Diagnosis and treatment of direct spinal disease
Straight spinalitis.
Diagnostic:
1. Clinical representation: pain and/or rigidity on the back or skeletal body: gradual appearance, reduced activity and increased rest. Night pain or awakening at night: some patients. The police force suffers from blunt pain or severe pain in the waist: occasional radiation to the surroundings. Spinal malformations: development of vertebrae to the chest and neck, pain in the corresponding part and limited activity.
2 Auxiliary examination X-line examination: The early appearance of the skeletal joints was in the form of a blurry subskeletal bone, abrasions of the bone, a blurry of the joints, an increase in bone density and the integration of the joints, with a later expression of the “gui-synthetic spinal column”. The pelvis X-ray can be seen in a combination of shamebones, sciatic osteoporosis (with point inflammation), accompanied by a reactional sclerosis and a change in the velvet form of the adjacent bone, with new bone formation. CT: More clearly than X-rays, structural changes in open joints, such as erosion, hardening and straightness MRI: earlier detection of road arteries, assessment of acute inflammation and structural change assessment of structural changes require attention to T1WI sequences, determination of bone erosion, fat insulation, refilling: earlier detection of road arteries, assessment of acute inflammation and structural changes requires attention to T1WI sequences and determination of whether there is bone erosion, fat ins, refill sclerosis, sprouts and strong truth.
Laboratory tests: White cell counts are normal or higher, the lymphocytes rate has increased slightly, and a small number of patients suffer from mild anaemia. Acute inflammatory indicators such as erythrocyte deposition rates (ESR) and C react to protein (CRP) increase, but the rheumatist factor (RF) is mostly negative and HLA-B27 has no diagnostic specificity. 3. Specific diagnosis of HLA-B27: around 90% of AS patients HLA-B27 positive but HLA-B27 negative cannot exclude AS as long as clinical performance and image tests meet AS classification criteria.
Treatment: 1. Non-pharmacological campaign guidance: Appropriate exercise reduces back pain and rigidity. Physical therapy such as swimming and gymnastics is recommended: physical therapy can improve symptoms. Lifestyle guidance: Sleeping in hard beds, avoiding hunchbacks, maintaining good positions, preventing spinal deformation, 2. Drugs for Inflammatory Inflammation (NSAIDs): This is the first-line drug for AS, such as bichlorfonic acid, atrocin, sieves, etc. (A NSAIDS is recommended for long-term use at maximum dose.
If a NSAIDs treatment is ineffective for 2-4 weeks, it should be replaced with other different types of NSAIDs. Biological preparations: When NSAIDs treatment is ineffective, biological agents, such as tumour necrosis (TNF)a and white cell media (IL)-17 inhibitors, can be considered. (Bioagents should be recommended for use after at least two NSAIDS have been in use for more than four weeks and symptoms have not abated or have adverse effects.
