Ankylosing spondylitis: bayyanar cututtuka da magani

Ankylosing spondylitis cuta ce ta yau da kullun wacce ke tare da kumburin kashin baya. Ana kuma kiranta cutar Bechterew da spondyloarthritis.

Pathology yana ci gaba koyaushe, kuma har yanzu ba a san abubuwan da ke haifar da cutar ba. Cutar tana cikin rukuni na spondyloarthritis kuma yana haifar da haɗuwa da haɗin gwiwar intervertebral tare da ƙarin ƙuntatawa na motsi na kashin baya.

Menene ankylosing spondylitis?

Ankylosing spondylitis: bayyanar cututtuka da magani

Ankylosing spondylitis cuta ce ta tsarin da ke tattare da kumburin nama mai haɗuwa tare da lalacewa ga haɗin gwiwa da haɗin gwiwa na kashin baya. Baya ga abubuwan da aka jera na tsarin, gabobin ciki da haɗin gwiwa na iya wahala. Pathology yana da tsari na yau da kullun kuma yana ci gaba koyaushe. Sakamakon cutar shine ƙuntatawa na motsi na kashin baya da lalacewa. A sakamakon haka, mutumin ya zama nakasa.

Na farko da ya bayyana wannan cuta shine VM Bekhterev. Ya faru ne a shekara ta 1892. A waɗannan shekarun, ankylosing spondylitis ana kiransa "ƙanƙarar kashin baya tare da curvature."

Alamun ankylosing spondylitis

Alamun cutar kai tsaye sun dogara ne akan mataki na ci gaba da ilimin cututtuka. Ankylosing spondylitis yana da yanayin yanayi na yau da kullum, don haka canje-canje a cikin gidajen abinci da kyallen takarda suna faruwa akai-akai.

Matakan ci gaban ankylosing spondylitis:

  1. Matakin farko. A wannan lokacin, alamun farko na pathology suna bayyana.

  2. Fadada mataki. Ana bayyana alamun cutar.

  3. marigayi mataki. A cikin gidajen abinci akwai canje-canje na zuciya.

Alamun matakin farko

Ankylosing spondylitis: bayyanar cututtuka da magani

A cikin kusan 10-20% na mutane, Pathology yana da tsarin latent kuma baya bayyana kansa ta kowace hanya a farkon matakin ci gaba.

A wasu lokuta, cutar tana da alamun bayyanar cututtuka masu zuwa:

  • Pain a yankin na sacrum. Yana da munanan m na wannan karkatacciyar da zama sigina na farko na haifar da haifar da ci gaba. Mafi sau da yawa, zafi yana mayar da hankali a gefe ɗaya na sacrum, amma yana iya haskakawa zuwa cinya da ƙananan baya.

  • Taurin kashin baya. Ana iya ganewa musamman da safe, bayan barci, ko kuma bayan dogon lokacin hutu a wuri ɗaya. A lokacin rana, taurin yana ɓacewa, kuma yana yiwuwa a kawar da shi saboda godiya ga dumi. Siffa ta musamman na zafi da taurin da ke faruwa tare da ankylosing spondylitis shine cewa waɗannan abubuwan jin daɗi suna ƙaruwa yayin hutawa, kuma suna ɓacewa bayan aikin jiki.

  • Ciwon kirji. Yana faruwa ne saboda gaskiyar cewa haƙarƙarin haƙarƙari-vertebral yana da tasiri. Ciwo yana ƙaruwa lokacin ƙoƙarin ɗaukar numfashi mai zurfi, da kuma lokacin tari. Wani lokaci mutane suna rikita irin waɗannan raɗaɗi masu raɗaɗi tare da ciwon zuciya da kuma intercostal neuralgia. Likitoci sun ba da shawarar cewa marasa lafiya kada su yanke zurfin wahayi, kar a canza zuwa numfashi mara zurfi.

  • Lalacewar yanayi. Ba duk marasa lafiya da ke fama da cutar Bechterew ke fama da raguwa da damuwa ba. Rashin tausayi yana tasowa ne kawai a wasu marasa lafiya.

  • Wani matsi a kirji. Yana bayyana saboda lalacewar motsi na haƙarƙari. Mutanen da ke da ciwon ankylosing spondylitis suna canzawa zuwa numfashin ciki.

  • Zubar da kai. Wannan alamar yana faruwa ne saboda gaskiyar cewa haɗin gwiwa yana shan wahala, kuma ginshiƙan kashin baya da kansa ya lalace.

