ʻO ka anukelu spondylitis

ʻO ka maʻi o Ankhlosing ka maʻi o Bekhterev, ua kapaʻia kona inoa ma hope o kekahi kauka Lūkini i haʻi mua i nā hōʻailona a me ka moʻo'ōlelo.

ʻO ka'ā'ī o Spondyloarthritis e pili ana i nā maʻi kūlohelohe e hiki ke holomua. Hōʻaiaʻia me ka hoʻolālā o nā hono o ka'ōniuli, aʻo ka hopena e hopena i ka hanaʻeleʻele, a ma hope iho ua'ōpū ka'ōpū.

Nā kūlana a me nā'ōpili o ka spondylitis akylosing

Hiki ke hoʻohālikeʻia ka spondylitis āpau e like me nā kumuhana:

ʻEhā mauʻano likeʻole iʻikeʻia i loko o keʻano o kēia maʻi:

Nā hōʻailona a me nā haʻawina o ka spondylitis ankylosing:

  1. ʻO ka hana mua. Ke kapaʻia nei kēia manawaʻo nāgolnoy. I loko o kēia wā he palena i ka hanaʻana o ka'ōiwi o keʻano kūpono. I ka wā e hana ana i kahi X-ray, hiki i kekahi keʻike i ka hemahema o nā hono i loko o ka'āpana sacral, a me nā kikowaena o ka osteosclerosis a me ka hoʻonuiʻana i nā'āpana hui.
  2. ʻO ka lua o ka hana. I loko o kēia wā, he emi ke emiʻana o nā hana ma nā hono o ka'ōiwi a i loko o nā hui āpau. Hoʻopiʻiʻia nā hana kuhi likeʻole o ka'āpana sacral. I kēia manawa, hiki i nā hōʻailona o ka ankylosis.
  3. ʻO ke kolu o ka manawa. ʻO kēia hopena hopena e hōʻikeʻia ana he kaha nui i ka neʻeʻana o ka'ōiwi.

Eia kekahi,ʻo nā kauka e hoʻomaopopo i nā paeʻekolu o ka maʻi:

  1. Ma keʻano liʻiliʻi, hiki i ka mea maʻi ke kīleʻa iki i nā hana, akā i nā kakahiaka. ʻO ka ESR ma kēia he 20 mm / h.
  2. Ma keʻano kūpono o ka mea maʻi, hiki ke hōʻehaʻia kaʻeha mau o nā hono, hiki ke lōʻihi o ka paʻakikī o nā neʻe i 3-4 hola ma hope o ka ho'ālaʻana. ʻO ka ESR ma kēia hihia he 40 mm / h.
  3. Ma kahi pae i'ōleloʻia, e hoʻomau i ka paʻakikī o nā hana a puni ka lā a me nā maʻi mau ma ke kinipuni. I kēia manawa, aia kahiʻilikai kūpono, aʻo ka ESR iʻoi aku i ka 40 mm / h.

Eia kekahi, ke kauka nā kauka i ke kūlana o ke maʻi e like me ka hanaʻana o nā hono:

  1. Ma ke kēkelē mua e loaʻa ana he loli i nā kakani o ka'ōiwi, kahi e hele pū me nā hana i kauʻia i nā hui a me ka vertebrae.
  2. Ma ke kēkelē lua, hiki ke kau i ka palena o nā neʻe, no ka mea i loaʻa i ka mea maʻi ke kolu o ke kīnā o ke kīnā.
  3. Ma ke kēkelēʻekolu, hiki ke ankylosis ma nāʻaoʻao a pau o ka vertebra a me ka huiʻana o ka uhi. No ka lilo o ka hana hana nalowale a iʻoleʻo ka hikiʻole o ka lawelawe pono'ī. I kēia kumu, loaʻa i ka mea maʻi ke kīnā o ke kula mua a iʻole paha. I kēia wā,ʻo ka spondylitis kūpilikiʻi paha o ka'ōpiopio, kahi iʻikeʻia e pili ana i ka hōʻinoʻana i nā hale muscular.

ʻO ka hōʻoia o ka spondylitis ankylosing

ʻO ke kumu nui e hoʻomaʻamaʻa ai i ka spondylitis ankylosing he x-ray. Hiki iāʻoe keʻike pono i nā hewaʻole nā hui, kaʻinoʻino, ka nui o nā wāwae a me nāʻike'ē aʻe'ē aʻe no ka hoʻokumuʻana i ka wā o ka maʻi.

Eia kekahi ma keʻikeʻana, kahi hana nui i hoʻokomoʻia e kaʻimi a me ka hoʻoheheʻeʻana i ke koko a me ka hoʻonāʻana o ka'ulala .

Hanaʻia o spondylitis

Me ka maʻi o Bechterew, ke hoʻolako nei nā kauka i nā lāʻau lapaʻau anti-inflammatory. ʻO Diclofenac ka mea i kaulana loa iā lākou.

A no ka laweʻiaʻana o ka līlū, ua kauʻia nā glucocorticosteroid (e like me Prednisolone). Hoʻolakoʻia nā lāʻau o kēia hui ma ka wā o ka exacerbation no ka laweʻiaʻana o ka papa hana inflammatory.

Hoʻokomoʻia nā Immunosuppressants - sulfasalazine, methotrexate, a pēlā aku, e hoʻopau i ka ankylosis.

I loko o nā manawa o ke kalaʻana, ua waiwai ka physiotherapy a me nā hana hauʻoli i ka maʻi maʻi.