Yu dɔn ɛva fil lɛk smɔl bon we de gro na say we bɔku tɛm nɔ kin gɛt bon, dat na, na sɔft tisu lɛk mɔsul? Ɔ, afta yu gɛt big injuri ɔ ɔpreshɔn, yu kin fil sɔntin we strenj, lɛk wan lump, we at smɔl, na da eria de? Sɔntɛm i kin fil lɛk se i de big ɛn big. Yu go de wɔnda wetin dis rili de tɔk bɔt ɛn wetin mek i kin apin. Na dat wi go tok abaut tide. We wi de tɔk bɔt mɛrɛsin, dɛn kɔl dis sik (Heterotopic Ossification) , ɔ (HO) fɔ shɔt tɛm.
Wetin na dis (Hɛtɛrotɔpik Ɔsifikeshɔn)? Fɔ put am rili simpul wan...
Fɔ tɔk am simpul wan, Hɛtɛrotɔpik Ɔsifikɛshɔn na di prɔses we nyu bon sɛl dɛn de gro ɛn fɔm bon ausayd wi skel sistɛm, insay sɔft tisu dɛn we de ausayd wi skel . Dɛn tin ya tan lɛk ɛkstra bon pat dɛn . Bɔku tɛm dɛn tin ya kin apin afta pɔsin wund . Bɔt sɔmtɛm dis sik kin apin witout ɛni klia rizin.
Yu fɔ mɛmba se fɔ bɔku pipul dɛn, di ɛkstra bon pat dɛn we kin mek dis we ya kin rili smɔl. So, dɛn nɔ kin kɔz ɛni big big sayn. Bɔt sɔntɛnde, if dɛn bon dɛn ya big smɔl, dɛn kin mek yu nɔ ebul fɔ muv ɛn ivin mek yu gɛt siriɔs prɔblɛm.
Wetin na di men kayn Hɛtɛrotɔpik Ɔsifikeshɔn?
dis (Heterotopic Ossification) kin sheb to tu men tכp dεm:
1. Tayp we nɔ gɛt jɛnɛtik: .
- Dis na di kayn we we dɛn kin yuz mɔ . I kin apun pan pipul dɛm wae gɛt ɛni ej.
- Pan ɔl we sɔm tɛm dɛn kin se i kin apin fɔ natin, bɔku tɛm i kin apin as pɔsin we gɛt sɔm kayn trauma . Dat trauma kin bi injuri frɔm aksidɛnt, ɔr kin bi impak pan di tisu dɛm bikɔs ɔf ɔpreshɔn. Imajin, yu fɔdɔm ɛn wund yu an, ɔ yu bin gɛt fɔ du big ɔpreshɔn, na da tɛm de dis kɔndishɔn go mɔs apin.
2. Jɛnɛtik tayp: .
- Dis nɔ kin apin so ɔltɛm . Na smɔl pipul dɛn nɔmɔ de na di wɔl we gɛt dis jenɛtik vayriɔn (HO).
- We HO na bikɔs ɔf jɛnɛtik kɔz, i kin kɔmplikt smɔl . Fɔ ɛgzampul, di bak, an, ɔ leg nɔ kin fayn. Dis jenɛtik kɔndishɔn kin rili bad sɔntɛnde .
Udat kin gɛt dis (Heterotopic Ossification)?
Nojenɛtik HO kin rili divɛlɔp insay ɛnibɔdi. Bɔt if yu dɔn gɛt injury ɔ ɔpreshɔn bifo , yu go gɛt dis sik.
Fɔ lɛk tri-kwata pan pipul dɛm wae gɛt HO, ɔr lɛk 75% , dis sik kin kam wit sɔm kayn trauma.Pipul wae gɛt dɛn kayn sik ya kin de pan denja fɔ gɛt dis sik (HO):
- di spεnal kכd injuri: pan 10 pipul dεm we gεt dεn injuri ya, lεk 2 to 3 go gεt HO.
