{"id":13367,"date":"2024-02-07T10:45:32","date_gmt":"2024-02-07T10:45:32","guid":{"rendered":"https:\/\/ro.cvot.md\/bolezn-behtereva\/"},"modified":"2024-02-07T10:45:32","modified_gmt":"2024-02-07T10:45:32","slug":"bolezn-behtereva","status":"publish","type":"page","link":"https:\/\/ro.cvot.md\/en\/bolile-reumatice\/bolezn-behtereva\/","title":{"rendered":"Boala Beh\u00e7et (Spondilita anchilozant\u0103)"},"content":{"rendered":"\n<p>Ce este spondilita anchilozant\u0103 (Boala Beh\u00e7et)?<br>Spondilita anchilozant\u0103 (SA) face parte din bolile inflamatorii sistemice, care afecteaz\u0103 \u00een principal coloana vertebral\u0103. Procesul patologic care se desf\u0103\u0219oar\u0103 \u00een coloana vertebral\u0103 duce treptat la fuziunea vertebrelor \u00eentre ele (anchiloz\u0103), ceea ce determin\u0103 limitarea mobilit\u0103\u021bii datorit\u0103 form\u0103rii unor pun\u021bi osoase \u00eentre vertebre. De aici \u0219i numele bolii. \u00cen acela\u0219i timp, se produce osificarea ligamentelor care \u00eenconjoar\u0103 coloana vertebral\u0103. Drept urmare, coloana poate pierde complet flexibilitatea \u0219i se poate transforma \u00eentr-un os solid.<\/p>\n\n\n\n<p>Se disting patru forme ale bolii Beh\u00e7et:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Forma central\u0103<br>Aceast\u0103 form\u0103 afecteaz\u0103 doar coloana vertebral\u0103. Se dezvolt\u0103 lent, adesea f\u0103r\u0103 ca pacientul s\u0103 observe. Durerea apare ini\u021bial \u00een zona sacrului \u0219i apoi urc\u0103 de-a lungul coloanei vertebrale. Durerea se agraveaz\u0103 la mi\u0219care \u0219i efort, deseori apar dureri nocturne. Postura pacientului se modific\u0103 treptat: curbura cervical\u0103 se accentueaz\u0103 cu o proeminen\u021b\u0103 \u00een fa\u021b\u0103, iar curbura toracic\u0103 cu o proeminen\u021b\u0103 \u00eenapoi. Capul pacientului se apleac\u0103 \u00eenainte, b\u0103rbia apropiindu-se de stern. Coloana toracic\u0103 este curbat\u0103, iar mi\u0219c\u0103rile respiratorii ale cutiei toracice sunt limitate. \u00cen stadiile avansate, mobilitatea coloanei este foarte redus\u0103. Pacientul poate avea atacuri de sufocare, spasme musculare \u0219i tensiune arterial\u0103 crescut\u0103. Toate acestea sunt \u00eenso\u021bite de dureri \u00een toate segmentele coloanei vertebrale.<\/li>\n\n\n\n<li>Forma rizomelic\u0103<br>Aceast\u0103 form\u0103 combin\u0103 afectarea coloanei vertebrale cu afectarea articula\u021biilor mari, \u00een special ale umerilor \u0219i \u0219oldurilor. Boala se dezvolt\u0103 treptat. Durerea localizat\u0103 depinde de articula\u021bia afectat\u0103 \u0219i poate ap\u0103rea \u00een fese, coaps\u0103, \u0219old, cu iradiere \u00een zona inghinal\u0103 \u0219i genunchi, sau \u00een um\u0103r, antebra\u021b \u0219i bra\u021b.<\/li>\n\n\n\n<li>Forma periferic\u0103<br>La aceast\u0103 form\u0103, primele semne apar la nivelul articula\u021biilor sacroiliace. Dup\u0103 c\u00e2teva luni sau chiar ani, apar inflama\u021bii ale genunchilor \u0219i gleznelor, cu dezvoltarea artrozei deformante \u0219i contracturi musculare \u00een apropierea articula\u021biilor. Aceast\u0103 form\u0103 este mai frecvent\u0103 la adolescen\u021bi.