Interviewed experts:
Deputy Chief Physician of the Department of Rheumatology and Immunology of the Third Affiliated Hospital of Southern Medical University He Yi
Chief Physician of the Department of Rheumatology and Immunology of Peking Union Medical College Hospital Leng Xiaomei
Global Times Health Client Reporter Xu Wenting
October 12, singer Li Yuchun was a guest on a program and revealed for the first time that he had ankylosing spondylitis. "I feel that my body is petrified." It was so serious that I could not sleep and needed to travel in a wheelchair.
In fact, many people in the entertainment industry suffer from this disease. Public reports include singers and actors such as Jay Chou , Ada Choi , Zhang Jiayi and other singers and actors. Once upon a time, Zhang Jiayi's special walking posture was discussed and imitated by many netizens, and even criticized for being "arrogant". In response, Zhang Jiayi said that at first he didn't walk like this, but later due to the trouble of ankylosing spondylitis, his movements were restricted and he could only walk with his back, bent over and crossed his legs. This was a helpless move.
What is the disease of ankylosing spondylitis that has caused celebrities torment?
Ankylosing spondylitis is a chronic inflammatory disease that mainly involves the central axis bones and peripheral joints. It belongs to the category of rheumatism. The cause is not yet clear. It is likely to cause disease based on genetic factors and other aspects such as environmental factors (including infection). He Yi, deputy chief physician of the Department of Rheumatology and Immunology at the Third Affiliated Hospital of Southern Medical University, introduced that the disease is mainly caused by young people in their twenties and thirties, and is more common in young men. It is manifested as chronic low back pain in the early stage, and then there is a stiff joint of the spine and , showing disability changes such as "hunchback". Its prevalence rate and disability rate are high, which can easily lead to the loss of labor capacity of patients and seriously affect their lives. Although ankylosing spondylitis is not fatal, it is very tormenting. is therefore often called "undead cancer".
In addition to pain, stiffness, disability, etc., ankylosing spondylitis can also cause a variety of diseases. Long-term follow-up found that 25% of patients had conjunctivitis , irisitis, vitiligo or uveitis, and 2% to 10% of patients had cardiovascular system manifestations. As the disease develops, aseptic inflammation erodes the joints more and more severely. On the one hand, calcification points appear in the joint cavity, and soft tissue ossification occurs. On the other hand, aseptic inflammation continues to erode the patient's spine and joints, directly leading to a decrease in bone density at the lesions and loss of bone mass within the joints. If the ankylosing spondylitis develops to the late stage, the patient is bedridden for a long time, coupled with reduced exercise, insufficient light, loss of bone mass in the body, and loss of calcium, it is more likely to occur with osteoporosis .
Leng Xiaomei, chief physician of the Department of Rheumatology and Immunology at Peking Union Medical College Hospital, said that ankylosing spondylitis is the most encouraged disease. It is recommended to focus on exercises that exercises that exercises that exercises that exercises that exercises that exercises that exercises that exercises that exercises that exercises that exercises that exercises that exercises that exercises that exercises that exercises that exercises that exercises that exercises that exercises that exercises that exercises that exercises that exercises that exercises that exercises that exercises that exercises that exercises that are flexible in the body. Swimming and " Xiaoyanfei " can increase the strength of the waist and back muscles and reduce spinal pressure; yoga and broadcast gymnastics can increase body flexibility and reduce the stiffness of the waist and back. Strong competitive sports, such as fast running, ball sports, etc., are not recommended.
At present, ankylosing spondylitis cannot be cured. Early detection and early treatment of is the only way to prevent the worsening of ankylosing spondylitis. He Yi said that standardized treatment can effectively control the condition. If you do not follow the doctor's advice and stop the medicine without authorization, you may experience severe hunchback deformity, which will continue to develop and may even be paralyzed. For young men aged 16 to 25, if there is continuous or intermittent pain in lumbosacral and hip without cause, accompanied by morning stiffness (the pain is the most serious when you wake up in the morning, and the symptoms are relieved after activity), or if the waist stiffness and difficulty bending and squatting, you should be alert to ankylosing spondylitis and must go to the rheumatism and immunology department in time for treatment. For patients with signs of hunchback, they need to go to the spinal surgery department. In the early stage, they can take braces and treatment to correct kyphosis as much as possible. ▲
