Mapfupa anoumbwa munzvimbo dzisinganzwisisike mumuviri here? Ngatidzidzei nezveizvi (Heterotopic Ossification)!

Wakambonzwa sechidimbu chidiki chepfupa chiri kukura panzvimbo isingawanzova nepfupa, kureva kuti, munyama yakapfava senge tsandanyama here? Kana, mushure mekukuvara kukuru kana kuvhiyiwa, unonzwa chimwe chinhu chisinganzwisisike, senge bundu, rakaoma zvishoma, munzvimbo iyoyo? Pamwe rinonzwa sekunge riri kukura zvakanyanya. Ungave uchishamisika kuti izvi chii chaizvo uye kuti nei zvichiitika. Ndizvo zvatichataura nezvazvo nhasi. Mukurapa, chirwere ichi chinonzi (Heterotopic Ossification) , kana (HO) muchidimbu.

Chii ichi (Heterotopic Ossification)? Zvichitaurwa zviri nyore...

Zvichitaurwa zviri nyore, Heterotopic Ossification inzira yekukura kwemasero matsva emapfupa uye kugadzira mapfupa kunze kwehurongwa hwedu hwemapfupa, munyama dzakapfava dziri kunze kwemapfupa edu . Izvi zvakafanana nezvidimbu zvemapfupa zvakawedzerwa . Izvi zvinowanzoumbwa mushure mekukuvara . Zvisinei, dzimwe nguva chirwere ichi chinogona kuitika pasina chikonzero chakajeka.

Rangarirai kuti, kune vanhu vazhinji, zvidimbu zvemapfupa zvakawedzerwa zvinoumbwa nenzira iyi zvidiki kwazvo. Saka, hazvikonzeri zviratidzo zvikuru. Zvisinei, dzimwe nguva, kana zvidimbu zvemapfupa izvi zvikakura zvishoma, zvinogona kudzikamisa mafambiro ako uye kutokonzera matambudziko akakomba.

Ndedzipi mhando huru dzeHeterotopic Ossification?

Izvi (Heterotopic Ossification) zvinogona kukamurwa kuita mhando mbiri huru:

1. Rudzi rusina majini:

• Rudzi urwu ndirwo rwakajairika . Runogona kuitika chero pazera ripi zvaro.
• Kunyangwe dzimwe nguva zvichinzi zvinoitika pasina chikonzero, kazhinji zvinoitika semhinduro kune rumwe rudzi rwekukuvara . Kukuvara ikoko kunogona kunge kuri kukuvara kubva mutsaona, kana kuti kunogona kunge kuri kukanganisa nyama nekuda kwekuvhiyiwa. Fungidzira, wakadonha ukakuvara ruoko rwako, kana kuti waifanira kuvhiyiwa zvakanyanya, ndipo panogona kuitika dambudziko iri.

2. Rudzi rwemajini:

• Izvi hazviwanzoitiki . Kune vanhu vashoma kwazvo pasi rose vane rudzi urwu rwemajini (HO).
• Kana H2O ikakonzerwa nezvikonzero zvemajini, zvinogona kuoma zvishoma . Semuenzaniso, kusakwana kwemusana, maoko, kana makumbo kunogona kuitika. Dambudziko iri remajini dzimwe nguva rinogona kuva rakakomba zvikuru .

Ndiani ane mukana mukuru wekukura kweizvi (Heterotopic Ossification)?

Nongenetic HO inogona kukura mune chero munhu. Zvisinei, kana wakambokuvara kana kuvhiyiwa , une mukana wekuva nechirwere ichi.

Kune vanhu vanosvika zvikamu zvitatu muzvina vane HO, kana kuti vanenge 75% , chirwere ichi chinokonzerwa nekukuvara kwakati.Vanhu vane zvirwere izvi ndivo vari panjodzi huru yekubatwa nechirwere ichi (HO):

• Kukuvara kwemusana: Pavanhu gumi vane kukuvara uku, vanenge 2 kusvika ku3 vachava nechirwere cheHO.
• Kukuvara kwemusoro: Izvi zvinogona kuitika mumunhu mumwe chete kana vaviri pavanhu gumi vakakuvara uropi, kunyanya kukuvara kwemusoro wakavharwa.
• Kutsiva chiuno zvachose: Kuitika kweHO mushure mekuvhiyiwa kwekutsiva chiuno kazhinji kunenge kuri kushoma. Zvisinei, dzimwe nguva zvinogona kukonzera kufamba kushoma uye kuomarara munzvimbo yechiuno.
• Kuchekwa kwenhengo mushure mekukuvara kwakakomba: Zvakawanikwa kuti vanhu vanopfuura vapfumbamwe pagumi vakabviswa nhengo yemuviri nekuda kwekukuvara kwakakomba vanogona kuva nechirwere ichi (HO).

