Hoʻokumu ʻia nā iwi ma nā wahi ʻē o ke kino? E aʻo kākou e pili ana i kēia (Heterotopic Ossification)!

Ua manaʻo paha ʻoe e like me kahi ʻāpana iwi liʻiliʻi e ulu ana ma kahi i loaʻa ʻole ai ka iwi, ʻo ia hoʻi, i loko o nā ʻiʻo palupalu e like me ka ʻiʻo? A i ʻole, ma hope o kahi ʻeha nui a ʻoki kino paha, ke manaʻo nei ʻoe i kahi mea ʻē, e like me kahi puʻupuʻu, he paʻakikī iki, ma ia wahi? Malia paha e like me ka nui a me ka nui. Ke noʻonoʻo nei paha ʻoe i ke ʻano maoli o kēia a me ke kumu o ia mea. ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā. Ma nā ʻōlelo lapaʻau, ua kapa ʻia kēia ʻano (Heterotopic Ossification) , a i ʻole (HO) no ka pōkole.

He aha kēia (Heterotopic Ossification)? I ka ʻōlelo maʻalahi loa...

I ka ʻōlelo maʻalahi, ʻo ka Heterotopic Ossification ke kaʻina hana o nā hunaola iwi hou e ulu ana a hana i ka iwi ma waho o kā mākou ʻōnaehana iwi, ma nā ʻiʻo palupalu ma waho o ko mākou iwi . Ua like kēia me nā ʻāpana iwi keu . Hoʻokumu pinepine ʻia kēia ma hope o kahi ʻeha . Eia nō naʻe, i kekahi manawa hiki ke hana ʻia kēia ʻano me ke kumu ʻole.

E hoʻomanaʻo, no ka hapa nui o nā kānaka, he liʻiliʻi loa nā ʻāpana iwi keu e hana ʻia ma kēia ʻano. No laila, ʻaʻole lākou e hana i nā hōʻailona nui. Eia nō naʻe, i kekahi manawa, inā ulu iki kēia mau ʻāpana iwi, hiki iā lākou ke kaupalena i kāu neʻe ʻana a hiki ke hoʻoulu i nā pilikia koʻikoʻi.

He aha nā ʻano nui o ka Heterotopic Ossification?

Hiki ke hoʻokaʻawale ʻia kēia (Heterotopic Ossification) i ʻelua ʻano nui:

1. ʻAno ʻole genetic:

• ʻO kēia ke ʻano maʻamau . Hiki ke loaʻa i nā kānaka o kēlā me kēia makahiki.
• ʻOiai i kekahi manawa ua ʻōlelo ʻia e kū mai me ke kumu ʻole, ʻo ka hapa nui e kū mai ia ma ke ʻano he pane i kekahi ʻano trauma . Hiki i kēlā trauma ke lilo i ʻeha mai kahi ulia, a i ʻole he hopena paha i nā ʻiʻo ma muli o ke ʻoki ʻana. E noʻonoʻo, ua hāʻule ʻoe a ʻeha kou lima, a i ʻole pono ʻoe e hana i kahi ʻoki nui, ʻo ia ka manawa e hiki mai ai kēia kūlana.

2. ʻAno hoʻoilina:

• He mea kākaʻikahi loa kēia. He kakaikahi loa ka poʻe ma ka honua me kēia ʻano hoʻoilina (HO).
• Ke hoʻokumu ʻia ʻo HO e nā kumu genetic, hiki ke lilo i mea paʻakikī iki . No ka laʻana, hiki ke loaʻa nā malformations o ke kua, nā lima, a i ʻole nā ​​​​wāwae. Hiki i kēia kūlana genetic ke koʻikoʻi loa i kekahi manawa .

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia (Heterotopic Ossification)?

Hiki i ka HO nongenetic ke ulu maoli i loko o kekahi. Eia nō naʻe, inā ua loaʻa iā ʻoe kahi ʻeha a i ʻole ke ʻoki kino ma mua , ʻoi aku ka nui o kou loaʻa ʻana i kēia maʻi.

No kahi o ʻekolu hapahā o ka poʻe me HO, a i ʻole ma kahi o 75% , ua hoʻokumu ʻia ke ʻano e kekahi ʻano trauma.ʻO ka poʻe me kēia mau kūlana e pilikia nui ana i ka ulu ʻana (HO):

• Nā ʻeha o ke kaula kuamoʻo: Mai loko mai o 10 mau kānaka me kēia mau ʻeha, ma kahi o 2 a 3 e loaʻa iā lākou ka HO.
• ʻEha poʻo: Hiki ke hana kēia ma kahi o 1 a 2 paha i loko o 10 mau kānaka i loaʻa ka ʻeha i ka lolo, ʻoiai ka ʻeha poʻo pani.
• Hoʻololi ʻūhā holoʻokoʻa: ʻO ka hanana ʻana o HO ma hope o ke ʻoki hoʻololi ʻūhā he mea maʻalahi ia. Eia nō naʻe, hiki i kekahi manawa ke hana i ka neʻe palena a me ka ʻoʻoleʻa ma ka ʻāpana ʻūhā.
• ʻOki ʻia ma hope o ka ʻeha ʻeha: Ua ʻike ʻia he ʻoi aku ma mua o 9 o 10 mau kānaka i wehe ʻia kahi ʻāpana o ke kino ma muli o kahi ʻeha nui e loaʻa paha i kēia maʻi (HO).

Ma kahi o ka hapalua o ka poʻe me ka non-genetic (HO) he mau mākua ʻōpio i ko lākou mau makahiki 20 a me 30. Eia kekahi, ʻoi aku ka nui o ka loaʻa ʻana o ke kūlana i nā kāne ma mua o nā wahine.

Ma ke kamaʻilio ʻana e pili ana i nā ʻano like ʻole o ka genetics, he mea kākaʻikahi loa lākou. Wahi a nā loea, aia ma lalo o 5,000 mau kānaka ma ka honua holoʻokoʻa i loaʻa i ka maʻi genetic e hoʻoulu ai (HO).

Pehea ka hopena o ka Heterotopic Ossification i koʻu kino?

Hiki ke loaʻa (HO) ma nā wahi āpau o ke kino. Eia nō naʻe, ʻike pinepine ʻia ia ma nā wahi i maʻalahi loa i ka ʻeha . Eia kekahi laʻana:

• Kuʻekuʻe
• Manamana lima
• ʻĀʻī a poʻo paha
• Pelvis
• Poʻohiwi
• ʻūhā

He aha nā kumu o ka Heterotopic Ossification?

Hoʻomaka pinepine ʻo HO ma hope o kahi ʻeha . Hiki nō hoʻi ke hana ma hope o ke ʻoki ʻana. No ka laʻana, loaʻa i ka poʻe i loaʻa kahi pani ʻūhā holoʻokoʻa i kekahi manawa ka HO, akā ʻo ka hapa nui o ka manawa ʻaʻole ia e hōʻike i nā hōʻailona nui.

Aia ʻoe i ka pilikia kiʻekiʻe o ka hoʻomohala ʻana i ka HO inā loaʻa iā ʻoe:

• Haʻihaʻi iwi
• Puhi
• ʻEha o ka iwi kuamoʻo
• ʻO ke ʻoki kino hoʻololi hui holoʻokoʻa
• ʻEha lolo traumatic (TBI)

He mea kākaʻikahi loa, hiki i kekahi mau maʻi hoʻoilina ke hana i ka HO. ʻO kekahi o kēia mau maʻi:

• ʻO Fibrodysplasia Ossificans Progressiva (FOP): He maʻi hoʻoilina laha ʻole kēia. Ua ʻike mua ʻia ʻo Myositis Ossificans Progressiva , ʻo kēia maʻi ke kumu e lilo mālie ai nā ʻiʻo palupalu o ke kino i iwi.
• ʻO ka Progressive Osseous Heteroplasia (POH): He ʻano maʻi genetic kakaikahi kēia.

He aha nā hōʻailona o ka Nongenetic Heterotopic Ossification?

Hiki ke ʻokoʻa nā hōʻailona o ka Heterotopic Ossification mai kēlā kanaka a kēia kanaka. Aia nō hoʻi lākou i ka mamao o ka laha ʻana o ka maʻi a me kona koʻikoʻi. I nā pae mua o ka maʻi, nā hōʻailona e like me:

• ʻEha
• Pehu ʻana
• Ka palupalu

I ka holomua ʻana o ka Heterotopic Ossification, e hoʻomaka paha ʻoe e ʻike i kahi puʻupuʻu ma lalo o kou ʻili. Hiki i kēia puʻupuʻu ke ulu koke a lilo i puʻupuʻu nui . He mea paʻakikī paha ke neʻe me kou mau manamana lima. He mea ʻeha paha ke hoʻopā aku.

