Ingaba nomzimba wakho uqinile ngolo hlobo? Ngaba kunzima ukugoba umqolo wakho ngolo hlobo? Mhlawumbi oku (Diffuse Idiopathic Skeletal Hyperostosis - DISH)!

Ngaba ngamanye amaxesha uziva ngathi umzimba wakho uqinile kancinci, ingakumbi xa uvuka kusasa, kwaye kunzima ukugoba umqolo okanye intamo yakho? Okanye ngaba amalungu akho ayabuhlungu kancinci? Mhlawumbi ucinga ukuba oku kwenzeka njengoko ukhula. Kodwa, ayizizo zonke iintlungu nokuqina okuqhelekileyo. Namhlanje siza kuthetha ngemeko enegama elide, kodwa ebonwa kubantu abaninzi, ingakumbi emva kweminyaka engama-50. Oko kukuthi (i-Diffuse Idiopathic Skeletal Hyperostosis) , esiyibiza ngokuba yi-DISH ngamafutshane.

Yintoni ke le (DISH)? Kalula nje...

Kulungile, iDISH, ukuyibeka ngokulula, luhlobo lwe-arthritis. Kodwa okwenzekayo koku kukuba izicubu ezintsha zamathambo ziyakhula ukongeza kwizicubu ezithambileyo emzimbeni wethu. Khawucinge nje, imisipha emzimbeni wethu, iintambo ezibamba amalungu kunye, iindawo ezithambileyo ezijikeleze amalungu, ziba nzima njengelitye .

Eli gama linamagama amathathu. Igama elithi "Hyperostosis" libhekisa ekukhuleni kwamathambo ngokugqithisileyo. Kwi-DISH, iidipozithi ze-calcium ziyaqokelelana kwizicubu ezithambileyo ezinamathele kumathambo ethu. Le dipozithi ye-calcium ibangela ukuba izicubu ezithambileyo ziguquke kancinci zibe yithambo (i-ossification). Kufana nenyama encinci ejika ibe lilitye.

"Ukusasazeka" kuthetha ukuba le nkqubo inokwenzeka naphi na emzimbeni. Kodwa idla ngokuqala emqondweni wethu , ingakumbi embindini, oko kukuthi, kwinqanaba lesifuba (umqolo wesifuba). "Idiopathic" ithetha ukuba yenzeka ngaphandle kwesizathu esichanekileyo .

Le meko (i-DISH) inokubangela iintlungu zemisipha namathambo, iingxaki zokuhamba, kunye nezinye iingxaki. Ukukhula kwamathambo amatsha kunokubangela ukuqhekeka kwamathambo . Oku kunokuba ngathi yimeva kwaye kuphazamise ukusebenza kakuhle kwamalungu ethu.

Ngaba iDISH kunye nesifo seForestier ziyafana?

Hayi, elinye igama leDISH sisifo sikaForestier . Sathiywa ngegama likagqirha owaqala ukuchaza esi sifo ngeminyaka yoo-1950. Kamva, ngo-1975, uResnick kunye neqela lakhe basebenzisa igama elikhethekileyo elithi Diffuse Idiopathic Skeletal Hyperostosis. Ngoko ke, nangona bebizwa ngamagama amabini, bathetha ngento enye.

Ixhaphake kangakanani le meko ibizwa ngokuba yi-(DISH)?

I-DISH yimeko eqhelekileyo kubantu abadala . Idla ngokungaxhaphakanga kangako ngaphambi kokuba ifikelele kwiminyaka engama-40. Nangona kunjalo, malunga nama-40% abantu abangaphezu kweminyaka engama-50 ubudala banokuchaphazeleka yile meko. Kwakhona, amadoda anamathuba aphindwe kabini okuba nayo kunabafazi. Ngoko ke, njengoko ubona, esi ayisosifo singaqhelekanga.

Zithini iimpawu zeDISH? Uyazi njani?

Ayingabo bonke abantu abane-DISH abaneempawu ezinkulu. Abanye abantu banokuhlala iminyaka bengenazo naziphi na iimpawu. Nangona kunjalo, xa iimpawu zisenzeka, ezona mpawu zixhaphakileyo kukuqina kunye nentlungu ngokubanzi . Iintlungu zomqolo nentamo zixhaphake kakhulu. Usenokuziva oku ngakumbi xa uvuka kusasa kwaye xa kubanda . Usenokuphulukana nomgama wokuhamba , njengobunzima bokugoba nokulungisa iingalo zakho.

I-DISH idla ngokuchaphazela umqolo kunye nomqolo ophakathi, kodwa kamva inokuchaphazela amanye amalungu omzimba, njengeengalo nemilenze. Unokufumana iintlungu zamalungu okanye i-tendonitis kwezi ndawo:

• Emahlombe
• Ezinqeni
• Kwiingqiniba
• Emadolweni
• Emaqatheni
• Ngezithende

Ngamanye amaxesha iimpawu ziqala xa ukukhula kwamathambo amatsha, okubizwa ngokuba yi-bone spurs, kubeka uxinzelelo kwi-nerve ekufutshane . Oku kunokubangela iintlungu ezinzima. Le ntlungu inokuba qatha ngakumbi xa ushukumisa umzimba wakho ngendlela ethile okanye ubeka uxinzelelo kwindawo ethile.

I-nerve ecinezelweyo inokubangela oku kulandelayo:

• Ukuba ndindisholo okanye ukurhawuzelela
• Njengezikhonkwane neenaliti
• Ubuthathaka bemisipha

Khawucinge nje, ukuba umqolo wakho wesibeleko ukhula ithambo elongezelelweyo ngolu hlobo kwaye liqala ukucinezelwa nxamnye nomphimbo okanye umphimbo wakho, izinto ezinje zinokwenzeka:

• Ukurhawuzela
• Ubunzima bokuginya
• Ukuphazamiseka kokulala

Kutheni le nto (i-DISH) isenzeka? Zithini izizathu?

Oogqirha nabaphandi basazama ukufumanisa ukuba yintoni kanye kanye ebangela iDISH. Nangona kunjalo, kukho izinto ezininzi ekucingelwa ukuba zinegalelo kuyo. Nangona kunjalo, akukacaci ukuba zihlobene njani .

• I-Metabolism : Abantu abaninzi abane-DISH banesifo esibizwa ngokuba yi-metabolic syndrome . Eli liqela leemeko ezinxulumeneyo kwaye zonyusa umngcipheko wokuba nesifo sentliziyo. Imizekelo ibandakanya isifo seswekile, amanqanaba aphezulu e-insulin, amanqanaba aphezulu e-uric acid, i-cholesterol ephezulu, kunye nokutyeba kakhulu.
• I-Genetics : Abanye abantu abane-DISH banophawu olukhethekileyo kwiijini zabo olubizwa ngokuba yi-HLA-B8 . Olu phawu lwe-genetic lunxulunyaniswa nezifo ezizikhuselayo emzimbeni ezifana nesifo seswekile sohlobo 1.Kufunyaniswe ukuba inxulunyaniswa nezifo ezininzi zokuzikhusela komzimba. I-DISH ayithathwa njengesifo sokuzikhusela komzimba, kodwa abantu abaninzi abane-DISH nabo banesifo seswekile.
• Ukudumba : I-DISH ithathwa njengohlobo lwe-arthritis olungenazivuvuko zingako . Oko kukuthi, ayibangelwa kukudumba okwenzeka ngokuzenzekelayo, njengakwizifo ezizikhuselayo emzimbeni. Nangona kunjalo, kucingelwa ukuba kukho ukudumba okuncinci okunokubakho. Mhlawumbi oku kudumba yikona okuqalisa inkqubo yokufakwa kwe-calcium.
• Izinto ezibangela ukukhula : Amanqanaba agqithisileyo ezinto ezifana ne-human growth hormone (HGH), i-insulin, kunye ne-insulin-like growth factor 1 (IGF-1) emizimbeni yethu zinokubangela i-hyperostosis kwi-DISH. Izinto ezibangela ukukhula ziiproteni kunye neehomoni "ezixelela" imizimba yethu ukuba yenze izicubu ezintsha.

Ngubani osengozini enkulu yokuhlaselwa sisifo (i-DISH)?

Unamathuba amaninzi okuba ne-DISH ukuba ezi zinto ziyasebenza kuwe:

• Ukuba uneminyaka engaphezu kwama-50 ubudala.
• Ukuba uyindoda.
• Ukuba kukho ezinye iintlobo ze-arthritis.
• Ukuba une-metabolic syndrome.

Ingaba le meko ibizwa ngokuba yi-(DISH) ingaba yingozi kangakanani?

Asinguye wonke umntu one-DISH oneengxaki ezinkulu. Abanye abantu abazi nokuba banazo. Nangona kunjalo, kwezinye iimeko ezinzima , i-DISH inokubangela iingxaki ezinkulu.

