I-Axial Spondyloarthritis uhlobo lwe-arthritis engapheli ehlanganisa umgogodla kanye / noma ama-sacroiliac. Ngokubili, ikhanda, umhlanga, nomgogodla kuthiwa "i-axial skeleton." I-axial spondyloarthritis yindlela eyodwa ye-spondyloarthritis noma i-spondyloarthropathy, eyimindeni yezimo zesifo sofuba lapho ukuvuvukala komgogodla kanye namalungu e-sacroiliac kuyisici esibalulekile esihlukanisayo.
Lezi zimo zihlobene ngoba zihlanganyela eziningi zezimpawu ezifanayo, kubandakanya (njengoba kukhonjisiwe) ukuvuvukala emgodleni, i-pelvis, namanye amalunga, kanye namathumbu, amehlo, imigaments kanye nama-tendon. Ngenkathi izifo "emndenini" zihlanganyela ngesici esiyinhloko sokuvuvukala, ngayinye-ngokuhlukile okuxoxwa ngezansi-inehlukile yayo eyingqayizivele.
Udokotela wakho cishe uzokuthola ukuthi ungomunye "wamalungu omndeni" ngokusekelwe ezintweni eziningana, hhayi okungenani okungukuthi ukuvuvukala endaweni ethile yomzimba, njengamehlo akho, izithende, amathumbu noma emuva. Ukuzihlola kuhilela ukuhlolwa ngokomzimba, ingxoxo mayelana nezimpawu zakho, kanye / noma ukucabanga nokuhlolwa kwebhu.
Uma une-axial spondyloarthropathy, kungenzeka noma ungabi ne-sacroiliitis. Uma i-sacroiliitis ikhona kwi-x-ray yakho, udokotela wakho cishe uzokuthola ukuthi u-ankylosing spondylitis, noma i-AS.
I-Radiographic ne-Non-Radiographic
Phakathi kwalezi zindlela, abacwaningi baye bahlongoza izinhlobo ezimbili ze-axial spondyloarthropathy-uhlobo lapho izinguquko ze-arthritic zibonisa kwi-x-ray / CT scan kanye nohlobo lapho lungenalo khona.
Uma izinguquko ku- x-ray / CT scan zibonakala, lokhu kubizwa ngokuthi i-radiographic axial spondyloarthropathy (igama lesi-AxSpA.) Futhi uma kungekho izinguquko ezibonakalayo, kuthiwa yi-non-radiographic axial spondyloarthropathy (igama lesi-nr-axSpA.)
Cishe bonke abantu abathintekayo abane-ankylosing spondylitis bangene esigabeni se-AxSpA, njengoba kuxoxwe ngenhla.
Abantu abane-active, i-enteropathic, i-psoriatic, nabanye bangase bawele kunoma yisiphi isigaba.
Ucwaningo lwe-2015 olwanyatheliswa ku- RMD Open ngokuqhathanisa i-spondylitis ne-nonxialographic axial spondyloarthritis lithole ukufana okuningi phakathi kwalezi zimo ezimbili ezihlobene. Kodwa abacwaningi bathola ukungafani okuyinhloko ezintathu-ekuhambeni nasekusebenzeni ngokweqile, izinga lokuvuvukala, nokuthi ngabe abesilisa noma abesifazane babebaningi.
Ngokujwayelekile, abesilisa basengozini ephakeme ye-ankylosing spondylitis (aka okuhlukahlukene okukhulunywa ngakho lapha, okungukuthi, i-AxSpA.) Kodwa kulolu cwaningo kanye nezinye ezenziwe eminyakeni yamuva, abacwaningi bebeqaphela ukuthi abesifazane abaningi babonisa izimpawu ama-axial spondyloarthritis (nr-AxSpA) ahlukahlukene.
