Ngaba amathambo akheka kwiindawo ezingaqhelekanga emzimbeni? Masifunde ngale nto (i-Heterotopic Ossification)!

Ngaba wakha waziva ngathi lithambo elincinci elikhula kwindawo apho kungekho thambo, oko kukuthi, kwizicubu ezithambileyo ezifana nezihlunu? Okanye, emva kokwenzakala okukhulu okanye utyando, ngaba uziva into engaqhelekanga, njengeqhubu, eliqinileyo kancinci, kuloo ndawo? Mhlawumbi livakala ngathi liya likhula ngakumbi nangakumbi. Usenokuba uzibuza ukuba oku kumalunga nantoni na kwaye kutheni kwenzeka. Yiloo nto siza kuthetha ngayo namhlanje. Ngokwezonyango, le meko ibizwa ngokuba yi- (Heterotopic Ossification) , okanye (HO) ngamafutshane.

Yintoni le (iHeterotopic Ossification)? Ngamafutshane nje...

Ngamafutshane, i-Heterotopic Ossification yinkqubo yokukhula kweeseli ezintsha zamathambo nokwenza ithambo ngaphandle kwenkqubo yethu yamathambo, kwizicubu ezithambileyo ngaphandle kwamathambo ethu . Ezi zifana neziqwenga zamathambo ezongezelelweyo . Ezi zihlala zenzeka emva kokwenzakala . Nangona kunjalo, ngamanye amaxesha le meko inokwenzeka ngaphandle kwesizathu esicacileyo.

Khumbula, kubantu abaninzi, iziqwenga zamathambo ezongezelelweyo ezenziwe ngolu hlobo zincinci kakhulu. Ngenxa yoko, azibangeli zimpawu zinkulu. Nangona kunjalo, ngamanye amaxesha, ukuba ezi ziqwenga zamathambo zikhula zibe nkulu kancinci, zinokuthintela ukuhamba kwakho kwaye zibangele neengxaki ezinkulu.

Ziziphi iintlobo eziphambili ze-Heterotopic Ossification?

Oku (i-Heterotopic Ossification) kunokwahlulwahlulwa zibe ziintlobo ezimbini eziphambili:

1. Uhlobo olungelulo ufuzo:

• Olu lolona hlobo luxhaphakileyo . Lunokwenzeka nakubani na ubudala.
• Nangona ngamanye amaxesha kuthiwa kwenzeka ngaphandle kwesizathu, amaxesha amaninzi kwenzeka ngenxa yokulimala okuthile . Oko kukwenzakala kunokuba kukwenzakala ngenxa yengozi, okanye kungaba yimpembelelo kwizicwili ngenxa yotyando. Khawuthelekelele, uwile waza wenzakala esandleni sakho, okanye kwafuneka wenze utyando olukhulu, kulapho ke kunokwenzeka ukuba le meko ivele khona.

2. Uhlobo lwemfuza:

• Oku kunqabile kakhulu . Bambalwa kakhulu abantu emhlabeni abanale genetic variant (HO).
• Xa i-HO ibangelwa zizizathu zemfuza, inokuba nzima ngakumbi . Umzekelo, ukukhubazeka komqolo, iingalo, okanye imilenze kunokwenzeka. Le meko yemfuza ngamanye amaxesha inokuba nzima kakhulu .

Ngubani onokuthi aphuhlise oku (i-Heterotopic Ossification)?

I-NONgenetic HO inokukhula nakubani na. Nangona kunjalo, ukuba ukhe wenzakala okanye watyandwa ngaphambili , unamathuba amaninzi okuba nale meko.

Malunga nekota ezintathu zabantu abane-HO, okanye malunga ne-75% , le meko ibangelwa luhlobo oluthile lokulimala.Abantu abanezi meko basengozini enkulu yokuphuhlisa isifo (HO):

• Ukulimala komqolo: Kubantu abali-10 abanale mingcipheko, malunga naba-2 ukuya kwaba-3 baya kuba ne-HO.
• Ukulimala entloko: Oku kunokwenzeka kumntu omnye okanye ababini kwabalishumi abaye benzakala engqondweni, ingakumbi ukwenzakala entloko ivaliwe.
• Ukutshintshwa kwesinqe ngokupheleleyo: Ukwenzeka kwe-HO emva kotyando lokutshintshwa kwesinqe kudla ngokuba kuncinci. Nangona kunjalo, ngamanye amaxesha kunokubangela intshukumo encinci kunye nokuqina kwesinqe.
• Ukususwa kwesitho emva kokwenzakala okubuhlungu: Kufunyenwe ukuba abantu abangaphezu kwe-9 kwabayi-10 abaye basuswa isitho somzimba ngenxa yokwenzakala okukhulu banokuba nale meko (HO).

Malunga nesiqingatha sabantu abangenazo izakhi zofuzo (HO) ngabantu abadala abaselula abakwiminyaka yabo yama-20 nama-30 . Kwakhona, amadoda anamathuba amancinci okufumana esi sifo kunabafazi.

Xa sithetha ngeentlobo-ntlobo zemfuza, azixhaphakanga kakhulu. Ngokutsho kweengcali, bangaphantsi kwama-5,000 abantu kwihlabathi liphela abanesifo semfuza esibangela (HO).

I-Heterotopic Ossification iyichaphazela njani umzimba wam?

(HO) inokwenzeka naphi na emzimbeni. Nangona kunjalo, idla ngokubonakala kwiindawo ezisengozini yokwenzakala . Umzekelo:

• Ingqiniba
• Iminwe
• Intamo okanye intloko
• I-pelvis
• Igxalaba
• Ithanga

Zithini izizathu ze-Heterotopic Ossification?

I-HO idla ngokwenzeka emva kokwenzakala . Inokwenzeka nasemva kotyando. Umzekelo, abantu abaye bafakelwa i-hip replacement ngokupheleleyo ngamanye amaxesha baba ne-HO, kodwa uninzi lwexesha ayibangeli zimpawu zinkulu.

Usemngciphekweni omkhulu wokufumana i-HO ukuba unayo:

• Ukuqhekeka kwethambo
• Tshisa
• Ukulimala komqolo
• Utyando lokutshintshwa kwamalungu onke
• Ukulimala kwengqondo okubuhlungu (TBI)

Kunqabile kakhulu ukuba izifo ezithile zemfuza zingabangela i-H2O. Ezinye zezi zifo ziquka:

• I-Fibrodysplasia Ossificans Progressiva (FOP): Esi sisifo esingaqhelekanga kakhulu esibangelwa yimfuza. Ngaphambili esasaziwa ngokuba yiMyositis Ossificans Progressiva , esi sifo sibangela ukuba izicubu ezithambileyo zomzimba ziguquke kancinci zibe ngamathambo.
• I-Progressive Osseous Heteroplasia (POH): Le yenye imeko engaqhelekanga yemfuza.

Zithini iimpawu ze-Nongenetic Heterotopic Ossification?

Iimpawu ze-Heterotopic Ossification zingahluka kumntu nomntu. Zikwaxhomekeke ekubeni isifo sisasazeke kangakanani kwaye sibi kangakanani. Kwinqanaba lokuqala lesi sifo, iimpawu ezifana nezi:

• Intlungu
• Ukudumba
• Ububele

Njengoko i-Heterotopic Ossification iqhubeka , unokuqala ukuziva iqhuma phantsi kolusu lwakho. Eli qhuma ngamanye amaxesha linokukhula ngokukhawuleza kakhulu libe liqhuma elikhulu . Kunokuba nzima ukulishukumisa ngeminwe yakho. Kunokuba buhlungu nokulichukumisa.

Kwinqanaba lokugqibela lesi sifo, iqhubu linokuba nzima nangakumbi . Ukuba likufutshane nelungu, njengethanga okanye igxalaba lakho, linokunciphisa intshukumo yelungu lakho . Cinga ngalo, okwenza kube nzima ukuphakamisa ingalo yakho okanye ukugoba umlenze wakho.

Zithini iimpawu ze-Genetic Heterotopic Ossification?

Ngoku makhe sibone ukuba zeziphi iimpawu ezinokubakho ngenxa yezo ntlobo zemfuza ezingaqhelekanga (HO). Ukuba unesifo semfuza esibizwa ngokuba yi-(FOP) (Heterotopic Ossification), ungazibona iimpawu ezifana nezi:

• Ubhontsi omkhulu we-Misshapen
• Ukukhubazeka komqolo
• Iingxaki zesakhiwo kwiminwe yakho

Njengoko isifo siqhubeka, abantu abaninzi baba neempawu ezinzima kakhulu. Umzekelo, kuba nzima ukuhamba, kwaye abanye abantu baba nobunzima bokuphefumla . Le meko ingaqhelekanga (HO) ngamanye amaxesha inokunciphisa ixesha lokuphila .

Kwesinye isifo semfuza, i-POH, iimpawu zibonakala kakhulu eluswini . Kule meko, amathambo aqala ukwakheka kwizicubu ezingaphantsi komzimba . Njengoko isifo siqhubeka, amathambo aqala ukwakheka kwizicubu ezinxibelelanayo ngaphakathi emzimbeni.

Ifunyanwa njani iHeterotopic Ossification?

Ukuze ufumane ukuba unayo na i-Heterotopic Ossification, ugqirha wakho unokwenza uvavanyo oluthile. Ezona zibalulekileyo kwezi ziimvavanyo zokuthatha imifanekiso . Ezi ziquka:

• (Iskeni ye-CT)
• (Iskeni ye-MRI)
• (I-Positron Emission Tomography - iskeni ye-PET)
• (Iskeni ye-Ultrasound)
• (I-X-reyi)

Olu vavanyo lunokuchonga ngokuchanekileyo indawo kunye nobukhulu beziqwenga zethambo ezongezelelweyo.

