Saturday, June 21, 2008

Three treatment of ankylosing spondylitis

Sally back of the spine and hip and knee pain for many years and have always thought that he was like rheumatism or rheumatism, in the pharmacy to buy some painkillers Yao Chi, good, bad symptoms. Recently he felt more and more rigid spine and joints, but could not take Tongde, to the hospital for X-ray film inspection found that the sacroiliac joint variable fuzzy, spine has a bamboo-like change. Doctors told him that he is suffering from the disease ankylosing spondylitis. Early diagnosis and treatment can reduce the bamboo-like spine in Ankylosing spondylitis, more than 16 to 30-year-old young adults, men more than women. The incidence of early lesions in the sacroiliac joint and lumbar spine, the patient was lumbosacral pain, Fajiang, will have hip pain and sciatica. After the break mitigation, increased activities. Fajiang the morning was the waist, eased slightly after the event. Lesions to the development of the thoracic spine, back pain can be a kind of chest pain and Strips. Cervical neck involvement activities are limited, the last in the entire spinal rigidity. The whole course of slow, the turn to attack and mitigation, the course of several years and even up to several decades. Ankylosing spondylitis disease was first started in the sacroiliac joint. Subsequently, usually from a bottom-up involving thoracic and lumbar cervical, resulting in violations of the spine. Late vertebra near the front and side margin, a bone bridge connecting vertebrae from top to bottom, similar to bamboo-like appearance, it is called the bamboo-like spine. Since the development of medicine, the majority of patients with ankylosing spondylitis get early diagnosis and early treatment, the incidence of spine-like bamboo has decreased significantly. There are three treatment methods For ankylosing spondylitis can stay at any one time and duration of the characteristics of up to several decades, once diagnosed, it should conduct a systematic and comprehensive treatment. Treatment methods include three aspects: ● physical therapy and physical training In patients with ankylosing spondylitis should lie hard Banchuang, from supine sleep. If the disease up to violations of cervical and thoracic spine, should stop using the pillow. Physical therapy is commonly used magnetic therapy, audio treatment, short-wave treatment and massage, and so on. Therapy should have experience under the guidance of the therapist, in kyphosis reached or exceeded 20 ° ~ 40 °, should also increase the traction against kyphosis massage therapy. Physical exercise can improve the respiratory function and prevent muscle atrophy and maintain bone density and strength, to prevent osteoporosis. ● drug treatment Non-steroidal anti-inflammatory analgesic drug from the effect of such drugs faster, to control pain in a relatively short time, is the most widely used drugs. Common varieties of the double nitrogen phenol sodium, sulindac, such as ibuprofen, for their common side effects of gastrointestinal side effects. Selective COX-Ⅱ inhibitor on the safety of higher digestive tract. Chronic effects of a drug commonly used Liudan sulfasalazine, methotrexate, and so on. Validity of such drugs from the slower, takes medication for three months or so in the role. Application of these drugs can slow or stop the disease's development, but more side effects, must be used under the guidance of doctors. Allergic to sulfa drugs, banned Liu Dan sulfasalazine. Chinese proprietary Chinese medicines that ankylosing spondylitis is a bi disease areas, control of a stable condition, patients can choose to consolidate the efficacy of proprietary Chinese medicines. ● treatment Ankylosing spondylitis in patients with spinal deformities and peripheral joint involvement of the joint space narrowed, disappeared or ankylosis, in patients with ankylosing spondylitis is the main reason for disability. Surgical treatment is not possible to fundamentally on the treatment of ankylosing spondylitis, the main purpose is to improve the function of patients, so that they can self-care, to improve their quality of life. Artificial joint replacement is a joint buckling, contracture, deformity and loss of function and lead to lifelong disabilities to resume a normal life and the ability to work the best treatment approaches. Ankylosing spondylitis surgical indications: 1. For a serious spinal deformity of the patient's spinal orthopedic surgery, such as the thoracic spine, cervical osteotomy. 2. Hip, knee significantly limited the activities of joint replacement or angioplasty. 3. On a small number of serious heart valve regurgitation of the valve replacement.

No comments: