Sɔntɛnde yu kin fil lɛk se yu bɔdi kin stif smɔl, mɔ we yu wek na mɔnin, ɛn i nɔ kin izi fɔ bɛn yu bak ɔ yu nɛk? Ɔ yu jɔyn dɛn kin at smɔl? Sɔntɛm yu tink se dis na sɔntin we kin apin as yu de ol. Bɔt, nɔto ɔl di stiff ɛn pen na nɔmal tin. Tide wi go tɔk bɔt wan sik we gɛt lɔng nem, bɔt dɛn kin si am pan bɔku pipul dɛn, mɔ afta dɛn dɔn ol 50. Dat na (Diffuse Idiopathic Skeletal Hyperostosis) , we wi kin kɔl bak (DISH) fɔ shɔt.
So wetin na dis (DISH)? Fɔ tɔk am simpul wan...
Okay, DISH, fɔ put am simpul wan, na wan kayn at at sik. bכt wetin kin apin pan dis na dat nyu bon tisu dεm de gro apat frכ m di sכft tisu dεm na wi bכdi. Imajin, di ligamɛnt dɛn na wi bɔdi, di band dɛn we de ol di jɔyn dɛn togɛda, di saf pat dɛn we de rawnd di jɔyn dɛn, kin at lɛk ston .
Dis nem gɛt tri wɔd dɛn. "Hyperostosis" de tכk bכt di bon dεm we de gro pasmak. insay DISH, di kalsiכm dεm de kכlכp na di sכft tisu dεm we de atak wi skel. dis kalsiכm we de dכn de mek di sכft tisu dεm de tכn sכmtεm to bon (osification). I tan lɛk se smɔl bɔdi de tɔn to ston.
"Diffuse" min se dis prכsεs kin apin enisay na di bכdi. bכt i kin stat mכst along wi spayna , spεshal wan na di midul, dat na, na di chεst lεvεl (thoracic spine). "Idiopathic" min se i kin apin we nɔ gɛt ɛni ɛksaktɔl kɔz .
Dis sik (DISH) kin mek yu gɛt pen na yu mɔsul ɛn bon, yu nɔ kin ebul fɔ muv, ɛn ɔda prɔblɛm dɛn. di nyu bon we de gro kin mek di bon spur. Dɛn tin ya kin tan lɛk chukchuk ɛn mek wi jɔyn dɛn nɔ wok fayn.
DISH ɛn Forestier sik na di sem tin?
Nɔ, wan ɔda nem fɔ DISH na Forestier’s disease . Dɛn gi am in nem to wan dɔktɔ we bin fɔs tɔk bɔt dis sik insay di 1950 dɛm. Leta, insay 1975, Resnik ɛn in tim bin yuz di mɔ spɛshal nem we dɛn kɔl Diffuse Idiopathic Skeletal Hyperostosis. So, pan ɔl we dɛn de kɔl dɛn tu nem, dɛn de tɔk bɔt di sem tin.
Aw kכmכn dεn kכl dis kכndyushכn (DISH)?
DISH na rili wan tin we kin apin to pipul dɛn we dɔn ol . I nɔ kin bɔku bifo dɛn rich 40. Bɔt lɛk 40% pan di pipul dɛn we dɔn pas 50 ia kin gɛt dis sik. Dɔn bak, man dɛn kin gɛt am tu tɛm pas uman dɛn. So, as yu si, dis nɔto sik we nɔ kɔmɔn.
Wetin na di sayn dɛm fɔ DISH? Aw yu no?
Nɔto ɔlman wae gɛt DISH gɛt big big sayn dɛm. Sɔm pipul kin go fɔ lɔng lɔng tɛm ɛn nɔr kin gɛt ɛni sayn. Bɔt we di sayn dɛn kin apin, di tin dɛn we kin apin mɔ na we pɔsin kin stif ɛn pen . Bak ɛn nɛk kin pen mɔ. Yu kin fil dis mɔ we yu fɔs grap na mɔnin ɛn we di ples kol . Yu kin si bak se yu nɔ kin ebul fɔ muv fayn , lɛk fɔ mek yu nɔ ebul fɔ bɛn ɛn stret yu an dɛn.
DISH kin afɛkt di spayna ɛn midsekshɔn fɔs, bɔt leta i kin afɛkt ɔda pat dɛn na di bɔdi lɛk di an ɛn leg dɛn. Yu kin gɛt pen na yu jɔyn ɔ yu kin gɛt tɛndonayt na dɛn say ya:
- Na di sholda dɛn
- Na di hip dɛn
- Na di ɛlb dɛn
- Na di ni dɛn
- Na di ankles
- Na il dɛn
Sɔntɛnde, di sayn dɛn kin bigin we nyu bon dɛn we de gro, we dɛn kɔl bon spur, de put prɛshɔn pan wan nɛv we de nia de . Dis kin mek yu fil sɔm kayn bad bad pen. Dis pen kin tranga mɔ we yu de muv yu bɔdi wan patikyula we ɔ put prɛshɔn pan wan patikyula say.
