Ka hoʻomaopopo ʻana i nā ʻano o Spondylitis

Anter

• Nā hōʻailona maʻamau o ka spondylitis
• 8 ʻano o ka spondylitis
• Nā ʻano kuʻuna o spondylitis
• 1. Ankylosing spondylitis
• 2. Enteropathic arthritis (EnA)
• 3. Psoriatic arthritis (PsA)
• 4. Reactive arthritis / Reiter's syndrome (ReA)
• 5. Juondile spondylitis (JSpA)
• 6. Spondylitis undifferentiated
• He ala hou e hoʻokaʻawale ai i ka ʻike spondylitis
• 7. ʻO ka spondylitis axial
• 8. Spondylitis ākea
• Nā kumu o ka spondylitis
• Pehea e ʻike ʻia ai ka spondylitis?
• He aha ka lāʻau no spondylitis?
• He aha kāu nānā inā loaʻa iā ʻoe ka spondylitis?
• ʻO ka lawe lawe ʻana

ʻO Spondylitis a i ʻole spondyloarthritis (spA) pili i kekahi mau ʻano kikoʻī o ka maʻi pākī.

Hoʻohālikelike nā ʻano spondylitis i nā ʻōuli i nā ʻāpana like ʻole o ke kino. Hiki iā lākou ke hoʻopili i ka:

• kua
• nā ami
• ʻili
• maka
• ʻōnaehana digestive
• Puʻuwai

Hiki i nā maʻi Spondylitis ke alakaʻi i nā pilikia olakino ʻē aʻe.

Loaʻa nā ʻano like ʻole o nā ʻano spondylitis āpau. Eia ka mea e pono ai ʻoe e ʻike.

Nā hōʻailona maʻamau o ka spondylitis

ʻO nā ʻano spondylitis āpau ke kumu o ka ʻeha a me ka mumū (pehu a ʻulaʻula). ʻO ka hōʻailona maʻamau ka ʻeha o lalo. Pili paha nā hōʻailona ʻē aʻe a me nā ʻōuli i ke ʻano o ka spondylitis i loaʻa iā ʻoe.

ʻO nā ʻōuli maʻamau o spondylitis e komo pū ana:

• luhi
• ʻeha ʻeha
• pehu ka maka
• ʻeha pū
• ʻeha kua
• pehu i nā lima a me nā wāwae

8 ʻano o ka spondylitis

Wahi a ka Spondylitis Association of America, aia ʻelua ala nui e hoʻokaʻawale ai i ka spondylitis. I ka wā kahiko, ke ʻano kuʻuna, ʻeono ʻano ʻokoʻa. ʻO kahi ʻōnaehana hou e wāwahi i nā diagnose spondylitis āpau i hoʻokahi o nā ʻāpana ʻelua.

Nā ʻano kuʻuna o spondylitis

ʻO nā ʻano kuʻuna ʻeono o spondylitis:

1. Ankylosing spondylitis

ʻO Ankylosing spondylitisis ka ʻano maʻamau. Hoʻohui pinepine ia i ka iwi kuamoʻo, lalo, a me nā hui pūhaka.

ʻO nā ʻōuli o ka ankylosing spondylitis me:

• ʻeha ʻeha o lalo
• ʻeha pūhaka ʻeha
• ʻoʻoleʻa
• pehu

2. Enteropathic arthritis (EnA)

Hoʻohālikelike ʻia kēia ʻano spondylitis e ka ʻeha a me ka mumū ma nā ʻōpū. Loaʻa paha iā ʻoe ka ʻehaʻeha a me ka ʻeha pū.

ʻO nā ʻōuli ʻē aʻe e like me:

• ʻeha ka ʻōpū
• pāhohonu mau loa
• Kaumaha emi
• ke koko i ka neʻe ʻana o ka ʻōpū

3. Psoriatic arthritis (PsA)

ʻO kēia ʻano spondylitis ke kumu o ka ʻeha a me ka ʻoʻoleʻa. Pili ia me psoriasis o ka ʻili. ʻO ka psoriatic arthritis ka mea nui e ʻeha a pehu i nā hono liʻiliʻi, e like me nā manamana a me nā manamana wāwae.

