Source: Ningbo Evening News
30-year-old Liu Qiang (pseudonym)
Recently, it has suffered a blow of fate
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He has always been healthy
It was because I carried a bucket of water
Causes paraplegia of both lower limbs!
Wu Xiudi, director of the Rheumatology and Immunology Department of Ningbo First Hospital, said that Liu Qiang suffered from ankylosing spondylitis, a type of chronic arthritis. This autoimmune disease is more common in young men.
The familiar stars Jay Chou and Zhang Jiayi are also suffering from this disease. With the advancement of medical technology, Liu Qiang's tragedy could have been completely avoided.
Video Producer Wang Ying
I took the bucket of water and urinary incontinence
Liu Qiang, a native of Ningbo, is 30 years old and has a successful career and a happy family.
A while ago, Liu Qiang changed the water for the water dispenser at home as usual, and just leaned over to carry the bucket of water, and he felt that something was wrong. He then fell heavily to the ground and urinated incontinence.
His family rushed him to the local hospital and then to the First Ningbo Hospital. He was diagnosed with a transverse fracture of the tenth thoracic spine, which injured the nerves of the spinal cord, resulting in paraplegia.
The picture shows Liu Qiang's spine image
Why does carrying a bucket of water lead to such serious consequences?
After a comprehensive examination, it was found that he had ankylosing spondylitis, and it was already advanced, and there were serious lesions in the entire spine, of which the 10th thoracic vertebrae had long been destroyed, so a forceful action led to a transverse fracture. The cause of this fracture is closely related to ankylosing spondylitis.
Normal people's spine has a natural physiological curvature, while Liu Qiang's entire spine has been connected by a "bone bridge" into a straight whole root, completely hardened. The hardened spine can easily fracture due to osteoporosis and inflammatory damage to the vertebral body. Among Wu Xiudi's patients, some of them caused lumbar vertebrae fractures due to the bumps in the car, and even a 24-year-old boy coughed and caused a thoracic vertebral fracture.
From the age of 17, he often had back pain in the middle of the night
Eat a bad stomach before the onset of the disease
Liu Qiang and his family are hearing about ankylosing spondylitis for the first time.
When asking about the medical history in the follow-up, Wu Xiudi found that the disease had already sent a signal to Liu Qiang.
Since the age of 17, Liu Qiang often wakes up in the middle of the night because of back pain, sometimes so painful that he can't sleep all night. He is in good health, usually exercise is also more, thinking that it is only caused by excessive exercise, and the symptoms are light and heavy, good and bad, so he did not pay attention.
Wu Xiudi told reporters that many people will have experience pain or soreness in the lower back. Ankylosing spondylitis occurs mainly in young men, who have less low back pain due to lumbar disc herniation. Therefore, if you have nocturnal pain in your lower back in your teens, twenties and thirties, and you get up stiff in the morning, you must be vigilant about whether you have ankylosing spondylitis.
The picture shows the evolution of ankylosing spondylitis
"The characteristics of this pain are obvious, and when lying down at night, there is nothing unusual. You will wake up in the middle of the night, can't turn over, or it hurts when you turn over. When I get up in the morning, there is a phenomenon of morning stiffness, lying in bed can not move, it will take a while to move, it is very difficult to get out of bed. After the event, it was not so uncomfortable. Wu Xiudi said that in contrast to the pain caused by lumbar disc herniation or sports injuries, ankylosing spondylitis is characterized by pain in the middle of the night, stiffness in the morning, and the more you lie down, the more painful it is.
Liu Qiang said that his symptoms are exactly like this. So in fact, Liu Qiang has been ill for more than ten years, but because he has never standardized treatment, it has led to such a very regrettable consequence now.
Wu Xiudi said that the onset of ankylosing spondylitis, in addition to genetic factors, is also related to external factors induced. Infections, especially those in the intestines, are one of the external triggers. Acute gastroenteritis, non-stop diarrhea, vomiting, it is easy to induce the onset of patients who are genetically positive. In addition, gingivitis, sedentary, etc. are also easy to induce diseases.
Treatment technology has advanced by leaps and bounds, and drugs have been included in medical insurance
Many people learned about the disease of ankylosing spondylitis from the experiences of Jay Chou and Zhang Jiayi.
Jay Chou said in many interviews that the disease has caused him to suffer so much that he often can't sleep in pain at night.
Zhang Jiayi has explained many times that the reason why he habitually hunched forward when walking is caused by illness. Moreover, he got up long before the other actors in the group when shooting, and constantly flushed his back with hot water to relieve the pain.
"In the outpatient clinic, many people are scared when they hear about ankylosing spondylitis. I reassured the patient that if I had to choose one of the diseases in the rheumatology and immunology department, I would choose ankylosing spondylitis. Wu Xiudi said that Jay Chou and Zhang Jiayi suffered a lot of pain because of the early onset of the disease, and the treatment methods at that time were not so advanced.
The picture shows the spine of ankylosing spondylitis
In the past 20 years, the treatment of ankylosing spondylitis has advanced by leaps and bounds, and the effect is very good. Targeted drugs, biologics, etc. can be used for treatment, and also included in medical insurance, the current treatment can be described as "cheap and good".
The reporter met Liu, a junior at a university in Ningbo, in the clinic. In June this year, he had diarrhea after a midnight snack at a roadside stall, but he did not expect the diarrhea to get better, and he had back pain in the middle of the night. I went to the orthopedic department first, and as soon as the doctor heard it, he suggested that he be transferred to the rheumatology department.
He spent 50 yuan on genetic testing and confirmed that HLA-B27 was positive, that is, the human leukocyte antigen-B27 gene was positive. 90% of patients with ankylosing spondylitis will be positive for this gene.
Further MRI results showed that Liu had obvious edema in the pelvis and spine bones, and the bone quality had not been destroyed, which was early ankylosing spondylitis. Now, after 3 months of drug treatment and functional training, Liu's symptoms have completely disappeared, and after this follow-up consultation, he can also stop the drug for observation.
Not all ankylosing spondylitis needs treatment
Wu xiudi said that not all ankylosing spondylitis needs treatment.
If the pain is not severe, the joints are not significantly damaged, and it is female again, then doing proper functional exercises and maintaining follow-up is fine. If the pain is severe, the onset is young, and it is male, the magnetic resonance shows that the inflammation is obvious, and the consequences of not treating it are more serious.
Therefore, she suggested that young men with back pain and morning stiffness in the middle of the night should be vigilant against such diseases that specialize in bullying young men, and go to regular hospitals for special examinations as soon as possible to standardize treatment, so that the adverse consequences of the disease can be completely avoided.