Koj lub cev puas tawv li ntawd thiab? Puas nyuaj rau khoov koj tus txha nqaj qaum li ntawd? Tej zaum qhov no yog (Diffuse Idiopathic Skeletal Hyperostosis - DISH)!

Puas muaj tej lub sij hawm koj xav tias koj lub cev nruj me ntsis, tshwj xeeb tshaj yog thaum koj sawv thaum sawv ntxov, thiab nws nyuaj rau khoov koj nraub qaum lossis caj dab? Los yog koj cov pob qij txha puas mob me ntsis? Tej zaum koj xav tias qhov no yog ib yam dab tsi uas tshwm sim thaum koj laus zuj zus. Tab sis, tsis yog txhua yam kev nruj thiab mob yog ib txwm muaj. Hnub no peb yuav tham txog ib qho mob uas muaj lub npe ntev, tab sis pom muaj nyob rau hauv ntau tus neeg, tshwj xeeb tshaj yog tom qab hnub nyoog 50 xyoo. Ntawd yog (Diffuse Idiopathic Skeletal Hyperostosis) , uas peb kuj hu ua (DISH) luv luv.

Yog li no (DISH) yog dab tsi? Hais yooj yim xwb...

Zoo, DISH, hais yooj yim xwb, yog ib hom mob pob qij txha. Tab sis qhov tshwm sim hauv qhov no yog tias cov pob txha tshiab loj hlob ntxiv rau cov nqaij mos hauv peb lub cev. Xav txog, cov leeg hauv peb lub cev, cov hlua uas tuav cov pob qij txha ua ke, cov khoom mos nyob ib puag ncig cov pob qij txha, dhau los ua tawv li pob zeb .

Lub npe no muaj peb lo lus. "Hyperostosis" txhais tau tias pob txha loj hlob ntau dhau. Hauv DISH, cov calcium deposits sib sau ua ke hauv cov nqaij mos uas txuas rau peb lub pob txha. Cov calcium deposit no ua rau cov nqaij mos maj mam hloov mus ua pob txha (ossification). Nws zoo li me ntsis nqaij tig mus ua pob zeb.

"Diffuse" txhais tau hais tias cov txheej txheem no tuaj yeem tshwm sim txhua qhov chaw hauv lub cev. Tab sis nws feem ntau pib ntawm peb tus txha nqaj qaum , tshwj xeeb tshaj yog nyob rau hauv nruab nrab, uas yog, ntawm theem hauv siab (thoracic spine). "Idiopathic" txhais tau hais tias nws tshwm sim yam tsis muaj qhov ua rau tseeb .

Tus mob no (DISH) tuaj yeem ua rau mob nqaij thiab pob txha, teeb meem txav mus los, thiab lwm yam teeb meem. Cov pob txha tshiab loj hlob tuaj yeem ua rau pob txha spurs. Cov no tuaj yeem ua zoo li cov pos thiab cuam tshuam rau kev ua haujlwm zoo ntawm peb cov pob qij txha.

Puas yog DISH thiab Forestier tus kab mob zoo ib yam?

Tsis yog, lwm lub npe rau DISH yog Forestier tus kab mob . Nws tau muab lub npe rau tus kws kho mob uas tau piav qhia thawj zaug txog tus mob no hauv xyoo 1950. Tom qab ntawd, xyoo 1975, Resnick thiab nws pab neeg tau siv lub npe tshwj xeeb dua Diffuse Idiopathic Skeletal Hyperostosis. Yog li, txawm tias lawv raug hu los ntawm ob lub npe, lawv tab tom tham txog tib yam.

Tus mob no hu ua (DISH) ntau npaum li cas?

Kab mob DISH yog ib yam mob uas pom ntau heev rau cov neeg laus . Feem ntau nws tsis tshua pom ua ntej hnub nyoog 40 xyoo. Txawm li cas los xij, kwv yees li 40% ntawm cov neeg hnub nyoog tshaj 50 xyoo yuav raug kev txom nyem los ntawm tus mob no. Tsis tas li ntawd, cov txiv neej muaj feem yuav mob nws ob npaug ntau dua li cov poj niam. Yog li, raws li koj tuaj yeem pom, qhov no tsis yog ib yam mob uas tsis tshua muaj.