<\/li>\n\n\n\n<li>Forma scandinav\u0103<br>Este similar\u0103 formei periferice, dar afecteaz\u0103 articula\u021bii \u0219i mai mici, cum ar fi cele ale m\u00e2inilor \u0219i picioarelor. Durerea este de intensitate redus\u0103.<\/li>\n<\/ol>\n\n\n\n<p>Boala Beh\u00e7et afecteaz\u0103 \u00een principal b\u0103rba\u021bii cu v\u00e2rste \u00eentre 15 \u0219i 30 de ani. Cauzele exacte nu sunt pe deplin cunoscute, dar majoritatea speciali\u0219tilor consider\u0103 c\u0103 este o boal\u0103 de natur\u0103 autoimun\u0103. Se \u0219tie c\u0103 exist\u0103 o predispozi\u021bie genetic\u0103, iar 90\u201395% dintre pacien\u021bii cu boala Beh\u00e7et au antigenul HLA-B27.<\/p>\n\n\n\n<p>Factorii declan\u0219atori ai bolii pot fi:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hipotermia;<\/li>\n\n\n\n<li>Traumatismele coloanei vertebrale \u0219i bazinului;<\/li>\n\n\n\n<li>Infec\u021biile;<\/li>\n\n\n\n<li>Boli alergice;<\/li>\n\n\n\n<li>Deregl\u0103ri hormonale;<\/li>\n\n\n\n<li>Boli inflamatorii ale tractului gastrointestinal;<\/li>\n\n\n\n<li>Boli inflamatorii ale aparatului urogenital.<\/li>\n<\/ul>\n\n\n\n<p>\u00cen boala Beh\u00e7et, celulele imune atac\u0103 discurile intervertebrale, tendoanele \u0219i ligamentele articula\u021biilor. \u00cen \u021besuturile afectate se dezvolt\u0103 inflama\u021bia, iar \u021besuturile elastice sunt \u00eenlocuite cu \u021besut osos dur, ceea ce duce la restric\u021bionarea mobilit\u0103\u021bii coloanei vertebrale \u0219i articula\u021biilor.<\/p>\n\n\n\n<p><strong>Diagnostic<\/strong><br>Simptomele ini\u021biale sunt similare cu cele ale osteocondrozei, o afec\u021biune degenerativ\u0103 a discurilor intervertebrale. Durerea este asem\u0103n\u0103toare, \u00eens\u0103 boala Beh\u00e7et are c\u00e2teva caracteristici distinctive:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Senza\u021bie de rigiditate matinal\u0103 care dispare \u00een cursul zilei;<\/li>\n\n\n\n<li>Ameliorarea rapid\u0103 a durerii la administrarea medicamentelor antiinflamatoare nesteroidiene.<\/li>\n<\/ul>\n\n\n\n<p>Pentru confirmarea diagnosticului se folosesc investiga\u021bii imagistice, cum ar fi RMN-ul \u0219i CT-ul coloanei vertebrale. Exist\u0103 \u0219i teste de laborator pentru identificarea predispozi\u021biei genetice, marcate de antigenul HLA-B27. Acesta indic\u0103 o probabilitate foarte mare de dezvoltare a bolii (\u00een aproximativ 90% din cazuri).<\/p>\n\n\n\n<p><strong>Tratament<\/strong><br>\u00cen prezent, nu exist\u0103 tratament care s\u0103 vindece complet boala Beh\u00e7et. Terapia are scopul de a men\u021bine activitatea bolii la un nivel minim \u0219i de a p\u0103stra func\u021bia satisf\u0103c\u0103toare a articula\u021biilor \u0219i coloanei vertebrale. Este o sarcin\u0103 dificil\u0103, dar realizabil\u0103, care necesit\u0103 r\u0103bdare \u0219i consecven\u021b\u0103.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Este necesar\u0103 monitorizarea constant\u0103 de c\u0103tre un reumatolog.<\/li>\n\n\n\n<li>\u00cen cazul activ\u0103rii bolii, sub supraveghere medical\u0103, se prescrie tratament de baz\u0103 (sulfasalazin\u0103 sau delagil\/plakvenil).<\/li>\n\n\n\n<li>Pentru reducerea inflama\u021biei se administreaz\u0103 medicamente antiinflamatoare, cum ar fi metindol (indometacin).