Omubiri gwo nagwo gukaluba bwe gutyo? Kizibu okufukamira omugongo gwo bw’otyo? Mpozzi kino kye (Diffuse Idiopathic Skeletal Hyperostosis - DISH)!

Oluusi owulira ng’omubiri gwo gukalubye katono naddala ng’ozuukuse ku makya, nga kizibu okufukamira omugongo oba ensingo? Oba ennyondo zo ziruma katono? Mpozzi olowooza kino kintu ekibaawo ng’ogenda okaddiwa. Naye, okukaluba n’obulumi byonna si bya bulijjo. Leero tugenda kwogera ku mbeera eriko erinnya eddene, naye nga erabibwa mu bantu bangi naddala oluvannyuma lw’emyaka 50. Kwe kugamba (Diffuse Idiopathic Skeletal Hyperostosis) , era gye tuyita (DISH) mu bufunze.

Kale kino (DISH) kye ki? Mu ngeri ennyangu...

Okay, DISH, mu ngeri ennyangu, kika kya bulwadde bwa arthritis. Naye ekibaawo mu kino kwe kuba nti ebitundu by’amagumba ebipya bikula nga kwotadde n’ebitundu ebigonvu ebiri mu mubiri gwaffe. Teebereza, emisuwa mu mubiri gwaffe, emiguwa egikwata ennyondo, ebitundu ebigonvu ebyetoolodde ennyondo, bifuuka bikaluba ng’ejjinja .

Erinnya lino lirina ebigambo bisatu. "Hyperostosis" kitegeeza okukula kw'amagumba okuyitiridde. Mu DISH, ebitereke bya calcium bizimba mu bitundu ebigonvu ebikwatagana n’amagumba gaffe. Ekifo kino ekya calcium kireetera ebitundu ebigonvu okufuuka amagumba mpolampola (ossification). Kiba ng’akatono ak’ennyama akafuuse ejjinja.

"Okusaasaana" kitegeeza nti enkola eno esobola okubaawo wonna mu mubiri. Naye kisinga kutandika ku mugongo gwaffe , naddala wakati, kwe kugamba, ku ddaala ly’ekifuba (thoracic spine). "Idiopathic" kitegeeza nti kibaawo nga tewali kivaako kituufu .

Embeera eno (DISH) esobola okuleeta obulumi mu binywa n’amagumba, obuzibu mu kutambula, n’obuzibu obulala. Okukula kw’amagumba amapya kuyinza okuvaako okusiba amagumba . Bino bisobola okufuuka ng’amaggwa ne bitaataaganya enkola entuufu ey’ennyondo zaffe.

Obulwadde bwa DISH ne Forestier kintu kimu?

Nedda, erinnya eddala erya DISH lye bulwadde bwa Forestier . Yatuumibwa erinnya ly’omusawo eyasooka okunnyonnyola embeera eno mu myaka gya 1950. Oluvannyuma, mu 1975, Resnick ne ttiimu ye baakozesa erinnya erisingawo erya Diffuse Idiopathic Skeletal Hyperostosis. Kale, newankubadde nga bayitibwa amannya abiri, boogera ku kintu kimu.

Embeera eno eyitibwa (DISH) ya bulijjo etya?

DISH mu butuufu mbeera ya bulijjo nnyo mu bakadde . Ebiseera ebisinga tekitera kubaawo nga tebannaweza myaka 40. Wabula abantu nga 40% abasukka emyaka 50 bayinza okufuna embeera eno. Ekirala abasajja emikisa gy’okubufuna emirundi ebiri okusinga abakazi. Kale, nga bw’olaba, buno si bulwadde bwa bulijjo.

Bubonero ki obulaga obulwadde bwa DISH? Omanyi otya?

Si buli muntu alina DISH nti alina obubonero obukulu. Abantu abamu basobola okumala emyaka nga tebalina bubonero bwonna. Kyokka, obubonero bwe bubaawo, obubonero obusinga okulabika kwe kukaluba okutwalira awamu n’obulumi . Okusingira ddala okulumwa omugongo n’ensingo . Kino oyinza okukiwulira nnyo ng'osoose okuzuukuka ku makya ne mu budde obw'obutiti . Oyinza n’okubulwa ebanga ly’okutambula , gamba ng’okukaluubirirwa okufukamira n’okugolola emikono gyo.