Cov tsos mob ntawm DISH yog dab tsi? Koj paub li cas?

Tsis yog txhua tus neeg uas muaj DISH muaj cov tsos mob loj. Qee tus neeg tuaj yeem mus ntau xyoo yam tsis muaj cov tsos mob. Txawm li cas los xij, thaum cov tsos mob tshwm sim, cov tsos mob feem ntau yog qhov mob thiab mob . Mob nraub qaum thiab caj dab yog qhov tshwm sim ntau heev. Koj yuav hnov ​​​​​​qhov no ntau dua thaum koj sawv ntxov thiab thaum huab cua txias . Koj kuj tseem yuav poob ntawm ntau yam kev txav mus los , xws li nyuaj khoov thiab ncaj koj txhais tes.

Feem ntau DISH ua ntej yuav ua rau mob pob txha caj qaum thiab nruab nrab, tab sis tom qab ntawd nws tuaj yeem ua rau lwm qhov ntawm lub cev, xws li caj npab thiab ceg. Tej zaum koj yuav mob pob qij txha lossis mob tendonitis hauv cov cheeb tsam no:

• Hauv xub pwg nyom
• Hauv cov duav
• Hauv cov luj tshib
• Hauv cov hauv caug
• Hauv cov pob luj taws
• Hnav khau khiab siab

Qee zaum cov tsos mob pib thaum cov pob txha tshiab loj hlob, hu ua cov pob txha spurs, muab kev nyuaj rau ntawm cov hlab ntsha ze . Qhov no tuaj yeem ua rau mob hnyav. Qhov mob no tuaj yeem hnyav heev thaum koj txav koj lub cev mus rau hauv ib txoj kev lossis muab kev nyuaj rau ntawm ib cheeb tsam.

Ib txoj hlab ntsha uas raug nias kuj tseem tuaj yeem ua rau muaj cov hauv qab no:

• Kev tsis muaj zog lossis tingling
• Zoo li cov koob thiab koob
• Cov leeg tsis muaj zog

Xav txog seb, yog tias koj tus txha caj qaum muaj pob txha ntxiv zoo li no thiab nws pib nias rau koj lub caj pas lossis caj pas , tej yam zoo li no tuaj yeem tshwm sim:

• Qaug zog
• Teeb meem nqos
• Kev pw tsaug zog tsis taus pa

Vim li cas qhov no (DISH) thiaj tshwm sim? Dab tsi yog cov ua rau?

Cov kws kho mob thiab cov kws tshawb fawb tseem tab tom sim nrhiav seb dab tsi ua rau muaj DISH. Txawm li cas los xij, muaj ntau yam uas xav tias ua rau muaj qhov no. Txawm li cas los xij, tseem tsis tau meej tias lawv muaj feem cuam tshuam li cas.

• Kev Hloov Pauv : Muaj ntau tus neeg uas muaj DISH kuj muaj ib yam mob hu ua metabolic syndrome . Qhov no yog ib pawg ntawm cov mob uas muaj feem cuam tshuam rau ib leeg thiab ua rau muaj kev pheej hmoo ntawm kev mob plawv. Piv txwv li suav nrog ntshav qab zib, cov insulin ntau, cov uric acid ntau, cov roj cholesterol ntau, thiab kev rog dhau.
• Kev Txheeb Ze : Ib txhia neeg uas muaj DISH muaj ib qho cim tshwj xeeb hauv lawv cov noob caj noob ces hu ua HLA-B8 . Cov cim caj noob ces no cuam tshuam nrog cov kab mob autoimmune xws li ntshav qab zib hom 1.Nws tau pom tias muaj feem cuam tshuam nrog ntau yam kab mob autoimmune. DISH tsis raug suav hais tias yog kab mob autoimmune, tab sis ntau tus neeg uas muaj DISH kuj muaj ntshav qab zib.
• Kev O : DISH yeej suav hais tias yog ib hom mob pob qij txha uas tsis tshua muaj kev o . Qhov ntawd yog, nws tsis yog los ntawm kev o uas tshwm sim yam tsis tau npaj tseg, zoo li cov kab mob autoimmune. Txawm li cas los xij, nws xav tias qee qhov kev o me me yuav koom nrog. Tej zaum qhov kev o no yog qhov pib cov txheej txheem ntawm kev tso calcium.
• Cov yam tseem ceeb ntawm kev loj hlob : Cov khoom ntau dhau xws li cov tshuaj hormones loj hlob ntawm tib neeg (HGH), insulin, thiab cov tshuaj hormones zoo li insulin 1 (IGF-1) hauv peb lub cev tuaj yeem ua rau hyperostosis hauv DISH. Cov yam tseem ceeb ntawm kev loj hlob yog cov protein thiab cov tshuaj hormones uas "qhia" peb lub cev kom tsim cov nqaij tshiab.

Leej twg muaj feem yuav mob (DISH) ntau dua?

Koj yuav muaj feem ntau dua rau tus kab mob DISH yog tias cov yam no siv rau koj:

• Yog tias koj muaj hnub nyoog tshaj 50 xyoo.
• Yog koj yog ib tug txiv neej.
• Yog tias muaj lwm hom mob pob qij txha.
• Yog tias koj muaj teeb meem metabolic syndrome.

Tus mob no hu ua (DISH) yuav loj npaum li cas?

Tsis yog txhua tus neeg uas muaj DISH muaj teeb meem loj. Ib txhia neeg tsis paub tias lawv muaj nws. Txawm li cas los xij, qee zaum mob hnyav , DISH tuaj yeem ua rau muaj teeb meem loj.

Qee qhov teeb meem no yog:

• Kev nias caj dab : Kev tawm pob txha hauv koj lub caj dab tuaj yeem nias koj lub caj pas lossis caj pas. Qhov no tuaj yeem ua rau nws nyuaj rau nqos, tham, thiab ua pa. Qhov no tuaj yeem ua rau mob heev thaum hmo ntuj. Kev pw tsaug zog apnea tuaj yeem ua rau cov pa oxygen tsawg hauv lub cev, muab kev nyuaj rau lub plawv (hypoxia).
• Kev tawg pob txha caj qaum thiab tsis ruaj khov : (DISH) ua rau pob txha caj qaum tawv, ua rau nws yuav tawg ntau dua . Txawm tias qhov poob me me lossis raug xwm txheej (kev cuam tshuam tsawg zog) tuaj yeem tawg lossis tshem pob txha caj qaum hauv koj pob txha caj qaum. Qhov no tuaj yeem ua rau koj pob txha caj qaum tsis ruaj khov, ua rau koj muaj feem raug mob ntxiv.
• Kev nias ntawm cov leeg qaum : Hauv cov xwm txheej hnyav, cov pob txha tawg lossis cov pob txha tawg loj raws cov leeg qaum tuaj yeem nias cov leeg qaum . Qhov no tuaj yeem ua rau mob hlab ntsha xws li sciatica thiab lwm yam tsos mob ntawm lub paj hlwb hu ua myelopathy . Hauv qhov xwm txheej phem tshaj plaws, kev tuag tes tuag taw tuaj yeem tshwm sim.

Xav txog nws zoo li ib tug pas ntoo qub, qhuav lawm. Nws me ntsis tsis yooj ywm, yog li nws tuaj yeem tawg yooj yim txawm tias muaj kev nias me ntsis xwb los xij. Tus txha nqaj qaum ntawm (DISH) zoo li ntawd.

Kuv yuav ua li cas thiaj paub tias puas muaj kws kho mob (DISH)?

Cov kws kho mob siv cov kev kuaj duab los kuaj seb puas muaj DISH. Qhov no tuaj yeem nrhiav tau nrog kev siv tshuab X -ray lossis ultrasound . Yog tias xav tau cov ntaub ntawv ntxiv, yuav muaj kev kuaj CT (computed tomography scan).

Cov kws kho mob hluav taws xob, uas yog, cov kws kho mob uas saib cov khoom xws li X-rays thiab CT scans, nrhiav "cov pob txha uas ntws." Uas yog, seb puas muaj pob txha loj hlob ntau dhau hauv peb lossis plaub lub pob txha caj qaum ua ke, lossis seb cov leeg ntawm cov pob txha puas nruj. Qhov no zoo li cov quav ciab xau los ntawm lub tswm ciab ntawm X-ray.

Yog tias koj muaj cov tsos mob nyob rau lwm qhov chaw hauv koj lub cev, lawv yuav nrhiav cov cim ntawm tus kab mob hauv cov cheeb tsam ntawd thiab. Tej zaum yuav muaj cov calcium tso rau hauv cov pob qij txha lossis cov leeg uas cov pob txha txuas (entheses).

Lawv kuj nrhiav cov cim uas tuaj yeem pab cais DISH los ntawm cov mob zoo sib xws, xws li ankylosing spondylitis thiab osteoarthritis . Qee zaum, cov mob no tuaj yeem nyob ua ke nrog DISH.

Cov kev kho mob rau DISH yog dab tsi?

Tsis muaj tshuaj kho tau DISH. Txawm li cas los xij, kev kho lub cev , lossis kev tawm dag zog, tuaj yeem pab txo qhov mob thiab ua rau koj txav tau yooj yim dua. Tus kws kho lub cev tuaj yeem pom zoo kom koj ua cov kev tawm dag zog uas tsis muaj kev cuam tshuam ntau uas koj tuaj yeem ua tau hauv tsev.

Yuav kom txo qhov mob, koj siv tau cov tshuaj tua mob uas yuav tsis tas yuav muaj daim ntawv yuav tshuaj (OTC), xws li NSAIDs (Cov tshuaj tsis yog steroidal anti-inflammatory drugs). Koj tus kws kho mob tuaj yeem sau ntawv kom koj noj cov tshuaj tua mob yog tias xav tau. Cov tshuaj txhaj Cortisone kuj tseem muab tau rau qee qhov chaw mob.

Koj tus kws kho mob yuav saib xyuas koj tus mob thiab saib xyuas seb puas muaj teeb meem xws li pob txha tawg. Qee zaum, lawv yuav sau ib hom tshuaj hu ua bisphosphonates los pab tiv thaiv lossis kho pob txha tawg.

Yog tias cov hlab ntsha pib raug nias, vim yog kev loj hlob ntau dhau lossis pob txha tawg, thiab koj tab tom mob tshiab lossis lwm yam tsos mob, koj yuav tsum tau phais kom txo qhov kev nyem. Txawm tias cov pob txha tawg qee zaum yuav tsum tau kho nrog kev phais.

Yav tom ntej ntawm ib tug neeg uas muaj (DISH) yuav zoo li cas?

(DISH) feem ntau pib lig hauv lub neej, yog li nws maj mam zuj zus.Tej zaum yuav siv sijhawm txog li 10 xyoo rau cov tsos mob kom tshwm sim. Kev pib txoj kev kho mob sai li sai tau thaum cov tsos mob tshwm sim tuaj yeem pab tswj tau lawv.

Yog tias DISH mob hnyav heev, nws tuaj yeem ua rau koj tsis taus , cuam tshuam rau koj cov dej num niaj hnub thiab ua rau koj xis nyob. Cov teeb meem loj tsis tshua muaj. Yog tias muaj, ces koj tuaj yeem phais kho tau.

Puas muaj ib txoj hauv kev los tiv thaiv DISH kom tsis txhob tsim?

Qhov ua rau muaj DISH tseem tsis tau paub meej, yog li nws nyuaj rau tiv thaiv nws. Txawm li cas los xij, cov kws tshawb fawb paub tias cov yam ntxwv ntawm kev ua haujlwm hauv lub cev xws li ntshav qab zib ntau, cov insulin ntau, thiab cov triglycerides ntau ua rau muaj kev pheej hmoo ntau ntxiv.