ʻO nā hōʻailona me:

• ka ʻeha a me ka pehu ʻana ma nā lima, nā manamana lima, a me nā wāwae
• ʻeleʻele ʻili (psoriasis flare-up)
• dactylitis (manamananui a me nā manamana lima e kūhū ma waena o nā hono, i kekahi manawa i kapa ʻia "nā manamana sausage")

4. Reactive arthritis / Reiter's syndrome (ReA)

ʻO ReA kahi ʻano spondylitis e hana maʻamau ma hope o ka maʻi bacteria. Hiki iā ia ma muli o kahi maʻi i lawe ʻia i ka moekolohe, e like me chlamydia, a i ʻole kahi maʻi gastrointestinal mai ka meaʻai i hoʻoweliweli ʻia me Salmonella.

Hoʻokumu paha ʻo ReA i ka ʻeha a me ka mumū o nā hono ākea (e like me nā kuli a me nā kuʻekuʻe wāwae), ka iwi kuamoʻo, a me nā hono sacroiliac. Aia kēia mau mea ma kēlā me kēia ʻaoʻao o kou kuamoʻo lalo.

Hiki iā ʻoe ke ʻike:

• ʻeha puʻupuʻu a me ka ʻōhū
• ʻāwīwī o ka ʻili
• pehu ka maka
• ʻeha a me ka ʻeha a me ka mumū

5. Juondile spondylitis (JSpA)

ʻO JSpA kahi ʻano o ke ahulau e kū ana i nā keiki a me nā ʻōpio. Hoʻopili pinepine kēia ʻano arthritis i nā hono o ka wāwae. E hoʻopili paha kekahi wāwae ma mua o kekahi.

Hiki i ka JSpA ke nānā aku e like me nā ʻano spondylitis ʻē aʻe. ʻO nā ʻōuli nui ka ʻeha a me ka mumū e pili ana i nā hono a i ka iwi kuamoʻo.

Hoʻopili kēia ʻano spondylitis i nā wahi e hoʻopili ai nā mākala, nā ligament, a me nā iwi i ka iwi.

6. Spondylitis undifferentiated

Kāhea ʻia kēia ʻano spondylitis undifferentiated no ka mea ʻaʻole ia e hoʻokō i nā ana hoʻohālikelike no ka hōʻoia o ka ankylosing spondylitis a i ʻole nā ​​maʻi e pili ana.

Inā loaʻa iā ʻoe ka spondylitis pono ʻole, ʻaʻole paha e loaʻa iā ʻoe nā ʻōuli maʻamau o ka ʻeha o ke kua, ka ʻeha o ka ʻili, a me nā pilikia digestive. Ma kahi o, loaʻa paha iā ʻoe:

• ʻeha hoʻi ʻeha
• ʻeha but
• enthesitis (kuʻekuʻe wāwae)
• ʻo ke ākea ākea ākea
• dactylitis
• luhi
• pehu ka maka

He ala hou e hoʻokaʻawale ai i ka ʻike spondylitis

ʻO kahi ala hou e hoʻokaʻawale i nā ʻano spondylitis e pili ana i kahi e hana ai i loko o ke kino. ʻO kēia ʻōnaehana he ʻelua ʻano nui o ka spondylitis. ʻO kekahi poʻe me ka spondylitis e loaʻa i nā ʻano ʻelua.

7. ʻO ka spondylitis axial

ʻO kēia nā ʻano spondylitis i kumu i nā ʻōuli ma ke kua a me ka ʻūhā a i ʻole ka ʻūhā. Hoʻokaʻawale hou ʻia kēia hui i spondylitis e hiki ai i ka iwi a me nā loli hui ke ʻike ʻia ma kahi X-ray a i ʻole scan hiki ʻole.

