Chirwere cheBechterew chirwere chisingaperi chisinganyengeri, icho chakakonzerwa nekukanganiswa kwavo uye kusagadzikana kwekupedzisira. Mukurapa, inonziwo idiopathic ankylosing spondylitis. Muvarume (kusvika pamakore makumi matatu) izvi zvirwere zvinowanzoitika kanomwe kazhinji pane vakadzi. Mukuwedzera, chirwere ichi chakaoma zvikuru kwavari.
Dambudziko reBechterew - Zvinokonzera
Ichi chirwere chinoreva zvirwere zveIdiopathic. Izvi zvinoreva kuti zvikonzero zvechirwere hazvina kugadzirirwa nhasi. Zvisinei, zvakave zvesayenzi zvinopupurirwa kuti antigen HLA B27 inofanira kunge iri mumuviri wekuvandudzwa kwechiitiko ichi. Muvane 90 muzana vanoonekwa kuti vane ankylosing spondylitis, ichi chinowanika. Kuvapo kweiyo antigen haisi nguva dzose inoratidza kukura kwechirwere. Chimwe chinhu chinogona kuvapo mumuviri weavo vane nhaka yekugara nhaka kune zviitiko zvehutano hwakadaro.
Mukuwedzera, dzimwe nyanzvi dzinofunga kuti chirwere ichi chinowedzera pasi pesimba revanhu vanotapukira. Pano pane pfungwa yokuti idzi microorganisms dzinokuvadza zvinokonzera kusagadzikana muzvirwere zvemuviri. Somugumisiro, muviri unotanga kukura zvirwere zvisingaiti chete kune zvinotapurirana ivo pachawo, asiwo kune zvishongo zvemavara. Kusurukirwa kunowanzovaona semitumbi yakasiyana. Nokuda kwechikonzero ichi, anotanga kuzvirwisa kwemuviri.
Kuzvigadzirisa zvirongwa zvinokonzerwa nezvinhu zvakadaro:
- supercooling;
- kunyanya kunetseka;
- kusagadzikana kwemamiriro endocrine;
- kukuvadzwa;
- mararamiro ejenitourinary system;
- zvirwere zvakanyanya uye zvisingaperi zvinopararira.
Ankylosing spondylitis - classification
Kune marudzi mazhinji ehutachiona. Zvichienderana nenharaunda yekuwana nzvimbo, chirwere cheBekhterev chinogona kuva nemhando dzakasiyana-siyana dzekuchirapa:
- Central form - iyi mhuka inonzi inowanzoonekwa. Chirwere chacho chinokura pari pfupi. Kutanga, inosangana ne sacrum, uye inoenda kunzvimbo dzepamusoro dzepamusoro.
- Risomelic fomu (iyo ichiri kuzivikanwa sechimiro chemudzi). Pathology inokanganisa musana uye masangano makuru. Chirwere chinokura zvishoma nezvishoma.
- Ankylosing spondylitis inoratidzira fomu. Kuvhiringidza kunokanganisa musana uye zviduku zvishoma.
- Scandinavia fomu. Nehutachiona ichi, chirwere ichi chinokanganisa musana, uye zvino chinopfuurira kunhengo dzemaoko, mapira, shins uye tsoka.
Chirwere cheBechterew - zviratidzo
Kutonga kukurudzirwa kwechirwere ichi kunobatsira zviratidzo zvakawanda. Ankylosing spondylitis zviratidzo zvine izvi:
- kunzwa kwekumanikidza;
- marwadzo mumusana, kupera mumaoko, makumbo nemabhanhire;
- kuputsa kwekugadzirisa;
- kuora kwekudya;
- chizoro;
- atrophy yemasumbu emashure;
- kuderera kwehuwandu hwemhepo yakanyoroveswa-yakaputika;
- kusagadzikana kwekushisa kwemuviri (mangwanani inogona kuwedzera).
Chirwere cheBechterew - zvikamu
Ipo chete 3. Ankylosing spondylitis (chirwere cheBechterew) chinogona kuva nezvikamu zvinotevera:
- Pakutanga - kune kuoma kwakasimba kunofamba. Marwadzo panguva ino iduku. X-ray inowanzoratidza kusavapo kwekusaremara kana chirwere chiduku.
- Kuenzanisa - kurwadziwa kunowedzera. Kushushikana kwekufamba kunowedzera. Kuongororwa kweRadioographic kunoratidza kuderera kwezviputi zvepamusoro.
- Zuva rekupedzisira - pamwe chete nekukanganisa kwakanyanya uye kurwadziwa. Nekubvunzurudzwa kwakashandiswa, zvinonzi zviratidzo zve ankylosis zvinoratidzwa.
