I-arthritis ineendlela ezininzi ezahlukileyo, enye yazo isifo sikaStrumpell-Marie okanye i-spondylitis engavumelaniyo. Le ntsholongwane ibangela ukuba kuhla kwe-vertebrae encinci, ngokuqhelekileyo kwingingqi ye-sacral, kunye ne-fusion yabo elandelayo ngokubonakala kwe-ankylosis (i-bone formations instead of tissue cartilaginous).
Isi sifo sakha njani i-spondylitis e-ankylosing?
Ukuchazwa kwesifo kufumaneka ngokwahlukileyo kwi-arthritis malunga nangoko, malunga neminyaka engama-50-60.
Ukuqala kwesi sifo kubonakaliswe yi-osteitis - ukuvuvukala kwezicubu ezihlangeneyo kunye nemida. Njengomphumo wale nqubo, iiseli ezithile ze-pathogenic zikhula ngokuthe ngcembe kwiindawo ezichaphazelekayo, ezibangelwa ngumsebenzi obalulekileyo, zivelisa izixhobo zamakhemikhali ezilimazayo kwaye zichithe amathambo. Ukuhlawulela umonakalo, umzimba uthatha indawo yesikhumba esineqabunga okanye esomeleleyo (ithambo) ngokuxhamla kwi-calcium. Inqubo enjalo ikhokelela ekubeni i-vertebrae ifaka kwiibhloko (ankylosis).
Akukho zizathu ezichanekileyo zesifo esibuzwayo. Kukho inkolelo yokuba i-spondylitis engavumelaniyo ingacatshulwa ngumgubo, kodwa ubukho be-gene efanelekileyo hayi kuthetha ukuba i-pathology iya kubonakala.
Kubalulekile ukuqaphela ukuba abasetyhini banesifo esiphantsi kwezihlandlo eziphindwe kathathu kunamadoda. Kuyathakazelisa ukuba kwiimeko ezininzi zesiganeko esifanelekileyo isifo sibonakala ngexesha lokukhulelwa.
Izibonakaliso ze-spondylitis engavumelekanga
Impawu zokuqala:
- intlungu kwi-back back and butcks, elula;
- ukunyuka okwenyukayo kwi-hip, ngakumbi xa uhamba okanye uhamba;
- ubunzima bokuhamba kwesikhumba kwintambama, ephika emini;
- ukwanda kwentlungu ngexesha lokuphumla.
Kancinci, ukubonakaliswa kweklinikhi kwasasazeka kwezinye iindawo zomqolo:
- kuncitshiswe ukuguquguquka nokuhamba, ubunzima bokuguqa phambili;
- intlungu kwisisu esiswini, ngamanye amaxesha esifubeni;
- kyphosis kunye ne synovitis;
- ukutshatyalaliswa kwintlambo yesithwaba, ebonakaliswa ngobunzima kunye nokukrakra okungathandekiyo kummandla phakathi kwe-scapulae;
- intlungu entanyeni (kwisiseko);
- iridocyclitis , ubomvu bamehlo .
Ukungabikho kwonyango, isifo se-spondylitis okanye isifo sikaBekhterev siholele kwiindawo ezininzi ze-vertebrae, ezenza ukuba ikholomu ye-vertebral ibe yintsholongwane kwaye isengozini yokulimala, ukulimala kunye nokuqhekeka.
Unyango lwe-spondylitis engasebenzi
Ngelishwa, akunakwenzeka ukufumana indlela yokuphelisa ngokupheleleyo eso sifo. Ulwaphulo lwe-Complex lujoliswe ekunciphiseni iimpawu nokuphucula imeko jikelele yesigulane, kunye nokunciphisa ukuqhubeka kwesifo kunye ne-ankylosis.
Unyango olulondolozo lwamayeza lubandakanya ukwamkelwa kwezi zi yobisi:
- Izidakamizwa ezingekho-steroidal ezichasayo (Indomethacin, Ibuprofen, Nimesulide, Diclofenac ), kwiimeko ezingabonakaliyo izidakamizwa ezinzulu zichazwe kwi-analgesia, umzekelo, iSalazosulfapyridine;
- i-hormone ye-glucocorticosteroid (Prednisolone) ye-immunosuppression;
- iivithamini kunye nezixhobo ezincinci;
- i-chondroprotectors (kunye nokusebenza okuqinisekisiweyo),
ezifana ne-chondroitin, i-chondrosol.
Ukongeza kwonyango lweziyobisi kubalulekile ukusebenzisa izicwangciso ze-physiotherapy, unyango olusesikweni, ngokukodwa - ukuxilisa, kunye ne-gymnastics ekhethekileyo. Ukuzivocavoca kunye nexesha labo likhethiweyo likhethwe ngumbuyiselwa ngokuhambelana nobunzima beempawu kunye nomqathango jikelele wesigulane.
Kunqabile kakhulu, nge-spondylitis engavumelaniyo, ukungenelela kwongcango kuyaphakanyiswa, njengommiselo, ukuba i-kyphosis ikhula kwaye ukuhamba komgudu kunqongophe kakhulu. Ngexesha lokusebenza, ukukhula kwethambo kususwe, kwaye i-vertebrae isetyenziswe kwindawo echanekileyo.