Peb txhua tus yeej muaj mob nraub qaum qee lub sijhawm hauv peb lub neej. Qee zaum, qhov mob uas los ntawm kev tsa cov khoom hnyav lossis zaum tsis raug yuav ploj mus hauv ob peb hnub. Tab sis yog tias koj muaj mob nraub qaum uas kav ntev li ntau lub hlis, tshwj xeeb tshaj yog thaum hmo ntuj thiab thaum koj sawv thaum sawv ntxov, tsis txhob tsuas yog tsis quav ntsej nws. Hnub no, peb yuav tham txog Non-Radiographic Axial Spondyloarthritis , lossis raws li peb cov kws kho mob hu ua (nr-axSpA) , ib hom mob pob qij txha uas tsis tshwm sim ntawm X- ray tab sis tuaj yeem cuam tshuam rau koj lub neej.
Hais yooj yim xwb, nr-axSpA yog dab tsi?
Tej zaum koj yuav tau hnov txog osteoarthritis , ib qho mob uas ua rau cov pob qij txha xws li lub hauv caug thiab lub duav hnav thaum koj laus. Tab sis nr-axSpA yog ib qho mob sib txawv, uas tshwm sim los ntawm kev ua haujlwm tsis zoo hauv peb lub cev tiv thaiv kab mob . Hais yooj yim, peb lub cev tiv thaiv kab mob, lossis cov hlwb tiv thaiv kab mob, ua yuam kev tawm tsam peb cov pob qij txha, uas txuas rau peb tus txha nraub qaum thiab lub duav . Qhov no ua rau o ntawm cov pob qij txha, ua rau mob thiab mob.
Tus kab mob no muaj feem cuam tshuam nrog tus mob pob qij txha hnyav dua hu ua Ankylosing Spondylitis (AS) . Qee zaum nr-axSpA tuaj yeem yog theem pib ntawm AS. Txawm li cas los xij, tsis yog txhua tus neeg uas muaj nr-axSpA yuav mob AS.
Qhov no hu ua "Tsis yog-X-ray" (piv txwv li, tsis pom ntawm X-rays) vim tias qhov kev puas tsuaj rau cov pob qij txha thaum ntxov ntawm tus kab mob tsis pom ntawm X-ray ib txwm muaj. Qhov no tsis tau txhais hais tias tsis muaj kev puas tsuaj, tab sis nws tsis pom tseeb dhau los ntawm X-ray.
Cov tsos mob ntawm tus mob no yog dab tsi?
Cov tsos mob tseem ceeb ntawm nr-axSpA yog mob nraub qaum . Tab sis qhov no txawv ntawm mob nraub qaum ib txwm muaj. Cia peb nkag siab qhov txawv no kom meej.
| Yam ntxwv | Mob nraub qaum hauv nr-axSpA | Mob nraub qaum kho tshuab |
|---|---|---|
| Thaum qhov mob nce ntxiv | Qhov mob thiab mob nqaij tawv hnyav dua thaum so, tshwj xeeb tshaj yog thaum hmo ntuj thiab thaum sawv ntxov. | Qhov mob yuav nce ntxiv thaum ua haujlwm, taug kev, lossis tsa cov hnyav. Nws yuav txo qis thaum so. |
| Lub sijhawm mob | Es tsis txhob pib tam sim ntawd, nws pib maj mam thiab kav ntev tshaj 3 lub hlis. | Feem ntau nws yuav ploj mus li ob peb hnub lossis ob peb lub lis piam. |
| Cov nyhuv ntawm kev tawm dag zog | Kev tawm dag zog sov so thiab kev taug kev txo qhov mob thiab qhov nruj. | Feem ntau qhov mob yuav nce ntxiv thaum lub sijhawm ua si. |
Ntxiv rau qhov mob nraub qaum, muaj ntau lwm yam tsos mob uas yuav pom tau:
- Mob pob luj taws : Mob thiab mob nqaij, tshwj xeeb tshaj yog nyob rau thaj chaw xws li Achilles tendon hauv qab pob taws.
- Kev o ntawm cov ntiv tes: Ib tug ntiv tes lossis cov ntiv taw yuav o tag nrho zoo li ib tug hnyuv ntxwm. Peb hu qhov no ua dactylitis .
