Xiao Wang next door was afraid of light, shed tears and couldn't see clearly some time ago. When he went to the hospital, the doctor said it was uveitis! He was blinded at that time. He wondered why he broke his eye mask when he ate a grape?
After the eye examination, the doctor said no, you should go to the Rheumatology Department to check what the human leukocyte antigen is, like HLA-B27.
Without checking, I was shocked. Xiao Wang's HLA-B27 was positive. After a series of tests, I finally diagnosed myself with ankylosing spondylitis!
He hurried to surf the Internet again, but the result was again covered: ankylosing spondylitis is a chronic inflammatory disease, which not only affects the spine, but also invades the hip joint and other surrounding joints and other organs and tissues outside the joint, and can not be cured! How can the problem of the spine affect the eyes?
In fact, this is not strange! The human body is a whole and various systems are interrelated. Ankylosing spondylitis is a chronic progressive rheumatic immune disease, which most often involves joints, especially sacroiliac joints, and also involves eyes. Let's talk about how ankylosing spondylitis affects the eyes today?
Ankylosing spondylitis will invade other tissues besides joints, and the most common one is ocular involvement. When the immune regulation function of the body is disordered, it will produce an immune response against the autologous components.
Abundant blood vessels in the uvea of the eye make it easy for immune diseases to invade and thus cause uveitis. So the relationship between them is very big!
Ankylosing spondylitis mostly occurs in young people. The prevalence rate in China is about 0.3%, and there are about 4 million to 5 million ankylosing patients. The onset of ankylosing spondylitis is mostly in the peak period of young men aged 20-30 years.
The young people gradually suffer from back pain and morning stiffness, which worsen at night. They can not get better after rest but relieve after activities. If such symptoms persist for more than 3 months, they should go to the Rheumatology and Immunology Department as soon as possible.
Up to 30-50% of patients with ankylosing spondylitis may have anterior uveitis, which often affects both eyes and can recur. The main symptoms include red eyes, eye pain, photophobia, tears, decreased vision, visual distortion, black shadow in front of eyes, abnormal flash sensation, abnormal color vision, etc.
In addition, more than 50% of patients with uveitis have complications of varying degrees, such as cataracts, glaucoma, etc., resulting in a serious decline in vision.
It should be noted that if uveitis occurs in patients with ankylosing spondylitis clinically, they can be diagnosed only by excluding other trauma, chemical damage or the spread of adjacent tissue diseases. In addition, uveitis associated with ankylosing spondylitis is characterized by unilateral or bilateral alternating attacks and repeated attacks, which can also be used as the basis for diagnosis.
There is a truth that the treatment of disease must be based on this. If you want to treat ankylosing spondylitis and the associated uveitis, you must first control the primary disease, that is, treat ankylosing spondylitis. At present, ankylosing spondylitis is mainly treated with drugs.
Physical exercise, exercise and physical therapy are important treatment methods besides drug therapy, which are of great significance for improving function and preventing deformity.
The sports suitable for patients with ankylosing spondylitis include swimming, shadowboxing, jogging, push ups, etc. It is not suitable for violent, impactive and antagonistic sports, such as football, basketball, high jump, long jump, etc.
And we should maintain an optimistic attitude, correctly understand the disease, and establish confidence in overcoming the disease. It is more important to maintain good living habits, quit smoking, drink less and control weight. Eat less high fat and sugar foods, and eat more protein and vitamin rich foods. Strengthen the body, work and rest, and prevent infection.