Kubalulekile:Ukuba ugqirha wakho ukrokrela ukuba une-heterotopic ossification, angakhetha ukuphepha ukwenziwa i-biopsy , equka ukuthatha isiqwenga sethishu aze asivavanye. Oku kungenxa yokuba kukho iintlobo ezithile ze-heterotopic ossification, nangona kukho utyando oluncinci, olunyusa umngcipheko wokukhula kwethambo kwezinye iindawo zomzimba.

Ifunyanwa njani i-post-hip replacement (HO)?

Ukuba ufumene i-HO emva kotyando lokutshintshwa kwe-hip, oogqirha baza kusebenzisa izikali ezikhethekileyo zokulinganisa ukuvavanya ukuba i-HO isasazeke kangakanani.

Enye yezona zisetyenziswa kakhulu kwezi yiBrooker classification . Ngokwale nkqubo, i-heterotopic ossification yahlulwe yangamanqanaba amane:

• Ibanga loku-1: Kukho iziqwenga ezincinci zethambo kwizicubu ezijikeleze isinqe sakho.
• Ibanga lesi-2: Unee-bone spurs ezingacwangciswanga (ezibizwa ngokuba zii-bone spurs ) ezijikeleze i-pelvis okanye i-femur yakho. Kodwa kukho ubuncinane isentimitha enye yesithuba phakathi kwezi thambo spurs.
• Ibanga lesi-3: Ii-bone spurs zijikeleze i-pelvis okanye i-femur, kodwa umgama phakathi kwazo ungaphantsi kwe-1 centimeter .
• Ibanga lesi-4: Ilungu lakho lesinqe liqinile (liqinile) okanye libe yi -ankylosis (ukuvaleka kwamathambo) . Oku kuthetha ukuba ilungu alikwazi ukuhamba kakuhle.

Kukho ezinye iindlela zokuhlela ezinje. Zonke zijonga iimpawu ezifanayo ze-(HO). Eyona nto iphambili echaza ubunzima be-(HO) kukuba ingaba ezo thambo zikho na kwaye zikude kangakanani .

Iphathwa njani i-Heterotopic Ossification?

Unyango lwe-heterotopic ossification (HO) luyahluka ngokuxhomekeke kwiimpawu zakho, uhlobo lwe-HO, kunye nokuba isifo sisasazeke kangakanani. Ngokubanzi, ugqirha wakho unokucebisa olu nyango lulandelayo:

• Amayeza: Kubantu abane-genetic (Heterotopic Ossification), amayeza afana ne -corticosteroids anokunikwa ngexesha lokwanda kwesifo ngequbuliso.
• Unyango lomzimba: Oku kunokunceda ukwandisa uluhlu lokushukuma kwamalungu akho kunye nokunciphisa iintlungu. Ingcali yonyango lomzimba iya kukufundisa imithambo efanelekileyo kuwe.
• Utyando: Ukuba unentlungu ebuhlungu ngenxa yokuqina kwethambo, okanye ukuba ukuhamba kwakho kuncinci kangangokuba awukwazi ukwenza imisebenzi yemihla ngemihla , utyando lunokuba yindlela yokugqibela yokususa ithambo elongezelelweyo. Nangona kunjalo, kukho umngcipheko omncinci wokuba i-HO inokuphinda ivele emva kotyando.Kwiimeko ezininzi, ukuba utyando lugqityiwe, kunokufuneka ufumane amayeza kwanonyango lwemitha emva koko ukuze uthintele ukulahleka kwamathambo.

Ngaba i-Heterotopic Ossification ingathintelwa?

Ukuba ucwangciselwe ukwenza utyando lwamathambo, ugqirha wakho unokukunika unyango oluthile ukunciphisa umngcipheko wokuba ne-HO. Ngokukodwa, usemngciphekweni omkhulu wokuba ne-HO emva kotyando lokutshintshwa kwe-hip ukuba unenye yezi meko zilandelayo:

• (I-Ankylosing Spondylitis) (Esi sisifo esibangela ukudumba kwamalungu omqolo)
• (I-Osteoarthritis) (Isifo samalungu angasebenzi kakuhle)
• Ukuba bekukho imbali ye-(HO) ngaphambili (Imbali ye-HO)

Kwezi meko, ugqirha wakho unokucebisa unyango lokuthintela ukugcina iziphumo zotyando lwakho. Ezinye izifundo zibonise ukuba ukuthatha amayeza angengo-steroidal anti-inflammatory (NSAIDs) ngaphambi nasemva nje kotyando kunokunciphisa umngcipheko wokufumana i-postoperative otitis media (HO).