- Mob hauv lwm cov pob qij txha: Mob kuj tuaj yeem tshwm sim rau lwm cov pob qij txha, xws li lub duav, lub hauv caug, thiab lub xub pwg nyom.
- Kev qaug zog ntau zaus :Txawm koj pw tsaug zog npaum li cas los xij, koj yuav xav tias koj nkees thiab qaug zog heev.
Vim li cas qhov no thiaj tshwm sim? Cov yam uas ua rau muaj kev pheej hmoo yog dab tsi?
Zoo li peb tau hais ua ntej lawm, qhov laj thawj tseem ceeb rau qhov no yog kev tsis sib haum xeeb hauv peb lub cev tiv thaiv kab mob. Tsis paub meej tias yog vim li cas qhov no. Txawm li cas los xij, cov kws tshawb fawb ntseeg tias muaj kev sib txuas ntawm caj ces.
Tshwj xeeb, ib tug noob hu ua HLA-B27 tau pom tias muaj feem cuam tshuam nrog qhov no. Ntau tus neeg uas muaj nr-axSpA thiab AS muaj cov noob no. Txawm li cas los xij, qhov no tsis tau txhais hais tias txhua tus neeg uas muaj cov noob HLA-B27 yuav mob pob qij txha no. Nws tsuas yog ib qho kev pheej hmoo rau ib yam kab mob xwb.
Lwm yam kev pheej hmoo uas ua rau muaj tus mob no yog:
- Hnub Nyoog: Cov tsos mob feem ntau pib thaum cov tub ntxhais hluas, ntawm hnub nyoog 20 thiab 40.
- Keeb kwm tsev neeg: Yog tias ib tug neeg hauv koj tsev neeg (niam txiv, kwv tij neej tsa) muaj nr-axSpA lossis AS, koj muaj feem yuav mob nws ntau dua.
- Haus Luam Yeeb : Cov neeg haus luam yeeb muaj feem yuav mob no ntau dua, thiab tseem ua rau mob hnyav zuj zus.
Yuav ua li cas thiaj kuaj tau tus kab mob kom meej?
Kev kuaj mob no nyuaj me ntsis vim tias nws tsis pom ntawm X-rays, thiab cov tsos mob feem ntau tshwm sim rau cov neeg hluas thiab noj qab nyob zoo. Yog li qee zaum, nws tuaj yeem yuam kev rau mob nraub qaum yooj yim, ua rau kev kho mob qeeb.
Thaum koj mus ntsib koj tus kws kho mob, nws yuav ua cov no:
1. Nws yuav mloog koj cov tsos mob kom zoo zoo: nug kom meej txog thaum twg mob pib, nws mob ntev npaum li cas lawm, thiab seb nws puas zoo dua los ntawm kev tawm dag zog.
2. Ua ib qho kev kuaj lub cev: Xyuas seb tus txha nqaj qaum thiab cov cheeb tsam uas mob txav mus los li cas.
3. Yuav tsum kuaj ntshav: xyuas seb puas muaj cov noob caj noob ces HLA-B27 thiab yuav tsum kuaj xws li CRP thiab ESR, uas qhia txog kev o ntawm lub cev.
4. Kev kuaj MRI: Qhov no yog qhov kev kuaj tseem ceeb tshaj plaws los kuaj mob nr-axSpA. Kev kuaj MRI tuaj yeem pom tseeb tias muaj kev o thiab o ntawm cov pob qij txha uas tsis pom ntawm X-rays.
Kev kuaj mob thiab kev kho mob thaum ntxov yog qhov tseem ceeb heev kom tiv thaiv kev puas tsuaj rau cov pob qij txha mus tas li yav tom ntej.
Cov kev kho mob yog dab tsi?
Kev tswj hwm nr-axSpA yog kev sib xyaw ua ke ntawm kev tawm dag zog, kev kho lub cev, thiab tshuaj.
1. Kev Ua Si
Qhov no zoo li tshuaj. Kev tawm dag zog txhua hnub yog qhov tseem ceeb. Kev tawm dag zog txo qhov mob, txo qhov mob nraub qaum, thiab txo qhov qaug zog uas koj hnov txhua lub sijhawm. Nws kuj tseem pab kom koj tus txha nqaj qaum nyob hauv ib qho chaw thiab tsis txhob khoov.