Ezinye zezi ngxaki zezi:

• Ukucinezelwa kwentamo : Ukuvela kwamathambo kumqolo wakho wesibeleko kunokucinezela umphimbo okanye umqala wakho. Oku kunokwenza kube nzima ukuginya, ukuthetha, nokuphefumla. Oku kunokuba kubi kakhulu ebusuku. I-sleep apnea inokubangela amanqanaba aphantsi eoksijini emzimbeni, nto leyo ebeka uxinzelelo entliziyweni (hypoxia).
• Ukuqhekeka komqolo kunye nokungazinzi : (DISH) kubangela ukuba umqolo uqine, nto leyo eyenza kube lula ukuba uqhekeke . Nokuba ukuwa okanye ingozi encinci (ukuphazamiseka kwamandla aphantsi) kunokwaphula okanye kukhuphe i-vertebra kumqolo wakho. Oku kunokwenza umqolo wakho ungazinzi, nto leyo eyonyusa umngcipheko wokwenzakala ngakumbi.
• Ukucinezelwa kwentambo yomqolo : Kwiimeko ezinzima kakhulu, ukuqhekeka kwamathambo okanye ukuqhekeka kwamathambo amakhulu kumqolo kunokucinezela intambo yomqolo. Oku kunokubangela iingxaki zemithambo-luvo ezifana ne -sciatica kunye nezinye iimpawu zemithambo-luvo ezibizwa ngokuba yi-myelopathy . Kwimeko embi kakhulu, ukukhubazeka kunokwenzeka.

Cinga ngayo njengenduku endala, eyomileyo eyenziwe ngomthi. Ayiguquguquki kancinci, ngoko ke inokuqhekeka lula nokuba icinezelwe kancinci. Umqolo we-(DISH) unjalo.

Ndingafumanisa njani ukuba kukho oogqirha (DISH)?

Oogqirha basebenzisa uvavanyo lwemifanekiso ukujonga iDISH. Oku kungafunyanwa nge-X- ray okanye i-ultrasound eqhelekileyo. Ukuba kufuneka iinkcukacha ezithe vetshe, kungenziwa i -CT scan (i-computed tomography scan).

Iingcali ze-radiology, oko kukuthi, oogqirha abajonga izinto ezifana ne-X-ray kunye ne-CT scans, bakhangela "ii-ossifications ezihambayo." Oko kukuthi, nokuba kukho ukukhula okukhulu kwamathambo kwi-vertebrae ezintathu okanye ezine ngokulandelelana, okanye nokuba i-ligaments ecaleni kwamathambo ziqinile. Oku kubonakala ngathi yi-wax ephuma kwikhandlela kwi-X-ray.

Ukuba uneempawu kwenye indawo emzimbeni wakho, baya kukhangela iimpawu zesifo kwezo ndawo. Kusenokubakho iidiphozithi zecalcium kumalungu okanye kwimisipha apho amathambo adibana khona.

Bakwakhangela iimpawu ezinokunceda ukwahlula i-DISH kwiimeko ezifanayo, ezifana ne -ankylosing spondylitis kunye ne-osteoarthritis . Ngamanye amaxesha, ezi meko zinokuhambelana ne-DISH.

Ziziphi iindlela zonyango ze-DISH?

Akukho nyango lwe-DISH. Nangona kunjalo, unyango lomzimba , okanye unyango lokuzilolonga, lunokunceda ekunciphiseni ukuqina komzimba kunye nokwandisa uluhlu lokunyakaza. Ingcali yonyango lomzimba inokucebisa imithambo engenampembelelo ingako onokuyenza ekhaya.

Ukuze unciphise iintlungu, ungasebenzisa izithomalalisi zentlungu ezingathengiswayo ngaphandle kwekhawuntara (OTC), ezifana neeNSAID (iziyobisi ezichasene nokuvuvukala ezingezizo iisteroid). Ugqirha wakho unokukunika amayeza okudambisa iintlungu ukuba kuyimfuneko. Iinaliti zeCortisone zinokunikwa nakwiindawo ezithile zentlungu.

Ugqirha wakho uza kujonga imeko yakho aze ajonge iingxaki ezifana nokuqhekeka kwamalungu omzimba. Ngamanye amaxesha, banokukunika uhlobo oluthile lonyango olubizwa ngokuba yi-bisphosphonates ukunceda ukuthintela okanye ukuphilisa ukuqhekeka kwamalungu omzimba.

Ukuba umthambo uqala ukucinezelwa, nokuba kungenxa yokukhula kakhulu okanye ukuqhekeka kwamathambo, kwaye ufumana iintlungu ezintsha okanye ezinye iimpawu, kunokufuneka wenze utyando ukuze unciphise uxinzelelo. Kwanamathambo aphukileyo ngamanye amaxesha kufuneka alungiswe ngotyando.

Liyintoni ikamva lomntu one-(DISH)?

