Mukati
Ankylosing spondylitis chirwere chisingaperi chinoperekedzwa nekuzvimba kwepinal column. Inonziwo chirwere cheBechterew uye spondyloarthritis.
Pathology inogara ichifambira mberi, uye etiological zvikonzero zvayo hazvisati zvazivikanwa kusvika zvino. Chirwere chacho ndecheboka respondyloarthritis uye chinokonzera fusion ye intervertebral joints pamwe nekumwe kudziviswa kwekufamba kwemusana.
Chii chinonzi ankylosing spondylitis?
Ankylosing spondylitis chirwere che systemic chinoratidzwa nekuzvimba kwekubatanidza tishu pamwe nekukuvadzwa kwemajoini nemarunda emuzongoza. Kuwedzera kune zvakanyorwa zvimiro zvemukati, nhengo dzemukati uye peripheral joints dzinogona kutambura. Pathology ine kosi isingaperi uye inofambira mberi nguva dzese. Chigumisiro chechirwere ndechekurambidzwa kwekufamba kwemusana uye kushanduka kwayo. Somugumisiro, munhu wacho anobva aremara.
Wokutanga kutsanangura chirwere ichi aiva VM Bekhterev. Zvakaitika muna 1892. Mumakore iwayo, ankylosing spondylitis yainzi “kuoma kwomuzongoza une curvature.”
Ankylosing spondylitis zviratidzo
Zviratidzo zvechirwere zvakananga zvinoenderana nedanho rekukura kwechirwere. Ankylosing spondylitis inoratidzirwa nechirwere chisingaperi, saka kuchinja mumajoini uye matishu kunoitika nguva dzose.
Matanho ekukura kweankylosing spondylitis:
Nhanho yekutanga. Munguva iyi, zviratidzo zvekutanga zvepathology zvinoonekwa.
Yakawedzerwa nhanho. Zviratidzo zvechirwere zvinotaridzwa.
late stage. Mumajoini mune makadhiina kuchinja.
Matanho ekutanga echikamu
Munenge 10-20% yevanhu, iyo pathology ine yakaremara kosi uye haina kuzviratidza neimwe nzira panguva yekutanga yekukura.
Mune zvimwe zviitiko, chirwere chinoratidzwa nezviratidzo zvinotevera:
Marwadzo munharaunda ye sacrum. Ndiko kunzwa kunorwadza kwenzvimbo iyi inova chiratidzo chekutanga chekukura pathology. Kazhinji kazhinji, marwadzo anowanikwa kune rumwe rutivi rwe sacrum, asi anogona kupenya kusvika pahudyu uye kumashure.
Kuoma kwemusana. Inonyanya kuoneka mangwanani, mushure mekurara, kana mushure mekufamba kwenguva refu mune imwe nzvimbo. Pakati pezuva, kuoma kunopera, uye zvinokwanisika kuibvisa nekuda kwekudziya-up. Chimiro chakasiyana chemarwadzo uye kuoma kunoitika ne ankylosing spondylitis ndeyokuti manzwiro aya anowedzera pakuzorora, uye anopera mushure mekuita basa remuviri.
Kurwadziwa pachifuva. Izvo zvinoitika nekuda kwekuti rib-vertebral joints inobatwa. Marwadzo anowedzera paunenge uchiedza kutora kufema kwakadzika, uyewo panguva yekukosora. Dzimwe nguva vanhu vanovhiringidza manzwiro anorwadza akadaro nemarwadzo emwoyo uye ne intercostal neuralgia. Vanachiremba vanokurudzira kuti varwere varege kutema kudzika kwekufemerwa, usachinje kukufema kwakadzika.
Kuora mwoyo. Havasi vese varwere vane chirwere cheBechterew vanotambura nekuputsika uye kuora mwoyo. Kusava nehanya kunongoitika mune vamwe varwere.
Kunzwa kudzvanyirira muchipfuva. Zvinoonekwa nekuda kwekuparara kwekufamba kwembabvu. Vanhu vane ankylosing spondylitis vanochinja kukufema kwedumbu.
Musoro wadonha. Ichi chiratidzo chinoitika nekuda kwekuti majoini anotambura, uye musana wepinini pachawo wakaremara.
Kurambidzwa kufamba.
