Spondylitis Seronegative: Iimpawu, diagnosis and Treatment

spondylitis Seronegative - sisifo inxulunyaniswa nangokurhala, izitshanguba namalungu lomqolo. Ukuze ube ngqo, akukho sifo mnye, kodwa iqela izifo ukuba babe Pathogenesis efanayo, umyalezo kunye neempawu clinical. Abantu abaninzi banomdla imibuzo ezongezelelweyo ngezi zifo. Zintoni izinto ezibangela kuphuhliso lwabo? Njani babonisa? njani yingozi kuba imiphumo? Ngaba yesilungu inika unyango olusebenzayo ngokwenene? Iimpendulo zale mibuzo ziya kuba nomdla kubafundi abaninzi.

Yintoni na le qela izifo?

Njengoko sele kukhankanyiwe, spondylitis seronegative (spindiloartritopatii) - iqela kunokuba elikhulu zizifo ezingapheliyo ukudumba, leyo kwezinye ngomlinganiselo zihlobene omnye nomnye. Ngokukodwa, iqela kwezifo data ziquka idiopathic ankylosing spondylitis, samathambo lovukelo, samathambo psoriatic, samathambo enteroticheskie.

Eneneni, kude kube ngoku, ezi zifo zanyangwa iqela isifo samathambo (seropositive). Kuphela ngo-1970 okokuqala kutyhilwa ezinye umahluko omkhulu. Malunga ngexesha elifanayo kovandlakanyo lokuqala isikali izigulane waphuhliswa kwaye inkqubo yokuhlela izifo seronegative.

Ukuza kuthi ga ngoku, kunzima kugweba ubungakanani ukusasazeka kwesi sifo, kuba abantu abaninzi babe isifo ngababuthuntu, kwaye izigulane ezininzi kuchazwe kakuhle. Singathi nje kakuhle ukuba abantu baba ngamaxhoba esi sifo kakhulu eqhelekileyo abafazi abaninzi, kodwa esi sifo kufuneka sikhatshwe ubuncinane inani iimpawu kunye nezigulo. Isikakhulu sifo uqalisa inkqubela kweminyaka engama-20-40.

Ezona mpawu ziphambili eli qela ezimbi

Kukho ezinye iiyantlukwano Kubalulekile ukuba kwinkulungwane edluleyo baye bavunyelwa abaphandi ukuba ukuchonga spondylitis seronegative kwiqela eyahlukileyo izifo. Noluhlu yabo iya kuba luncedo ukufunda:

• Xa izifo ezifana noxilongo Ungakwazi ukucacisa revmofaktora engekho.
• I Arthritis senzeka asymmetrically.
• maqhuqhuva gumbini ongama bengekho.
• Ngexesha X-ray ungabona imiqondiso ankylosing spondylitis kunye sacroiliitis.
• Kukho intsebenziswano enkulu kunye iantigens lolu phando-B27.
• Ukusuka kwesi sifo ubunzima, njengoko umthetho, amalungu entsapho aliqela.

Xa kunjalo kubalulekile ukuqonda ukuba isigqibo ukuxilongwa kufuna uviwo olupheleleyo, uwele iimvavanyo kunceda ugqirha ukuqokelela imbali olugqityiweyo.

Eyona eziphambili ezibangela izifo

Ngelishwa, kungekhona yonke kunjalo uyakwazi ukufumana phandle i oonobangela kwesi sifo. Noko ke, kule minyaka imbalwa idlulileyo, siye sakwazi ukubonisa ukuzalana sifo nezinye izifo isisu, kuquka salmonella, segazi kunye yersiniosis. spondylarthritis Seronegative nayo kujongwe kwimvelaphi kwezifo enzala kuquka usulelo neegcushuwa (umz, chlamydia). Sibe sibi kusenokuba zokutya.

Ngaphezu koko, siqulethe ethile yofuzo sisifo ezifana spondylarthritis seronegative. Izifundo zakutsha nje kule ndawo aye abonisa ukuba izigulane nesi sifo abe ethile iantigens lolu phando-B27. Phela, lo iantigens uyafana awakwazi kumphezulu Klebsiella, Shigella, chlamydia kunye nezinye kwamagciwane. Kungenxa yoko le nto nokungena lokuvula ezi ntsholongwane emzimbeni womntu ngoyena nobangela. Eneneni, sizoku lwisana ezi zifo ezosulelayo kukho uphuhliso izakhiwo omzimba abangela ukudumba samathambo emzimbeni yomqolo kunye namalungu.

spondylitis Seronegative: Iimpawu

Kuba esi sifo lubonakala ngokuba syndrome articular classical ebangela intlungu ngexesha intshukumo (kwi zigaba emva kwangoko yaye ukuphumla), ukuqina, ukudumba, ukuba bomvu. Njengomthetho jikelele, ngokuyintloko luchaphazela amalungu yomqolo, kodwa ukudumba kwakhona kwenzeka kwamanye amalungu. Ubushushu seronegative spondylitis kunokwenzeka, kodwa ngokuqhelekileyo igcinwe ngaphakathi subfebrile.

