Ua ʻoʻoleʻa anei kou kino pēlā? He paʻakikī anei ke kulou i kou iwi kuamoʻo pēlā? Malia paha ʻo kēia (Diffuse Idiopathic Skeletal Hyperostosis - DISH)!

Ke manaʻo nei ʻoe i kekahi manawa ua ʻoʻoleʻa iki kou kino, ʻoiai ke ala ʻoe i ke kakahiaka, a paʻakikī ke kulou i kou kua a i ʻole kou ʻāʻī? A i ʻole ua ʻeha iki kou mau hono? Manaʻo paha ʻoe he mea kēia e hana ʻia i kou wā ʻelemakule. Akā, ʻaʻole maʻamau nā ʻoʻoleʻa a me nā ʻeha a pau. I kēia lā e kamaʻilio mākou e pili ana i kahi kūlana i loaʻa ka inoa lōʻihi, akā ʻike ʻia i nā poʻe he nui, ʻoiai ma hope o 50 mau makahiki. ʻO ia hoʻi (Diffuse Idiopathic Skeletal Hyperostosis) , a mākou e kapa nei hoʻi ʻo (DISH) no ka pōkole.

No laila he aha kēia (DISH)? I ka pōkole...

ʻAe, ʻo DISH, i ka ʻōlelo maʻalahi ʻana, he ʻano ʻāʻī. Akā ʻo ka mea e hana ʻia ma kēia, ʻo ia ka ulu ʻana o nā ʻiʻo iwi hou ma waho aʻe o nā ʻiʻo palupalu i loko o ko mākou kino. E noʻonoʻo, ʻo nā ligaments i loko o ko mākou kino, nā kāʻei e hoʻopaʻa ai i nā hono, nā ʻāpana palupalu a puni nā hono, e lilo i paʻakikī e like me ka pōhaku .

ʻEkolu mau huaʻōlelo o kēia inoa. ʻO "Hyperostosis" e pili ana i ka ulu nui ʻana o ka iwi. Ma DISH, hōʻiliʻili nā waihona calcium i loko o nā ʻiʻo palupalu i hoʻopili ʻia i ko kākou iwi. ʻO kēia waihona calcium ke kumu o ka lilo mālie ʻana o nā ʻiʻo palupalu i iwi (ossification). Ua like ia me kahi ʻiʻo liʻiliʻi e lilo ana i pōhaku.

ʻO ke ʻano o "Diffuse" hiki ke hana ʻia kēia kaʻina hana ma nā wahi āpau o ke kino. Akā hoʻomaka pinepine ia ma ko kākou iwi kuamoʻo , ʻoi aku hoʻi ma waena, ʻo ia hoʻi, ma ka pae umauma (thoracic spine). ʻO ke ʻano o "Idiopathic" hiki ke hana ʻia me ke kumu ʻole .

Hiki i kēia kūlana (DISH) ke hoʻoulu i ka ʻeha o nā ʻiʻo a me nā iwi, nā pilikia neʻe ʻana, a me nā pilikia ʻē aʻe. Hiki i ka ulu ʻana o ka iwi hou ke hana i nā ʻōpuʻu iwi . Hiki i kēia mau mea ke lilo e like me nā kākalaioa a hoʻopilikia i ka hana pono o ko kākou mau hono.

He like anei ka maʻi DISH a me ka maʻi Forestier?

ʻAʻole, ʻo kekahi inoa ʻē aʻe no DISH ʻo ia ka maʻi ʻo Forestier . Ua kapa ʻia ma hope o ke kauka nāna i wehewehe mua i ke ʻano i nā makahiki 1950. Ma hope mai, i ka makahiki 1975, ua hoʻohana ʻo Resnick a me kāna hui i ka inoa kikoʻī ʻo Diffuse Idiopathic Skeletal Hyperostosis. No laila, ʻoiai ua kapa ʻia lākou e ʻelua mau inoa, ke kamaʻilio nei lākou e pili ana i ka mea like.

Pehea ka maʻamau o kēia ʻano i kapa ʻia ʻo (DISH)?

He maʻi maʻamau loa ʻo DISH i waena o ka poʻe ʻelemakule . ʻAʻole pinepine ia ma mua o 40 mau makahiki. Eia nō naʻe, ma kahi o 40% o ka poʻe ma luna o 50 mau makahiki e loaʻa paha i kēia maʻi. Eia kekahi, ʻelua ka nui o ka loaʻa ʻana o nā kāne ma mua o nā wahine. No laila, e like me kāu e ʻike ai, ʻaʻole kēia he maʻi maʻamau.

