Ngaba amalungu akho eminwe akhulisiwe kwaye iinzipho zakho zitshintshile? Masifunde ngale Hypertrophic Osteoarthropathy!

Ngaba wakha waqaphela ukuba iminwe yakho okanye iinzwane zakho zikhulu ngokungaqhelekanga, kwaye iinzipho zakho zigobile okanye zinemilo engaqhelekanga? Ngamanye amaxesha asizinikeli ingqalelo kangako kwezi. Nangona kunjalo, ukuba ubona ezi mpawu, inokuba luphawu lwemeko ebizwa ngokuba yi -'Hypertrophic Osteoarthropathy' . Oku kukwabizwa ngokuba yi-HOA ngamafutshane. Le meko ngokwayo ayisiyongozi kangako, kodwa zezinye iimeko ezibangela ukuba ifune unyango. Ngoko ke, masithethe ngale HOA ngokweenkcukacha kwaye sifunde okungakumbi.

Yintoni i-hypertrophic osteoarthropathy (HOA)?

Ngamafutshane, i-hypertrophic osteoarthropathy (HOA) yimeko ebangela ukuba iincam zeminwe okanye iinzwane zakho zidumbe kwaye zibe zingqukuva (zibambe iiklabhu) kwaye zitshintshe iinzipho zakho. Umntu one-HOA unokuthi:

• Iincam zeminwe okanye iinzwane ziyakhula kwaye zidumbe .
• Izikhonkwane zigobile kwaye zibonakala zigobile, ngokungathi zitsaliwe phezulu.

I-HOA ngamanye amaxesha ingaqala ebuntwaneni okanye ebusheni. Kwabanye abantu, isenokukhula kamva ebomini. Nangona i-HOA ngokwayo ingenabungozi, ukuba kukho imeko ebangela oko, kubalulekile ukuyinyanga.

Ziziphi iintlobo eziphambili zale nto?

Kukho iintlobo ezimbini eziphambili ze-HOAs:

1. I-Primary Hypertrophic Osteoarthropathy (PHO): Olu hlobo luyimfuza, oko kuthetha ukuba lunokufunyanwa kubazali ukuya ebantwaneni.

2. I-Secondary Hypertrophic Osteoarthropathy (SHO): Olu hlobo lubangelwa zizifo ezingapheliyo ezifana nesifo sentliziyo kunye nesifo semiphunga. Ezi meko zihlala zibangela amanqanaba aphantsi eoksijini egazini lakho.

Ngubani onokuba nethuba elikhulu lokufumana le meko?

Enyanisweni, nabani na, nokuba ungowaluphi na uhlobo okanye isini, unokufumana esi sifo sibizwa ngokuba yi-hypertrophic osteoarthropathy.

Nangona kunjalo, i-HOA (PHO) eyintloko idla ngokubonakala kunyaka wokuqala wobomi okanye ngexesha lokufikisa. Imeko ye-PHO:

• Kuqheleke kakhulu kubantu abamnyama.
• Ixhaphake kakhulu kumadoda.

I-HOA yesibini (i-SHO) yimeko edla ngokubonakala kakhulu kubantu abaneminyaka ephakathi kwama-55 nama-75 ubudala.

Ixhaphake kangakanani le meko?

Abaphandi abanakutsho ngokuthe ngqo ukuba bangaphi abantu abane-HOA. Kodwa kuyaziwa ukuba phakathi kwama-95% nama-97% abantu abane-HOA bane-secondary type (SHO) . Oku kuthetha ukuba uninzi lwabantu lunotshintsho lweminwe ngenxa yesinye isifo.

Kutheni le HOA isenziwa? Zithini izizathu?

Makhe sibone ukuba yintoni ebangela oku.

Izizathu ze-HOA ePhambili (i-PHO)

Oku kubangelwa ziinguqu zemfuza ezikhoyo ekuzalweni . Umntwana angazuza olu tshintsho lwemfuza kumama, kutata, okanye kubo bobabini.

Izizathu ze-HOA yesibini (SHO)

Eyona nto ibangela i-HOA yesibini (SHO) sisifo semiphunga . Xa le meko ibangelwa sisifo semiphunga, ibizwa ngokuba yi -Hypertrophic Pulmonary Osteoarthropathy (HPOA) .

Isifo esiphambili semiphunga esinokubangela i-HPA ngumhlaza wemiphunga , ingakumbi umhlaza wemiphunga ongengoweeseli ezincinci . Ukongeza, ezinye izifo zemiphunga ezinokubangela i-HPA ziquka:

• Izimila ezithambileyo ze-pleura
• Usulelo olungapheliyo lwemiphunga
• I-Cystic Fibrosis (isifo semfuza esichaphazela inkqubo yokuphefumla)
• I-Mesothelioma (umhlaza wolusu lwemiphunga)
• Umhlaza osasazeke kwezinye iindawo kwaye uchaphazela imiphunga (isifo semiphunga esibizwa ngokuba yiMetastatic lung disease)
• Ukukhubazeka kwemithambo yegazi emiphungeni (ukungasebenzi kakuhle kwemithambo yegazi emiphungeni)
• Isifo Sephepha Semiphunga
• I-Sarcoidosis (ukuqhekeka kweeseli kwiindawo ezahlukeneyo zomzimba)

Kukho ezinye izinto ezinokuchaphazela i-HOA yesibini (SHO):

