Spondylitis Seronegative: Izimpawu, Sifo Nokuselapha

spondylitis Seronegative - isifo okuyinto lihlotshaniswa ukuvuvukala izilonda emalungeni nomgogodla. Ukuze eqondile, akusiyo isifo esisodwa, kodwa iqembu izifo ukuthi babe pathogenesis efanayo, omsakazo kanye izici zokwelapha. Futhi abantu abaningi banesithakazelo imibuzo mayelana nalezi zifo. Ziyini izimbangela yentuthuko yabo? Kanjani babonisa? Yeka indlela okuyingozi kungaba nemiphumela? Ingabe umkhakha wezokwelapha wanamuhla inikeza ukwelashwa abaphumelela ngempela? Izimpendulo zale mibuzo ziyoba abafundi abaningi.

Kuyini lokhu leqembu lezifo?

Njengoba sekushiwo, spondylitis seronegative (spindiloartritopatii) - iqembu kunalokho enkulu izifo ukuvuvukala, okuyinto ngezinga elithile zihlobe- nomunye. Ikakhulu, i-leqembu lezifo idatha zihlanganisa idiopathic ankylosing spondylitis, samathambo esisheshayo, arthritis psoriatic, samathambo enteroticheskie.

Empeleni, kuze kube muva nje, lezi zifo babephathwa ukuba iqembu i-rheumatoid arthritis (seropositive). Kuphela 1970 ke kwaqale kwembulwa ezinye umehluko omkhulu. Ngesikhathi kokuhlaziywa isikali lokuqala iziguli yasungulwa kanye ngezigaba uhlelo izifo seronegative.

Kuze kube manje, kunzima ukuba wahlulele nezinga Ukusabalala kwaleli gciwane, ngoba abantu abaningi babe lesi sifo evilaphayo, futhi iziguli eziningi nesinye isifo. Singathi nje ngokuqiniseka ukuthi amadoda abe yizisulu zale sifo sivame kakhulu kwabesifazane kodwa isifo kungase kuhambisane inombolo okungenani izimpawu kanye nezinkinga. Ngokuvamile lesi sifo uqala ukuba bathuthuke kweminyaka eyi 20-40.

Izici eziyinhloko leli qembu pathologies

Kukhona ezinye umehluko obalulekile ukuthi kule minyaka eyikhulu edlule ziye zavumela abacwaningi ukuba bathole ukuthi spondylitis seronegative eqenjini ehlukile izifo. Nge uhlu zabo kuyoba usizo ukufunda:

• In izifo ezinjalo phakathi ukuhlola lungacacisa revmofaktora ukungabi.
• Isifo sokuqaqamba kwamalunga eba asymmetrically.
• Ejwayelekile Izigaxana ongama bengekho.
• Phakathi-X-ray ungabona izimpawu ankylosing spondylitis futhi sacroiliitis.
• Kukhona ukuxhumana obuseduze antigen hla-B27.
• Kule isifo lihlupheka, njengoba umthetho, amalungu omndeni eziningana.

Kunoma ikuphi kubalulekile ukuqonda ukuthi isinqumo ukusazi ngokunembile isifo esikuphethe kudinga luhlolo ephelele, ovivinyweni olubangelwa ukusiza udokotela ukuqoqa umlando ephelele kunazo.

Ziyini izimbangela eziyinhloko zalokhu yesifo

Ngeshwa, hhayi kuzo zonke izimo kungenzeka ukuthola izimbangela yalesi sifo. Noma kunjalo, eminyakeni embalwa edlule, sakwazi ukufakazela ubuhlobo isifo nge ezinye izifo emathunjini, kuhlanganise salmonella, uhudo kanye yersiniosis. spondylarthritis Seronegative kungabuye athuthukile ngokumelene isizinda izifo urogenital kuhlanganise Venereal izifo (isb, chlamydia). Senze isimo sishube kungenzeka ezibangelwa ukudla.

Ngaphezu kwalokho, kungase kubonise ukuthi abanye yofuzo nezifo ezifana spondylarthritis seronegative. Ucwaningo lwamuva nje kule ndawo baye babonisa ukuthi iziguli ezinalesi sifo babe ethize antigen hla-B27. Phela, lokhu antigen kufana antigen ebusweni Klebsiella, Shigella, i-chlamydia kanye nezinye amagciwane. Yingakho kokuziphatha futhi kusebenze ala magciwane emzimbeni zomuntu eziyimbangela ingozi. Ngempela, ngokumelene okwenza lezi izifo ezithathelwanayo kukhona ukuthuthukiswa izakhiwo mzimba ezibangela ukuvuvukala sokuhlasela kwamasosha omzimba emisipheni yomgogodla nezihlanganiso.

spondylitis Seronegative: Izimpawu

Ngenxa yalesi sifo libhekene classical articular syndrome esibangela izinhlungu ngesikhatsi ukunyakaza (emabangeni kamuva futhi lapho esephumule), ukuqina, ukuvuvukala, ububomvu. Njengoba ojwayelekile, ngokuyinhloko kuthinta emalungeni emgogodleni, kodwa ukuvuvukala Ungase futhi zenzeka nakwezinye amalunga omzimba. Temperature seronegative spondylitis kungenzeka, kodwa ngokuvamile zazigcina ziphakathi subfebrile.

Lesi sifo libhekene izilonda olunye uhlaka izinhlelo. Ngokwesibonelo, iziguli ziba ale nkinga, iritis, uveitis, sokuwohloka corneal, ukufiphala kwamehlo, ukulimala kwenzwa optic. Babalelwa ku-17% of amacala kukhona ukuvuvukala wamathumbu isifo. On the ingxenye Isikhumba asikwazi keratoderma, erythema, izilonda emathunjini of nolwelwesi lwamafinyila. Kakhulu kangakanani (cishe 4% of amacala) iziguli ziba nephrotic syndrome, proteinuria, microhematuria.

