Kodi mafupa anu ndi ofooka komanso opweteka? Tiyeni tiphunzire za izi (Osteitis Fibrosa Cystica - OFC)!

Kodi nthawi zina mumamva kupweteka m'thupi lanu, makamaka m'mafupa anu? Kapena mumamva ngati mafupa anu akusweka ngakhale pang'ono? Mwina pali vuto lomwe lili kumbuyo kwa zinthuzi lomwe sitilankhula kwambiri, koma ndikofunikira kudziwa. Limodzi mwa matenda otere ndi `(Osteitis Fibrosa Cystica - OFC)`. Ngakhale kuti dzinali lingawoneke lovuta pang'ono, tiyeni tilifotokoze mwachidule.

Kodi Osteitis Fibrosa Cystica (OFC) ndi chiyani?

Mwachidule, `(Osteitis Fibrosa Cystica - OFC)` ndi matenda osowa omwe amakhudza mafupa athu. Amakhudzana mwachindunji ndi ma glands a parathyroid m'thupi lathu. Mwamvapo za gland ya thyroid. Kumbuyo kwake kuli ma glands anayi a parathyroid. Ma glands awa amapanga hormone ya parathyroid (`Parathyroid Hormone - PTH`) .

Homoni iyi ya `(PTH)` ndi yofunika kwambiri kuti mafupa athu akhale olimba komanso athanzi. Imathandizanso kuwongolera kuchuluka kwa calcium m'magazi. Koma, taganizirani, chimachitika ndi chiyani ngati homoni iyi ya `(PTH)` yapangidwa mochuluka kwambiri, ndiko kuti, mochuluka kwambiri? Pamenepo ndi pomwe vuto limayamba. Chifukwa cha `(PTH)` yochulukirapo, m'malo molimbitsa mafupa, pang'onopang'ono amayamba kufooka . Pakapita nthawi, mawonekedwe a mafupa amatha kusintha, ndipo zinthu monga mabowo (monga ma cysts odzazidwa ndi madzi) zimathanso kupangika mkati.

Kuchuluka kwa PTH kumeneku kungayambitse kuchuluka kwa calcium m'magazi, zomwe zimapangitsa kuti miyala ya impso ipangidwe, kuthamanga kwa magazi (kuthamanga kwa magazi), komanso kulephera kwa mtima.

Vutoli limatchedwa `(OFC)` ndi mayina ena angapo. Mwina munamvapo mayina awa:

• "Matenda a mafupa a Von Recklinghausen"
• `Osteitis fibrosa`
• `Cystica generalized`
• `Osteodystrophia fibrosa`
• Chotupa cha bulauni cha mafupa . Musachite mantha ndi dzina ili. Ngakhale kuti limati `(Chotupa)`, si `Choyambitsa khansa`. Dzinali limagwiritsidwa ntchito chifukwa anthu omwe ali ndi `(OFC)` ali ndi mawanga a bulauni omwe amawonekera chifukwa cha kutuluka magazi ndi minofu ya ulusi m'mafupa awo. Koma kwenikweni si `(Chotupa)` cha khansa.

Mawu akuti "(Osteitis Fibrosa Cystica)" amatanthauza chinthu chonga 'kusungunuka kwa mafupa ndi kupangika kwa cyst'. Chifukwa chake, pamene mulingo wa `(PTH)` ukukwera, mafupa amatha kuwonongeka nthawi iliyonse. Komabe, ngati vuto lotchedwa `(Hyperparathyroidism)` (kutanthauza kupanga kwambiri `(PTH)`) lizindikirika ndikuchiritsidwa msanga, vuto la `(OFC)` likhoza kuchiritsidwa kapena kupewedwa kuti lisakule.

Kodi vutoli (OFC) ndi lofala bwanji?

Tsopano mwina mukudabwa kuti matendawa ndi ofala bwanji. Ndipotu, ndi osowa kwambiri m'maiko omwe ali ndi chisamaliro chabwino chaumoyo . Mwachitsanzo, ngakhale ku United States, anthu ochepera 5% omwe ali ndi hyperparathyroidism amadwala OFC. Amafala kwambiri mwa anthu omwe ali ndi hyperparathyroidism yayikulu omwe sanalandire chithandizo kwa nthawi yayitali.

Koma kale, izi zinali zofala kwambiri. Zaka pafupifupi makumi asanu zapitazo, pafupifupi 69% ya anthu omwe ali ndi "Hyperparathyroidism" anali ndi matenda a mafupa awa. Koma ndi kupita patsogolo kwa sayansi ya zamankhwala, makamaka chifukwa cha kubwera kwa "Kuyesa Magazi Kwachizolowezi", matenda awa atha kuzindikirika ndikuchiritsidwa mwachangu. Kodi si chinthu chabwino kwambiri?

Kodi zizindikiro za vutoli (OFC) ndi ziti?

Chabwino, tsopano tiyeni tiwone zizindikiro zomwe zingachitike mu vuto la `(Osteitis Fibrosa Cystica)`.

Zizindikiro zazikulu ndi izi:

• Kupweteka kwa mafupa . Ichi ndi chinthu choyamba chomwe anthu ambiri amamva. Nthawi zina, kukhudza fupa kumatha kupweteka.
• Kusweka kwa mafupa . Mafupa, makamaka m'manja, miyendo, kapena msana, amatha kusweka mosavuta. Ngakhale kugwa pang'ono kungaswe fupa.

Poyamba vutoli, zizindikiro zotsatirazi zingayambenso (izi zitha kukhala zizindikiro za "Hyperparathyroidism"):

• Kumva kutopa nthawi zonse (`Kutopa`).
• Kufooka.
• Kusanza ndi kusanza.
• Kudzimbidwa.
• Kutulutsa mkodzo wambiri kuposa wachizolowezi (`Polyuria`). Izi zikutanthauza kuti muyenera kupita kuchimbudzi pafupipafupi.

Ngati muli ndi zizindikiro izi, musadzisankhire nokha kuti, "O, izi ndi `(OFC)'." Chifukwa zizindikirozi zitha kupezekanso m'matenda ena. Koma ndikofunikira kwambiri kudziwa izi ndikuuza dokotala.

Kodi zifukwa za (OFC) ndi ziti?

Kodi n’chiyani chimayambitsa Osteitis Fibrosa Cystica? Monga ndanenera kale, chifukwa chachikulu cha izi ndi Hyperparathyroidism yosachiritsidwa . Izi zikutanthauza kuti, ma gland athu a Parathyroid amatulutsa PTH yambiri. Izi zitha kuchitika m'njira ziwiri zazikulu:

1. Matenda a Hyperparathyroidism Oyamba: Izi zimachitika chifukwa cha vuto la ma thyroid glands anu a parathyroid. Ma thyroid glands amenewa akhoza kukhala khansa (khansa) kapena kukhala ndi chotupa chosakhala khansa (monga adenoma) chomwe chimapangitsa kuti atulutse PTH yambiri. Kapena ma thyroid glands onse anayi akhoza kukhala okulirapo (hyperplasia) ndikupanga mahomoni ambiri.

2. Matenda a Secondary Hyperparathyroidism: Izi zimachitika chifukwa cha matenda ena. Mwachitsanzo, ngati munthu ali ndi matenda a impso osatha, calcium ndi vitamini D m'thupi mwake zimasokonekera. Kenako, chifukwa cha zimenezi, ma glands a parathyroid amayamba kupanga PTH yambiri. Komanso, pakakhala kusowa kwambiri kwa vitamini D, calcium m'magazi imakhala yochepa, kotero ma glands a parathyroid amagwira ntchito molimbika kuti awonjezere calcium. Panthawiyo, hormone ya PTH imawonjezekanso, ndipo pakapita nthawi, Osteitis Fibrosa Cystica imatha kukula.

Tangoganizirani, azakhali athu Kamala akhala akuvutika ndi mavuto a impso kwa nthawi yayitali. Sanamwe mankhwala oyenera. Patapita kanthawi, ma `(Parathyroid)` ake, omwe ankavutika kulamulira calcium m'thupi lake, anayamba kupanga `(PTH)` yochulukirapo kuposa momwe ayenera kukhalira. Pamapeto pake, azakhali Kamala anayamba kudwala `(OFC)` pamodzi ndi kupweteka kwa mafupa. Kodi mukumvetsa kugwirizana kwake?

Kodi mavuto omwe angakhalepo chifukwa cha (OFC) ndi ati?

Mavuto akuluakulu a hyperparathyroidism ndi OFC omwe sanachiritsidwe ndi mafupa ndi okhudzana ndi mafupa. Izi zikutanthauza kupweteka, kupunduka kwa mafupa (kusintha kwa mawonekedwe), ndi kusweka mosavuta . Izi ndi zinthu zomwe zimaonekera nthawi yomweyo. Munthu amathanso kutaya kutalika.

Komabe, kuwonjezera pa izi, mavuto ena amatha kuchitika. Awa ndi:

• Kupangidwa kwa miyala ya impso.
• Kulephera kwa impso.
• Mphamvu zochepa, kutopa kosalekeza.
• Kupweteka m'mimba.
• Mavuto amisala monga kuvutika maganizo.
• Mavuto okumbukira ndi kusamala.

Taonani momwe vuto lomwe limayambira pamalo amodzi lingapitirire. Vuto lomwe lili m'thupi lathu lingakhudzenso ziwalo zina. Ichi ndichifukwa chake kuzindikira matenda msanga ndi chithandizo ndikofunikira.

Kodi matenda a OFC amapezedwa bwanji?

Chabwino, tsopano dokotala amazindikira bwanji vutoli `(Osteitis Fibrosa Cystica)`?

Choyamba, dokotala wanu adzafufuza mbiri yonse ya thanzi lanu . Adzakufunsani nthawi yomwe mwakhala ndi zizindikirozi, ngati muli ndi matenda ena (monga matenda a impso) omwe angakhudze kuchuluka kwa PTH yanu, komanso mankhwala omwe mukumwa. Kenako, adzakuyezani thupi kuti awone ngati mafupa anu ali ndi ululu, kuuma, kapena kufooka.

Kuti atsimikizire matendawa, madokotala angagwiritse ntchito mayeso monga:

• Mayeso a magazi: Izi zimayesa kusalingana kwa mahomoni ndi mchere. Makamaka, zimayesa kuchuluka kwa parathyroid hormone (PTH), kuchuluka kwa calcium, kuchuluka kwa phosphorous, kuchuluka kwa vitamini D, ndi alkaline phosphatase (enzyme yomwe imatulutsidwa m'mafupa). Mu OFC, kuchuluka kwa PTH ndi alkaline phosphatase kumatha kukhala kwakukulu kwambiri.
• Kuyesa mkodzo: Muthanso kuwona kuchuluka kwa calcium mumkodzo wanu.
• Mayeso ojambula zithunzi:
• X-ray: Izi zitha kusonyeza momwe mafupa alili owonda, zinthu monga ma cysts, komanso ngati pali kusweka pang'ono (ma microfractures) kapena kusintha kwapadera m'mafupa (monga subperiosteal resorption).
• Ma CT Scan (`CT - Computed Tomography scans`) kapena Ma MRI Scans (`MRI - Magnetic Resonance Imaging scans`): Izi zimasonyeza momwe mafupa alili mwatsatanetsatane kuposa ma X-ray.

Kodi mankhwala a (OFC) ndi ati?

Chabwino, tsopano tiyeni tikambirane za chithandizo cha `(Osteitis Fibrosa Cystica)`. Chithandizocho chimadalira mtundu ndi kuopsa kwa `(Hyperparathyroidism)` komwe kunayambitsa `(OFC)`.

• Ngati hyperparathyroidism yoyamba imayamba chifukwa cha:
• Nthawi zambiri, ngati chifukwa cha vuto la `(OFC)` ndi ntchito yosazolowereka ya `(Parathyroid)` gland (monga chotupa), chithandizo chokhazikika ndi kuchotsa gland kapena gawo la gland (`Parathyroidectomy`) . Opaleshoni iyi ikhoza kuletsa kuonda kwa mafupa ndikubwezeretsa kuwonongeka kwa mafupa komwe kwachitika kale (`remineralization`). Nthawi zambiri, timakhala ndi ma `(Parathyroid)` anayi. Chifukwa chake, gland yovuta ikachotsedwa, ma `(PTH)` gland otsalawo amatha kupanga `(PTH)` hormone yomwe thupi limafunikira.

• Kwa iwo omwe sangathe kuchitidwa opaleshoni kapena omwe ali ndi hyperparathyroidism yachiwiri:
• Kuchiza chomwe chimayambitsa vuto: Mwachitsanzo, ngati chifukwa chake ndi kusowa kwa vitamini D, mavitamini owonjezera amaperekedwa. Ngati ndi matenda a impso, amachiritsidwa moyenera.
• Calcimimetics: Mankhwalawa amatsanzira calcium m'magazi mwanu. "Amanyenga" parathyroid gland yanu kuti ipange PTH yochepa. Cinacalcet ndi imodzi mwa mankhwala otere.
• Ma Bisphosphonates: Mankhwalawa amagwira ntchito pochepetsa kuchuluka kwa mafupa omwe amataya. Nthawi zambiri amaperekedwa kwa anthu omwe ali ndi matenda a osteoporosis. Komabe, angathandizenso kwa kanthawi kochepa kwa anthu omwe ali ndi OFC, makamaka kulimbitsa mafupa asanachite opaleshoni.
• Vitamini D ndi zowonjezera za calcium: Izi zimaperekedwa ngati pakufunika. Komabe, ngati calcium m'magazi ili yochuluka, zowonjezera za calcium siziperekedwa.

Kodi chiyembekezo cha (OFC) ndi chotani?

Kodi chiyembekezo cha vutoli ndi chiyani? Ndipotu, ndi chithandizo choyenera komanso kuyang'aniridwa bwino, zotsatira zabwino zitha kupezeka . Chithandizo chingalepheretse kuonda kwa mafupa ndikulimbitsa mafupa (`kubwezeretsanso mineralize`). Mafupa osweka angachiritse ndikuchepetsa ululu. Komabe, ngati mafupa awonongeka kwambiri, sangachire mokwanira.

Kodi (OFC) ingapewedwe?

Kodi n'zotheka kupewa kudwala matendawa `(Osteitis Fibrosa Cystica)`? Inde, mpaka pamlingo wina n'zotheka. Chofunika kwambiri ndi kuzindikira ndikuchiza matendawa `(Hyperparathyroidism)` msanga.

• Ndikofunikira kwambiri kuyezetsa magazi nthawi zonse , makamaka ngati muli ndi zinthu zoopsa monga matenda a impso. Izi zidzakuthandizani kuzindikira kusintha kulikonse m'magazi anu mu calcium ndi PTH musanawononge kwambiri.
• Komanso, lankhulani ndi dokotala wanu ndipo pitirizani kukhala ndi calcium ndi vitamini D wabwino.Chitani zomwe muyenera kuchita. Mwachitsanzo, ngati mukukhala kudera komwe kuwala kwa dzuwa sikuwala bwino nthawi yachisanu, mungafunike kumwa mankhwala owonjezera a vitamini D. Dokotala wanu adzakuuzaninso momwe mungapezere zakudya zomwe mukufuna kuchokera muzakudya zomwe mumadya.

Kumbukirani, matenda a `(Hyperparathyroidism)` akadziwika msanga ndikuchiritsidwa, mwayi woti matendawa ayambe kudwala `(Osteitis Fibrosa Cystica)` suchepa.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi ululu wa mafupa, kupweteka, kapena fupa lomwe likumva ngati likusweka , pitani kwa dokotala nthawi yomweyo. Komanso, ngati muli ndi zizindikiro zoyambirira za hyperparathyroidism (monga kutopa, nseru, ndi kukodza pafupipafupi) zomwe ndatchula kale, uzani dokotala wanu za zizindikirozo. Ngati muli kale ndi hyperparathyroidism, ndi bwino kuyesa magazi anu nthawi zonse kuti muwone kuchuluka kwa calcium ndi PTH yanu, monga momwe dokotala wanu akulangizira.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Ngati mwapezeka ndi matenda a `(Osteitis Fibrosa Cystica)`, zingakhale zothandiza kufunsa dokotala wanu mafunso awa:

• Kodi vuto langa ndi loipa bwanji?
• Kodi ndi njira ziti zochiritsira zomwe ndili nazo? Kodi ubwino ndi kuipa kwa njira iliyonse ndi kotani?
• Kodi ndi bwino kumwa mankhwala owonjezera? Kodi ndi mankhwala otani?
• Kodi ndikufunika opaleshoni? Ngati ndi choncho, ndingayembekezere chiyani pambuyo pake?
• Ndi kusintha kotani kwa zakudya komwe ndingachite komwe kungandithandize?
• Kodi vutoli lidzakhudza bwanji moyo wanga watsiku ndi tsiku?

Pomaliza, mfundo zingapo zofunika

Kotero, ndiyenera kukuuzani izi. Mafupa ofooka ndi ululu zimatha kukhudza kwambiri moyo wathu watsiku ndi tsiku. Ngati mafupa anu amasweka mosavuta, mungamve ngati mukufuna kusiya kuchita zinthu zina. Ngati muli ndi zizindikiro monga kutopa, kufooka, nseru, komanso kukodza pafupipafupi, zitha kukhala ``Hyperparathyroidism`` kapena vuto lake ``OFC```.

Ngati muli ndi zizindikiro izi, chonde pitani kwa dokotala nthawi yomweyo. Mukazindikira matendawa mwachangu ndikuchiza, mafupa anu sangawonongeke kwambiri. Thanzi lanu ndi lofunika kwambiri kwa inu. Choncho samalirani.

Osteitis Fibrosa Cystica, OFC, Matenda a Mafupa, Parathyroid, PTH Hormone, Hyperparathyroidism, Ululu wa Mafupa