The ankylosing spondylitis It is an inflammatory diseaseóunique that mainly affects the joints of the spine, which have a tendency to weld together, causing there to be a limitationóno mobility. This causes a péloss of flexibility of the spine, what just stayedábecoming fused and ríhome, with what it implies.
In this case we find ourselves with a disease that occurs with some frequency and that mainly affects people between 20 and 30 añyou of age, being less frequent and más slight in the case of women than on the shoulders. in the great majoríto the occasions, ankylosing spondylitis occurs in isolation, although sometimes it isá associated with inflammatory bowel disease or the skin disease called psoriasis.
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Origin of ankylosing spondylitis
The cause of the occurrence is unknown. ankylosing spondylitis, although in the úlast toñFor years, work has been done on the knowledge of the mechanisms that cause this process and on the different agents that couldístill be behindáand that's the problem.
It has been known for some time that ankylosing spondylitis affects to a greater extent those people who present geneticallyética the antígeno HLA B27 and transmisión genéethics of this brand is what makes it máIt is common to occur in certain breeds and families. Pose este antígene seems to cause an abnormal response in the person to the actionón of certain gérmenes, and this ends up causing a person to suffer from this disease.
Sísymptoms of ankylosing spondylitis
When talking about theísymptoms of the ankylosing spondylitis we find that the person who suffers from it, used to suffer a pain lumbar or lumbago or sísymptoms similar to ciática, which is caused by inflammationón in the vertebral and sacroil jointsíacas.
In this case we find that it is an inflammatory type of pain, which is characterized by being of an appearanceón slow, insidious and gradual, without being able to specify exactly the moment in which the s beginíntomas, especially when the person who suffers from it improves with physical activity.ísica. In this way, the greatest pain is usually suffered in the úlate at night and early in the morning, in those stages when the patient carries a good beam in bed. This forces the person to get up and walk in order to feel relief and even be able to say goodbye.ós to pain.
they are only present in the outermost layers of the fibrous envelope, the ankylosing spondylitis can cause pain and stiffness to spread to the spine and neck. The Vévertebrae fuse and the spine gains rigidity while losing flexibility. Spaghettiéthe tor box cannot be affectedácat, causing pain in the sternumóno and ribs, reaching the point of causing difficulty in breathing.
Similarly, it should be noted that pain and inflammationón can occur in different knee joints, ankles, shoulders, hips, or in areas where ligaments and tendons attach.
Diagnóankylosing spondylitis
The diagnosisóankylosing spondylitis isá based on own explorationón física and the sísymptoms suffered by the patient. To confirm the diagnosisóStatic imaging tests are carried out such as x-raysíace of the pelvis and vertebral column, to theí check the changes that have taken place due to inflammationón in the sacroilsíhere and the vévertebrae.
Nevertheless, sometimes these changes radiolólogical signals appear with a relatively large delay with respect to the beginning of the síntomas. Carry out certain anáblood lysis can help diagnosisóstico of the disease.
Treatment of ankylosing spondylitis
Once its origin is known, sísymptoms and diagnosisóstico, it's time to know cómo treat the ankylosing spondylitis. In this sense, it must be taken into account that there is noneúNo treatment to definitively cure the disease. Nevertheless, there are different effective medicines and térehabilitation techniquesón that help relieve pain and allow good mobility, seeking to improve their quality of life.
The use of practically all patients with lumbosciatica or lumbar pain who were diagnosed with a herniated disc (SUBSTANCE) manages to reduce and even eliminate inflammationóno of joints, thus relieving the pain, and allowing a proper night's rest. These fádrugs have the advantage that they do not produce habituationóI have an addictionón, so they can be taken over long periods of time. Nevertheless, those who have a history of úlcera of isómagician or duodenum or con ri problemsñóno cardiovascular deberán take greater precautionóno with its use.
One of the main pillars to be able to treat the ankylosing spondylitis is the rehabilitationón permanent, that is to say, la realizationóNo of exercisesíRegulated physical and breathing exercises aimed at strengthening the back, así how to avoid stiffness and péloss of mobility of the spine.
La prásports practice that makes possible an extensionón the back and allows to help maintain mobility in the hips and shoulders, it is highly recommended. That is why the swimmingón is the best exercise to treat ankylosing spondylitis, since thanks to it they exercise in a balanced way all the múback muscles and joints, susceptible to injury by disease. Contact sports and exercises should be avoided, and that involve the possibility of joint trauma and óseo.
In some patients with ankylosing spondylitis with a courseón of greater importance and when other joints are affected as wellás of the spine, administration may be indicatedón of sulfasalazine or methotrexate, usually associated with anti-inflammatories.
in addition, currently tooén resorts to the use of organic treatmentsógicos, which are potent, specifically targeted drugsíaffects the components of the immune responseógica what isán intervening in the disease. Nevertheless, to beá he rheumatismóthe one to decideá the best treatment.
For his part, the cirugía It can only be used occasionally and in case of joints very dañpoor and with limited mobility.
