Isifo sikaBechterew kubesifazane: yini, yiziphi izimpawu

Isifo sikaBechterew siyisifo esingapheli somgogodla kanye namalungu, okuholela ekuhlanganiseni kwezikhala ze-intervertebral, ngenxa yalokho umgogodla uphelelwa ngokuphelele ukuhamba kuzo zonke izikhombisi-ndlela, kufana ne "bamboo shoot". Ngokuvamise ukuthi lesi sifo sithinta amadoda, isifo sikaBechterew kubesifazane senziwa kaningi, cishe ngamacala angu-15% (idatha ngesilinganiso se-9: 1 ayisasebenzi). Isizathu salesi simo ukuthi isifo sabesifazane siyabonakala futhi sitholakale sitholakale.

Kuyini isifo sikaBechterew?

Lesi sifo somgogodla, amalunga nezinye izitho zangaphakathi, ezikhula kancane kancane kancane kancane. Cishe njalo (kodwa hhayi ngamacala angu-100%) kwenzeka kubantu abane-antigen eyodwa kuphela eguqulelwe ohlelweni lokuzivikela - HLA B27. Ukuba khona kwa-antigen okunjalo kuholela eqinisweni lokuthi:

- izicubu zamalunga ziba nobuhlungu kakhulu ekutheleleni;

- Ezinye izilwanyana ezincane, lapho zisabela nge-HLA B27, ziqala ukusabela okuthiwa yi-autoimmune reaction lapho umzimba uqaphela izicubu zamalungu ayo njengeprotheni esandulele futhi uqala ukuhlasela.

Ngenxa yalokho, amalunga athuthukisa ukuvuvukala nokubhujiswa kwe-carticlage ye-articular. Okokuqala, ukuxhumeka kwe-sacrum ne-pelvis kuhlupheka, khona-ke izingqimba zokumisa phakathi kokuwa kwama-vertebrae.

Umzimba uzama ukukhokhela ukukhishwa kwezinto eziphezulu ze-articular, kodwa, ngeshwa, i-articular cartilage ne-intervertebral diss azibuyiselwe. Ngenxa yalokho, izicubu zamathambo zikhula , futhi izinto zokusebenza zomzimba zithuthukisa.

Ngaphezu kwamalungu, amehlo ahlupheka (ukuvuvukala kuvela kubo), izinso, amaphaphu nezitsha ezinkulu.

Izici zokugijima kwabesifazane

Isifo sikaBechterew esesimeni sabantu besifazane sithola ngokusho kokuhluka okushiwo yi-rhizomyelic. Lokhu kusho ukuthi umgogodla namajoyini ahlupheka, njengamajoyini ehlombe namahlombe.

Isifo sikaBechterew kubesifazane siphuthuma isikhathi eside, kanye nezinkathi zokuqeda amandla nokudilizwa. Izimpawu ezibonakalayo kwi-roentgenogram zitholakala emva kweminyaka eyishumi nesishiyagalolunye kusukela ekuqaleni kwalesi sifo.

3. Esinye isici ukuthi i-feminine ayinayo yonke ikholomu ye-vertebral, kodwa ikakhulukazi umnyango wayo we-lumbosacral. I-spondylitis yama-Ankylosing yabesifazane ayikho impela impela, ngenxa yalokho, ngisho nasezigabeni zokugcina zesifo, zigcina ukuhamba kancane. Ngaphezu kwalokho, umgogodla wabo (ngokungafani nendoda) ukhubazekile kancane.

4. Izitho zangaphakathi cishe azibandakanyi nqubo.

Isifo sikaBechterew siqala kubantu besifazane abanezibuko ezinhlangothini ezihlukahlukene, ezingabonakali kakhulu futhi azikhawuli ngokuqondile ukuhamba. Khona-ke ungabona ukuthi ubuhlungu obuncane buya emuva, okwenzeka cishe ekuseni, ngezinye izikhathi ngenxa yowesifazane ovuka. Ubuhlungu budlula phakathi nosuku. Lapho ucwaninga umgogodla, kukhona ukukhathazeka okuncane ku-sacrum.

Kwezinye izimo, izimbangi ezimbili noma ezimbili zomzimba zingabokuqala ukuhlupheka , lapho ubuhlungu buvela khona emahoreni asekuseni futhi kuhlinzeka ekuguleni nasemadolweni (okungavamile kufinyelela esithendeni). Ekuseni kunzima ukuguqula umlenze (imilenze) kulezi zingxube, kepha ngesikhathi sempawu izimpawu ziyahamba. Izimpawu ezifanayo zingenzeka ezinhlangothini zamahlombe, kodwa azikhulumanga kakhulu, ngokushesha (emahoreni okuqala) kudlula emva kokuba imithi yokwelashwa ithathwe, ingakwazi ukunyamalala okwesikhashana, bese iphinda ibonakale ngokuqina okufanayo.

Ukwelashwa kwezifo zikaBechterew

Ukwelapha "owesifazane" akufani neze nokwelapha okujwayelekile. Ukukhathazeka kuphela ukuxilonga kahle.

1) Amalungiselelo okulwa nokuvuvukala "Olfen", "Butadion".

2) Ezimweni ezingavamile, ukuphathwa kwe-hormones ("Kenalog", "Diprospan") kuyadingeka ukuze kukhululwe ukuvuvukala.

3) Isidakamizwa "Sulfasalazine".

4) Ama-Immunosuppressants (imithi "Leukeran", "Imuran") ingasetshenziswa uma lesi sifo singaphenduli ekwelapheni okujwayelekile.

Kubalulekile ukwazi ukuthi esibhedlela sikaBekhterev kubalulekile ukugcina umsebenzi wezemoto, ukuze kuthuthuke kancane.