Isifo sikaBechterew sisifo esingahlala sisigxina se-intervertebral joints, esilungele ukuxuba kunye nokunyanzeliswa kwayo. Kwizonyango, kubizwa ngokuba yi-idiopathic ankylosing spondylitis. Kwamadoda (ukufikelela kwiminyaka engama-30) le ntlupheko ibangelwa ngamaxesha angama-9 ngokuphindaphindiweyo kunabesifazane. Ukongezelela, esi sifo kunzima kakhulu kubo.
Izifo zeBechterew - Izizathu
Esi sifo sibhekisela kwizifo ze-idiopathic. Oku kuthetha ukuba izibangela zesifo azange zimiselwe kulo mhla. Nangona kunjalo, kuye kwafakazelwa ngokwesayensi ukuba i-antigen HLA B27 ifanele ibe khona emzimbeni ekuphuhliseni le meko. Kwi-90% yezigulane ezifunyaniswa ukuba zine-spondylitis e-ankylosing, eli qakala lifumaneka. Ubukho beli antigen alisoloko lubonisa ukuphuhliswa kwesi sifo. Into enokuthi ibe khona emzimbeni walabo abanelungelo lokufumana ifa lokuzalwa kwimeko enjalo.
Ukongezelela, ezinye iingcali zikholelwa ukuba le ngxaki ikhula phantsi kwefuthe lee-agent ezithathelwanayo. Kukho imbono yokuba ezi nkunkuma ezinobungozi zikhupha umonakalo kwi-immune system. Ngenxa yoko, umzimba uqala ukuhlakulela izifo zengqungquthela kungekuphela kuphela kwintsebenziswano ezithintekayo, kodwa nakweethambo ezixubileyo. Ukhuseleko luyabona njengemizimba engaphandle. Ngenxa yesi sizathu, uqala ukutshabalalisa umzimba.
Izicwangciso ze-Autoimmune zibangelwa zizinto ezinje:
- i-supercooling;
- uxinzelelo olunzulu;
- ukungasebenzi komsebenzi we-endocrine;
- nzakala;
- izifo ze-genitourinary system;
- izifo ezigugu kunye nezifo ezingapheliyo.
I-Ankylosing spondylitis - isigaba
Kukho iintlobo ezininzi zesifo. Ngokuxhomekeke kwingingqi yokuhlala kwendawo, isifo sikaBekhterev sinokuhlukahluka kliniki ezinjalo:
- Ifom ephakathi - le ntlobo ithathwa njengowona oqhelekileyo. Esi sifo sikhula ngezinga eliphantsi kakhulu. Okokuqala, ihlasela i-sacrum, ize ihambele kwiindawo eziphezulu zomlenze.
- Ifomu ye-Risomelic (iyakwaziwa njengengcambu yefom). I-pathology ichaphazela umlenze kunye namaqela amakhulu. Esi sifo sikhula ngokukhawuleza.
- I-Ankylosing spondylitis yifom ye-périphheral. Ukuvuvukala kukuchaphazela umlenze kunye namaqela amancinci.
- Ifomu laseScandinavia. Ngaloo ntsholongwane, lesi sifo sichaphazela umgudu, emva koko sitshintshela kumanyathelo ezandla, i-pelvis, i-shins kunye neenyawo.
Isifo sikaBechterew - iimpawu
Ukugweba ukuphuhliswa kweli gciwane lentsholongwane kunceda inani leempawu ezithile. Izimpawu ze-Ankylosing spondylitis zinalo:
- uvakalelo lwesithintelo;
- iintlungu emthonjeni, ukuyeka ezandleni, imilenze kunye neentambo;
- ukuphulwa komsebenzi;
- ukuphazamiseka kokutya;
- ukungcola;
- i-atrophy yemisipha yomva;
- kunciphisa umthamo we-air-out exhaled air;
- ukungazinzi kokushisa komzimba (ekuseni kusenokunyuka).
Izifo zeBechterew
Kukho kuphela 3. I-ankylosing spondylitis (isifo se-Bechterew) sinokuzibandakanya kwezi zilandelayo:
- Ukuqala - kukho ukunyaniseka okuncinci. Ubuhlungu kweli nqanaba lincinci. I-X-ray ivame ukubonisa ukungabikho kokukhubazeka okanye ukugula okuncinci.
- Iintlungu zincinci ziqinisa. Ubunzima bokunyuka kwenyuka. Uviwo lwe-Radiographic lubonisa ukuhla kwe-articular fissures.
- Ixesha elide - elihamba kunye nokunciphisa ubunzima kunye nentlungu. Ngokuhlolwa kweempahla, ukubonakaliswa kweempawu ze-ankylosis kubonakala.
Iintlungu zesifo seBechterew
Iimvakalelo ezingathandekiyo ziyahluka kwizinga lokubonakaliswa kunye nexesha lokufumaneka. I-spinalylitis engumntwana engabonakaliyo inezibonakaliso:
- ubunzima obunzima kunye nentlungu kusasa, kodwa emva kwemizuzu engama-30 le miqondiso iphela;
- iimvakalelo ezingathandekiyo ziyaqonda ngexesha lokunyakaza kwaye kwimeko yokuphumla kwazo azinciphisi;
- indawo yokubuhlungu kwendawo ixhomekeke kwimeko yesifo sengqondo, kunye nokuqina kwayo - ukusuka kwisigaba sokuphuhliswa kwesifo.
Isifo sikaBechterew - ukuxilongwa
Isigulane sinikwe iimvavanyo zelabhoratri:
- vavanyo lwe rheumatological;
- Ukuhlalutya ngokubanzi kwegazi kunye nomchamo;
- ukufunyanwa kwinqanaba le- glucose ;
- ukuhlolwa kwegazi nge-immunoglobulins kunye nama-antigen.
Ukuxilongwa kwe-spondylitis engabonakaliyo kunokunceda ukubeka iindlela ezinjalo zokudlala:
- i radiography ;
- Ultrasound;
- ECG.
Ukongeza, ezi zilandelayo zifundo zikunceda ukuchonga isigulo:
- Uvavanyo lwe-Ott;
- Forestier;
- Vavanyo lwe Shober;
- uphawu lweZatsepin;
- intlungu ngexesha lokutshatyalaliswa komlenze.
Isifo seBechterew - unyango
Akukho mveliso yemimangaliso eyayikuphelisa ngokupheleleyo loo nto. Ukuze kuphuculwe ukuphuhliswa kwesifo kwaye kuphuculwe umgangatho wobomi wobomi, kusetyenziswa indlela edibeneyo. Yonke inyango ingabelana ngezigaba ezilandelayo:
- ukuhlala kwesigulane kwisibhedlele (olu unyango lunconywa ngexesha lokuxhatshazwa);
- yonyango;
- unyango.
Nantsi indlela yokuphatha isifo sikaBekhterev:
- ukusilisa;
- benzisa unyango;
- unyango lweziyobisi;
- kubhukuda;
- iinkqubo ze-balneological kunye njalo.
I-Gymnastics ne-Bechterew's Disease
Ukuzivocavoca kufuneka kukhethwe ngokuqwalasela imeko yomzimba wesigulane kunye nesigaba sokuphuhliswa kwesifo. Le gymnastics imiselwe ukuba amanyathelo asetyenziswa ngokugqithiseleyo. Izifo zesifo seBechterew zibandakanya ukujika, ukujikeleza, ukuthambekela phambili. Ngethuba lolo hlobo lwe-physiotherapy lubandakanya amanxeba kufuneka asetyenziswe kangangoko kunokwenzeka. Ukuze kube nefuthe kwiiklasi, kufuneka zigcinwe rhoqo. Ukuzivocavoca kufuneka kwenziwe 30 okanye ngaphezulu imizuzu ngosuku.
Ukuhlambalaza nge-spondylitis e-ankylosing
Impembelelo kumajoyina achaphazelekayo kufuneka kube lula. Ukusilalisa okunzima kunokubangela ukugqithisa. Ukongezelela, zonke iimpazamo kufuneka zenziwe ngexesha lokuxolelwa. Xa i-spondylitis engabonakaliyo ifunyaniswa, unyango nge-massage linomphumela onjalo kumzimba:
- phucula ukujikelezwa kwegazi;
- ithoni ye-muscle iqhelekileyo;
- kunciphisa uxinzelelo kunye nokuqina;
- intlungu iyancipha;
- ukuhamba kuya kugcinwa.
Izifo zonyango lweBechterew
Imishanguzo engeyiyo-inflammatory ye-non-steroidal yiprojekithi eyintloko ekulwa nalesi sifo. Inkqubo encinane yokumkelwa kwabo ngumnyaka ongu-1. Ubuninzi bezithathele ezi machiza kufuneka zibe yiminyaka emi-5. Izidakamizwa eziqhelekileyo ezichasayo ezichazwe kwizigulane:
- Meloksikam ;
- Ketoprofen;
- Ketonal;
- Nimesil ;
- Voltaren;
- Movalis;
- I-Orthophene.
Kwimeko ephosakeleyo yesifo, la mayeza asebenzayo alandelayo:
- Azathioprin;
- Chlorobutin;
- Methotrexate.
Isiphumo sokulwa nokuvuvukala kweziyobisi ze-hormonal. Ngokuqhelekileyo ibhalwa njengezohlwayo nge-spondylitis e-ankylosing:
- Prednisolone ;
- Solu-medrol;
- Ukuxutywa.
I-Sulfasalazine kwisifo sikaBechterew sithathwa njengonyango osebenzayo. Eli nyanga limiselwe izigulane, xa ziphathwa, zifumana unyango lwe-hormone kunye neziyobisi ezingekho-steroidal ezichasayo. Ngokutsho kweengcali zonyango, kunamandla amakhulu nokusebenza. Nangona kunjalo, ukuqinisekisa ukuba isiphumo asidangali, kufuneka uhambelane nomlinganiselo obekiweyo kunye nesicwangciso sokuthatha loo mayeza.
Isifo sikaBechterew - unyango kunye nezilwanyana zabantu
Xa uphathwe lesi sifo, "iziyobisi" zenye iyeza zisebenziswa. Ngokuqhelekileyo kunyango echazwe ngale ndlela:
- zokuhlamba;
- zikhetho;
- mafutha;
- zincinci.
Isifo sikaBechterew - iindlela zabantu zokuphulukisa ngoncedo lokuhlamba
Izithako:
- i-rosemary, iinaliti, i-sabelnik kunye ne-clover elimnandi (kwiindawo ezilinganayo) - 300 g;
- amanzi - 5 ilitha.
Ukulungiselela, sebenzisa:
- Iingcali zonyango zifakwe kwisikhwama se-gauze kwaye zidibene ngamanzi abilayo.
- Emva kokupheka kwamathumba, ukunciphisa umlilo kumancinane uze ubilise ihafu yesure.
- Umhluzi ucolile kwaye ugxininiswe kwiiyure ezimbalwa.
- Coca isiza kwaye uyithulule kwindawo yokuhlamba ngamanzi afudumeleyo. Inkqubo kufuneka ibe nemizuzu eyi-10-15. Thatha ibhafu kufuneka ibe kabini okanye kathathu ngeveki kwiinyanga eziliqela ngokulandelana.
Ukuphilisa amafutha
Izithako:
- Ingcambu ye-thymus evamile ingu-220 g;
- Ioli ye-sunflower - 1 dec. isipuni.
Ukulungiselela, sebenzisa:
- Ingcambu yesityalo sonyango isisiseko.
- Hlanganisa nge bhotela.
- Ukumisela umxube weentsuku eziyi-18-20.
- Gubha ihlanganisi kathathu ngosuku kwiindawo ezichaphazelekayo zomzimba. Ezi nkqubo zifunekayo kwiinyanga eziliqela kumqolo.
Kwimeko yesifo sikaBekhterev
Ukutya okulungelelanisiweyo kunceda ukulungiselela imeko yesigulane. Idiopathic ankylosing spondylitis iquka ukutya ukutya okunjalo:
- imifuno kunye neziqhamo;
- ulwandle ityuwa endaweni yokupheka;
- iimveliso zobisi kunye nomxholo weoli ophantsi;
- izithelo ezomileyo, izantyambo kunye nembewu;
- i-parsley eluhlaza, i-dill, i-basil njalonjalo;
- ukutya okusanhlamvu;
- inyama ephantsi;
- iiladi ezizaliswe ngamafutha angagqitywanga;
- umfundi.
Ukongeza, isifo sikaBekhterev sinikela ukukhutshwa kwezinto ezinjalo ekudleni:
- utywala;
- iimveliso ezigqityiweyo;
- ukutya okukhawulezayo;
- ukutya okusemgangathweni;
- ukutya, ukutywala kunye nokutya okuthosiweyo;
- iimveliso ezicwangcisiweyo;
- Ukutya okunomonakalo "E-shki".
Isifo sikaBechterev - isifo sokuphila
Kukho izinto ezininzi ezichaphazela ukuphuhliswa kwesifo:
- ngawaphi amajoyina athatyathwa okokuqala;
- zeziphi izifo ezithintekayo;
- kwimeko yiphi iindawo ezinxulumene nazo.
Ngokufikelela ngexesha elifanelekileyo kunyango lwezempilo, kunokwenzeka ukuyeka ukuphuhliswa kwesi sifo nokunciphisa isigulo sesigulane. Nangona kunjalo, ukuba isifo sishiywe kungekho unyango olufanelekileyo, isifo sikaBekhterev sinokudanisa. Kukho ubungakanani obuphezulu beengxaki ezilandelayo:
- Esinye sezigulane ezingama-5 sinokukhubazeka ekusebenzeni kwenkqubo ye-cardiovascular system. Umngcipheko ophezulu wokuhlaselwa intliziyo, uxinzelelo lwegazi kunye nesifo.
- Isifo sikaBechterew siphumelela ukungafezeki komsebenzi kweziko ezahlukeneyo (izintso, isibindi, intliziyo).
- Ukuphuhlisa iritis okanye uveitis - izifo, ezihamba kunye nokukhathazeka, ukulahleka kombono kunye ne-photophobia. Ngenxa yoko, le meko inokufikelela kwimpumputhe ekhethekileyo okanye epheleleyo.
- Ngenxa yokuphazamiseka kwesakhiwo samathambo esithambo, ukunyuka kwabo kwenyameko kubonakala. Umngcipheko wokuphulwa komgudu wanda.
- Ngaphantsi kwexesha "i-horse tail syndrome" -iyimeko apho ixundwe leengcambu zengxube ephantsi kwintambo yomgudu igxininiswe. Le nkxalabo ibonakaliswe ngokungahambisani nemifuno kunye nomchamo, ukunyanzeliswa kweengcambu, intlungu ebuhlungu ekuhambeni.
- Ukuxilongwa kwe-pulmonary fibrosis. Kwimeko nganye ye-10, esi sifo siqinisekiswa xa umzimba uhlaselwa isifo sikaBekhterev.
- Ngenxa yokuguqulwa kwesifuba, umngcipheko wokuba ne-pneumonia nesifo sofuba sisanda.