Seronegative spondylitis: Zizindikiro, Matendawa ndi Chithandizo

Seronegative spondylitis - matenda amene amagwirizana ndi kutupa ndi zotupa zimfundo ndi msana. Kukhala enieni, si matenda chimodzi, koma gulu la matenda amene ali pathogenesis zofanana, etiology ndi makhalidwe matenda. Ndipo anthu ambiri amachita chidwi ndi mafunso zina za matenda amenewa. ndi zimayambitsa chitukuko chiyani? Kodi zimene amaonetsa? Kodi m'madzizo zikhozanso zotsatira zake? Kodi mankhwala amakono amapereka chithandizo ogwira? Mayankho a mafunso amenewa adzakhala chidwi kuti owerenga ambiri.

ndi gulu la matenda chiyani?

Monga tanenera kale, seronegative spondylitis (spindiloartritopatii) - gulu m'malo lalikulu la matenda aakulu yotupa, imene zina zogwirizana ndi mzake. Makamaka, gulu la matenda deta monga idiopathic ankylosing spondylitis, zotakasika nyamakazi, psoriatic nyamakazi, nyamakazi enteroticheskie.

Ndipotu, mpaka posachedwapa, matenda awa ankapatsidwa gulu la nyamakazi (seropositive). Only mu 1970 izo anaulula choyamba kusiyana kwambiri. Pa nthawi yomweyo woyamba lonse aziona odwala anayamba kupanga ndi gulu chiwembu matenda seronegative.

Chibwenzi, n'zovuta kudzaweruza mmene kufala kwa matenda, chifukwa anthu ambiri matenda ndi waulesi, ndipo odwala ambiri sazindikira msanga. Tikhonza kunena motsimikiza kuti anthu akukhala akuvutika chifukwa cha matenda zambiri wamba zambiri akazi koma matendawa akhoza limodzi ndi mlingo wa zizindikiro ndi zosokonezeka. Nthawi zambiri matendawa ayamba adzapambane pa zaka 20-40.

Mbali yaikulu ya gulu la pathologies

Pali kusiyana zina zofunika kuti m'nthawi zakale asiya ofufuza kudziwa spondylitis seronegative mu gulu osiyana matenda. Ndi mndandanda awo akhala akugwira kuwerenga:

• Mu matenda pa diagnostics tingadziwire pakalibe revmofaktora.
• Nyamakazi akufotokozera asymmetrically.
• Chitsanzo subcutaneous tinatake tozungulira ali kwina.
• Pa X-ray mukhoza kuona zizindikiro za ankylosing spondylitis ndi sacroiliitis.
• Pali zimachitika pafupi ndi Antigen HLA-B27.
• Ku matenda akuvutika, monga ulamuliro, anthu angapo banja.

Mulimonsemo m'pofunika kudziwa kuti chisankho matenda zolondola amafuna kufufuza wathunthu, mayeso bwanji dokotala kusonkhanitsa mbiri yonse.

The chikuchititsa mavuto a matenda

Mwatsoka, mu nkhani iliyonse n'zotheka kupeza zimayambitsa matenda. Komabe, m'zaka zingapo zapitazi, tinatha kutsimikizira ubale wa matenda ndi matenda ena matumbo, kuphatikizapo nsomba, kamwazi ndi yersiniosis. Seronegative spondylarthritis nawonso anayamba ndi maziko a matenda urogenital kuphatikizapo matenda venereal (mwachitsanzo, mauka). Kukulitsa kungakhale zakudya.

Komanso, zikupereka ena kutengera za kumtundu matenda monga spondylarthritis seronegative. maphunziro Recent mderali asonyeza kuti odwala matenda ndi yeniyeni Antigen HLA-B27. Zodabwitsa ndizakuti, Antigen imeneyi ndi lofanana ndi antigens padziko Klebsiella, Shigella, mauka ndi tizilombo toyambitsa matenda ena. N'chifukwa chake kusalola ndi kutsegula mabakiteriya izi mu thupi chiopsezo china. Inde, ndi mkhalidwe wa matenda amenewa opatsirana pali chitukuko cha maofesi m'thupi timayambitsa autoimmune kutupa mu zimakhala a msana ndi mafupa.

Seronegative spondylitis: Zizindikiro

Pakuti matenda yodziwika ndi Agiriki articular syndrome kuti amayambitsa kupweteka pa gulu (mu magawo pambuyo pa mpumulo), stiffness, kutupa, redness. Tinganene, makamaka zokhudza mafupa a msana, koma kutupa akhoza zimachitika mfundo zina. Kutentha seronegative spondylitis zotheka, koma kaŵirikaŵiri anali mkati subfebrile.

matenda yodziwika ndi zotupa za machitidwe ena limba. Mwachitsanzo, odwala kukhala maso, iritis, uveitis, corneal dystrophy, khungu, chamawonedwe mitsempha kuwonongeka. Mozungulira 17% a milandu pali yotupa matumbo matenda. Pa gawo la khungu akhoza keratoderma, erythema, zotupa anam'peza wa nembanemba wa mucous. Anaiwononga (pafupifupi 4% milandu) odwala kukhala nephrotic syndrome, proteinuria, microhematuria.

