I taksa pawh chutiang chuan a khauh em? Chutiang chuan i ruhro chu ben a harsa em? Hei hi (Diffuse Idiopathic Skeletal Hyperostosis - DISH) a ni mai thei!

A chang chuan i taksa chu a khauh deuh ang maiin i inhria em, a bik takin zing i thawh hian i hnungzang emaw, i kawr emaw ben a harsat em? A nih loh leh i ruhte chu a na deuh em? Hei hi i upat deuh deuha thil thleng niin i ngai mai thei. Mahse, rilru hahna leh natna zawng zawng hi a pangngai vek lo. Vawiin hian hming rei tak nei, mahse mi tam takah hmuh tur awm, a bik takin kum 50 an tlin hnuah kan sawi dawn a, chu chu (Diffuse Idiopathic Skeletal Hyperostosis) , a tawi zawngin (DISH) kan ti bawk.

Chuti a nih chuan hei hi eng nge ni (DISH)? A awlsam zawngin...

Okay, DISH, a awlsam zawngin sawi ila, arthritis chi khat a ni. Mahse he thila thil thleng chu kan taksa chhunga soft tissue te bakah hian ruh tissue thar a lo thang lian thin a ni. Ngaihtuah teh, kan taksaa ligament te, ruh inzawmkhawmtu band te, ruh chhehvela hmun nêm tak takte chu lung ang maiin a khauh ta a ni .

He hming hian thumal pathum a nei a. "Hyperostosis" tih hian ruh lian lutuk tihna a ni. DISH-ah chuan kan ruhro (skeleton) nena inzawm soft tissue-ah hian calcium a awm khawm a . He calcium deposit hian soft tissue te chu ruh (ossification) ah a chantir zauh zauh thin. Sa tlemte lungah a chang ang mai a ni.

"Diffuse" tih awmzia chu he thil kalphung hi taksa khawi hmunah pawh a thleng thei tihna a ni. Mahse a tam ber chu kan ruhro atanga tan a ni , a bik takin a laiah, chu chu rilru level (thoracic spine) atanga tan a ni. "Idiopathic" tih awmzia chu a chhan dik tak awm lovin a thleng tihna a ni .

Hetiang dinhmun (DISH) hian taksa ruh leh ruh na, mobility lama harsatna, leh harsatna dang a thlen thei a ni. Ruh thar lo thang lian hian ruh spurs a siam thei a ni. Chûngte chu hling ang a lo ni thei a, kan ruhkawrte hnathawh dân dik a tibuai thei a ni.

DISH leh Forestier natna hi thil inang an ni em?

Ni lo, DISH hming dang chu Forestier’s disease a ni. Kum 1950 chhoa a dinhmun sawi hmasak bertu doctor hming chawia sak a ni. A hnuah, kum 1975 khan Resnick leh a team te chuan hming bik zawk Diffuse Idiopathic Skeletal Hyperostosis an hmang ta a ni. Chuvangin, hming pahniha koh ni mah se, thil thuhmun an sawi a ni.

Hetiang dinhmun hi engtiang chiahin nge (DISH) an tih?

DISH hi a takah chuan kum upa lam zingah chuan a awm fo thin . Kum 40 an tlin hmain a awm lo tlangpui a, mahse kum 50 chunglam zinga 40% vel chuan he natna hi an vei thei a ni. Tin, hmeichhia aiin mipain a let hnih zetin an vei tam zawk bawk. Chuvangin, i hmuh angin, hei hi natna danglam tak a ni lo.

DISH natna lanchhuahna chu engte nge ni? Engtin nge i hriat?

DISH vei zawng zawng hian symptom lian tak tak an nei vek lo. Mi thenkhat chu kum tam tak chhung chu natna lanchhuahna nei lovin an kal thei. Mahse, symptoms a awm tak tak chuan symptoms langsar ber chu general stiffness leh pain . A bik takin hnungzang leh kawng na hi a tam hle. Zingkar i thawh hmasak ber leh khaw lum lai pawhin hetiang hi i hre nasa zawk mai thei . Range of motion hloh i nei thei bawk , chu chu i kut ben leh tihdik harsa tih ang chi hi a ni.

