Ropa Rokuongorora Kuongororwa Ankylosing Spondylitis Back Clinic

Kuongorora ankylosing spondylitis kazhinji inosanganisira miedzo yakawanda. Kana vanachiremba vakaraira kuongororwa ropa kuti vaone ankylosing spondylitis, munhu ari kusangana nezviratidzo zvakanyanya mumusana nemajoini. Kazhinji, kuongororwa kweropa kunoreva kuti chiremba ari kutsvaga humbowo hwechimwe chinhu chingave chiri kukonzera zviratidzo. Zvisinei, kuongororwa kweropa kwega hakugoni kunyatsoongorora ankylosing spondylitis, asi kana yakabatanidzwa nekufungidzira uye kuongorora, inogona kupa mazano anokosha anonongedza mhinduro.

Ankylosing Spondylitis Ropa Rokuongorora Kuongororwa

Ankylosing spondylitis ndiyo arthritis iyo inonyanya kukanganisa musana uye chiuno. Zvinogona kuve zvakaoma kuongorora sezvo pasina bvunzo imwe chete inogona kupa ruzivo rwakakwana rwekuongororwa kwechokwadi. Iko kusanganiswa kwekuongorora kwekuongorora kunoshandiswa, kusanganisira kuongorora kwemuviri, imaging, uye kuongororwa ropa. Vanachiremba havasi kungotsvaga mhedzisiro inonongedzera kune ankylosing spondylitis, asi ivo vari kutsvaga chero mhedzisiro inogona kunongedzera kure nemhedzisiro yespondylitis inogona kupa tsananguro yakasiyana yezviratidzo.

Physical Exam

Nzira yekuongorora ichatanga nenhoroondo yezvehutano yemunhu, nhoroondo yemhuri, uye kuongororwa kwemuviri. Munguva yekuongorora, chiremba achabvunza mibvunzo kubatsira kubvisa mamwe mamiriro ezvinhu:

• Zviratidzo zvagara zvichionekwa kwenguva yakareba sei?
• Zviratidzo zvinova nani nekuzorora kana kurovedza muviri?
• Zviratidzo zviri kuwedzera here kana kuramba zvakafanana?
• Zviratidzo zvinowedzera pane imwe nguva yezuva here?

Chiremba anozotarisa zvisingakwanisi mukufamba uye palpate nyoro nzvimbo. Vazhinji mamiriro ezvinhu anogona kukonzera zviratidzo zvakafanana, saka chiremba achatarisa kuti aone kana marwadzo kana kushaya kwekufamba kunopindirana neankylosing spondylitis. Chiratidzo cheankylosing spondylitis kurwadziwa uye kuoma mumajoini e sacroiliac. Majoini e sacroiliac anowanikwa muzasi kumashure, uko hwaro hwemusana uye pelvis zvinosangana. Chiremba anotarisa mamwe mamiriro emusana uye zviratidzo:

• Zviratidzo zvekurwadziwa shure zvinokonzerwa ne-kukuvadzwa, maitiro ekugadzirisa, uye / kana nzvimbo dzekurara.
• Lumbar spinal stenosis
• Rheumatoid chearthritis
• Psoriatic arthritis
• Kuparadzanisa idiopathic skeletal hyperostosis

Family History

• Nhoroondo yemhuri inoita chikamu mukuongororwa nekuda kwe genetic element ye ankylosing spondylitis.
• Iyo HLA-B27 gene inoenderana neankylosing spondylitis; kana munhu anacho, mumwe wevabereki vake anacho.

kuri

• X-rays inowanzoshanda sedanho rekutanga pakuongororwa.
• Sezvo chirwere ichi chichifambira mberi, mapfupa maduku matsva anoumba pakati pe vertebrae, pakupedzisira anoabatanidza.
• X-rays inoshanda zvakanyanya pakuronga kufambira mberi kwechirwere pane yekutanga kuongororwa.
• MRI inopa mifananidzo yakajeka mumatanho ekutanga sezvo zvinyorwa zvidiki zvichionekwa.

