強直性脊柱炎(yan)早期癥(zheng)狀比較隱匿(ni)，個別病(bing)人初期類似(si)結核病(bing)，表(biao)現為(wei)低熱(re)、盜汗、虛(xu)弱、乏力(li)、體重減輕、貧血(xue)，有(you)時伴(ban)有(you)單側(ce)髖關節炎(yan)癥(zheng)，易(yi)被誤診為(wei)結核病(bing)。少數病(bing)例(li)可有(you)長期低熱(re)和(he)關節痛，酷似(si)風(feng)濕熱(re)表(biao)現，以高熱(re)、外周關節等急性炎(yan)癥(zheng)表(biao)現者也不罕見。
這種病(bing)例多(duo)為(wei)年齡較輕者，且常伴(ban)有(you)(you)消瘦、盜(dao)汗等(deng)癥(zheng)(zheng)狀(zhuang)。局(ju)部癥(zheng)(zheng)狀(zhuang)常表(biao)現為(wei)腰骶疼痛，常為(wei)隱痛，有(you)(you)時也發生在(zai)勞累或損傷之后；有(you)(you)時病(bing)人自覺(jue)晨起時腰部僵硬感(gan)，活動后可(ke)(ke)以緩解；有(you)(you)時則表(biao)現為(wei)足跟痛等(deng)肌(ji)腱、韌帶骨附(fu)著點炎癥(zheng)(zheng)，約半數(shu)以上病(bing)人還可(ke)(ke)表(biao)現有(you)(you)不對稱的周圍關節(jie)炎癥(zheng)(zheng)以及(ji)肌(ji)肉(rou)的酸痛。其(qi)后的緩解期常可(ke)(ke)無任何(he)臨床癥(zheng)(zheng)狀(zhuang)，有(you)(you)時可(ke)(ke)持續數(shu)年，尤其(qi)女(nv)性(xing)患(huan)者。
值得注意的是(shi)，有(you)些病(bing)(bing)人在偶然的一(yi)次外傷、受(shou)涼或(huo)受(shou)潮、消化道或(huo)呼(hu)吸道感染之后，隨(sui)即發病(bing)(bing)，此時(shi)應(ying)(ying)提(ti)醒廣大醫(yi)務工作者(zhe)(zhe)、患(huan)者(zhe)(zhe)以(yi)及家屬注意，不能掉以(yi)輕心，如(ru)果當時(shi)不能確診，也應(ying)(ying)密切觀察，定期隨(sui)訪，以(yi)期早(zao)(zao)期診斷，及時(shi)治(zhi)療。對于(yu)比較年輕的男性患(huan)者(zhe)(zhe)，有(you)上(shang)述主要(yao)癥(zheng)狀之一(yi)者(zhe)(zhe)，即應(ying)(ying)做(zuo)進(jin)一(yi)步的檢(jian)查；對患(huan)有(you)頑固(gu)性虹膜(mo)炎(yan)，同時(shi)伴有(you)上(shang)述癥(zheng)狀之一(yi)者(zhe)(zhe)，更(geng)應(ying)(ying)懷疑本病(bing)(bing)，應(ying)(ying)及時(shi)到醫(yi)院就診，以(yi)便早(zao)(zao)期診斷、早(zao)(zao)期治(zhi)療。
強直性脊椎炎對身體的危害極大，希望朋友們能多認識強直關節痛的三個階段的表現，及早發現身體發出的危險訊號，并加以治療。可以用一下【強直居-優堂傳世貼】朋友們還需在日常生活中做到站要正、坐要直、防外感、重保暖、多營養、適休息、多鍛煉、治要早、心要寬的觀念。另外，大家還可以每天堅持攝取天然鋸峰齒鮫軟骨粉，修復損傷鈣化的脊柱軟骨，改善腰椎間盤內部功能。
強直性脊椎炎早期表現
1.早期會出現厭食、乏力、消瘦和貧血等表現，腰、骶部位會有疼痛感，并伴有腰背部的僵硬感，這種僵硬感以晨起最為明顯，經活動后可減輕。
2.強直性脊椎炎中期表現
中期會出現腰背、骶髂疼痛，腰背晨起僵硬、從腰骶部向上蔓延性疼痛加劇、脊柱活動受限、僵硬、疲勞、乏力、面色淡白、消瘦，拍骨盆正位片表現為骶髂關節部骨緣模糊不清，尤其是骶髂一側。
3.強直性脊椎炎晚期表現