DISH hian a tlangpuiin ruhro leh midsection a nghawng hmasa a, mahse a hnuah taksa peng dang, kut leh ke te a nghawng thei a ni. Heng hmunah hian ruh natna emaw tendonitis emaw i nei thei ang:

• A kekawrteah
• Hips ah chuan
• Elbows ah chuan
• Khup ah chuan
• Ankles ah chuan
• In heels ah a awm

A châng chuan ruh thar lo piang chhuak, ruh spurs tia koh chuan a bula nerve-ah pressure a siam aṭangin natna lan chhuahna a inṭan ṭhin . Hei hian natna nasa tak engemaw zat a thlen thei. He natna hi a bik takin i taksa i tihchet emaw, hmun engemaw zat i pressure emaw hian a nasa thei hle.

Nerve pinched hian a hnuaia mite hi a thlen thei bawk:

• Numbness emaw tingling emaw a awm
• Pin leh needle ang maiin
• Muscle chak lohna

Ngaihtuah teh, i cervical spine hian hetiang hian extra bone a siam a, i esophagus emaw throat emaw ah a press tan a nih chuan hetiang thil hi a thleng thei a ni:

• Hoarseness a awm
• Swallowing harsatna
• Mut theih lohna (obstructive sleep apnea) a awm

Engvangin nge hetiang (DISH) hi a lo awm? A chhante chu engte nge ni?

Doctor leh zirchiangtute chuan DISH thlentu dik tak chu eng nge ni tih hriat tumin an la bei mek a ni . Mahse, a thlentu nia ngaih thil engemaw zat a awm. Amaherawhchu, engtin nge an inzawm tih erawh hriat chian a la ni lo.

• Metabolism : DISH vei tam tak chuan metabolic syndrome an tih pawh an nei ve bawk . Hei hi dinhmun hrang hrang inzawmkhawm leh rilru lam natna vei theihna tipungtu a ni. Entirnan, zunthlum, insulin level sang, uric acid level sang, cholesterol sang, thau lutuk te hi a ni.
• Genetics : DISH vei thenkhat chuan an genes ah hian marker bik an nei a, chu chu HLA-B8 tih a ni. He genetic marker hi autoimmune natna chi hrang hrang type 1 diabetes nen a inzawm a ni .Autoimmune natna engemaw zat nen a inzawm tih hmuhchhuah a ni. DISH hi autoimmune disease anga ngaih a ni lo a, mahse DISH vei tam tak chuan zunthlum an nei ve bawk.
• Inflammation : DISH hi a takah chuan arthritis chi khat anga ngaih a ni a , chu chu inflammatory tlem zawk a ni . Chu chu, autoimmune natna ang chi, mahni insiamthatna (inflammation) avanga lo awm a ni lo tihna a ni. Mahse, low-level inflammation engemaw zat a awm thei niin an ngai. He inflammation hian calcium deposition process a ti tan a ni mai thei.
• Growth factors : Kan taksaah hian human growth hormone (HGH), insulin, leh insulin-like growth factor 1 (IGF-1) ang chi thil tam lutuk hian DISH-ah hyperostosis a thlen thei a ni. Growth factors hi protein leh hormone te an ni a, chu chuan kan taksa chu tissue thar siam turin "tih" a ni.

Tute nge natna vei theihna sang zawk (DISH)?

Heng thilte hi i chungah a hman theih chuan DISH i vei theihna a sang zawk:

• Kum 50 aia upa i nih chuan.
• Mipa i nih chuan.
• Arthritis chi dang a awm chuan.
• Metabolic syndrome i neih chuan.

He dinhmun (DISH) tia koh hi engtiang chiahin nge a nasat theih ang?

DISH vei zawng zawng hian harsatna lian tham an nei vek lo. Mi thenkhat chuan an nei tih pawh an hre lo. Mahse, in some severe cases , DISH hian harsatna lian tak a thlen thei.

Chung harsatna thenkhat chu:

• Neck compression : I cervical spine-a ruh lo chhuak hian i esophagus emaw i throat emaw a compress thei. Hei hian ei leh in, tawng leh thawk a ti harsa thei a ni. Hei hi zan lamah a pawi bik thei hle. Sleep apnea hian taksaah oxygen level a ti hniam thei a, thinlungah pressure a siam (hypoxia).
• Spinal fractures leh instability : (DISH) hian ruhro a tikhauh a, a chhe thei zawk . Tlu tenau emaw, accident emaw (low-energy impact) pawhin i ruhro (spine)-a vertebra pakhat chu a tichhia emaw, a tikehsawm emaw thei a ni. Hei hian i ruhro a ti nghet lo thei a, hliam dang i neih theihna a tipung thei bawk.
• Spinal cord compression : A nasat chuan ruh zungbun emaw ruh zungpui lian tak emaw chuan ruhro (spinal cord) a tikhawlo thei a ni . Hei hian nerve pain condition sciatica leh neurological symptom dang myelopathy an tih te a thlen thei a ni. A pawi berah chuan paralysis a awm thei.

Thingpui hnah hlui, a vawt tawh ang maiin han ngaihtuah teh. Tlem a inflexible deuh avangin pressure tlemte pawh nise awlsam takin a chhe thei. (DISH) ruhro chu chutiang chu a ni.

Doctor (DISH) an awm leh awm loh engtin nge ka hriat theih ang?

Doctor ten DISH a awm leh awm loh enfiah nan imaging test an hmang thin. Hei hi X -ray emaw ultrasound emaw hmanga hmuh theih a ni . A chipchiar zawka hriat a ngai a nih chuan CT scan (computed tomography scan) tih theih a ni.

Radiologist, chu chu X-ray leh CT scan ang chi thil entu doctor-te chuan "flowing ossifications" an zawng thin. Chu chu, vertebrae pathum emaw pali emaw a zawna ruh lian lutuk a awm emaw, ruh bula ligament te chu a tight em tih emaw tihna a ni. Hei hi X-ray-a candle atanga wax leak ang mai a ni .

I taksa hmun dangah symptom i neih chuan chutiang hmunah pawh natna chhinchhiahna an zawng ang. Ruh inzawmna (entheses) na hmun ruh emaw, ligament emaw-ah calcium a awm thei.

Tin, DISH hi natna inang, ankylosing spondylitis leh osteoarthritis te atanga thliar hrang thei tur chhinchhiahna an zawng bawk. A châng chuan, heng dinhmun dangte hi DISH nen hian an awm dun thei bawk.

DISH enkawl dan tur chu engte nge ni?

DISH hi damdawi a awm lo . Mahse, physical therapy , a nih loh leh exercise therapy hian a tichak lo thei a, range of motion a tipung thei bawk. Physics therapist chuan in lama i tih theih tur, low-impact exercise te chu a rawt thei a ni.

Natna tihziaawm nan over-the-counter (OTC) natna tidamtu, NSAIDs (Nonsteroidal anti-inflammatory drugs) te pawh i hmang thei bawk. I doctor chuan a tul chuan painkiller a pe thei ang. Cortisone shot hi natna hmun bik ah pawh pek theih a ni bawk.

I doctor chuan i dinhmun a enfiah ang a, ruh tliak ang chi harsatna a awm leh awm loh a enfiah ang. A châng chuan, ruh tliak venna emaw, tihdam emaw nân damdawi chi khat bisphosphonates an tih chu an pe thei bawk.

Nerve a compress tan a, chu chu a lo thang lian lutuk emaw, ruh spurs vang emaw a ni thei a, natna thar emaw, symptom dang emaw i neih chuan, pressure tihziaawm nan operation i neih a ngai mai thei . Ruh tliak pawh hi a chang chuan operation hmanga siamthat a ngai thin.

(DISH) nei mi pakhat hmalam hun chu eng nge ni?

(DISH) hi nakin lawkah a intan tlangpui a, chuvangin zawi zawiin a zual zel.Symptoms a lan theih nan kum 10 vel a ngai thei. Symptoms a lan veleh treatment plan tan chuan control theih turin a pui thei a ni.

DISH a nasat chuan disabling , nitin hnathawh tibuaitu leh nuam tihna a ni thei. Complication na tak tak a awm tlem hle. An lo awm chuan operation hmanga enkawl theih an ni.

DISH lo awm tur ven dan tur a awm em?

DISH awm chhan dik tak hriat a la ni lo a, chuvangin ven a harsa hle. Mahse, zirchiangtute chuan metabolic factors, thisen sugar sang, insulin level sang, leh triglycerides sang te hian a hlauhawmna a tipung tih an hria.

Metabolic condition underlying i neih chuan DISH lo awm lo tura i tih theih tha ber chu chutiang condition te chu uluk taka enkawl hi a ni DISH a tan hnuah pawh heng natna te hi enkawl hian DISH a na zual loh nan a pui thei a ni.

(DISH) nena kan awm chhung hian engtin nge ka in enkawl ang?

DISH ang chi degenerative arthritis vei tan chuan a tha ber chu exercise neih fo, low-impact exercise neih hi a ni . Nitin exercise tih dan tur siam hian a rei thei ang bera i insiamrem theihna leh chakna i neih theih nan a pui thei che a ni.

Check -ins-a i doctor pan fo hian i dinhmun leh a inthlak dan a enfiah thei a ni. Hei hian harsatna lian tak tak a thlen hmaa ven nan an inrawlh thei a ni.

Diffuse Idiopathic Skeletal Hyperostosis (DISH) hi a hming rei tak a ni a, a la thuruk deuh hlek a ni. Mahse nangmah tan chuan natna leh rilru hahna a thlen ber. A tam zawkah chuan a nêm a, mi ṭhenkhat chuan kum upat deuh deuha thil thleng angah an ngai sual a ni.

Mahse, i natna lan chhuah dan chu doctor hnenah hrilh a phu reng a ni. DISH hi hriat hmasak a nih chuan nang leh i doctor chuan i natna lan chhuah dan tur leh harsatna lo awm tur venna tur ruahmanna i siam thei ang.

I tana pawimawh ka tih thenkhat (Take-Home Message) .

Okay, chuti a nih chuan tunah chuan kan sawi tawh (DISH) kha i hrethiam zawk tawh ang. A tawp berah chuan, hriat reng tur pawimawh thenkhat chu hetiang hi a ni:

• (DISH) hi taksa peng nem tak takah ruh thar a lo piang a, a bik takin hnungzang leh kawng hrang hrangah a tikhauh a, a na bawk.
• Hei hi kum 50 chunglam, a bik takin mipa zingah a awm fo.
• Mi zawng zawng hian symptom lian tak tak an nei vek dawn lo a, mahse zing lama i taksa khauh, natna, emaw, i taksa tihchet harsat i neih chuan doctor hnenah hrilh rawh.
• Metabolic lama harsatna nei, zunthlum leh cholesterol sang nei te hi DISH vei theihna a sang zawk.
• Damdawi famkim awm lo mah se, a natna lan chhuah dan chu physical therapy, painkiller leh a chang chuan surgery hmanga control theih a ni.
• A pawimawh ber chu heng symptoms te hi i neih chuan doctor pan tur a ni a, tar chakna chhinchhiahna pangngai anga ngaih mai tur a ni lo. Hriat hmasak hian harsatna tam tak a veng thei a ni.

He thu hi i tangkaipui ngei kan beisei. Hrisel takin awm rawh!

` DISH, Diffuse Idiopathic Skeletal Hyperostosis, ruh natna, ruh natna, hnungzang na, kawng na, ruh natna