Isifo sikaBechterev - indlela yokuthuthukisa ikhwalithi yokuphila?

Isifo sikaBechterew siwukuvuvukala okungapheli kwamalungu e-intervertebral, egcwele ukuhlanganiswa kwawo kanye nokwehlisa imvelo. Ezokwelapha, kuthiwa yi-idiopathic ankylosing spondylitis. Emadodeni (kufika eminyakeni engama-30) lesi sifo sithola izikhathi ezingu-9 kaningi kunabesifazane. Ngaphezu kwalokho, lesi sifo sinzima kakhulu kubo.

Izifo zeBechterew - Izimbangela

Lesi sifo sibhekisela ezifweni ze-idiopathic. Lokhu kusho ukuthi izimbangela zesifo azange zenziwe kuze kube yilolu suku. Kodwa-ke, kuye kwafakazelwa ngokwesayensi ukuthi i-antigen HLA B27 kufanele ibe khona emzimbeni ekuthuthukiseni isimo salesi sifo. Ezigulini ezingu-90% ezitholwa ukuthi zine-ankylosing spondylitis, lesi sici sitholakalayo. Ukuba khona kwaleli antigen akusho njalo ukuthuthukiswa kwesifo. Isici singaba khona emzimbeni walabo abanesabelo esiyifa lapho kutholakala isimo esinjalo sokugula.

Ngaphezu kwalokho, abanye ochwepheshe bakholelwa ukuthi lesi sifo siba ngaphansi kwethonya lama-agent aphethwe yizifo ezithathelwanayo. Kukhona inkolelo yokuthi lezi zinyoni ezincane eziyingozi ziphulukisa ukusebenza komzimba omzimba. Ngenxa yalokho, umzimba uqala ukuthuthukisa ama-antibodies hhayi kuphela kuma-infectious agents ngokwawo, kodwa nasezikhungweni zomzimba. Ukungavikeleki komzimba kubonakala njengemizimba engaphandle. Ngenxa yalesi sizathu, uqala ukuzibulala komzimba.

Izinqubo ezizenzakalelayo zibangelwa yizici ezinjalo:

• i-supercooling;
• ukucindezeleka ngokweqile;
• ukungasebenzi kwesistimu ye-endocrine;
• ukulimala;
• I-pathologies yesistimu ye-genitourinary;
• izifo ezithathelwanayo nezifo ezingapheli.

I-Ankylosing spondylitis - isigaba

Kunezinhlobo eziningana zalesi sifo. Kuye endaweni yendawo, isifo sikaBekhterev singaba nezinhlobo ezinjalo zokwelapha:

1. Ifomu eliphakathi - lolu hlobo lubhekwa njengento evame kakhulu. Lesi sifo siqala ngezinga eliphansi kakhulu. Okokuqala, ihlasela i-sacrum, bese ihambela ezingxenyeni ezingaphezulu zomgogodla.
2. Ifomu le-Risomelic (liyaziwa ngokuthi ifomu lempande). I-pathology ithinta umgogodla namajoyina amakhulu. Lesi sifo siqala kancane.
3. I-ankylosing spondylitis yifomu yokuxhumana. Ukuvuvukala kuthinta umgogodla namajoyina amancane.
4. Ifomu laseScandinavia. Ngalesi sifo, lesi sifo sithinta umgogodla, bese sithuthela emathanjeni ezandla, amakhanda, amakhanda nezinyawo.

Isifo sikaBechterew - izimpawu

Ukukwahlulela ukuthuthukiswa kwalesi sifo esiyingozi kubasiza izinombolo ezithile. Izimpawu ze-ankylosing spondylitis zinezi:

• umuzwa wokucindezela;
• izinhlungu emgodini, ukuyeka izandla, imilenze namadolo;
• ukwephulwa kokumiswa;
• ukuwohloka kwesifiso;
• isiyezi;
• i-atrophy yemisipha engemuva;
• kwehla emthamo we-air-out exhaled;
• ukungazinzi kokushisa komzimba (ekuseni kunganda).

