Ese amagufwa avuka ahantu hadasanzwe mu mubiri? Reka twige kuri ibi (Heterotopic Ossification)!

Ese wigeze wumva umeze nk'agace gato k'igufwa gakurira ahantu hadakunze kuba igufwa, ni ukuvuga mu ngingo zoroshye nk'imitsi? Cyangwa, nyuma yo gukomereka cyangwa kubagwa bikomeye, wumva ikintu kidasanzwe, nk'ikibyimba, gikomeye gato, muri ako gace? Wenda wumva kigenda kirushaho kuba kinini. Ushobora kuba wibaza icyo ibi bisobanura mu by'ukuri n'impamvu bibaho. Ni cyo tugiye kuvugaho uyu munsi. Mu buryo bw'ubuvuzi, iyi ndwara yitwa (Heterotopic Ossification) , cyangwa (HO) mu magambo ahinnye.

Iki ni iki (Heterotopic Ossification)? Mu magambo make cyane...

Muri make, Heterotopic Ossification ni inzira y'uko uturemangingo dushya tw'amagufwa dukura tugakora amagufwa hanze y'urugingo rwacu rw'amagufwa, mu tunyangingo tworoshye turi hanze y'urugingo rwacu rw'amagufwa . Ibi bimeze nk'uduce tw'amagufwa tw'inyongera . Ibi akenshi bibaho nyuma y'imvune . Ariko, rimwe na rimwe iki kibazo gishobora kubaho nta mpamvu igaragara.

Ibuka ko kuri benshi, uduce tw’amagufwa twiyongera muri ubu buryo ari duto cyane. Kubwibyo, ntabwo dutera ibimenyetso bikomeye. Ariko, rimwe na rimwe, iyo utu duce tw’amagufwa dukuze gato, dushobora kugabanya ingendo zawe ndetse no guteza ibibazo bikomeye.

Ni ubuhe bwoko bw'ingenzi bwa Heterotopic Ossification?

Iyi (Heterotopic Ossification) ishobora kugabanywamo ubwoko bubiri bw'ingenzi:

1. Ubwoko butari ubwa genetiki:

• Ubu ni bwo bwoko bukunze kugaragara cyane . Bushobora kubaho mu myaka iyo ari yo yose.
• Nubwo rimwe na rimwe bivugwa ko bibaho nta mpamvu, akenshi bibaho nk'igisubizo cy'ihungabana runaka . Iryo hungabana rishobora kuba ari imvune iturutse ku mpanuka, cyangwa rishobora no kuba ingaruka ku ngingo z'umubiri bitewe no kubagwa. Tekereza, waguye ukababara ukuboko, cyangwa wagombaga kubagwa cyane, ni bwo iyi ndwara ishobora kubaho.

2. Ubwoko bw'uturemangingo:

• Ibi ni gake cyane . Hari abantu bake cyane ku isi bafite ubwo bwoko bw'uturemangingo (HO).
• Iyo H2O iterwa n'impamvu za genetiki, bishobora kugorana gato . Urugero, imiterere mibi y'umugongo, amaboko, cyangwa amaguru ishobora kubaho. Iyi ndwara ya genetiki rimwe na rimwe ishobora kuba ikomeye cyane .

Ni nde ufite amahirwe menshi yo kubyibasira (Heterotopic Ossification)?

Nongenetic HO irashobora kugaragara ku muntu uwo ari we wese. Ariko, niba warigeze kugira imvune cyangwa kubagwa mbere , ushobora kurwara iyi ndwara.

Ku bantu bagera kuri bitatu bya kane bafite uburwayi bwa HO, cyangwa hafi 75% , iyi ndwara iterwa n'ubwoko runaka bw'ihungabana.Abantu bafite ibi bibazo ni bo bafite ibyago byinshi byo kurwara (HO):

• Ibikomere byo mu mugongo: Mu bantu 10 bafite ibi bikomere, abagera kuri 2 kugeza kuri 3 bazarwara H.
• Ihungabana ryo mu mutwe: Ibi bishobora kubaho ku muntu umwe cyangwa babiri mu 10 bakomeretse ubwonko, cyane cyane imvune yo mu mutwe ufunze.
• Gusimbuza ikibuno cyose: Kuba umuntu yakwibasirwa n’indwara ya HO nyuma yo kubagwa ikibuno akenshi biba byoroshye. Ariko, rimwe na rimwe bishobora gutera kugenda gake no gukomera mu gice cy’ikibuno.
• Gucibwamo ibice nyuma yo gukomereka: Byagaragaye ko abantu barenga 9 kuri 10 bakuwemo igice cy'umubiri kubera imvune ikomeye bashobora kurwara iyi ndwara (HO).

Hafi kimwe cya kabiri cy'abantu badafite imiterere y'umubiri (HO) ni abakiri bato bari mu kigero cy'imyaka 20 na 30. Nanone, abagabo bafite amahirwe make yo kurwara iyi ndwara kurusha abagore.

Tuvuze ku bwoko butandukanye bw’uturemangingo, ni gake cyane. Nk’uko abahanga babivuga, ku isi yose hari abantu bari munsi ya 5.000 bafite indwara itera (HO).

Ni gute Heterotopic Ossification igira ingaruka ku mubiri wanjye?

(HO) ishobora kuba ahantu hose ku mubiri. Ariko, ikunze kugaragara mu bice bishobora gukomereka cyane . Urugero:

• Inkokora
• Intoki
• Ijosi cyangwa umutwe
• Impyiko
• Urutugu
• Ikibero

Ni izihe mpamvu zitera Heterotopic Ossification?

HO ikunze kubaho nyuma y'imvune . Ishobora no kubaho nyuma yo kubagwa. Urugero, abantu bahinduwe ikibuno cyose rimwe na rimwe barwara HO, ariko akenshi nta bimenyetso bikomeye bitera.

Ufite ibyago byinshi byo kurwara uburwayi bwa HOI niba ufite:

• Kuvunika kw'igufwa
• Gutwika
• Gukomereka k'umugongo
• Kubagwa ingingo zose hamwe
• Ihungabana ry'ubwonko (TBI)

Ni gake cyane, indwara zimwe na zimwe zikomoka ku ngirabuzimafatizo zishobora gutera H2O. Zimwe muri izi ndwara zirimo:

• Fibrodysplasia Ossificans Progressiva (FOP): Iyi ni indwara idakunze kugaragara mu buryo bw'uturemangingo. Iyi ndwara yahoze yitwa Myositis Ossificans Progressiva , ituma ingingo zoroshye z'umubiri zihinduka amagufwa buhoro buhoro.
• Heteroplasia y'amagufwa ikomeza kwiyongera (POH): Iyi ni indi ndwara idakunze kugaragara mu ngirabuzimafatizo.

Ni ibihe bimenyetso bya Nongenetic Heterotopic Ossification?

Ibimenyetso bya Heterotopic Ossification bishobora gutandukana bitewe n'umuntu ku wundi. Biterwa kandi n'aho indwara yakwirakwiriye n'ubukana bwayo. Mu ntangiriro z'indwara, ibimenyetso nka:

• Ububabare
• Kubyimba
• Ubugwaneza

Uko Heterotopic Ossification ikomeza , ushobora gutangira kumva ikibyimba munsi y'uruhu rwawe. Iki kibyimba rimwe na rimwe gishobora gukura vuba cyane kikaba ikibyimba kinini . Bishobora kugorana kugikoresha intoki zawe. Bishobora kandi kubabaza kugikoraho.

Mu ntambwe za nyuma z'iyi ndwara, ikibyimba gishobora gukomera kurushaho . Iyo kiri hafi y'ingingo, nk'ikibuno cyawe cyangwa urutugu, gishobora no kugabanya urugingo rwawe kugenda . Tekereza kuri ibyo, bigatuma bigorana kuzamura ukuboko kwawe cyangwa kunama ukuguru kwawe.

Ni ibihe bimenyetso bya Genetic Heterotopic Ossification?

Noneho reka turebe ibimenyetso bishobora kubaho bitewe n'ubwo bwoko budasanzwe bwa genetike (HO). Niba ufite indwara ya genetike yitwa (FOP) (Heterotopic Ossification), ushobora kubona ibimenyetso nk'ibi:

• Imboro nini y'ikirenge cya Misshapen
• Ubusembwa bw'umugongo
• Ibibazo by'imiterere y'intoki zawe

Uko indwara ikomeza kwiyongera, abantu benshi bagaragaza ibimenyetso bikomeye cyane. Urugero, kugenda biragoye, ndetse bamwe bakagira n'ingorane zo guhumeka . Iyi ndwara idasanzwe (HO) rimwe na rimwe ishobora kugabanya igihe cyo kubaho .

Mu yindi ndwara ya genetiki, POH, ibimenyetso bikunze kugaragara mu ruhu . Muri ibi, amagufwa abanza kwirema mu ngingo ziri munsi y'umubiri . Uko indwara ikomeza, amagufwa nayo atangira kwirema mu ngingo zihuza umubiri imbere mu mubiri.

Ni gute Heterotopic Ossification ipimwa?

Kugira ngo amenye neza niba ufite Heterotopic Ossification, muganga wawe ashobora gukora ibizamini bimwe na bimwe. Iby'ingenzi muri ibi ni ibizamini byo gufata amashusho . Ibi birimo:

• (Isuzuma rya CT)
• (Isuzuma rya MRI)
• (Positron Emission Tomography - PET scan)
• (Isuzuma rya Ultrasound)
• (X-ray)

Ibi bizamini bishobora kumenya neza aho ibice by'amagufwa byiyongereye biherereye n'ingano yabyo.

Icy'ingenzi:Niba umuganga wawe akeka ko ufite heterotopic ossification, ashobora guhitamo kwirinda gukorerwa biopsy , bikubiyemo gufata igice cy'umubiri akagipima. Ibi biterwa nuko hari ubwoko bumwe na bumwe bwa heterotopic ossification, nubwo haba habayeho kubagwa gato, byongera ibyago byo gukura kw'amagufwa mu bindi bice by'umubiri.

Ni gute umuntu ashobora gusuzuma uburwayi bwo gusimbuza ikibuno nyuma yo kubyara (HO)?

Niba wararwaye indwara ya HO nyuma yo kubagwa ikibuno, abaganga bazakoresha ibipimo byihariye byo gupima kugira ngo barebe aho HO yakwirakwiriye.

Kimwe mu bikunze gukoreshwa cyane muri ibi ni Brooker classification . Dukurikije ubu buryo, heterotopic ossification igabanyijemo ibyiciro bine:

• Icyiciro cya 1: Hari uduce duto tw'amagufwa mu ngirangingo zikikije ikibuno cyawe.
• Icyiciro cya 2: Ufite uduce duto tw’amagufwa (twitwa uduce duto tw’amagufwa ) hafi y’ikibuno cyawe cyangwa femur. Ariko hari nibura santimetero 1 y’umwanya hagati y’utu duce duto tw’amagufwa.
• Icyiciro cya 3: Uduce tw'amagufwa tuba dukikije ikibuno cyangwa femur, ariko intera iri hagati yabyo ni munsi ya santimetero imwe .
• Icyiciro cya 4: Ingingo yawe y'ikibuno irakomeye (ikomeye) cyangwa yahindutse ankylosis (gufungana kw'amagufwa) . Ibi bivuze ko ingingo idashobora kugenda neza.

Hari ubundi buryo bwo gushyira mu byiciro nk'ubu. Byose bireba ibintu bisa bya (HO). Ikintu cy'ingenzi kigena ubukana bwa (HO) ni ukumenya niba izo mpundu z'amagufwa zihari n'intera ziri hagati yazo .

Indwara ya Heterotopic Ossification ivurwa ite?

Uburyo bwo kuvura heterotopic ossification (HO) buratandukanye bitewe n'ibimenyetso byawe, ubwoko bwa HO, n'aho indwara yakwirakwiriye. Muri rusange, muganga wawe ashobora kukugira inama yo kuvura ibi bikurikira:

• Imiti: Ku bantu bafite imiterere y’uturemangingo (Heterotopic Ossification), imiti nka corticosteroids ishobora gutangwa mu gihe indwara ikomeje kwiyongera mu buryo butunguranye.
• Ubuvuzi bw'umubiri: Ibi bishobora gufasha kongera uburyo ingingo zawe zikora kandi bikagabanya ububabare. Umuganga w'umubiri azakwigisha imyitozo ikubereye.
• Kubagwa: Niba ufite ububabare bukomeye buterwa no kubaga kw'ingingo, cyangwa niba kugenda kwawe guke cyane ku buryo udashobora gukora imirimo ya buri munsi , kubagwa bishobora kuba uburyo bwa nyuma bwo gukuramo igufwa ryinshi. Ariko, hari ibyago bike ko HO ishobora kongera kubaho nyuma yo kubagwa.Kenshi na kenshi, niba hafashwe icyemezo cyo kubagwa, ushobora gukenera imiti ndetse no kuvurwa hakoreshejwe imirasire nyuma yaho kugira ngo wirinde gutakaza amagufwa.

Ese Heterotopic Ossification ishobora kwirindwa?

Niba uteganijwe kubagwa amagufwa, muganga wawe ashobora kuguha uburyo bumwe na bumwe bwo kuvura kugira ngo ugabanye ibyago byo kurwara HO. By'umwihariko, uba ufite ibyago byinshi byo kurwara HO nyuma yo kubagwa mu kibuno niba ufite kimwe muri ibi bikurikira:

• (Ankylosing Spondylitis) (Iyi ni indwara itera kubyimba ingingo z'umugongo)
• (Osteoarthritis) (Indwara yo kwangirika kw'ingingo)
• Niba hari amateka ya (HO) mbere (Amateka ya HO)

Muri ibi bihe, muganga wawe ashobora kukugira inama yo kugufasha gukomeza kubona ibisubizo by'ubuvuzi bwawe. Ubushakashatsi bumwe bwagaragaje ko gufata imiti igabanya ubukana idakoresha steroid (NSAIDs) mbere na nyuma gato yo kubagwa bishobora kugabanya ibyago byo kurwara otitis media nyuma yo kubagwa (HO).

Ariko, nta buryo bwizewe bwo gukumira burundu iterambere rya Heterotopic Ossification. Ariko, hari ibintu bimwe na bimwe ushobora gukora kugira ngo ugabanye ibyago byawe. Urugero, vura neza imvune ikimara kubaho . Ibyo bivuze gukoresha uburyo bwa RICE :

• R - Ikiruhuko
• I - Urubura (Urubura)
• C - Gukanda
• E - Uburebure (gukomeza agace kakomeretse hejuru)

Nanone, imyitozo ngororamubiri, kunanura imitsi no kuruhuka bihagije bishobora gufasha mu kwirinda imvune.

Ese iyo (Heterotopic Ossification) ibayeho, izashira?

Hari igihe bibaho . Abantu benshi bafite HO idafite imiterere y’umubiri (non-genetic HO) bakira burundu . Akenshi, HO ivuka nyuma y’imvune irushaho kuba nziza iyo umuntu avuwe mu buryo butarimo kubagwa, nko kuruhuka, gukora imyitozo ngororamubiri mu rubura no kongerera imbaraga umubiri.

Ariko, nta muti uhari wo kuvura ubwoko bw'uturemangingo (HO) . Nubwo kuvura bishobora kugenzura ibimenyetso, indwara igenda irushaho kwiyongera buhoro buhoro.

Ni iki kindi nabaza muganga?

Iyo usanze ufite (HO), ni ibisanzwe kugira ibibazo byinshi. Ushobora kubaza muganga wawe ibintu nk'ibi:

• "Ni ubuhe bwoko bwa (HO) mfite?"
• "Ni iyihe mpamvu ishobora kuba itera ibi?"
• "Ni ubuhe buryo bwo kuvura (Heterotopic Ossification)?"
• "Ese hari impinduka mu mibereho yanjye nshobora gukora kugira ngo mbyirinde?"
• "Ni ayahe mahirwe yo guha abana banjye iyi gene (HO)?" (Niba ufite iyi gene)

Ese (Heterotopic Ossification) irababaza?

Yego . Ububabare mu gace kagize ikibazo ni cyo kimenyetso nyamukuru kandi gikunze kugaragara cya Heterotopic Ossification. Akenshi, ububabare buriyongera uko imikurire y'amagufwa ikura.

Ariko, niba ufite ikibazo cyo kumera nabi nyuma yo gukomereka cyangwa kubagwa, hari inkuru nziza . Abantu benshi badafite imiterere y’umubiri (non-genetic) bakira neza iyo bavuwe.

Ese osteoporosis igira ingaruka ku byago byo kurwara HO nyuma yo kubagwa?

Oya. Hari indwara zimwe na zimwe zishobora kongera ibyago byo kurwara (HO) nyuma yo kubagwa. Ariko, nta sano ifatika iri hagati ya (Osteoporose) na (HO).

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Rero, ushobora kuba ubu usobanukiwe ko (Heterotopic Ossification) ari ukurema igufwa rishya mu ngingo zoroshye z'umubiri wacu, ahantu ubusanzwe nta igufwa riba riri. Ibi rimwe na rimwe bishobora guterwa n'imvune cyangwa kubagwa, cyangwa bishobora guterwa n'impamvu zidasanzwe cyane zijyanye n'uturemangingo.

• Ntugahangayike: Akenshi, cyane cyane iyo byatewe n'igikomere, ntabwo ari ikibazo gikomeye kandi bishobora gukira iyo umuntu avuwe neza.
• Menya ibimenyetso: Niba ubonye ikibyimba gishya ku mubiri wawe, niba hari ububabare cyangwa kubyimba muri ako gace, cyane cyane ahantu habaye igikomere, ni byiza kujya kwa muganga.
• Ubwoko bw'uturemangingo ni gake cyane: Ubwoko bw'uturemangingo (HO) ni gake cyane, ariko bushobora kuba bukomeye kurushaho.
• Hari uburyo bwo kuvura: Ibitari ibya genetiki (HO) akenshi bishobora koroherwa n'ibintu nk'imiti n'ubuvuzi bw'umubiri.

Niba ufite ikindi kibazo kuri ibi, menya neza ko wavugana na muganga wawe. Azagusobanurira birambuye.

Kurema kw'amagufwa, gukura kw'igufwa, ingingo zoroshye, imvune, kubagwa , indwara z'uturemangingo, ububabare, kubyimba, kugenda kw'ingingo, igufwa ryinshi