For a strong friend, a medical examination is a familiar thing.
Both the diagnosis and the review are necessary. But there’s a fog in what phase to do.
Today, Dr. Huang Yuk has given details of what tests are generally required of patients who are in a good condition, in terms of diagnosis, review, pre-use examination of biological agents, and drug side effects monitoring.
What checks help,
Diagnosis and assessment?
Check.
Indicators related to blood sunk, C-reaction protein, HLA-B27.
Bleeding and C-reactive proteins: are very high-frequency indicators used in clinical work, and they play a significant role in the determination of the extent of inflammation, self-immunisation, etc.
✔HLA-B27: The diagnosis of a strong straight spinal column is of some assistance, but the vast majority of patients can only be diagnosed through medical history, signs and X-rays.
Although the test is highly sensitive to diagnosis for certain ethnic groups, it is not a routine examination or a screening test for diagnosis and dissuasion for patients with a high straight spinal column of back pain, and its clinical use depends to a large extent on the background of the test.
Ultrasound.
It’s superb for the joints to assess mystic inflammation (when joint pain, foot and pain). It’s been mentioned in our pre-public call, “Rheat Moon, Saying Foot and Pain is not a small thing, may be straight.”
Col. B provides a very clear indication of the many pathological changes in the muscular sepsis of patients with direct spina column, such as the thickening of the scintillation, glanditis, acoustic resonance, calcification, osteoporosis and muscular changes.
Radiology
X-ray for straight spina.
(1) Changes in the joint: this is the main basis for the diagnosis of the disease, and it can be said that a normal X-ray of the joint can almost exclude the diagnosis of the disease, and that early changes in the X-ray of the joint are more characteristic and more readily identifiable than the vertebrae;
In general, there are three changes to the hips:
Early 1: The edges of the joints are blurred and slightly dense, and the joints are widened.
2 Mid-term: narrow joint faults, corrosive corrosive and corrosive corrosive at the edge of the joint, with sawn teeth.
3 Late: Fragmentation of joints, bone sorghum passing through, bone integration.
(ii) Spinal change: the pathology has developed to medium and can be seen in late stages
(a) 1 radical ligament (i.e. cystal fibre cyclic cylindrical cylindrical cylindrical cylindrical integration;
2 square vertebrae;
3 General osteoporosis;
Corrosion of the 4th joint, narrow and sharp;
(b) Bonesation of the vertebrae, with yellow bands, thorns and vertebrae, which is most common (latest in bamboo-synthetic spines);
(b) 6 spinal deformities, including: loss of a vertebrae and a front or back cavity of a cervical vertebrae; increase of a pleural physiology, most of which occur in the waist and lower chest;
7 vertebrae, vertebrae and vertebrae fatigued fractures and central vertebrae semi-depositions.
(3) Changes in the hip joints: the hip joints are often bisided, early osteoporosis is low, closed holes are reduced and the joints swollen; in the medium term, it is visible that the joints have narrow faults, cystatic changes on the edges of the joints or bone growth on the outer edges of the hips and femurs (resilience bone formation); in the later stages, the joints disappear, the beams pass, and the joints are of a strong bone.
(4) Changes in muscular absculations: mostly of a two-sided nature, with early osteoporosis and surface corrosion, and late-stage dysentery dysentery formation (Osteoporosis, marginality).
Other X-line manifestations of the outer vertebrate joints include osteoporosis of the shoulder joints, mild erosion of the damage path, shrinking of the joint faults, fracture of the joints, and, finally, the bone ‘ s sharpness, bone and filament in the lurch, bicep, and scythes;
At most, it can be found in skeletal, sciatic, gillic, etc. Similar X-ray changes can occur in other surrounding joints.
C.T., M.I.I. and film screening
The X-ray is easier to diagnose than the more typical arthritis, but it is more difficult to diagnose early arthritis and easier to avoid;
High sensitivity of CT or MRI examinations, which lead to early detection of arthropod lesions, CT can be more satisfied with the glyphine cleavages and arthones, and can detect slight arthronic osteoporosis and cystosis of the cartilage that cannot be shown in the X-ray plane;
In particular, for those with high clinical suspicion and X-line performances or suspicions, MRI can directly show the joint cartilage, and the early detection of mutilated cartilages, as well as the estimation of the condition and efficacy of the arthritis, are more favourable than CT.
What should we look into during the review?
Patient spinal / spinal arthritis patients should be reviewed at the hospital about one month after they have started treatment and, in the absence of special anomalies, may gradually increase the interval between examinations and be reviewed two to three months thereafter.
The main review items include:
General tests: blood, urine and liver and kidney functions
Paraplasia levels: blood sunk, C reaction protein (CRP)
Before using biological agents,
What checks are needed?
(b) Medical examination and medical history inquiries: if there is a history of hepatitis, tuberculosis, etc., and if there are any persons with these diseases;
(b) Tumours, active infections, tuberculosis and hepatitis should be eliminated before use;
Results such as blood protocol, blood sank, CRP, liver and kidney function, viral hepatitis series, TSPOT (or PPD test), chest (or lung CT) etc. need to be completed.
We can refer to our pre-Cop “Guide to the Use of Biological Agents, The Truth of the Great Friends!”
B27 positive children,
What should I do?
The fact that direct spinal disease is a HLA-B27-related disease suggests that genetic factors play an important role in the incidence of direct spinal disease.
Among HLA-B27-positive patients, HLA-B27-positive first-degree relatives (including children) are common, but not every person carrying the gene has a strong direct spinal disease, with only 10 to 30 per cent of them having symptoms or signs associated with a strong direct spinal disease.
In addition, in addition to genes, the incidence of direct spinal disease is also associated with many environmental factors.
As a result, children with direct spinal disease do not normally need to be examined without the associated symptoms or signs. If the child has joint symptoms at the age of 10, special treatment for rheumatism can be considered.
I’m worried about drug side effects.
How is it regularly tested?
gastrointestinal tracts: People with chronic anti-inflammatory drugs or sugary cortex hormones need to be careful of gastrointestinal side effects. In the event of anomalous defecation, the test suggests potential hemorrhage in the digestive tract, which should be treated in a timely manner.
Hepatic function: Patients who undergo long-term antiinflammation medications such as anti-inflammation drugs, nitrous sulfon or ammonium butterflies shall be examined regularly. In the event of an anomaly in the eucalyptomase, the diagnosis should be made in a timely manner, with some patients requiring a stoppage or hepatics.
Renal function: Patients who take drugs such as anti-inflammation drugs, nitrous sulfon or acetamonia for long periods of time should be examined regularly and, in the case of urein nitrogen and acetic anhydride abnormalities, should be treated in a timely manner and, if necessary, need to stop.
Cardiovascular: Long-term use of anti-inflammatory drugs, requiring vigilance against the risk of cardiovascular events. Patients with a history of cardiovascular disease should inform the doctor and make it easier for the doctor to choose the appropriate treatment.
Carnation: This is based on the sharing of diseases and is not a substitute for hospital visits. Comments are for reference purposes only, and medical advice is required for specific treatments.
