Lwm Yam Mob thiab Lwm Yam Mob ntawm Ankylosing Spondylitis

Zoo Siab

• Cov tsos mob tshwm sim ntawm AS
• Muaj teeb meem tshwm sim ntawm AS
• Teeb meem qhov muag
• Cov tsos mob neurological
• Lub teeb meem kho hnyuv
• Fused qaum
• Puas taus
• Lub plawv thiab lub ntsws muaj teeb meem
• Mob ua ke thiab kev puas tsuaj
• Nkees
• Thaum mus ntsib kws kho mob

Yog tias koj tau pom tus mob ankylosing spondylitis (AS), tej zaum koj yuav xav tias qhov ntawd txhais tau li cas. AS yog ib hom kev mob caj dab uas feem ntau cuam tshuam rau tus txha nqaj qaum, ua rau mob ntawm tus mob sacroiliac (SI) pob qij txha hauv lub plab mog. Cov pob qij txha txuas txuas lub plab hlaub sacrum hauv qhov qis ntawm nqaj qaum rau koj lub plab mog.

AS yog ib tus kab mob uas tsis tuaj yeem kho kom zoo, tab sis nws tuaj yeem tswj tau nrog kev siv tshuaj kho mob thiab, qee zaus muaj kev phais mob.

Cov tsos mob tshwm sim ntawm AS

Txawm hais tias AS cuam tshuam rau tib neeg sib txawv, qee yam tsos mob feem ntau tau cuam tshuam nrog nws. Cov no suav nrog:

• mob los sis txhav ntawm koj sab nraub qaum thiab pob tw
• maj mam pib ntawm cov tsos mob, qee zaum pib ntawm ib sab
• mob uas txhim kho nrog kev tawm dag zog thiab cuam tshuam nrog so
• qaug zog thiab tag nrho kev tsis xis nyob

Muaj teeb meem tshwm sim ntawm AS

AS yog mob ntev, mob ceev nrooj. Qhov no txhais tau tias nws tuaj yeem mus zuj zus zuj zus. Cov teeb meem hnyav tuaj yeem tshwm sim thaum lub sijhawm, tshwj xeeb yog hais tias tsis kho tus mob.

Teeb meem qhov muag

Kev ua mob ntawm ib lossis ob lub qhov muag hu ua iritis lossis uveitis. Cov txiaj ntsig feem ntau yog liab, mob, o ob lub qhov muag thiab qhov muag plooj.

Li ntawm ib nrab ntawm cov neeg mob uas muaj kev paub AS iritis.

Cov teeb meem qhov muag cuam tshuam nrog AS yuav tsum tau kho sai sai kom tiv thaiv kev puas tsuaj ntxiv.

Cov tsos mob neurological

Cov teeb meem leeg mob tuaj yeem loj hlob hauv cov neeg uas muaj AS ntev heev. Qhov no yog vim muaj cauda equina syndrome, uas tshwm sim los ntawm boney overgrowth thiab caws pliav ntawm cov leeg ntshav ntawm lub hauv paus ntawm nqaj qaum.

Txawm hais tias tus mob no muaj tsawg, kev mob hnyav tuaj yeem tshwm sim, suav nrog:

• tus kheej
• teeb meem kev sib deev
• kev tso zis
• mob ob sab hauv pob tw / sab saud mob
• tsis muaj zog

Lub teeb meem kho hnyuv

Cov neeg uas muaj tus mob AS tuaj yeem pom tus mob ntawm txoj hnyuv thiab cov hnyuv ua ntej pib cov tsos mob los yog lub sij hawm qhia tus kab mob no. Qhov no tuaj yeem ua rau mob plab, raws plab, thiab teeb meem plab zom mov.

Muaj qee kis, kev mob ncauj plab, lossis Crohn's kab mob tuaj yeem pib loj tuaj.

Fused qaum

Cov pob txha tshiab tuaj yeem tsim nyob nruab nrab ntawm koj tus pob txha caj qaum li cov pob qij txha puas thiab ua rau nws zoo. Qhov no tuaj yeem ua rau koj tus txha nqaj qaum, ua rau nws nyuaj los khoov thiab ntswj. Qhov fusing no yog hu ua ankylosis.

Hauv cov tib neeg uas tsis ua kom nruab nrab ("zoo") lub cev, lub pob txha caj qaum fused tuaj yeem ua rau tus cwjpwm uas tig mus rau qhov chaw. Tawm dag zog rau kev tawm dag zog tuaj yeem pab tiv thaiv qhov no.

Cov kev kho tshiab hauv kev kho mob xws li kev siv tshuaj lom neeg mob yog pab txhawm rau tiv thaiv qhov muaj mob ntawm cov pob qij txha.