2. Tshuaj
Thaum xub thawj, koj tus kws kho mob yuav sau ntawv kom koj noj tshuaj tua mob thiab tshuaj nonsteroidal anti-inflammatory drugs (NSAIDs) (piv txwv li, Indomethacin, Naproxen). Txawm li cas los xij, cov no tsuas yog yuav tsum tau siv nyob rau hauv kev saib xyuas ntawm kws kho mob xwb . Kev siv ntev mus ntev tuaj yeem ua rau muaj kev phiv xws li mob plab thiab ua rau lub raum puas tsuaj.
Yog tias cov NSAIDs tsis ua haujlwm zoo, koj tus kws kho mob yuav sau ntawv rau cov tshuaj tshwj xeeb (biologics) uas tswj kev ua haujlwm ntawm lub cev tiv thaiv kab mob, xws li TNF inhibitors .
3. Kev Kho Mob Lub Cev
Nws yog ib qho tseem ceeb heev uas yuav tsum kawm cov kev tawm dag zog kom raug raws li kev qhia ntawm tus kws kho lub cev uas tau kawm tiav. Lawv yuav qhia koj cov kev tawm dag zog uas ua rau koj lub pob txha nraub qaum muaj zog, ncab cov leeg nqaij nruj, kev sawv ntsug kom raug, thiab kev ua pa.
Puas yog nws tsuas cuam tshuam rau tus txha nqaj qaum xwb? Puas muaj lwm yam teeb meem?
Yog, nr-axSpA tsis yog ib yam kab mob uas tsuas yog muaj nyob rau ntawm tus txha nraub qaum xwb. Qhov kev o ntawm lub cev tiv thaiv kab mob no kuj tseem tuaj yeem cuam tshuam rau lwm qhov ntawm lub cev.
- Qhov Muag: Uveitis yog ib qho mob uas feem ntau ua rau mob sab hauv lub qhov muag. Cov tsos mob muaj xws li liab , mob, pom tsis meej , thiab rhiab rau lub teeb. Yog tias koj muaj ib qho ntawm cov tsos mob no, koj yuav tsum mus ntsib kws kho qhov muag tam sim ntawd .
- Kev zom zaub mov: Rau qee tus neegKab mob plab hnyuv (IBD) , xws li Crohn's Disease lossis Ulcerative Colitis , tuaj yeem ua rau muaj cov tsos mob xws li mob plab thiab raws plab ntev.
- Tawv Nqaij: Kwv yees li 10% ntawm cov neeg mob kuj tseem yuav muaj tus kab mob psoriasis , uas yog ib hom kab mob ntawm daim tawv nqaij uas ua rau muaj cov tawv nqaij liab, tawv nqaij tawv.
Nws nyuaj rau hais meej tias tus kab mob no yuav cuam tshuam li cas rau koj dhau sijhawm. Qee tus neeg cov tsos mob yuav zoo li qub, thaum lwm tus yuav hnyav zuj zus. Qee tus neeg tus mob yuav nce mus rau AS. Txawm li cas los xij, nrog kev kho mob thiab kev ua neej zoo, koj tuaj yeem tswj hwm tus mob no zoo thiab ua neej nyob li qub.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Mob nraub qaum uas kav ntev li ntau lub hlis, tshwj xeeb tshaj yog thaum sawv ntxov thiab thaum hmo ntuj, tsis yog ib txwm muaj. Tsis txhob tsis quav ntsej. Mus ntsib kws kho mob tam sim ntawd.
- Txawm tias koj daim ntawv qhia txog X-ray tsis qhia teeb meem los xij, tej zaum koj tseem muaj nr-axSpA. Kev kuaj MRI tuaj yeem kuaj pom qhov mob tau zoo.
- Thaum koj kuaj pom tus kab mob thaum ntxov thiab kho nws kom zoo nrog kev tawm dag zog, tshuaj, thiab kev kho lub cev, koj tuaj yeem tiv thaiv kev puas tsuaj rau koj cov pob qij txha thiab ua lub neej tsis mob.
- Qhov no yog ib qho mob uas koj tswj tau. Yog li ntawd, tsis txhob poob siab. Sib cuag nrog koj tus kws kho mob tsis tu ncua thiab ua raws li nws cov lus qhia.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus