Seronegative spondylitis: Zviratidzo, kuongorora chirwere neMarapirwo

Seronegative spondylitis - chirwere iyo inobatanidzwa kuzvimba uye maronda ose mapfundo nomuzongoza. Kuti kuva chaiwo, hakusi chimwe chirwere, asi boka zvirwere kuti vane pathogenesis zvakafanana, etiology uye sokuora maitiro. Uye vanhu vakawanda vanoda kuziva zvimwe mibvunzo pamusoro zvirwere izvi. Chii chinokonzera okukura kwavo? Sei vanoratidza? Sei ngozi chingava zvinozoitika? Anoita mushonga ano anopa kugona kurapwa? Mhinduro dzemibvunzo iyi ichava kufarira vaverengi vazhinji.

Chii boka iri zvirwere?

Sezvambotaurwa, seronegative spondylitis (spindiloartritopatii) - iri panzvimbo guru boka echirwere anogumbura zvirwere, izvo dzimwe nechiyero vari dyidzana pamwe nemumwe. Kunyanya, boka kwezvirwere date zvinosanganisira idiopathic ankylosing spondylitis, reactive chearthritis, psoriatic chearthritis, chearthritis enteroticheskie.

Kutaura zvazviri, kusvikira ichangopfuura, zvirwere aya kubatwa kuboka dzinonzi rheumatoid arthritis (seropositive). Chete muna 1970 zvakanzi kutanga kwakaratidza zvimwe Misiyano. Around imwe nguva yokutanga pamwero kunyatsoongorora varwere yakazokudziridzwa uye kupatsanura vanoronga seronegative zvirwere.

To musi, zvakaoma kutonga mwero kupararira chirwere ichi, nekuti vanhu vazhinji vane chirwere ndiye ane usimbe, uye varwere vakawanda misdiagnosed. Tinogona chete kutaura chokwadi kuti varume ava vanobatwa nechirwere ichi zvakawanda zvakajairika vakadzi asi chirwere angaperekedzwa risingamboshandisi nezviratidzo zvinoverengeka uye matambudziko. Most kazhinji chirwere anotanga mberi mune makore 20-40.

The chikuru zviri boka iri pathologies

Pane kusiyana zvakakosha kuti muzana remakore rapfuura vakabvumira vatsvakurudzi kuziva seronegative spondylitis ari oga boka zvirwere. With kwavo mazita achava kubatsira kuverenga:

• In zvirwere zvakadai munguva Diagnostics anogona kuona kusavapo revmofaktora.
• Arthritis hwapedyo asymmetrically.
• Typical subcutaneous nodules hatisi.
• Panguva X-ray unogona kuona zviratidzo ankylosing spondylitis uye sacroiliitis.
• Pane pedyo kusakarongeka pamwe antigen Hla-B27.
• Kubva chirwere ichi achitambura, sezvo mutemo, vanoverengeka vomumhuri.

Chero zvazvingava zvinokosha kunzwisisa kuti mutongo yakarurama chirwere kunoda kuongorora zvizere, miedzo kubatsira chiremba kuunganidza nhoroondo kupfuura wakakwana.

The kukonzera chirwere

Zvinosuruvarisa, kwete nyaya dzose zvinoita kuti azive zvinokonzera chirwere ichi. Kunyange zvakadaro, mumakore mashoma apfuura, takakwanisa kuratidza ukama chirwere nemamwe zvirwere intestinal, kusanganisira salmonella, manyoka uye yersiniosis. Seronegative spondylarthritis inogona kukudziridzwa tikafunga urogenital zvirwere kusanganisira venereal zvirwere (semuenzaniso, Chlamydia). Sembura mamiriro kungava zvokudya.

Uyezve, anobata vamwe majini kubatwa nechirwere yakadai seronegative spondylarthritis. zvidzidzo Recent munzvimbo iyi vakaratidza kuti varwere nechirwere ichi vane chaiyo antigen Hla-B27. Sezvineiwo, antigen ichi zvakafanana pamusoro maantigen pamusoro Klebsiella, Shigella, Chlamydia nezvimwe utachiona. Ndokusaka infiltration uye activation mabhakitiriya izvi mumuviri womunhu ane ngozi. Zvechokwadi, pamusoro colour izvi zvirwere pane Kugadzirwa masoja zvivako anokonzera autoimmune kuzvimba munyama pamusoro nomuzongoza uye mapfundo.

Seronegative spondylitis: Zviratidzo

Nokuti chirwere ichi dzinoratidzwa dzekare articular chirwere chinokonzera marwadzo panguva kufamba (mu akazotevera matanho uye ndakazorora), kuomarara, kuzvimba, akatsvuka. Kazhinji, zvikurukuru zvarinoita pezvisungo zvenguvo nomuzongoza, asi chokutsva anokwanisika kuitikawo mune dzimwe majoini. Temperature seronegative spondylitis zvinogoneka, asi kakawanda zvinonzi yakaramba mukati subfebrile.

chirwere ichi kunoratidzwa maronda vemamwe nenhengo dzawo. Somuenzaniso, varwere kuva tsanga, iritis, uveitis, corneal dystrophy, yemaziso, optic kukuvara tsinga. Around 17% nyaya pane anogumbura bowel chirwere. On chikamu ganda anogona keratoderma, erythema, maronda maronda ari mucous membranes. Ndoda (anenge 4% nyaya) varwere kuva nephrotic urwere, proteinuria, microhematuria.

Nzira Diagnostics ano

The chirwere kuti "seronegative spondyloarthritis" anogona kuisa chiremba. Asi zvinokosha achiti kuti nechirwere rakanyatsojeka yakaoma, nokuti chirwere kubva boka iri nyaya dzakadaro kazhinji vane zvakafanana nevamwe zvirwere rheumatic. Saka, kuwedzera kubvunza ane rheumatologist, murwere ndiongororwe imwe gastroenterologist, ophthalmologist, cardiologist, uye dzimwe nguva uyewo chiremba wezvedundira uye dermatologist.

Chokutanga zvinoda kuongororwa rabhoritari ropa. Kazhinji, panguva kudzidza ichi akawana yakakwirira kwevari C-reactive mapuroteni, asi hapana chaicho revmofaktory.

Kuongorora nevamwe mapfupa midziyo zvinosanganisira arthroscopy, radiography, ponji vadyi. Zvakakodzera kuongorora kushanda mwoyo - kwaizvozvi, varwere dzakabatwa unonzi, electrocardiograph, aortography MRI. Sezvo pakanyorwa chirwere zvinowanzooneka kuchengetwa ura uye kukuvadza itsvo, chiremba anogona mishonga coprogram, colonoscopy, urography, ultrasonography uye CT scan etsvo.

Spondylitis seronegative: nechirevo

Sei ngozi anogona kuva chirwere? Migumisiro zvichiguma seronegative spondylitis? Disability - havasi aizivikanwa pavarwere vane chirwere chakadai. Kunyanya, chirwere kunotungamirira chinopedza kuchinja ari musana uye mapfundo - Maitikiro acho anogona seiyi, asi akarega chose kakawanda zvisingaiti.

Nokuti mamwe matambudziko anosanganisira akaderedza chiratidzo uye upofu, uyewo zvikuru kuvadza ganda, zvichiteverwa chirwere, havachanyatsogoni mwoyo kushanda kusvikira kukura kutsemuka mwoyo kuremara. The chirwere chinobata itsvo, saka varwere zvingamuka renal kukundikana (pamwe kurapwa iri kushoma chaizvo).

Ndezvipi kurapa anopa mushonga ano?

Chii rinoreva zvinoshandiswa pamberi chirwere akadai seronegative spondylitis? Treatment kakawanda kuchinja. Sezvineiwo, hapana nzira kuti anogona kubvisa chirwere, asi achibatsirwa zvakanaka yasarudzwa ayo pokumuka zvinodhaka zvinogona seiyi.

Zvikurukuru vanachiremba varayire kushandisa nonsteroidal Anti-anogumbura nevasori, izvo misa kushoma, marwadzo uye yekudyidzana kuvandudza utano. Inonyatsobudirira vanosanganisira zvinodhaka akadai "Voltaren", "Indomethacin", "Ibuprofen", "Diclofenac". Zvinosuruvarisa kushandiswa kwenguva yakareba zvinodhaka izvi kunowedzera njodzi kwevhu uye ulceration pamusoro zvomudumbu turakiti.

Ndezvipi zvimwe matanho anoda seronegative spondylitis? Treatment kungasanganisira kugamuchira immunological kugadzirira, kusanganisira "Remicade" uye "immunofan". Uyezve, varwere akasarudza kwakakodzera zvokudya, zvakaoma kuti kuchirapa muviri, kukwizwa. Uye, chokwadi, kugara cheki kupota nachiremba wako zvinodiwa.

Zvinoita kurapa vanhu vake nzira?

Nhasi, vanhu vakawanda vanoda kuziva mibvunzo pamusoro chii chinonzi seronegative spondylitis. Zviratidzo, kurapwa, zvinokonzera uye zviratidzo zviri chirwere - ichi chinokosha chaizvo pfungwa kuti munokosha kuongorora. Asi kazhinji varwere vari kushamisika kana zvichibvira kurapa chirwere ichi achibatsirwa mushonga zvetsika.

Folk varapi kazhinji varumbidzwa kuti anorumanya kuti makabheji mashizha uchi, grated makarotsi itsva, uyewo turpentine. Nzira idzi kubatsira kuderedza marwadzo ari mapfundo kuvandudza mufambo yavo. Unogonawo kuchafadza njodzi nzvimbo inodziya Gungwa roMunyu, pre-akauputira tauro kana jira.

All zvekushandisa izvi chaizvoizvo kubatsira kuderedza mamiriro. Asi chero zvakadaro hazvibviri kuedza kuzvidzora-vaitire chirwere akadai seronegative spondylitis. Disability, upofu, murombo kuparadzirwa - ndiwo matambudziko izvo kunogumawo isiri mishonga. Saka, asati kushandisa chero nyika yomuchipatara vanofanira kubvunza chiremba wako.