Izindlela ukuhlola yesimanje

Sitholakele "spondyloarthritis seronegative" Ungabeka udokotela. Kodwa kuwufanele ethi uphethwe kuyinto kubenzima, ngoba isifo kuleli qembu ezimweni ezinjalo ngokuvamile zifana nezinye izifo rheumatism. Ngakho-ke, ngaphezu ngokuxhumana udokotela wamathambo, isiguli kufanele ihlolisiswe ngumuntu gastroenterologist, ophthalmologist, wenhliziyo, futhi ngezinye izikhathi futhi Urologist futhi wesikhumba.

Ngokuyinhloko zidinga ukuhlolwa igazi laboratory. Njengomthetho, ngalesi cwaningo lwathola amazinga aphakeme amaprotheni C-esisheshayo, kodwa akukho revmofaktory ethize.

Ukuhlolwa okwengeziwe uqhutshwa ithambo apharathasi okuhlanganisa arthroscopy, esimweni, wokubhoboza ngokuhlanganyela. Kuyadingeka ukuba ukuhlola ukusebenza inhliziyo - kulokhu, iziguli iqondiswa i electrocardiogram, aortography MRI. Njengoba isizinda isifo ngokuvamile siyenzeka amathumbu nokulimala kwezinso, lo Udokotela angase anikeze isiguli coprogram, colonoscopy, urography, ultrasonography nakuma-CT scan nezinso.

seronegative Spondylitis: Imithelela

Yeka indlela okuyingozi kube kungaba kanjani lesi sifo? Iyini imiphumela okuholela spondylitis seronegative? Ukukhubazeka - akukhona okungavamile ukuba likhithike in iziguli kokutshelwa ngokukhubazeka kwengane. Ikakhulu, i-isifo kuholela esiwohlozayo izinguquko kabuhlungu emgogodleni nezihlanganiso - inqubo ezingaba behlisa zingahlukaniswa ngalezindlela ezilandelayo, kodwa wayeka ngokuphelele ezimweni eziningi akunakwenzeka.

Ukuze nezinye izinkinga zihlanganisa kwamehlo nekhono ubumpumputhe, kanye umonakalo ezinzima ukuze isikhumba, kulandele ukutheleleka, kahle inhliziyo umsebenzi kuze ukuthuthukiswa kwe-yomthambo i-aorta inhliziyo isici. Lesi sifo izinso, ngakho iziguli zingase ziqale ukwehluleka kwezinso (nge ukwelashwa okufanelekile lokhu ivelakancane).

Yiziphi ukwelashwa linikeza imithi yesimanje?

Iyiphi nje indlela engaba asetshenziswa khona isifo esinjengo seronegative spondylitis? Ukwelashwa ezimweni eziningi olandelanayo. Ngeshwa, akukho indlela ezingaba ukuqeda lesi sifo, kodwa ngosizo kahle akhethiwe ukuthuthukiswa yayo izidakamizwa kungenziwa kancane.

Ngokuyinhloko odokotela linqume ukusebenzisa izinto nonsteroidal eqeda ukuvuvukala, okuyinto sokumisa ukuvuvukala, ekudambiseni ubuhlungu kakhulu ukuthuthukisa impilo. Indlela ephumelela kakhulu zihlanganisa izidakamizwa ezifana "Voltaren", "Indomethacin", "ibuprofen", "Diclofenac". Ngeshwa, ukusetshenziswa isikhathi eside le mithi kwandisa ingozi ukuguguleka komhlabathi kanye ulceration ka ipheshana wokugaya ukudla.

Yiziphi ezinye izinyathelo ezidinga spondylitis seronegative? Le nkinga kungase kuhlanganise ethola amalungiselelo immunological, kuhlanganise "Remicade" futhi "immunofan". Ngaphezu kwalokho, iziguli akhethiwe Ukudla kufanele, eyinkimbinkimbi zokwelapha umzimba, ukubhucungwa. Futhi-ke, njalo bayohlolwa nodokotela wakho ziyadingeka.

Ingabe kungenzeka ukwelapha izindlela zabantu?

Namuhla, abantu abaningi banesithakazelo imibuzo ngalokho kuyinto spondylitis seronegative. Izimpawu, ukwelashwa, izimbangela kanye izimpawu zesifo - lena amaphuzu kubaluleke kakhulu ukuthi nibaluleke ukuhlola. Kodwa ngokuvamile iziguli ezibuza ukuthi kungenzeka ukwelapha lesi sifo ngosizo emithi yesintu.

Folk abelaphi etuswayo ukwenza ukulibopha amahlamvu iklabishi uju, vukuza izaqathe fresh, kanye turpentine. Lezi izindlela ezisetshenziswa ukusiza lokunciphisa izinhlungu emalungeni kanye ngcono ukuhamba kwabo. Ungase futhi zikhulisa endaweni ethintekile ulwandle efudumele usawoti, pre-wasisonga ngendwangu noma ithawula.

Konke lokhu amathuluzi asiza ngempela ukudambisa isimo. Kodwa noma kunjalo akunakwenzeka ukuzama ukuzithiba uswidi isifo ezifana spondylitis njengoba seronegative. Ukukhubazeka, ubumpumputhe, kwegazi ompofu - kuba nezinkinga okungaholela ekwelashweni okungalungile. Ngakho-ke, ngaphambi kokufaka isicelo noma imaphi amanxusa kazwelonke kufanele uxhumane nodokotela wakho.