Babu gwaji ɗaya, don haka ana bukatar buƙatar lafiya mai kyau
Sakamakon ganewar asibiti na sparkylitis yana buƙatar aiki mai kyau a bangaren likitanku, saboda babu gwaji na zinariya. Maimakon haka, likita dole ne suyi la'akari da bayyanar mutum, jarrabawar jiki, da gwajin likita kamar x-haskoki da aiki na jini don yin ganewar asali-kama da haɗawa da nau'i na ƙwaƙwalwa.
A Tarihin Lafiya
Mutum tare da AS yakan fara ganin likitan likitansu ko likita na iyali tare da ƙarar game da ciwo, yawanci a cikin baya ko babba babba.
Don warware matsalar wannan zafi, likita na iya yin tambayoyi masu zuwa:
- Kuna da kananan shekaru 40?
- Shin ciwon yana ci gaba da tsawon watanni uku ko fiye?
- Shin zafi yana inganta tare da motsa jiki?
- Shin zafi yana ciwo da hutawa, musamman sananne a daren?
- Shin zafi zai inganta bayan ya ɗauki NSAID? (alal misali, ibuprofen)
Amsar haka ga yawancin tambayoyin zasu ba da likita don bincika ganewar asibiti na cututtuka (kamar ƙananan spondylitis), kamar yadda ya saba da ciwo mai mahimmanci (misali, ƙwayar tsoka ko cutar cututtuka na degenerative ).
Kwararku zai kuma bincika game da bayyanar jikin jiki kamar gajiya ko malaise, saboda wannan zai iya taimakawa wajen ganewar asirin da ake yiwa sparkylitis. Wannan kuwa shi ne saboda bayyanar jiki ta jikin jiki shine alamun cewa akwai wani abu mai mahimmanci yana faruwa tare da tsarin rigakafi. A cikin kwakwalwar kwayoyin cutar, kwayoyin rigakafi sun kai hari ga gidajen lafiya (musamman ma gadon kasusuwan da na fata ).
Tarihin iyali na spondylitis, ko tarihin mutum na cututtukan gastrointestinal, cututtuka na ƙashin jini , uveitis (ƙonewa da ɓawon launin fuskarka), ko psoriasis wasu ƙarin alamu ne.
Idan likitanku na likita ko likita na iyali da ake zargi da yarinya spondylitis ko sauran tsarin da ake gudanarwa ta hanyar rigakafi, zai yi maka zuwa likitan ilimin lissafi-likita wanda ke ƙwarewa a haɗin gwiwa da cututtuka na autoimmune.
Nazarin jiki
A lokacin nazarin jiki na maganin spondylitis, likitanku zai bincika kashinku, da hankalinku, da kuma zane-zanen sacroiliac ta latsa su don bincika tausayi. Ta hanyar motsi gidajen ku, likitanku zai iya tantance yawancin motsi da sassauci. Kwararka zai iya bincika kananan ɗakunan hannuwanka da ƙafafunka, da sauran kayan aiki kamar yatsunku, gwiwoyi, da kafadu, don sanin idan akwai kumburi, dumi, ko ruwa.
Ganin ƙwaƙwalwarka don ciwon daji , sauraron lakaranka , da kuma yin takalma da ɓacin fata (neman psoriasis) su ma sune na al'ada na binciken jiki lokacin da ake zaton mutum yana da spondylitis.
Kada ka yi mamakin ko dai idan likitanka ya kai ka ga likitan ido (masanin ophthalmologist) idan kana da ciwon ido ko redness da / ko blurry hangen nesa, kamar yadda uveitis yana da amfani na musamman na anklyosing spondylitis.
Gwaje-gwajen Hoto
Hakanan X-rayuka da wani lokacin hoton jigon hanzari (MRI) na zane-zanen sacroiliac (kuma wani lokacin spine) ana amfani dashi don tabbatar da ganewar asali na spondylitis. Matsalar tare da gwajin hoto shine cewa ƙonewa zai iya ɗaukar shekaru don nunawa, ko da yake MRI zai iya gano shi a baya fiye da hasken rana.
Ana yin amfani da gwaje-gwajen hotunan don duba ci gaba da cutar mutum, bayan an gano su tare da spondylitis.
