I-Ankylosing spondylitis (AS) yisinye isifo esitholakalayo eduze kwezimo zokuvutha kwamathambo ezithinta umgogodla ne-sacrum. I-spectrum ebanzi, eyaziwa ngokuthi i-axial spondyloarthritis (evame ukubhalwa ngokuthi "axial SpA"), ihlanganisa izifo ezifana ne-ankylosing spondylitis njengama-subsets.
Lezi yizifo ezithinta umgogodla nezakhiwo ezixhuma kuso.
Igama elithi "axial skeleton" empeleni libhekisela esitokisini sakho, skull, umgogodla, i-pelvis, kanye ne-cage cage. Lapho i-spondyloarthritis ithinta imiphetho, ibizwa ngokuthi i-peripheral spondyloarthritis.
Sibutsetelo
I-ankylosing spondyloarthritis iyincwajana engavamile kodwa eyonakalisa i- axial spondyloarthritis lapho umgogodla uhamba khona ngokuhamba kwesikhathi. Kuyinto engapheli futhi eqhubekayo. Ingozi iphezulu kakhulu uma uhlola ukuthi unomthelela wegciwane le-HLA-B27, nakuba ososayensi abaqiniseki kahle indima i-HLA-B27 edlala kule nqubo.
Ngakho-ke, kwenzekani uma une-AS? Ngokuvamile kuqala nge- sacroiliac (SI) ukuvuvukala okuhlangene nokuqina. Amalungu e-SI angamajoyina phakathi kwe-sacrum ne-pelvis. Zitholakala ngaphesheya kwe-sacrum, okuyinto engaphansi kwesigcawu somgogodla.
Ngenxa yokuthi i-AS iyimpilo engapheli, izimpawu ngokuhamba kwesikhathi ziya phambili kwezinye izindawo ze-axial skeleton-okuyizintambo zakho, ama-vertebrae, kanye ne-cube cage.
Ekugcineni, i-spondylitis e-ankylosing ingabangela ukuphoqwa komgogodla ngokuphelele nokulahlekelwa okuphelele kokuhamba komgogodla.
Izimpawu
NJENGOBA izimpawu zibandakanya ukuqina okuhlangene ekuseni / ukuqina komgogodla nobuhlungu obubi ngemva kokuphumula (kepha uzizwa kangcono njengoba usuku luqhubeka noma ngemuva kokuzivocavoca). Ukukhathala, imizwa ye-feverish, kanye / noma ukujula ebusuku nakho nakho kuyimpawu.
Qaphela ukuthi izimpawu ze-AS zivame ukuza kancane kancane, ngokuvamile zithatha amasonto noma izinyanga ukuze ziziwe.
Ukuxilongwa
Abanye abantu bathola ukuthola i-spondylitis yabo e-ankylosing etholakala kuyinselele noma ephazamisayo. I-ankylosing spondylitis, kanye nezinye izifo ze-subset eduze kwe-axial spondylitis spectrum, ngezinye izikhathi kubonisa i-x ray noma i-MRI-kodwa ngezinye izikhathi hhayi.
Ngokuvamile lapho isifo se-subset "singekho-radiographic" (uma kungekho bufakazi balo kumafilimu e-imaging okuxilongwa), kungenxa yokuthi lesi sifo sisesezingeni lokuqala. Lokhu kungase kusho ukuthi izibonakaliso zingabonakala kumafilimu akhathi esizayo-isizathu esihle sokuziqapha nodokotela wakho.
Izimpawu ze-Radiographic zibalulekile ngoba zisiza udokotela wakho ukuthi ahlolisise i-AS. Ukuthola ukuxilongwa kuyinjongo ebalulekile yokusebenzela-ngokushesha lapho uyenzayo, ngokushesha ungaqala umuthi wokwelapha ozobe ulungile kuwe.
NJENGOBA ngokuvamile kudideka ngesifo samathambo, ngakho-ke ngaphambi kokuba ufinyelele esiphethweni mayelana nokuthi yini ebangela izimpawu zakho, udokotela wakho kuzodingeka ahlukanise phakathi kwezifo ezimbili. Kodwa, uma kutholakala nge-AS, ngokuvamile kuphathwa ngezidakamizwa-inani elisha manje lisemakethe. Ukuzivocavoca kungasiza futhi ukuphuza ukukhula kwesifo kanye nokuphatha ubuhlungu nezinye izimpawu.
> Imithombo:
> Deodhar, A., Reveille, J., van den Bosch, F., Braun, J., Burgos-Varga, R., et al. I-Concept of Axial Spondyloarthritis: Isitatimende Esihlanganisiwe se-Spondyloarthritis Research and Treatment Network kanye nokuhlolwa kweSonto loMhlaba wonke we-SpondyloArthritis ekuphenduleni ama-Amazwana nokukhathazeka kwe-US Food and Drug Administration. Septemba 2014.
> Kiltz U., Baraliakos X., Braun J. Ukuphathwa kwe-axial spondyloarthritis. I-Internist (Berl). Sept. 2016.