Matenda a Bechterev - Kodi mungatani kuti mukhale ndi moyo wabwino?

Matenda a Bechterew ndi kutukumula kosatha kwa mapangidwe osokoneza ubongo, omwe amadzaza ndi kusakanikirana kwawo. Kuchita zamankhwala, imatchedwanso idiopathic ankylosing spondylitis. Amuna (mpaka zaka 30) matendawa amapezeka nthawi 9 kuposa amayi. Komanso, matendawa ndi ovuta kwambiri kwa iwo.

Matenda a Bechterew - Amayambitsa

Matendawa amatanthauza matenda a idiopathic. Izi zikutanthauza kuti zomwe zimayambitsa matenda sizinafike lero. Komabe, zakhala zatsimikiziridwa ndi sayansi kuti antigen HLA B27 iyenera kupezeka mu thupi kuti ikule matendawa. Odwala 90% omwe amapezeka ndi ankylosing spondylitis, chinthuchi chikupezeka. Kukhalapo kwa antigen sikukuwonetsa nthawi zonse kukula kwa matendawa. Chomwe chikhoza kukhalapo mu thupi la iwo omwe ali ndi choloŵa choloŵa choloŵa chokhala ndi choloŵa chawo.

Kuphatikizanso apo, akatswiri ena amakhulupirira kuti matendawa amayamba chifukwa cha odwala opatsirana. Pali lingaliro lakuti tizilombo toyambitsa matendawa timayambitsa kupweteka kwa chitetezo cha mthupi. Chotsatira chake, thupi limayamba kupanga ma antibodies osati kwa opatsirana opatsirana okha, komanso kumatenda opangira. Kutetezeka kwa thupi kumadziwoneka ngati matupi achilendo. Pa chifukwa chimenechi, amayamba kudziwonongera thupi.

Zomwe zimagwiritsidwa ntchito mosavuta zimayambitsidwa ndi zinthu izi:

• chithunzi;
• kupanikizika kwambiri;
• kusagwirizana kwa dongosolo la endocrine;
• kuvulala;
• zizindikiro za dongosolo la machitidwe;
• matenda oopsa komanso aakulu.

Ankylosing spondylitis - mndandanda

Pali mitundu yambiri ya matendawa. Malingana ndi dera lakumidzi, matenda a Bekhterev akhoza kukhala ndi mitundu yosiyanasiyana yachipatala:

1. Mtundu wapakati - mtundu uwu umaonedwa kuti ndi wamba kwambiri. Matendawa amayamba pang'onopang'ono. Choyamba, zimagwera sacrum, kenako zimapita kumtunda kwa msana.
2. Fomu yotchedwa Risomelic (yomwe ikudziwikabe ngati mawonekedwe a mizu). Matendawa amakhudza msana ndi ziwalo zazikulu. Matendawa amayamba pang'onopang'ono.
3. Ankylosing spondylitis ndi mawonekedwe achilengedwe. Kutupa kumakhudza msana ndi ziwalo zing'onozing'ono.
4. Scandinavia mawonekedwe. Ndi matendawa, matendawa amakhudza msana, kenako amapita ku ziwalo za manja, mapiko, mapiko ndi mapazi.

Matenda a Bechterew - zizindikiro

Kuweruza kukula kwa matendawa kumathandiza zizindikiro zingapo. Zizindikiro za ankylosing spondylitis zili ndi izi:

• kumverera kovuta;
• ululu mu msana, kusiya m'manja, miyendo ndi mabowo;
• kuphwanya kuika;
• kuwonongeka kwa chilakolako;
• chizungulire;
• atrophy ya minofu ya kumbuyo;
• kuchepa kwa voliyumu ya mpweya wotulutsa mpweya;
• kusakhazikika kwa kutentha kwa thupi (m'mawa kumatha kuwonjezeka).

Matenda a Bechterew - magawo

Pali 3. Matenda a Ankylosing (matenda a Bechterew) angathe kukhala ndi magawo otsatirawa:

1. Poyambirira - pali kuuma pang'ono pokhapokha. Ululu pa siteji iyi ndi yaing'ono. X-ray nthawi zambiri amasonyeza kuti palibe vuto kapena vuto lochepa.
2. Kupweteka kosawerengeka kumawonjezeka. Kufooka kwa kusamuka kumawonjezeka. Kufufuza kwa ma Radiographic kumasonyeza kuchepa kwa fisi.
3. Posachedwapa - limodzi ndi zofooka zazikulu ndi ululu. Ndi kufufuza kwapadera, kutchulidwa zizindikiro za ankylosis kumawululidwa.

Matenda a Bechterew

Maganizo osasangalatsa amasiyana malinga ndi mawonetseredwe komanso nthawi. Achinyamata ochepa omwe amadziwika kuti spondylitis ali ndi mawonetseredwe awa:

• kuuma kwakukulu ndi kupweteka m'mawa, koma pambuyo pa mphindi 30 zizindikiro zimatha;
• zovuta kumvetsa zimamvetsetsa panthawi yoyendayenda ndipo nthawi ya mpumulo mphamvu zawo sizicheperachepera;
• malo omwe amamva kupweteka kwawo kumadalira mtundu wa matenda, komanso mphamvu zake - kuchokera pa siteji ya chitukuko cha matendawa.

