Ka puta ngā wheua i ngā wāhi rerekē o te tinana? Me ako tātou mō tēnei (Heterotopic Ossification)!

Kua rite koe ki tētahi wahi iti o te wheua e tipu ana i tētahi wāhi kāore he wheua, arā, i roto i ngā kiko ngohengohe pērā i te uaua? I muri rānei i tētahi whara nui, i tētahi pokanga rānei, ka rongo koe i tētahi mea rerekē, pērā i tētahi puku, he paku mārō, i taua wāhi? Tērā pea kei te ahua kei te nui haere, kei te nui haere. Tērā pea kei te whakaaro koe he aha te take o tēnei, me te take hoki e puta ai. Koinei tā tātou e kōrero ai i tēnei rā. I roto i ngā kupu hauora, ko te ingoa o tēnei āhuatanga ko (Heterotopic Ossification) , ko (HO) rānei te poto.

He aha tēnei (Heterotopic Ossification)? Ki te kī māmā noa iho...

Ki te whakarapopoto, ko te Heterotopic Ossification te tukanga o te tipu me te hanga wheua o ngā pūtau wheua hou i waho o tō tātou pūnaha angaiwi, i roto i ngā kiko ngohengohe i waho o tō tātou angaiwi . He rite ēnei ki ngā kongakonga wheua tāpiri . He maha ngā wā ka puta mai ēnei i muri i te whara . Heoi, i ētahi wā ka puta tēnei āhuatanga me te kore he take mārama.

Kia maumahara, mō te nuinga o te tangata, he iti rawa ngā kongakonga wheua tāpiri e hangaia ana i tēnei ara. Nō reira, kāore e puta he tohu nui. Heoi, i ētahi wā, ki te tipu haere ēnei kongakonga wheua, ka taea e rātou te whakawhāiti i ō nekehanga , ā, ka puta he raruraru nui.

He aha ngā momo matua o te Ossification Heterotopic?

Ka taea te wehewehe i tēnei (Heterotopic Ossification) kia rua ngā momo matua:

1. Momo kore-ira:

• Koinei te momo tino noa . Ka pā ki te tangata o ngā tau katoa.
• Ahakoa e kīia ana i ētahi wā ka puta mai i te kore take, ko te nuinga o te wā ka puta mai hei urupare ki tētahi momo whara . Ko taua whara he whara mai i tētahi aituā, he pānga rānei ki ngā kiko nā te pokanga. Whakaarohia, i hinga koe, ā, i whara tō ringa, i mate rānei koe i tētahi pokanga nui, koinā te wā ka puta ai tēnei āhuatanga.

2. Momo ira:

• He tino onge tēnei. He tino tokoiti noa iho ngā tāngata o te ao kei a rātou tēnei momo ira (HO).
• Ina puta te HO i ngā take ira, ka uaua ake pea . Hei tauira, ka puta he hapa o te tuara, o ngā ringa, o ngā waewae rānei. I ētahi wā ka tino kino tēnei āhuatanga ira.

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Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei (Heterotopic Ossification)?

Ka taea e te HO kore-ira te whanake i roto i te tangata. Heoi, ki te mea kua whara koe, kua pokanga rānei i mua , ka nui ake te tūponotanga ka pāngia koe e tēnei mate.

Mō te toru hauwhā o te hunga whai HO, ara, tata ki te 75% , i puta te mate i tētahi momo whara.Ko te hunga whai i ēnei āhuatanga ka tino mōrearea ki te whakawhanake (HO):

• Ngā whara o te tuaiwi: I roto i te 10 tāngata e pāngia ana e ēnei whara, tata ki te 2 ki te 3 ka pāngia e te HO.
• Te whara o te upoko: Ka pā tēnei ki te 1, ki te 2 rānei i roto i te 10 tāngata kua whara te roro, inā koa he whara upoko kua kati.
• Whakakapinga hope katoa: He ngawari noa te putanga mai o te HO i muri i te pokanga whakakapinga hope. Heoi, i ētahi wā ka iti te nekehanga me te pakari o te hope.
• Te tapahi i muri i te whara kino: Kua kitea neke atu i te 9 i roto i te 10 o ngā tāngata kua tangohia tetahi wāhanga o te tinana nā te whara kino ka pāngia pea e tēnei mate (HO).

Tata ki te haurua o te hunga kāore he pānga ira (HO) he hunga taiohi kei roto i ō rātou tau 20 me 30. Waihoki, he paku nui ake te tūponotanga o te tāne ki te pāngia e tēnei mate i ngā wāhine.

Mō ngā momo ira rerekē, he tino onge ēnei. E ai ki ngā tohunga, he iti iho i te 5,000 ngā tāngata puta noa i te ao e pāngia ana e te mate ira e puta ai (HO).

He aha ngā pānga o te Heterotopic Ossification ki tōku tinana?

Ka taea e te (HO) te puta i ngā wāhi katoa o te tinana. Heoi, ka kitea pinepine i ngā wāhi e tino pāngia ana e te whara . Hei tauira:

• Tuke
• Ngā Maihao
• Kaki, upoko rānei
• Peha
• pakihiwi
• Huha

He aha ngā take o te Heterotopic Ossification?

He maha ngā wā ka puta te HO i muri i te whara . Ka puta anō hoki i muri i te pokanga. Hei tauira, ko te hunga kua whakakapia te hope katoa ka pāngia e te HO, engari i te nuinga o te wā kāore e puta he tohu nui.

He nui ake tō tūponotanga ki te whakawhanake i te HO mēnā kei a koe:

• Whati wheua
• Tahuna
• Te whara o te tuaiwi
• Pokanga whakakapinga hononga katoa
• Te whara roro whara (TBI)

He tino onge, ka taea hoki e ētahi mate ira te whakaputa i te HO. Ko ētahi o ēnei mate ko:

• Fibrodysplasia Ossificans Progressiva (FOP): He mate ira tino onge tēnei. I mua ko Myositis Ossificans Progressiva , ka huri haere ngā kiko ngohengohe o te tinana hei wheua i tēnei mate.
• Te Heteroplasia Osseous Progressive (POH): He mate ira onge tēnei.

He aha ngā tohu o te Nongenetic Heterotopic Ossification?

Ka rerekē pea ngā tohu o te Heterotopic Ossification i ia tangata, i ia tangata. Ka whakawhirinaki hoki ki te whānui o te horapa o te mate me tōna kaha. I ngā wāhanga tōmua o te mate, ko ngā tohu pēnei i:

• Mamae
• Pupuhi
• Ngāwari

I te haere whakamua o te Heterotopic Ossification, ka tīmata pea koe ki te rongo i tētahi puku i raro i tō kiri. Ka tere te tipu o tēnei puku i ētahi wā, ā, ka huri hei puku nui . Tērā pea he uaua ki te neke ki ō maihao. Tērā pea he mamae hoki te pā atu.

I ngā wāhanga whakamutunga o te mate, ka kaha ake te puku. Mena kei te tata ki tētahi hononga, pērā i tō hope, i tō pakihiwi rānei, ka taea hoki e ia te whakawhāiti i te nekehanga o tō hononga . Whakaarohia, ka uaua ki te hiki i tō ringa, ki te piko rānei i tō waewae.

He aha ngā tohu o te Ossification Heterotopic Genetic?

Nā, kia tirohia tātou he aha ngā tohu ka puta mai i aua momo ira onge (HO). Mena he mate ira tōu e kiia nei ko (FOP) (Heterotopic Ossification), tera pea ka kite koe i ēnei tohu:

• Te matimati nui kua hē te āhua
• Ngā hapa o te tuaiwi
• Ngā raruraru hanganga i roto i ō maihao

I te whanaketanga o te mate, he maha ngā tāngata ka pāngia e ngā tohu tino kino . Hei tauira, ka uaua te hikoi, ā, ka uaua hoki te manawa o ētahi tāngata . Ka taea e tēnei āhuatanga onge (HO) te whakapoto i te roanga o te oranga .

I roto i tētahi atu mate ira, arā, ko te POH, ka kitea te nuinga o ngā tohu i roto i te kiri . I roto i tēnei, ka puta tuatahi ngā wheua i roto i te kiko o raro i te kiri. I te haere whakamua o te mate, ka tīmata hoki te puta o ngā wheua i roto i ngā kiko honohono i roto rawa i te tinana.

Me pēhea te tātaritanga o te Heterotopic Ossification?

Hei whakatau tika mēnā he Heterotopic Ossification tōu, ka whakahaerehia pea e tō tākuta ētahi whakamātautau . Ko ngā whakamātautau whakaahua te mea nui rawa atu. Kei roto i ēnei ko:

• (Matawai CT)
• (Matawai MRI)
• (Te Tomography Tukunga Positron - matawai PET)
• (Matawai ira-oro)
• (X-hihi)

Ka taea e ēnei whakamātautau te whakatau tika i te taunga me te rahi o ngā maramara wheua tāpiri.

He mea nui:Ki te whakapae tō tākuta kei te pāngia koe e te ossification heterotopic, ka whiriwhiri pea ia kia kaua e mahia he koiora , arā, ko te tango i tētahi wahi kiko ka whakamātautau i taua mea. Nā te mea he momo ossification heterotopic ētahi, ahakoa he pokanga iti, ka nui ake te mōrearea o te horapa o te tipu o te wheua ki ētahi atu wāhanga o te tinana.

Me pēhea te tātaritanga i muri i te whakakapinga hope (HO)?

Mena kua pāngia koe e te HO i muri i te pokanga whakakapinga hope, ka whakamahia e ngā tākuta he tauine whakatauranga motuhake hei aromatawai i te tawhiti o te horapa o te HO.

Ko tētahi o ngā mea e whakamahia whānuitia ana ko te whakarōpūtanga Brooker . E ai ki tēnei pūnaha, e whā ngā taumata o te whakapūtanga heterotopic:

• Taumata 1: He wahi iti o te wheua kei roto i te kiko e karapoti ana i tō hope.
• Tau 2: He rerekē ngā whēkau wheua (e kiia ana ko ngā whēkau wheua ) huri noa i tō hope, i tō hope rānei. Engari he iti rawa te kotahi henimita te tawhiti i waenganui i ēnei whēkau wheua.
• Tau 3: Kei te taha o te hope, o te hope rānei ngā whēkau wheua, engari he iti iho i te 1 henimita te tawhiti i waenganui i a rātou.
• Tau 4: He pakari tō hononga hope (he pūmau) kua huri rānei hei ankylosis (he hononga piri o ngā wheua) . Ko te tikanga tēnei kāore e taea e te hononga te neke tika.

Tērā atu anō ngā tikanga whakarōpū pēnei. He rite tonu ngā āhuatanga o (HO) e tirohia ana e rātou katoa. Ko te mea matua e whakatau ana i te kaha o (HO) ko te mea kei reira aua whēkau wheua me te tawhiti o waenganui i a rātou .

Me pēhea te rongoā i te Heterotopic Ossification?

Ka rerekē te maimoatanga mō te heterotopic ossification (HO) i runga i ō tohu, te momo HO, me te horapa o te mate. I te nuinga o te wā, ka tūtohu pea tō tākuta i ēnei maimoatanga e whai ake nei:

• Rongoā: Mō te hunga whai mate ira (Heterotopic Ossification), ka taea te hoatu rongoā pēnei i te corticosteroids i ngā wā e kaha haere ana te mate.
• Whakaora tinana: Ka āwhina tēnei ki te whakanui ake i te whānuitanga o te nekehanga o ō hononga me te whakaiti i te mamae. Mā te kaiwhakaora tinana koe e ako ki ngā mahi whakakori tinana e tika ana māu.
• Pokanga: Mena ka pāngia koe e te mamae nui nā te ossification heterotopic, ki te iti rānei tō nekehanga, ā, kāore e taea e koe te mahi i ngā mahi o ia rā , ko te pokanga te huarahi whakamutunga hei tango i te wheua tāpiri. Heoi, he iti noa te mōrearea ka hoki anō te HO i muri i te pokanga.I te nuinga o ngā wā, ki te whakatauhia he pokanga, me whiwhi rongoā koe, tae atu ki te rongoā irahiko i muri mai hei ārai i te ngaronga o te wheua.

Ka taea te ārai i te Heterotopic Ossification?

Mena kua whakaritea kia pokangahia ō wheua, ka tohua pea e tō tākuta ētahi maimoatanga hei whakaiti i tō tupono ki te whakawhanake i te HO. Ina koa, he nui ake tō tupono ki te whakawhanake i te HO i muri i te pokanga whakakapinga hope mena kei a koe tētahi o ēnei āhuatanga e whai ake nei:

• (Te mate pūkahukahu ankylosing) (He mate tēnei e mumura ai ngā hononga o te tuaiwi)
• (Osteoarthritis) (Mate hononga pirau)
• Mena kua pā mai he hītori o (HO) i mua (Hītori o HO)

I ēnei āhuatanga, ka tūtohu pea tō tākuta i te maimoatanga ārai hei āwhina i te pupuri i ngā hua o tō pokanga. Kua whakaatuhia e ētahi rangahau ko te tango i ngā rongoā anti-inflammatory kore-steroidal (NSAID) i mua atu me muri tata mai i te pokanga ka taea te whakaiti i te tūponotanga o te whakawhanake i te otitis media postoperative (HO).

Heoi, kāore he huarahi kua oti te kī hei ārai katoa i te whanaketanga o te Heterotopic Ossification. Heoi anō, kei reira ētahi mea ka taea e koe te mahi hei whakaiti i tō tuponotanga. Hei tauira, me rongoā tika te whara i te wā tonu ka puta . Ko te tikanga o tēnā ko te whakamahi i te tikanga RICE :

• R - Okiokinga
• Ahau - Hukapapa )
• C - Kōpeketanga
• E - Te whakanui (kia teitei te wāhi whara)

Waihoki, mā te whakangungu kaha, te totoro totoro, me te okioki nui ka āwhina i te ārai i ngā whara.

Ki te puta te (Heterotopic Ossification), ka memeha atu rānei?

I ētahi wā, āe . Ko te nuinga o te hunga whai HO kore-ira ka ora katoa . I te nuinga o te wā, ka ora ake te HO e puta mai ana i muri i te whara mā te whakamahi i ngā maimoatanga kore-pokanga, pērā i te okiokinga, te hukapapa, me ngā mahi totoro māmā.

Heoi, kāore he rongoā mō te momo ira (HO) . Ahakoa ka taea e te maimoatanga te whakahaere i ngā tohu, ka kino haere te mate.

He aha atu anō taku e pātai atu ai ki te tākuta?

Ki te kitea e koe kei a koe te (HO), he mea noa te maha o ngā pātai. Akene he pai ki a koe te pātai atu ki tō tākuta i ngā mea penei:

• "He aha te momo (HO) kei a au?"
• "He aha te tino take o tēnei?"
• "He aha ngā maimoatanga mō (Heterotopic Ossification)?"
• "He aha ngā huringa āhua noho ka taea e au te mahi hei ārai i tēnei?"
• "He aha ngā tūponotanga ka tukuna te ira (HO) ki aku tamariki?" (Mēnā kei a koe te ira)

He mamae te (Heterotopic Ossification)?

Āe . Ko te mamae i te wāhi e pāngia ana te tohu matua me te tohu tino kitea o te Heterotopic Ossification. He maha ngā wā, ka piki ake te mamae i te mea ka nui haere te tupu o te wheua.

Heoi, ki te mea he heterotopic ossification tōu i muri i te whara, i te pokanga rānei, he rongo pai tēnei . Ko te nuinga o te hunga kāore i te whai ira (HO) ka ora katoa mā te maimoatanga.

Ka pāngia te tūponotanga o te whakawhanaketanga o te HO i muri i te pokanga e te osteoporosis?

Kāo. Ka taea e ētahi āhuatanga hauora te whakanui ake i te mōrearea o te whakawhanaketanga (HO) i muri i te pokanga. Heoi, kāore anō kia kitea he hononga kua whakamātauhia i waenga i te (Osteoporosis) me te (HO).

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Nō reira, kua mārama pea koe ināianei ko te (Heterotopic Ossification) ko te hanganga o te wheua hou i roto i ngā kiko ngohengohe o tō tātou tinana, i ngā wāhi kāore he wheua i te nuinga o te wā. I ētahi wā ka puta tēnei i te whara, i te pokanga rānei, i ētahi wā ka puta mai rānei i ngā take ira tino onge.

• Kaua e manukanuka: I te nuinga o te wā, inā koa mēnā i puta mai i tētahi whara, ehara i te mea morearea, ā, ka taea te whakaora mā te maimoatanga tika.
• Kia tūpato ki ngā tohu: Ki te kite koe i tētahi puku hou i tō tinana, ki te mamae, ki te pupuhi rānei i taua wāhi, inā koa i te wāhi i whara ai, he mea pai kia toro atu koe ki te tākuta.
• He onge ngā momo ira: He tino onge ngā momo ira (HO), engari ka paku kino ake.
• He maimoatanga kei reira: Ka taea te whakaora i ngā mate kore-ira (HO) mā te rongoā me te whakaora tinana.

Mena he pātai anō āu mō tēnei, me kōrero ki tō tākuta. Māna e whakamārama atu ki a koe ngā taipitopito katoa.