Wan pinch nerve kin mek bak dɛn tin ya:
- Yu nɔ gɛt swɛla ɔ yu de swɛt
- Lɛk pin ɛn nidul
- Di mɔsul dɛn we wik
Imajin, if yu sεvikal spayna de divεlכp εkstra bon lεk dis εn i bigin fכ prεs pan yu εsophagus כ trot , tin dεm lεk dis kin apin:
- Fɔ mek pɔsin ala lawd lawd wan
- I nɔ izi fɔ swɛla
- Obstruktiv slip apnɛa
Wetin mek dis (DISH) kin apin? Wetin na di tin dɛn we kin mek i apin?
Dɔktɔ ɛn risach pipul dɛn stil de tray fɔ no wetin rili de mek DISH. Bɔt sɔm tin dɛn de we dɛn kin tink se kin mek i apin. Bɔt, i nɔ klia yet aw dɛn gɛt sɔntin fɔ du wit dɛnsɛf.
- Metabolism : Bɔrku pipul dɛm wae gɛt DISH kin gɛt wan sik bak wae dɛn kɔl mɛtabolism syndrome . Dis na grup fɔ sik dɛm wae gɛt fɔ du wit dɛnsɛf ɛn wae de mek pɔrsin gɛt sik wae de kam pan pɔrsin in at ɛn blɔd. Sɔm ɛgzampul dɛn na dayabitis, insulin we bɔku, yurik asid we bɔku, kɔlɔstrel we bɔku, ɛn we fat pasmak.
- Jɛnɛtiks : Sɔm pipul dɛn we gɛt DISH gɛt spɛshal mak na dɛn jin we dɛn kɔl HLA-B8 . Dis jεnεtik mak de sho se i gεt כtoimyun sik dεm lεk tayp 1 dayabεtis.Dɛn dɔn si se i gɛt fɔ du wit sɔm sik dɛn we pɔsin kin gɛt we i de fɛt insɛf. Dɛn nɔ kin tek DISH as sik we pɔsin kin gɛt we i de fɛt insɛf, bɔt bɔku pipul dɛn we gɛt DISH kin gɛt dayabitis bak.
- Inflammation : Dɛn kin rili tek DISH as wan kayn at at sik we nɔ kin inflammatory bɛtɛ . Dat min se, i nɔ kin kɔmɔt frɔm inflamɛns we kin apin fɔ insɛf, lɛk insay ɔtoimyun sik dɛn. Bɔt dɛn kin tink se sɔm smɔl smɔl inflamɛns kin apin. sכmtεm dis inflameshn na in de stat di prכsεs fכ di kכlsyכm dεposit.
- di tin dεm we de mek wi gro : If di tin dεm lεk di hכ mon gכt hכmon (HGH), insulin, εn insulin lεk growth fכktכ 1 (IGF-1) na wi bכdi kin mek wi gεt haypa rεstכsis na DISH. di tin dεm we de mek di pikin gro na di protin dεm εn כmon dεm we de "tεl" wi bכdi fכ mek nyu tisu.
Udat de pan ay risk fɔ gɛt (DISH)?
Yu kin gɛt DISH mɔ if dɛn tin ya apin to yu:
- If yu dɔn pas 50 ia.
- If yu na man.
- If ɔda kayn at at sik de.
- If yu gɛt mɛtabolik sindrom.
Aw siriɔs dis sik we dɛn kɔl (DISH) kin bi?
Nɔto ɔlman we gɛt DISH gɛt big prɔblɛm. Sɔm pipul dɛn nɔ kin ivin no se dɛn gɛt am. Bɔt, insay sɔm kayn bad bad tin dɛn , DISH kin mek siriɔs prɔblɛm dɛn.
Sɔm pan dɛn prɔblɛm ya na:
- di nεk kכmpreshכn : we di bכn dεm we de kכmכt na yu sεvikal spayna kin kכmprεs yu εsophagus כ trot. Dis kin mek i nɔ izi fɔ swɛla, tɔk, ɛn blo. Dis kin bad mɔ na nɛt. Slip apnea kin mek di ɔksijɛn lɛvɛl smɔl na di bɔdi, we kin put prɛshɔn pan di at (hypoxia).
- di spεnal frakshכn εn instability : (DISH) de mek di spayna stif, we de mek i bכku bכku wan . Ivin smɔl fɔdɔm ɔ aksidɛnt (lɔ-ɛnaji impak) kin brok ɔ dislocate wan vertebra na yu spayna. Dis kin mek yu spayna nɔ stebul, ɛn dis kin mek yu gɛt mɔ injuri.
- di kכmpreshכn fכ di spεnal kכd : If i sik bad bad wan, di bon spכ dεm כ big bon spכ dεm we de along di spayna kin kכmprεs di spεnal kכd . Dis kin mek yu gɛt pen na yu nerve lɛk sciatica ɛn ɔda nyurolɔjik simptom dɛm we dɛn kɔl myelopathy . If di bad tin apin, pɔsin kin paralayz.
Tink bɔt am lɛk wan ol wud stik we dɔn dray. I nɔ kin chenj smɔl, so i kin izi fɔ brok wit ivin di smɔl prɛshɔn. Di spayna na di (DISH) na so.
Aw a go no if dɔktɔ dɛn de (DISH)?
Dɔktɔ dɛn kin yuz imej tɛst fɔ chɛk if DISH de. Yu kin fɛn dis wit ɛkstrem rayt ɔ ɔltra saund ɔltɛm . If dɛn nid fɔ no mɔ, dɛn kin du CT skan (kɔmpyuta tomografi skan).
di raydiolojist dεm, dat na, dכkta dεm we de luk pan tin dεm lεk εks-ray εn CT skan, de luk fכ "flowing ossifications." dat min se if di bon dεm de gro pasmak na tri כ fכ vεrbra dεm we de insay wan rכw, כ if di ligament dεm we de along di bon dεm tayt. Dis tan lɛk waks we de lik frɔm kandul we de na di ɛkstrem rayt.
If yu gɛt sɔm sayn dɛn ɔdasay na yu bɔdi, dɛn go luk fɔ sayn fɔ di sik na dɛn say dɛn de bak. di kכlsyכm dεm kin de na di joyn dεm כ di ligament dεm usay di bon dεm de kכnekt (εntesis).
Dɛn kin luk bak fɔ sayn dɛm we kin ɛp fɔ difrɛns DISH frɔm di sem kayn tin dɛm, lɛk ankylosing spondylitis ɛn osteoarthritis . Sɔmtɛm, dɛn ɔda kɔndishɔn ya kin de togɛda wit DISH.
Wetin na di tritmɛnt dɛm fɔ DISH?
No mɛrɛsin nɔ de fɔ DISH. Bɔt, fyzikal tritmɛnt , ɔ ɛksesaiz tɛrapi, kin ɛp fɔ mek i nɔ stif ɛn i kin ɛp fɔ mek i nɔ ebul fɔ muv mɔ ɛn mɔ. Wan dɔktɔ we de mɛn yu bɔdi kin tɛl yu fɔ du ɛksɛsayz dɛn we nɔ go ambɔg yu ɛn we yu kin du na os.
Fɔ ridyus pen, yu kin yuz ɔva-di-kɔnta (OTC) pen rilijɔn, lɛk NSAID (Nonsteroidal anti-inflammatory drugs). Yu dɔktɔ kin gi yu mɛrɛsin fɔ mek yu fil pen if nid de. Dɛn kin gi kɔtizɔn shot bak to sɔm patikyula say dɛn we pɔsin kin fil pen.
Yu dɔktɔ go wach yu kɔndishɔn ɛn wach fɔ prɔblɛm dɛn lɛk we yu brok brok. Sɔntɛnde, dɛn kin gi yu wan kayn mɛrɛsin we dɛn kɔl bisphosphonates fɔ ɛp fɔ mek yu nɔ brok ɔ wɛl.
If di nerve dɔn bigin fɔ kɔmprɛs, ilɛksɛf na bikɔs i dɔn gro pasmak ɔ yu bon spur, ɛn yu de gɛt nyu pen ɔ ɔda sayn dɛn, yu kin nid fɔ du ɔpreshɔn fɔ mek yu nɔ gɛt di prɛshɔn. Ivin bon dɛn we brok sɔntɛnde, dɛn kin nid fɔ mek dɛn bak wit ɔpreshɔn.
Wetin na di fiuja fɔ pɔsin we gɛt (DISH)?
(DISH) kin bigin leta na layf, so i kin wɔs smɔl smɔl.E kin tek 10 ia fɔ mek di sayn dɛm sho. If yu bigin fɔ trit yu kwik kwik wan we yu gɛt di sik, dat kin ɛp fɔ kɔntrol dɛn.
