Arthritis ine mhando dzakasiyana-siyana, imwe yadzo inonzi Strumpell-Marie's disease kana ankylosing spondylitis. Izvi zvinokonzera kuderera kwekufamba kwemashoko maduku, kazhinji munharaunda ye sacral, uye kusanganiswa kwadzo kwekupedzisira nechitarisiko che ankylosis (mapfupa emapfupa panzvimbo pezvinyorwa zvegumbo).
Chirwere ichi chinokura sei ankylosing spondylitis?
Iyo inorondedzwa chirwere inoratidzirwa zvakasiyana kubva kuArthritis munguva pfupi yapfuura, anenge makore 50-60.
Kutanga kwechirwere ichi chinoratidzwa ne osteitis - kuputika kwezvibatanidza zviduku pamwe nemiganhu. Somugumisiro weshoko iri, mamwe masero emagetsi anowanzowedzera munzvimbo dzakakanganiswa, iyo, semugumisiro webasa rinokosha, inokonzera mishonga yemakemikari inokuvadza nekuputsa mapfupa. Kubhadhara kukanganisa, muviri unoshandura mutsara unotapira kana kuti yakasimba (bone) nekakisi yakagadzikana. Kuita kwakadaro kunotungamirira kune chokwadi chokuti vertebrae inoshandura muzvikamu (ankylosis).
Hapana zvikonzero zvakakwana zvechirwere chiri mubvunzo. Pane dzidziso yokuti ankylosing spondylitis inogona kutsamwiswa nehutano hwekuberekwa, asi kuvapo kweyakakodzera geni hakurevi kuti hutachiona huchazviratidza.
Zvakakosha kucherechedza kuti vakadzi vanotambura nechirwere katatu kazhinji pane varume. Zvinonakidza kuti muhuwandu hwezvirwere mune zvepabonde zvakanaka chirwere chinoonekwa panguva yekuzvitakura.
Zviratidzo zveAnkylosing spondylitis
Zviratidzo zvekutanga:
- kurwadziwa mumucheto kumashure nemakumbo, unyoro;
- kuwedzera kunetseka muhudyu, zvikurukuru kana kufamba kana kumhanya;
- kuoma kwekufamba kwechiuno mumangwanani, iyo inonyangarika masikati;
- kuwedzera kurwadziwa kwakanyanya munguva yekuzorora.
Zvishoma nezvishoma, zvipatara zviratidzo zvakapararira kune zvimwe zvikamu zvemupaka:
- kunononoka kuchinja uye kuchinja, matambudziko nekukotamira mberi;
- kurwadziwa mukati mechidziro chemuviri, dzimwe nguva mubhokisi;
- kyphosis uye synovitis;
- kukundwa kwechiedza chekunzwa, icho chinoratidzwa mukuoma uye kusinganzwisisiki kunofadza munzvimbo iyo pakati pe scapulae;
- kurwadziwa mumutsipa (pakadzika);
- iridocyclitis , kubwinya kwemaziso.
Kana pasina chirapa, ankylosing spondylitis kana chirwere chaBekhterev chinotungamirira kumapukisi akawanda e vertebrae, izvo zvinoita kuti ganda rinenge risina kusimba uye risakonzerwa nekukuvadza, kukuvadzwa uye kuputika.
Kurapa kwe ankylosing spondylitis
Zvinosuruvarisa, hazvina kukwanisika kuwana nzira yekubvisa zvachose chirwere chacho. Chiremba chakakomba chinangwa chekudzikisa zviratidzo uye kuvandudza mamiriro ezvinhu ose emuurwere, pamwe nekuderedza kufambira mberi kwechirwere uye ankylosis.
Mishonga inoratidzirwa inorapwa inosanganisira mukugamuchira kwezvinodhaka zvinotevera:
- kwete-steroidal anti-inflammatory drugs (Indomethacin, Ibuprofen, Nimesulide, Diclofenac ), muzviitiko zvisingawanzo mamwe madhiragi akaremara anorongerwa an analgesia, somuenzaniso, Salazosulfapyridine;
- glucocorticosteroid hormone (Prednisolone) nokuda kwekudzivirira muviri;
- vitamini uye micronutrient complexes;
- chondroprotectors (ine kubudirira kwakaratidza),
dzakadaro chondroitin, chondrosol.
Mukuwedzera kune kurapwa kwemishonga kunokosha kushandisa mapiritsiotherapy maitiro, manyorero ekurapa, kunyanya - kuisa muviri, uyewo gymnastics inokosha. Kudzidzira uye nguva dzavo dzinosarudzwa zvinosarudzwa nemudzidzisi maererano nekuoma kwezviratidzo uye mamiriro ezvinhu ehurwere.
Kakawanda kazhinji, ne ankylosing spondylitis, kupindira kwekuvhiya kunokurudzirwa, sekutonga, kana kyphosis inokura uye kufamba kwepemusoro hakukwanisi. Munguva yekushanda, mapfupa ekukura anobviswa, uye vertebrae inogadzirirwa munzvimbo yakarurama.