Majoini eminwe yako akura uye nzara dzako dzachinja here? Ngatidzidzei nezvechirwere ichi cheHypertrophic Osteoarthropathy!

Wakamboona here kuti zvigunwe zvako kana zvigunwe zvakakura zvisingawanzoitiki, uye nzara dzako dzakakotama kana kuti dzine chimiro chisina kujairika? Dzimwe nguva hatinyatsotarisiri izvi. Zvisinei, kana ukaona zviratidzo izvi, zvinogona kunge zviri chiratidzo chechirwere chinonzi 'Hypertrophic Osteoarthropathy' . Izvi zvinonziwo HOA muchidimbu. Chirwere chacho hachina njodzi, asi zvimwe zvirwere zvinokonzera kuti chide kurapwa. Saka, ngatitaurei nezve HOA iyi zvakadzama uye tidzidze zvakawanda.

Chii chinonzi hypertrophic osteoarthropathy (HOA)?

Zvichitaurwa zviri nyore, hypertrophic osteoarthropathy (HOA) chirwere chinoita kuti mativi eminwe yako kana zvigunwe zvizvimbe uye zviite denderedzwa (kusangana kwetsinga) uye kuchinja kwenzara dzako. Munhu ane HOA anogona:

• Migumo yeminwe kana zvigunwe zvinokura uye zvinozvimba .
• Nzara dzakakotama uye dzinoita sedzakakombama, sekunge dzakadhonzwa mudenga.

HOA dzimwe nguva inogona kutanga muhudiki kana kuyaruka. Kune vamwe vanhu, inogonawo kukura gare gare muhupenyu. Kunyange zvazvo HOA pachayo isingakuvadzi, kana paine chirwere chiri kukonzera, zvakakosha kuirapa.

Ndedzipi mhando huru dzeizvi?

Kune mhando mbiri huru dzeHOAs:

1. Primary Hypertrophic Osteoarthropathy (PHO): Rudzi urwu rwune majini, zvichireva kuti runogona kugarwa nhaka kubva kuvabereki kuenda kuvana.

2. Secondary Hypertrophic Osteoarthropathy (SHO): Rudzi urwu runokonzerwa nezvirwere zvisingaperi zvakaita sechirwere chemwoyo nechirwere chemapapu. Zvirwere izvi zvinowanzo kukonzera oxygen shoma muropa rako.

Ndiani ane mukana mukuru wekuwana chirwere ichi?

Kutaura zvazviri, chero munhu, pasinei nekuti murume kana mukadzi kana rudzi, anogona kuva nechirwere ichi chinonzi hypertrophic osteoarthropathy.

Zvisinei, chirwere chekutanga cheHOA (PHO) chinowanzoonekwa mukati megore rekutanga rehupenyu kana panguva yekuyaruka.

• Zvinonyanya kuwanikwa pakati pevanhu vatema.
• Zvinonyanya kuitika muvarume.

HOA yechipiri (SHO) chirwere chinowanzoonekwa kakawanda muvanhu vane makore ari pakati pe55 ne75.

Mamiriro ezvinhu aya akajairika zvakadii?

Vaongorori havagone kutaura kuti vangani vane HOA. Asi zvinozivikanwa kuti pakati pe95% ne97% yevanhu vane HOA vane secondary type (SHO) . Izvi zvinoreva kuti vanhu vazhinji vanochinja minwe yavo nekuda kwechimwe chirwere.

Sei HOA iyi iri kuumbwa? Ndezvipi zvikonzero?

Ngationei kuti chii chinokonzera izvi.

Zvikonzero zvePrimary HOA (PHO)

Izvi zvinokonzerwa nekuchinja kwemajini kunoitika pakuzvarwa . Mwana anogona kugara nhaka iyi shanduko yemajini kubva kuna amai, baba, kana vese vari vaviri.

Zvikonzero zve HOA yechipiri (SHO)

Chikonzero chikuru chechirwere chechipiri cheHOA (SHO) chirwere chemapapu . Kana chirwere ichi chikakonzerwa nechirwere chemapapu, chinonzi Hypertrophic Pulmonary Osteoarthropathy (HPOA) .

Chirwere chikuru chemapapu chinogona kukonzera HPOA ikenza yemapapu , kunyanya kenza yemapapu isiri masero madiki . Pamusoro pezvo, zvimwe zvirwere zvemapapu zvinogona kukonzera HPOA zvinosanganisira:

• Matumbu asina kunaka e pleura
• Zvirwere zvemapapu zvisingaperi
• Cystic Fibrosis (chirwere chemajini chinokanganisa kufema)
• Mesothelioma (kenza yemukati memapapu)
• Gomarara rakapararira kubva kune dzimwe nzvimbo uye rinokanganisa mapapu (Metastatic lung disease)
• Kukanganisika kwetsinga dzeropa mumapapu (kusarongeka kwetsinga dzeropa mumapapu)
• Chifuva chemapapu
• Sarcoidosis (kuumbwa kwemasero muzvikamu zvakasiyana zvemuviri)

Kune zvimwe zvinhu zvinogona kukanganisa HOA yechipiri (SHO):

• Zvirwere zvechiropa, bile, uye gallbladder (zvirwere zvehepatobiliary):
• Biliary Atresia (Kuvharwa kweBile Duct muVana Vadiki)
• Kenza
• Kurwara kwechiropa
• Cholangitis Yekutanga yeBiliary
• Chirwere chaWilson (kuunganidzwa kwemhangura mumuviri)
• Zvirwere zvemwoyo:
• Atrial myxoma (bundu risiri rekenza rinoumbwa mumoyo)
• Chirwere chemwoyo chinonzi Cyanotic (chirwere chemwoyo umo mweya wekufema unodzikira muropa)
• Kutapukira kwemukati memwoyo (Infective Endocarditis)
• Zvirwere zvemudumbu:
• Kushandisa mishonga yekurara zvisina kunaka
• Achalasia (dambudziko nekushanda kwe sphincter yesophageal)
• Kenza
• Familyal Adenomatous Polyposis (kukura kudiki muura hukuru)
• Zvirwere zveMatumbu Zvinozvimba

Pamusoro peizvi, mamwe mamiriro ezvinhu akawanda anogona kukonzera SHO:

• Chirwere cheCeliac (gluten allergy)
• Zvirwere zvemudumbu zvakaita semanyoka
• Chirwere cheGraves (hyperthyroidism)
• Hyperthyroidism
• Myelofibrosis (chirwere chemupfupa)
• Chirwere chePOEMS
• Thymoma (bundu remudumbu remudumbu)

Fungidzira, mumwe munhu waunoziva anga achikosora kwenguva yakati rebei uye minwe yake yachinja seizvi, uye mushure mekuona chiremba ndipo paakazoziva kuti idambudziko remapapu. Saka zvakakosha kutarisisa zviratidzo izvi.

Ndezvipi zviratidzo zveHOA?

Chiratidzo chikuru cheHOA kuzvimba kweminwe kana zvigunwe. Izvi zvinowanzobata mativi ese emuviri zvakaenzana. Unogona kuona zvinhu zvakaita se:

• Migumo yeminwe kana zvigunwe yakazvimba uye yakatenderera .
• Makwinya ari pamajoini ari pedyo neminwe ari kunyangarika.
• Nzara dzakakombama dzichidzika pasi uye dzinoita sedziri kuyangarara.
• Ganda riri pasi penzara rinopenya uye rinotetepa .
• Nzara dzinova dzakapfava .
• Migumo yeminwe kana zvigunwe zvitsvuku uye zvinonzwa kudziya .

Zvimwe zvinhu zveHOA zvaunogona kuona zvinosanganisira:

• Kuwanda kwemasero eganda. Izvi zvinogona kukonzera zvirwere zvakaita semapundu, kudikitira zvakanyanya (hyperhidrosis), kurereka kwemaziso ekumusoro (upper eyelid ptosis), uye seborrheic dermatitis.
• Periostitis kuzvimba kwemasero anofukidza mapfupa. Izvi zvinogona kukonzera marwadzo muzvitsitsinho, maoko, kana mabvi.
• Kuzvimba kwenyama dzakapfava dzemakumbo (kuora kusina maburi).
• Kukora kwemapfupa muzvitsitsinho nemaoko.
• Kukora kweganda (Pachydermia). Ganda riri pachiso nemusoro rinogona kukwesha uye kuva nemativi akadzika.

Ndezvipi zvinhu zvakakosha zve secondary HOA (SHO)?

Kuwedzera kune zviratidzo zvakajairika zveHOA zvambotaurwa, vanhu vane HOA yechipiri (SHO) vanogonawo kubuda ropa mumajoini . Apa ndipo apo mvura yakawanda inoungana munyama dziri mukati nedzakapoteredza majoini. Kubuda ropa mumajoini kunogona kukonzera:

• Marwadzo
• Kutsvuka
• Kuomarara
• Kuzvimba

Kuzvimba kwemajoini kunokonzerwa neSHO kunowanzoonekwa mumabvi nemaoko .

Unoona sei izvi? Vanachiremba vanoongorora sei?

Paunoenda kunoona chiremba, chinhu chekutanga chavanoita ndechekutarisa kana paine mavanga paminwe yako kana zvigunwe. Pamusoro pezvo, vachatsvagawo zvinotevera panguva yekuongororwa kwemuviri:

• Zvimiro zvechiso zvave kuomarara here?
• Makumbo ako akazvimba here?
• Pane kurwadziwa here paunodzvanya zvitsitsinho, mabvi, kana maoko?
• Mapfupa ari muzvitsitsinho nemaoko ari kukora here?

Kana chiremba akafungidzira kuti ane chirwere chinonzi HOA, anogona kuita bvunzo dzakawanda, dzakadai se:

• Chiratidzo cheprofile yaLovibond:Paunotarisa munwe wako uri padivi, unowanzoona kona yakafara yakaita se "V" apo plate yenzara inosangana neganda rakapetwa pasi penzara (proximal nail fold). Kana uine HOA, nzara yako yakakotama pasi, zvichiwedzera kona iyi. Munzara yakajairika, kona iyi i160 degrees kana pasi. Munzara ine clubbed, i180 degrees kana kupfuura.
• Chiyero chekudzika kwePhalangeal: Une mapfupa matatu (phalanges) mumunwe wega wega. Pfupa rinobata nzara (distal phalange) rinowanzova pfupi pane pfupa riri pedyo naro (pakati phalange). Kana uine HOA, pakati phalange yako ipfupi pane distal phalange yako.
• Chiratidzo chaSchamroth: Isa nzara dzeminwe yako yekumberi pamwe chete. Tsvaga mukaha wakaita sedhaimani (hwindo) pakati pehwaro hwenzara necuticles. Kana pasina mukaha, ungangove uine HOA.

Miedzo yekuwedzera yekuona HOA yechipiri (SHO)

Kana chiremba achifungidzira kuti chimwe chirwere chiri kukonzera HOA, anogona kupa mimwe miedzo yakati wandei:

• Angiography (kuongorora tsinga dzeropa)
• Kuongororwa kwegasi reropa re arterial
• Kuongororwa kweropa
• Kuongororwa kwemapfupa
• X-ray yechipfuva
• Kuongororwa kweCT (Computed Tomography scan) kana kuongororwa kweultrasound (Ultrasound)
• Echocardiogram kana Electrocardiogram (EKG)
• Kuskena kweMRI (MRI - Magnetic Resonance Imaging)
• Kuyedzwa kwebasa remapapu

Miedzo iyi inogona kubatsira chiremba wako kuwana chikonzero cheHOA yako. Kana scan ikaratidza kukura kusina kujairika (senge bundu), chiremba wako anogonawo kukukurudzira kuti utore biopsy (kutora sampuli yemasero woaedza). Izvi zvinogona kubatsira kuona chikonzero chaicho chekukura kwacho.

Izvi zvinorapwa sei?

Nzira dzekurapa dzinosiyana zvichienderana nerudzi rweHOA.

Kurapwa kweHOA yekutanga (PHO)

Kana usina kurwadziwa kana zviratidzo zvako zvisina kunyanya kuipa, ungasada kurapwa kwakakosha kwechirwere chekutanga cheHOA (PHO). Zvisinei, kana uine zviratidzo, unogona kushandisa mishonga yakaita se:

• Mishonga inodzivirira kuzvimba isiri yesteroidal (NSAIDs)
• Zvinodzivisa COX-2
• MaBisphosphonates
• Octreotide

Kurapwa kweHOA yechipiri (SHO)

Pakurapa chirwere chechipiri cheHOA (SHO), chinhu chikuru ndechekurapa chinokonzera chirwere ichi . Kurapa kunogona kusanganisira:

• Kurapa kwemishonga inorwisa mabhakitiriya pakurapa TB
• Kurapa kenza yemapapu nemakemikari
• Kuisirwa chiropa kana kuisirwa chiropa chechirwere chechiropa
• Kuvhiyiwa kwekuisirwa mapapu e cystic fibrosis
• Kubviswa kwemabundu emapapu ne radiofrequency (kushandisa kupisa kuparadza bundu)
• Kuvhiyiwa kwechirwere chemwoyo kana kenza yemapapu

Kana chirwere chiri kukonzera SHO chikasagona kurapwa, chiremba anogona kukukurudzira mishonga yekudzora zviratidzo.

Zvinotora nguva yakareba sei kuti munhu apore kubva pakurapwa?

Izvi zvinoenderana nerudzi rweHOA yaunayo, kuoma kwechirwere, uye kurapwa kwaunowana. Kana chirwere chacho changorapwa, kurara nechikwata kunogona kupera nekukurumidza.

Pane zvatingaita here kuderedza kuitika kweizvi?

Njodzi yePrimary HOA (PHO)

Sezvo PHO iri majini, hapana chatingaita kuderedza kuumbwa kwayo.

Njodzi yechipiri yeHOA (SHO)

Kuti uderedze njodzi yekubatwa neSHO, zvakakosha kuti utevedzere mararamiro ane hutano . Izvi zvinonyanya kukosha kana uri panjodzi yechirwere chemwoyo kana chirwere chemapapu. Heano mamwe maitiro aunogona kuita:

• Kuramba uine huremu hwakanaka.
• Kudya chikafu chine hutano pamoyo.
• Kurovedza muviri nguva dzose.
• Kuderedza kushandiswa kwedoro nezvinodhaka.
• Kurega kusvuta. Izvi zvakakosha zvikuru, nekuti kusvuta ndicho chikonzero chikuru chezvirwere zvakawanda zvemapapu.
• Kuderedza kushushikana.

Ramangwana richange rakaita sei kune munhu ane HOA?

Kune mumwe munhu ane HOA yekutanga (PHO)

PHO inogona kurega kuipa yoga. Dzimwe nguva, kunyanya mushure mekuyaruka, inogona kutopera zvachose.

Kune mumwe munhu ane HOA yechipiri (SHO)

Kana chikonzero chacho chikarapwa zvinobudirira, chirwere chacho chinogona kurapwa zvachose. Zvisinei, kana chikonzero chacho chikasagona kurapwa zvinobudirira (semuenzaniso, kenza yakakomba), chirwere chacho chinogona kuramba chiripo.

Chii chinoitika kana mamiriro eHOA akaramba kwenguva yakareba?

Kana mamiriro ezvinhu eHOA ave achiitika kwenguva yakareba, unogona kusangana nezvinhu zvakaita se:

• Kurasikirwa kwekufamba kwemajoini
• Osteoarthritis (kurwadziwa kwemajoini)
• Marwadzo

Zvisinei, yeuka kuti zviratidzo izvi zvakawanda zvinogona kudzorwa nekurapwa kwakakodzera .

Kana paine HOA, unozvitarisira sei?

Kana uine HOA, chinhu chakanakisa chaungaita kuramba uchitora mushonga waunopiwa kudzora zviratidzo zvako. Zvakakosha kutevedzera mirairo yachiremba wako.

Unofanira kuona chiremba rini?

Unofanira kungwarira nezvezvinhu izvi:

• Mushure mekurapwaKana zviratidzo zvekuramba uri muchikwata zvikadzoka, enda kuna chiremba. Izvi zvinogona kuratidza kudzoka kwechirwere chacho.
• Kana uine zvinokunetsa nezvemigumisiro yekurapwa .
• Kana pasina kuvandudzika kunoonekwa pasinei nekurapwa kwenguva yakati.

Muzviitiko zvakadaro, chiremba wako anogona kukupa mamwe marapirwo akakodzera iwe.

Pfupiso: Zvinhu Zvekurangarira (Mharidzo Yekuenda Nayo Kumba)

Zvakanaka, ngatimborangarirai zvishoma zvatataura nezvazvo.

Hypertrophic osteoarthropathy (HOA) chirwere apo miromo yeminwe inozvimba uye nzara dzinochinja chimiro. Chinogona kuva chekutanga (chemajini) kana chechipiri (chinokonzerwa nechimwe chirwere). Zvikonzero zvikuru zvechirwere chechipiri cheHOA chirwere chemapapu nemoyo.

• Zviratidzo: Kuzvimba kweminwe, nzara dzezvigunwe dzakakura, kurwadziwa kwemajoini, uye kukora kweganda.
• Kuongororwa: Kuongororwa nachiremba, bvunzo dzakakosha (Lovibond, Shamroth scores), uye scans kuti uone chikonzero chacho.
• Kurapa: Kune PHO, mushonga unopiwa zvichienderana nezviratidzo. Kune SHO, chinhu chikuru kurapa chirwere chiripo.
• Chinonyanya kukosha: Kana ukaona chero shanduko muminwe yako, usazviregeredza uye tsvaga mazano echiremba. Nekuti, kunyangwe HOA isiri njodzi, chirwere chiri kukonzera chinogona kuva nengozi.

Ndinovimba kuti ruzivo urwu runobatsira. Ramba uine hutano hwakanaka!

` Hypertrophic Osteoarthropathy, kuzvimba kweminwe, kuchinja kwenzara, PHO, SHO, chirwere chemapapu, chirwere chemwoyo, kurwadziwa kwemajoini, kubatwa ne clubbing