He aha nā hōʻailona o DISH? Pehea ʻoe i ʻike ai?

ʻAʻole loaʻa i nā kānaka a pau me DISH nā hōʻailona nui. Hiki i kekahi poʻe ke hele no nā makahiki me ka ʻike ʻole i kekahi mau hōʻailona. Eia nō naʻe, i ka wā e kū mai ai nā hōʻailona, ​​ʻo nā hōʻailona maʻamau ka ʻoʻoleʻa a me ka ʻeha . He mea maʻamau ka ʻeha o ke kua a me ka ʻāʻī . Hiki iā ʻoe ke manaʻo hou aku i kēia ke ala mua ʻoe i ke kakahiaka a i ke anuanu . Hiki iā ʻoe ke ʻike i ka nalowale o ka neʻe ʻana , e like me ka paʻakikī i ke kūlou ʻana a me ka hoʻopololei ʻana i kou mau lima.

ʻO ka maʻamau, hoʻopilikia mua ʻo DISH i ka iwi kuamoʻo a me ka ʻōpū waena, akā hiki iā ia ke hoʻopilikia ma hope i nā ʻāpana ʻē aʻe o ke kino, e like me nā lima a me nā wāwae. Hiki iā ʻoe ke ʻike i ka ʻeha hui a i ʻole ka tendonitis ma kēia mau wahi:

• Ma nā poʻohiwi
• I loko o nā pūhaka
• Ma nā kuʻekuʻe lima
• Ma nā kuli
• I loko o nā kuʻekuʻe wāwae
• I nā kuʻekuʻe wāwae

I kekahi manawa hoʻomaka nā hōʻailona i ka wā e kau ai nā iwi hou i ke kaomi ma luna o kahi aʻalolo kokoke , i kapa ʻia ʻo bone spurs. Hiki i kēia ke hana i kekahi ʻeha nui. Hiki ke koʻikoʻi loa kēia ʻeha ke hoʻoneʻe ʻoe i kou kino ma kekahi ʻano a i ʻole ke kau ʻana i ke kaomi ma luna o kahi wahi.

Hiki i kahi aʻalolo pinched ke hana i kēia mau mea:

• ʻO ka mae a i ʻole ke kani ʻana
• E like me nā pine a me nā nila
• Nāwaliwali o nā ʻiʻo

E noʻonoʻo, inā e ulu ana ka iwi keu o kou iwi kuamoʻo e like me kēia a hoʻomaka ia e kaomi i kou esophagus a i ʻole ka puʻu , hiki i nā mea e like me kēia ke hana:

• leo haʻalulu
• Nā pilikia ale ʻana
• ʻO ka apnea hiamoe obstructive

No ke aha e hana ʻia ai kēia (DISH)? He aha nā kumu?

Ke hoʻāʻo nei nā kauka a me nā mea noiʻi e ʻike i ke kumu maoli o DISH. Eia nō naʻe, aia kekahi mau kumu i manaʻo ʻia e kōkua i ia mea. Eia naʻe, ʻaʻole maopopo pehea lākou e pili ai.

• ʻO ka Metabolism : He nui ka poʻe me DISH i loaʻa i kahi maʻi i kapa ʻia ʻo metabolic syndrome . He hui kēia o nā kūlana e pili ana kekahi i kekahi a hoʻonui i ka pilikia o ka loaʻa ʻana o nā maʻi cardiovascular. ʻO nā laʻana e pili ana i ka maʻi diabetes, nā pae insulin kiʻekiʻe, nā pae uric acid kiʻekiʻe, ka cholesterol kiʻekiʻe, a me ka momona.
• ʻIke Hoʻoilina : Loaʻa i kekahi poʻe me DISH kahi māka kūikawā i loko o kā lākou mau genes i kapa ʻia ʻo HLA-B8 . Pili kēia māka hoʻoilina me nā maʻi autoimmune e like me ka maʻi diabetes type 1.Ua ʻike ʻia ua pili ia me kekahi mau maʻi autoimmune. ʻAʻole manaʻo ʻia ʻo DISH he maʻi autoimmune, akā he nui ka poʻe me DISH i loaʻa i ka maʻi diabetes.
• Ka mumū : Ua manaʻo ʻia ʻo DISH he ʻano arthritis i emi iki ka mumū . ʻO ia hoʻi, ʻaʻole ia i hana ʻia e ka mumū e kū koke mai ana, e like me nā maʻi autoimmune. Eia nō naʻe, ua manaʻo ʻia he pili paha kekahi mumū haʻahaʻa . Malia paha ʻo kēia mumū ka mea e hoʻomaka ai ke kaʻina hana o ka waiho ʻana o ka calcium.
• Nā kumu ulu : ʻO ka nui o nā mea e like me ka hormone ulu kanaka (HGH), insulin, a me ka insulin-like growth factor 1 (IGF-1) i loko o ko mākou kino e hiki ke hana i ka hyperostosis ma DISH. ʻO nā mea ulu he mau protein a me nā hormones e "haʻi" i ko mākou kino e hana i nā ʻiʻo hou.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i (DISH)?

ʻOi aku ka nui o kou loaʻa ʻana o DISH inā pili kēia mau mea iā ʻoe:

• Inā ʻoe ma luna o 50 mau makahiki.
• Inā he kāne ʻoe.
• Inā he mau ʻano ʻē aʻe o ka rumatika.
• Inā loaʻa iā ʻoe ka metabolic syndrome.

Pehea ke koʻikoʻi o kēia maʻi i kapa ʻia ʻo (DISH)?

ʻAʻole nā ​​kānaka a pau me DISH e loaʻa nā pilikia nui. ʻAʻole ʻike kekahi poʻe ua loaʻa iā lākou. Eia nō naʻe, i kekahi mau hihia koʻikoʻi , hiki i ka DISH ke hana i nā pilikia koʻikoʻi.

ʻO kekahi o kēia mau pilikia:

• ʻO ke kaomi ʻana o ka ʻāʻī : Hiki i kahi iwi i puka mai i loko o kou iwi kuamoʻo ke kaomi i kou esophagus a i ʻole ka puʻu. Hiki i kēia ke paʻakikī i ka ale ʻana, kamaʻilio ʻana, a me ka hanu ʻana. Hiki ke ʻino loa kēia i ka pō. Hiki i ka apnea hiamoe ke hoʻohaʻahaʻa i nā pae oxygen i loko o ke kino, e kau ana i ke kaomi ma ka puʻuwai (hypoxia).
• ʻO nā haki iwi kuamoʻo a me ka paʻa ʻole : (DISH) ke kumu o ka paʻakikī o ke iwi kuamoʻo, e ʻoi aku ka maʻalahi o ka haki ʻana . ʻOiai kahi hāʻule liʻiliʻi a i ʻole kahi ulia pōpilikia (ka hopena haʻahaʻa o ka ikehu) hiki ke haki a hoʻokaʻawale paha i kahi iwi kuamoʻo i loko o kou iwi kuamoʻo. Hiki i kēia ke hoʻolilo i kou iwi kuamoʻo i mea paʻa ʻole, e hoʻonui ana i kou pilikia o ka ʻeha hou aʻe.
• ʻO ke kaomi ʻana o ke kaula kuamoʻo : I nā hihia koʻikoʻi, hiki i nā iwi spurs a i ʻole nā ​​iwi spurs nui ma ke kuamoʻo ke kaomi i ke kaula kuamoʻo. Hiki i kēia ke hana i nā maʻi ʻeha aʻalolo e like me ka sciatica a me nā hōʻailona neurological ʻē aʻe i kapa ʻia ʻo myelopathy . I ka hihia ʻino loa, hiki ke loaʻa ka maʻi lolo.

E noʻonoʻo e like me kahi lāʻau kahiko i maloʻo. He ʻano paʻakikī iki ia, no laila hiki ke haki maʻalahi me ka liʻiliʻi o ke kaomi. Pēlā ke kuamoʻo o ka (DISH).

Pehea e ʻike ai inā he mau kauka (DISH)?

Hoʻohana nā kauka i nā hoʻokolohua kiʻi e nānā no DISH. Hiki ke loaʻa kēia me kahi X-ray maʻamau a i ʻole ultrasound . Inā makemake ʻia nā kikoʻī hou aku, hiki ke hana ʻia kahi CT scan (computed tomography scan).

ʻO nā Radiologists, ʻo ia hoʻi, nā kauka e nānā i nā mea e like me nā X-ray a me nā CT scans, e nānā i nā "ossifications kahe." ʻO ia hoʻi, inā he ulu nui ka iwi ma ʻekolu a ʻehā paha vertebrae i ka lālani, a inā paha he paʻa nā ligaments ma nā iwi. Me he wax lā e liki ana mai kahi ipukukui ma ka X-ray.

Inā loaʻa iā ʻoe nā hōʻailona ma kahi ʻē aʻe o kou kino, e ʻimi lākou i nā hōʻailona o ka maʻi ma ia mau wahi pū kekahi. Aia paha he mau waihona calcium ma nā hono a i ʻole nā ​​ligaments kahi e pili ai nā iwi (entheses).

Ke nānā pū nei lākou i nā hōʻailona e hiki ke kōkua i ka hoʻokaʻawale ʻana iā DISH mai nā kūlana like, e like me ka ankylosing spondylitis a me ka osteoarthritis . I kekahi manawa, hiki i kēia mau kūlana ʻē aʻe ke noho pū me DISH.

He aha nā lāʻau lapaʻau no DISH?

ʻAʻohe lāʻau lapaʻau no DISH. Eia nō naʻe, hiki i ka hoʻōla kino , a i ʻole ka hoʻōla hoʻoikaika kino, ke kōkua i ka hōʻemi ʻana i ka ʻoʻoleʻa a hoʻonui i ka laulā o ka neʻe ʻana. Hiki i kahi mea hoʻōla kino ke ʻōlelo i nā hoʻoikaika kino haʻahaʻa hiki iā ʻoe ke hana ma ka home.

No ka hōʻemi ʻana i ka ʻeha, hiki iā ʻoe ke hoʻohana i nā lāʻau hoʻopau ʻeha ma luna o ke kauka (OTC), e like me NSAID (Nonsteroidal anti-inflammatory drugs). Hiki i kāu kauka ke kuhikuhi i nā lāʻau hoʻomaha ʻeha inā pono. Hiki ke hāʻawi ʻia nā pana Cortisone i nā wahi kikoʻī o ka ʻeha.

E nānā kāu kauka i kou kūlana a nānā i nā pilikia e like me nā haki. I kekahi manawa, hiki iā lākou ke kuhikuhi i kahi ʻano lāʻau i kapa ʻia ʻo bisphosphonates e kōkua i ka pale ʻana a i ʻole ka ho'ōla ʻana i nā haki.

Inā hoʻomaka ke aʻalolo e ʻūmiʻi ʻia, ma muli paha o ka ulu nui ʻana a i ʻole nā ​​iwi ʻōpuʻu, a ke ʻike nei ʻoe i ka ʻeha hou a i ʻole nā ​​hōʻailona ʻē aʻe, pono paha ʻoe e hana i ke ʻoki ʻana e hōʻoluʻolu i ke kaomi. ʻOiai nā iwi haʻihaʻi i kekahi manawa pono e hoʻoponopono ʻia me ke ʻoki ʻana.

He aha ka wā e hiki mai ana o kekahi me (DISH)?

Hoʻomaka pinepine ka (DISH) ma hope o ke ola, no laila e lilo mālie ana ka ʻino.Hiki ke hala a hiki i 10 mau makahiki no ka ʻike ʻia ʻana o nā hōʻailona. ʻO ka hoʻomaka ʻana i kahi hoʻolālā lapaʻau i ka wā e ʻike ʻia ai nā hōʻailona hiki ke kōkua i ka mālama ʻana iā lākou ma lalo o ke kaohi.

Inā koʻikoʻi ka DISH, hiki iā ia ke hoʻopau , ke hoʻopilikia nei i nā hana o kēlā me kēia lā a me ka ʻoluʻolu. He mea kākaʻikahi nā pilikia koʻikoʻi. Inā loaʻa, hiki ke mālama ʻia me ke ʻoki ʻana.

Aia kekahi ala e pale ai i ka hoʻokumu ʻana o DISH?

ʻAʻole ʻike ʻia ke kumu kikoʻī o DISH, no laila he paʻakikī ke pale aku. Eia nō naʻe, ua ʻike nā kānaka noiʻi ʻo nā mea metabolic e like me ke kō koko kiʻekiʻe, nā pae insulin kiʻekiʻe, a me nā triglycerides kiʻekiʻe e hoʻonui i ka pilikia.

