Ka puta ngā wheua i te wāhi kāore i tika kia puta? Me kōrero tātou mō tēnei Whakakotahitanga Heterotopic!

Ka taea e koe te whakaaro i ngā wheua e tipu ana i roto i ō uaua me ngā kiko ngohengohe huri noa i ō hononga, kaua ki te wāhi e tika ana kia tū? He ahua rerekē te tangi, kāore? Engari tera pea. Koinei te mea e kiia nei e mātou ko te heterotopic ossification i roto i te rongoā. I roto i te kīanga māmā, ko te hanganga rerekē o te wheua hou i waho o te angaanga. Ko ngā wheua e hangaia ana i tēnei ara ka taea te tipu kia toru ngā wā tere atu i ngā wheua noa. Ka taea e tēnei te whakakeke me te mamae i ō hononga.

Kāore tēnei āhuatanga e pā ki te katoa i te ōrite. Kei te wāhi e tupu ai te wheua tāpiri me te nui o tōna tipu. Ko te nuinga o te wā ka kitea i te rohe hope. Engari ka pā anō hoki ki ngā wāhi pēnei i ngā turi, ngā pakihiwi, me ngā tuke. Āe, me ako atu tātou mō tēnei inaianei.

E rua ngā momo matua o tēnei.

E rua ngā momo matua o te Ossification Heterotopic: ko ngā mea i puta mai i ngā take ira me ngā mea ehara i te mea ira.

• Momo ira: He tino onge tēnei. Ka taea e ētahi āhuatanga ira te hanga i ngā wheua tāpiri i roto i te tinana.
• Momo kore-ira: Ka pā tēnei ki te katoa. He mea noa i muri i te whara kino, i te pokanga whakakapinga hope rānei. Ka puta tēnei āhuatanga i waenga i te 3 me te 12 wiki i muri i te whara, i te pokanga rānei. Heoi, i ētahi wā ka puta ēnei wheua rerekē i roto i ētahi rā, i ētahi marama rānei.

He aha tēnei e tupu nei? He aha ngā take?

E ai ki tā tātou i kōrero ai i mua ake nei, ko te tino take o tēnei ko te pokanga whakakapinga hope katoa. I waenga i te 28% me te 61% o te hunga e pokangahia ana ka pāngia e tēnei momo hanganga wheua tāpiri. I te nuinga o te wā, ka puta mai i te taha o ngā taputapu whakarewa i whakamahia i te wā o te pokanga.

Haunga tēnei, he maha atu anō ngā take e pā ana ki te āhua o te Heterotopic Ossification ehara nei i te mea ira.

Ko wai te mea tino mōrearea ki te whakawhanake i tēnei?

Kua pūrongohia te momo ira i roto i te iti iho i te 5,000 ngā take puta noa i te ao. He tino onge.

Heoi, ka taea e te momo kore-ira te pā ki te tangata katoa, inā koa mēnā kua pāngia koe e tētahi aituā kino, kua pokanga rānei.

He aha ngā tohu o tēnei?

He rerekē ngā tohu o tēnei i ia tangata, i ia tangata. Kei te wāhi me te nui o te hanganga wheua tāpiri. Ko ngā tohu noa e kitea ana i ngā wāhanga tōmua ko:

• Te mamae, te ngawari rānei i te wāhi e pāngia ana.
• Kua pupuhi te rohe.
• Ka pāngia ētahi tāngata e te kirika , inā koa i te pō, ka nui ake pea i tō te awatea.

Ina kino haere te āhua, tera pea ka rongo koe i te tupu o tēnei wheua hou i raro i tō kiri, he rite ki te puku.. Ki te pēhia e koe, ka mārō, ka pūmau, ā, e kore e taea te neke ngāwari. He taratara, he koi hoki ēnei wheua wero, nō reira ka mamae te pā atu. Ki te tata te wheua wero ki tētahi hononga, ka uaua haere te piko, te whakatika rānei i taua hononga, ā, ka tīmata te mamae.

Mena nā ngā mate ira i puta mai...

Mena kei a koe tēnei mate nā tētahi mate ira pēnei i te FOP, te POH rānei, tera pea he rerekē ngā tohu. I roto i te FOP, tera pea ka kitea e koe ngā āhua rerekē i roto i ō ringaringa, i ō waewae, me tō tuara. Mena ka haere tonu tēnei tipu o te wheua, ka pā ki tō kaha ki te hikoi me te manawa. Ka tino āwangawanga tō tākuta mō ēnei tohu kino.

I roto i te POH, ka hangaia ngā wheua i te paparanga ngako o raro i waenganui i te kiri me ngā uaua. I roto i te wā, ka horapa atu ēnei ki roto i ngā kiko ngohengohe me ngā kiko honohono.

Me pēhea te kitenga a te tākuta i tēnei?

Ko ngā tohu tōmua o tēnei mate, pērā i te kirika, te pupuhi, me te mamae o ngā hononga, ka taea te pohehe i ētahi wā hei tohu mō ētahi atu mate hauora.

Nō reira, ka tonoa pea e tō tākuta ētahi whakamātautau hei whakakore i ētahi atu mate hauora, hei tirotiro hoki mēnā kei reira ēnei kongakonga wheua tāpiri.

• Ngā whakamātautau toto
• Ngā whakamātautau whakaahua rerekē:
• Matawai Ultrasound
• X-ray
• Matawai MRI
• Matawai CT
• Matawai PET

Mena kei a koe tēnei āhuatanga i muri i tētahi aituā, i tētahi pokanga whakakapinga hope rānei, ka whakarōpū pea tō tākuta i te tipu o ēnei kongakonga wheua ki ngā wāhanga 1 ki te 4. Ko te whakarōpūtanga e whakamahia whānuitia ana mō tēnei ko te whakarōpūtanga Brooker . E penei ana:

• Taumata 1: Koinei te wāhanga tōmua. Ka tīmata te hanga o ngā wheua iti i roto i ngā kiko e karapoti ana i te hope.
• Tau 2: Kua horapa ngā kongakonga wheua ki ētahi atu wāhanga o te hope me te hope. He āputa kei waenganui i ngā kongakonga wheua, neke atu i te 1 henimita te tawhiti.
• Tau 3: Kua nui haere ngā kongakonga wheua, ā, ko te tawhiti i waenganui i a rātou he iti iho i te 1 henimita.
• Tau 4: Koinei te wāhanga whakamutunga. Ka honoa ngā wheua, ā, ka kore e nekeneke te hononga.

Me pēhea te rongoā?

Kia oti te tātaritanga a tō tākuta i te mate, he maha ngā kōwhiringa maimoatanga. Ka whakawhirinaki te maimoatanga ka whiwhi koe ki te horapa o te mate me te kaha o ō tohu.

• Ngā rongoā:Tērā pea ka tohua e tō tākuta ngā rongoā whakamamae hei whakahaere i te mamae, me ngā rongoā pēnei i te corticosteroids hei ārai, hei whakahaere rānei i te hanganga o te wheua hou.
• Whakaora tinana: He tino āwhina te whakaora tinana mō te tini o te tangata. Mā ngā mahi whakakori tinana e tūtohutia ana e te kaiwhakaora tinana ka āwhina i a koe ki te pupuri, ki te whakapai ake rānei i te whānuitanga o te nekehanga o ō hononga. Ka āwhina anō hoki ki te whakahaere i te mamae.
• Pokanga: Mena he kino rawa tō āhua, ā, ka pā ki ō mahi o ia rā, ka tūtohu pea tō tākuta kia pokangahia te wheua tāpiri. Heoi, koinei te huarahi whakamutunga . Ka mahia anō hoki tēnei pokanga i muri i te mutunga o te tipu o te wheua hou, arā, i muri i tōna pakeketanga. Mena ka pokangahia koe i mua i taua wā, ka taea e ia te tipu anō.
• Whakaora irahiko: Nā te mea ka taea e ēnei wheua te tipu anō i muri i te pokanga, i ētahi wā ka tūtohu ngā tākuta i te rongoā irahiko hei ārai i tēnei.

Ka taea te ārai i tēnei mea kei tupu?

He uaua ki te tautuhi i te tino pūtake o te whakapūtanga wheua heterotopic, he uaua hoki ki te ārai. Heoi, kua kitea ētahi rongoā hei ārai, hei whakaroa rānei i te tipu o tēnei wheua rerekē.

Hei tauira, ka taea e te rongoā whakangawari toto Coumadin (Warfarin) te āwhina i tēnei. Nā te mea he mea nui te huaora K mō te tipu o te wheua, ā, ka whakaitihia e Coumadin te kaha o te tinana ki te hanga huaora K. Ka taea hoki e ngā rongoā anti-inflammatory kore-steroidal (NSAIDS) te āwhina ki te ārai i tēnei mate mā te aukati i te hanganga o ngā pūtau wheua.