Lokhu kungenzeka ngoba i-MRI iqala ukusetshenziswa kumacala angewona ama-radiographic. Kukhona umehluko omkhulu phakathi kwalokho okushiwo yi-radiography-okushiwo ngenhla, i-x-ray noma i-CT scan-ingabonisa mayelana ne-axial spondyloarthritis nokuthi yiziphi izilinganiso ezingekho-radiographic, ezenziwa ngokujwayelekile ngokusebenzisa i-MRIs, ezingaveza. Ngenkathi i-MRI ingenakho ukunikeza lonke ulwazi mayelana ne-axial spondyloarthritis, iveza ukukhanya okusha-kufaka phakathi ukuthuthukiswa kokuqala kokuvuvukala, okunye okungavezwa yi-radiography.
Enye yezinto ezinkulu "a-ha" eziye zavela ekusetshenzisweni kwe-MRI ukuthola izibonakaliso zokuvuvukala yilokho, ukuphikisana nalokho okwakucatshangwa ngaphambili, i-sacroiliitis (futhi mhlawumbe isimo esilandelayo se-ankylosing spondylitis) ingathinta amadoda nabesifazane ngokulinganayo . Lokho kusho, ijaji lingaphandle. Abaningi abacwaningi bayokutshela izifundo eziningi ezidingekayo ngaphambi kokuba baqinisekise leli qiniso elisha mayelana namaqembu anengozi e-spondylitis ankylosing.
I-Spondyloarthritis engabonakali
Uma une-axial spondylitis ngaphandle kwe-sacroiliitis, ungase utholakale ukuthi unesipulyloarthritis ye-axial engafanele. Abanye abantu abanalesi simo bagcina bethula i-sacroiliitis futhi bangatholakala ukuthi bane-AS.
Abanye abakwenzi, kodwa i-spacyloarthritis yabo ye-axial ayiyona nje indlela elula ye-AS. Kuyinto isifo sonke, futhi ubuhlungu kungaba okukhulu kakhulu.
Ngendlela, i-spondyloarthritis engafaneleki iyisigaba sabantu abanesifo esithile esingasaguli sokugula esibhedlela singeniswe uma bengenaso isici esihlukanisayo, njengoba kuxoxwe ngaphambili.
Iziqalo zofuzo
I-axial spondyloarthritis ihlobene nokuba khona kwegesi eyaziwa ngokuthi i-HLA-B27. Ukuhlolwa kofuzo lwe-HLA-B27 kuyatholakala. Kanye ne-spondylitis e-ankylosing, ezinye izinhlobo ezimbili ze-arthritis evuvukala ezihambisana nokuba khona kwe-HLA-B27 yi-arthritis ye-psoriatic ne-arthritis ye-enteropathic.
> Imithombo:
> I-Axial Arthritis. Ikhasi lewebhu leYunivesithi yaseWestern of Washington. http://rad.washington.edu/about-us/academic-sections/musculoskeletal-radiology/teaching-materials/online-musculoskeletal-radiology-book/axial-arthritis/
> Baraliakos, X., Braun, J. A nonal radiographic spondyloarthritis ne-ankylosing spondylitis: yikuphi ukufana nokungafani? RMD Vula. 2015. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4632143/
I-Kilic, E., i-Kilic, i-G., i-Akgul, i-Ozgocmen, i-S. Ukucacisa okucacile kwe-Ankylosing Spondylitis Disease Activity Score (ASDAS) ezigulini ezine-axial spondyloarthritis ne-ankylosing spondylitis: isifundo seqembu. I-Rheumatol Int. Juni 2015. https://www.ncbi.nlm.nih.gov/pubmed/25366469
> Kiltz U., Baraliakos X., Karakostas P., Igelmann M., Kalthoff L., Klink C., Krause D., Schmitz-Bortz E., Flörecke M., Bollow M., J. J. -radiographic axial spondyloarthritis ihluke ezigulini ezine-spondylitis e-ankylosing? I-Arthritis Care Res ngo-Septhemba 2012. & https://www.ncbi.nlm.nih.gov/pubmed/22505331
> van Tubergen A., Ukuhlolwa kwe-Weber U. nokuhlelwa kwesigaba se-spondyloarthritis: ukukhomba i-chameleon. Nat Rev Rheumatol. Mashi 2012. https://www.ncbi.nlm.nih.gov/pubmed/22450552