  • Ƙuntataccen motsi.

Symptomsarshen alamun bayyanar

Ankylosing spondylitis: bayyanar cututtuka da magani

A ƙarshen mataki na ci gaban cutar, mutum yana da alamomi masu zuwa:

  • Alamun radiculitis. Ana nuna su da ciwo mai tsanani a cikin kashin baya, rashin jin daɗi na tsokoki, tingling su. A cikin yankin da abin ya shafa, rashin hankali yana raguwa, tsokoki sun rasa sautin su, sun zama rauni da atrophy. Duk wani aiki na jiki yana haifar da ƙarin ciwo.

  • Cin zarafin jini ga kwakwalwa. Mutum yana da ciwon kai, suna da ban sha'awa, suna bugun jini, mafi yawan lokuta suna mayar da hankali a cikin yankin occipital. Mai haƙuri yana fama da dizziness da tinnitus, damuwa na gani na iya faruwa. Ana iya bayyana tabarbarewar abinci mai gina jiki ta hanyar ƙara yawan bugun zuciya, zafi mai zafi, gumi, fushi, rauni da ƙara gajiya.

  • Shakewa. Hare-hare suna faruwa ne saboda gaskiyar cewa motsin kirji yana kara tsanantawa, matsa lamba akan huhu yana ƙaruwa, an matse tasoshin jini.

  • Asedara yawan jini. Wannan alamar tana tasowa ne saboda gaskiyar cewa jinin da ke cikin kwakwalwa yana shan wahala, nauyin da ke kan tasoshin da zuciya yana ƙaruwa.

  • Nakasar kashin baya. Ƙungiyoyin haɗin gwiwar sa suna ossify, wanda ke haifar da lalacewa a cikin motsin su. Yankin mahaifa yana da ƙarfi gaba, kuma yankin thoracic yana dawowa.

Alamomin lalacewa ga wasu gabobin

Ankylosing spondylitis: bayyanar cututtuka da magani

Dangane da nau'in cutar, alamun cututtukan ankylosing spondylitis zasu bambanta.

A cikin nau'i na rhizomelic, haɗin gwiwar hip yana shan wahala, don haka za'a iya bambanta alamun cututtuka kamar haka:

  • Ossification na kashin baya.

  • Jinkirin ci gaba na alamun cututtuka.

  • Pain a yankin na hip haɗin gwiwa. A gefe guda, za su fi cutar da su.

  • Rashin hasara na ciwo a cikin cinya, makwancin gwaiwa, gwiwoyi.

A cikin nau'i na nau'i na cutar, gwiwa da haɗin gwiwa yana shafar.

Babban alamun cin zarafi:

  • Na dogon lokaci, kawai alamun da suka shafi kashin baya suna damun mutum.

  • Galibi matasa suna fama da nau'in cutar. Daga baya pathology yana tasowa a cikin mutum, ƙananan haɗarin lalacewar haɗin gwiwa.

  • Ciwo yana mai da hankali a cikin gwiwoyi da haɗin gwiwa.

  • Abubuwan haɗin gwiwa sun lalace, daina yin aikin su akai-akai.

Siffar cutar ta Scandinavian tana bayyana ta bayyanar cututtuka kamar:

  • Lalacewa ga ƙananan haɗin gwiwa na ƙafafu da hannaye.

  • Bayan lokaci, haɗin gwiwa ya lalace, motsin su yana kara tsananta.

  • Asibitin na Scandinavian nau'in cutar yayi kama da rheumatoid amosanin gabbai.

Abubuwan da ke haifar da ankylosing spondylitis

Ankylosing spondylitis: bayyanar cututtuka da magani

Duk da ci gaban da aka samu a fannin likitancin zamani, har yanzu ba a san ainihin musabbabin cutar Bechterew ba.

Likitoci suna yin zato ne kawai game da abin da Pathology zai iya tasowa saboda:

  • Gada predisposition zuwa ci gaban Pathology. Kamar yadda bincike ya nuna, cutar Bechterew tana yaduwa daga uba zuwa dansa a kashi 89% na lokuta.

  • Canja wurin cututtukan urogenital. Yiwuwar haɓaka cutar Bechterew yana ƙaruwa idan kamuwa da cutar urogenital yana da tsayin daka, kuma mutumin bai sami isasshen magani ba.