I nā pae hope o ka maʻi, hiki i ka puʻupuʻu ke lilo i mea paʻakikī loa . Inā kokoke ia i kahi hono, e like me kou ʻūhā a poʻohiwi paha, hiki iā ia ke kaupalena i ka neʻe ʻana o kou hono . E noʻonoʻo e pili ana i ia mea, e paʻakikī ai ke hāpai i kou lima a kūlou paha i kou wāwae.

He aha nā hōʻailona o ka Genetic Heterotopic Ossification?

I kēia manawa, e nānā kākou i nā hōʻailona e hiki mai ana ma muli o kēlā mau ʻano genetic kakaikahi (HO). Inā loaʻa iā ʻoe kahi maʻi genetic i kapa ʻia ʻo (FOP) (Heterotopic Ossification), e ʻike paha ʻoe i nā hōʻailona e like me kēia:

• Manamana wāwae nui ʻano ʻole
• Nā ʻano kīnā o ka iwi kuamoʻo
• Nā pilikia kūkulu i kou mau manamana lima

I ka holomua ʻana o ka maʻi, nui ka poʻe e loaʻa i nā hōʻailona koʻikoʻi loa. No ka laʻana, lilo ia i mea paʻakikī ke hele wāwae, a paʻakikī kekahi poʻe i ka hanu ʻana . Hiki i kēia kūlana kakaʻikahi (HO) ke hoʻopōkole i ka manaʻolana ola i kekahi manawa .

I kekahi maʻi hoʻoilina ʻē aʻe, ʻo POH, ʻike nui ʻia nā hōʻailona ma ka ʻili . I kēia, hana mua ʻia nā iwi i loko o ka ʻiʻo subcutaneous . I ka holomua ʻana o ka maʻi, hoʻomaka pū nā iwi e hana i loko o nā ʻiʻo pili i loko o ke kino.

Pehea e ʻike ʻia ai ka Heterotopic Ossification?

No ka ʻike pono ʻana inā he Heterotopic Ossification kou, hiki i kāu kauka ke hana i kekahi mau hoʻokolohua . ʻO ka mea nui o kēia mau mea, ʻo ia nā hoʻokolohua kiʻi . ʻO kēia mau mea:

• (Ke nānā ʻana o CT)
• (MRI scan)
• (Positron Emission Tomography - scan PET)
• (Ke nānā ʻana i ka ultrasound)
• (X-kukui)

Hiki i kēia mau hoʻokolohua ke hoʻoholo pololei i ka wahi a me ka nui o nā ʻāpana iwi keu.

Mea nui:Inā kānalua kāu kauka he heterotopic ossification kou, hiki iā ia ke koho e pale i kahi biopsy , ʻo ia hoʻi ka lawe ʻana i kahi ʻāpana o ka ʻiʻo a hoʻāʻo iā ia. ʻO kēia no ka mea aia kekahi mau ʻano heterotopic ossification, ʻoiai me ke ʻoki liʻiliʻi, e hoʻonui i ka pilikia o ka ulu ʻana o ka iwi e laha ana i nā ʻāpana ʻē aʻe o ke kino.

Pehea e ʻike ʻia ai ka hoʻololi ʻana o ka ʻūhā ma hope o ke pani ʻana o ka ʻūhā (HO)?

Inā ua loaʻa iā ʻoe ka HO ma hope o ke ʻoki pani ʻana i ka ʻūhā, e hoʻohana nā kauka i nā unahi māka kūikawā e loiloi i ka mamao o ka hoʻolaha ʻana o ka HO.

ʻO kekahi o nā mea i hoʻohana pinepine ʻia o kēia ʻo ia ka hoʻokaʻawale ʻana o Brooker . Wahi a kēia ʻōnaehana, ua māhele ʻia ka ossification heterotopic i ʻehā pae:

• Papa 1: Aia nā ʻāpana iwi liʻiliʻi i loko o ka ʻiʻo a puni kou ʻūhā.
• Papa 2: Loaʻa iā ʻoe nā iwi spurs ʻano ʻē (i kapa ʻia he bone spurs ) a puni kou pelvis a i ʻole femur. Akā aia ma ka liʻiliʻi he 1 kenimika o ka hakahaka ma waena o kēia mau iwi spurs.
• Papa 3: Aia nā iwi kuʻi a puni ka pelvis a i ʻole ka femur, akā ʻo ka mamao ma waena o lākou he emi ma mua o 1 kenimika .
• Papa 4: He ʻoʻoleʻa kou hui ʻūhā (rigidity) a ua lilo paha i ankylosis (paʻa ʻana o nā iwi) . ʻO ke ʻano kēia, ʻaʻole hiki i ka hui ke neʻe pono.

Aia kekahi mau ʻano hoʻokaʻawale ʻē aʻe e like me kēia. Nānā lākou a pau i nā hiʻohiʻona like o (HO). ʻO ke kumu nui e hoʻoholo ai i ke koʻikoʻi o (HO) ʻo ia inā aia kēlā mau iwi spurs a pehea ka mamao o lākou .

Pehea e mālama ʻia ai ka Heterotopic Ossification?

ʻOkoʻa ka mālama ʻana no ka ossification heterotopic (HO) ma muli o kāu mau hōʻailona, ​​​​ke ʻano o HO, a me ka mamao o ka laha ʻana o ka maʻi. Ma keʻano laulā, hiki i kāu kauka ke ʻōlelo i kēia mau lāʻau lapaʻau:

• Lāʻau lapaʻau: No ka poʻe me ka genetic (Heterotopic Ossification), hiki ke hāʻawi ʻia nā lāʻau lapaʻau e like me corticosteroids i nā wā o ka hoʻonui koke ʻana o ka maʻi.
• Hoʻōla kino: Hiki i kēia ke kōkua i ka hoʻonui ʻana i ka laulā o ka neʻe ʻana i kou mau hono a hōʻemi i ka ʻeha. E aʻo aku kahi mea hoʻōla kino iā ʻoe i nā hoʻomaʻamaʻa kūpono iā ʻoe.
• ʻOki kino: Inā loaʻa iā ʻoe ka ʻeha nui ma muli o ka ossification heterotopic, a inā ua kaupalena ʻia kou neʻe ʻana a hiki ʻole iā ʻoe ke hana i nā hana o kēlā me kēia lā , hiki i ke ʻoki kino ke lilo i mea hope loa e wehe ai i ka iwi keu. Eia nō naʻe, aia kahi pilikia liʻiliʻi e hiki ke hoʻi hou mai ka HO ma hope o ke ʻoki kino.I nā hihia he nui, inā hoʻoholo ʻia ke ʻoki ʻana, pono paha ʻoe e hana i ka lāʻau lapaʻau a me ka radiation therapy ma hope e pale ai i ka nalowale o ka iwi.

Hiki ke pale ʻia ka Heterotopic Ossification?

Inā ua hoʻonohonoho ʻia ʻoe no ke ʻoki kino orthopedic, hiki i kāu kauka ke kuhikuhi i kekahi mau lāʻau lapaʻau e hōʻemi i kou pilikia o ka loaʻa ʻana o ka HO. ʻOi aku ka nui o kou pilikia o ka loaʻa ʻana o ka HO ma hope o ke ʻoki ʻana i ka ʻūhā inā loaʻa iā ʻoe kekahi o kēia mau kūlana:

• (Ankylosing Spondylitis) (He maʻi kēia e hoʻoulu ai i ka mumū o nā hono o ke kuamoʻo)
• (Osteoarthritis) (Maʻi hui degenerative)
• Inā he moʻolelo o (HO) ma mua (Moʻolelo o HO)

I kēia mau hihia, hiki i kāu kauka ke ʻōlelo aku i ka lāʻau pale e kōkua i ka mālama ʻana i nā hopena o kāu ʻoki kino. Ua hōʻike kekahi mau noiʻi e hiki i ka lawe ʻana i nā lāʻau anti-inflammatory nonsteroidal (NSAID) ma mua a ma hope koke iho o ke ʻoki kino ke hōʻemi i ka pilikia o ka loaʻa ʻana o ka postoperative otitis media (HO).

Eia nō naʻe, ʻaʻohe ala i hōʻoia ʻia e pale loa ai i ka ulu ʻana o ka Heterotopic Ossification. Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia. No ka laʻana, e mālama pono i kahi ʻeha i ka wā e hiki mai ai . ʻO ia hoʻi ka hoʻohana ʻana i ke ʻano RICE :

• R - Hoʻomaha
• ʻO wau - Hau (Hau ʻAi)
• C - Hoʻopili ʻana
• E - Elevation (e mālama ana i ka wahi i ʻeha i hoʻokiʻekiʻe ʻia)

Eia kekahi, ʻo ka hoʻomaʻamaʻa ikaika, ka hoʻolōʻihi ʻana, a me ka hoʻomaha lawa e hiki ke kōkua i ka pale ʻana i nā ʻeha.

Inā loaʻa (Heterotopic Ossification), e nalo aku anei ia?

I kekahi manawa, ʻae . Hoʻōla piha ka hapa nui o ka poʻe me ka HO nongenetic. I ka hapanui o nā hihia, e hoʻomaikaʻi ka HO i ulu ma hope o kahi ʻeha me nā lāʻau lapaʻau ʻoki ʻole, e like me ka hoʻomaha, ka hau, a me nā hoʻomaʻamaʻa māmā.

Eia nō naʻe, ʻaʻohe lāʻau lapaʻau no ke ʻano genetic (HO) . ʻOiai hiki i ka lāʻau lapaʻau ke kāohi i nā hōʻailona, ​​​​​​e ʻoi mālie ka maʻi.

He aha hou aʻe kaʻu e nīnau aku ai i ke kauka?

Inā ʻike ʻoe he (HO) kāu, he mea maʻamau ka loaʻa ʻana o nā nīnau he nui. Makemake paha ʻoe e nīnau i kāu kauka i nā mea e like me:

• "He aha ke ʻano o (HO) iaʻu?"
• "He aha ke kumu kūpono loa o kēia?"
• "He aha nā lāʻau lapaʻau no (Heterotopic Ossification)?"
• "Aia kekahi mau hoʻololi o ke ʻano o ka nohona e hiki iaʻu ke hana e pale aku i kēia?"
• "He aha nā kūlana e hiki ai ke hoʻoili i ka gene (HO) i kaʻu mau keiki?" (Inā loaʻa iā ʻoe ka gene)

He ʻeha anei ka (Heterotopic Ossification)?

ʻAe . ʻO ka ʻeha ma ka ʻāpana i hoʻopilikia ʻia ka hōʻailona nui a maʻamau o ka Heterotopic Ossification. I ka manawa pinepine, piʻi ka ʻeha i ka ulu ʻana o ka ulu ʻana o ka iwi.

Eia nō naʻe, inā loaʻa iā ʻoe ka ossification heterotopic ma hope o kahi ʻeha a ʻoki kino paha, aia ka nūhou maikaʻi . ʻO ka hapa nui o ka poʻe me ka non-genetic (HO) e ho'ōla piha me ka mālama ʻana.

Ke hoʻopilikia nei anei ka osteoporosis i ka pilikia o ka hoʻomohala ʻana i ka HO ma hope o ke ʻoki ʻana?

ʻAʻole. Hiki i kekahi mau kūlana olakino ke hoʻonui i ka pilikia o ka loaʻa ʻana o (HO) ma hope o ke ʻoki ʻana. Eia nō naʻe, ʻaʻohe pilina i hōʻoia ʻia ma waena o (Osteoporosis) a me (HO).

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

No laila, ua maopopo paha iā ʻoe i kēia manawa ʻo (Heterotopic Ossification) ke kūkulu ʻia ʻana o ka iwi hou i loko o nā ʻiʻo palupalu o ko mākou kino, ma nā wahi i ʻole ai ka iwi. I kekahi manawa hiki ke hana ʻia kēia ma muli o ka ʻeha a i ʻole ke ʻoki ʻana, a i ʻole hiki nō hoʻi ke hana ʻia ma muli o nā kumu hoʻoilina kakaikahi loa.

• Mai hopohopo: ʻO ka hapa nui o ka manawa, ʻoiai inā i hana ʻia e kahi ʻeha, ʻaʻole ia he mea weliweli a hiki ke ho'ōla ʻia me ka mālama kūpono.
• E makaʻala i nā hōʻailona: Inā ʻike ʻoe i kahi puʻupuʻu hou ma kou kino, inā he ʻeha a pehu paha ma ia wahi, ʻoi aku hoʻi ma kahi i loaʻa ai kahi ʻeha, he mea maikaʻi ke ʻike ʻana i ke kauka.
• He kākaʻikahi nā ʻano hoʻoilina: He kākaʻikahi loa nā ʻano hoʻoilina (HO), akā hiki ke ʻoi aku ka koʻikoʻi.
• Aia nā lāʻau lapaʻau: Hiki ke hoʻomaha pinepine ʻia ka non-genetic (HO) me nā mea e like me ka lāʻau lapaʻau a me ka hoʻōla kino.

Inā he mau nīnau hou aku kāu e pili ana i kēia, e kamaʻilio me kāu kauka. E wehewehe pono ʻo ia iā ʻoe.

ʻO ka Ossification Heterotopic, ka ulu ʻana o ka iwi, nā ʻiʻo palupalu, nā ʻeha, nā ʻoki kino, nā maʻi genetic, ka ʻeha, ka pehu ʻana, ka neʻe ʻana o nā hono, ka iwi keu