Iintlobo ze-Spondylitis Zokulimala Kwezonyango I-Chiropractic Back Clinic

I-Spondyloarthritis liqela lezifo ezivuthayo, ezikhusela umzimba ezibangelwa yintlungu engapheliyo ephantsi, ukuvuvukala, iintlungu ezicasulayo kunye neentlungu. Iimeko zichaphazela kakhulu umqolo kodwa zinokuchaphazela amalungu ezingalweni, imilenze, isinqe, ulusu, amehlo kunye namathumbu. Iintlobo ze-Spondylitis zinokuchaphazela kakhulu umsebenzi wemihla ngemihla, umsebenzi womzimba kunye nokunciphisa impilo yamathambo.

Iintlobo ze-Spondylitis

Iindidi eziphambili ziquka:

• I-Ankylosing spondylitis
• Isifo samathambo
• I-Enteropathic arthritis
• Isifo samathambo esisebenzayo
• I-spondylitis yolutsha
• I-spondylitis engabonakaliyo

I-Axial Spondylitis vs. Iintlobo ze-Peripheral Spondylitis

Iimeko ze-Spondylitis zihlelwa njenge axial – axSpA or peripheral – pSpA.

• I-Axial ithetha ngokunxulumene nommandla osembindini womzimba, njengakwisiqu kunye nentloko.
• I-Axial spondyloarthritis sisifo samathambo kunye nokuvuvukala esinqeni kunye nomqolo.
• Imeko iqala phambi kweminyaka engama-45 ubudala.
• Iintlungu zihlala ziqala kumqolo osezantsi kodwa zinokuqala entanyeni okanye kwezinye iindawo.
• Ibonakaliswe ngeentlungu ezibuhlungu, ngokuqhelekileyo kumqolo ophantsi kunye / okanye kwiimpundu.
• Morning back ukuqina okuhlala imizuzu engama-30 okanye ngaphezulu.
• Ukuvuvukala kwamalungu e-Sacroiliac nako kunokubonisa.
• Intlungu yomqolo ikhula ngokuthe ngcembe.
• Ihlala ixesha elide kuneenyanga ezintathu.
• Ukuphucula ngokunyakaza komzimba, kungekhona ngokuphumla.
• I-peripheral spondyloarthritis sisifo samathambo kunye neentlungu ezivuthayo kumalungu e-peripheral kunye nee-tendon kwaye ayibandakanyi umqolo.
• Abantu ngabanye banokuba neempawu ze-peripheral kunye ne-axial spondylitis ngaxeshanye.
• Ukuxilongwa kuxhomekeke ekubeni iimpawu ziyi-peripheral okanye i-axial.

I-Spondylitis kunye ne-Spondylosis

I-spondylosis kunye ne-spondylitis ziyafana kuba zibangela intlungu kunye nokuvuvukala emqolo nasezinqeni. Umahluko ukwimeko nganye kwezibangela.

• I-Spondylitis yi isifo apho amajoni omzimba omzimba ithoba amalunga, ibangela ukudumba, ivelisa ngokugqithisileyo ukubunjwa kwamathambo, kwaye ibangela ukudityaniswa kwamathambo.
• Spondylosis yi udidi lwesifo samathambo ebonisa ukuba umqolo uguga ukusuka ekugugeni kunye nokukrazuka okuqhelekileyo.
• Kwenzeka ngexesha lokuhla kweediski zomqolo kunye namalungu.
• Ikwabonisa xa i-bone spurs ikhula kwi-vertebrae yomqolo.

Ankylosing Spondylitis

I-Ankylosing spondylitis yindlela eqhelekileyo ye-arthritis echaphazela umqolo, amanye amalunga kunye nemimandla yomzimba. Imeko ibangela ukudumba komqolo obangela ukungonwabi kakhulu kunye neentlungu ezingapheliyo. Kwezinye iimeko, ukuvuvukala kuqhubela phambili kwi-ankylosis, apho amacandelo omqolo adibanisa kwaye angashukumi. Ezinye iindawo zomzimba ezinokubangela ukuvuvukala ziquka:

• Iimbambo
• Izithende
• Amagxa
• I-Hips
• Amalungu amancinci eenyawo kunye nezandla.

I-Ankylosing spondylitis iimpawu ziyahluka kumntu nomntu. Iimpawu eziqhelekileyo eziqhelekileyo ziquka:

• Kukho ukungonwabi ngokubanzi, ukuphelelwa ngumdla, kunye nomkhuhlane ongephi kwangethuba kwimeko.
• Ukuqina okuzingisileyo kunye neentlungu kwiimpundu kunye nomqolo ophantsi, ngokuthe ngcembe uqhubela phambili kwiiveki okanye iinyanga ezimbalwa.
• Intlungu kunye nokuqina kunokuhamba ukuya entanyeni kunye nomqolo kwiinyanga okanye iminyaka.
• Intlungu idla ngokunwenwa kwaye ibuhlungu.
• Ukuqina kunye neentlungu zibi kakhulu ekuseni nasebusuku kwaye ziphucule ngokuzivocavoca okulula okanye ishawa efudumeleyo.
• Intlungu idla ngokungapheliyo, ithatha ubuncinci beenyanga ezi-3, kwaye inokuviwa macala omabini.
• Ububele kunye neentlungu ezinqeni, emathangeni, emagxeni, izithende, kunye neembambo nazo zingenzeka.

Iindlela zonyango zibandakanya ukusetyenziswa komkhenkce kunye nobushushu ukunciphisa ukudumba, ukonyusa ukujikeleza, kunye nokunciphisa iintlungu zamalungu, imithambo yokuma, ukolula, unyango lomzimba, kunye namayeza.

I-Psoriatic Arthritis

I-Psoriatic arthritis ibangela ukuvuvukala, intlungu, kunye nokuvuvukala kumalungu amancinci ezandla kunye neenyawo; kunjalo, amalungu amadolo, amaqatha, kunye nezihlahla nazo zinokuchaphazeleka. I-Psoriasis yirhashalala ebangela amabala esikhumba esinexolo.

• Umntu ngamnye unokuhlakulela dactylitis xa umnwe okanye uzwane ludumba phakathi kwamalungu ajikelezileyo.
• Ukuqina komqolo kunye neentlungu zinokubonakala.
• Ngokuqhelekileyo iziphelo zamalungu omnwe zichaphazeleka kakhulu kwaye zifumana iintlungu kunye nokuvuvukala.
• Imeko ikwabandakanya iimpawu zeminwe kunye nozipho.
• Amayeza asetyenziswa rhoqo ukunyanga i-ankylosing spondylitis anokusetyenziswa.
• Ukuzivocavoca kunceda ukugcina uluhlu lwentshukumo kunye nokugcina amandla.
• Ukuzivocavoca kwe-Isometric imisipha yokusebenza ngaphandle kwentshukumo edibeneyo yokunciphisa umngcipheko wokulimala ngakumbi kumalungu avuthayo.
• Unyango lomsebenzi kunye nolomzimba lunokunceda kakhulu ekwenzeni umsebenzi odibeneyo we-arthritic.

I-Enteropathic Spondylitis

I-Enteropathic Arthritis sisifo samathambo esingapheliyo esidityaniswa nesifo samathumbu. Ezona ziqatshelweyo yiCrohn's kunye ne-ulcerative colitis.

• Amalungu omlenze weperipheral kwaye ngamanye amaxesha wonke umnqonqo yeyona ndawo ixhaphakileyo yomzimba exhatshazwa yi-enteropathic spondylitis.
• Olona phawu luphambili kukudumba kwamathumbu, kubandakanywa amathumbu kunye neentlungu ezidibeneyo kunye / okanye iintlungu ezibuhlungu ezibuhlungu.
• Ezinye iimpawu zinokubandakanya ukunciphisa umzimba, igazi kwi-stool, intlungu yesisu, kunye / okanye isifo sohudo esingapheliyo.
• Ukulawula i-enteropathic arthritis ngokuqhelekileyo kuthetha ukulawula isifo sesisu.

I-Juvenile Spondyloarthritis

I-Juvenile spondyloarthritis liqela lezifo zamathambo ebuntwaneni ezibangela isifo samathambo phambi kweminyaka eyi-16 kwaye zinokuqhubeka nokuba ngumntu omdala. I-spondyloarthritis yolutsha iquka:

• I-Enteropathic arthritis
• I-arthritis enxulumene ne-Enthesitis
• I-spondyloarthritis engabonakaliyo
• Isifo samathambo
• Isifo samathambo esisebenzayo
• Ulutsha lwe-ankylosing spondylitis

I-spondyloarthritis yolutsha ibangela ukudumba kunye neentlungu kumalungu kumzimba osezantsi, njengamaqakala, isinqe, amadolo kunye ne-pelvis. Ezinye iindawo zomzimba ezinokuchaphazeleka ziquka:

• Izibilini
• Amehlo
• ulusu
• Isihlwele

Ukuphelelwa ngamandla kunye nokudinwa nako kunokuvela. Iimpawu zinokuthi zingalindelekanga kwaye zi-episodic, zivela kwaye zinyamalale ngaphandle kwesizathu esithile. Le meko ijikeleza phakathi kokugqabhuka kunye nokuxolelwa. Iindlela zonyango eziqhelekileyo ziquka:

• Amachiza
• Lolonga
• Uqeqesho lokuma
• Unyango lomzimba, amayeza
• Umkhenkce kunye nobushushu ukunciphisa iintlungu zamalungu kunye nokukhulula izihlunu.
• Kwiimeko ezinzima, utyando lunokucetyiswa.

I-Reactive Arthritis okanye iReiter's Syndrome

Isifo samathambo esisebenzayo sisifo samathambo esibangelayo intlungu kunye nokudumba kwi-mucous membranes, isinyi, ulusu, amalungu, amehlo kunye nezitho zangasese.

• I-arthritis esebenzayo ikholelwa ukuba iyindlela yokusabela kwintsholongwane, ngokuqhelekileyo kwi-gastrointestinal okanye i-urinary tract.
• I-arthritis esebenzayo ayichaphazeli amalungu e-sacroiliac kunye nomqolo kwiimeko ezininzi.
• I-reactive arthritis idla ngokunyangwa ngamayeza achasene nokudumba, isteroids, kunye namayeza e-rheumatoid arthritis.
• Ugqirha unokumisela amayeza okubulala iintsholongwane ukuba usulelo lwebhaktiriya luzisa isifo samathambo.

I-Spondyloarthritis engabonakaliyo

I-spondyloarthritis engabonakaliyo kulapho iimpawu kunye neempawu ze-spondylitis zingafikeleli kwiikhrayitheriya zesifo esithile se-rheumatoid disorder. Abantu abafunyaniswa ukuba bane-spondyloarthritis engabonakaliyo baya kuba nesinye okanye ezininzi iimpawu ezibandakanya:

• Ukukhathala
• Ukuvutha komqolo
• Umqolo obuhlungu
• Iintlungu zempundu ezitshintshisanayo okanye ezinikezela macala omabini.
• Iinzwane ezidumbileyo okanye iminwe
• Intlungu yesheel
• I-arthritis kumalungu amancinci.
• I-arthritis kumalungu amakhulu.
• I-enthesitis okanye ukuvuvukala apho i-ligament okanye i-tendon idibanisa nethambo.
• Ukudumba kwamehlo
• Abantu ngabanye banokubonisa iimpawu zezinye iintlobo ze-spondylitis, njenge-psoriatic okanye i-ankylosing.

Iindlela zonyango ziquka:

• Lolonga
• Ulungiso lwenyama
• Uqeqesho lokuma
• Umkhenkce kunye nobushushu ukunciphisa iintlungu zamalungu kunye nokukhulula izihlunu.

Iintlobo ze-Spondylitis Ukuxilongwa kwe-Spondyloarthritis

Ucaphulo

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UDougados, uMaxime, kunye noDominique Baeten. "Spondyloarthritis." Lancet (eLondon, eNgilani) vol. 377,9783 (2011): 2127-37. doi:10.1016/S0140-6736(11)60071-8

UGill, uTejpal, et al. "I-intestinal microbiome kwi-spondyloarthritis." Uluvo lwangoku kwi-rheumatology vol. 27,4 (2015): 319-25. doi:10.1097/BOR.0000000000000187

Rosenbaum, James T. "Iliso kwi-spondyloarthritis✰." Iisemina kwi-arthritis kunye ne-rheumatism vol. 49,3S (2019): S29-S31. doi:10.1016/j.semarthrit.2019.09.014

Seo, Mi Ryoung et al. "Ukuxilongwa okulibazisekayo kudibaniswa neziphumo ezimbi kunye neempendulo zonyango ezingathandekiyo kwizigulane ezine-axial spondyloarthritis." I-rheumatology yezonyango vol. 34,8 (2015): 1397-405. doi:10.1007/s10067-014-2768-y

USharip, uAigul, kunye noJeannette Kunz. "Ukuqonda iPathogenesis yeSpondyloarthritis." Ii-biomolecules vol. 10,10 1461. 20 Okt. 2020, doi:10.3390/biom10101461