<\/li>\n\n\n\n<li>Pentru prevenirea deform\u0103rilor coloanei este foarte important s\u0103 se practice exerci\u021bii terapeutice cel pu\u021bin 1 or\u0103 pe zi, sub \u00eendrumarea unui specialist \u00een kinetoterapie. Exerci\u021biile trebuie s\u0103 includ\u0103 aplec\u0103ri \u0219i rota\u021bii ale coloanei \u00een diferite planuri, cu scopul cre\u0219terii amplitudinii mi\u0219c\u0103rilor zilnic.<\/li>\n\n\n\n<li>\u00cenotul este foarte recomandat.<\/li>\n\n\n\n<li>De 2\u20133 ori pe an se recomand\u0103 masaj terapeutic al coloanei, cu elemente de trac\u021biune.<\/li>\n\n\n\n<li>Terapia manual\u0103 pe segmentul cervical este contraindicat\u0103, deoarece exist\u0103 riscul subluxa\u021biei vertebrei cervicale a II-a.<\/li>\n\n\n\n<li>De 2 ori pe an este indicat\u0103 fizioterapia: laserterapie, magnetoterapie, electroforez\u0103 cu dimexid pe coloana vertebral\u0103 \u0219i articula\u021biile afectate.<\/li>\n\n\n\n<li>O dat\u0103 pe an, dac\u0103 este posibil, se recomand\u0103 tratament balnear \u00een sanatorii specializate, cu b\u0103i terapeutice \u0219i n\u0103moluri.<\/li>\n<\/ul>\n\n\n\n<p>Este extrem de important\u0103 tratarea la timp a focarelor cronice de infec\u021bie, cum ar fi din\u021bi caria\u021bi sau infec\u021bii ale nasului \u0219i g\u00e2tului. De asemenea, este necesar\u0103 consultarea unui urolog, deoarece infec\u021biile cronice urogenitale \u0219i prostatita cronic\u0103 agraveaz\u0103 evolu\u021bia bolii.<\/p>\n\n\n\n<p>Urm\u00e2nd aceste recomand\u0103ri cu stricte\u021be, de regul\u0103, se poate preveni apari\u021bia deform\u0103rilor severe ale scheletului.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ce este spondilita anchilozant\u0103 (Boala Beh\u00e7et)?Spondilita anchilozant\u0103 (SA) face parte din bolile inflamatorii sistemice, care afecteaz\u0103 \u00een principal coloana vertebral\u0103. Procesul patologic care se desf\u0103\u0219oar\u0103 \u00een coloana vertebral\u0103 duce treptat la fuziunea vertebrelor \u00eentre ele (anchiloz\u0103), ceea ce determin\u0103 limitarea mobilit\u0103\u021bii datorit\u0103 form\u0103rii unor pun\u021bi osoase \u00eentre vertebre. De aici \u0219i numele bolii. \u00cen acela\u0219i [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":13369,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-13367","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Boala Beh\u00e7et (Spondilita anchilozant\u0103) - Asocia\u0163ia Ob\u015fteasc\u0103 &#039;&#039;HEALTHY SPINE&#039;&#039;<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ro.cvot.md\/en\/bolile-reumatice\/bolezn-behtereva\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Boala Beh\u00e7et (Spondilita anchilozant\u0103) - Asocia\u0163ia Ob\u015fteasc\u0103 &#039;&#039;HEALTHY SPINE&#039;&#039;\" \/>\n<meta property=\"og:description\" content=\"Ce este spondilita anchilozant\u0103 (Boala Beh\u00e7et)?Spondilita anchilozant\u0103 (SA) face parte din bolile inflamatorii sistemice, care afecteaz\u0103 \u00een principal coloana vertebral\u0103. Procesul patologic care se desf\u0103\u0219oar\u0103 \u00een coloana vertebral\u0103 duce treptat la fuziunea vertebrelor \u00eentre ele (anchiloz\u0103), ceea ce determin\u0103 limitarea mobilit\u0103\u021bii datorit\u0103 form\u0103rii unor pun\u021bi osoase \u00eentre vertebre. 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