How to care for ankylosing spondylitis
Ankylosing spondylitis (AS) is a disease characterized by inflammation of the ankle joint and spinal attachment point. Strong association with HLA-B27. Certain microorganisms, such as Klebsiella, have a common antigen with the susceptible tissue and can trigger an abnormal immune response. It is a chronic inflammatory disease characterized by large joints of the extremities, as well as fibrosis and ossification of connective tissue near the annulus fibrosus and its ankylosis. Ankylosing spondylitis is a category of rheumatism and is a type of seronegative spondyloarthropathy. The etiology of the disease is still unclear. It is a chronic disease with the spine as the main lesion, involving the ankle joint, causing spinal rigidity and fibrosis, causing different degrees of eye, lung, muscle and bone lesions. It is an autoimmune disease.
1 Psychological care: Patients with ankylosing spondylitis often cause ideological concerns due to unexplained low back pain and lumbar stiffness and dysfunction. Therefore, patients should be cared for and understood, given comfort and encouragement in time, psychological support for patients, confidence in fighting disease, and treatment and care.
2. Dietary care: Give high protein, high vitamin, calcium and iron-rich and digestible foods. Diet should be diversified, balanced and nutritious.
3, drug care: oral non-steroidal drugs and indomethacin (indomethacin), etc., should pay attention to observe the presence or absence of gastrointestinal bleeding and other adverse reactions, it is best to take antacids at the same time . Pay attention to the efficacy and adverse reactions of antibiotics.
4. Symptomatic care: Patients with uveitis have localized use of corticosteroids. Rinse the retained secretions frequently, keep the conjunctival sac clean and avoid covering, so as to avoid infection in the conjunctival sac.
5, guide exercise: guide patients to exercise properly, reduce the degree of deformity of the spine and hip joints. The flexion and extension exercises of the spine and hip should be performed once a day in the morning and evening. Massage the muscles around the paravertebral muscles before exercise to relieve pain and prevent muscle damage during exercise. The amount of each activity is limited to the increase in joint symptoms that do not cause the next day. With the daily exercise, the ultra-short wave, microwave, wax therapy and other physical therapy in the spa and the ankle joint are effective. The physical therapy can relieve muscle spasm, improve blood circulation, reduce inflammation and relieve pain.
(1) When sleeping, try not to pillow the pillow, and put a small thin pillow on the neck and waist to keep the normal curvature of the spine; avoid sleeping on the soft bed, sleep hard bed; Sit on your back, don’t sleep sideways and with your legs.
(2) According to the condition, strengthen the chest movement and the activities of the neck, waist, back and hip joints, but avoid strenuous exercise and falls.
(3) Keep warm and avoid cold, dampness, fatigue, trauma, and malnutrition.
(4) Take the medicine and stop the medicine under the guidance of the doctor, and review the relevant indicators regularly.
Ankylosing spondylitis, daily care 7 Things
1 Maintain a healthy and comfortable posture. When standing, try to keep your chest, abdomen and eyes in front of your eyes. The seat should also keep the chest upright. Try to use a hard bed for sleep, take more supine position, and have a short pillow. Once the upper chest or cervical vertebrae are involved, the pillow should be stopped. Avoid excessive stress or bending on the spine, and avoid maintaining a posture for a long time, such as watching TV on the sofa or surfing the Internet for a long time.
2 Be careful to keep warm while keeping warm and keep the environment dry. The cold and humid living environment is easy to stimulate the aggravation of the disease. Usually, the clothes should be kept warm as much as possible to avoid too tight clothes, so as to prevent the spinal column from being inactive for a long time. When you get up in the morning when your back is stiff, you can use a hot bath to improve. Hot compresses are also partially effective in relieving local pain.
3 Develop regular exercise habits and maintain appropriate physical exercise to achieve and maintain the best position of the spinal joints, enhance paravertebral muscles and increase lung capacity, which is as important as medication.
But you should avoid inability to move your spine, such as cycling, or collision and contact sports such as judo and basketball.
4 Regularly measure the height to measure the height regularly, and find early symptoms of early spinal curvature that are not easily detected, so as to achieve early detection, early diagnosis, and early treatment.
5 Reasonable diet should be light, avoid overeating, but need to ensure a balanced diet, not partial. Pay attention to food hygiene, infection of the gastrointestinal tract and urinary tract is often easy to induce spondylitis. Drink plenty of water, eat more fruits and vegetables, try to avoid urinating and constipation.
6 Smoking cessation, cautious drinking Ankylosing spondylitis can cause thoracic stiffness and weaken lung function, smoking can further impair lung function. And smoking is easy to cause tonsillitis, pharyngitis, upper respiratory tract infections and other diseases, easily lead to repeated adverse conditions for treatment. Excessive drinking can cause symptoms related to ankylosing spondylitis, aggravating the condition, and is not conducive to long-term health.
7 Patients with cautious driving ankylosing spondylitis should avoid long-distance driving to prevent the spine from experiencing more stress and aggravating symptoms. The fitted cushions are easy to maintain in a good posture during driving. For patients with symptoms of neck stiffness, appropriate mirrors should be placed to ensure traffic safety. If you have ankylosing spondylitis, you can consult an enthusiastic doctor.