Ọkpụkpụ ankylosing

Ankylosing spondylitis (AS) bụ ụdị ọrịa ogbu na nkwonkwo na-adịghị ala ala. Ọ kachasị emetụta ọkpụkpụ na nkwonkwo na ntọala nke spain ebe ọ na-ejikọta ya na pelvis. Njikọ ndị a nwere ike ịza aza ma gbanye ọkụ. Ka oge na-aga, ọkpụkpụ spain metụtara nwere ike ijikọ ọnụ.

AS bụ onye isi nke ezinụlọ nwere ụdị ogbu na nkwonkwo yiri nke a na-akpọ spondyloarthritis. Ndị ọzọ so na ogbu na nkwonkwo psoriatic, ogbu na nkwonkwo nke ọrịa obi na-efe efe na ọrịa ogbu na nkwonkwo na-emeghachi omume. Ezinụlọ ogbu na nkwonkwo yiri ka ọ bụ ihe zuru oke ma na-emetụta ihe ruru 1 n'ime mmadụ 100.

Ihe kpatara AS amaghị. O yiri ka mkpụrụ ndụ ihe nketa hà na-ekere òkè. Imirikiti ndị nwere AS dị mma maka mkpụrụ ndụ HLA-B27.

Ọrịa a na-ebkarịkarị n’agbata afọ iri abụọ na iri anọ, mana ọ nwere ike bido tupu ọ dị afọ iri. Ọ na-emetụta ọtụtụ ụmụ nwoke karịa ụmụ nwanyị.

AS na-amalite site na obere mgbu na-abịa ma na-aga. Obere ihe mgbu na-adị ugbu a ka oge na-aga n'ihu.

• Mgbu na nkwesi ike na-akawanye njọ n'abalị, n'ụtụtụ, ma ọ bụ mgbe ị naghị arụ ọrụ. Mgbakasi ahụ nwere ike iteta gị n'ụra.
• Mgbu na-akawanye mma site na ọrụ ma ọ bụ mmega ahụ.
• Mgbu mgbu nwere ike ịmalite n'etiti pelvis na spain (nkwonkwo sacroiliac). N'ime oge, ọ nwere ike ịgụnye ma ọ bụ akụkụ ụfọdụ nke spain.
• Ọkpụkpụ gị dị ala nwere ike ghara ịdị na-agbanwe agbanwe. Ka oge na-aga, ịnwere ike iguzo n'ọchịchị gị.

Akụkụ ahụ gị ndị ọzọ ị nwere ike ịgụnye gụnyere:

• Njikọ nke ubu, ikpere na nkwonkwo ụkwụ, nke nwere ike ịza ma na-egbu mgbu
• Ihe nkwonkwo n’etiti ọgịrịga gị na ọkpụkpụ obi gị, ka ị ghara ịgbasapụ obi gị n’ụzọ zuru ezu
• Anya, nke nwere ike ịnwe ọzịza na ọbara ọbara

Ike ọgwụgwụ bụkwa ihe mgbaàmà nkịtị.

Mgbaàmà ndị na-adịkarịkarị gụnyere:

• Ahụ ọkụ

AS nwere ike ime na ọnọdụ ndị ọzọ, dịka:

• Psoriasis
• Ọrịa afọ ma ọ bụ ọrịa Crohn
• Na-agbagharị ma ọ bụ na-adịghị ala ala mbufụt (iritis)

Ule nwere ike ịgụnye:

• CBC
• ESR (ihe otutu mbufụt)
• HLA-B27 antigen (nke na-achọpụta mkpụrụ ndụ jikọtara ya na ankylosing spondylitis)
• Rheumatoid factor (nke kwesịrị ịdị njọ)
• X-ray nke spain na pelvis
• MRI nke spain na pelvis

Onye na-ahụ maka ahụike gị nwere ike idepụta ọgwụ ndị dịka NSAID iji belata ọzịza na mgbu.

• Fọdụ NSAIDs nwere ike zụta n'elu-na-na-counter (OTC). Ndị a gụnyere aspirin, ibuprofen (Advil, Motrin), na naproxen (Aleve, Naprosyn).
• Ndị NSAID ndị ọzọ nyere gị n'aka gị.
• Gwa onye na-enye gị ọrụ ma ọ bụ onye na-enye ọgwụ ike ka ị were oge ọ bụla ị na-eji NSAID eme ihe.

Nwekwara ike ịchọrọ ọgwụ ndị siri ike iji chịkwaa mgbu na ọzịza, dị ka:

• Usoro ọgwụgwọ Corticosteroid (dị ka prednisone) ejiri mee obere oge
• Sulfasalazine
• Onye na-egbochi TNF-inhibitor (dị ka etanercept, adalimumab, infliximab, certolizumab ma ọ bụ golimumab)
• Onye na-egbochi ndu ndu nke IL17A, secukinumab

Wa ahụ, dị ka nnọchi hip, nwere ike ịme ma ọ bụrụ na mgbu ma ọ bụ nkwonkwo nkwonkwo dị njọ.

Omume nwere ike inye aka mee ka iku ume na iku ume. Gha ụgha n’azụ gị n’abalị nwere ike inyere gị aka ịnọ nkịtị.

Usoro nke ọrịa siri ike ịkọ. N'ime oge, ihe ịrịba ama na mgbaàmà nke AS flareup (nlọghachi) ma jụụ (mgbaghara). Imirikiti mmadụ nwere ike ịrụ ọrụ nke ọma belụsọ ma ha nwere oke mbibi hips ma ọ bụ spain. Iningbanye na otu nkwado nke ndị ọzọ nwere otu nsogbu nwere ike inye aka.

Ọgwụgwọ na NSAIDS na-ebelatakarị ihe mgbu na ọzịza. Ọgwụgwọ ndị na-egbochi TNF n'isi ọrịa ahụ na-egosi na ọ na-ebelata ọganihu nke ọrịa ogbu na nkwonkwo azụ.

Ọ dịkarịghị, ndị nwere ọrịa ankylosing spondylitis nwere ike ịnwe nsogbu na:

• Psoriasis, na-adịghị ala ala anụ aghara
• Mbufụt ke enyịn (iritis)
• Mbufụt na eriri afọ (colitis)
• Uche ndi ozo
• Arkọcha ma ọ bụ ime ka anụ ahụ dịkwuo elu
• Na-agbapụ ma ọ bụ na-eme ka valvụ aortic dị elu
• Ọkpụkpụ azụ na-emerụ ahụ mgbe ọ daa

Kpọọ onye na-eweta gị ma ọ bụrụ:

• Have nwere ihe mgbaàmà nke ankylosing spondylitis
• Have nwere ankylosing spondylitis ma mepụta mgbaàmà ọhụụ n'oge ọgwụgwọ

Ọrịa Spondylitis; Ọrịa Spondyloarthritis; HLA - Spondylitis

• Ọkpụkpụ ọkpụkpụ
• Cervical spondylosis

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