  • Rage rigakafi. Dalilan raunin garkuwar jiki na iya zama daban-daban. Mafi raunin tsarin garkuwar jiki, mafi girman yuwuwar kamuwa da cututtukan ankylosing spondylitis.

Na farko, tare da cutar Bechterew, sacrum da iliac yankin sun shafi, sa'an nan kuma Pathology yada zuwa sauran gidajen abinci.

kanikancin

Don yin daidaitaccen ganewar asali, mai haƙuri zai buƙaci yin jerin karatu. Idan ba tare da cikakkiyar ganewar asali ba, ba zai yiwu a tantance cutar Bechterew ba.

Wane likita za a tuntube?

Ankylosing spondylitis: bayyanar cututtuka da magani

Idan mutum yana da alamomin da za su iya nuna ankylosing spondylitis, yana buƙatar tuntuɓar kwararru kamar:

  • Mai ilimin hanyoyin kwantar da hankali. Likitan na iya zargin cutar don yin bincike na farko. Don fayyace ta, za a buƙaci ƙarin gwaje-gwaje da ziyartar likitocin ƙwararrun ƙwararru.

  • Likitan Vertebrologist. Wannan likita ya ƙware akan cututtuka na kashin baya.

  • Rheumatologist. Wannan likita yana kula da rheumatism da sauran cututtuka na haɗin gwiwa.

  • Likitan Orthopedist. Likita na wannan sana'a yana aiki a cikin ganewa da kuma kula da cututtuka na tsarin musculoskeletal.

Gwajin kayan aiki da dakin gwaje-gwaje

Da farko, likita ya yi nazarin tarihin majiyyaci, ya yi bincike, ya yi la'akari da kashin baya da sauran haɗin gwiwa, kuma yana tantance motsin su.

Binciken da ya kamata a yi don bayyana ganewar asali:

  • Radiyon kashin baya.

  • MRI na kashin baya.

  • Ba da gudummawar jini don nazari na gaba ɗaya. Mai haƙuri zai sami matsayi mai girma na ESR da sakamako mai kyau na DPA, wanda ke nuna wani tsari mai kumburi a cikin jiki. A wannan yanayin, rheumatoid factor ba zai kasance ba.

  • Gwajin jini don HLA-B27 antigen. Ana gudanar da wannan binciken a lokuta masu rikitarwa.

Mafi kyawun hanyoyin bincike shine MRI da radiyo.

Maganin spondylitis na ankylosing

Ba zai yiwu a yi cikakken warkar da cutar Bechterew ba. Duk da haka, idan an fara maganin a kan lokaci, to, zai yiwu a dakatar da ci gaba da ci gaba, hana ci gaba da rikitarwa da rashin motsi na mai haƙuri. An wajabta wa majiyyaci magani na tsawon rai, wanda bai kamata a katse shi ba. Likita zai buƙaci ziyarci tsarin. In ba haka ba, pathology zai ci gaba.

Maganin marasa magani

Ankylosing spondylitis: bayyanar cututtuka da magani

Ta hanyar kanta, maganin marasa magani ba zai ba da damar samun sakamako mai kyau ba, amma a hade tare da gyaran ƙwayoyi da kinesitherapy, sakamakon ba zai dade ba.

Hanyoyin da za a iya aiwatarwa a cikin cutar Bechterew:

  • Physiotherapeutic sakamako a kan jiki. Ana iya nuna marasa lafiya magnetotherapy, duban dan tayi magani, balneotherapy, shan bischofite, sodium chloride da hydrogen sulfide baho.

  • X-ray far. Irin wannan magani ya haɗa da ɗaukar hotunan x-ray zuwa yankin da abin ya shafa.

  • Massage. Ana nuna shi bayan an sami kwanciyar hankali. Wajibi ne a rinjayi kashin baya daidai, ƙwararren ƙwararren ne kawai aka yarda ya yi aikin. In ba haka ba, za ku iya cutar da mutum.

  • Maganin motsa jiki. Ya kamata mai haƙuri ya shiga cikin wasanni masu dacewa. Ana yin hadaddun akan mutum ɗaya. Motsa jiki na yau da kullun zai hana ossification nama kuma kula da aikin ginshiƙin kashin baya.

  • Kinesitherapy Yana da magani tare da dabarun numfashi da motsi.

  • Yin motsa jiki a cikin tafkin. Kafin ka fara yin iyo, kana buƙatar tuntuɓi likita.

  • Yin motsa jiki na gymnastic akan dakatarwa ta musamman.

Bidiyo: labarin rayuwa na gaske:

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