Puas taus

Cov neeg uas muaj AS puav leej yuag yuag pob txha, los yog txha, tshwj xeeb tshaj yog cov muaj teeb meem pob txha lov. Qhov no tuaj yeem ua rau compression pob txha lov.

Kwv yees li ib nrab ntawm AS cov neeg mob pob txha txha. Qhov no feem ntau ua raws li nqaj qaum. Muaj qee kis, tus txha caj qaum yuav raug puas ntsoog.

Lub plawv thiab lub ntsws muaj teeb meem

Kev mob o tuaj yeem qee zaum kis rau aorta, txoj hlab ntshav loj tshaj plaws hauv koj lub cev. Qhov no tuaj yeem tiv thaiv aorta los ntawm kev ua haujlwm ib txwm, ua rau.

Cov teeb meem mob plawv hauv AS nrog:

• aortitis (mob rau ntawm aorta)
• aortic valve kab mob
• cardiomyopathy (mob plawv mob leeg)
• ischemic mob plawv (uas los ntawm kev txo ntshav txaus thiab oxygen rau cov leeg plawv)

Caws pliav lossis cov hlab ntsha hauv cov ntsws sab sauv tuaj yeem txhim kho, nrog rau kev ua kom tsis ua pa, mob ntsws, mob ntsws, ua kom pw tsaug zog, lossis ntsws ntsws tawg. Txiav kev haus luam yeeb yog qhov pom zoo yog tias koj yog tus haus luam yeeb nrog AS.

Mob ua ke thiab kev puas tsuaj

Raws li koom haum Spondylitis Association of America, kwv yees li 15 feem pua ​​ntawm cov neeg muaj tus mob AS no.

Kev o nyob rau thaj chaw uas koj lub puab tsaig sib ntsib tuaj yeem ua rau mob hnyav thiab nyuaj qhib thiab kaw koj lub qhov ncauj. Qhov no tuaj yeem ua teeb meem nrog kev noj mov thiab haus.

O o thaum twg lig lossis ntu uas txuas rau cov pob txha kuj tseem muaj nyob hauv AS. Hom mob no tuaj yeem tshwm sim rau sab nraub qaum, txha pob txha, hauv siab, thiab tshwj xeeb tshaj yog pob taws.

Qhov mob o tuaj yeem ua pob rau pob qij txha thiab pob txha mos hauv koj pob tw. Sij hawm dhau mus, cov pob txha hauv koj daim nyias nyias yuav fuse, ua rau hauv siab nthuav dav lossis ua pa nyuaj.

Lwm thaj chaw muaj cuam tshuam suav nrog:

• mob hauv siab uas ua qoj ib ce angina (plawv nres) lossis pleurisy (mob thaum ua pa tob)
• ntsag thiab lub xub pwg

Nkees

Coob tus neeg mob AS mob nkees ntau dua qhov uas lawv nkees nkees. Nws feem ntau suav nrog tsis muaj lub zog, nkees nkees, lossis lub hlwb huab.

Qaug zog ntsig txog AS tuaj yeem tshwm sim los ntawm ntau yam:

• ploj pw ntawm qhov mob lossis tsis xis nyob
• anemia
• cov leeg ua kom tsis muaj zog ua rau koj lub cev ua haujlwm txav ib puag ncig
• kev nyuaj siab, lwm yam mob hlwb, thiab
• qee cov tshuaj siv los kho cov mob caj dab

Koj tus kws kho mob yuav qhia ntau dua ib hom kev kho mob los daws cov teeb meem ntawm kev qaug zog.

Thaum mus ntsib kws kho mob

Yog tias koj muaj mob nrob qaum, nws tseem ceeb kom koj mus ntsib kws kho mob sai li sai tau. Ntxov ntxov tau txais txiaj ntsig zoo rau kev txo cov tsos mob thiab txo qeeb ntawm tus kab mob.

AS tuaj yeem kuaj tau duab xoo hluav taws xob thiab xoo MRI uas qhia cov pov thawj ntawm o thiab kuaj sim rau cov cim caj ces hu ua HLA B27. Qhov taw qhia ntawm AS suav nrog qhov o ntawm SI sib koom ua ke ntawm qhov qis ntawm sab nraub qaum thiab ilium ntawm ib sab ntawm lub ntsag.

AS yam pheej hmoo suav nrog:

• Hnub nyoog: Qhov uas nquag pom yog pib thaum tiav hluas los yog tiav hluas.
• Cov noob caj noob ces: Feem ntau cov neeg nrog AS muaj qhov. Lub noob no tsis tau lees tias koj yuav kis AS, tab sis nws tuaj yeem pab kuaj xyuas nws.