Matenda a Bechterew - matenda

Wodwala amapatsidwa mayesero awa:

• rheumatological test;
• kusanthula kwakukulu kwa magazi ndi mkodzo;
• kuzindikira kwa mlingo wa shuga ;
• kuyesa mwazi kwa immunoglobulins ndi antigen.

Kuzindikira za spicyylitis ankylosing kumathandiza kuika njira zoterezi:

• mafilimu ;
• Ultrasound;
• ECG.

Kuonjezera apo, zotsatirazi zikuthandizira kuzindikira matendawa:

• Mayesero a Ott;
• chizindikiro;
• Mayeso a Shober;
• chizindikiro cha Zatsepin;
• ululu pa nthawi ya msana.

Matenda a Bechterew - mankhwala

Palibe mankhwala ozizwitsa omwe angathe kuthetseratu matendawa. Pofuna kuchepetsa chitukuko cha matendawa ndi kusintha moyo wa wodwalayo, njira yowonjezera imagwiritsidwa ntchito. Chithandizo chonse chingagawidwe m'magulu otsatirawa:

• Kukhala kwa wodwala kuchipatala (mankhwalawa akulimbikitsidwa panthawi ya kuchulukitsa);
• sanatorium mankhwala;
• mankhwala opatsirana.

Momwe mungapewere matenda a Bekhterev:

• kusamba;
• mankhwala;
• mankhwala;
• kusambira;
• njira zamakono ndi zina zotero.

Masewera olimbitsa thupi ndi matenda a Bechterew

Kuchita masewera olimbitsa thupi kuyenera kusankhidwa poganizira momwe thupi limakhalira ndi mliri wa chitukukochi. Zojambulazo zimaperekedwa kotero kuti ziwalozo zimagwiritsidwa ntchito mopyolera. Zochita za matenda a Bechterew zimaphatikizapo kutembenuka kwakukulu, kusinthasintha, kutsogolo kutsogolo-kumbuyo. Pakati pa mafilimu oterewa ayenera kugwiritsidwa ntchito mochuluka. Pofuna kukhala ndi zotsatira kuchokera ku makalasi, ayenera kuchitidwa nthawi zonse. Kuchita masewera olimbitsa thupi kumachitidwa 30 kapena kuposerapo mphindi patsiku.

Kutsekemera ndi ankylosing spondylitis

Zomwe zimakhudza ziwalozi zimakhala zosavuta. Kupaka minofu kovuta kumayambitsa kuchulukitsa. Kuonjezera apo, njira zonse ziyenera kuchitika panthawi ya kukhululukidwa. Pamene antikylosing spondylitis imapezeka, mankhwala odzola ndi kusakaniza amakhala ndi zotsatirapo pa thupi:

• kumathandiza kuyendetsa magazi;
• minofu mawu ndi normalized;
• kuthetsa mavuto ndi kuuma;
• ululu umachepa;
• kuyenda kumasungidwa.

Matenda a Bechterew - mankhwala osokoneza bongo

Mankhwala osakanikirana ndi mankhwala osakanikirana ndi mankhwala othandiza kwambiri polimbana ndi matendawa. Kusachepera kovomerezeka kwawo ndi chaka chimodzi. Kuchulukitsa kutenga mankhwalawa ayenera kukhala zaka zisanu. Mankhwala odana ndi zotupa omwe amaperekedwa kwa odwala:

• Meloksikam ;
• Ketoprofen;
• Chophika;
• Nimesil ;
• Voltaren;
• Movalis;
• Orthophene.

Mu mawonekedwe oopsa a matendawa, mankhwala awa akutsatiridwa:

• Azathioprine;
• Chlorobutin;
• Methotrexate.

Matenda otsutsana ndi kutupa mankhwala osokoneza bongo. Kawiri kaŵirikaŵiri amapatsidwa ziphuphu zoterezi ndi ankylosing spondylitis:

• Prednisolone ;
• Sukulu;
• Kusungidwa.

Sulfasalazine mu matenda a Bechterew amaonedwa ngati mankhwala othandiza kwambiri. Mankhwalawa amaperekedwa kwa odwala omwe, atalandira chithandizo, amalandira mankhwala a mahomoni komanso mankhwala osagwiritsa ntchito mankhwala oletsa kutupa. Malinga ndi akatswiri azachipatala, ali ndi mphamvu komanso mphamvu zambiri. Komabe, poonetsetsa kuti zotsatira zake sizikhumudwitsidwa, muyenera kutsatira ndondomeko yoyenera ndi ndondomeko ya kumwa mankhwala.

