Ankylosing spondylitis mu akazi: ndichiyani, kodi zizindikiro kusiyana

Ankylosing spondylitis - matenda a msana ndi mafupa aakulu, zikubweretsa maphatikizidwe wa danga intervertebral, kuchititsa msana wotaya kuyenda mbali zonse, kukhala ofanana ndi "mphukira nsungwi". Nthawi zambiri matenda amuna atengeke, ankylosing spondylitis limapezeka kamodzikamodzi mwa akazi, pafupifupi 15% ya milandu (deta za chiŵerengero cha 9: 1 akale). Chifukwa imeneyi - matenda amapezeka akazi anapezeka ndi atypical ndipo kenako.

Kodi ankylosing spondylitis?

Matenda a msana, mafupa, ndi zina ziwalo, amene akufotokozera pang'onopang'ono ndipo pang'onopang'ono. Ndi pafupifupi nthawi zonse (koma osati mu 100% milandu) akupezeka anthu amene ali mmodzi yekha kusinthidwa Antigen kwa chitetezo cha m'thupi - HLA B27. Pamaso pa chabe Antigen ngati kumabweretsa mfundo yakuti:

- minofu zimfundo amakhala womvera matenda;

- Ena tizilombo ting'onoting'ono, yatikhudza ndi HLA B27 kukhazikitsa otchedwa autoimmune anachita, pamene thupi limazindikira minofu zimfundo zawo monga mapuloteni achilendo, ndipo akuyamba kuukira izo.

Chifukwa, pali kutupa mu zimfundo ndi chiwonongeko cha chichereŵechereŵe articular. Kwenikweni amadwala sacrum pawiri kuti mafupa a chiuno, ndiye anawononga cushioning wosanjikiza pakati vertebrae lapansi.

thupi amayesetsa azilipira kwa mapindikidwe wa pamalo articular, koma, mwatsoka, articular chichereŵechereŵe ndi zimbale intervertebral si limzake. Chifukwa cha kukula fupa minofu, ndi msana ossified koma ndi Mitsemphayi.

Kuwonjezera pa diso zimfundo amakhudzidwa (kukhala kutupa), impso, m'mapapo ndi ziwiya lalikulu magazi.

Features ikuyenda mwa akazi

1. Ankylosing spondylitis mu akazi chikuchitika mu otchedwa njira rizomielicheskomu. Izi zikutanthauza kuti anakhudzidwa msana ndi mafupa monga mapewa ndi m'chiuno.

2. Ankylosing spondylitis akazi kukhala kwambiri yaitali, ndi nyengo exacerbation ndi chikhululukiro. Zizindikiro khalidwe pa X-ray angapezeke zaka pokhapokha 10-15 kuyambira kumayambiliro a matenda.

3. Chinthu china ndi chakuti si onse akazi ossified msana ndipo makamaka yekha msana lumbosacral. Akazi matenda spondylitis osati kuchitapo kanthu, anawasiya ngakhale mu magawo lotsiriza la nthenda kukhala kochepa kuyenda. Komanso, msana wawo (motsutsana ndi mwamuna) ndi olumala mlingo wochepa.

4. ndondomeko pafupifupi konse nawo ziwalo.

Umayamba ankylosing spondylitis mu akazi ndi maonekedwe a ululu molumikiza zosiyanasiyana zimene sizili kutchulidwa kwambiri ndipo mwachindunji okha kuyenda. Ndiye, mwina kudziŵika ululu kuti limapezeka pafupi ndi m'mawa, nthawi zina chifukwa cha mkazi wake n'kudzuka. ululu anabauka masana. Pamene akufufuza mpata msana izo zadziwidwa yekha pang'ono ululu rump lapansi.

Nthawi zina, woyamba kuvutika akhale amodzi kapena onse a m'chiuno limodzi limene ululu limapezekanso pa maola m'mawa ndi amapereka mu groin ndi bondo (ndipo kawirikawiri amabwera kwa chidendene). M'mawa zovuta kuwongola mwendo (phazi) mu mafupa awa, koma zizindikiro zikawoneka masana. Zizindikiro zimenezi zimatha kudzali mu olowa phewa, koma anasonyeza pang'ono, mwamsanga (maola choyamba) Patapita kumwa mapiritsi analgesic akhoza kutha kwa kanthawi, ndiye kachiwiri tione mphamvu yomweyo.

Chithandizo cha ankylosing spondylitis

"Amayi" chithandizo sasiyana ku mankhwala muyezo. Kulephera yekha matenda molondola.

1) Anti-yotupa wothandizila "Olfen," "Phenylbutazone".

2) Nthawi zina m'pofunika intraarticular ka mahomoni ( "Kenalog" mankhwala "Diprospan") kuti kutupa m'malo olumikizirana mafupa.

3) Kukonzekera "Sulfasalazine".

4) wothandizira Immunosuppressive (mankhwala "Leykeran" angagwiritsidwe ntchito "Azathioprine"), ngati matenda si amenable mankhwala muyezo.

Nkofunika kudziwa kuti ankylosing spondylitis ndikofunika kusunga galimoto ntchito, kotero kuti zochepa patsogolo.