwamtunduwu kumatha kuchitika kumbuyo, mafupa amchiuno, chifuwa, makamaka chidendene.

Kutupa kumatha kufalikira kumalumikizidwe ndi cartilage mu nthiti yanu. Popita nthawi, mafupa mu nthiti yanu amatha kusakanikirana, kupangitsa kuti chifuwa chikule movutikira kapena kupuma kowawa.

Madera ena omwe akhudzidwa ndi awa:

• kupweteka pachifuwa komwe kumatsanzira angina (matenda amtima) kapena pleurisy (kupweteka mukamapuma kwambiri)
• mchiuno ndi ululu wamapewa

Kutopa

Odwala ambiri a AS amakhala ndi kutopa kopitilira kungokhala otopa. Nthawi zambiri zimaphatikizapo kusowa kwa mphamvu, kutopa kwambiri, kapena utsi wamaubongo.

Kutopa kokhudzana ndi AS kumatha chifukwa cha zinthu zingapo:

• kusowa tulo chifukwa cha ululu kapena kusapeza bwino
• kuchepa kwa magazi m'thupi
• kufooka kwa minofu kupangitsa thupi lanu kugwira ntchito molimbika kuti muziyenda mozungulira
• kukhumudwa, zovuta zina zamaganizidwe, ndi
• mankhwala ena omwe amachiza nyamakazi

Dokotala wanu atha kupereka chithandizo chamtundu umodzi wokha kuti athane ndi kutopa.

Nthawi yoti muwonane ndi dokotala

Ngati mukumva kupweteka kwa msana, ndikofunikira kuti muwone wothandizira zaumoyo mwachangu momwe mungathere. Chithandizo choyambirira chimapindulitsa pakuchepetsa zizindikilo ndikuchepetsa kukula kwa matendawa.

AS imapezeka ndi X-ray ndi MRI scan yomwe ikuwonetsa umboni wa kutupa ndi kuyesa kwa labu kwa cholozera chotchedwa HLA B27. Zizindikiro za AS zimaphatikizapo kutupa kwa SI yolumikizana kumapeto kwenikweni kwa msana ndi iliamu kumtunda kwa mchiuno.

Zowopsa monga:

• Zaka: Kuyamba kwakuchedwa ndikuchepa kwachinyamata kapena ukalamba msinkhu.
• Chibadwa: Anthu ambiri omwe ali ndi AS ali ndi. Jini ili silikutsimikizira kuti mupeza AS, koma lingathandize kuzindikira.