Chirwere cheBechterew - marwadzo
Manzwiro asina kufadza anowirirana muhutano hwekuratidzwa uye nguva yekuitika. Juvenile ankylosing spondylitis ine zviratidzo izvi:
- kuoma kwakasimba uye kurwadziwa mangwanani, asi mushure maminitsi makumi matatu zviratidzo izvi zvinonyangarika;
- kusanzwisisika kunonzwa kunzwisiswa panguva yekufamba uye mune imwe nzvimbo yekuzorora kushanda kwavo hakusi kuderera;
- nzvimbo yekurwadziwa kunzvimbo inoenderana nemuviri wehutachiona hwehutachiona, uye huwandu hwayo-kubva pachigamba chekuvandudzwa kwechirwere.
Chirwere cheBechterew - kuongororwa
Murwere anogoverwa kuongororwa kwema laboratory:
- rheumatological test;
- kazhinji kuongorora ropa neropa;
- kuonekwa kwezinga rehuga ;
- kuongororwa kweropa kwema immunoglobulins uye antigens.
Kuongororwa kwe ankylosing spondylitis kunobatsira kuisa nzira dzakadaro:
- radiography ;
- Ultrasound;
- ECG.
Mukuwedzera, zvidzidzo zvinotevera zvinobatsira kuziva chirwere chacho:
- Muedzo weOtt;
- chiratidzo Forestier;
- Shober's test;
- chiratidzo cheZatsepin;
- kurwadziwa panguva yechipfuva chepona.
Chirwere cheBechterew - kurapwa
Hapana mishonga inoshamisa inogona kubvisa zvachose chirwere chacho. Kuti zvive zvishoma nezvishoma kukura kwechirwere uye kuvandudza hutano hwehutano hwehutano, nzira yakabatanidzwa inoshandiswa. Mishonga yose inogona kugoverwa muzvikamu zvinotevera:
- kugara kwechiremba muchipatara (ichi chirwere chinokurudzirwa panguva yekuwedzerwa);
- sanatorium mishonga;
- outpatient therapy.
Hezvino nzira yekurapa chirwere chaBekhterev:
- massage;
- kushandisa therapy;
- drug therapy;
- kushambira;
- balneological maitiro uye nezvimwe zvakadaro.
Gymnastics neBechterew's Disease
Kudzidzira kunofanira kusarudzwa kufunga nezvechimiro chemuviri wemurwere uye danho rekukura kwechirwere. Iyi gymnastics inorayirwa kuitira kuti majoi ayo ashandiswe kuburikidza. Kuenzanisa kwechirwere cheBechterew kunosanganisira kutendeuka kwakakomba, kuchinja, kutarira mberi-kumashure. Panguva yehutano hwakadaro hunoshandiswa nehutano hunofanira kushandiswa zvakanyanya. Kuti ave nemigumisiro kubva kumakirasi, inofanirwa kubatwa nguva dzose. Kudzidzira muviri kunofanira kuitwa 30 kana kupfuura maminitsi pazuva.
Kushamba ne ankylosing spondylitis
Izvozvo zvinokanganisa majoini anokanganisa zvinofanira kuva nyore. Kushisa kuoma kunokonzera kuwedzera. Mukuwedzera, zvose zvinoshandiswa zvinofanira kuitika munguva yekuregererwa. Apo ankylosing spondylitis inoratidzwa, kurapwa nehutambo kunobatsira zvakadaro mumuviri:
- inovandudza kupararira kweropa;
- mutema tone is normalized;
- kununura kusawirirana nekuoma;
- kurwadziwa kunopera;
- kufamba kwacho kunochengeterwa.
Chirwere cheBechterew - kurapa mishonga
Anti-inflammatory non-steroidal mishonga ndiyo mushonga mukuru mukurwisana nechirwere ichi. Chikamu chiduku chekupindira kwavo chikamu 1 gore. Maximum tora mishonga iyi inofanira kunge iri makore mashanu. Nyaya inonyanya kupesana nezvinokonzera kupisa zvinokonzerwa nevarwere:
- Meloksikam ;
- Ketoprofen;
- Ketonal;
- Nimesiri ;
- Voltaren;
- Movalis;
- Orthophene.
Mune chimiro chakanyanya chechirwere, mishonga inotevera ye-cytostatic inorayirwa:
- Azathioprine;
- Chlorobutin;
- Methotrexate.
Anti-inflammatory effect yeHodmonal drugs. Kazhinji kazhinji inorayirwa zvipembenene zvakadai ne ankylosing spondylitis:
- Prednisolone ;
- Solu-medrol;
- Metizred.
Sulfasalazine mu chirwere cheBechterew inoonekwa semishonga inoshanda zvikuru. Iyi mishonga inorayirwa kune varwere avo, kana vachirapa, vanogamuchira hormone therapy uye vasina-steroidal anti-inflammatory drugs. Maererano nevanyori vezvokurapa, ine simba uye kubudirira. Zvisinei, kuti uone kuti chigumisiro hachina kukanganiswa, iwe unofanirwa kuomerera pane zvakatemwa uye chirongwa chokutora mishonga.