HLA-B27 Tests na jini
Babban gwajin jini don bincikar anklyosing spondylitis shine gwajin HLA-B27 . HLA-B27 wani nau'in furotin ne wanda aka samo a jikin fararen jini (kwakwalwar yaduwar kamuwa). Lokacin da ke nan, zai iya haifar da jinin jininka don kai hari ga kwayoyin lafiya a jikinka, kamar waɗanda suke a cikin kashin baya, wuyansa, ko idanu.
Kuna iya mamakin sanin cewa sunadaran HLA-B27 yana cikin kimanin kashi 95 cikin dari na Caucasians tare da spukylosing anklyosing. Abin da aka ce, daga wadanda suke da kyau ga gwargwadon HLA-B27, kawai kimanin kashi 5 suna da spondylitis.
A cikin 'yan Afirka na Amurka tare da AS, nauyin HLA-B27 ba kusan abu ne na kowa ba-don haka bai dace da jarrabawar gwaji ba.
Don haka idan kuna da alamun bayyanar cutar AS, likitanku zai iya jarraba ku don gina lafiyar HLA-B27 don taimakawa tabbatar da ganewar asali, musamman ma idan akwai rashin tabbas faruwa (watakila akwai wasu bangarori masu rikitarwa na jarrabawar ku ko tarihi). Har ila yau, gaban HLA-B27 ba ƙwararriya ba ne "a'a kuna da gwajin AS" - dukkanin sassa ya dace. Kyakkyawan gwajin gwaji ba tare da alamun bayyanar ko alamun cutar marasa lafiya ba yana nufin yawa. A wasu lokuta, wasu mutane (ciki har da Caucasians, ko da yake suna da wuya) suna da AS, amma sun gwada gwajin gaji.
Dukkanin, fassarar gwajin HLA-B27 yayi ƙyama, sabili da haka yana buƙatar yin bincike mai zurfi ta likita.
Sauran Jarabobi na jini
Sauran jini guda biyu sun gwada likitanku na iya yin umurni idan ya yi zargin spondylitis ankylosing ya hada da:
Ana iya ɗaukaka ko ɗaya daga cikin waɗannan alamomi idan akwai ƙumburi mai aiki a jiki.
Da aka ce, CRP da ESR sune gwaje-gwajen jini marasa ma'ana, ma'ana za a iya ɗaga su a cikin wasu yanayi daban-daban na kiwon lafiya banda anklyosing spondylitis. Wadannan sun haɗa da:
- Sauran cutar marasa lafiya (misali rheumatoid arthritis ko lupus )
- Kamuwa da cuta (misali, ciwon huhu)
- Ciwon daji
Bugu da ƙari, ESR da CRP na iya zama al'ada, kuma mutum yana iya samun spondylitis wanda ya sabawa (musamman ma idan cutar ba ta tasowa a lokacin zubar jini).
Kalma Daga
Yana da mahimmanci kada ku yi mahimmanci a kan cikakkun bayanai a nan. Babban hoton shi ne cewa ganewar asali na spondylitis ankylosing yana buƙatar yin tunani mai zurfi game da dalilai da yawa daga likitanku, tare da maƙasudin kwance a cikin kyakkyawan tarihin likita da bincike na jiki. Yin gwagwarmayar jini da kuma hasken rana zai iya ƙarfafa ganewar asali.
Tabbatar tambayar likitanku game da duk wasu tambayoyi game da ganewar ku ko gwajin gwaji. Yin aiki mai karfi a lafiyarka zai taimaka maka kawai.
> Sources:
> Ƙungiyar Amirka don Harkokin Kimiyya. HLA-B27: Jarraba.
> Cibiyar Nazarin Arthritis da Kwayoyin cuta da Cutar. Tambayoyi da Amsoshin Game da Gudun Maɗaukaki Ankylosing.
> Rudwaleit M et al. Ƙarin binciken Ƙididdigar Ƙungiyar Ƙungiyar Ƙungiyar Ƙungiyar Kasashen Duniya ta SpondyloArthritis don Ƙwararren Kwayoyin Halitta da Spondyloarthritis a Janar. Ann Rheum Dis . 2011 Janairu 70 (1): 25-31.
> Ƙungiyar Spondylitis na Amurka. Bayani na Ankylosing Spondylitis.