Isifo sikaBechterew - izigaba

Kukhona kuphela 3. I-Ankylosing spondylitis (isifo sikaBeacherew) singaba nezigaba ezilandelayo:

1. Okokuqala - kunokuqina okuncane okuhambayo. Ubuhlungu kulesi sigaba buncane. I-X-ray ngokuvamile ibonisa ukungabi khona kwezinto ezimbi noma ukugula okuncane.
2. Ubuhlungu obukhulu buyaqina. Ukunyakaza kokunyuka kwenyuka. Ukuhlolwa kwe-Radiographic kubonisa ukwehla kwezingqinamba ze-articular.
3. Ukuhamba kwesikhathi - kuhambisana nokulinganiselwa okujulile nobuhlungu. Ngokuhlolwa okusemandleni, kuvezwe izimpawu ze-ankylosis.

Ukugula kwesifo sikaBechterew

Imizwa engathandeki iyahlukahluka ngezinga lokubonakaliswa kanye nesikhathi sokwenzeka. I-junile antikylosing spondylitis inezibonakaliso:

• ukuqina okuqinile nobuhlungu ekuseni, kodwa emva kwemizuzu engu-30 lezi zimpawu zanyamalala;
• izinzwa ezingathandeki zizwakala ngesikhathi sokunyakaza futhi esimweni sokuphumula amandla abo ayanciphisi;
• indawo yobuhlungu bendawo yendawo ixhomeke esimweni sesimo sokugula, nokuqina kwayo - kusukela esigabeni sokuthuthukiswa kwesifo.

Isifo sikaBechterew - ukuxilongwa

Isiguli sinikezwa izivivinyo ezinjalo zokuhlola:

• ukuhlolwa kwe-rheumatological;
• ukuhlaziywa okujwayelekile kwegazi nomchamo;
• ukutholakala kwezinga le- glucose ;
• ukuhlolwa kwegazi nge-immunoglobulins nama-antigen.

Ukuxilongwa kwe-spondylitis e-ankylosing kusiza ukubeka izinyathelo ezifana nalezi:

• i-radiography ;
• I-Ultrasound;
• ECG.

Ngaphezu kwalokho, lezi zifundo ezilandelayo zisiza ekutholeni ukugula:

• Ukuhlolwa kuka-Ott;
• uphawu Forestier;
• Ukuhlolwa kukaShober;
• uphawu lweZatsepin;
• ubuhlungu ngesikhathi sokulunywa komgogodla.

Isifo sikaBechterew - ukwelashwa

Azikho izidakamizwa eziyisimangaliso ezingaqeda ngokuphelele ukugula. Ukunciphisa ukuthuthukiswa kwesifo nokuthuthukisa ikhwalithi yokuphila yesiguli, indlela ehlanganisiwe isetshenziswa. Yonke indlela yokwelashwa ingahlukaniswa ngezigaba ezilandelayo:

• ukuhlala kwesiguli esibhedlela (lokwelapha kunconywa phakathi nenkathi yokukhushulwa);
• ukwelashwa kwe-sanatorium;
• ukwelapha okwelashwa.

Nakhu indlela yokuphatha isifo sikaBekhterev:

• ukusikhipha;
• sebenzisa i-therapy;
• ukuphathwa kwezidakamizwa;
• ukubhukuda;
• izinqubo ze-balneological njalonjalo.

Ukuvocavoca Ngezifo ZaseBechterew

Ukuzivocavoca kufanele kukhethwe ngokucabangela isimo somzimba wesiguli kanye nesigaba sokuthuthukiswa kwesifo. Lokhu kuvimba kunqunywe ukuze amalunga asetshenziswe ngokugcwele. Ukuzivocavoca kwesifo sikaBechterew kufaka phakathi ukuguquka okujulile, ukujikeleza, ukuthambekela phambili phambili-emuva. Ngesikhathi ama-physiotherapy anama-joints kufanele asetshenziswe ngangokunokwenzeka. Ukuze abe nomphumela kusuka emakilasini, kufanele abanjwe njalo. Ukuzivocavoca kufanele kwenziwe 30 noma ngaphezulu imizuzu ngosuku.