晚期，腰背、骶髂(qia)疼痛(tong)加重(zhong)，脊柱疼痛(tong)嚴重(zhong)，并伴有全身(shen)關(guan)節痛(tong)，疼痛(tong)呈持續性(xing)不(bu)間(jian)斷(duan)疼痛(tong)。患者還會出現全身(shen)無力、肌(ji)肉萎縮、臟(zang)器功能(neng)下降、駝背、脊柱活動功能(neng)消(xiao)失，甚至導致脊柱畸形彎曲。
？骨科(ke)(ke)專(zhuan)家(jia)說(shuo)，強(qiang)(qiang)直(zhi)性(xing)(xing)(xing)(xing)(xing)脊(ji)(ji)(ji)(ji)柱(zhu)(zhu)炎(yan)(yan)(yan)(yan)是(shi)(shi)(shi)(shi)骨科(ke)(ke)疾(ji)病(bing)(bing)中的(de)(de)(de)(de)(de)(de)一(yi)種(zhong)比(bi)較嚴重(zhong)的(de)(de)(de)(de)(de)(de)疾(ji)病(bing)(bing)，給(gei)患(huan)(huan)者帶(dai)(dai)(dai)來(lai)了不(bu)小的(de)(de)(de)(de)(de)(de)影響。因(yin)(yin)此，在(zai)(zai)平常(chang)(chang)的(de)(de)(de)(de)(de)(de)生(sheng)活(huo)中，患(huan)(huan)者朋友要提高警惕了，對于強(qiang)(qiang)直(zhi)性(xing)(xing)(xing)(xing)(xing)脊(ji)(ji)(ji)(ji)柱(zhu)(zhu)炎(yan)(yan)(yan)(yan)，就應該(gai)早(zao)(zao)發現早(zao)(zao)點(dian)(dian)治(zhi)療。因(yin)(yin)此，對于了解強(qiang)(qiang)直(zhi)性(xing)(xing)(xing)(xing)(xing)脊(ji)(ji)(ji)(ji)柱(zhu)(zhu)炎(yan)(yan)(yan)(yan)的(de)(de)(de)(de)(de)(de)癥(zheng)狀就很(hen)有(you)(you)(you)必(bi)(bi)要了。專(zhuan)家(jia)說(shuo)，一(yi)般(ban)來(lai)說(shuo)，強(qiang)(qiang)直(zhi)性(xing)(xing)(xing)(xing)(xing)脊(ji)(ji)(ji)(ji)柱(zhu)(zhu)炎(yan)(yan)(yan)(yan)早(zao)(zao)期(qi)主要有(you)(you)(you)以(yi)(yi)下幾點(dian)(dian)癥(zheng)狀：1、晨(chen)僵：晨(chen)僵是(shi)(shi)(shi)(shi)指(zhi)清早(zao)(zao)生(sheng)硬(ying)感(gan)，活(huo)動(dong)(dong)(dong)后可(ke)(ke)(ke)(ke)(ke)緩解，是(shi)(shi)(shi)(shi)病(bing)(bing)情(qing)活(huo)動(dong)(dong)(dong)的(de)(de)(de)(de)(de)(de)指(zhi)標(biao)(biao)之(zhi)(zhi)一(yi)，也是(shi)(shi)(shi)(shi)強(qiang)(qiang)直(zhi)性(xing)(xing)(xing)(xing)(xing)脊(ji)(ji)(ji)(ji)柱(zhu)(zhu)炎(yan)(yan)(yan)(yan)早(zao)(zao)期(qi)常(chang)(chang)見(jian)的(de)(de)(de)(de)(de)(de)癥(zheng)狀之(zhi)(zhi)一(yi)2、肌(ji)腱(jian)、韌帶(dai)(dai)(dai)骨附(fu)著(zhu)(zhu)點(dian)(dian)疼(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)：強(qiang)(qiang)直(zhi)性(xing)(xing)(xing)(xing)(xing)脊(ji)(ji)(ji)(ji)柱(zhu)(zhu)炎(yan)(yan)(yan)(yan)的(de)(de)(de)(de)(de)(de)特征(zheng)性(xing)(xing)(xing)(xing)(xing)病(bing)(bing)理變(bian)革是(shi)(shi)(shi)(shi)附(fu)著(zhu)(zhu)點(dian)(dian)炎(yan)(yan)(yan)(yan)癥(zheng)。