Ðe wò ŋutilã hã sesẽ nenema? Ðe wòsesẽna be nàbɔbɔ wò akɔta nenema? Ðewohĩ esiae nye (Diffuse Idiopathic Skeletal Hyperostosis - DISH)!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yeƒe ŋutilã sẽ vie, vevietɔ ne èfɔ le ŋdi me, eye wòsesẽna be nàbɔbɔ wò akɔta alo kɔa? Alo ɖe wò ƒunukpeƒewo le veve sem viea? Ðewohĩ èsusu be esia nye nusi dzɔna ne èle tsitsim. Gake, menye lãmekawo ƒe sesẽ kple vevesese katãe sɔ o. Egbea míele nu ƒom tso nɔnɔme aɖe si ŋkɔ didi, gake wokpɔnɛ le ame geɖe me, vevietɔ le ƒe 50 xɔxɔ vɔ megbe ŋu.Eyae nye (Diffuse Idiopathic Skeletal Hyperostosis) , si míeyɔna hã be (DISH) kpuie.

Eyata nukae nye esia (DISH)? Kpuie ko la,...

Enyo, DISH, ne míagblɔe kpuie la, enye ƒunukpeƒetetedɔ ƒomevi aɖe. Gake nusi dzɔna le esia mee nye be ƒu ƒe lãkusi yeyewo tsina tsɔ kpe ɖe lãkusi falɛfalɛ siwo le míaƒe ŋutilã me ŋu. Bu eŋu kpɔ, lãkusi siwo le míaƒe ŋutilã me, ka siwo léa ƒunukpeƒewo ɖe wo nɔewo ŋu, akpa falɛfalɛ siwo ƒo xlã ƒunukpeƒewo, va sesẽna abe kpe ene .

Nya etɔ̃ le ŋkɔ sia me. "Hyperostosis" fia ƒu ƒe tsitsi fũ akpa. Le DISH me la, calcium ƒoa ƒu ɖe lãkusi falɛfalɛ siwo lé ɖe míaƒe ƒunukpeƒewo ŋu me. Calcium ƒe agbɔsɔsɔ sia nana lãmenugbagbevi falɛfalɛawo trɔna vivivi zua ƒu (ƒu ƒe wɔwɔme). Ele abe lã sue aɖe si trɔ zu kpe ene.

"Diffuse" fia be nuwɔna sia ateŋu adzɔ le ŋutilã ƒe akpa ɖesiaɖe. Gake zi geɖe la, edzea egɔme tso míaƒe akɔta , vevietɔ le titina, si fia be edzea egɔme tso akɔta (thoracic spine). "Idiopathic" fia be edzɔna nusi tututu gbɔ wòtso manɔmee .

Nɔnɔme sia (DISH) ate ŋu ahe lãmeka kple ƒu ƒe vevesese, ʋuʋu ƒe kuxiwo, kple kuxi bubuwo vɛ. Ƒu yeyea ƒe tsitsi ate ŋu ana ƒu ƒe ʋuʋu. Esiawo ate ŋu ava nɔ abe ŋùwo ene eye woado kplamatse míaƒe ƒunukpeƒewo ƒe dɔwɔwɔ nyuie.

Ðe DISH kple Forestier dɔlélea nye nu ɖeka?

Ao, ŋkɔ bubu si wotsɔ na DISH enye Forestier ƒe dɔléle . Ðɔkta aɖe si ƒo nu tso nɔnɔmea ŋu zi gbãtɔ le ƒe 1950-awo me la ƒe ŋkɔe wotsɔ nɛ. Emegbe le ƒe 1975 me la, Resnick kple eƒe ƒuƒoƒoa zã ŋkɔ si le tẽ wu si nye Diffuse Idiopathic Skeletal Hyperostosis. Eyata, togbɔ be wotsɔ ŋkɔ eve yɔ wo hã la, nu ɖeka ma ke ŋue wole nu ƒom tsoe.

Aleke gbegbee woyɔa nɔnɔme sia be (DISH)?

Le nyateƒe me la , DISH nye dɔléle si bɔ ŋutɔ le ame tsitsiwo dome . Zi geɖe la, mebɔ hafi xɔ ƒe 40. Gake ame siwo xɔ wu ƒe 50 dometɔ siwo ade 40% ate ŋu axɔ dɔléle sia. Azɔ hã, ŋutsuwo ate ŋu axɔe zi gbɔ zi eve wu nyɔnuwo. Eyata abe alesi nàte ŋu akpɔe ene la, esia menye dɔléle si mebɔ o.

Nukae nye DISH ƒe dzesiwo? Aleke nèwɔ nya?

Menye amesiame si ŋu DISH le lae dzena vevie o. Ame aɖewo ate ŋu ayi ƒe geɖe evɔ womekpɔa dzesi aɖeke o. Gake ne dzesiawo dze la, dzesi siwo bɔ wue nye lãmekawo ƒe sesẽ kple vevesese le goawo katã me . Akɔta kple kɔ ƒe vevesese koŋue bɔ. Àte ŋu ase esia le ɖokuiwò me wu ne èfɔ zi gbãtɔ le ŋdi me kple le vuvɔŋɔli . Àte ŋu akpɔe hã be màgate ŋu aʋã o , abe wò abɔwo bɔbɔ kple wo dzɔdzɔe sesẽ ene.

Zi geɖe la, DISH dzea akɔta kple titina ƒe akpa dzi gbã, gake ate ŋu adze ŋutilã ƒe akpa bubuwo abe abɔwo kple afɔwo ene dzi emegbe. Àte ŋu ase ƒunukpeƒeveame alo ƒunukpeƒetetedɔ le teƒe siawo:

• Le abɔta
• Le akɔta
• Le abɔtawo me
• Le klowo me
• Le afɔkpodziwo me
• Le afɔkpodziwo me

Ɣeaɖewoɣi la, dzesiawo dzea egɔme ne ƒu yeye siwo tsi, siwo woyɔna be ƒu ƒe ʋuʋudedi, de nyaƒoɖeamenu lãmeka aɖe si te ɖe eŋu dzi . Esia ate ŋu ahe vevesese sesẽ aɖewo vɛ. Vevesese sia ate ŋu asẽ ŋutɔ ne èʋuʋu wò ŋutilã le mɔ aɖe nu alo le nyaƒoɖeamenu de teƒe aɖe.

Lãmetsi si ƒo ɖe lãme na ame hã ate ŋu ahe nusiwo gbɔna vɛ:

• Kuku alo ʋuʋudedi
• Abe pin kple aŋe ene
• Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ

Bu eŋu kpɔ, ne wò vidzidɔ ƒe akɔta va tu ƒu bubuwo ɖo alea eye wòdze tete ɖe wò nuɖuɖutome alo ŋɔti ŋu , nu siawo tɔgbe ate ŋu adzɔ:

• Gbeɖiɖi ƒe ɖiɖi
• Nu mimi ƒe kuxiwo
• Alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe si xea mɔ na ame

Nukatae esia (DISH) dzɔna? Nukawoe gbɔ wòtsona?

Ðɔktawo kple numekulawo gale agbagba dzem be yewoanya nusi tututu hea DISH vɛ. Ke hã, nu geɖe li siwo wosusu be eya gbɔe wòtso. Gake womenya alesi wodo ƒomee haɖe o.

• Lãmetsiŋusẽ ƒe dɔwɔwɔ : Nɔnɔme aɖe hã le ame geɖe siwo ŋu DISH le ŋu si woyɔna be metabolic syndrome . Esia nye nɔnɔme siwo do ƒome kple wo nɔewo eye wodzia dzitodzito me dɔlélewo xɔxɔ ƒe afɔkua ɖe edzi. Kpɔɖeŋu aɖewoe nye suklidɔ, insulin ƒe agbɔsɔsɔ fũ, uric acid ƒe agbɔsɔsɔ fũ, ʋumemi ƒe agbɔsɔsɔ fũ, kple lolo akpa.
• Domenyiŋusẽfianu : Dzesi tɔxɛ aɖe le amesiwo ŋu DISH le dometɔ aɖewo ƒe domenyiŋusẽfianu me si woyɔna be HLA-B8 . Domenyiŋusẽfianu sia do ƒome kple dɔléle siwo dɔlélenutsiŋutete ŋutɔ wɔna abe suklidɔ ƒomevi 1 ene.Wokpɔe be edo ƒome kple dɔléle geɖe siwo dɔlélenutsiŋutete hena vɛ. Womebua DISH be enye dɔléle si dɔlélenutsiŋutete hena vɛ o, gake suklidɔ le ame geɖe siwo ŋu DISH le hã ŋu.
• Dzoxɔxɔ : Le nyateƒe me la , wobua DISH be enye ƒunukpeƒetetedɔ ƒomevi aɖe si me dɔdzẽ mele boo o . Eyae nye be menye dɔdzẽ si dzɔna le eɖokui si gbɔe wòtsona o, abe alesi wòle le dɔléle siwo dɔlélenutsiŋutete hena vɛ me ene o. Gake wosusui be dɔdzẽ aɖe si mebɔ o ate ŋu anɔ eme. Ðewohĩ dɔdzẽ siae dzea calcium ƒe sisi ƒe ɖoɖoa gɔme.
• Nusiwo nana ame tsina : Nuwo abe amegbetɔ ƒe tsitsi ƒe lãmetsi (HGH), insulin, kple insulin-like growth factor 1 (IGF-1) ƒe agbɔsɔsɔ fũ le míaƒe ŋutilã me ate ŋu ana ʋu ƒe sisi nasɔ gbɔ akpa le DISH me. Tsitsi ƒe nuwɔna nye protein kple lãmetsi siwo "gblɔna na" míaƒe ŋutilã be wòawɔ lãkusi yeyewo.

Amekawoe le afɔku gã me be woaxɔ (DISH)?

Anɔ eme be DISH adze dziwò ne nu siawo ku ɖe ŋuwò:

• Ne èxɔ ƒe 50 kple edzivɔ.
• Ne ŋutsue nènye.
• Ne ƒunukpeƒetetedɔ ƒomevi bubuwo li.
• Ne metabolic syndrome le ŋuwò.

Aleke gbegbee nɔnɔme sia si woyɔna be (DISH) ate ŋu asẽe?

Menye amesiame si ŋu DISH le lae kuxi gãwo le o. Ame aɖewo menya gɔ̃ hã be ele yewo si o. Gake le dɔléle sesẽ aɖewo me la , DISH ate ŋu ahe kuxi sesẽwo vɛ.

Kuxi siawo dometɔ aɖewoe nye:

• Kɔ ƒe tete : Ƒu aɖe si do ɖe wò vidzidɔ ƒe akɔta ate ŋu aƒo wò nuɖuɖutome alo ŋɔti. Esia ate ŋu ana be nu mimi, nuƒoƒo, kple gbɔgbɔ nasesẽ. Esia ate ŋu agblẽ nu le zã me koŋ. Alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe ate ŋu ana oxygen naɖiɖi le ŋutilãa me, si ana dzia naƒo ɖe edzi (hypoxia).
• Akɔta ƒe gbagbã kple eƒe malikenyenye : (DISH) nana aklãa sesẽna, si wɔnɛ be wònɔa bɔbɔe be wòagbã . Ne èdze anyi alo nèdze afɔku vie gɔ̃ hã (ŋusẽ si mebɔ o ƒe ŋusẽkpɔɖeamedzi) ate ŋu agbã akɔtaƒu aɖe si le wò akɔta alo aʋuʋui. Esia ate ŋu ana wò akɔta nagali ke o, si ana nàgaxɔ abi geɖe wu.
• Akɔta ƒe tete : Le nɔnɔme sesẽwo me la, ƒu ƒe alɔ alo ƒu gã siwo le akɔta ate ŋu aƒo akɔta . Esia ate ŋu ahe lãmekawo ƒe vevesese ƒe nɔnɔmewo abe sciatica kple ahɔhɔ̃mekawo ƒe dzesi bubu siwo woyɔna be myelopathy vɛ . Le nɔnɔme si vɔ̃ɖi wu me la, lãmetutudɔ ate ŋu adzɔ.

Bu eŋu abe ati xoxo aɖe si ƒu kplakplakpla ene. Enye nusi metrɔna vie o, eyata ate ŋu agbã bɔbɔe ne wozi edzi vie gɔ̃ hã. (DISH) ƒe akɔta le nenema.

Aleke mawɔ anya ne ɖɔktawo (DISH) li?

Ðɔktawo zãa nɔnɔmetatawo dodokpɔ tsɔ léa ŋku ɖe DISH ŋu. Woate ŋu akpɔ esia to X -ray alo ultrasound wɔwɔ edziedzi me . Ne ehiã be woagblɔ nya bubuwo tsitotsito la, woate ŋu awɔ CT scan (computed tomography scan).

Kekeliŋutinunyalawo, si fia be ɖɔkta siwo léa ŋku ɖe nuwo abe X-ray kple CT scan ene ŋu la dia "ƒumeŋuɖui siwo sina." Eyae nye be, ne ƒuwo tsina fũu akpa le akɔtaƒu etɔ̃ alo ene me ɖe wo nɔewo yome, alo ne lãkusi siwo le ƒuawo ŋu la me mekɔ o. Esia le abe wax si le dodom tso bosomikaɖi si le X-ray dzi ene.

Ne dzesiwo le ŋuwò le wò ŋutilã ƒe akpa bubuwo la, woadi dɔlélea ƒe dzesiwo le teƒe mawo hã. Calcium ate ŋu anɔ ƒunukpeƒewo alo lãkusi siwo me ƒuwo do ƒome le (entheses).

Wodia dzesi siwo ate ŋu akpe ɖe wo ŋu woade vovototo DISH kple nɔnɔme mawo tɔgbe, abe ankylosing spondylitis kple osteoarthritis ene hã dome. Ɣeaɖewoɣi la, nɔnɔme bubu siawo ate ŋu anɔ anyi ɖekae kple DISH.

Nukawoe nye atike siwo wozãna na DISH?

Atike aɖeke meli na DISH o. Gake kamedede , alo kamedede ƒe atikewɔwɔ ate ŋu akpe ɖe ame ŋu be wòaɖe lãmekawo ƒe sesẽ dzi akpɔtɔ eye wòana ame ƒe ʋuʋu nadzi ɖe edzi. Lãmesẽdɔwɔla ate ŋu aɖo aɖaŋu na wò be nàwɔ kamedede siwo mewɔa dɔ boo o siwo nàte ŋu awɔ le aƒeme.

Be nàɖe vevesese dzi akpɔtɔ la, àte ŋu azã vevesesenutsitike siwo woƒlena le atikedzraƒe (OTC) abe NSAIDs (Nonsteroidal anti-inflammatory drugs) ene. Wò ɖɔkta ate ŋu aŋlɔ vevesesenutsitikewo na wò ne ehiã. Woate ŋu ado cortisone ƒe atike na teƒe aɖewo koŋ siwo vevesese le hã.

Wò ɖɔkta alé ŋku ɖe wò nɔnɔmea ŋu eye wòalé ŋku ɖe kuxiwo abe gbagbã ene ŋu. Ɣeaɖewoɣi la, woate ŋu aŋlɔ atike ƒomevi aɖe si woyɔna be bisphosphonates be wòakpe ɖe ame ŋu wòaxe mɔ ɖe ƒu gbagbãwo nu alo ada gbe le wo ŋu.

Ne lãmekaa le tetem, le tsitsi fũ alo ƒu ƒe ʋuʋu ta, eye nèle vevesese yeyewo alo dzesi bubuwo kpɔm la, ahiã be woawɔ dɔ na wò be wòaɖe nyaƒoɖeamenua dzi akpɔtɔ. Ɣeaɖewoɣi la, ehiãna be woaɖɔ ƒu siwo gbã gɔ̃ hã ɖo to amekoko me.

Nukae nye amesi ŋu (DISH) le ƒe etsɔme?

(DISH) dzea egɔme zi geɖe le eƒe tsitsime, eyata egblẽna ɖe edzi vivivi.Ate ŋu axɔ ƒe 10 hafi dzesiawo nadze. Ne wodze atikewɔwɔ ƒe ɖoɖo gɔme ne dzesiawo dze ko la, ate ŋu akpe ɖe wo ŋu woaɖu wo dzi.

Ne DISH nu sẽ la, ate ŋu anye nuwɔametɔ , ado kplamatse gbesiagbedɔwo eye wòaɖe dzi ɖi. Kuxi sesẽwo mebɔ o. Ne wodzɔ la, woate ŋu awɔ dɔ na wo.

Ðe mɔ aɖe li si dzi woato axe mɔ na DISH be wòagadzɔ oa?

Womenya nusi tututu gbɔ DISH tso o, eyata esesẽ be woaxe mɔ ɖe enu. Gake numekulawo nyae be lãmenugbagbeviwo ƒe dɔwɔwɔ abe sukli ƒe agbɔsɔsɔ le ʋu me, insulin ƒe agbɔsɔsɔ si sɔ gbɔ, kple triglyceride ƒe agbɔsɔsɔ si sɔ gbɔ ene dzia afɔkua ɖe edzi.

Ne lãmenugbagbeviwo ƒe dɔwɔwɔ ƒe dɔléle aɖe le ŋuwò la , nu nyuitɔ si nàte ŋu awɔ be DISH nagadzɔ o enye be nàda nɔnɔme mawo nyuie . Ne DISH dze egɔme vɔ gɔ̃ hã la, nɔnɔme siawo dada ate ŋu akpe ɖe ame ŋu be DISH nagagblẽ o.

Aleke wòle be malé be na ɖokuinye esime mele agbe kple (DISH)?

Nu nyuitɔ kekeake si le amesiwo ŋu ƒunukpeƒetetedɔ si gblẽa nu le ame ŋu le abe DISH ene ŋue nye be woawɔ kamedede edziedzi si mewɔa dɔ boo aɖeke o . Gbesiagbe kamedede ƒe ɖoɖo aɖe ɖoɖo ate ŋu akpe ɖe ŋuwò nàlé wò asitɔtrɔ le nɔnɔmewo ŋu kple ŋusẽ me ɖe asi ɣeyiɣi didi si nàte ŋui.

To wò ɖɔkta gbɔ yiyi edziedzi be wòava xɔ wò la, ate ŋu alé ŋku ɖe wò nɔnɔmea kple alesi wòle tɔtrɔme ŋu. Esia wɔnɛ be wote ŋu dea nu nyaa me be woaxe mɔ ɖe kuxi sesẽwo nu hafi woava do mo ɖa.

Diffuse Idiopathic Skeletal Hyperostosis (DISH) nye dɔléle si xɔ ŋkɔ didi eye wògakpɔtɔ nye nya ɣaɣla vie. Gake le gowòme la, vevesese kple lãmekawo ƒe sesẽ koŋue wòhena vɛ. Zi geɖe la, mefa o, eye ame aɖewo bua vodadatɔe be enye nane si dzɔna ne èle tsitsim.

Gake anyo ɣesiaɣi be nàgblɔ wò dzesiwo na ɖɔkta. Ne wokpɔ DISH kaba la, mia kple wò ɖɔkta miate ŋu awɔ ɖoɖo aɖe si dzi miato akpɔ miaƒe dzesiwo gbɔ eye miaxe mɔ ɖe kuxiwo nu.

Nu aɖewo siwo mesusu be wole vevie na wò (Take-Home Message) .

Enyo, eyata fifia èse nusi ŋu míeƒo nu tsoe (DISH) gɔme nyuie wu. Mlɔeba la, nu vevi aɖewo siwo dzi wòle be woaɖo ŋkui lae nye esi:

• (DISH) nye nɔnɔme si me ƒu yeyewo dzɔna le ŋutilã ƒe lãkusi falɛfalɛwo me, si nana ƒu sesẽna eye wòsea veve, vevietɔ le teƒewo abe akɔta kple kɔ ene.
• Esia bɔ ɖe amesiwo xɔ wu ƒe 50, vevietɔ ŋutsuwo dome.
• Menye amesiamee akpɔ dzesi veviwo o, gake ne ŋdi me lãme sẽ, vevesese, alo wò ŋutilã ʋuʋu sesẽ la, gblɔe na wò ɖɔkta.
• Ame siwo ŋu lãmenugbagbeviwo ƒe dɔwɔwɔ ƒe kuxiwo abe suklidɔ kple ʋumemi sɔ gbɔ ɖo ene le afɔku gã aɖe me be woaxɔ DISH.
• Togbɔ be womate ŋu adae bliboe o hã la, woate ŋu atsɔ kamedede, vevesesenutsitikewo, kple amekoko ɣeaɖewoɣi aɖu dzesiawo dzi.
• Nu vevitɔe nye be nàkpɔ ɖɔkta ne dzesi siawo le ŋuwò, eye mègatsɔe be wonye tsitsi ƒe dzesi siwo sɔ ko o. Ne wokpɔe kaba la, ate ŋu akpe ɖe ame ŋu be woaxe mɔ ɖe kuxi geɖe nu.

Míele mɔ kpɔm be nyatakaka sia aɖe vi na wò. Nɔ lãmesẽ me!

` DISH, Diffuse Idiopathic Skeletal Hyperostosis, ƒu ƒe dɔléle, ƒunukpeƒeveame, akɔtave, kɔve, ƒunukpeƒetetedɔ