Nangona kunjalo, akukho ndlela iqinisekisiweyo yokuthintela ngokupheleleyo uphuhliso lwe-Heterotopic Ossification. Nangona kunjalo, kukho izinto onokuzenza ukunciphisa umngcipheko wakho. Umzekelo, nyanga ukwenzakala ngokufanelekileyo kwangoko nje ukuba kwenzeke . Oko kuthetha ukusebenzisa indlela ye-RICE :

• R - Ukuphumla
• I - Umkhenkce (Umkhenkce)
• C - Uxinzelelo
• E - Ukuphakama (ukugcina indawo eyonzakeleyo iphakanyisiwe)

Kwakhona, uqeqesho lokuqinisa umzimba, ukuzolula umzimba, kunye nokuphumla ngokwaneleyo kunokunceda ekuthinteleni ukwenzakala.

Ukuba (i-Heterotopic Ossification) iyenzeka, ngaba iya kuphela?

Ngamanye amaxesha, ewe . Uninzi lwabantu abane-HO engeyiyo i-genetic bayaphola ngokupheleleyo . Kwiimeko ezininzi, i-HO eyenzeka emva kokwenzakala iba ngcono ngonyango olungelulo utyando, olufana nokuphumla, umkhenkce, kunye nokuzilolonga okulula.

Nangona kunjalo, akukho nyango lohlobo lwemfuza (HO) . Nangona unyango lunokulawula iimpawu, esi sifo siya sisiba mandundu kancinci kancinci.

Yintoni enye endifanele ndiyibuze kugqirha?

Ukuba ufumanisa ukuba unayo (HO), kuqhelekile ukuba nemibuzo emininzi. Usenokufuna ukubuza ugqirha wakho izinto ezifana nezi:

• "Ndinalo uhlobo luni lwe (HO)?"
• "Yintoni enokuba ngunobangela omkhulu wale nto?"
• "Zithini iindlela zonyango (i-Heterotopic Ossification)?"
• "Ngaba kukho naluphi na utshintsho kwindlela yokuphila endinokuyenza ukuthintela oku?"
• "Zithini amathuba okudlulisela i-gene (HO) kubantwana bam?" (Ukuba unayo i-gene)

Ngaba (i-Heterotopic Ossification) ibuhlungu?

Ewe . Intlungu kwindawo echaphazelekayo luphawu oluphambili noluqhelekileyo lwe-Heterotopic Ossification. Rhoqo, intlungu iyanda njengoko ukukhula kwamathambo kukhula.

Nangona kunjalo, ukuba une-heterotopic ossification emva kokwenzakala okanye utyando, kukho iindaba ezimnandi . Uninzi lwabantu abane-non-genetic (HO) bayachacha ngokupheleleyo ngonyango.

Ngaba i-osteoporosis iyayichaphazela ingozi yokuba ne-HO emva kotyando?

Hayi. Ezinye iimeko zonyango zinokunyusa umngcipheko wokukhula (HO) emva kotyando. Nangona kunjalo, akukho khonkco liqinisekisiweyo phakathi (i-Osteoporosis) kunye (HO).

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngoko ke, mhlawumbi ngoku uyaqonda ukuba (i-Heterotopic Ossification) kukwakheka kwethambo elitsha ngaphakathi kwezicubu ezithambileyo zomzimba wethu, kwiindawo apho ngokuqhelekileyo kungekho thambo. Oku ngamanye amaxesha kusenokuba ngenxa yokwenzakala okanye utyando, okanye kusenokuba ngenxa yezizathu ezingaqhelekanga zemfuza.

• Ungakhathazeki: Ixesha elininzi, ingakumbi ukuba ibangelwa kukwenzakala, ayiyongozi kwaye inokunyangeka ngonyango olufanelekileyo.
• Lumka ngeempawu: Ukuba ubona iqhuma elitsha emzimbeni wakho, ukuba kukho iintlungu okanye ukudumba kuloo ndawo, ingakumbi kwindawo apho kubekho ukwenzakala, licebo elihle ukubona ugqirha.
• Iintlobo zemfuza azixhaphakanga: Iintlobo zemfuza (HO) azixhaphakanga kakhulu, kodwa zinokuba nzima ngakumbi.
• Kukho unyango: I-Non-genetic (HO) idla ngokukhululeka ngezinto ezifana namayeza kunye nonyango lomzimba.

Ukuba unemibuzo engaphezulu malunga noku, qiniseka ukuba uthetha nogqirha wakho. Uza kukuchazela ngokweenkcukacha.

Ukwakheka kwe- Heterotopic Ossification, ukukhula kwamathambo, izicwili ezithambileyo, ukwenzakala, utyando, izifo zemfuza, iintlungu, ukudumba, intshukumo yamalungu, ithambo elongezelelweyo