Yintoni i-Ankylosing Spondylitis, iimpawu eziphambili kunye nendlela yokufumanisa isifo

Umxholo

• Iimpawu ze-Ankylosing spondylitis
• Izizathu eziphambili
• Uxilongo lwenziwa njani
• Unyango lwe-ankylosing spondylitis

I-Ankylosing spondylitis, ekwabizwa ngokuba yi-spondyloarthritis kwaye, kumanqanaba aphezulu, i-ankylosing spondyloarthrosis, sisifo esinganyangekiyo sokudumba esibonakaliswa kukulimala komqolo apho i-vertebrae idibana khona, ikhokelela kwiimpawu ezinje ngobunzima bokuhambisa umqolo. kunye nentlungu ephuculayo xa ushukuma kodwa iba mandundu ekuphumleni.

Ngokwesiqhelo, esi sifo siqala kwilungu le-sacroiliac, phakathi kwe-pelvis kunye ne-vertebrae yokugqibela ye-lumbar, okanye kumdibaniso wamagxa kwaye ithande ukuba mandundu, ichaphazele ngokuthe ngcembe yonke eminye imiqolo yomqolo, enokukhokelela ekususweni komntu emsebenzini, ukuqala kwangoko umhlalaphantsi.

Ke ngoko, nje ukuba iimpawu zivele, kubalulekile ukuba umntu adibane nogqirha wamathambo ukuze kwenziwe uvavanyo lokufumanisa i-ankylosing spondylitis kwaye unyango luqalisiwe, kuthintela iingxaki kunye nokuphucula umgangatho wobomi bomntu.

Iimpawu ze-Ankylosing spondylitis

Olona phawu luphambili lwe-ankylosing spondylitis ziintlungu ezisezantsi ezisezantsi eziphucula ngexesha lomsebenzi womzimba, kodwa eziba mandundu xa umntu ephumle. Ezinye iimpawu kunye neempawu ze-ankylosing spondylitis zezi:

• Umqolo obuhlungu kummandla ochaphazelekayo;
• Ubunzima kwiintshukumo zomqolo, njengokujika ubuso bakho bujonge ecaleni;
• Umda weentshukumo ze-lumbar kwii-3 axes;
• Ukunciphisa ukwandiswa kwesifuba;
• Kunokubakho ukuziva ubundindisholo kunye / okanye ukurhawuzelela kwiingalo okanye emilenzeni;
• Ukuqina kwentsasa;
• Ubuhlungu buphucula ngokuhamba kwaye buba nzima ngokuphumla;
• Kunokubakho ukulungiswa kwe-lumbar, ukwanda kwe-kyphosis kunye / okanye ingqikelelo yentloko phambili;
• Umkhuhlane ophantsi, malunga ne-37ºC;
• Ukudinwa nokungakhathali.

Iimpawu zihlala zifaka ngokuthe ngcembe kwaye ngaphezulu kweminyaka ziya zixhaphake kwaye zihlala zihleli. Ukongeza, ukuba kungabikho xilongo okanye unyango olwaneleyo, kunokuvela iingxaki ezithile, ezona ziqhelekileyo ziyi-plantar fasciitis kunye ne-uveitis, ehambelana nokuvuvukala kwe-uvea, ngummandla weliso oquka i-iris, umzimba we-ciliary choroid.

Izizathu eziphambili

Oonobangela abakhokelela kuphuhliso lwe-ankylosing spondylitis abaziwa, nangona kunjalo kuye kwafunyaniswa ukuba esi sifo sihambelana nobukho be-antigen ethile emzimbeni ebizwa ngokuba yi-HLA-B27, enokubangela iimpendulo ezingaqhelekanga zomzimba, zibangele isifo.

Uxilongo lwenziwa njani

Ukuchongwa kwe-ankylosing spondylitis kwenziwa ngokusekwe kuvavanyo lwe-imaging, ezinje nge-X-reyi, ithambo le-scintigraphy kunye ne-computed tomography yomdibaniso we-sacroiliac kunye nomqolo, iziphumo ekufuneka zichazwe ngugqirha. Ukongeza, ukuvavanywa kwe-serological ye-HLA-B27 kunokucetyiswa ngugqirha, kuba le antigen inxulumene nesifo.

Ukongeza, ubukho beempawu kunye neempawu zexesha elilingana okanye elingaphezulu kweenyanga ezi-3 kufuneka kuvavanywe ngugqirha ukuze kuqinisekiswe ukuxilongwa, ukongeza ekuqwalaseleni ukuba ngaba kukho ibanga lesi-2 okanye lesi-4 sokukhubazeka kumalungu amabini e-sacroiliac, okanye ibanga lesi-3 okanye lesi-4 kwilungu elinye le-sacroiliac.

Unyango lwe-ankylosing spondylitis

Unyango lujolise ekuthomalaliseni iimpawu, kuthintele ukuqhubela phambili kwesifo kunye nokuqala kweengxaki, kunye nokuqinisekisa umgangatho wobomi bomntu. Ke ngoko, kunokucetyiswa ngugqirha wamathambo ukusebenzisa iyeza lokuthomalalisa iintlungu kunye nokuthomalalisa izihlunu, njenge:

• Indomethacin: 50 ukuya kwi-100 md / ngosuku;
• I-Diclofenac sodium: 100 ukuya ku-200 mg / ngosuku;
• I-Naproxen: 500 ukuya kwi-1500 mg / ngosuku;
• I-Piroxicam: 20 ukuya kwi-40 mg / ngosuku kunye
• I-Aceclofenac: 100 ukuya kwi-200 mg / ngosuku.

Indibaniselwano yamayeza kunye nedosi kufuneka inikwe ngugqirha emva kokuvavanya ubungakanani beempawu ezibonakalisiweyo. Ngaphandle kokuqina kweempawu, unyango lomzimba lukwabalulekile ukukhuthaza ukukhula kokuhamba ngokudibeneyo kunye nokwandisa ukuguquguquka, oko ke kunceda ukunciphisa iimpawu ze-ankylosing spondylitis.

Kuxhomekeka kubudala besigulana kunye nemisebenzi yemihla ngemihla, kunokucetyiswa ukubekwa kwindawo yokufakelwa ukuze kuphuculwe uluhlu lokuhamba. Ukuziqhelanisa nokuzilolonga ukongeza ekuphuculeni iimpawu, kunika amandla ngakumbi kunye nokuchacha. Iindlela zendalo ezinje ngokuthambisa, ukwenza i-acupuncture, i-auriculotherapy, kunye nezinye zinokusetyenziselwa ukunciphisa iintlungu. Ukongeza, ukutya isitatshi esincinci okanye esincinci kuye kwaboniswa ukuba kuyasebenza ekuziseni isiqabu kwiintlungu kunye nokucothisa ukuqhubela phambili kwesi sifo.

Kubalulekile ukuba isiguli sazi ukuba unyango kufuneka lwenziwe ebomini kuba i-ankylosing spondylitis kwaye ayinalo unyango. Funda ngakumbi malunga nonyango lwe-ankylosing spondylitis.