Ese umubiri wawe na wo warakomeye utyo? Ese biragoye kunama umugongo wawe utyo? Wenda ibi ni (Diffuse Idiopathic Skeletal Hyperostosis - DISH)!

Ese hari igihe wumva umubiri wawe umeze nk'aho ukomeretse gato, cyane cyane iyo ukangutse mu gitondo, bikakugora kunama umugongo cyangwa ijosi? Cyangwa ingingo zawe zibabara gato? Wenda utekereza ko ibi bibaho uko ugenda ukura. Ariko, si ko gukomera no kubabara byose ari ibisanzwe. Uyu munsi tugiye kuvuga ku ndwara ifite izina rirerire, ariko igaragara ku bantu benshi, cyane cyane nyuma y'imyaka 50. Ni ukuvuga (Diffuse Idiopathic Skeletal Hyperostosis) , ari na yo twita (DISH) mu magambo ahinnye.

None se iki (DISH) ni iki? Mu magambo make...

Mu magambo make, DISH ni ubwoko bwa rubagimpande. Ariko ikibaho muri ibi ni uko ingingo nshya z'amagufwa zikura ziyongera ku ngingo zoroshye mu mubiri wacu. Tekereza, imitsi yo mu mubiri wacu, imigozi ifata ingingo hamwe, ibice byoroshye bikikije ingingo, biba bikomeye nk'ibuye .

Iri zina rifite amagambo atatu. "Hyperostosis" yerekeza ku gukura cyane kw'amagufwa. Muri DISH, imiyoboro ya kalisiyumu yiyongera mu ngingo zoroshye zifatanye n'amagufwa yacu. Iyi miyoboro ya kalisiyumu ituma ingingo zoroshye zihinduka igufwa buhoro buhoro (ossification). Ni nk'akantu gato k'inyama gahinduka ibuye.

"Diffuse" bivuze ko iyi nzira ishobora kubaho ahantu hose mu mubiri. Ariko akenshi itangirira ku mugongo wacu , cyane cyane hagati, ni ukuvuga ku rwego rw'igituza (umugongo wo mu gituza). "Idiopathic" bivuze ko ibaho nta mpamvu nyayo .

Iyi ndwara (DISH) ishobora gutera ububabare bw'imitsi n'amagufwa, ibibazo byo kugenda, n'ibindi bibazo. Ikura ry'amagufwa mashya rishobora gutera udusimba tw'amagufwa . Ibi bishobora guhinduka nk'amahwa bikabangamira imikorere myiza y'ingingo zacu.

Ese indwara ya DISH na Forestier ni kimwe?

Oya, irindi zina rya DISH ni indwara ya Forestier . Yitiriwe umuganga wasobanuye iyi ndwara bwa mbere mu myaka ya 1950. Nyuma yaho, mu 1975, ni bwo Resnick n'ikipe ye bakoresheje izina ryihariye rya Diffuse Idiopathic Skeletal Hyperostosis. Rero, nubwo bitwa amazina abiri, bavuga ikintu kimwe.

Iyi ndwara yitwa (DISH) ikunze kugaragara gute?

DISH mu by’ukuri ni indwara ikunze kugaragara cyane mu bantu bakuze . Akenshi ntabwo ikunze kugaragara mbere y’imyaka 40. Ariko, abantu barenga imyaka 50 bashobora kurwara iyi ndwara. Nanone, abagabo bafite amahirwe abiri yo kuyirwara kurusha abagore. Nkuko mubibona, iyi si indwara idasanzwe.

Ni ibihe bimenyetso bya DISH? Wabimenya ute?

Si abantu bose barwaye DISH bafite ibimenyetso bikomeye. Hari abantu bashobora kumara imyaka myinshi batabona ibimenyetso. Ariko, iyo ibimenyetso bibaye, ibimenyetso bikunze kugaragara ni ugukomera no kubabara muri rusange . Ububabare bw'umugongo n'ijosi ni byo bikunze kugaragara cyane. Ushobora kubyumva cyane iyo ubyutse bwa mbere mu gitondo no mu gihe cy'ubukonje . Ushobora kandi kubura aho ugera , nko kugorwa no kunama no kugorora amaboko yawe.

DISH ikunze kugira ingaruka ku ruti rw'umugongo no hagati mu gice cy'umubiri, ariko nyuma ishobora kugira ingaruka ku bindi bice by'umubiri, nko ku maboko no ku maguru. Ushobora kugira ububabare mu ngingo cyangwa imitsi muri ibi bice:

• Mu bitugu
• Mu kibuno
• Mu nkokora
• Mu mavi
• Mu birenge
• Mu gatsinsino

Hari igihe ibimenyetso bitangira iyo amagufwa mashya atangiye kumera, byitwa bone spurs, ashyira igitutu ku mitsi iri hafi aho . Ibi bishobora gutera ububabare bukabije. Ubu bubabare bushobora kuba bukomeye cyane cyane iyo wimuye umubiri wawe mu buryo runaka cyangwa ugashyira igitutu ku gace runaka.

Imitsi ipfutse ishobora kandi gutera ibi bikurikira:

• Gucika intege cyangwa gucika intege
• Nk'udushinge n'inshinge
• Intege nke z'imitsi

Tekereza, niba uruti rw'umura rwawe rugize igufwa ryinshi gutya maze rugatangira kwikanda ku muhogo wawe, ibintu nk'ibi bishobora kubaho:

• Gushwanyagurika
• Ingorane zo kumira
• Kubura umwuka wo mu gihe cyo gusinzira

Kuki ibi (DISH) bibaho? Ni izihe mpamvu?

Abaganga n'abashakashatsi baracyagerageza kumenya neza icyateye DISH. Ariko, hari ibintu byinshi bivugwa ko bishobora kuyitera. Ariko, ntabwo biramenyekana neza uko bifitanye isano.

• Metabolisme : Abantu benshi barwaye DISH bafite indwara yitwa metabolic syndrome . Iyi ni itsinda ry'indwara zifitanye isano kandi zongera ibyago byo kurwara indwara z'umutima n'imitsi. Ingero zirimo diyabete, urugero rwinshi rwa insuline, urugero rwinshi rwa aside urique, cholesterol nyinshi, n'umubyibuho ukabije.
• Ibyerekeye Genetiki : Hari abantu barwaye DISH bafite ikimenyetso cyihariye mu ngirabuzimafatizo zabo cyitwa HLA-B8 . Iki kimenyetso cy’ingirabuzimafatizo gifitanye isano n’indwara ziterwa n’ubwiyongere bw’umubiri nka diyabete yo mu bwoko bwa 1.Byagaragaye ko bifitanye isano n'indwara nyinshi ziterwa n'ubwiyongere bw'umubiri. DISH ntabwo ifatwa nk'indwara iterwa n'ubwiyongere bw'umubiri, ariko abantu benshi barwaye DISH nabo barwaye diyabete.
• Kubyimba : DISH mu by'ukuri ifatwa nk'ubwoko bwa rubagimpande budatera ububyimbirwe buke . Ni ukuvuga ko idaterwa n'ububyimbirwe butunguranye, nk'uko bigenda ku ndwara ziterwa n'ubwiyongere bw'umubiri. Ariko, bikekwa ko hari ububyimbirwe bwo hasi bushobora kuba burimo. Ahari ubu bubyimbirwe ni bwo butangira inzira yo gushyiramo kalisiyumu.
• Ibintu bitera gukura : Ingano ikabije y'ibintu nka hormone itera gukura kw'umuntu (HGH), insuline, na insuline-like growth factor 1 (IGF-1) mu mibiri yacu ishobora gutera hyperostosis muri DISH. Ibintu bitera gukura ni poroteyine n'imisemburo "ibwira" imibiri yacu gukora ingingo nshya.

Ni nde uri mu kaga gakomeye ko kurwara (DISH)?

Urashobora kugira DISH cyane niba ibi bintu bikureba:

• Niba ufite imyaka irenga 50.
• Niba uri umugabo.
• Niba hari ubundi bwoko bwa rubagimpande.
• Niba ufite indwara ya metabolike.

Iyi ndwara yitwa (DISH) ishobora kuba ikomeye gute?

Si abantu bose barwaye DISH bafite ibibazo bikomeye. Hari n'abatazi ko barwaye. Ariko, mu bihe bimwe na bimwe bikomeye , DISH ishobora guteza ingorane zikomeye.

Zimwe muri izi ngorane ni izi:

• Gukanda ijosi : Gukanda amagufwa mu mugongo wawe w'inkondo y'umura bishobora gukanda umwobo cyangwa umuhogo. Ibi bishobora gutuma bigorana kumira, kuvuga no guhumeka. Ibi bishobora kuba bibi cyane cyane nijoro. Gucika intege mu gihe cyo gusinzira bishobora gutera umwuka muke mu mubiri, bigatera umuvuduko ku mutima (hypoxia).
• Kuvunika kw'umugongo no kudahagarara neza : (DISH) bituma umugongo ukomera, bigatuma ushobora kuvunika cyane . Ndetse no kugwa gato cyangwa impanuka (ingufu nke) bishobora kuvunika cyangwa gukuraho urutirigongo mu mugongo wawe. Ibi bishobora gutuma umugongo wawe udakomera, bikongera ibyago byo gukomereka.
• Gukanda uruti rw'umugongo : Mu bihe bikomeye, gukanda amagufwa cyangwa gukanda amagufwa manini ku ruti rw'umugongo bishobora gukanda uruti rw'umugongo. Ibi bishobora gutera ububabare bw'imitsi nka sciatica n'ibindi bimenyetso by'imitsi byitwa myelopathy . Mu bihe bibi cyane, paralysis irashobora kubaho.

Tekereza nk'igiti gishaje cyumye cy'ibiti. Ntigihinduka cyane, bityo gishobora kuvunika byoroshye nubwo cyaba gikandamijwe gato. Uruti rw'umugongo rw'igikoni (DISH) ni uko.

Namenya nte niba hari abaganga (DISH)?

Abaganga bakoresha ibizamini byo gufata amashusho kugira ngo barebe niba DISH ari mbi. Ibi bishobora kuboneka hakoreshejwe X -ray cyangwa ultrasound isanzwe. Niba hakenewe ibisobanuro birambuye, scan ya CT (computer tomography scan) ishobora gukorwa.

Abaganga bareba ibintu nka X-ray na CT scan, bareba "amagufwa akura cyane." Ni ukuvuga niba hari igufwa rikura cyane mu magufwa atatu cyangwa ane yikurikiranya, cyangwa niba imitsi iri ku magufwa ifunze neza. Ibi bisa nkaho ishashi iva mu buji kuri X-ray.

Niba ufite ibimenyetso ahandi mu mubiri wawe, bazashaka ibimenyetso by'indwara muri utwo duce. Hashobora kuba hari calcium mu ngingo cyangwa mu mitsi aho amagufwa ahurira.

Bashaka kandi ibimenyetso bishobora gufasha gutandukanya DISH n'izindi ndwara zisa, nka ankylosing spondylitis na osteoarthritis . Hari igihe izi ndwara zishobora kubaho kimwe na DISH.

Ni ubuhe buryo bwo kuvura DISH?

Nta muti uhari wa DISH. Ariko, ubuvuzi bw'umubiri , cyangwa imyitozo ngororamubiri, bishobora gufasha kugabanya gukomera no kongera urwego rw'imikorere. Umuganga w'umubiri ashobora kukugira inama yo gukora imyitozo ngororamubiri idatera ingaruka mbi ushobora gukora mu rugo.

Kugira ngo ugabanye ububabare, ushobora gukoresha imiti igabanya ububabare idatanzwe na muganga (OTC), nka NSAIDs (imiti igabanya ububabare idakoresha steroide). Muganga wawe ashobora kukwandikira imiti igabanya ububabare nibiba ngombwa. Imiti ya Cortisone ishobora no gutangwa ahantu runaka h'ububabare.

Muganga wawe azakurikirana ikibazo cyawe kandi arebe niba hari ingorane nko kuvunika. Hari igihe ashobora kukwandikira ubwoko bw'umuti witwa bisphosphonates kugira ngo akurinde cyangwa akize kuvunika.

Niba imitsi itangiye gukandamizwa, byaba bitewe no gukura cyane cyangwa gucika kw'amagufwa, kandi ukaba urimo kugira ububabare bushya cyangwa ibindi bimenyetso, ushobora gukenera kubagwa kugira ngo ugabanye umuvuduko. Ndetse n'amagufwa yavunitse rimwe na rimwe agomba gusanwa no kubagwa.

Ejo hazaza h'umuntu ufite (DISH) ni he?