附(fu)著(zhu)(zhu)點(dian)(dian)是(shi)(shi)(shi)(shi)指(zhi)肌(ji)肉、韌帶(dai)(dai)(dai)與(yu)骨骼或(huo)樞(shu)紐(niu)關(guan)(guan)頭(tou)(tou)囊的(de)(de)(de)(de)(de)(de)附(fu)著(zhu)(zhu)處。附(fu)著(zhu)(zhu)點(dian)(dian)炎(yan)(yan)(yan)(yan)癥(zheng)是(shi)(shi)(shi)(shi)肌(ji)腱(jian)真個非(fei)細(xi)菌性(xing)(xing)(xing)(xing)(xing)炎(yan)(yan)(yan)(yan)癥(zheng)。這(zhe)種(zhong)炎(yan)(yan)(yan)(yan)癥(zheng)可(ke)(ke)(ke)(ke)(ke)導(dao)致肌(ji)腱(jian)韌帶(dai)(dai)(dai)的(de)(de)(de)(de)(de)(de)疼(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)和腫(zhong)脹。由于附(fu)著(zhu)(zhu)點(dian)(dian)都在(zai)(zai)樞(shu)紐(niu)關(guan)(guan)頭(tou)(tou)四(si)周(zhou)，所(suo)以(yi)(yi)常(chang)(chang)常(chang)(chang)惹起(qi)樞(shu)紐(niu)關(guan)(guan)頭(tou)(tou)四(si)周(zhou)腫(zhong)脹。3、腰(yao)(yao)(yao)(yao)背痛(tong)(tong)(tong)：腰(yao)(yao)(yao)(yao)背痛(tong)(tong)(tong)是(shi)(shi)(shi)(shi)強(qiang)(qiang)直(zhi)性(xing)(xing)(xing)(xing)(xing)脊(ji)(ji)(ji)(ji)柱(zhu)(zhu)炎(yan)(yan)(yan)(yan)最常(chang)(chang)見(jian)的(de)(de)(de)(de)(de)(de)癥(zheng)狀，是(shi)(shi)(shi)(shi)病(bing)(bing)情(qing)活(huo)動(dong)(dong)(dong)的(de)(de)(de)(de)(de)(de)指(zhi)標(biao)(biao)之(zhi)(zhi)一(yi)。疼(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)的(de)(de)(de)(de)(de)(de)地(di)位(wei)包括腰(yao)(yao)(yao)(yao)部(bu)(bu)(bu)、下背部(bu)(bu)(bu)及腰(yao)(yao)(yao)(yao)骶(di)(di)部(bu)(bu)(bu)。因(yin)(yin)為(wei)(wei)強(qiang)(qiang)直(zhi)性(xing)(xing)(xing)(xing)(xing)脊(ji)(ji)(ji)(ji)柱(zhu)(zhu)炎(yan)(yan)(yan)(yan)重(zhong)要侵占(zhan)中軸樞(shu)紐(niu)關(guan)(guan)頭(tou)(tou)且病(bing)(bing)變(bian)發展(zhan)趨勢(shi)大部(bu)(bu)(bu)門是(shi)(shi)(shi)(shi)由下而上(shang)(shang)，所(suo)以(yi)(yi)骶(di)(di)髂(qia)樞(shu)紐(niu)關(guan)(guan)頭(tou)(tou)和腰(yao)(yao)(yao)(yao)椎(zhui)受累險些(xie)見(jian)于所(suo)有(you)(you)(you)該(gai)病(bing)(bing)患(huan)(huan)者，其(qi)發生(sheng)率(lv)在(zai)(zai)90%以(yi)(yi)上(shang)(shang)。