Kodi mwana wanu amamva kupweteka kwa mafupa pafupipafupi? Kodi izi zingakhale CRMO? (Chronic Recurrent Multifocal Osteomyelitis)

Kodi mwana wanu nthawi zambiri amadandaula kuti mwendo wake, mkono, kapena msana wake umapweteka? Nthawi zina timaganiza kuti ndi nkhani yosavuta yothamanga kapena "kukula." Koma ngati ululuwu umatenga masiku kapena milungu ingapo, n’kutha patatha masiku angapo, kenako n’kubwereranso, tiyenera kuda nkhawa pang’ono. Lero tikambirana za vuto losowa koma lofunika lomwe lingayambitse kupweteka kwa mafupa mobwerezabwereza.

Mwachidule, kodi CRMO ndi chiyani?

Matenda a Chronic Recurrent Multifocal Osteomyelitis, omwe amadziwikanso kuti CRMO, ndi matenda odziteteza okha . Tsopano mwina mukudabwa kuti ndi chiyani. Taganizirani za chitetezo cha mthupi lathu ngati gulu lankhondo lomwe limateteza dziko. Ntchito ya gulu lankhondo ili ndikutiteteza ku matenda polimbana ndi adani akunja, monga mavairasi ndi mabakiteriya.

Koma mu matenda odziteteza ku matenda a autoimmune, chitetezo chathu chamthupi chimalakwitsa ndikuukira ziwalo zathanzi za thupi lathu m'malo mwa zowononga zakunja. Mu CRMO, "kuukira kolakwika" kumeneku kumayang'ana mafupa athu. Chitetezo chamthupi, popanda chifukwa chomveka, chimaukira fupa limodzi kapena angapo m'thupi, zomwe zimayambitsa kutupa, komwe ndi kutupa ndi kupweteka.

Kodi pali chifukwa chenicheni chopangira CRMO?

Ndipotu, madokotala sakudziwabe chomwe chimayambitsa CRMO. Sichimayamba chifukwa cha kachilombo ka bakiteriya kapena kachilombo. Koma chitetezo cha mthupi chimagwira ntchito popanda chifukwa chomveka.

Komabe, pali kukayikitsa kuti mwina pali kugwirizana kwa majini ndi izi. Nthawi zina, anthu angapo a m'banja limodzi adanenedwa kuti ali ndi vutoli. Komabe, kafukufuku wowonjezereka akufunika pankhaniyi.

Ndani amene ali ndi mwayi waukulu wopeza matendawa?

CRMO imapezeka kwambiri mwa ana ndi achinyamata.Matendawa nthawi zambiri amapezeka ali ndi zaka zapakati pa 9 ndi 10. Matendawa amapezeka kwambiri mwa atsikana kuposa anyamata.

Imeneyi si matenda ofala kwambiri, koma pamene madokotala ndi anthu ambiri akuzindikira kwambiri za matendawa, chiwerengero cha anthu omwe akupezeka ndi matendawa chawonjezeka pang'ono.

Kodi zizindikiro zazikulu za CRMO ndi ziti?

CRMO ingakhudze fupa lililonse m'thupi. Koma nthawi zambiri imakhudza mafupa ataliatali m'miyendo, m'chiuno, ndi msana wa ana . Zizindikiro zimatha kubwera mwadzidzidzi, kutha patatha masiku angapo, kenako n’kubwereranso. Izi zimatchedwa kuphulika ndi kupumula.

Tiyeni tiwone zizindikiro zazikulu monga izi.

Kodi mungadziwe bwanji matenda a CRMO molondola?

Popeza matenda amenewa ndi osowa, nthawi zina kupeza matendawa kungakhale kovuta. Dokotala adzafufuza mwana wanu bwinobwino ndikukufunsani za zizindikiro zanu. Nthawi zambiri zimatenga miyezi ingapo kapena kuposerapo chaka chimodzi kuti adziwe matendawa.

Mayeso angapo amachitika kuti atsimikizire matendawa.

• Mayeso ojambulira: Mayeso monga X-ray ndi MRI scans angasonyeze bwino kutupa ndi kusintha kwina m'mafupa.
• Kuyezetsa magazi: Izi zimathandiza kuwona kuchuluka kwa kutupa m'thupi (monga ESR, CRP) ndikupeza matenda ena.
• Kuyesa majini: Nthawi zina, mayesowa angakhalenso ofunikira kuti athetse matenda ena a majini.

Kodi mankhwala a CRMO ndi ati?

Pakadali pano, palibe mankhwala a CRMO. Koma musadandaule. Mankhwala omwe alipo amatha kuchepetsa zizindikiro, kuchepetsa kutupa, komanso kuthandiza mwana wanu kukhala ndi moyo wabwinobwino .

Dokotala angakulangizeni njira zotsatirazi:

• Mankhwala oletsa kutupa osagwiritsa ntchito steroidal (NSAIDs): Awa ndi mankhwala ochepetsa ululu komanso oletsa kutupa omwe tonse timawadziwa, monga Ibuprofen. Uwu ndi mankhwala oyamba kuyesa. Pafupifupi 50% ya ana amayankha bwino mankhwalawa. Komabe, ngati mumwa mankhwalawa kwa nthawi yayitali, dokotala wanu nthawi zonse amafufuza momwe impso ndi chiwindi chanu zimagwirira ntchito.
• Mankhwala oletsa matenda a nyamakazi (DMARDs): Ngati mankhwala a NSAID okha saletsa matendawa, gulu la mankhwala amenewa ndi gulu lotsatira la mankhwala omwe amagwiritsidwa ntchito. Mankhwalawa amagwira ntchito poletsa chitetezo cha mthupi mpaka pamlingo wina, kuthandiza kuletsa kuukira kolakwika komwe kumayambitsa matendawa. Musanayambe mankhwala awa, dokotala wanu adzakufotokozerani zabwino ndi zoyipa zonse.
• Kusintha kwa moyo:Mu nthawi ya ululu, mwana wanu angafunike kuchepetsa kuthamanga ndi kulumpha. Katswiri wa zamaganizo kapena katswiri wa zamaganizo angakuthandizeni kuphunzira momwe mungachitire zinthu za tsiku ndi tsiku ndi ululu, kuphatikizapo kuchita masewera olimbitsa thupi.

Kodi pali matenda ena omwe angachitike limodzi ndi CRMO?

Inde, ana omwe ali ndi CRMO ali pachiwopsezo chotenga matenda ena angapo odziteteza ku matenda a autoimmune.

• Matenda a m'mimba otupa (IBD): Ichi ndi matenda omwe amayamba chifukwa cha chitetezo chamthupi chomwe chimaukira dongosolo la m'mimba.
• Psoriasis: Iyi ndi matenda omwe amayambitsa chitetezo chamthupi chomwe chimakhudza khungu.
• Kupweteka kwa minofu ndi mafupa kowonjezereka: Imeneyi ndi vuto lovuta pang'ono. Ngakhale CRMO ikachepa, pakhoza kukhala kupweteka kwa minofu kosalekeza pazifukwa zosamveka. Kupweteka kumeneku sikumathetsedwa ndi mankhwala wamba ochepetsa ululu.

Kodi matenda amenewa akuyembekezeka bwanji?

Nkhani yabwino ndi yakuti pafupifupi 40% ya odwala amachira kwathunthu mkati mwa chaka chimodzi mpaka zisanu zoyambirira kuchokera pamene alandira chithandizo. Izi zikutanthauza kuti ululu ndi zizindikiro zina zatha kwathunthu, popanda kutupa kapena kulephera kwa chitetezo cha mthupi. Kenako mwanayo amatha kukhala moyo wabwinobwino komanso wokangalika.

Komabe, ngakhale matendawa atachira kwathunthu, kuyang'aniridwa ndi dokotala nthawi zonse ndikofunikira kwambiri. Muyenera kupitiliza kupita kuchipatala motsogozedwa ndi dokotala wa nyamakazi. Mungafunikenso kuchita mayeso monga MRI scans kuti muwone ngati matendawa abwereranso. Izi zili choncho chifukwa pafupifupi 50% ya anthu amabwereranso mkati mwa zaka ziwiri zoyambirira mutasiya kulandira chithandizo. Ngati zimenezo zitachitika, muyenera kuyambanso kulandira chithandizo.