I-arthritis inezinhlobo eziningi ezihlukahlukene, enye yazo isifo sikaStrumpell-Marie noma i-anondlosing spondylitis. Lezi zifo zenza ukuba kunciphise ukuhamba kwe-vertebrae encane, ngokuvamile esifundeni se-sacral, nokuhlanganiswa kwazo okulandelayo ngokubonakala kwe-ankylosis (ama-bone formations esikhundleni sezingcuba zomzimba).
Lesi sifo sakha kanjani i-anondlosing spondylitis?
Isifo esichazwe sitholakale ngokwahlukana nesifo samarthritis maduzane, cishe eminyakeni engu-50-60.
Ukuqala kwalesi sifo kubonakala nge-osteitis - ukuvuvukala kwezicubu ezihlangene emaphethelweni. Ngenxa yale nqubo, amangqamuzana athile we-pathogenic athola kancane kancane ezindaweni ezithintekile, okuwumphumela womsebenzi obalulekile, okhiqiza izinhlanganisela zamakhemikhali ezilimaza futhi zichithe amathambo. Ukuze uhlawule umonakalo, umzimba ubeka izicubu zomzimba ngezinhlamvu noma uqina (amathambo) ngokuqukethwe okunamandla kwe-calcium. Inqubo enjalo iholela ekutheni ama-vertebrae afaka emabhuloki (ankylosis).
Azikho izizathu eziqondile zesifo esibuzwayo. Kukhona inkolelo yokuthi i-ankylosing spondylitis ingashukunyiswa yizinto eziphilayo, kodwa ukuba khona kwesakhi sofuzo esifanele akusho ukuthi lesi sifo sizozibonakalisa.
Kubalulekile ukuqaphela ukuthi abesifazane banesifo esiphansi izikhathi ezintathu ngokuphindaphindiwe kunamadoda. Kuyathakazelisa ukuthi iningi lamacala obulili obuhle obubonakalayo ngesikhathi sokukhulelwa.
Izimpawu ze-spondylitis e-ankylosing
Izimpawu zokuqala:
- ubuhlungu e-back back and buttocks, obumnene;
- ukunganaki esikhwameni, ikakhulu uma uhamba noma ugijima;
- ukuqina kokuhamba kwesinqe ekuseni, okunyamalala phakathi nosuku;
- ubuhlungu obukhulu kakhulu phakathi nokuphumula.
Kancane kancane, ukubonakaliswa kwemitholampilo kudluliselwa kwezinye izingxenye zomgogodla:
- ukunciphisa ukuguquguquka nokuhamba, ubunzima bokudlulisela phambili;
- ubuhlungu emgodini wesisu, ngezinye izikhathi esifubeni;
- i-kyphosis ne-synovitis;
- ukunqotshwa komgogodla we-thoracic, okuboniswa ngobunzima nokudumaza okungajabulisi esifundeni phakathi kwe-scapulae;
- ubuhlungu entanyeni (phansi);
- i-iridocyclitis , ukubomvu kwamehlo.
Uma kungabikho ukwelashwa, i-ankylosing spondylitis noma isifo sikaBekhterev iholela ekukhunjweni okuningi kwe-vertebrae, okwenza ikholomu ye-vertebral ibe yindlala futhi isengozini yokulimala, ukulimala kanye nokwahlukana.
Ukwelashwa kwe-spondylitis e-ankylosing
Ngeshwa, akuzange kwenzeke ukuthola izindlela zokususa ngokuphelele lesi sifo. Ukwelapha okunamandla kuhloswe ukunciphisa izimpawu nokuthuthukisa isimo jikelele sesiguli, nokunciphisa ukuqhubeka kwesifo kanye ne-ankylosis.
Ukwelapha ngokwemithi yokwelashwa kuwukuthi ukwemukelwa kwezidakamizwa ezilandelayo:
- izidakamizwa ezingekho-steroidal anti-inflammatory (Indomethacin, Ibuprofen, Nimesulide, Diclofenac ), ezimweni ezingavamile izidakamizwa eziyingozi kakhulu zibekelwe i-analgesia, isibonelo, i-Salazosulfapyridine;
- ama-hormone we-glucocorticosteroid (i-Prednisolone) ye-immunosuppression;
- amavithamini nama-complex micronutrient;
- abakhiqizi be-chondroprotectors (abanekhono lokufakaza),
njenge-chondroitin, i-chondrosol.
Ngaphandle kokwelapha izidakamizwa kubalulekile ukusebenzisa amasu e-physiotherapy, ukwelashwa okuyiyo, ikakhulukazi - ukubhusa, kanye nokuzivocavoca okukhethekile. Ukuzivocavoca kanye nemvamisa yabo kukhethwe umvuseleli ngokuhambisana nobukhulu bezimpawu kanye nesimo jikelele sesiguli.
Ngokuvamile, nge-anondlosing spondylitis, ukungenelela kokuhlinzekwa kunconywa, njengombuso, uma ukuqubuka komzimba kuqhubeka futhi ukuhamba komgogodla kuncane kakhulu. Ngesikhathi sokusebenza, ukukhula kwamathambo kususwe, futhi ama-vertebrae asethwe endaweni efanele.