骶(di)(di)髂(qia)樞(shu)紐(niu)關(guan)(guan)頭(tou)(tou)炎(yan)(yan)(yan)(yan)癥(zheng)早(zao)(zao)期(qi)一(yi)般(ban)比(bi)較隱(yin)(yin)匿，所(suo)以(yi)(yi)早(zao)(zao)期(qi)腰(yao)(yao)(yao)(yao)痛(tong)(tong)(tong)只表現為(wei)(wei)腰(yao)(yao)(yao)(yao)骶(di)(di)部(bu)(bu)(bu)不(bu)適或(huo)隱(yin)(yin)痛(tong)(tong)(tong)，有(you)(you)(you)些(xie)患(huan)(huan)者只在(zai)(zai)勞累后發作(zuo)(zuo)，呈(cheng)間歇性(xing)(xing)(xing)(xing)(xing)或(huo)兩側交替性(xing)(xing)(xing)(xing)(xing)酸痛(tong)(tong)(tong)，或(huo)表現為(wei)(wei)臀(tun)深部(bu)(bu)(bu)不(bu)適感(gan)。尚有(you)(you)(you)一(yi)些(xie)患(huan)(huan)者，可(ke)(ke)(ke)(ke)(ke)能有(you)(you)(you)內傷或(huo)其(qi)他(ta)(ta)誘(you)因(yin)(yin)，表現腰(yao)(yao)(yao)(yao)骶(di)(di)部(bu)(bu)(bu)疼(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)忽(hu)然發作(zuo)(zuo)，疼(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)猛烈不(bu)克不(bu)及活(huo)動(dong)(dong)(dong)，或(huo)伴發熱，似機械性(xing)(xing)(xing)(xing)(xing)腰(yao)(yao)(yao)(yao)痛(tong)(tong)(tong)或(huo)急性(xing)(xing)(xing)(xing)(xing)炎(yan)(yan)(yan)(yan)癥(zheng)改變(bian)，臥床蘇(su)息數(shu)日后，疼(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)可(ke)(ke)(ke)(ke)(ke)緩解或(huo)消失。這(zhe)種(zhong)情(qing)況可(ke)(ke)(ke)(ke)(ke)反(fan)復(fu)呈(cheng)現，有(you)(you)(you)漸漸加重(zhong)的(de)(de)(de)(de)(de)(de)趨勢(shi)。初(chu)期(qi)疼(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)的(de)(de)(de)(de)(de)(de)部(bu)(bu)(bu)位(wei)常(chang)(chang)位(wei)于腰(yao)(yao)(yao)(yao)骶(di)(di)部(bu)(bu)(bu)，可(ke)(ke)(ke)(ke)(ke)為(wei)(wei)單(dan)側，當前漸漸進展(zhan)為(wei)(wei)雙(shuang)側，疼(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)緊張時可(ke)(ke)(ke)(ke)(ke)放射(she)(she)至髂(qia)嵴、恥骨團(tuan)結(jie)、雙(shuang)鼠(shu)溪部(bu)(bu)(bu)、坐骨結(jie)節和大腿后方，咳嗽、噴嚏、彎腰(yao)(yao)(yao)(yao)等(deng)動(dong)(dong)(dong)作(zuo)(zuo)的(de)(de)(de)(de)(de)(de)牽拉(la)可(ke)(ke)(ke)(ke)(ke)使(shi)疼(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)忽(hu)然加重(zhong)。