DISH etera okusooka okukwata omugongo n’ekitundu eky’omu makkati, naye oluvannyuma esobola okukwata ebitundu by’omubiri ebirala, gamba ng’emikono n’amagulu. Oyinza okulumwa ennyondo oba okuzimba emisuwa mu bitundu bino:

• Mu bibegabega
• Mu bisambi
• Mu bikoona
• Mu maviivi
• Mu bisambi
• Mu bikonde

Oluusi obubonero butandika ng’amagumba amapya agakula, agayitibwa bone spurs, gassa puleesa ku busimu obuli okumpi . Kino kiyinza okuvaako obulumi obw’amaanyi obumu. Obulumi buno buyinza okuba obw’amaanyi naddala ng’otambuza omubiri gwo mu ngeri emu oba ng’ossa puleesa ku kitundu ekimu.

Obusimu obunywezeddwa nabwo busobola okuvaako bino wammanga:

• Okuzirika oba okuwunya
• Nga ppini n’empiso
• Obunafu bw’ebinywa

Teebereza, singa omugongo gwo ogw’omumwa gwa nnabaana gukulaakulanya eggumba ery’enjawulo nga lino ne gutandika okunyigiriza omumwa gwo oba emimiro , ebintu nga bino bisobola okubaawo:

• Okuwuuma
• Obuzibu mu kumira
• Obulwadde bw’okusannyalala mu tulo obuziyiza

Lwaki kino (DISH) kibaawo? Biki ebivaako?

Abasawo n’abanoonyereza bakyagezaako okuzuula kiki ddala ekivaako DISH. Kyokka, waliwo ebintu ebiwerako ebilowoozebwa nti bye bivaako. Kyokka tekinnategeerekeka ngeri gye zikwataganamu.

• Enkyukakyuka mu mubiri : Abantu bangi abalina DISH nabo balina embeera eyitibwa metabolic syndrome . Kino kibinja kya mbeera ezikwatagana era nga zongera obulabe bw’okulwala endwadde z’emisuwa. Eby’okulabirako mulimu ssukaali, insulini omungi, uric acid omungi, kolesterol omungi, n’omugejjo.
• Ensengekera y’obuzaale : Abantu abamu abalina DISH balina akabonero ak’enjawulo mu buzaale bwabwe akayitibwa HLA-B8 . Akabonero kano ak’obuzaale kakwatagana n’endwadde z’abaserikale b’omubiri nga ssukaali ow’ekika kya 1.Kizuuliddwa nti kikwatagana n’endwadde eziwerako ezikwata ku busimu obuziyiza endwadde. DISH tetwalibwa nga bulwadde bwa autoimmune, naye abantu bangi abalina DISH nabo balina ssukaali.
• Okuzimba : DISH mu butuufu etwalibwa ng'ekika ky'endwadde z'enkizi ezitazimba nnyo . Kwe kugamba, tekiva ku kuzimba okubeerawo mu ngeri eyeetongodde, nga mu ndwadde z’abaserikale b’omubiri. Kyokka kirowoozebwa nti okuzimba okumu okw’omutindo ogwa wansi kuyinza okuzingirwamu. Mpozzi okuzimba kuno kwe kutandika enkola y’okuteekebwamu kalisiyamu.
• Ensonga ezikuza : Ebintu ebisukkiridde nga human growth hormone (HGH), insulin, ne insulin-like growth factor 1 (IGF-1) mu mibiri gyaffe bisobola okuleeta hyperostosis mu DISH. Ensonga z'okukula ze puloteyina n'obusimu "ebigamba" emibiri gyaffe okukola ebitundu ebipya.

Ani ali mu bulabe obw’amaanyi obw’okulwala (DISH)?

Otera okufuna DISH singa ensonga zino zikukwatako:

• Bw’oba ​​olina emyaka egisukka mu 50.
• Bwoba oli musajja.
• Singa wabaawo ebika ebirala eby’endwadde z’enkizi.
• Bw’oba ​​olina obulwadde bwa metabolic syndrome.

Embeera eno eyitibwa (DISH) eyinza okuba ey’amaanyi etya?

Si buli muntu alina DISH nti alina ebizibu ebinene. Abantu abamu tebamanyi na nti bagirina. Naye, mu mbeera ezimu ez’amaanyi , DISH esobola okuleeta ebizibu eby’amaanyi.

Ebimu ku bizibu bino bye bino:

• Okunyigiriza ensingo : Amagumba agafulumye mu mugongo gw’omumwa gwa nnabaana kiyinza okunyigiriza omusulo oba emimiro. Kino kiyinza okukaluubiriza okumira, okwogera n’okussa. Kino kiyinza okuba ekibi naddala ekiro. Obulwadde bw’okusannyalala mu tulo buyinza okuvaako omukka gwa oxygen omutono mu mubiri, ne guteeka puleesa ku mutima (hypoxia).
• Okumenya omugongo n’obutabeera mu ntebenkevu : (DISH) kireetera omugongo okukaluba, ekigufuula okumenya . Ne bwe wagwa oba akabenje akatono (okukosebwa kw’amaanyi amatono) kuyinza okumenya oba okukutula omugongo mu mugongo gwo. Kino kiyinza okufuula omugongo gwo obutabeera munywevu, ne kyongera obulabe bw’okwongera okufuna obuvune.
• Okunyigirizibwa kw’omugongo : Mu mbeera enzibu, ebiwujjo by’amagumba oba ebisiba by’amagumba ebinene ebiriraanye omugongo bisobola okunyigiriza omugongo . Kino kiyinza okuleeta embeera z'obulumi mu busimu nga sciatica n'obubonero obulala obw'obusimu obuyitibwa myelopathy . Mu mbeera embi, okusannyalala kuyinza okubaawo.

Kilowoozeeko ng’omuggo ogw’embaawo omukadde ogukaze. Kiba tekikyukakyuka katono, kale kyangu okukutuka ne bw’onyiga akatono. Omugongo gwa (DISH) bweguli.

Nzuula ntya oba waliwo abasawo (DISH)?

Abasawo bakozesa okukebera ebifaananyi okukebera oba waliwo DISH. Kino osobola okukisanga nga okozesa X -ray oba ultrasound bulijjo . Singa kyetaagisa okumanya ebisingawo, bayinza okukolebwa CT scan (computed tomography scan).

Abakugu mu by'amasannyalaze, kwe kugamba, abasawo abatunuulira ebintu nga X-ray ne CT scans, banoonya "flowing ossifications." Kwe kugamba, oba waliwo okukula kw’amagumba okuyitiridde mu migongo esatu oba ena egy’omuddiring’anwa, oba emisuwa egy’oku mabbali g’amagumba ginywezeddwa. Kino kiringa wax akulukuta okuva mu kandulo ku X-ray.

Bw’oba ​​n’obubonero awalala mu mubiri gwo, bajja kunoonya obubonero bw’obulwadde mu bitundu ebyo nabyo. Wayinza okubaawo ebitereke bya kalisiyamu mu binywa oba emisuwa amagumba we gakwatagana (entheses).

Era banoonya obubonero obuyinza okuyamba okwawula DISH ku mbeera ezifaanagana, gamba nga ankylosing spondylitis ne osteoarthritis . Oluusi, embeera zino endala zisobola okubeera awamu ne DISH.

Bujjanjabi ki obwa DISH?

Tewali ddagala lya DISH. Kyokka, obujjanjabi bw’omubiri , oba obujjanjabi bw’okukola dduyiro, busobola okuyamba okukendeeza ku kukaluba n’okwongera ku bbanga ly’okutambula. Omusawo akola ku by’omubiri asobola okukuwa amagezi ku dduyiro atali wa maanyi g’osobola okukola awaka.

Okukendeeza ku bulumi, osobola okukozesa eddagala eriweweeza ku bulumi eritali ku ddagala (OTC), gamba nga NSAIDs (Nonsteroidal anti-inflammatory drugs). Omusawo asobola okukuwa eddagala eriweweeza ku bulumi bwe kiba kyetaagisa. Amasasi ga cortisone nago gasobola okuweebwa mu bitundu ebitongole ebirimu obulumi.

Omusawo ajja kulondoola embeera yo n’okutunuulira ebizibu ng’okumenya. Oluusi, bayinza okuwandiika ekika ky’eddagala eriyitibwa bisphosphonates okuyamba okuziyiza oba okuwonya okumenya.

Singa obusimu butandise okunyigirizibwa, oba olw’okukula ennyo oba okusituka kw’amagumba, era ng’ofuna obulumi obupya oba obubonero obulala, kiyinza okwetaagisa okulongoosebwa okumalawo puleesa. N’amagumba agamenyese oluusi geetaaga okuddaabirizibwa ng’olongooseddwa.

Ebiseera by’omu maaso by’omuntu alina (DISH) bye biruwa?

(DISH) etera okutandika ng’akyali muto, kale yeeyongera mpola.Kiyinza okutwala emyaka 10 obubonero okulabika. Okutandika enteekateeka y’obujjanjabi amangu ddala ng’obubonero bulabika kiyinza okuyamba okubufuga.

Singa DISH eba ya maanyi, eyinza okulemesa , okutaataaganya emirimu gya buli lunaku n’okubeera nga yeeyagaza. Ebizibu eby’amaanyi tebitera kubaawo. Singa zibaawo, zisobola okujjanjabwa n’okulongoosebwa.

Waliwo engeri y’okuziyiza DISH okutondebwa?

Ekituufu ekivaako DISH tekimanyiddwa, kale kizibu okugiziyiza. Wabula abanoonyereza bakimanyi nti ensonga z’enkyukakyuka mu mubiri nga ssukaali omungi, insulini omungi, ne triglycerides omungi byongera obulabe.

Bw'oba olina embeera y'okukyusakyusa emmere gy'olina , ekisinga obulungi ky'oyinza okukola okuziyiza DISH okukula kwe kujjanjaba embeera ezo obulungi . Ne bwe kiba nti DISH etandise, okujjanjaba embeera zino kiyinza okuyamba okuziyiza DISH okweyongera.

Nsaanidde kwerabirira ntya nga mbeera ne (DISH)?

Ekisinga obulungi eri abantu abalina obulwadde bw’endwadde z’enkizi ezikendeera, nga DISH, kwe kukola dduyiro buli kiseera, atali wa maanyi nnyo . Okuteekawo enkola ya dduyiro buli lunaku kiyinza okukuyamba okukuuma obusobozi bwo obw’okukyukakyuka n’amaanyi okumala ebbanga nga bwe kisoboka.

Bw’olaba omusawo buli kiseera okukeberebwa , asobola okulondoola embeera yo n’engeri gy’ekyukakyuka. Kino kibasobozesa okuyingira mu nsonga okutangira ebizibu eby’amaanyi nga tebinnabaawo.

Diffuse Idiopathic Skeletal Hyperostosis (DISH) mbeera eriko erinnya eddene era ekyali ya kyama katono. Naye ggwe okusinga kireeta obulumi n’okukaluba. Ebiseera ebisinga, buba bugonvu era abamu babukyamusa nti ekintu ekibaawo ng’ogenda okaddiwa.

Wabula bulijjo kirungi okubuulira omusawo obubonero bwo. Singa DISH ezuulibwa nga bukyali, ggwe n’omusawo musobola okukola enteekateeka y’okuddukanya obubonero bwo n’okuziyiza ebizibu.

Ebimu ku bintu bye ndowooza nti bikulu gyoli (Take-Home Message)

Okay, kale kati olina okutegeera okulungi ku bye tubadde twogera (DISH). N’ekisembayo, bino bye bintu ebikulu by’olina okujjukira:

• (DISH) mbeera ng’amagumba amapya gakola mu bitundu ebigonvu eby’omubiri, ekivaako okukaluba n’okulumwa naddala mu bitundu ng’omugongo n’ensingo.
• Kino kitera mu bantu abasukka emyaka 50 naddala abasajja.
• Si buli muntu nti ajja kufuna obubonero obw’amaanyi, naye bw’ofuna okukaluba ku makya, okulumwa oba okukaluubirirwa okutambuza omubiri gwo, tegeeza omusawo wo.
• Abantu abalina obuzibu mu nkyukakyuka y’emmere nga sukaali ne kolesterol omungi bali mu bulabe bwa maanyi okufuna DISH.
• Wadde nga tewali kuwona mu bujjuvu, obubonero busobola okufugibwa nga bakozesa eddagala ly’omubiri, eddagala eriweweeza ku bulumi, n’oluusi okulongoosebwa.
• Ekisinga obukulu kwe kulaba omusawo bw’oba ​​olina obubonero buno, so si kulowooza nti bubonero bwa bulijjo obw’okukaddiwa. Okuzuula amangu kiyinza okuyamba okuziyiza ebizibu bingi.

Tusuubira nti amawulire gano ogasanga nga ga mugaso. Sigala nga oli mulamu bulungi!

` DISH, Diffuse Idiopathic Skeletal Hyperostosis, obulwadde bw’amagumba, okulumwa ennyondo, okulumwa omugongo, okulumwa ensingo, endwadde z’enkizi