Esi sifo luphawulwa izitshanguba ezinye iinkqubo omzimba. Umzekelo, izigulane ukuphuhlisa cataract, iritis, uveitis, muscular kwenwebu yamehlo, glaucoma, umonakalo luvo optic. Malunga-17% amatyala kukho isifo wamathumbu arhabaxa. Ngomhla inxalenye isikhumba keratoderma, erythema, izilonda sisilonda ye inwebu yangaphakathi. ngaphantsi kakhulu (malunga ne-4% amatyala) izigulane ukuphuhlisa syndrome nephrotic, proteinuria, microhematuria.

Iindlela noxilongo lwangoku

Lokufunyaniswa "spondyloarthritis seronegative" Unokuyifaka ugqirha. Kodwa paha ukuba uphethwe inzima kakhulu, ngenxa yokuba esi sifo kweli qela kwiimeko ezinjalo basoloko ezifanayo kunye nezinye izifo samathambo. Ngoko ke, ukongezelela kokubonisana wamathambo, isigulane kufuneka axilongwe gastroenterologist, zamehlo, cardiologist, yaye ngamanye amaxesha womchamo kunye wesikhumba.

Kuqala kufuna uvavanyo lwegazi elebhu. Njengomgaqo, ngeli uphononongo lufumanise imigangatho ephakamileyo C-izidubuli protein, kodwa akukho revmofaktory ethile.

Uviwo Eminye yenziwa izixhobo bone leyo ibandakanya arthroscopy, ray, okuhlatywa ngokudibeneyo. Kuyimfuneko ukuba ukuvavanya ukusebenza intliziyo - yoku, izigulane elawulwa i electrocardiogram, aortography MRI. Njengoko yangasemva sifo sivame emathunjini kunye nomonakalo wezintso, ugqirha unakho ukumisela coprogram, colonoscopy, urography, ultrasonography kunye CT scan izintso.

seronegative Spondylitis: Implications

Njani yingozi kuba esi sifo? Yintoni iziphumo ngenxa spondylitis seronegative? Ukukhubazeka - ivamile kwizigulane unesifo onjalo. Ngokukodwa, esi sifo kukhokelela mandundu utshintsho kwi umnqonqo kunye namalungu - inkqubo iza kucotha phantsi, kodwa wayeka ngokupheleleyo kwiimeko ezininzi akwenzeki.

Kuba kwezinye iimeko ezinobuzaza ziquka kwamehlo nokungaboni, kwakunye umonakalo kakhulu eluswini, kulandele usuleleko, umsebenzi intliziyo kakuhle de kuphuhliso aortic intliziyo siphene. Esi sifo sichaphazela izintso, ukuze izigulane ukuze aphuhlise ukusilela kwezintso (kunye unyango olufanelekileyo oku kunqabile kakhulu).

Yintoni unyango inikela iyeza namhlanje?

Ziziphi iindlela ezisetyenziswa xa kukho isifo seronegative ezinjalo spondylitis? Unyango kwiimeko ezininzi endilisekileyo. Ngelishwa, akukho ndlela unako ukuba balahle esi sifo, kodwa ngoncedo ngokufanelekileyo ezikhethiweyo uphuhliso kwalo iziyobisi iza kucotha.

Ubukhulu becala amagqirha ukumisela ukusetyenziswa arhente nonsteroidal anti-ukudumba, leyo limise inkqubo kwiintetho ezikralayo, ephelisa intlungu kakhulu ngcono impilo. Ngempumelelo kakhulu ziquka iziyobisi ezifana "Voltaren", "Indomethacin", "ibuprofen", "Diclofenac". Ngelishwa, ukusetyenziswa elide ala machiza kwandisa umngcipheko ukhukuliseko izilonda lokugaya.

Ziziphi ezinye amanyathelo ifuna spondylitis seronegative? Unyango kungabandakanya ekufumaneni amalungiselelo ngumzimba, kuquka "Remicade" yaye "immunofan". Ukongeza, izigulane ezikhethiweyo ukutya efanelekileyo, kwisakhiwo beemvavanyo zonyango, zokuthambisa. Kakade ke, rhoqo-ups nogqirha wakho ezifunekayo.

Ngaba kunokwenzeka ukuba ukunyanga iindlela zabantu?

Namhlanje, abantu abaninzi abanomdla imibuzo malunga nokuba yintoni na spondylitis seronegative. Iimpawu, unyango, izizathu kunye iimpawu zesi sifo - oku iingongoma ezibalulekileyo kakhulu ongcono uhlola. Kodwa izigulane bezibuza ukuba kunokwenzeka ukunyanga esi sifo ngoncedo amayeza emveli.

abaphilisi Folk badla kucetyiswa ukuba wenze Oluma ngamagqabi ikhaphetshu nobusi, ya iminqathe fresh, ngokunjalo turpentine. Ezi ndlela musa kukunceda uthobe iintlungu ekuhlanganeni kwengubo ukuphucula ukushukumiseka zabo. Unga kwakhona zilifudumeza kummandla ochaphazelekayo ulwandle efudumeleyo lweTyuwa, pre-yawusongela ngengubo okanye itawuli.

Zonke ezi zixhobo ngokwenene ukunceda ekunciphiseni imeko. Kodwa kunjalo akunakwenzeka ukuzama self-aphathe ezifana nesifo spondylitis nje seronegative. Ukukhubazeka, ubumfama, kwegazi - oko iingxaki eziphumo nothomalaliso engalunganga. Ngoko ke, ngaphambi kokuba isicelo naziphi na izinto yesizwe kufuneka udibane nogqirha wakho.