針(zhen)對強(qiang)(qiang)直(zhi)性(xing)(xing)(xing)(xing)(xing)脊(ji)(ji)(ji)(ji)柱(zhu)(zhu)炎(yan)(yan)(yan)(yan)的(de)(de)(de)(de)(de)(de)治(zhi)療，采用(yong)液(ye)體刀(dao)滑(hua)膜(mo)(mo)切除術，液(ye)體刀(dao)滑(hua)膜(mo)(mo)切除術治(zhi)療不(bu)是(shi)(shi)(shi)(shi)開刀(dao)，而是(shi)(shi)(shi)(shi)向關(guan)(guan)節腔內注(zhu)射(she)(she)藥(yao)物代(dai)替外科(ke)(ke)手(shou)術的(de)(de)(de)(de)(de)(de)過程(cheng)，注(zhu)射(she)(she)到關(guan)(guan)節腔內的(de)(de)(de)(de)(de)(de)藥(yao)物可(ke)(ke)(ke)(ke)(ke)以(yi)(yi)將(jiang)病(bing)(bing)變(bian)的(de)(de)(de)(de)(de)(de)滑(hua)膜(mo)(mo)萎縮代(dai)謝掉，相當于做(zuo)了一(yi)次外科(ke)(ke)手(shou)術，代(dai)替了外科(ke)(ke)手(shou)術中用(yong)鋼(gang)刀(dao)刮除滑(hua)膜(mo)(mo)的(de)(de)(de)(de)(de)(de)整個過程(cheng)，稱為(wei)(wei)“液(ye)體刀(dao)滑(hua)膜(mo)(mo)切除術”。強(qiang)(qiang)直(zhi)性(xing)(xing)(xing)(xing)(xing)脊(ji)(ji)(ji)(ji)柱(zhu)(zhu)炎(yan)(yan)(yan)(yan)嚴重(zhong)危(wei)害(hai)著(zhu)(zhu)患(huan)(huan)者的(de)(de)(de)(de)(de)(de)身心健(jian)康，因(yin)(yin)此，及早(zao)(zao)的(de)(de)(de)(de)(de)(de)治(zhi)療很(hen)有(you)(you)(you)必(bi)(bi)要，患(huan)(huan)者朋友一(yi)定要重(zhong)視起(qi)來(lai)，一(yi)定要選(xuan)擇一(yi)家(jia)正規(gui)的(de)(de)(de)(de)(de)(de)骨科(ke)(ke)醫院進行治(zhi)療。以(yi)(yi)上(shang)(shang)所(suo)說(shuo)的(de)(de)(de)(de)(de)(de)就是(shi)(shi)(shi)(shi)強(qiang)(qiang)直(zhi)性(xing)(xing)(xing)(xing)(xing)脊(ji)(ji)(ji)(ji)柱(zhu)(zhu)炎(yan)(yan)(yan)(yan)的(de)(de)(de)(de)(de)(de)早(zao)(zao)期(qi)癥(zheng)狀，相信(xin)大家(jia)應該(gai)有(you)(you)(you)所(suo)了解了。若你還有(you)(you)(you)其(qi)他(ta)(ta)疑問，可(ke)(ke)(ke)(ke)(ke)以(yi)(yi)直(zhi)接咨(zi)詢在(zai)(zai)線專(zhuan)家(jia)，祝您早(zao)(zao)日康復(fu)。
強直性脊柱炎的早期癥狀表現有哪些?