(DISH) akenshi itangira mu gihe cy'izabukuru, bityo irushaho kuba mbi buhoro buhoro.Bishobora gufata imyaka 10 kugira ngo ibimenyetso bigaragare. Gutangira gahunda yo kuvura ibimenyetso bikimara kugaragara bishobora kugufasha kubigenzura.

Iyo DISH ikabije, ishobora gutuma umuntu adakora neza , ikabangamira imirimo ya buri munsi ndetse ikanatuma umuntu yumva amerewe neza. Ingorane zikomeye ni gake cyane. Iyo zibayeho, zishobora kuvurwa no kubagwa.

Ese hari uburyo bwo kubuza DISH gukora?

Impamvu nyayo ya DISH ntabwo izwi, bityo biragoye kuyirinda. Ariko, abashakashatsi bazi ko ibintu bitera metabolic nk'isukari nyinshi mu maraso, urugero rwinshi rwa insuline, na triglycerides nyinshi byongera ibyago.

Niba ufite ikibazo cy’imikorere y’umubiri (metabolic disorder) , ikintu cyiza wakora kugira ngo wirinde ko DISH ikura ni ukuvura izo ndwara neza . Ndetse na nyuma yuko DISH itangiye kuvura, kuvura izi ndwara bishobora gufasha gukumira ko DISH irushaho kuba mbi.

Nkwiye kwiyitaho nte mu gihe mba na (DISH)?

Ikintu cyiza ku bantu barwaye rubagimpande, nka DISH, ni ugukora imyitozo ngororamubiri ihoraho kandi idatera ingaruka mbi . Gushyiraho gahunda ya buri munsi yo gukora imyitozo ngororamubiri bishobora kugufasha kugumana ubworoherane n'imbaraga zawe igihe kirekire gishoboka.

Mu kujya kwa muganga wawe buri gihe kugira ngo agusuzumishe , ashobora gukurikirana uburwayi bwawe n'uko buhinduka. Ibi bituma ashobora kugufasha kwirinda ingorane zikomeye mbere yuko ziba.

Indwara ya Diffuse Idiopathic Skeletal Hyperostosis (DISH) ni indwara ifite izina rirerire kandi iracyari amayobera. Ariko kuri wowe, ahanini itera ububabare no gukomera. Akenshi, iba yoroheje, kandi bamwe bayibeshyaho ikintu kibaho uko ugenda ukura.

Ariko, ni byiza kubwira muganga ibimenyetso byawe. Iyo DISH igaragaye hakiri kare, wowe na muganga wawe mushobora gushyiraho gahunda yo gucunga ibimenyetso byawe no kwirinda ingorane.

Hari ibintu mbona ari ingenzi kuri wewe (Ubutumwa bwo kujyana mu rugo)

Noneho rero usobanukiwe neza ibyo twavuzeho (DISH). Hanyuma, dore ibintu by'ingenzi ugomba kwibuka:

• (DISH) ni indwara aho igufwa rishya rivuka mu ngingo zoroshye z'umubiri, bigatera gukomera no kubabara, cyane cyane mu bice nko mu mugongo no mu ijosi.
• Ibi bikunze kugaragara ku bantu barengeje imyaka 50, cyane cyane abagabo.
• Si buri wese uzagaragaza ibimenyetso bikomeye, ariko niba ugize ikibazo cyo kubabara mu gitondo, ububabare, cyangwa ukagorwa no kwimuka k'umubiri wawe, bwira muganga wawe.
• Abantu bafite ibibazo by’imikorere y’umubiri nka diyabete na cholesterol nyinshi bafite ibyago byinshi byo kurwara DISH.
• Nubwo nta muti wuzuye uhari, ibimenyetso bishobora kugenzurwa hakoreshejwe uburyo bwo kuvura indwara, ububabare, ndetse rimwe na rimwe no kubagwa.
• Igikuru ni ukubonana na muganga niba ufite ibi bimenyetso, kandi ntugatekereze ko ari ibimenyetso bisanzwe by'ubusaza. Kubimenya hakiri kare bishobora gufasha gukumira ibibazo byinshi.

Twizeye ko aya makuru azaba ingirakamaro. Komeza kugira ubuzima bwiza!

` DISH, Diffuse Idiopathic Skeletal Hyperostosis, indwara y'amagufwa, ububabare bw'ingingo, ububabare bw'umugongo, ububabare bw'ijosi, rubagimpande