Late stage zviratidzo
Panguva yekupedzisira yekukura kwechirwere, munhu ane zviratidzo zvinotevera:
Zviratidzo zve radiculitis. Ivo vanoratidzwa nekurwadziwa kwakanyanya mumuzongoza, kupera kwemisungo, kurira kwavo. Munharaunda yakakanganiswa, tactile senitivity inoderera, misumbu inorasikirwa nezwi rayo, inova isina simba uye atrophy. Chero basa remuviri rinoita kuti marwadzo awedzere.
Kukanganiswa kweropa rekupa kuuropi. Mumwe munhu ane misoro, ivo vakanyarara, throbbing, kazhinji kacho kunyanya munzvimbo occipital. Murwere anotambura nedzungu uye tinnitus, kuvhiringidzika kwekuona kunogona kuitika. Kuora kwehutano hwehuropi hunogona kuratidzwa nekuwedzera kwemoyo, kupisa kunopisa, kutuka, kutsamwa, kushaya simba uye kuwedzera kuneta.
Kushaya mweya. Kurwiswa kunoitika nekuda kwekuti kufamba kwechipfuva kunowedzera, kudzvinyirira pamapapu kunowedzera, mitsipa yeropa inodzvinyirirwa.
Kuwedzera kweropa. Ichi chiratidzo chinokura nekuda kwekuti ropa rekupa kuuropi rinotambura, mutoro pamidziyo uye mwoyo unowedzera.
Kuremara kwemusana. Majoini ake ossify, izvo zvinotungamirira mukuderera kwekufamba kwavo. Nharaunda yekervical yakasimba arches mberi, uye thoracic region kumashure.
Zviratidzo zvekukuvadza kune dzimwe nhengo
Zvichienderana nechimiro chechirwere, zviratidzo zveankylosing spondylitis zvichasiyana.
Mune iyo rhizomelic fomu, majoini ehudyu anotambura, saka zviratidzo zvepathology zvinogona kusiyaniswa sezvizvi:
Ossification yemuzongoza.
Kufamba zvishoma nezvishoma kwezviratidzo zvepathological.
Marwadzo munharaunda yehudyu majoini. Kune rumwe rutivi, ivo vachawedzera kukuvadza.
Irradiation yemarwadzo muhudyu, groin, mabvi.
Muchidimbu chechirwere chechirwere, mabvi nemakumbo emakumbo zvinokanganiswa.
Zviratidzo zvikuru zvekuputsika:
Kwenguva yakareba, izvo chete zviratidzo zvine chekuita nepinal column zvinoshungurudza munhu.
Kunyanya vechidiki vanotambura nerudzi rwechirwere chechirwere. Iyo gare gare iyo pathology inokura mumunhu, inoderedza njodzi dzekukuvara kwemajoini.
Marwadzo anowanikwa mumabvi uye majoini emakumbo.
Majoini acho akaremara, anorega kuita basa rawo zvakajairika.
Chimiro cheScandinavia chechirwere chinoratidzwa nezviratidzo zvakadai se:
Kukuvadza kune zviduku zviduku zvetsoka nemaoko.
Nokufamba kwenguva, majoini anokanganisa, kufamba kwavo kunowedzera.
Kiriniki yechimiro cheScandinavia chirwere chinofanana nerheumatoid arthritis.
Zvikonzero zve ankylosing spondylitis
Pasinei nekufambira mberi mukurapa kwemazuva ano, zvikonzero chaizvo zvechirwere cheBechterew hazvisati zvazivikanwa.
Vanachiremba vanongoita fungidziro nezve izvo pathology inogona kuvandudza nekuda kwe:
Hereditary predisposition pakukura kwepathology. Sezvinoratidzwa nekuongorora, chirwere cheBechterew chinotapurirwa kubva kuna baba kuenda kumwanakomana mu89% yezviitiko.
Kutamiswa urogenital zvirwere. Mukana wekukura kwechirwere cheBechterew unowedzera kana chirwere cheurogenital chine kosi isingaperi, uye munhu wacho haagamuchiri kurapa kwakakwana.
Kudzikira kwekudzivirira. Zvikonzero zvekushaya simba kwekudzivirira kwemuviri zvinogona kunge zvakasiyana-siyana. Iyo isina simba immune system, inowedzera mukana we ankylosing spondylitis.