If DISH tranga, i kin mek yu nɔ ebul fɔ du yu wok , i kin ambɔg di tin dɛn we yu kin du ɛvride ɛn yu kin fil fayn. Siriɔs prɔblɛm dɛn nɔ kin apin so ɔltɛm. If dɛn apin, dɛn kin trit dɛn wit ɔpreshɔn.
We de fɔ mek DISH nɔ fɔm?
Wi nɔ no di rayt tin we kin mek pɔsin gɛt DISH, so i nɔ kin izi fɔ mek i nɔ apin. Bɔt di wan dɛn we de stɔdi bɔt dis no se tin dɛn we de mek di bɔdi de wok fayn lɛk di blɔd shuga we bɔku, insulin we bɔku, ɛn we gɛt bɔku triglisɛrɛyd, de mek di sik bɔku.
If yu gɛt ɔndalayn mɛtabolik kɔndishɔn , di bɛst tin we yu kin du fɔ mek DISH nɔ kam na fɔ trit dɛn kɔndishɔn dɛn de fayn fayn wan . Ivin afta DISH dɔn bigin, fɔ trit dɛn tin ya kin ɛp fɔ mek DISH nɔ wɔs.
Aw a fɔ tek kia ɔf misɛf we a de liv wit (DISH)?
Di bɛst tin fɔ pipul dɛn we gɛt at at sik, lɛk DISH, na fɔ du ɛksɛsayz ɔltɛm ɛn we nɔ go gɛt bɔku impak . If yu mek ɛksesaiz ɛvride, dat go ɛp yu fɔ mek yu ebul fɔ chenj ɛn trɛnk fɔ lɔng tɛm.
We yu de si yu dɔktɔ ɔltɛm fɔ chɛk -in, i kin wach yu kɔndishɔn ɛn aw i de chenj. Dis kin mek dɛn ebul fɔ du tin fɔ mek dɛn nɔ gɛt siriɔs prɔblɛm bifo dɛn apin.
Diffuse Idiopathic Skeletal Hyperostosis (DISH) na wan sik wae gɛt lɔng nem ɛn stil na smɔl mistek. Bɔt fɔ yu, i kin mek yu fil pen ɛn stif mɔ. Bɔrku tɛm, e nɔr kin tranga, ɛn sɔm pipul kin mistek kɔl am fɔ sɔmtin wae kin apun as yu de ol.
Bɔt, i fayn fɔ tɛl dɔktɔ ɔltɛm bɔt di sayn dɛn we yu gɛt. If dɛn no DISH kwik, yu ɛn yu dɔktɔ kin mek wan plan fɔ manej yu sik dɛn ɛn fɔ mek yu nɔ gɛt prɔblɛm dɛn.
Sɔm tin dɛn we a tink se impɔtant fɔ yu (Take-Home Message)
Okay, so naw yu don andastan beta wetin wi bin de tok abaut (DISH). Fɔ dɔn, na sɔm impɔtant tin dɛn we yu fɔ mɛmba:
- (DISH) na wan kכndyushכn we nyu bon de fכm na di sכft tisu dεm na di bכdi, we de mek i stif εn pen, spεshal wan na say dεm lεk di bak εn nεk.
- Dis kin apin to pipul dɛm wae dɔn pas 50 ia, mɔr lɛk man dɛm.
- Nɔto ɔlman go gɛt big big sayn dɛm, bɔt if yu gɛt mɔnin stif, pen, ɔr prɔblɛm fɔ muv yu bɔdi, tɛl yu dɔktɔ.
- Pipul wae gɛt mɛtabolik prɔblɛm lɛk dayabitis ɛn ay kɔlɔstrel kin gɛt bɔrku risk fɔ gɛt DISH.
- Pan ɔl we dɛn nɔ gɛt kɔmplit mɛrɛsin, dɛn kin ebul fɔ kɔntrol di sik dɛn wit fizik tritmɛnt, mɛrɛsin fɔ mek pɔsin fil pen, ɛn sɔntɛnde ɔpreshɔn.
- De tin wae impɔtant pas ɔl na fɔ go to dɔktɔ if yu gɛt dɛn kayn sik ya, ɛn nɔr jɔs tink se na nɔrmal sayn dɛm wae de sho se yu dɔn ol. If yu no am kwik, dat kin ɛp fɔ mek yu nɔ gɛt bɔku prɔblɛm dɛn.
Wi op se yu go si se dis infɔmeshɔn go ɛp yu. Stay wit wɛlbɔdi!
` DISH, Diffuse Idiopathic Skeletal Hyperostosis, bon sik, jɔyn pen, bak pen, nɛk pen, at at sik
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