It is a major attack on the spinal column and can be chronically inflammable, with varying degrees of stress and argon and the surrounding joints. Many people have little knowledge of it, but it is silently affecting the quality of life of many patients.
Direct spinal disease is more prevalent among young males, usually in the 13-31 age group, with a peak age of 20-30 years, with a ratio of about (2 – 3) to men:1. The causes of the disease are not yet entirely clear and are now considered to be related to a number of factors, including genetic, infectious, immune and environmental factors. From a genetic point of view, the human white cell antigen B27 (HLA-B27) is closely related to a strong straight spinal column, and most patients are positive. However, the fact that not all HLA-B27 positives have an illness suggests that other factors play a role in the development of the disease.
The direct spinal disease is hidden, and early symptoms are often characterized by low back pains associated with the morning strangulation, increased after rest and reduced after activity. As the condition progresses, the spinal cord is gradually rising from the bottom to the top, the aluminum vertebrae is lost, the chest profile activity is reduced, and at the end the spine is completely straight, seriously affecting the physical activity of the patient. In addition to the spinal and corrosive joints, external ecstasy, such as hips, knees, ankles, etc., may also be tiring, and some patients may be exposed to osteoporosis (e.g., grapes), cardiovascular, lung, etc.
Diagnosis of direct spinal disease is based on a combination of patient symptoms, signs, visual and laboratory examinations. Visual examinations are important in diagnostics, such as X-line examinations, which reveal the pathological transformation of the gill joint, the early manifestations of which are osteoporosis, changes in the muscular form on the edge of the joint, and the gradual narrowing of the later joint gap until integration. The CT and MRI can show more clearly the details of joint pathologies and can be of great assistance for early diagnosis and assessment. In terms of laboratory examinations, in addition to HLA-B27 tests, indicators of haemorrhagic inflammation, C-reactive proteins, etc. are increasing, reflecting the level of activity of the disease.
Although it is not fully curable, early diagnosis, early treatment and long-term management can effectively control symptoms, improve joint function, prevent spinal malformations and improve the quality of life of patients. Treatment consists mainly of medication, physiotherapy and surgical treatment. Drug treatment is the foundation, and commonly used drugs include non-synthetic anti-inflammation drugs, anti-generative drugs (e.g., acacia, nitrous sulfur, etc.) and biological agents (e.g., cancer causers). Inflammatory drugs can quickly relieve pain and inflammation, while anti-regulatory drugs can slow progress, while biological agents can be more effective for patients with more severe conditions or less effective treatment for traditional drugs. Physical therapy, such as heat dressing, massage, acupuncture, rehabilitation training, etc., helps maintain joint activity and enhance muscle strength. Surgical treatment for patients with severe spinal malformations or arthropodic disorders in late stages, such as spinal orthotic surgery, artificial joint replacement, etc., can improve the physical appearance and joint function of the patient, but the risks of the operation and post-operative recovery also require careful consideration.
People living with direct spina syndrome also need to manage themselves in their daily lives. Maintaining the right standing, sitting and sleeping positions and avoiding long periods of bending, humping or sitting; maintaining moderate physical exercise, such as swimming, yoga, Tai Chi, etc., which enhances the body and maintains the flexibility of the joints; taking care to keep warm, avoids cold and humid environments and prevents infection; regularly visiting the hospital, following the doctor ‘ s treatment programme, taking the medication on time and adjusting the treatment strategy in a timely manner.
In sum, vertical spinal disease is a chronic disease that requires long-term attention and management. Having access to its basic knowledge, early detection, early treatment and active self-management in daily life enable patients to effectively control their condition, live in harmony with disease and lead normal and full lives.
