Condonloarthritis maras kyau shine nau'i na cututtukan ƙwayar ƙwayar cuta mai kwakwalwa wanda ke shafar fuka-fine da / ko sacroiliac. Tare, kawunansu, hawaye, da kuma kashin baya an kira "skeleton axial". Condalloarthritis mai sauƙi shine nau'i na spondyloarthritis ko spondyloarthropathy, wanda shine iyali na yanayi na rheumatoid inda kumburi da kashin jini da kuma zane-zanen sacroiliac alama ce mai mahimmanci.
Wadannan ka'idodin suna da alaƙa saboda sun raba yawancin cututtukan guda daya, ciki har da (kamar yadda aka ambata) ƙonewa a cikin kashin baya, ƙwallon ƙafa, da sauran kayan aiki, da intestines, idanu, haɗi da tendons. Duk da yake cututtuka a cikin "iyali" suna raba ɓangaren maɓallin ƙunawa, kowannensu-tare da ɗayan ɗayan da aka tattauna a kasa-yana da nasaba ta musamman.
Kwararka zai iya gane ka a cikin "'yan uwa" bisa ga abubuwa da yawa, ba ƙananan ƙananan ƙwayar ba a wani yanki na jiki, irin su idanu, sheqa, intestines ko baya. Bincike ya shafi gwajin jiki, tattaunawa game da bayyanar cututtuka, da / ko hoto da jarrabawar jarraba.
Idan kana da spondyloarthropathy, zaka iya ko kuma bazai da sacroiliitis. Idan sacroiliitis ya kasance a kan x-ray, likitanku zai iya gwada ku da spondylitis, ko AS.
Radiographic da Non-Radiographic
Tare da waɗannan layi, masu bincike sun ba da nau'i biyu na spondyloarthropathy-irin su inda canjin arthritic ya nuna akan x-ray / CT scan da kuma irin inda ba.
Lokacin da canje-canje a kan x-ray / CT scan ya bayyana, ana kiran wannan labaran spondyloarthropathy axia (AxSpA acronym). Kuma idan babu canje-canje ba a bayyana ba, ana kiran shi marar launi na spindyloarthropathy (acronym nr-axSpA.)
Kusan duk mutanen da aka bincikar su tare da spondylitis wanda suka yi amfani da shi ya shiga cikin category na AxSpA, kamar yadda aka tattauna a sama.
Mutanen da ke da haɗari, masu tsinkaye, psoriatic, da sauransu suna iya fada cikin ko wane nau'i.
Binciken da aka yi a 2015 wanda aka wallafa a cikin RMD Open yana kwatanta spondylitis da ƙananan baƙaƙe na spellyloarthritis sun gano wasu kamance tsakanin waɗannan yanayi guda biyu. Amma masu bincike sun gano manyan bambance-bambance-uku - a cikin motsi da aiki da iyakancewa, mataki na kumburi, kuma ko maza ko mata sun fi tsinkaya.
Yawanci, maza suna cikin haɗari mafi girma ga ƙananan spondylitis (wanda aka yi amfani da shi a cikin labarun rediyon da ake magana a nan, watau AxSpA.) Amma a cikin wannan binciken da sauran abubuwan da aka yi a cikin 'yan shekarun nan, masu binciken sun gano cewa wasu mata suna nuna alamun wadanda ba a yaduwa ba ne na spondyloarthritis (nr-AxSpA).
Wannan yana iya zama saboda MRI yana farawa don amfani da shi a kan wasu batutuwa marasa aiyuka. Akwai babban bambanci tsakanin abin da radiography-wanda, kamar yadda aka ambata a sama, wani x-ray ko CT scan-zai iya bayyana game da spondyloarthritis axial da abin da ba na redirecting ma'auni, wanda aka yawanci aikata ta amfani da MRIs, zai iya bayyana. Duk da yake MRI bazai iya samar da dukkanin bayanan game da spondyloarthritis ba, ya zubar da sabon haske - ciki har da farkon ci gaba da kumburi, wani abu da rediyo ba zai iya ba.
Ɗaya daga cikin manyan "a-ha" wanda ya haifar da amfani da MRI don gano alamun ƙonewa shine cewa, ƙin abin da aka rigaya aka yi tunanin, sacroiliitis (da kuma yiwuwar yanayin da ake ciki na sparkylitis) zai iya shafi maza da mata daidai . Wancan ya ce, shaidun suna ci gaba. Yawancin masu bincike za su gaya maka karin karatu yana da muhimmanci kafin su tabbatar da wannan sabuwar hujja game da rukuni masu kamuwa da cutar spondylitis.
Labaran da ba tare da bambanci ba
Idan kana da spondylitis mai cututtukan ba tare da sacroiliitis ba, za a iya gano ku tare da spondyloarthritis wanda ba a sani ba. Wasu mutane da wannan yanayin zasu haifar da kyakoki kuma za a iya gano su tare da AS.
Sauran ba suyi ba, amma sassauran maganganun da ba su damu ba ne kawai ba kawai wani abu ne na AS ba. Yana da wata cuta da kansa, kuma zafi zai iya zama kamar yadda babban.
A hanyar, matakan da ba a jin dadi ba ne wanda aka sanya shi a cikin wasu mutane da wasu irin maganin ƙwaƙwalwar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta da aka sanya a ciki idan ba su da siffar bambanta, kamar yadda aka tattauna a baya.
Tushen Halitta
Mahimmin spondyloarthritis yana da alaƙa da kasancewar wani jinsin da ake kira HLA-B27. Kwanan gwaji na HLA-B27 yana samuwa. Tare da sanannun spondylitis, wasu nau'i biyu na cututtukan ƙwayar ƙwayar cuta da ke haɗuwa da HLA-B27 sune cututtuka na jini da kuma cututtukan arthritis.
> Sources:
> Arthritis maras kyau. Jami'ar Washington Department of Radiology yanar gizo. http://rad.washington.edu/about-us/academic-sections/musculoskeletal-radiology/teaching-materials/online-musculoskeletal-radiology-book/axial-arthritis/
> Baraliakos, X., Braun, J. Tsarin gwiwar rubutun launi na zamani da kuma sparkylitis ankylosing: menene kamance da bambance-bambance? RMD Bude. 2015. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4632143/
> Kilic, E., Kilic, G., Akgul, O., Ozgocmen, S. Tabbatar da hankali na Ankylosing Spondylitis Disease Score Aiki (ASDAS) a cikin marasa lafiya tare da wadanda ba tare da yaduwa ba, kuma sune spondylitis; Rheumatol Int. Yuni 2015. https://www.ncbi.nlm.nih.gov/pubmed/25366469
> Kiltz U., Baraliakos X., Karakostas P., Igelmann M., Kalthoff L., Klink C., Krause D., Schmitz-Bortz E., Flörecke M., Bollow M., Braun J. Shin marasa lafiya tare da wadanda ba -awada-zane-zane-zane-zane-zane ya bambanta daga marasa lafiya tare da sparkylitis ankylosing? Maganin Arthritis Res Sat Satumba 2012 & https://www.ncbi.nlm.nih.gov/pubmed/22505331
> van Tubergen A., Weber U. Sanin asali da kuma jaddadawa a cikin spondyloarthritis: gano kamame. Nat Rev Rheumatol. Maris 2012. https://www.ncbi.nlm.nih.gov/pubmed/22450552