” Patient spinal diseases: disease surveillance and prognosis “
For people suffering from direct spina syndrome, understanding the importance of disease surveillance and its prognosis is like having a light that guides the path to treatment. Patients should undergo disease surveillance and periodic examinations: blood sunk (ESR) and C reaction protein (CRP) are important indicators of inflammation levels in the body. They are usually elevated during the period of their activity and can be detected through regular testing. The general recommendation is reviewed every 1-3 months. The rheumatist factor (RF), although generally negative in the case of direct spina, sometimes also needs to be examined to exclude other similar diseases. In addition, there are tests for blood routines, liver and kidney function, as therapeutic drugs can have an impact on the blood system and organs such as liver and kidneys, and therefore require regular monitoring, usually every 3 to 6 months. For patients using biological agents, special indicators are also to be tested to assess drug efficacy and safety. Patients need to undergo a visual examination: X-rays can observe bone changes in the spinal column and gill joints, such as narrow faults, bone damage, integration, etc. In the early stages of a disease, the change may not be significant, but as the condition progresses, it provides the doctor with visual information on the condition. It is generally reviewed every six months – one year. The CT examination shows a clearer picture of the specifics of the thorium arthropological pathologies and helps to detect early bone changes, which can be examined every 1-2 years, depending on the condition. The MRI is very sensitive to early inflammation and molluscs, and detects early glitter increase and osmosis. MRI screening can be carried out in case of doubt in the diagnosis or assessment of the condition, and the period of examination can be extended, as appropriate, for patients with stable conditions. The patient should also conduct self-monitoring, pain and degree of rigidity: the patient himself should be concerned about the daily pain, including the extent, duration and whether it has changed. For example, an increase in neck pain, or an increase in the length and severity of the pain, may be indicative of a change in the condition if it would have been pain in the lower waist. It is also an important observation indicator that records the time of morning stagnation, which, if significantly extended, may mean an increase in inflammatory activity.
Patients are also required to regularly examine the range of activities of the joints, in particular the spinal cord, hips, knee joints, etc., which are mainly cumbersome. It can be assessed by simple actions, such as bending to the toe to see if the distance between the finger and the toe has changed; trying to move the body to the right and the right side, to see the extent of the toe; and convulsive activity of the hip. If the degree of joint activity is clearly restricted, the doctor is informed in a timely manner. Patients also need to pay attention to their day-to-day mobility, such as distance to walk, difficulty in going up and down the stairs, and whether self-care, such as laundry, is affected. If it would have been easy to walk a certain distance, it would have been difficult to walk a few steps now, or to wear clothes with the arms up, and to bend over to tie the shoelaces, all pointing to the possibility of progress.
If people with direct spina syndrome are able to be diagnosed and treated at an early stage, the prognosis is usually better. The early use of drugs to control inflammation can effectively mitigate pain, rigidity, etc., and delay the occurrence of joint damage and spinal malformations. Many patients can maintain a better quality of life, work, study and life by maintaining reasonable medications, such as anti-inflammatory drugs, rheumatism drugs or biological agents. At the same time, combined with appropriate physical treatment and rehabilitation training, joint functions can be further improved, muscles strengthened and spinal and joint activity maintained. Active treatment can help to stabilize the situation for long periods of time for patients with milder conditions and no apparent joint deformities, and even the visual performance of some can remain relatively stable without further deterioration. Moreover, with the development of medicine, new treatments and drugs are emerging, giving patients more hope. If the patient suffers from other diseases at the same time, such as cardiovascular diseases, lung diseases, etc., this will further affect the prognosis. Proximate spinal disease itself may affect CPR function, and combining other CPR diseases can increase CPR burden and make treatment more complex and difficult.
In general, people with direct spina syndrome need to focus on disease surveillance, actively cooperate with doctors, and maintain a good lifestyle and mentality in order to obtain better planning and reduce the impact of the disease on life.