Dambudziko reRopa

Kuongororwa kweropa kunogona kubatsira kutonga kunze kwemamwe mamiriro uye kutarisa zviratidzo zvekuzvimba, kupa humbowo hunotsigira pamwe nemhedzisiro yekuongororwa kwekufungidzira. Zvinowanzotora rinenge zuva kana maviri kuti uwane mhinduro. Chiremba anogona kuraira imwe yeinotevera kuongororwa ropa:

HLA-B27

HLA-B27 bvunzo.

• Iyo HLA-B27 gene inoratidza mureza mutsvuku kuti ankylosing spondylitis inogona kunge iripo.
• Vanhu vane jini iri vane njodzi yakanyanya yekukudziridza mamiriro acho.
• Yakasanganiswa nezviratidzo, mamwe maLab, uye bvunzo, inogona kubatsira kusimbisa kuongororwa.

ESR

Erythrocyte sedimentation rate or ESR bvunzot.

• Muedzo weESR unoyera kuzvimba mumuviri nekuverenga chiyero kana kuti kukurumidza kukurumidza kwemasero matsvuku eropa kusvika kuzasi kwesampuli yeropa.
• Kana vakagadzikana nekukurumidza kupfuura zvakajairwa, mhedzisiro inokwidziridzwa ESR.
• Izvi zvinoreva kuti muviri uri kusangana nekuzvimba.
• ESR mhedzisiro inogona kudzoka yakakwira, asi izvi chete hazvitarise AS.

CRP

C-inoshanda mapuroteni - CRP bvunzo.

• A CRP bvunzo inotarisa CRP mazinga, puroteni inobatanidza nekuzvimba mumuviri.
• Yakakwira CRP mazinga anoratidza kuzvimba kana hutachiona mumuviri.
• Ichi chishandiso chinobatsira pakuyera kufambira mberi kwechirwere mushure mekuongororwa.
• Inowanzoenderana nekuchinja kwemusana kunoratidzwa paX-ray kana MRI.
• Chete 40-50% yevanhu vane ankylosing spondylitis vanoona CRP yakawedzera.

Ana

ANA bvunzo

• Anuclear antibodies, kana kuti ANA, tevera mapuroteni ari mukati memukati mesero, achiudza muviri masero ayo muvengi.
• Izvi zvinomutsa mhinduro yekudzivirira muviri iyo muviri unorwa kuti ubvise.
• Imwe ongororo yakaratidza kuti ANA inowanikwa mu19% yevanhu vane ankylosing spondylitis uye yakakwirira muvakadzi kupfuura varume.
• Yakasanganiswa nemimwe bvunzo, kuvepo kweANA kunopa imwe nzira yekuongororwa.

Gut Health

• The gut microbiome inoita basa rinokosha pakukonzera kukura kweankylosing spondylitis uye kurapwa kwayo.
• Ongororo yekuona hutano hweura inogona kupa chiremba mufananidzo wakakwana wezviri kuitika mukati memuviri.
• Ropa rekuongorora kuongororwa kweankylosing spondylitis uye mamwe mamiriro ekuzvimba anovimba zvakanyanya nekubaya pamwe chete bvunzo dzakasiyana padivi nekiriniki bvunzo nekufungidzira.

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Zvinokonzera, Zviratidzo, Kuongororwa, uye Kurapwa

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References

Cardoneanu, Anca, et al. "Unhu hwe intestinal microbiome mu ankylosing spondylitis." Mushonga wekuedza uye wekurapa vol. 22,1 (2021): 676. doi:10.3892/etm.2021.10108

Prohaska, Et al. “Antinukleäre Antikörper bei Spondylitis ankylosans (Morbus Bechterew)” [Antinuclear antibodies in ankylosing spondylitis (transl yemunyori)]. Wiener klinische Wochenschrift vol. 92,24 (1980): 876-9.

Sheehan, Nicholas J. "Mamiriro eHLA-B27." Chinyorwa cheRoyal Society of Medicine vol. 97,1 (2004): 10-4. doi:10.1177/014107680409700102

Wenker KJ, Quint JM. Ankylosing spondylitis. [Yakagadziridzwa 2022 Kubvumbi 9]. Mu: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Inowanikwa kubva: www.yori.nlm.nih.gov/books/NBK470173/

Xu, Yong-Yue, nevamwe. "Basa regut microbiome mu ankylosing spondylitis: kuongororwa kwezvidzidzo mumabhuku." Discovery mushonga vol. 22,123 (2016): 361-370.