1、并發周圍關節炎：以髖關節最為常見，患病人群達到35%。該病通常為雙側性，起病慢，很快出現屈曲攣縮和強直，為保持直立位，往往膝部有代償性屈曲。肩關節為第二個好發部位。偶有膝關節病變。其它關節少有發病。另外，關節外骨骼會有壓痛點，主要發生在胸肋交界處、棘突、髂脊、股骨大轉子、脛骨結節、坐骨結節和足跟，有時這些癥狀也可以早期出現。
2、胸廓擴張度減弱：患者會出現胸痛的癥狀，有的會伴隨放射性肋間神經痛。這是由于隨著病變向胸段脊柱發展，肋脊關節受累所致。只有少數病人自己發覺吸氣時胸廓不能充分擴張。因肋脊關節強直，在檢查時可發現吸氣時胸廓不能活動而只能靠膈肌呼吸。在正常情況下，最大限度吸氣與呼氣，于第四肋間處的活動度可達5cm以上。不足5cm者應視為胸廓擴張度減弱，早期很少有肺功能削弱的，至后期時，由于重度脊柱后凸與喪失胸廓擴張能力，使肺通氣功能明顯減退。
3、下腰痛和脊柱僵硬：這是強直性脊柱炎的癥狀中最明顯的一點。下腰痛發生緩慢，鈍痛狀，講不清痛在什么地方，有時牽涉至臀部。也可以疼痛很嚴重，集中在骶髂關節附近，放射至髂脊、股骨大轉子與股后部，一開始疼痛或為雙側，或為單側，但幾個月后都變為雙側性，并出現下腰部僵硬。晨僵是極常見的癥狀，可以持續時間長達數小時之久。長期不活動使僵硬更為明顯，病人往往訴說由于僵硬與疼痛，起床十分困難，只能向側方翻身，滾下床沿才能起立。
4、骨(gu)骼外病變(bian)(bian)：嚴重者會(hui)患上急性葡萄膜炎(yan)，該(gai)病的發(fa)生率可高(gao)達25%。強直性脊(ji)柱炎(yan)的癥狀表現為(wei)心血管疾(ji)患有(you)主動(dong)脈炎(yan)，主動(dong)脈瓣關閉不全，心臟擴(kuo)大，房室傳(chuan)導(dao)阻(zu)滯和心包炎(yan)等。肺部病變(bian)(bian)主要為(wei)肺上葉進行(xing)性纖維(wei)化。神(shen)經系統病變(bian)(bian)常為(wei)繼發(fa)性，有(you)自發(fa)性寰枕關節半脫位和馬尾神(shen)經受(shou)壓表現。后者表現為(wei)大小(xiao)便障礙與會(hui)陰部鞍區(qu)狀麻木。
1.強直性脊柱炎的初期癥狀表現
2.為腰骶下腰背或者臀部出現疼痛,一開始疼痛的位置是一側，過一段時間后就變成雙側
3.并且還會出現腰部僵硬和疼痛，久坐痛感會加重，但活動之后疼痛和僵硬會緩解。
要知道人的(de)(de)脊柱(zhu)椎體(ti)之(zhi)(zhi)間是有間隔的(de)(de)，而強(qiang)直(zhi)脊柱(zhu)炎(yan)就(jiu)是脊柱(zhu)的(de)(de)椎體(ti)之(zhi)(zhi)間相互(hu)融合(he)了，引發了炎(yan)癥，須用中(zhong)醫脊柱(zhu)整體(ti)復位法將融合(he)的(de)(de)椎體(ti)打開，使他們重新恢(hui)復椎體(ti)之(zhi)(zhi)間的(de)(de)間隔，并使用一些(xie)中(zhong)醫外敷藥(yao)，如【強(qiang)直(zhi)居-優堂傳世(shi)帖】，那么強(qiang)直(zhi)就(jiu)能從根本上得到緩解。就(jiu)會慢(man)慢(man)恢(hui)復正(zheng)常。
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