Njira diagnostics zamakono

The matenda a "seronegative spondyloarthritis" mukhoza kuika dokotala. Koma zoyenera kuti matenda ndi zovuta kwambiri, chifukwa matenda kwa gulu ili mu Zikatero zambiri ndi kufanana ndi matenda ena enaake ophwanya. Choncho, kuwonjezera kwa kufunsa rheumatologist ndi, mtima ayenera kuyezedwa ndi gastroenterologist, maso, cardiologist, ndipo nthawi zina ndi urologist ndi dermatologist.

Choyamba amafuna yopimira magazi. Monga ulamuliro, paphunziro opezeka milingo okwera a C-zotakasika mapuloteni, koma palibe revmofaktory yeniyeni.

Ndiponso, kupenda wochititsidwa fupa zida womwenso arthroscopy, radiography, puncture olowa. M'pofunika kuti aone ntchito kwa mtima - kumapeto ichi, odwala kutumikiridwa ndi electrocardiogram, aortography Kujambula. Monga maziko a matenda kawirikawiri anati intestine ndi vuto la impso, adokotala akhoza mankhwala coprogram, colonoscopy, urography, ultrasonography ndi CT jambulani a impso.

Spondylitis seronegative: zikugwirira

Koopsa akhoza kukhala matenda? Kodi zotsatira chifukwa spondylitis seronegative chiyani? Kulumala - si zachilendo ku odwala matenda amenewa. Makamaka matenda kumayambitsa osachiritsika kusintha mu msana ndi mafupa - ndondomeko imene ingathandize kuti mochedwa, koma anasiya kwathunthu nthawi zambiri sizingatheke.

Kuti mupewe mavuto ena monga yafupika masomphenya ndi khungu, komanso kuwononga kwambiri kwa khungu, kenako matenda, mkhutu ntchito mtima mpaka citukuko ca kung'ambika mtima chilema. matendawa amakhudza impso, kotero odwala akhoza kuyamba kulephera aimpso (ndi mankhwalawa izi chosowa kwambiri).

ndi mankhwala zimene amapereka mankhwala amakono?

Kodi njira ntchito pamaso pa chotero matenda monga seronegative spondylitis? Chithandizo nthawi zambiri ndiwofatsa. Mwatsoka, palibe njira kuti akhoza kuchotsa matenda, koma ndi thandizo la bwino anasankha chitukuko cha mankhwala akhoza mochedwa.

Makamaka madokotala mankhwala ntchito nonsteroidal wothandizila odana ndi yotupa, amene suspend ndondomeko yotupa, kupweteka ndipo kwambiri thanzi. Zothandiza kwambiri monga mankhwala monga "Voltaren", "Indomethacin", "Ibuprofen", "Diclofenac". Mwatsoka, ntchito yaitali mankhwala kumaonjezera ngozi ya kukokoloka ndi ulceration pa mundawo m'mimba.

Kodi ndi zinthu zotani ena amafuna seronegative spondylitis? Chithandizo zingaphatikizepo kulandira kukonzekera immunological, kuphatikizapo "Remicade" ndi "immunofan". Komanso, odwala anasankha zakudya zoyenera, zovuta zokambirana achire, zofikisa. Ndipo, ndithudi, zonse cheke akuluakulu ndi dokotala zifunika.

Kodi n'zotheka kuchiza kudzera anthu?

Masiku ano, anthu ambiri amachita chidwi ndi mafunso pa zimene ndi seronegative spondylitis. Zizindikiro, chithandizo, zimayambitsa ndi zizindikiro za matenda - ili ndi mfundo zofunika kwambiri zofunika akuyendayenda. Koma nthawi zambiri odwala kudziwa ngati n'zotheka kuchiza matenda ndi thandizo la mankhwala.

ochiritsa Folk Kawirikawiri analimbikitsa kuti compresses masamba kabichi ndi uchi, grated kaloti atsopano, komanso turpentine. Njirazi chiyani kungakuthandizeni kuti musakhale ndi ululu molumikiza ndi bwino kuyenda awo. Mukhozanso Kumalimbikitsa zinkakhala m'dera ofunda nyanja mchere, chisanadze atakulungidwa mu nsalu kapena thaulo.

Onse zipangizo izi kwenikweni muchepetse chikhalidwe. Koma Mulimonsemo sikutheka kuyesa kudzimvera azichitira ngati matenda spondylitis monga seronegative. Kulumala, khungu, osauka makope - ndi mavuto amene kungapangitse mankhwala cholakwika. Choncho, pamaso kutsatira wothandizila iliyonse dziko ayenera kuonana ndi dokotala.