Matenda a Bechterew - mankhwala ochiritsidwa ndi anthu ambiri

Pochiza matendawa, "mankhwala osokoneza bongo" omwe amagwiritsa ntchito mankhwala osagwiritsidwa ntchito amagwiritsidwa ntchito. Kawiri kawiri pa chithandizocho analamula njira izi:

• osambira machiritso;
• chosokoneza;
• mafuta;
• tinctures.

Matenda a Bechterew - njira zamachiritso zochiritsira mothandizidwa ndi kusamba

Zosakaniza:

• rosemary, singano, sabelnik ndi clover okoma (mu magawo ofanana) - 300 g;
• madzi - 5 malita.

Kukonzekera, gwiritsani ntchito:

1. Mankhwala a mankhwala amaikidwa mu thumba la gauze ndipo amathira madzi otentha.
2. Pambuyo pa zojambulazo, kuchepetsa moto kwazing'ono ndi kuwiritsa kwa theka la ora.
3. Msuzi wasungunuka ndipo akulimbikitsidwa kwa maola angapo.
4. Sungunulani mankhwala ndi kutsanulira mu kusamba ndi madzi ofunda. Ndondomekoyi iyenera kukhala 10-15 minutes. Kusambira kuyenera kukhala kawiri kapena katatu pa sabata kwa miyezi ingapo mzere.

Mankhwala ochiritsa

Zosakaniza:

• Muzu wa thymus wamba ndi 220 g;
• Mafuta a mpendadzuwa - 1 koloko. supuni.

Kukonzekera, gwiritsani ntchito:

1. Muzu wa mankhwala ndiwo mankhwala.
2. Sakanizani ndi mafuta.
3. Limbikirani kusakaniza kwa masiku 18-20.
4. Pakani kagawo katatu patsiku m'madera okhudzidwa a thupi. Njira zoterezi zimafunika kwa miyezi yambiri mzere.

Ngati matenda a Bekhterev akudwala

Chakudya chokonzekera bwino chimathandiza kuwonetsa mkhalidwe wa wodwalayo. Idiopathic ankylosing spondylitis ikuphatikiza kudya zakudya zotere:

• masamba ndi zipatso;
• mchere wamchere mmalo mwa kuphika;
• Zakudya za mkaka ndi mafuta ochepa;
• zipatso zouma, mtedza ndi mbewu;
• green parsley, katsabola, basil ndi zina zotero;
• tirigu wambewu zonse;
• nyama zonenepa;
• saladi odzazidwa ndi mafuta osagwiritsidwa ntchito;
• wophunzira.

Kuonjezera apo, matenda a Bekhterev akuthandizira kupeleka zakudya zotere kuchokera ku zakudya:

• mowa;
• mankhwala omaliza;
• chakudya chofulumira;
• chakudya chamzitini;
• kusuta, zokometsera ndi zakudya zokazinga;
• mankhwala oyeretsedwa;
• Chakudya chokhala ndi "E-shki" chovulaza.

Matenda a Bechterev - chiwonetsero cha moyo

Pali zifukwa zambiri zomwe zimakhudza chitukuko cha matenda:

• Ndi ziwalo ziti zomwe zimakhudza poyamba;
• Kodi matenda omwe ali ndi vutoli ndi otani?
• mu chikhalidwe chotani zomwe zili pafupi.

Pokhala ndi nthawi yowonjezera kuchipatala, nkotheka kuletsa chitukuko cha matenda ndi kuchepetsa tsogolo la wodwalayo. Komabe, ngati matendawa atsalira popanda mankhwala oyenera, matenda a Bekhterev angakhale okhumudwitsa. Pali vuto lalikulu la zotsatirazi:

1. Mmodzi mwa odwala asanu ali ndi matenda m'kugwira ntchito kwa mtima. Kuwonjezeka kwa chiopsezo cha mtima, kuthamanga kwa magazi ndi kupweteka.
2. Matenda a Bechterew amachititsa kuti ziwalo zosiyana (impso, chiwindi, mtima) zisagwire bwino ntchito.
3. Kukulitsa iritis kapena uveitis - matenda, limodzi ndi kupweteka, kutaya masomphenya ndi photophobia. Zotsatira zake, zikhoza kuchitika khungu kapenanso kwathunthu.
4. Chifukwa cha kusokonezeka kwa kapangidwe ka minofu ya mafupa, kuwonjezereka kwawo kumawoneka. Mng'onoting'ono wa kupweteka kwa msana ukuwonjezeka.
5. Zovuta zochepa "matenda a mchira wa akavalo" - zomwe zimapangidwira kwambiri mitsempha ya mitsempha yomwe ili kumunsi kwa msana. Kusokoneza uku kumawonetseredwa ndi kusadziletsa kwa nyansi ndi mkodzo, kupweteka kwa miyendo, kupweteka koyendayenda.
6. Kuzindikira za pulmonary fibrosis. Pa vuto lililonse la 10, matendawa amatsimikiziridwa pamene thupi limadwala matenda a Bekhterev.
7. Chifukwa cha kusintha kwa chifuwa, chiopsezo chotenga chibayo ndi chifuwa chachikulu chikuwonjezeka.