Inā loaʻa iā ʻoe kahi maʻi metabolic ma lalo , ʻo ka mea maikaʻi loa hiki iā ʻoe ke hana e pale aku ai iā DISH mai ka ulu ʻana, ʻo ia ka mālama pono ʻana i kēlā mau maʻi . ʻOiai ma hope o ka hoʻomaka ʻana o DISH, hiki i ka mālama ʻana i kēia mau maʻi ke kōkua i ka pale ʻana iā DISH mai ka ʻino ʻana.

Pehea lā wau e mālama ai iaʻu iho i koʻu noho ʻana me (DISH)?

ʻO ka mea maikaʻi loa no ka poʻe me ka maʻi ʻaʻai degenerative, e like me DISH, ʻo ia ka hana mau ʻana i ka hoʻoikaika kino haʻahaʻa . ʻO ka hoʻokumu ʻana i kahi hana hoʻoikaika kino i kēlā me kēia lā e hiki ke kōkua iā ʻoe e mālama i kou palupalu a me kou ikaika no ka lōʻihi.

Ma ka ʻike pinepine ʻana i kāu kauka no nā hoʻopaʻa inoa ʻana, hiki iā ia ke nānā i kou kūlana a pehea e loli nei. ʻAe kēia iā lākou e komo e pale i nā pilikia koʻikoʻi ma mua o ko lākou hiki ʻana mai.

ʻO ka Diffuse Idiopathic Skeletal Hyperostosis (DISH) kahi maʻi me ka inoa lōʻihi a he mea pohihihi iki nō naʻe. Akā no ʻoe, ʻo ia ke kumu nui o ka ʻeha a me ka ʻoʻoleʻa. ʻO ka hapa nui o ka manawa, he akahai ia, a kuhi hewa kekahi poʻe no kahi mea e hana ʻia i kou wā ʻelemakule.

Eia nō naʻe, he mea kūpono mau ke haʻi aku i ke kauka e pili ana i kāu mau hōʻailona. Inā ʻike mua ʻia ʻo DISH, hiki iā ʻoe a me kāu kauka ke hoʻomohala i kahi hoʻolālā e hoʻokele i kāu mau hōʻailona a pale i nā pilikia.

Kekahi mau mea aʻu e manaʻo nei he mea nui iā ʻoe (Leka Lawe-Home)

ʻAe, i kēia manawa ua ʻoi aku kou maopopo i ka mea a mākou i kamaʻilio ai (DISH). ʻO ka mea hope loa, eia kekahi mau mea nui e hoʻomanaʻo ai:

• ʻO ka (DISH) kahi kūlana e hoʻokumu ʻia ai ka iwi hou i loko o nā ʻiʻo palupalu o ke kino, e hoʻoulu ai i ka ʻoʻoleʻa a me ka ʻeha, ʻoiai ma nā wahi e like me ke kua a me ka ʻāʻī.
• He mea maʻamau kēia i waena o ka poʻe ma luna o 50 mau makahiki, ʻoiai nā kāne.
• ʻAʻole e ʻike nā kānaka a pau i nā hōʻailona nui, akā inā ʻike ʻoe i ka ʻoʻoleʻa o ke kakahiaka, ka ʻeha, a i ʻole ka paʻakikī i ka neʻe ʻana i kou kino, e haʻi i kāu kauka.
• ʻO ka poʻe me nā pilikia metabolic e like me ka maʻi diabetes a me ka cholesterol kiʻekiʻe e ʻoi aku ka nui o ka hoʻomohala ʻana i ka DISH.
• ʻOiai ʻaʻohe lāʻau lapaʻau piha, hiki ke hoʻomalu ʻia nā hōʻailona me ka hoʻoikaika kino, nā mea ʻeha, a i kekahi manawa ke ʻoki ʻana.
• ʻO ka mea nui loa, ʻo ia ke ʻike ʻana i ke kauka inā loaʻa iā ʻoe kēia mau hōʻailona, ​​a ʻaʻole e manaʻo wale he mau hōʻailona maʻamau ia o ka ʻelemakule. Hiki i ka ʻike mua ʻana ke kōkua i ka pale ʻana i nā pilikia he nui.

Lana ko mākou manaʻo he mea pono kēia ʻike nou. E ola kino!

ʻAI , Diffuse Idiopathic Skeletal Hyperostosis, maʻi iwi, ʻeha hono, ʻeha kua, ʻeha ʻāʻī, rumatika