Yog tias koj muaj teeb meem metabolic , qhov zoo tshaj plaws uas koj ua tau los tiv thaiv DISH kom tsis txhob loj hlob yog kho cov mob ntawd kom zoo . Txawm tias tom qab DISH pib lawm los, kev kho cov mob no tuaj yeem pab tiv thaiv DISH kom tsis txhob loj hlob ntxiv.

Kuv yuav tsum saib xyuas kuv tus kheej li cas thaum kuv nyob nrog (DISH)?

Qhov zoo tshaj plaws rau cov neeg uas muaj mob caj dab, zoo li DISH, yog ua kev tawm dag zog tsis tu ncua, tsis muaj kev cuam tshuam ntau . Kev tsim kom muaj kev tawm dag zog txhua hnub tuaj yeem pab koj tswj koj txoj kev ywj pheej thiab lub zog kom ntev li ntev tau.

Thaum koj mus ntsib koj tus kws kho mob tsis tu ncua kom paub tseeb tias koj tus mob zoo li cas , nws yuav saib xyuas tau koj tus mob thiab seb nws hloov pauv li cas. Qhov no yuav pab kom lawv tiv thaiv tau tej teeb meem loj ua ntej lawv tshwm sim.

Diffuse Idiopathic Skeletal Hyperostosis (DISH) yog ib yam mob uas muaj lub npe ntev thiab tseem yog ib qho paub tsis meej me ntsis. Tab sis rau koj, nws feem ntau ua rau mob thiab txhav. Feem ntau, nws tsis hnyav heev, thiab qee tus neeg xav tias nws yog ib yam dab tsi uas tshwm sim thaum koj laus zuj zus.

Txawm li cas los xij, nws yeej tsim nyog qhia rau kws kho mob txog koj cov tsos mob. Yog tias DISH raug kuaj pom thaum ntxov, koj thiab koj tus kws kho mob tuaj yeem tsim ib txoj kev npaj los tswj koj cov tsos mob thiab tiv thaiv cov teeb meem.

Qee yam uas kuv xav tias tseem ceeb rau koj (Cov Lus Coj Mus Tsev)

Zoo, yog li tam sim no koj nkag siab zoo dua txog yam peb tau tham txog (DISH). Thaum kawg, ntawm no yog qee yam tseem ceeb uas yuav tsum nco ntsoov:

• (DISH) yog ib qho mob uas pob txha tshiab tsim nyob rau hauv cov nqaij mos ntawm lub cev, ua rau mob thiab mob, tshwj xeeb tshaj yog nyob rau hauv thaj chaw xws li nraub qaum thiab caj dab.
• Qhov no feem ntau tshwm sim ntawm cov neeg hnub nyoog tshaj 50 xyoo, tshwj xeeb yog cov txiv neej.
• Tsis yog txhua tus neeg yuav muaj cov tsos mob loj, tab sis yog tias koj hnov ​​​​​​mob txhav thaum sawv ntxov, mob, lossis nyuaj rau txav koj lub cev, qhia rau koj tus kws kho mob.
• Cov neeg uas muaj teeb meem metabolic xws li ntshav qab zib thiab roj cholesterol ntau yog cov muaj feem yuav mob DISH ntau dua.
• Txawm hais tias tsis muaj kev kho kom zoo tag nrho los xij, cov tsos mob tuaj yeem tswj tau los ntawm kev kho lub cev, tshuaj tua kab mob, thiab qee zaum phais.
• Qhov tseem ceeb tshaj plaws yog mus ntsib kws kho mob yog tias koj muaj cov tsos mob no, thiab tsis txhob xav tias lawv yog cov cim qhia txog kev laus ib txwm muaj. Kev kuaj pom thaum ntxov tuaj yeem pab tiv thaiv ntau yam teeb meem.

Peb vam tias koj pom cov ntaub ntawv no muaj txiaj ntsig. Nyob kom noj qab nyob zoo!

` DISH, Diffuse Idiopathic Skeletal Hyperostosis, kab mob pob txha, mob pob qij txha, mob nraub qaum, mob caj dab, mob pob qij txha