Kodi malo olumikizirana zala zanu akulirakulira ndipo misomali yanu yasintha? Tiyeni tiphunzire za Hypertrophic Osteoarthropathy iyi!

Kodi munayamba mwazindikirapo kuti zala zanu kapena zala zanu ndi zazikulu kwambiri, ndipo misomali yanu imawerama kapena ili ndi mawonekedwe achilendo? Nthawi zina sitimayang'anira kwambiri izi. Komabe, ngati muwona zizindikiro izi, zitha kukhala chizindikiro cha vuto lotchedwa 'Hypertrophic Osteoarthropathy' . Izi zimatchedwanso HOA mwachidule. Vutoli palokha si loopsa kwenikweni, koma ndi matenda ena omwe amachititsa kuti lingafunike chithandizo. Chifukwa chake, tiyeni tikambirane za HOA iyi mwatsatanetsatane ndikuphunzira zambiri.

Kodi hypertrophic osteoarthropathy (HOA) ndi chiyani?

Mwachidule, hypertrophic osteoarthropathy (HOA) ndi matenda omwe amachititsa kuti nsonga za zala zanu kapena zala zanu zitupa komanso kuzungulira (kupindika) komanso kusintha kwa misomali yanu. Munthu amene ali ndi HOA akhoza:

• Nsonga za zala kapena zala zimakula ndi kutupa .
• Misomali imapindika ndipo imaoneka yokhota, ngati kuti yakokedwa mmwamba.

HOA nthawi zina imayamba ali mwana kapena ali wachinyamata. Kwa anthu ena, imathanso kukula m'tsogolo. Ngakhale kuti HOA yokha si yoopsa, ngati pali vuto linalake lomwe limaiyambitsa, ndikofunikira kuichiza.

Kodi mitundu ikuluikulu ya izi ndi iti?

Pali mitundu iwiri ikuluikulu ya HOAs:

1. Matenda a Osteoarthropathy Oyambirira (PHO): Mtundu uwu ndi wa majini, kutanthauza kuti ukhoza kutengera kwa makolo kupita kwa ana.

2. Secondary Hypertrophic Osteoarthropathy (SHO): Mtundu uwu umayamba chifukwa cha matenda osatha monga matenda a mtima ndi mapapo. Matendawa nthawi zambiri amayambitsa mpweya wochepa m'magazi mwanu.

Ndani amene ali ndi mwayi waukulu wopeza vutoli?

Ndipotu, aliyense, mosasamala kanthu za jenda kapena mtundu, akhoza kudwala matenda otchedwa hypertrophic osteoarthropathy.

Komabe, matenda a HOA (PHO) nthawi zambiri amapezeka mkati mwa chaka choyamba cha moyo kapena paunyamata.

• Ndikofala kwambiri pakati pa anthu akuda.
• Zimachitika kwambiri mwa amuna.

HOA yachiwiri (SHO) ndi vuto lomwe nthawi zambiri limapezeka mwa anthu azaka zapakati pa 55 ndi 75.

Kodi vutoli ndi lofala bwanji?

Ofufuza sanganene kuti ndi anthu angati omwe ali ndi HOA. Koma zimadziwika kuti pakati pa 95% ndi 97% ya anthu omwe ali ndi HOA ali ndi mtundu wachiwiri (SHO) . Izi zikutanthauza kuti anthu ambiri amasinthasintha zala zawo chifukwa cha vuto lina.

Chifukwa chiyani HOA iyi ikupangidwa? Kodi zifukwa zake ndi ziti?

Tiyeni tiwone chomwe chimayambitsa izi.

Zifukwa za HOA Yoyamba (PHO)

Izi zimachitika chifukwa cha kusintha kwa majini komwe kumachitika pobadwa . Mwana akhoza kulandira kusintha kwa majini kuchokera kwa mayi, bambo, kapena onse awiri.

Zifukwa za HOA yachiwiri (SHO)

Chifukwa chachikulu cha HOA yachiwiri (SHO) ndi matenda a m'mapapo . Vutoli likayamba chifukwa cha matenda a m'mapapo, limatchedwa Hypertrophic Pulmonary Osteoarthropathy (HPOA) .

Matenda akuluakulu a m'mapapo omwe angayambitse HPOA ndi khansa ya m'mapapo , makamaka khansa ya m'mapapo yosakhala ya maselo ang'onoang'ono . Kuphatikiza apo, matenda ena a m'mapapo omwe angayambitse HPOA ndi awa:

• Zotupa zosalimba za pleura
• Matenda a m'mapapo osatha
• Cystic Fibrosis (matenda a majini omwe amakhudza dongosolo la kupuma)
• Mesothelioma (khansa ya m'mapapo)
• Khansa yomwe yafalikira kuchokera kwina ndipo imakhudza mapapo (Metastatic lung disease)
• Kusokonekera kwa mitsempha ya m'mapapo (kusokonekera kwa mitsempha yamagazi m'mapapo)
• Chifuwa chachikulu cha m'mapapo
• Sarcoidosis (maselo ozungulira ziwalo zosiyanasiyana za thupi)

Pali zinthu zina zomwe zingakhudze HOA yachiwiri (SHO):

• Matenda a chiwindi, ndulu, ndi ndulu (matenda a chiwindi):
• Kutsekeka kwa Mitsempha ya Biliary (Kutsekeka kwa Mitsempha ya Bile mwa Ana Aang'ono)
• Khansa
• Matenda a chiwindi (cirrhosis)
• Cholangitis Yoyamba ya Biliary
• Matenda a Wilson (kuchuluka kwa mkuwa m'thupi)
• Matenda a mtima:
• Atrial myxoma (chotupa chosakhala khansa chomwe chimapangika mumtima)
• Matenda a Mtima a Cyanotic (matenda a mtima omwe mpweya m'magazi umachepa)
• Matenda a mkati mwa mtima (Infective Endocarditis)
• Matenda a m'mimba:
• Kugwiritsa ntchito mankhwala otseketsa mimba molakwika
• Achalasia (vuto la kugwira ntchito kwa sphincter ya m'mero)
• Khansa
• Matenda a Adenomatous a m'banja (Familial Adenomatous Polyposis)
• Matenda Otupa a M'mimba

Kuwonjezera pa izi, zinthu zina zingapo zingayambitse SHO:

• Matenda a Celiac (gluten allergy)
• Matenda a m'mimba monga kamwazi
• Matenda a Graves (hyperthyroidism)
• Hyperthyroidism
• Myelofibrosis (matenda a m'mafupa)
• Matenda a POEMS
• Thymoma (chotupa cha thymus gland)

Tangoganizirani, munthu amene mumamudziwa wakhala akutsokomola kwa kanthawi ndipo zala zake zasintha chonchi, ndipo atangoonana ndi dokotala ndi pomwe adapeza kuti ndi vuto la m'mapapo. Choncho ndikofunikira kusamala ndi zizindikirozi.

Kodi zizindikiro za HOA ndi ziti?

Chizindikiro chachikulu cha HOA ndi kutupa kwa zala kapena zala. Izi nthawi zambiri zimakhudza mbali zonse ziwiri za thupi mofanana. Mutha kuwona zinthu monga:

• Nsonga za zala kapena zala zatupa komanso zozungulira .
• Makwinya omwe ali pa malo olumikizirana mafupa pafupi ndi zala za m'manja akutha.
• Misomali yapindika pansi ndipo imawoneka ngati ikuyandama.
• Khungu lomwe lili pansi pa msomali limakhala lowala komanso lopyapyala .
• Misomali imakhala yofewa .
• Nsonga za zala kapena zala zake zimakhala zofiira ndipo zimamveka zotentha .

Zina mwazinthu za HOA zomwe mungawone zikuphatikizapo:

• Kuchuluka kwa ma glandular hypertrophy. Izi zingayambitse matenda monga ziphuphu, thukuta kwambiri (hyperhidrosis), kutsika kwa zikope zakumtunda (kutsika kwa chikope chapamwamba), ndi seborrheic dermatitis.
• Periostitis ndi kutupa kwa nembanemba zomwe zimaphimba mafupa. Izi zingayambitse kupweteka m'makolo, m'manja, kapena m'mawondo.
• Kutupa kwa minofu yofewa ya miyendo (kutupa kosaboola).
• Kukhuthala kwa mafupa m'makolo ndi m'manja.
• Kukhuthala kwa khungu (Pachydermia). Khungu la pankhope ndi pakhungu likhoza kukhala lolimba ndipo limakhala ndi mikwingwirima yozama.

Kodi makhalidwe apadera a HOA yachiwiri (SHO) ndi ati?

Kuwonjezera pa zizindikiro zodziwika bwino za HOA zomwe tatchula kale, anthu omwe ali ndi HOA yachiwiri (SHO) amathanso kukhala ndi kutuluka kwa madzi m'mafupa . Izi zimachitika pamene madzi ochulukirapo amasonkhana m'minofu mkati ndi mozungulira mafupa. Kutuluka kwa madzi m'mafupa kungayambitse:

• Ululu
• Kufiira
• Kuuma
• Kutupa

Kutupa kwa mafupa komwe kumayenderana ndi SHO kumawonekera kwambiri m'mawondo ndi m'manja .

Kodi mumapeza bwanji izi? Kodi madokotala amachita mayeso otani?

Mukapita kukaonana ndi dokotala, chinthu choyamba chomwe amachita ndikuyang'ana ngati muli ndi zibonga pa zala zanu kapena zala zanu. Kuphatikiza apo, adzayang'ananso zotsatirazi panthawi yoyezetsa thupi:

• Kodi nkhope yayamba kuoneka yolimba?
• Kodi miyendo yanu yatupa?
• Kodi mukumva kupweteka mukakankhira akakolo, mawondo, kapena zikhatho?
• Kodi mafupa a akakolo ndi manja akukhuthala?

Ngati dokotala akukayikira kuti ali ndi vuto lotchedwa HOA, akhoza kuchita mayeso angapo, monga:

• Chizindikiro cha mbiri ya Lovibond:Mukayang'ana chala chanu kuchokera m'mbali, nthawi zambiri mumawona ngodya yayikulu yooneka ngati "V" pomwe mbale ya msomali imakumana ndi kupindika kwa khungu pansi pa msomali (kupindika kwa msomali koyandikira). Ngati muli ndi HOA, msomali wanu umapindika pansi, zomwe zimawonjezera ngodya iyi. Mu msomali wabwinobwino, ngodya iyi ndi madigiri 160 kapena kuchepera. Mu msomali wokhala ndi zibonga, ndi madigiri 180 kapena kupitirira apo.
• Chiŵerengero cha kuya kwa phalangie: Muli ndi mafupa atatu (phalanges) pa chala chilichonse. Fupa lomwe limagwirira msomali (phalange ya distal) nthawi zambiri limakhala lalifupi kuposa fupa lomwe lili pafupi nalo (phalange yapakati). Ngati muli ndi HOA, phalangie yanu yapakati ndi yayifupi kuposa phalangie yanu ya distal.
• Chizindikiro cha Schamroth: Ikani misomali ya zala zanu zolozera pamodzi. Yang'anani mpata wooneka ngati diamondi (zenera) pakati pa maziko a msomali ndi cuticle. Ngati palibe mpata, mwina muli ndi HOA.

Mayeso ena kuti azindikire HOA yachiwiri (SHO)

Ngati dokotala akuganiza kuti vuto lina lachipatala lomwe likuyambitsa HOA, angapereke mayeso ena angapo:

• Angiography (kufufuza kwa mitsempha yamagazi)
• Kuyesa mpweya wa m'magazi a mitsempha
• Kuyezetsa magazi
• Kujambula mafupa
• X-ray pachifuwa
• Kujambula kwa CT (Computed Tomography scan) kapena ultrasound (Ultrasound)
• Echocardiogram kapena Electrocardiogram (EKG)
• Kujambula kwa MRI (MRI - Kujambula kwa Magnetic Resonance)
• Kuyesa kwa ntchito ya m'mapapo

Mayeso awa angathandize dokotala wanu kupeza chomwe chayambitsa HOA yanu. Ngati scan ikuwonetsa kukula kosazolowereka (monga chotupa), dokotala wanu angakulimbikitseninso kuti mutenge chitsanzo cha maselo ndikuwayesa). Izi zingathandize kudziwa chomwe chayambitsa kukulako.

Kodi izi zimachiritsidwa bwanji?

Njira zochiritsira zimasiyana malinga ndi mtundu wa HOA.

Chithandizo cha HOA yoyamba (PHO)

Ngati mulibe ululu kapena zizindikiro zanu sizowopsa kwambiri, simungafunike chithandizo chapadera cha HOA (PHO) yoyamba. Komabe, ngati muli ndi zizindikiro, mutha kugwiritsa ntchito mankhwala monga:

• Mankhwala oletsa kutupa omwe si a steroidal (NSAIDs)
• Zoletsa za COX-2
• Ma Bisphosphonates
• Octreotide

Chithandizo cha HOA yachiwiri (SHO)

Pochiza matenda a HOA yachiwiri (SHO), chinthu chachikulu ndikuchiza chomwe chimayambitsa matendawa . Chithandizo chingaphatikizepo:

• Mankhwala oletsa tizilombo toyambitsa matenda pochiza chifuwa chachikulu
• Chemotherapy yochizira khansa ya m'mapapo
• Kuika chiwindi kapena kuyika chiwindi mu chiwindi chifukwa cha matenda a chiwindi
• Opaleshoni yopatsirana mapapo chifukwa cha cystic fibrosis
• Kuchotsa ma radiofrequency a zotupa za m'mapapo (kugwiritsa ntchito kutentha kuwononga zotupa)
• Opaleshoni ya matenda a mtima kapena khansa ya m'mapapo

Ngati vuto lomwe limayambitsa SHO silingathe kuchiritsidwa, dokotala angakupatseni mankhwala oletsa zizindikirozo.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire pambuyo pa chithandizo?

Izi zimadalira mtundu wa HOA womwe muli nawo, kuopsa kwa vutoli, ndi chithandizo chomwe mumalandira. Vuto lomwe limayambitsa vutoli likachiritsidwa, kuluma kungatha msanga.

Kodi pali chilichonse chomwe tingachite kuti tichepetse kuchitika kwa izi?

Chiwopsezo chachikulu cha HOA (PHO)

Popeza PHO ndi majini, palibe chomwe tingachite kuti tichepetse kupangika kwake.

Chiwopsezo chachiwiri cha HOA (SHO)

Kuti muchepetse chiopsezo chokhala ndi SHO, ndikofunikira kwambiri kutsatira moyo wathanzi . Izi ndizofunikira makamaka ngati muli pachiwopsezo cha matenda a mtima kapena matenda a m'mapapo. Nazi zina zomwe mungachite:

• Kusunga kulemera koyenera.
• Kudya zakudya zopatsa thanzi pamtima.
• Kuchita masewera olimbitsa thupi nthawi zonse.
• Kuchepetsa kumwa mowa ndi mankhwala osokoneza bongo.
• Kusiya kusuta fodya. Izi ndizofunikira kwambiri, chifukwa kusuta fodya ndi chifukwa chachikulu cha matenda ambiri a m'mapapo.
• Kuchepetsa kupsinjika maganizo.

Kodi tsogolo la munthu amene ali ndi HOA lidzakhala lotani?

Kwa munthu amene ali ndi HOA yoyamba (PHO)

PHO ingasiye kuipa yokha. Nthawi zina, makamaka utatha msinkhu, imatha kuchira kwathunthu.

Kwa munthu amene ali ndi HOA yachiwiri (SHO)

Ngati chifukwa chenicheni cha matendawa chachiritsidwa bwino, matendawa amatha kuchiritsidwa kwathunthu. Komabe, ngati chifukwa chake sichingathe kuchiritsidwa bwino (monga khansa yoopsa), matendawa akhoza kupitirira.

Kodi chimachitika ndi chiyani ngati vuto la HOA litenga nthawi yayitali?

Ngati vuto la HOA lakhala likuchitika kwa nthawi yayitali, mutha kukumana ndi zinthu monga:

• Kutaya mphamvu zoyendera m'malo olumikizira mafupa
• Matenda a mafupa (osteoarthritis)
• Ululu

Komabe, kumbukirani kuti zizindikiro zambirizi zitha kuthetsedwa ndi chithandizo choyenera .

Ngati pali HOA, mumadzisamalira bwanji?

Ngati muli ndi HOA, chinthu chabwino kwambiri chomwe mungachite ndikupitiriza kumwa mankhwala omwe mwapatsidwa kuti muchepetse zizindikiro zanu. Ndikofunikira kwambiri kutsatira malangizo a dokotala wanu.

Kodi muyenera kupita kwa dokotala liti?

Muyenera kusamala ndi zinthu izi:

• Pambuyo pa chithandizoNgati zizindikiro za kubwereranso ku clubbing, pitani kwa dokotala. Izi zitha kusonyeza kuti vuto lomwe limayambitsa vutoli labwereranso.
• Ngati muli ndi nkhawa ndi zotsatirapo zoyipa zomwe zingabwere chifukwa cha chithandizo .
• Ngati palibe kusintha komwe kukuwoneka ngakhale mutalandira chithandizo kwa kanthawi.

Pazochitika zotere, dokotala wanu angakupatseni njira zina zochiritsira zomwe zingakuyenerereni.

Chidule: Zinthu Zoyenera Kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, tiyeni tikumbukire mwachidule zomwe takambirana.

Hypertrophic osteoarthropathy (HOA) ndi matenda omwe nsonga za zala zimatupa ndipo misomali imasokonekera. Ikhoza kukhala yoyambirira (yobadwa nayo) kapena yachiwiri (yomwe imayamba chifukwa cha matenda ena). Zomwe zimayambitsa matenda achiwiri a HOA ndi matenda a m'mapapo ndi mtima.

• Zizindikiro: Kutupa kwa zala za m'manja, zikhadabo za m'mapazi zomwe zimakula mkati, kupweteka kwa mafupa, ndi kukhuthala kwa khungu.
• Kuzindikira: Kuyezetsa kuchipatala, mayeso apadera (Lovibond, zigoli za Shamroth), ndi kusanthula kuti aone chomwe chikuyambitsa matendawa.
• Chithandizo: Pa PHO, mankhwala amaperekedwa malinga ndi zizindikiro. Pa SHO, chinthu chachikulu ndikuchiza matenda oyamba.
• Chofunika kwambiri: Ngati muwona kusintha kulikonse m'zala zanu, musanyalanyaze ndipo funsani upangiri kwa dokotala. Chifukwa, ngakhale kuti HOA si yoopsa, matenda omwe amayambitsa izi akhoza kukhala owopsa.

Ndikukhulupirira kuti izi zikuthandizani. Khalani ndi thanzi labwino!

Matenda a Osteoarthropathy, kutupa kwa zala, kusintha kwa misomali, PHO, SHO, matenda a m'mapapo, matenda a mtima, kupweteka kwa mafupa, kuvulala m'magulu