Chirwere cheBechterew - kurapwa nemishonga yevanhu
Kana uchibata chirwere ichi, "zvinodhaka" zvekurapa kushandiswa zvinoshandiswa. Kazhinji pane kurapwa kwakarongwa nenzira idzi:
- mabhati ekurapa;
- decoctions;
- ointments;
- tinctures.
Chirwere cheBechterew - nzira dzevanhu dzinoporesa nemubatsiro wekushambidza mabhati
Zvisungo:
- rosemary, sindano, sabelnik uye sweet clover (muzvikamu zvakaenzana) - 300 g;
- mvura - 5 malita.
Kugadzirira, shandisa:
- Mishonga yemishonga inowanikwa muhomwe yejasi uye yakanyudzwa mumvura inopisa.
- Mushure mekunyorwa kwemapupa, deredza moto kune maduku uye wiraya kwehafu yeawa.
- Muto wacho wakanyorova uye unomanikidzwa kwemaawa mashomanana.
- Fungidza mushonga wacho ugoadira mubhafu nemvura inodziya. Iyo nzira inofanira kuva 10-15 miniti. Tora bhati rinofanira kuva kaviri kana katatu pavhiki kwemwedzi inoverengeka mumutsara.
Kuporesa mafuta
Zvisungo:
- mudziyo wema-thymus unozivikanwa ndewe 220 g;
- Mafuta ekuzorora-1 dec. spoon.
Kugadzirira, shandisa:
- Midzi yemiti yemishonga inopera.
- Ganyai nebhokisi.
- Simbisa musanganiswa wemazuva 18-20.
- Bvisa chidimbu katatu pazuva muzvikamu zvakakanganiswa zvemuviri. Nzira dzakadaro dzinodiwa kwemwedzi inoverengeka mumutsara.
Mune zvimwe zvirwere zveBekhterev
Kudya kwakarongeka zvakanaka kunobatsira kuita kuti murwere ave nemamiriro ezvinhu. Idiopathic ankylosing spondylitis inosanganisira kudya kudya kwakadaro:
- mitsva yakachena nemichero;
- gungwa munyu pane nzvimbo yekubika;
- Zvishandisi zvehuchi nemafuta zvakadzika;
- michero yakaomeswa, marimu nembeu;
- green parsley, dill, basil nezvimwe zvakadaro;
- zviyo zviyo zviyo;
- nyama yakaderera-mafuta;
- Saladi izere nemafuta asingazivikanwi;
- mudzidzi.
Mukuwedzera, chirwere cheBekhterev chinopa kubviswa kubva pakudya kwezvinhu zvakadai:
- doro;
- semi-finished products;
- zvokudya zvinokurumidza;
- zvokudya zvekunamatira;
- kusvuta, zvinonhuwira uye zvakabikwa;
- michina yakanatswa;
- Zvokudya zvine zvinokuvadza "E-shki".
Chirwere cheBechterev - chirevo chehupenyu
Pane zvinhu zvakawanda zvinokonzera kukura kwechirwere:
- Ndezvipi zvikamu zvinobatwa pakutanga;
- zvirwere zvinokonzera chii;
- mumamiriro api ayo majoini ari pedyo anowanikwa.
Nekuwana nguva yakakodzera yekurapa, zvinogona kumira kusimbiswa kwechirwere uye kuderedza chirwere chemurwere. Zvisinei, kana chirwere chacho chikasara pasina kurapa kwakakodzera, chirwere cheBekhterev chinogona kuodza mwoyo. Pane uwandu hwakawanda hwezvinetso zvinotevera:
- Mumwe wevashanu varwere vane chirwere mukushanda kwepfungwa yemwoyo. Kuwedzerwa njodzi yekurwadziwa kwemwoyo, hypertension uye stroke.
- Chirwere cheBechterew chinokonzera kusakwana kwehutano hwezvikamu zvakasiyana-siyana (itsvo, chiropa, mwoyo).
- Inovandudza iritis kana uveitis - zvirwere, pamwe nekuora, kurasikirwa kwemaonero uye photophobia. Somugumisiro, mamiriro ezvinhu anogona kusvika kumapofu asina kukwana kana akakwana.
- Nemhaka yekuvhiringidzwa kwehutano hwemapfupa emapfupa, kuwedzera kwavo kwebrittleness kunoonekwa. Ngozi yekuparara kwepamusoro inowedzera.
- Pasina kudzidza "horse tail syndrome" - mamiriro ayo umo bundle remidzi yeropa iri mukati memucheto wepelinha rinomanikidzwa. Izvi zvinoratidzirwa nekusava nemafuta uye urini, kupera kwemakumbo, kurwadziwa kwakanyanya mukufamba.
- Kuongororwa kwepermonary fibrosis. Muchikamu chimwe nechimwe chegumi, chirwere ichi chinosimbiswa apo muviri unotambudza chirwere chaBekhterev.
- Nokuda kwekuchinja kwebhokisi, njodzi yokuva nechirwere chepneumonia uye chifuba chinowedzera.