Ukubhubhisa nge-spondylitis e-ankylosing

Umthelela ohlangothini oluthintekile kufanele kube lula. Ukuzikhandla okunzima kuyodala ukukhuphula. Ngaphezu kwalokho, zonke izinyathelo kufanele zenziwe ngesikhathi sokukhululwa. Uma i-spondylitis e-ankylosing itholakale, ukwelashwa nge-massage kunomthelela onjalo emzimbeni:

• kuthuthukisa ukujikeleza kwegazi;
• imisindo ye-muscle ijwayelekile;
• ukukhulula ukukhathazeka nokuqina;
• ubuhlungu buyancipha;
• ukuhamba kuyagcinwa.

Isifo sikaBechterew - imithi yokwelashwa

Imithi engeyona-steroidal elwa nokuvuvukala iyisisombululo esikhulu ekulwa nalesi sifo. Inkambo encane yokwamukelwa kwabo ingu-1 unyaka. Okukhulu ukuthatha le mithi kufanele kube yiminyaka engu-5. Izidakamizwa ezivame ukuvuvukala ezibekwe ezigulini:

• Meloksikam ;
• Ketoprofen;
• I-Ketonal;
• I-Nimesil ;
• I-Voltaren;
• I-Movalis;
• I-Orthophene.

Ngesimo esibi sesifo, imithi elandelayo ye-cytostatic ishiwo:

• Azathioprin;
• I-Chlorobutin;
• I-Methotrexate.

Umthelela wokulwa nokuvuvukala kwezidakamizwa ze-hormone. Ngokuvame ukushiwo izibhamu ezinjalo nge-ankylosing spondylitis:

• I-Prednisolone ;
• Solu-medrol;
• I-Metizred.

I-Sulfasalazine esifo sikaBechterew ibhekwa njengomuthi ophumelela kakhulu. Le mithi inqunyelwe iziguli, lapho zelashwa, zithola ukwelashwa kwe-hormone kanye nezidakamizwa ezingezona izidakamizwa ezilwa nokuvuvukala. Ngokusho kochwepheshe bezokwelapha, kunamandla amakhulu nangempumelelo. Kodwa-ke, ukuqinisekisa ukuthi umphumela awudumazi, kufanele uhambisane nomthamo onqunyiwe kanye nesimiso sokuthatha imithi.

Isifo sikaBechterew - ukwelashwa ngamakhambi abantu

Uma ukwelapha lesi sifo, "izidakamizwa" zokwelashwa okunye ziyasetshenziswa. Ngokuvame ukwelashwa okushiwo ngale ndlela:

• okugeza okuphulukisa;
• i-decoctions;
• amafutha;
• imibala.

Isifo sikaBechterew - izindlela zabantu zokuphulukisa ngosizo lokugeza okugeza

Izithako:

• i-rosemary, izinaliti, i-sabelnik ne-clover enhle (izingxenye ezilinganayo) - 300 g;
• amanzi - amalitha angu-5.

Ukulungiselela, sebenzisa:

1. Izitshalo zokwelapha zifakwa esikhwameni se-gauze bese zifakwa emanzini abilayo.
2. Emva kwamathumba okubunjwa, ukunciphisa umlilo ezincane futhi ubilise ingxenye engamahora.
3. Umhluzi ubusisiwe futhi ugxiliwe amahora ambalwa.
4. Hlunga umuthi bese uwuthululela ekugezeni ngamanzi afudumele. Inqubo kufanele ibe imizuzu engu-10-15. Ukugeza kufanele kube kabili noma kathathu ngesonto izinyanga ezimbalwa ngokulandelana.

Ukuphulukisa amafutha

Izithako:

• impande ye-thymus evamile ingu-220 g;
• Amafutha e-sunflower - ngomhlaka 1 isipuni.