Vanhu vanosvika hafu yevanhu vasina majini (HO) ipwere dziri pakati pemakore ekuma20 ne30 . Uyewo, varume vane mukana wekuwana chirwere ichi kupfuura vakadzi.

Kana tichitaura nezvemarudzi akasiyana-siyana emajini, haawanzo kuwanikwa. Sekureva kwenyanzvi, pasi rose kune vanhu vasingasviki zviuru zvishanu vane chirwere chemajini chinokonzera (HO).

Kuumbwa kwemasero eropa (Heterotopic Ossification) kunokanganisa sei muviri wangu?

(HO) inogona kuitika chero kupi mumuviri. Zvisinei, inowanzoonekwa munzvimbo dzinowanzo kukuvara . Semuenzaniso:

• Gokora
• Zvigunwe
• Mutsipa kana musoro
• Pfupa rechiuno
• Mafudzi
• Chidya

Ndezvipi zvikonzero zveHeterotopic Ossification?

HO inowanzoitika mushure mekukuvara . Inogonawo kuitika mushure mekuvhiyiwa. Semuenzaniso, vanhu vakambogadziriswa chiuno chose dzimwe nguva vanova neHO, asi kazhinji hazvikonzeri zviratidzo zvikuru.

Uri panjodzi huru yekuva neHO kana uine:

• Kutyoka kwepfupa
• Pisa
• Kukuvara kwemusana
• Kuvhiyiwa kwese kwekutsiva majoini
• Kukuvara kwehuropi (TBI)

Kashoma, zvimwe zvirwere zvemajini zvinogona kukonzerawo H2O. Zvimwe zvezvirwere izvi zvinosanganisira:

• Fibrodysplasia Ossificans Progressiva (FOP): Ichi chirwere chisingawanzoitiki chemajini. Chaimbozivikanwa seMyositis Ossificans Progressiva , chirwere ichi chinoita kuti nyama dzakapfava dzemuviri dzishanduke zvishoma nezvishoma kuita mapfupa.
• Progressive Osseous Heteroplasia (POH): Ichi chimwe chirwere chisingawanzoitiki chemajini.

Ndezvipi zviratidzo zveNongenetic Heterotopic Ossification?

Zviratidzo zveHeterotopic Ossification zvinogona kusiyana kubva pamunhu kuenda kune mumwe. Zvinoenderanawo nekuti chirwere chapararira kusvika papi uye kuti chakakomba sei. Pakutanga kwechirwere, zviratidzo zvakaita se:

• Marwadzo
• Kuzvimba
• Unyoro

Sezvo Heterotopic Ossification ichienderera mberi , unogona kutanga kunzwa bundu pasi peganda rako. Bundu iri dzimwe nguva rinogona kukura nekukurumidza uye kuita bundu guru . Zvingave zvakaoma kufambisa neminwe yako. Zvingave zvakare zvinorwadza kubata.

Padanho rekupedzisira rechirwere, bundu rinogona kuoma zvakanyanya . Kana riri pedyo nejoini, senge chiuno chako kana fudzi, rinogonawo kudzikamisa kufamba kwejoini rako . Funga nezvazvo, zvichiita kuti zviomere kusimudza ruoko rwako kana kukotamisa gumbo rako.

Ndezvipi zviratidzo zveGenetic Heterotopic Ossification?

Iye zvino ngationei kuti zviratidzo zvipi zvinogona kuitika nekuda kwemarudzi ezvirwere zvisingawanzoitiki (HO). Kana uine chirwere chemajini chinonzi (FOP) (Heterotopic Ossification), unogona kuona zviratidzo zvakaita seizvi:

• Chigunwe chikuru chetsoka chakashata
• Kukanganisika kwemusana
• Matambudziko emuumbirwo wemunwe wako

Sezvo chirwere ichi chichienderera mberi, vanhu vazhinji vanotanga zviratidzo zvakakomba . Semuenzaniso, zvinova zvakaoma kufamba, uye vamwe vanotonetseka kufema . Chirwere ichi chisingawanzoitiki (HO) dzimwe nguva chinogona kupfupisa makore ekurarama .

Mune chimwe chirwere chemajini, POH, zviratidzo zvinonyanya kuonekwa paganda . Muizvi, mapfupa anotanga kuumbwa munyama iri pasi peganda . Sezvo chirwere ichi chichienderera mberi, mapfupa anotangawo kuumbwa munyama dzinobatana mukati memuviri.

Kuongororwa kweHeterotopic Ossification kunoonekwa sei?

Kuti uzive kana uine Heterotopic Ossification, chiremba wako anogona kuita mimwe miedzo . Yakanyanya kukosha ndeyekuongororwa kwemifananidzo . Izvi zvinosanganisira:

• (CT scan)
• (Kuongororwa kweMRI)
• (Positron Emission Tomography - PET scan)
• (Kuongororwa kweUltrasound)
• (X-ray)

Miedzo iyi inogona kuona nzvimbo nehukuru hwemapfupa akawedzerwa.

Zvakakosha:Kana chiremba wako achifungidzira kuti une heterotopic ossification, anogona kusarudza kusaongororwa , izvo zvinosanganisira kutora chidimbu chenyama wochiongorora. Izvi zvinodaro nekuti kune mamwe marudzi e heterotopic ossification ayo, kunyangwe nekuvhiyiwa kudiki, anowedzera njodzi yekukura kwemapfupa kune dzimwe nhengo dzemuviri.

Kutsiva chiuno mushure mechiuno (HO) kunoonekwa sei?

Kana wakambova neHO mushure mekuvhiyiwa kwekutsiva chiuno, vanachiremba vanoshandisa zviyero zvekuongorora kuti HO yapararira kusvika papi.

Imwe yeanonyanya kushandiswa paaya ma Brooker classification . Zvichienderana nehurongwa uhwu, heterotopic ossification yakakamurwa kuita mazinga mana:

• Giredhi 1: Kune zvidimbu zvidiki zvemapfupa munyama yakatenderedza chiuno chako.
• Giredhi 2: Une mapfupa asina kurongeka (anonzi bone spurs ) akakomberedza chiuno chako kana femur. Asi pane nzvimbo inosvika 1 centimeter pakati pemapfupa aya.
• Giredhi 3: Mafupa emapfupa ari kutenderedza chiuno kana femur, asi daro riri pakati pawo riri pasi pesendimita imwe chete .
• Giredhi rechina: Joini yako yehudyu yakaoma (yakaomarara) kana kuti yava ankylosis (kusungana kwemapfupa) . Izvi zvinoreva kuti joini haigone kufamba zvakanaka.

Kune dzimwe nzira dzekuisa muzvikamu dzakadai. Dzese dzinotarisa zvinhu zvakafanana zve (HO). Chinhu chikuru chinoratidza kuoma kwe (HO) ndechekuti mapfupa iwayo aripo here uye kuti ari kure zvakadii .

Kugadziriswa kweHeterotopic kunorapwa sei?

Kurapwa kwe heterotopic ossification (HO) kunosiyana zvichienderana nezviratidzo zvako, rudzi rwe HO, uye kuti chirwere chacho chapararira kusvika papi. Kazhinji, chiremba wako anogona kukurudzira kurapwa kunotevera:

• Mishonga: Kune vanhu vane majini (Heterotopic Ossification), mishonga yakaita secorticosteroids inogona kupihwa panguva yekukwira kwechirwere kamwe kamwe.
• Kurapa muviri: Izvi zvinogona kubatsira kuwedzera kufamba kwemajoini ako uye kuderedza marwadzo. Nyanzvi yekurovedza muviri ichakudzidzisa maekisesaizi akakunakira.
• Kuvhiyiwa: Kana uine kurwadziwa kwakanyanya nekuda kwekusagadzikana kwemapfupa, kana kuti kufamba kwako kwakaoma zvekuti haugone kuita mabasa ezuva nezuva , kuvhiyiwa kunogona kuva nzira yekupedzisira yekubvisa pfupa rakawedzerwa. Zvisinei, pane njodzi diki yekuti HO inogona kudzoka mushure mekuvhiyiwa.Kazhinji, kana kuvhiyiwa kwakasarudzwa, ungangoda kurapwa nemishonga uye kunyange kurapwa nemwaranzi mushure mezvo kudzivirira kurasikirwa nemapfupa.

Kuumbwa kwemasero eropa (Heterotopic Ossification) kunogona kudzivirirwa here?

Kana wakarongerwa kuvhiyiwa kwemapfupa, chiremba wako anogona kukupa mamwe marapirwo ekuderedza njodzi yako yekuva neHO. Kunyanya, uri panjodzi huru yekuva neHO mushure mekuvhiyiwa kwekutsiva chiuno kana uine chimwe chezvirwere zvinotevera:

• (Ankylosing Spondylitis) (Ichi chirwere chinokonzera kuzvimba kwemajoini emusana)
• (Osteoarthritis) (Chirwere chemapfupa chinopera simba)
• Kana paine nhoroondo ye (HO) kare (Nhoroondo yeHO)

Muzviitiko izvi, chiremba wako anogona kukurudzira kurapwa kwekudzivirira kuchengetedza mhedzisiro yekuvhiyiwa kwako. Dzimwe ongororo dzakaratidza kuti kutora mishonga isiri yesteroidal anti-inflammatory (NSAIDs) usati wavhiyiwa uye nguva pfupi mushure mekuvhiyiwa kunogona kuderedza njodzi yekukuvadzwa neotitis media (HO) mushure mekuvhiyiwa.

Zvisinei, hapana nzira yakavimbiswa yekudzivirira zvachose kukura kweHeterotopic Ossification. Zvisinei, pane zvimwe zvinhu zvaunogona kuita kuderedza njodzi yako. Semuenzaniso, rapa kukuvara nemazvo nekukurumidza pakwakaitika . Izvi zvinoreva kushandisa nzira yeRICE :

• R - Zorora
• I - Aizi (Aizi)
• C - Kudzvinyirira
• E - Kukwirira (kuchengetedza nzvimbo yakakuvara yakakwira)

Uyewo, kurovedza muviri nesimba, kutambanudza muviri, uye kuzorora zvakakwana zvinogona kubatsira kudzivirira kukuvara.

Kana (Heterotopic Ossification) ikaitika, ichapera here?

Dzimwe nguva, hongu . Vanhu vazhinji vane HO isina majini vanopora zvachose . Kazhinji, HO inokura mushure mekukuvara inova nani nekurapwa kusingavhiyiwi, kwakadai sekuzorora, chando, uye maekisesaizi ekutambanudza muviri zvishoma.

Zvisinei, hapana mushonga werudzi rwemajini (HO) . Kunyangwe kurapwa kuchigona kudzora zviratidzo, chirwere chinokura zvishoma nezvishoma.

Chii chimwe chandinofanira kubvunza chiremba?

Kana ukaona kuti une chirwere (HO), zvakajairika kuva nemibvunzo yakawanda. Ungangoda kubvunza chiremba wako zvinhu zvakaita seizvi:

• "Ndine rudzii rwe (HO)?"
• "Chii chingangove chikonzero chikuru cheizvi?"
• "Ndeapi marapirwo anoitwa (Heterotopic Ossification)?"
• "Pane shanduko dzemararamiro andingaita here kudzivirira izvi?"
• "Ndeipi mikana yekupa jini (HO) kuvana vangu?" (Kana uine jini iri)

Kuoma kwemuviri (Heterotopic Ossification) kunorwadza here?

Ehe . Marwadzo munzvimbo yakakanganiswa ndicho chiratidzo chikuru uye chinowanzoonekwa cheHeterotopic Ossification. Kazhinji, kurwadziwa kunowedzera sezvo kukura kwemapfupa kuchikura.

Zvisinei, kana uine heterotopic ossification mushure mekukuvara kana kuvhiyiwa, pane mashoko akanaka . Vanhu vazhinji vane non-genetic (HO) vanopora zvizere nekurapwa.

Ko osteoporosis inokanganisa njodzi yekuva neHO mushure mekuvhiyiwa here?

Kwete. Mamwe matambudziko ehutano anogona kuwedzera njodzi yekurwara (HO) mushure mekuvhiyiwa. Zvisinei, hapana hukama hwakasimbiswa pakati pe (Osteoporosis) ne (HO).

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Saka, pamwe wava kunzwisisa kuti (Heterotopic Ossification) kuumbwa kwemapfupa matsva mukati menyama dzakapfava dzemuviri wedu, munzvimbo dzisingawanzova nemapfupa. Izvi zvinogona dzimwe nguva kukonzerwa nekukuvara kana kuvhiyiwa, kana kuti zvinogonawo kukonzerwa nezvikonzero zvisingawanzoitiki zvemajini.

• Usazvidya moyo: Kazhinji, kunyanya kana zvakakonzerwa nekukuvara, hazvina njodzi uye zvinogona kurapwa nekurapwa kwakakodzera.
• Ziva zviratidzo: Kana ukaona bundu idzva pamuviri wako, kana paine kurwadziwa kana kuzvimba munzvimbo iyoyo, kunyanya munzvimbo yakakuvara, zvakanaka kuti uone chiremba.
• Mhando dzemajini hadziwanzowaniki: Mhando dzemajini (HO) hadziwanzowaniki, asi dzinogona kunge dzakanyanya kuipa.
• Kune mishonga: Non-genetic (HO) inogona kuderedzwa nezvinhu zvakaita semishonga uye physiotherapy.

Kana muine mimwe mibvunzo nezvenyaya iyi, iva nechokwadi chekutaura nachiremba wenyu. Iye achakutsanangurirai zvakadzama.

Kuumbwa kwemapfupa , kukura kwemapfupa, nyama yakapfava, kukuvara, kuvhiyiwa, zvirwere zvemajini, kurwadziwa, kuzvimba, kufamba kwemajoini, mapfupa ekuwedzera