Matenda a nyamakazi ali ndi mitundu yosiyanasiyana, yomwe imakhala matenda a Strumpell-Marie kapena ankylosing spondylitis. Matendawa amachititsa kuchepa kwa magulu ang'onoang'ono otchedwa vertebrae, kawirikawiri kumadera a sacral, komanso kusakanikirana kwawo komwe kumaoneka ngati ankylosis (mafupa m'malo mwa mitsempha yotchedwa cartilaginous).
Kodi matendawa amayamba motani kutulutsa spondylitis ankylosing?
Matendawa amawoneka kuti akusiyana ndi nyamakazi posachedwa, pafupifupi zaka 50 mpaka 60.
Kuyamba kwa matendawa kumakhala ndi osteitis - kutupa kwa minofu yowonjezera pambali. Chifukwa cha njirayi, maselo omwe ali ndi tizilombo toyambitsa matenda amadzipeputsa pang'onopang'ono m'madera okhudzidwa, omwe, chifukwa cha ntchito yofunikira, amapanga mankhwala omwe amawononga ndi kupasuka mafupa. Pofuna kubwezeretsa, thupi limalowetsa minofu ndi chifuwa kapena cholimba (fupa) ndi kashiamu. Njira yotereyi imapangitsa kuti ma vertebrae asakanike m'zinthu (ankylosis).
Palibe zifukwa zenizeni za matendawa. Pali lingaliro lakuti ankylosing spondylitis ikhoza kukwiyidwa ndi chibadwa, koma kukhalapo kwa jeni yoyenera sikukutanthauza kuti matendawa adzawonekera.
Ndikofunika kuzindikira kuti amayi amavutika ndi matenda katatu kuposa amuna. N'zochititsa chidwi kuti nthawi zambiri matenda opatsirana pogonana amapezeka panthawi ya mimba.
Zizindikiro za ankylosing spondylitis
Zizindikiro zoyambirira:
- ululu m'munsi ndi m'mako, wofatsa;
- kuwonjezeka kwambiri m'chiuno, makamaka poyenda kapena kuthamanga;
- Kuuma kwa kusuntha kwa m'chiuno m'mawa, komwe kumatuluka patsiku;
- kuwonjezera kupweteka kwambiri panthawi yopumula.
Pang'onopang'ono, mawonetseredwe am'chipatala amafalikira ku mbali zina za msana:
- kuchepetsa kusinthasintha ndi kuyenda, mavuto ndi kubwerera;
- kupweteka m'mimba, nthawi zina mu chifuwa;
- kyphosis ndi synovitis;
- kugonjetsedwa kwa msana wa thoracic, womwe umasonyezedwa kuumitsa ndi chisokonezo choipa pakati pa chigawo cha scapulae;
- ululu m'khosi (m'munsi);
- iridocyclitis , redness wa maso.
Popanda chithandizo, matenda a ankylosing kapena matenda a Bekhterev amachititsa kuti ziphuphu zambiri zisawonongeke, zomwe zimapangitsa kuti phokoso likhale losasunthika komanso likhoza kuwonongeka, kuvulazidwa ndi kuphulika.
Kuchiza kwa ankylosing spondylitis
Mwatsoka, sikungatheke kupeza njira zothetseratu matendawa. Thandizo lovuta kulimbikitsa kuchepetsa zizindikiro ndikuwongolera mkhalidwe wa wodwalayo, komanso kuchepetsa kukula kwa matendawa ndi ankylosis.
Mankhwala osokoneza bongo ndi ovomerezeka a mankhwala awa:
- Mankhwala osagwiritsidwa ntchito ndi mankhwala omwe sali otero (Indomethacin, Ibuprofen, Nimesulide, Diclofenac ), nthawi zambiri mankhwala osokoneza bongo amadziwika kuti analgesia, mwachitsanzo, Salazosulfapyridine;
- glucocorticosteroid mahomoni (Prednisolone) pofuna kuteteza thupi;
- mavitamini ndi micronutrient complexes;
- olemba chondroprotectors (ogwira ntchito yotsimikizirika),
monga chondroitin, chondrosol.
Kuphatikiza pa mankhwala osokoneza bongo ndikofunikira kugwiritsa ntchito njira zakuthupi, mankhwala othandizira, makamaka - kusisita, komanso masewera apadera. Zochita ndi maulendo awo amasankhidwa ndi wobwezeretsa malingana ndi kuopsa kwa zizindikiro komanso momwe wodwalayo aliri.
Kawirikawiri, ndi ankylosing spondylitis, opaleshoni yopatsirana imalimbikitsidwa, monga lamulo, ngati kyphosis ikukula ndipo kuyenda kwa msana sikungatheke. Pa opaleshoni, kukula kwa mafupa kumachotsedwa, ndipo ma vertebrae amaikidwa pamalo abwino.