Ukulungiselela, sebenzisa:

1. Umsuka wesitshalo sezokwelapha unomhlabathi.
2. Hlanganisa ngebhotela.
3. Bambelela ingxube kwezinsuku ezingu-18-20.
4. Gubha i-compound kathathu ngosuku ezindaweni ezithintekile zomzimba. Izinqubo ezinjalo ziyadingeka izinyanga ezimbalwa ngokulandelana.

Uma kwenzeka isifo sikaBekhterev

Ukudla okunempilo kusiza ukusiza isimo sesiguli. Idiopathic ankylosing spondylitis ihilela ukudla ukudla okunjalo:

• imifino nezithelo ezintsha;
• usawoti usawoti esikhundleni sokupheka;
• imikhiqizo yobisi ene-fat fat content;
• izithelo omisiwe, amantongomane nembewu;
• i-parsley eluhlaza, i-dill, i-basil njalonjalo;
• wonke okusanhlamvu okusanhlamvu;
• inyama enamafutha aphansi;
• ama-saladi agcwele amafutha angagciniwe;
• umfundi.

Ngaphezu kwalokho, isifo sikaBekhterev sinikeza ukukhishwa kwemikhiqizo ekudleni:

• iziphuzo ezidakayo;
• imikhiqizo esiphelile;
• ukudla okusheshayo;
• ukudla okusemathinini;
• ukubhema, ukudla okunezici ezibabayo nokuthosiwe;
• imikhiqizo ehlungiwe;
• Ukudla okuqukethe "E-shki" eyingozi.

Isifo sikaBechterev - ukubikezelwa kokuphila

Kunezici eziningi ezithonya ukuthuthukiswa kwesifo:

• yiziphi izingxenye ezithintekayo ekuqaleni;
• iziphi izifo ezithintekayo;
• ngamuphi isimo amajoyini aseduze atholakalayo.

Ngokufinyelela okufika ngesikhathi ekunakekelweni kwezokwelapha, kungenzeka ukuyeka ukuthuthukiswa kwesifo nokunciphisa isiphetho sesiguli. Kodwa-ke, uma lesi sifo sishiywa ngaphandle kokuphathwa ngendlela efanele, isifo sikaBekhterev singase sidumaze. Kunamathuba aphezulu ezinkinga ezilandelayo:

1. Omunye weziguli ezingu-5 unesifo sokusebenza kwesimiso senhliziyo. Ingozi eyengeziwe yokuhlasela kwenhliziyo, ukushisa komfutho wegazi kanye nesifo sohlangothi.
2. Isifo sikaBechterew sikhipha amandla okusebenza okusebenzayo kwezitho ezihlukahlukene (izinso, isibindi, inhliziyo).
3. Ithuthukisa iritis noma uveitis - izifo, ezihambisana nokukhathazeka, ukulahlekelwa umbono kanye ne-photophobia. Ngenxa yalokho, isimo singafinyelela ukuphuphutheka okuyingxenye noma ephelele.
4. Ngenxa yokuphazanyiswa kwesakhiwo samathambo esithambo, ukunyakaza kwabo okukhulayo kubonakala. Ingozi yokuphulwa komgogodla iyanda.
5. I-"tail syndrome" yamahhashi encane "encane" - isimo lapho isixuku sezimpande zesibindi esisemkhatsini we-spinal cord sicindezelwe. Le nkinga iyabonakala ngokungahambisani nemfucuza kanye nomchamo, ukunganaki kwamalungu, ukuhlupheka okukhulu ekuhambeni.
6. Ukuxilongwa kwe-fibrosis ye-pulmonary. Kuzo zonke izikhathi ezingu-10, lesi sifo siqinisekiswa lapho umzimba ubhekene nesifo sikaBekhterev.
7. Ngenxa yokuguqulwa kwesifuba, ingozi yokuba nesifo se-pneumonia nesifo sofuba sanda.