Spondylitis Ankylosing dumarka: waa maxay, waa maxay calaamadaha farqiga u

spondylitis Ankylosing - cudur joogto ah oo ka mid ah lafdhabarta iyo kala-goysyada, taasoo keentay in dad isuga ee bannaan ee intervertebral, keenaya dhabarta u lumiya dhaqdhaqaaqa jiho kasta, inuu noqdo la mid ah "caleemaha dhir dheer". Inta badan cudurka nin u nugul, spondylitis ankylosing dhacdaa inta badan ka yar ee dumarka, oo ku saabsan 15% ka mid ah xaaladaha (data ku saabsan saamiga of 9: 1 waa out of date). Sababta xaaladda this - cudurka ku dhacaa dumar kasta laga helay atypical iyo ka dib.

Waa maxay spondylitis ankylosing?

Tani cudur-dhabarta, kala-goysyada, iyo xubnaha gudaha qaar ka mid ah, kaas oo si tartiib ah iyo si tartiib tartiib ah uu yeesho. Waxaa had iyo jeer waa (laakiin aan ahayn in 100% ee kiisaska) dhacdaa in dadka qaba kaliya hal antigen in habka difaaca jirka modified - HLA B27. Joogitaanka kaliya antigen caynkaas ah u keenaysaa in xaqiiqda ah in:

- unugyada xubnaha uu noqdo mid u nugul cudurada;

- Qaar ka mid ah microbes, ficil la HLA bilaabi B27-ka loo yaqaan cadaanyo, shalalka, marka jirku uu aqoonsan yahay unugyada xubnaha iyaga u gaar ah sida protein ajnabi ah, oo uu bilaabo inuu u weeraraan.

Sidaas darteed, waxaa jira barar ku jira laabatooyinka ee la burburinta carjawda articular. Ugu horayn u xanuunsadaa dabanicis xarunta miskaha, ka dibna la wada baabbi'iyey lakabka cushioning dhexeeya araxda.

Jirku wuxuu isku dayo ay ku buuxin karaan calaamadaha lahayo ee meelaha articular ah, laakiin, nasiib daro, carjawda articular iyo cajalladaha intervertebral aan la soo celiyey. Sidaas darteed of sii kordhaya unugyada lafta, weli iyo seedaha iyo spinal ossified.

Waxa intaa dheer in isha goysyada saameeyeen (ay horumariyaan barar), kelyaha, sambabada iyo xididdada dhiigga ee waaweyn.

Features qulquli dumarka

1. spondylitis Ankylosing in haweenka meel Doorashadan waxa loogu yeero rizomielicheskomu. Taas macnaheedu waa in dhabarta saameeyeen iyo kala-goysyada sida garabka iyo misigta.

2. Haweenka spondylitis Ankylosing horumarinta dheeraad ah muddo dheer, iyadoo muddo ah sii daridda iyo dembidhaafka. calaamadaha dabeecadda on X-ray waxaa laga heli karaa oo kaliya ka dib markii 10-15 sano ka bilawga cudurka.

3. Muuqaal kale waa xaqiiqda ah in aan dhammaan haweenka ossified dhabarta iyo doorbidayaa kaliya dhabarta lumbosacral. Haweenka cudurka spondylitis ma fadhiisiyaa, iyaga oo xataa marxaladaha ugu dambeeya ee uu cudurku ku sii socodka yar. Waxaa intaa dheer, in ay laf-dhabarka (in la barbardhigo lab) waxaa doorinaynaa in degree ka yar.

4. Habka waxaa ku dhowaad marnaba ku lug xubnaha gudaha.

Waxaa bilaabmaa spondylitis ankylosing in haweenka la muuqaalka kore ee xanuunka ku jira laabatooyinka kala duwan, kuwaas oo aan aad u fahmayaan iyo dhaqdhaqaaqa aan si gaar ah ku koobnayn. Markaas, waxaa la ogaadaa laga yaabaa in xanuun dhaca u dhaw in ay subaxda, mararka qaar sababta oo ah iyada naag tooso. Xanuunku wuxuu iska tagaa inta lagu jiro maalinta. Marka baadhayo dhabarta waxaa lagu xusay oo keliya xanuun yar badhidii.

Mararka qaarkood, ugu horeysay u xanuunsataan, waxaa laga yaabaa in mid ama labada laabatada sinta, taas oo xanuun ayaa sidoo kale u muuqataa in saacadaha aroortii hore iyo ku siinayaa ee gumaarka iyo jilibka ah (iyo si dhif ah u imanayaa inuu cedhibta). Subaxdii ay adag tahay in la toosi lugta ah (foot) ku jira laabatooyinka kuwan, laakiin calaamadaha baaba'aan inta lagu jiro maalinta. astaamaha waxa kale oo dhici kara in si wadajir ah garabka, laakiin waxa ay wax yar ka muujiyay, si deg deg ah (ka saacadood ee ugu horeeya) ka dib markii la cabo kiniiniyada xanuunka laga yaabaa in muddo ah, ka dibna dib-u-muuqan leh oo isku mari.

Daaweynta spondylitis ankylosing

daaweynta "Dumarka" kama duwana therapy caadiga ah. Dhibaato oo kaliya in ay si sax ah u ogaado.

1) wakiilada Anti-bararka "Olfen," "Phenylbutazone".

2) Marar dhif ah waa lagama maarmaan maamulka intraarticular hormoonnada (daawooyinka "Kenalog" "Diprospan") si loo yareeyo bararka.

3) Diyaarinta "Sulfasalazine".

4) wakiilada jirka (daawooyinka "Leykeran" waxaa loo isticmaali karaa "azathioprine"), haddii uu cudurku ma aha kasteba si therapy caadiga ah.

Waxaa muhiim ah in la ogaado in marka ankylosing spondylitis waxaa muhiim ah in ay sii waxqabad motor ka, sidaa darteed waa in ka yar gudubtay.