- Hɛd trauma: Dis kin apin pan lɛk 1 ɔ 2 pan ɛvri 10 pipul dɛm wae dɔn gɛt injury na dɛn bren, mɔr lɛk wae dɛn gɛt injury na dɛn ed we dɛn lɔk.
- Tכtal hip riplesmεnt: di כkכrεshכn fכ HO afta hip riplesmεnt כpεrayshכn kin bi sכmtεm. Bɔt sɔntɛnde i kin mek i nɔ muv bɛtɛ ɛn i kin mek di hip eria stif.
- Amputation afta traumamatic injury: Dɛn dɔn si se pas 9 pan 10 pipul dɛm wae gɛt fɔ pul dɛn bɔdi pat bikɔs ɔf dɛn bad bad injury kin gɛt dis kɔndishɔn (HO).
Na lɛk af pan di pipul dɛm wae gɛt nɔr-jɛnɛtik (HO) na yɔŋ pipul dɛm wae dɔn pas 20 ɛn 30 ia . Dɔn bak, man dɛn kin gɛt dis sik smɔl pas uman dɛn.
We wi de tɔk bɔt di jɛnɛtik we dɛn kin chenj, dɛn nɔ kin bɔku. Masta sabi bukman dɛn se nɔto 5,000 pipul dɛn ɔlsay na di wɔl we gɛt di sik we dɛn kɔl jenɛtik sik we de mek pɔsin gɛt dis sik (HO).
Aw Heterotopic Ossification de afɛkt mi bɔdi?
(HO) kin rili apin ɛnisay na di bɔdi. Bɔt dɛn kin si am mɔ na say dɛn we pɔsin kin wund mɔ . Fɔ ɛgzampul:
- Ɛlbo
- Finga dɛn
- Nek ɔ ed
- Pelvis we de na di bɔdi
- Sholda
- Fut
Wetin na di tin dɛn we kin mek pɔsin gɛt Hɛtɛrotɔpik Ɔsifikeshɔn?
Bɔku tɛm, HO kin apin afta pɔsin injuri . I kin apin bak afta dɛn dɔn du di ɔpreshɔn. Fɔ ɛgzampul, pipul dɛm wae dɔn gɛt tɔtal hip riplesmɛnt sɔmtɛm kin gɛt HO, bɔt bɔrku tɛm i nɔ kin kɔz ɛni big big simptom.
Yu de pan ay risk fɔ gɛt HO if yu gɛt:
- Bɔn we kin brok
- Bɔn
- Injury na di spayna
- Tɔtɔl jɔyn riplesmɛnt ɔpreshɔn
- Traumatik bren injuri (TBI) .
Na sכm tεm, sכm jεnεtik sik dεm kin mek HO bak. Sɔm pan dɛn sik ya na:
- Fibrodysplasia Ossificans Progressiva (FOP): Dis na wan sik we nɔ kin bɔku we pɔsin kin gɛt jɛnɛtiks. Dɛn bin de kɔl dis sik bifo as Myositis Ossificans Progressiva , ɛn i kin mek di sɔft tisu dɛn na di bɔdi tɔn smɔl smɔl to bon.
- Progressive Osseous Heteroplasia (POH): Dis na ɔda kayn jɛnɛtik kɔndishɔn we nɔ kin apin so ɔltɛm.
Wetin na di simptom dɛm fɔ Nɔnjɛnik Hɛtɛrotɔpik Ɔsifikeshɔn?
Di simptom dɛm fɔ Heterotopic Ossification kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Dɛn kin dipen bak pan aw fa di sik dɔn skata ɛn aw i bad. Na di fɔs stej dɛm fɔ di sik, sɔm kayn sayn dɛm lɛk:
- Pen
- De swɛl
- Fɔ gɛt sɔri-at
As Heterotopic Ossification de go bifo , yu kin bigin fɔ fil wan lump ɔnda yu skin. Sɔntɛnde dis lump kin gro kwik kwik wan ɛn bi big lump . I kin at fɔ muv wit yu finga dɛn. I kin mek yu fil pen bak fɔ tɔch am.
We di sik de kam leta , di lump kin at pasmak . If i de nia yu jɔyn, lɛk yu hip ɔ yu sholda, i kin mek yu jɔyn nɔ muv bak . Tink bɔt am, mek i nɔ izi fɔ es yu an ɔ bɛn yu leg.
Wetin na di simptom dɛm fɔ Jɛnɛtik Hɛtɛrotɔpik Ɔsifikeshɔn?
Naw lɛ wi si us sayn dɛn kin apin bikɔs ɔf dɛn kayn jɛnɛtik (HO) we nɔ kin bɔku. If yu gɛt wan sik we dɛn kɔl (FOP) (Heterotopic Ossification), yu kin si sɔm sayn dɛn lɛk dis:
- Mishapen big tɔ
- Spinal malfɔmeshɔn dɛn
- Strukchɔral prɔblɛm dɛn na yu finga dɛn
As di sik de go bifo, bɔku pipul dɛn kin gɛt sayn dɛn we rili bad . Fɔ ɛgzampul, i kin at fɔ waka, ɛn sɔm pipul dɛn kin ivin gɛt prɔblɛm fɔ blo . Dis rare (HO) kכndyush כn kin sכmtεm sכtεm di layf εkspεktεshכn .
Insay wan ɔda sik we dɛn kin gɛt we dɛn kɔl POH, dɛn kin si di sayn dɛn mɔ na di skin . insay dis, bon dεm fכs fכm na di sכbkutan tisu . As di sik de go bifo, bon dεm de bigin fכ fכm bak na di kכnektiv tisu dεm we de dip insay di bכdi.
Aw dɛn kin no di sik we dɛn kɔl Hɛtɛrotɔpik Ɔsifikeshɔn?
Fɔ no if yu gɛt Heterotopic Ossification, yu dɔktɔ kin du sɔm tɛst dɛn . Di tin dɛn we impɔtant pas ɔl na di tɛst dɛn we dɛn kin du fɔ tek pikchɔ dɛn . Dɛn tin ya na:
- (CT skan) .
- (MRI skan)
- (Positron Ɛmishin Tomografi - PET skan)
- (Ɔltra sawnd skan)
- (Ɛks-ray) .
Dɛn tɛst ya kin no di rayt say ɛn di sayz we di ɛkstra bon pat dɛn de.
Impɔtant:If yu dɔktɔ tink se yu gɛt heterotopic ossification, i kin disayd fɔ avɔyd bayopsi , we min se i fɔ tek wan pat pan di tisu ɛn tɛst am. dis na biכs sכm kayn hεterotopik כsifikεshכn de we, ivin wit sכm כpεrayshכn, de inkrεs di risk fכ di bon growth fכ spre to כda pat dεm na di bכdi.
Aw dɛn kin no se pɔsin kin gɛt di sik we dɛn kɔl post-hip riplesmɛnt (HO)?
If yu dɔn gɛt HO afta dɛn dɔn ɔpreshɔn yu fɔ riples yu hip, di dɔktɔ dɛn go yuz spɛshal gredin skel fɔ no aw fa di HO dɔn skata.
Wan pan di wan dɛn we dɛn kin yuz mɔ pan dɛn tin ya na di Bruka klasification . akɔdin to dis sistεm, dεn divayd hεterotopik כsifikεshכn insay fכ lεvεl dεm:
- Gret 1: Smɔl smɔl bon dɛn de na di tisu we de rawnd yu hip.
- Gret 2: Yu gεt bon spur dεm we nכ de rεgulεr (dεn kכl dεm bon spur ) rawnd yu bכdi כ yu fεmur. b כt atכs 1 sεntimita spεs de bitwin dεn bon spur dεm ya.
- Gret 3: di bon spur dεm de rawnd di bכdi כ di fכm, bכt di distans bitwin dεm nכ rich 1 sεntimita .
- Gret 4: Yu hip joyn stif (rigidity) ɔ i dɔn bi ankylosis (we de lɔk di bon dɛn togɛda) . Dis min se di jɔyn nɔ kin ebul fɔ muv fayn.
Ɔda we dɛn de fɔ klas pipul dɛn lɛk dis. Dɛn ɔl de luk pan di sem kayn tin dɛn we (HO) gɛt. di men tin we de sho aw (HO) at na if dεn bon spכr dεm de εn aw fa dεn de .
Aw dɛn kin trit Hɛtɛrotɔpik Ɔsifikeshɔn?
Di tritmɛnt fɔ heterotopic ossification (HO) kin difrɛn difrɛn wan bay di sayn dɛm we yu gɛt, di kayn HO, ɛn aw fa di sik dɔn skata. Jɛnɛral wan, yu dɔktɔ kin tɛl yu fɔ du dɛn tritmɛnt ya:
- Mεdikeshכn: Fɔ pipul dεm we gεt jεnεtik (Heterotopic Ossification), dεn kin gi mεdikeshכn lεk kכ tikostεroyd dεm di tεm dεm we di sik de kכnsisכn wan wan.
- Fizik tritmɛnt: Dis kin ɛp fɔ mek yu jɔyn dɛn muv mɔ ɛn mɔ ɛn mek yu nɔ fil pen. Wan dɔktɔ we de mɛn yu bɔdi go tich yu ɛksesaiz dɛn we go fayn fɔ yu.
- Ɔpreshɔn: If yu gɛt bad bad pen bikɔs ɔf heterotopic ossification, ɔ if yu mobiliti so smɔl dat yu nɔ ebul fɔ du ɛvride aktiviti , ɔpreshɔn kin bi las tin fɔ pul di ekstra bon. Bɔt smɔl risk de fɔ mek HO kam bak afta dɛn dɔn du di ɔpreshɔn.Bɔku tɛm, if dɛn disayd fɔ du ɔpreshɔn, yu go nid fɔ tek mɛrɛsin ɛn ivin gɛt raytin tɛrapi afta dat fɔ mek yu bon nɔ lɔs.
Yu tink se dɛn kin ebul fɔ stɔp Hɛtɛrotɔpik Ɔsifikeshɔn?
If dɛn dɔn arenj fɔ mek dɛn du ɔtpidik ɔpreshɔn, yu dɔktɔ kin gi yu sɔm tritmɛnt dɛn fɔ mek yu nɔ gɛt HO. Na patikyula, yu de pan ay risk fɔ gɛt HO afta yu dɔn ɔpreshɔn yu hip if yu gɛt ɛni wan pan dɛn kɔndishɔn ya:
- (Ankylosing Spondylitis) (Dis na sik we de mek di joyn dεm na di spayna inflameshn)
- (Osteoarthritis) (Dεjεnεraytiv jכyn sik) .
- If istri dɔn de fɔ (HO) bifo (History of HO) .
If dɛn kayn tin ya, yu dɔktɔ kin tɛl yu fɔ gɛt tritmɛnt fɔ mek yu nɔ gɛt di sik fɔ ɛp fɔ mek yu kɔntinyu fɔ gɛt di tin dɛn we yu dɔn du. Sɔm stɔdi dɛn dɔn sho se if pɔsin tek nɔ-stɛroyd anti-inflammatory drugs (NSAID) bifo ɛn jɔs afta di ɔpreshɔn, i kin ridyus di risk fɔ gɛt post-operative otitis media (HO).
כltu, nכ gεranti we nכ de fכ kכmplit wan fכ mek di divεlכpmεnt fכ Hεterotopik Ossifikεshכn. Bɔt sɔm tin dɛn de we yu kin du fɔ mek yu nɔ gɛt bɔku prɔblɛm. Fɔ ɛgzampul, trit pɔsin we wund fayn fayn wan jɔs afta i dɔn wund . Dat min se yu fɔ yuz di RICE we :
- R - Rɛst
- I - Ays (Ays) .
- C - Kɔmpreshɔn
- E - Ɛlevɛshɔn (fɔ kip di say we di injuri ɛlevɛshɔn) .
Dɔn bak, fɔ tren yu trɛnk, fɔ strɛch, ɛn fɔ rɛst fayn, dat kin ɛp fɔ mek yu nɔ wund.
If (Heterotopic Ossification) apin, i go go?
Sɔntɛnde, yɛs . Bɔrku pipul dɛm wae nɔr gɛt Jɛnɛtik HO kin wɛl ɔltogɛda . Bɔku tɛm, HO we kin apin afta pɔsin injuri kin bɛtɛ wit tritmɛnt dɛn we nɔto ɔpreshɔn, lɛk fɔ rɛst, ays, ɛn ɛksesaiz fɔ strɛch layt.
Bɔt no mɛrɛsin nɔ de fɔ di kayn jɛnɛtiks (HO) . Pan ɔl we tritmɛnt kin kɔntrol di sayn dɛm, di sik kin wɔs smɔl smɔl.
Wetin bak a fɔ aks di dɔktɔ?
If yu fain out se yu gɛt (HO), na nɔmal tin fɔ gɛt bɔku kwɛstyɔn. Yu kin aks yu dɔktɔ tin dɛn lɛk:
- "Us kain (HO) a get?"
- "Wetin na di tin we go mek dis tin apin?"
- "Wetin na di tritmɛnt dɛm fɔ (Heterotopic Ossification)?"
- "Eni layf stayl chenj de we a go mek fɔ mek dis nɔ apin?"
- "Wetin na di chans fɔ pas di jin (HO) to mi pikin dɛn?" (If yu gɛt di jin)
Yu tink se (Hɛtɛrotɔpik Ɔsifikeshɔn) kin mek pɔsin fil pen?
Yɛs . Pen na di say we di sik afɛkt na di men ɛn mɔs kɔmɔn simptom fɔ Heterotopic Ossification. Bɔku tɛm, di pen kin bɔku as di bon dɛn de gro big.
Bɔt if yu gɛt heterotopic ossification afta yu wund ɔ ɔpreshɔn, gud nyus de . Bɔrku pipul dɛm wae gɛt nɔr-jɛnɛtik (HO) kin mek dɛn wɛl bak wit tritmɛnt.
Yu tink se ɔstioporosis kin afɛkt di risk fɔ gɛt HO afta dɛn du ɔpreshɔn?
Nɔ, sɔm mɛrɛsin dɛn kin mek pɔsin gɛt mɔ sik (HO) afta dɛn dɔn ɔpreshɔn am. כltu, nכ pruf nכ de bitwin (Osteoporosis) εn (HO).
Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .
so, yu go probabli כndastand naw se (Heterotopic Ossification) na di fכmeshכn fכ nyu bon insay di sכft tisu dεm na wi bכdi, na ples dεm we nכmal wan nכ bon de. Sɔntɛnde dis kin bi bikɔs ɔf injuri ɔ ɔpreshɔn, ɔ i kin bi bak bikɔs ɔf di jɛnɛtik kɔz dɛm we nɔ kin apin so ɔltɛm.
- Nɔ wɔri: Bɔrku tɛm, mɔ if na injury kam, i nɔr denja ɛn yu kin wɛl if yu trit am fayn.
- Yu fɔ no bɔt di sayn dɛm: If yu notis nyu lump na yu bɔdi, if pen ɔ swel de na da say de, mɔ na say we pɔsin dɔn wund, i go fayn fɔ go to dɔktɔ.
- Jεnεtik tכp dεm nכ kin bכku: Jεnεtik (HO) tכyp dεm nכ kin bכku, bכt dεn kin bi sכmtεm sכmtεm.
- Tritmεnt de: Bɔrku tɛm , nɔr-jεnεtik (HO) kin rεliv wit tin dεm lεk mεdikal εn fyzikal tεrapi.
If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, mek shɔ se yu tɔk to yu dɔktɔ. I go ɛksplen am to yu ditayli.
` Hεterotopik Ossifikεshכn, bon gכt, sכft tisu, injuri, כpεrayshכn, jεnεtik sik dεm, pen, swεla, jכyn muvmεnt, εkstra bon
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