Kutanga, nechirwere cheBechterew, sacrum uye iliac nzvimbo inobatwa, uye ipapo chirwere chinopararira kune mamwe majoini.
Diagnostics
Kuti aite kuongororwa kwakaringana, murwere anozofanirwa kuita nhevedzano yezvidzidzo. Pasina kuongororwa kwakadzama, hazvigoneke kuona chirwere cheBechterew.
Ndeupi chiremba wekubata?
Kana munhu ane zviratidzo zvinogona kuratidza ankylosing spondylitis, anofanira kuonana nenyanzvi dzakadai:
Murapi. Chiremba anogona kufungidzira chirwere kuti aite chirwere chepakutanga. Kuti uijekese, bvunzo dzekuwedzera uye kushanya kune vanachiremba vehudiki hunyanzvi hunodiwa.
Vertebrologist. Chiremba uyu anorapa zvirwere zvemuzongoza.
Rheumatologist. Chiremba uyu anobata rheumatism uye mamwe majoini pathologies.
Orthopedist. Chiremba wehunyanzvi uhu ari kuita mukuzivikanwa uye kurapwa kwezvirwere zvemusculoskeletal system.
Instrumental uye laboratory kuongorora
Kutanga, chiremba anoongorora nhoroondo yemurwere, anoita ongororo, palpates musana nemamwe majoini, uye anoongorora mafambiro avo.
Kuongorora kunoda kuitwa kujekesa chirwere ichi:
Radiography yemuzongoza.
MRI yemuzongoza.
Kupa ropa kuti riongororwe. Murwere anenge aine ESR yakakwira nhanho uye yakanaka DPA reaction, iyo inoratidza kuzvimba maitiro mumuviri. Muchiitiko ichi, iyo rheumatoid factor ichave isipo.
Kuongorora ropa kweHLA-B27 antigen. Ichi chidzidzo chinoitwa munyaya dzine nharo.
Nzira dzekuongorora dzinonyanya kudzidzisa ndeyeMRI uye radiography.
Kurapa kwe ankylosing spondylitis
Hazvizogoneki kurapa zvachose chirwere cheBechterew. Zvisinei, kana kurapwa kwakatangwa nenguva, zvino zvinokwanisika kumisa kufambira mberi kwayo, kudzivirira kukura kwezvinetso uye immobilization yemurwere. Murwere anorongedzerwa kurapwa kwehupenyu hwese, izvo zvisingafaniri kukanganiswa. Chiremba achada kushanyira hurongwa. Zvikasadaro, iyo pathology ichaenderera mberi.
Kurapa kusina zvinodhaka
Nayo pachayo, kurapwa kusiri kwezvinodhaka hakuzobvumiri kuwana mhedzisiro yakanaka, asi pamwe nekugadziriswa kwezvinodhaka uye kinesitherapy, chigumisiro hachizove kwenguva refu mukuuya.
Nzira dzinogona kushandiswa muchirwere cheBechterew:
Physiotherapeutic effect pamuviri. Varwere vanogona kuratidzwa magnetotherapy, ultrasound kurapwa, balneotherapy, kutora bischofite, sodium chloride uye hydrogen sulfide mabhati.
X-ray kurapwa. Kurapa kwakadaro kunosanganisira kuratidzwa kwex-rays kunzvimbo yakakanganiswa.
Massage. Inoratidzwa mushure mekuwana kuregererwa kwakagadzikana. Izvo zvinodiwa kupesvedzera musana nemazvo, nyanzvi chete inobvumidzwa kuita maitiro. Zvisizvo, unogona kukuvadza munhu.
Exercise therapy. Murwere anofanira kuita mitambo yakagadziridzwa. Iyo yakaoma inogadzirwa pane yega yega. Kudzidzira kwezuva nezuva kunodzivirira kuomeswa kwenyama uye kuchengetedza kushanda kwepinal column.
Kinesitherapy Iko kurapwa nemaitiro ekufema uye kufamba.
Kuita maekisesaizi mudziva. Usati watanga kushambira, unoda kubvunza chiremba.
Kuita gymnastic exercises pane zvakakosha kumiswa.
Vhidhiyo: nhoroondo yehupenyu chaihwo: