Mapfupa ako haana simba uye anorwadza here? Ngatidzidzei nezveizvi (Osteitis Fibrosa Cystica - OFC)!

Dzimwe nguva unonzwa kurwadziwa mumuviri wako, kunyanya mumapfupa ako here? Kana kuti unonzwa sekunge mapfupa ako ari kutyoka kunyange nechinhu chidiki diki here? Pamwe pane chirwere chiri shure kwezvinhu izvi chatisinganyanyi kutaura nezvacho, asi zvakakosha kuziva. Chimwe chezvirwere zvakadaro ndi `(Osteitis Fibrosa Cystica - OFC)`. Kunyange zvazvo zita iri ringaita serakaoma zvishoma, ngatiritsanangurei zviri nyore.

Chii chinonzi Osteitis Fibrosa Cystica (OFC)?

Zvichitaurwa zviri nyore, `(Osteitis Fibrosa Cystica - OFC)` chirwere chisingawanzoitiki chinokanganisa mapfupa edu. Chine chekuita zvakananga nemagland eparathyroid mumuviri wedu. Wakambonzwa nezvegland re thyroid. Kumashure kwaro kune magland mana aya eparathyroid. Magland aya anogadzira hormone yeparathyroid (`Parathyroid Hormone - PTH`) .

Iyi hormone `(PTH)` inokosha pakuchengetedza mapfupa edu akasimba uye ane hutano. Inobatsirawo kudzora huwandu hwecalcium muropa. Asi, fungidzira, chii chinoitika kana iyi hormone `(PTH)` ikagadzirwa yakawandisa, kureva kuti, yakawandisa? Ndipo panotanga dambudziko. Nekuda kweiyo `(PTH)` yakawandisa, pachinzvimbo chekusimbisa mapfupa, anotanga kupera simba zvishoma nezvishoma . Nekufamba kwenguva, chimiro chemapfupa chinogona kuchinja, uye zvinhu zvakaita semaburi (senge ma cysts azere nemvura) zvinogonawo kuumbwa mukati.

Kuwanda kwePTH uku kunogona kukonzera kuwedzera kwecalcium muropa, zvichikonzera kuumbwa kwematombo eitsvo, BP yakakwira (BP), uye kutadza kushanda kwemoyo.

Dambudziko iri rinonzi `(OFC)` nemamwe mazita akati wandei. Ungave wakambonzwa mazita aya:

• "Chirwere chepfupa chaVon Recklinghausen"
• `Osteitis fibrosa`
• `Cystica generalized`
• Osteodystrophia fibrosa
• Bundu rebhurauni remapfupa . Usavhunduke nezita iri. Kunyange zvazvo richiti `(Tumor)`, harisi `Cancer``. Zita iri rinoshandiswa nekuti vanhu vane `(OFC)` vane mavara matema anoonekwa nekuda kwekubuda ropa uye fibrous tishu mumapfupa avo. Asi harisi `(Tumor)` rekenza.

Mashoko ekuti "(Osteitis Fibrosa Cystica)" anoreva chimwe chinhu chakaita sekuti 'kunyunguduka kwemapfupa uye kuumbwa kwecyst'. Saka, kana huwandu hwe `(PTH)` hukawedzera, mapfupa anogona kukuvara chero nguva. Zvisinei, kana chirwere ichi chinonzi `(Hyperparathyroidism)` (kureva kugadzirwa kwakanyanya kwe `(PTH)`) chikaonekwa uye chikarapwa nekukurumidza, chirwere che `(OFC)` chinogona kurapwa kana kudzivirirwa kuti chisakure.

Dambudziko iri (OFC) rakajairika zvakadii?

Zvino ungangove uchishamisika kuti chirwere ichi chakajairika sei. Kutaura zvazviri, hachiwanzoitiki munyika dzine hutano hwakanaka . Semuenzaniso, kunyangwe muUnited States, vanhu vasingasviki 5% vane hyperparathyroidism vanowana OFC. Inowanzoonekwa muvanhu vane hyperparathyroidism yakanyanya vasina kurapwa kwenguva yakareba.

Asi kare, izvi zvaiwanzoitika. Makore angangoita makumi mashanu apfuura, vanhu vanosvika 69% vane ``Hyperparathyroidism'' vaiva nechirwere ichi chemapfupa. Asi nekufambira mberi kwesainzi yezvekurapa, kunyanya nekuuya kwe``Routine Blood Tests'', zvirwere izvi zvakakwanisa kuonekwa nekurapwa nekukurumidza. Hazvisi chinhu chakanaka here ichocho?

Ndezvipi zviratidzo zvechirwere ichi (OFC)?

Zvakanaka, ngationei zviratidzo zvinogona kuitika muchirwere chinonzi `(Osteitis Fibrosa Cystica)`.

Zviratidzo zvikuru ndeizvi:

• Kurwadziwa kwemapfupa . Ichi ndicho chinhu chekutanga chinonzwiwa nevanhu vazhinji. Dzimwe nguva, zvinogona kutorwadza kubata pfupa.
• Kutyoka . Mapfupa, kunyanya ari mumaoko, makumbo, kana musana, anogona kutyoka zviri nyore. Kunyangwe kudonha kudiki kunogona kutyoka pfupa.

Pakutanga kwechirwere ichi, zviratidzo zvinotevera zvinogonawo kuitika (izvi zvinogonawo kuva zviratidzo zve "Hyperparathyroidism"):

• Kunzwa kuneta nguva dzese ('Kuneta').
• Kushaya simba.
• Kusvotwa nekurutsa.
• Kuzvimba.
• Kuburitsa weti yakawanda kupfuura yakajairika (`Polyuria`). Izvi zvinoreva kuti unofanira kuenda kuchimbuzi kakawanda.

Kana uine zviratidzo izvi, usazvisarudzire wega kuti, "Oh, izvi ndizvo `(OFC)'." Nekuti zviratidzo izvi zvinogonawo kuwanikwa mune zvimwe zvirwere. Asi zvakakosha kuti uzvizive woudza chiremba.

Ndezvipi zvinokonzera chirwere (OFC)?

Chii chinokonzera Osteitis Fibrosa Cystica? Sezvandambotaura, chikonzero chikuru cheizvi iHyperparathyroidism isingarapwe . Kureva kuti, magland edu eParathyroid anogadzira PTH yakawandisa. Izvi zvinogona kuitika nenzira mbiri huru:

1. Kurwara kukuru kweropa: Izvi zvinokonzerwa nedambudziko remagland ako eparathyroid. Magland aya anogona kunge aine kenza (kenza) kana kuti aine bundu risiri rekenza (senge adenoma) riri kukonzera kuti abudise PTH yakawandisa. Kana kuti magland ese mana anogona kunge akakura (hyperplasia) uye achiburitsa mahormone akawandisa.

2. Secondary Hyperparathyroidism: Izvi zvinoitika nekuda kwechimwe chirwere. Semuenzaniso, kana munhu aine chirwere cheitsvo chisingaperi, calcium nevhitamini D mumuviri wake zvinokanganiswa. Zvadaro, nekudaro, parathyroid glands inotanga kugadzira PTH yakawanda. Zvakare, kana paine kushomeka kwakanyanya kwevhitamini D, calcium muropa inenge yakaderera, saka parathyroid glands dzinoshanda nesimba kuwedzera calcium. Panguva iyoyo, PTH hormone inowedzerawo, uye nekufamba kwenguva, Osteitis Fibrosa Cystica inogona kukura.

Fungidzirai, tete vedu Kamala vakanga vachitambura nedambudziko reitsvo kwenguva yakareba. Havana kutora mushonga wakakodzera weizvi. Mushure mechinguva, maronda avo e`(Parathyroid)`, vachitamburira kudzora calcium mumuviri wavo, vakatanga kugadzira `(PTH)` yakawanda kupfuura yaifanira kuitwa. Pakupedzisira, tete Kamala vakatanga `(OFC)` pamwe nekurwadziwa kwemapfupa. Unonzwisisa here kubatana kwacho?

Ndezvipi zvinetso zvinogona kuitika nekuda kwe (OFC)?

Matambudziko makuru e hyperparathyroidism isingarapwe uye OFC ane chekuita nemapfupa. Izvi zvinoreva kurwadziwa, kuremara kwemapfupa (kuchinja kwechimiro), uye kutyoka kuri nyore . Izvi ndizvo zvinhu zvinoonekwa ipapo ipapo. Munhu anogona kutodzikira urefu.

Zvisinei, pamusoro peizvi, mamwe matambudziko anogona kuitika. Aya ndiwo:

• Kuumbwa kwematombo eitsvo.
• Kukundikana kweitsvo.
• Simba shoma, kuneta nguva dzose.
• Kurwadziwa kwemudumbu.
• Matambudziko epfungwa akadai sekuora mwoyo.
• Matambudziko ekurangarira nekufunga.

Tarisa kuti dambudziko rinotanga panzvimbo imwe chete rinogona kusvika papi. Dambudziko riri mune imwe system yemuviri wedu rinogona kukanganisawo mamwe system. Ndosaka kuongororwa nekukurumidza uye kurapwa kwakakosha.

OFC inoonekwa sei?

Zvakanaka, zvino chiremba anoongorora sei chirwere ichi `(Osteitis Fibrosa Cystica)`?

Kutanga, chiremba wako achanyora nhoroondo yehutano hwako . Achakubvunza kuti wava nenguva yakareba sei uine zviratidzo izvi, kana uine zvimwe zvirwere (zvakaita sechirwere cheitsvo) zvinogona kukanganisa huwandu hwePTH yako, uye kuti uri kutora mishonga ipi. Zvadaro, vachaongorora mapfupa kuti vaone kana paine kurwadziwa, kupfava, kana kuremara kwemapfupa.

Kuti vasimbise chirwere ichi, vanachiremba vanogona kushandisa bvunzo dzakadai se:

• Kuongororwa kweropa: Izvi zvinotarisa kusarongeka kwemahormone nemaminerari. Zvikuru sei, zvinotarisa mazinga eparathyroid hormone (PTH), mazinga ecalcium, mazinga ephosphorus, mazinga evhitamini D, uye alkaline phosphatase (enzyme inoburitswa mumapfupa). MuOFC, mazinga ePTH uye alkaline phosphatase anogona kunge akakwira zvakanyanya.
• Kuongororwa kweweti: Unogonawo kutarisa huwandu hwecalcium muweti yako.
• Miedzo yemifananidzo:
• X-rays: Izvi zvinogona kuratidza kuti mapfupa acho matete sei, zvinhu zvakaita sema cysts, uye kana paine mapfupa madiki (microfractures) kana shanduko dzinoitika mumapfupa (senge subperiosteal resorption).
• CT Scans (`CT - Computed Tomography scans`) kana MRI Scans (`MRI - Magnetic Resonance Imaging scans`): Izvi zvinoratidza mamiriro emapfupa zvakadzama kupfuura X-rays.

Ndeipi mishonga yekurapa (OFC)?

Zvakanaka, ngatitaurei nezvekurapa `(Osteitis Fibrosa Cystica)`. Kurapa kunoenderana nerudzi uye kuoma kwe`(Hyperparathyroidism)` yakakonzera `(OFC)`.

• Kana primary hyperparathyroidism inokonzerwa ne:
• Kazhinji, kana chikonzero chechirwere ichi che`(OFC)` chiri kusashanda zvakanaka kwegland re`(Parathyroid)` (senge bundu), kurapwa kwakajairika ndekwekubvisa gland kana chikamu chegland (`Parathyroidectomy`) . Kuvhiya uku kunogona kumisa kutetepa kwemapfupa uye kudzoreredza kumwe kukuvara kwemapfupa kwatoitika (`remineralization`). Kazhinji, tine gland ina dze`(Parathyroid)`. Saka, kana gland iri dambudziko rabviswa, gland dzasara dzinogona kugadzira hormone ye`(PTH)` inodiwa nemuviri.

• Kune avo vasingakwanisi kuvhiyiwa kana vane secondary hyperparathyroidism:
• Kurapa chikonzero chiripo: Semuenzaniso, kana chikonzero chiri kushomeka kwevhitamini D, mishonga yekuwedzera yevhitamini D inopiwa. Kana chiri chirwere cheitsvo, chinorapwa zvinoenderana.
• Calcimimetics: Mishonga iyi inotevedzera calcium iri muropa rako. "Inonyengera" parathyroid gland yako kuti igadzire PTH shoma. Cinacalcet ndeimwe yemishonga yakadaro.
• Bisphosphonates: Mishonga iyi inoshanda nekuderedza mwero wekurasikirwa kwemapfupa. Inowanzo nyorerwa vanhu vane osteoporosis. Zvisinei, inogonawo kubatsira kwenguva pfupi kune vanhu vane OFC, kunyanya kusimbisa mapfupa vasati vavhiyiwa.
• Vhitamini D nezvimwe zvinowedzerwa mucalcium: Izvi zvinopihwa kana zvichidikanwa. Zvisinei, kana huwandu hwecalcium muropa hwakakwira, hazvipihwe zvinowedzerwa mucalcium.

Ndeipi tarisiro yemamiriro ezvinhu (OFC)?

Tariro yechirwere ichi che '(OFC)' ndeipi? Kutaura zvazviri, nekurapwa kwakakodzera, mhedzisiro yakanaka inogona kuwanikwa . Kurapwa kunogona kumisa kutetepa kwemapfupa uye kusimbisa mapfupa ('remineralize`). Mapfupa akatyoka anogona kupora uye kuderedza marwadzo. Zvisinei, kana mapfupa akaremara zvakanyanya, anogona kusapora zvizere.

Ko (OFC) inogona kudzivirirwa here?

Zvinokwanisika here kudzivirira kuitika kwechirwere ichi `(Osteitis Fibrosa Cystica)`? Ehe, zvinokwanisika kusvika pamwero wakati. Chinhu chikuru ndechekuziva nekurapa chirwere ichi `(Hyperparathyroidism)` nekukurumidza.

• Zvakakosha kuti uongororwe ropa nguva dzose , kunyanya kana uine zvinhu zvinokonzera njodzi zvakaita sechirwere cheitsvo. Izvi zvichakubatsira kuona chero shanduko mumazinga ecalcium nePTH muropa rako zvisati zvakonzera kukuvara kukuru.
• Uyewo, taura nachiremba wako uye chengetedza mazinga akanaka ecalcium nevhitamini D.Ita zvaunoda kuita. Semuenzaniso, kana uchigara munzvimbo isina chiedza chezuva munguva yechando, ungangoda kutora mavhitamini D. Chiremba wako achakuudzawo kuti ungawana sei zvinovaka muviri zvaunoda kubva muzvikafu zvaunodya.

Yeukai, kana chirwere che `(Hyperparathyroidism)` chikaonekwa nekukasika uye chikarapwa, mukana wekuti chibatwe ne `(Osteitis Fibrosa Cystica)` haunyanyi kukura.

Ndinofanira kuona chiremba rini?

Kana uine kurwadziwa kwemapfupa, kurwadza, kana pfupa rinonzwa sekunge richatyoka , enda kuna chiremba nekukasika. Uyewo, kana uine chimwe chezviratidzo zvekutanga zve hyperparathyroidism (zvakadai sekuneta, kuda kurutsa, uye kuita weti kakawanda) zvandakambotaura, udza chiremba wako nezvazvo. Kana watova ne hyperparathyroidism, zvakanaka kuti ropa rako riongororwe nguva nenguva kuti utarise huwandu hwecalcium nePTH yako, sezvinokurudzirwa nachiremba wako.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Kana ukaonekwa uine `(Osteitis Fibrosa Cystica)`, zvingabatsira kubvunza chiremba wako mibvunzo iyi:

• Mamiriro angu ezvinhu akaipa zvakadii?
• Ndedzipi nzira dzekurapa dzandinadzo? Ndezvipi zvakanakira nezvakaipa zveimwe neimwe?
• Zvakanaka here kuti nditore mishonga yekuwedzera? Yerudzii?
• Ndichada kuvhiyiwa here? Kana zvakadaro, chii chandingatarisira mushure mezvo?
• Ndezvipi zvandingachinja pakudya zvingandibatsira?
• Mamiriro ezvinhu aya achakanganisa sei hupenyu hwangu hwezuva nezuva?

Pakupedzisira, pfungwa shoma dzinokosha

Saka, ndinofanira kukuudza izvi. Mapfupa asina simba uye kurwadziwa zvinogona kukanganisa hupenyu hwedu hwezuva nezuva. Kana mapfupa ako akatyoka nyore nyore, ungatonzwa kuda kurega kuita zvimwe zvinhu. Kana uine zviratidzo zvakaita sekuneta, kushaya simba, kuda kurutsa, uye kuita weti nguva nenguva, zvinogona kunge zviri "Hyperparathyroidism" kana kuti dambudziko rayo "OFC".

Kana uine chimwe chezviratidzo izvi, ndapota ona chiremba nekukurumidza. Kana ukangoziva nekurapa chirwere ichi nekukurumidza, kukuvara kwaunogona kuita kumapfupa ako kushoma. Hutano hwako hwakakosha kwauri. Saka chengetedza.

Osteitis Fibrosa Cystica, OFC, Chirwere cheMapfupa, Parathyroid, PTH Hormone, Hyperparathyroidism, Marwadzo eMapfupa