Early symptoms of ankylosing spondylitis?

summary

Ankylosing spondylitis (as) is a disease with the main symptoms of sacroiliac joint and spinal attachment point inflammation. It was strongly associated with HLA-B27. Some microorganisms, such as Klebsiella pneumoniae, have common antigens with their own tissues, which can induce abnormal immune response. Early symptoms of ankylosing spondylitis? Let's talk about it

Early symptoms of ankylosing spondylitis?

When the thoracic vertebra is involved, the symptoms are back pain, anterior chest pain and lateral chest pain, and the most common is hunchback deformity. If the costal vertebral joint, sternal stalk body joint, sternoclavicular joint and intercostal cartilage joint are involved, the chest pain is banded, the chest expansion is limited, and the chest pain is aggravated when breathing in, coughing or sneezing. In severe cases, the thorax is kept in the state of exhalation, and the expansion of thorax is more than 50% lower than that of normal people, so abdominal breathing can only be used. Due to the reduction of thoracic and abdominal volume, cardiopulmonary function and digestive dysfunction are caused.

Cervical lesions in a small number of patients first manifested as cervical spondylitis, first cervical pain, along the neck to the head arm radiation. Cervical muscle spasm at the beginning, then atrophy, the disease progression can develop to cervical thoracic kyphosis deformity. The movement of the head is obviously limited, and it is often fixed in the anteflexion position, unable to tilt up, bend or rotate. In severe cases, they can only see a small piece of ground in front of their toes and can't look straight up.

About half of as patients have transient acute peripheral arthritis and about 25% have permanent peripheral joint damage. It usually occurs in the large joint, the lower limb is more than the upper limb. When the shoulder joint is involved, the joint activity is limited, the pain is more obvious, and the activities of combing hair and raising hands are limited. When the knee joint is invaded, the joint will be compensatory bending, which makes walking, sitting and other daily life more difficult. It rarely invades elbow, wrist and foot joints.

matters needing attention

1. It is necessary to avoid heavy load to aggravate the disease. Avoid holding a position for a long time. If you want to sit for a long time, you should get up for at least ten minutes every hour. Do not use the back restraint (it will reduce the activity) to worsen the spondylitis. 2. Avoid pillow and soft bed when sleeping. It's best to lie flat and keep your back upright when you sleep. 3. When you get up in the morning and your back is stiff, you can take a hot bath to improve it. Hot compress can also relieve local pain. Don't smoke to avoid lung injury. 4. Be careful to avoid injury. Be sure to fasten your seat belt when driving and try not to ride a motor vehicle.