Hiki i nā ʻano axis spondylitis ke hoʻopili:

• spondylitis ankylosing
• lōkō lōkā
• enteropathic arthritis
• spondylitis pono ʻole
• arthritis psoriatic

8. Spondylitis ākea

Uhi kēia hui i nā ʻano spondylitis e kumu ai nā ʻōuli i nā lima a me nā wāwae. ʻO nā wahi e pili pinepine ʻia e pili pū me nā hono i ka:

• nā kuli
• kuʻekuʻe wāwae
• wawae
• lima
• nā kūpeʻe lima
• kuʻekuʻe lima
• poʻohiwi

Nā ʻano o ka maʻi spondylitis i kūpono i kēia mahele:

• arthritis psoriatic
• enteropathic arthritis
• lōkō lōkā
• arthritis

Nā kumu o ka spondylitis

ʻAʻoleʻike maopopo nā kauka i nā kumu o nā maʻi spondylitis. Hōʻike ka lāʻau lapaʻau i kekahi ʻano, e like me ka ankylosing spondylitis, he genetic paha. ʻO ke kumu kēia e hoʻomohala hou aku ʻoe inā loaʻa iā haʻi i loko o kou ʻohana.

Aia a hiki i nā genes 30 e pili ana i ka ankylosing spondylitis. Hiki i kekahi o kēia mau ʻāpana ke kumu i nā ʻano spondylitis.

ʻO nā kumu kūpono ʻē aʻe o ka spondylitis me nā maʻi bacteria. Hiki paha iā ʻoe ke piʻi aʻe i kahi kiʻekiʻe no nā ʻano like me ka enteropathic arthritis a me ka spondylitis reactive inā loaʻa ʻoe i kahi ʻōpū, ʻōpū, a i ʻole ka maʻi maʻi genital.

Hiki paha iā ʻoe ke hoʻomohala i nā maʻi enteropathic inā loaʻa iā ʻoe nā maʻi ʻōpala ʻē aʻe (IBD) e like me ka maʻi o Crohn a me ka ulcerative colitis.

Aia i ka 20 pākēneka o ka poʻe me IBD i loaʻa i ka arthritis enteropathic. ʻOi aku ka maʻamau i nā ʻōpio a me nā ʻōpio ʻōpio.

Hiki i ke koʻikoʻi Unmanaged ke hoʻonāukiuki a hōʻino paha i kekahi ʻano spondylitis. ʻO kahi poʻe ʻelemakule o ka poʻe me ka spondylitis ankylosing i ʻike ʻia he 80 pākēneka i ʻōlelo ʻo ke koʻikoʻi ka hopena o kā lākou hōʻailona.

Pehea e ʻike ʻia ai ka spondylitis?

E hana ana kāu kauka i kahi hoʻokolohua kino a kūkākūkā i kāu mōʻaukala olakino e ʻike inā he spondylitis kāu. Pono paha ʻoe i nā hoʻokolohua a me nā scans e hōʻoia i kahi kuhi, e like me:

• hōʻoia koko e nānā i ka lī a me nā hōʻailona o ka maʻi
• X-ray o kou pūhaka a me kou pelvis
• MRI scan o kou kua, hip, a pelvis
• hoʻāʻo genetic

E mālama i kahi nūpepa hōʻailona, ​​a kahakaha ke loaʻa nā ʻōuli hōʻailona. Hiki i kēia ke kōkua i kāu kauka e hōʻoia i kāu spondylitis.

Pono paha nā ʻano spondylitis i nā ʻano lapaʻau like ʻole. Loaʻa paha i kekahi kauka ka hoʻomaʻamaʻa loea a me ka ʻike i ka mālama ʻana i kahi ʻano spondylitis, akā ʻaʻole kekahi. Nui a hewahewa nā ala e loaʻa ai kahi loea loea:

• E noi i kāu kauka mālama mua e kuhikuhi iā ʻoe i kahi loea hui a i ʻole arthritis i ʻike i ka mālama ʻana i ke ʻano o ka spondylitis i loaʻa iā ʻoe.
• E hōʻoia i nā pūnaewele ʻike e like me ka Spondylitis Association o ʻAmelika a me ka Foundation Foundation. Loaʻa iā lākou nā papa inoa o nā kauka nāna e mālama i ka spondylitis i kou wahi.
• E hui pū me kahi hui kākoʻo spondylitis kūloko e ʻike i nā kauka e ʻōlelo ai ka poʻe.