(I-DISH) idla ngokuqala kamva ebomini, ngoko ke iba mandundu kancinci kancinci.Kungathatha ukuya kuthi ga kwiminyaka eli-10 ukuba iimpawu zibonakale. Ukuqala isicwangciso sonyango kwangoko nje ukuba iimpawu zibonakale kunokunceda ukuba zilawuleke.

Ukuba i-DISH inzima, inokubangela ukungasebenzi kakuhle , iphazamise imisebenzi yemihla ngemihla kwaye ikhululeke. Iingxaki ezinzima azixhaphakanga. Ukuba ziyenzeka, zinokunyangwa ngotyando.

Ngaba ikho indlela yokuthintela ukwakheka kwe-DISH?

Isizathu esichanekileyo seDISH asikaziwa, ngoko ke kunzima ukusithintela. Nangona kunjalo, abaphandi bayazi ukuba izinto ezibangela imetabolism ezifana neswekile ephezulu egazini, amanqanaba aphezulu e-insulin, kunye ne-triglycerides ephezulu ziyandisa umngcipheko.

Ukuba unengxaki ye-metabolic engabonakaliyo , eyona nto ingcono onokuyenza ukuthintela i-DISH ukuba ingaveli kukuzinyanga ezo meko ngokufanelekileyo . Nokuba sele iqalile i-DISH, ukunyanga ezi meko kunokunceda ukuthintela i-DISH ukuba ibe mandundu.

Ndingazinyamekela njani xa ndihlala ne-(DISH)?

Eyona nto ilungileyo kubantu abane-degenerative arthritis, njenge-DISH, kukwenza umthambo rhoqo, ongenampembelelo ingako . Ukuziqhelanisa nenkqubo yemihla ngemihla kunokukunceda ugcine ukuguquguquka kwakho namandla akho ixesha elide kangangoko kunokwenzeka.

Ngokubona ugqirha wakho rhoqo ukuze ahlolwe , unokujonga imeko yakho nendlela etshintsha ngayo. Oku kubavumela ukuba bangenelele ukuthintela iingxaki ezinkulu ngaphambi kokuba zenzeke.

I-Diffuse Idiopathic Skeletal Hyperostosis (DISH) yimeko enegama elide kwaye iseyimfihlakalo kancinci. Kodwa kuwe, ibangela iintlungu nokuqina. Uninzi lwexesha, ilula, kwaye abanye abantu bayiphambanisa nento eyenzekayo njengoko ukhula.

Nangona kunjalo, kubalulekile ukuxelela ugqirha ngeempawu zakho. Ukuba i-DISH ifunyenwe kwangethuba, wena nogqirha wakho ninokwenza isicwangciso sokulawula iimpawu zakho nokuthintela iingxaki.

Ezinye izinto endicinga ukuba zibalulekile kuwe (Umyalezo Wokuya Ekhaya)

Kulungile, ngoku uyaqonda ngcono into ebesithetha ngayo (DISH). Okokugqibela, nazi izinto ezibalulekileyo ekufuneka uzikhumbule:

• (DISH) yimeko apho ithambo elitsha lenziwa khona kwizicwili ezithambileyo zomzimba, nto leyo ebangela ukuqina kunye nentlungu, ingakumbi kwiindawo ezifana nomqolo nentamo.
• Oku kuqhelekile kubantu abaneminyaka engaphezu kwama-50 ubudala, ingakumbi amadoda.
• Ayingabo bonke abantu abaya kuba neempawu ezinkulu, kodwa ukuba ufumana ukuqina kwasekuseni, iintlungu, okanye ubunzima bokushukumisa umzimba wakho, xelela ugqirha wakho.
• Abantu abaneengxaki zemetabolism ezifana nesifo seswekile kunye ne-cholesterol ephezulu basengozini enkulu yokuhlaselwa yi-DISH.
• Nangona kungekho nyango lupheleleyo, iimpawu zinokulawulwa ngonyango lomzimba, amayeza okudambisa iintlungu, kwaye ngamanye amaxesha notyando.
• Eyona nto ibalulekileyo kukubona ugqirha ukuba unale mpawu, ungacingi nje ukuba ziimpawu eziqhelekileyo zokwaluphala. Ukufunyaniswa kwangoko kunokunceda ekuthinteleni iingxaki ezininzi.

Siyathemba ukuba olu lwazi uza kulufumana luluncedo. Hlala usempilweni!

` DISH, i-Diffuse Idiopathic Skeletal Hyperostosis, isifo samathambo, iintlungu zamalungu, iintlungu zomqolo, iintlungu zentamo, isifo samathambo