He aha ka lāʻau no spondylitis?

Hoʻomaʻamaʻa pinepine ʻia ka spondylitis i ka ʻeha a me ka mumū. ʻO ka lawe ʻana i lalo i ka mumū (pehu) i ka iwi kuamoʻo, nā hono, a me ke kino e kōkua i ka hōʻoki a hōʻemi ʻana paha i nā ʻōuli.

E ʻōlelo paha kāu kauka i kēia mau mea:

• Nā NSAID e like me ka aspirin, ibuprofen, a i ʻole naproxen
• maʻi-hoʻololi i nā lāʻau antirheumatic (DMARDs)
• Tumers nekrosis alpha (TNF-alpha) nā mea pale
• nā kōkō steroid
• kulu ka maka steroid
• hoʻoikaika kino, e like me ka hoʻoikaika kino a me nā hoʻoikaika kino wai
• ʻoki kino no ka hope a i ʻole ka ʻūhā

Nā lāʻau lapaʻau home e kōkua e hōʻoluʻolu i nā ʻōuli me:

• nā lāʻau lapaʻau hōʻoluʻolu over-the-counter
• kākoʻo i nā bandages a me nā pale
• lomilomi home
• ʻauʻau mehana
• infrared sauna
• ʻai kaulike
• hoʻoikaika kino i kēlā me kēia lā
• hoʻōki puhipaka
• ka hōʻalo ʻana i ka ʻalekohola

He aha kāu nānā inā loaʻa iā ʻoe ka spondylitis?

ʻO kekahi ʻano spondylitis, e like me ka reactive arthritis, hope ma kahi o 3 a 12 mau mahina. Hiki paha iā ʻoe ke hoʻoweliweli hou iā ia inā loaʻa iā ʻoe kēia ʻano spondylitis. Hiki i kekahi poʻe me ka spondylitis ke loaʻa i kekahi ʻano ʻānō.

Inā loaʻa iā ʻoe ka spondylitis ankylosing, loaʻa paha iā ʻoe nā ʻōuli hōʻailona. Hoʻopili pū nā pilikia o ka ankylosing spondylitis i ka iwi kuamoʻo i ka manawa. Hana ʻia kēia ke ulu ka iwi hou a hoʻoliʻiliʻi i ka iwi kuamoʻo.

Hoʻopilikia ka pilikia o ka spondylitis i ka puʻuwai. Hiki ke laha ke kuni i ka puʻuwai a alakaʻi i nā maʻi puʻuwai koʻikoʻi, e like me:

• pehu o ka aorta a me ka nohona kiwikā
• cardiomyopathy
• maʻi ahulau coronary
• nā pilikia conduction puʻuwai

ʻO ka lawe lawe ʻana

ʻO Spondylitis kahi manawa umbrella no kekahi ʻano like me nā ʻano maʻi arthritis. Hoʻopili pinepine ia i ke kua, akā hiki iā ʻoe ke loaʻa i nā hōʻailona e pili ana, e like me ka mumū o ka maka a i ʻole ka ʻeha ami liʻiliʻi, ma mua o ka hoʻomaka ʻana o ka ʻeha o ke kua.

E haʻi koke i kāu kauka inā loaʻa kekahi mau ʻōuli, a i ʻole inā e hōʻeha loa kāu mau ʻōuli. ʻO ka mālama ʻana i ka spondylitis wawe ke kōkua i ka hōʻemi ʻana i nā ʻōuli a hōʻalo i nā pilikia olakino ʻē aʻe.