• Izifo zesibindi, inyongo, kunye nenyongo (iimeko zesibindi):
• I-Biliary Atresia (Ukuvaleka kweBile Duct kuBantwana abancinci)
• Umhlaza
• Isifo sesibindi
• I-Primary Biliary Cholangitis
• Isifo sikaWilson (ukuqokelelana kobhedu emzimbeni)
• Izifo zentliziyo:
• I-Atrial myxoma (ithumba elingelona umhlaza elenzeka entliziyweni)
• Isifo sentliziyo esibizwa ngokuba yiCyanotic Heart Disease (isifo sentliziyo apho kukho ukuncipha komoya-mpilo egazini)
• Usulelo lwengaphakathi lentliziyo (i-Infective Endocarditis)
• Iimeko zesisu:
• Ukusetyenziswa gwenxa kwemithi yokukhupha isisu
• I-Achalasia (ingxaki yokusebenza kwe-sphincter ye-esophageal)
• Umhlaza
• I-Familial Adenomatous Polyposis (ukukhula okuncinci emathunjini amakhulu)
• Isifo samathumbu esivuthayo

Ukongeza koku, ezinye iimeko ezininzi zingabangela i-SHO:

• Isifo seCeliac (ukungabikho kwe-gluten)
• Izifo zamathumbu ezifana ne-dysentery
• Isifo samangcwaba (i-hyperthyroidism)
• I-Hyperthyroidism
• I-Myelofibrosis (isifo somongo wethambo)
• isifo se-POEMS
• I-Thymoma (ithumba le-thymus gland)

Khawucinge nje, umntu omaziyo ebekhohlela okwethutyana kwaye iminwe yakhe itshintshile ngolu hlobo, kwaye emva kokubona ugqirha kuphela apho wafumanisa ukuba yingxaki yemiphunga. Ngoko ke kubalulekile ukuqaphela ezi mpawu.

Zithini iimpawu ze-HOA?

Uphawu oluphambili lwe-HOA kukudumba kweminwe okanye iinzwane. Oku kudla ngokuchaphazela amacala omabini omzimba ngokulinganayo. Ungaphawula izinto ezinje:

• Iincam zeminwe okanye iinzwane zidumbile kwaye zijikelezile .
• Imibimbi emalunga namalunga neminwe iyanyamalala.
• Izikhonkwane zigobile zijonge ezantsi kwaye zibonakala ngathi ziyadada.
• Ulusu olusezantsi lwenzipho luyakhazimla kwaye lube buthathaka .
• Iinzipho ziyathamba .
• Iincam zeminwe okanye iinzwane zibomvu kwaye zivakala zifudumele .

Ezinye iimpawu ze-HOA onokuzibona ziquka:

• Ukuxhaphaka kwe-Glandular. Oku kunokubangela iimeko ezifana ne-acne, ukubila okugqithisileyo (hyperhidrosis), ukugoba kwe-eyelids ephezulu (i-upper eyelid ptosis), kunye ne-seborrheic dermatitis.
• I-Periostitis kukudumba kwee-membrane ezigubungela amathambo. Oku kunokubangela iintlungu emaqatheni, ezihlahleni, okanye emadolweni.
• Ukudumba kwezicubu ezithambileyo zemilenze (ukudumba okungenamingxunya).
• Ukuqina kwamathambo emaqatheni nasezihlahleni.
• Ukutyeba kolusu (iPachydermia). Ulusu ebusweni nasentlokweni lunokuba rhabaxa kwaye lube nemiqolo enzulu.

Ziziphi iimpawu ezikhethekileyo ze-HOA yesibini (SHO)?

Ukongeza kwiimpawu eziqhelekileyo ze-HOA ezikhankanyiweyo ngaphambili, abantu abane-HOA yesibini (SHO) banokuba nokukhuphana kwamalungu . Oku kwenzeka xa ulwelo olongezelelweyo luqokelelana kwizicubu ezingaphakathi nangaphandle kwamalungu. Ukukhuphana kwamalungu kunokubangela:

• Intlungu
• Ububomvu
• Ukuqina
• Ukudumba

Ukudumba kwamalungu okudibana ne-SHO kubonakala kakhulu emadolweni nasezihlahleni .

Uyifumana njani le nto? Zeziphi iimvavanyo ezenziwa ngoogqirha?

Xa usiya kugqirha, into yokuqala abaya kuyenza kukujonga ukuba akukho zimpawu zokubanjwa kwemisipha kwiminwe okanye ezinzwaneni zakho. Ukongeza, baya kujonga oku kulandelayo ngexesha lovavanyo lomzimba:

• Ngaba iimpawu zobuso zirhabaxa?
• Ingaba imilenze yakho idumbile?
• Ngaba kukho intlungu xa ucinezela amaqatha, amadolo, okanye izihlakala?
• Ingaba amathambo asemaqatheni nasezihlahleni ayaqina?

Ukuba ugqirha urhanela ukuba kukho imeko ebizwa ngokuba yi-HOA, angenza iimvavanyo ezininzi, ezifana nezi:

• Uphawu lweprofayili kaLovibond:Xa ujonga umnwe wakho kwicala, uya kubona i-engile ebanzi "emile okwe-V" apho ipleyiti yeenzipho idibana khona nesikhumba esisezantsi senzipho (i-proximal nail fold). Ukuba une-HOA, izipikili zakho zigobile ezantsi, nto leyo eyandisa le engile. Kwinzipho eqhelekileyo, le engile yi-160 degrees okanye ngaphantsi. Kwinzipho eneeklabhu, yi-180 degrees nangaphezulu.
• Umlinganiselo wobunzulu be-Phalangeal: Unamathambo amathathu (ii-phalanges) kumnwe ngamnye. Ithambo elibamba uzipho (i-distal phalange) lidla ngokuba lifutshane kunethambo elisecaleni kwalo (i-middle phalange). Ukuba une-HOA, i-middle phalange yakho imfutshane kune-distal phalange yakho.
• Uphawu lukaSchamroth: Beka iinzipho zeminwe yakho yokwalathisa kunye. Khangela umsantsa ofana nedayimani (ifestile) phakathi kwesiseko seenzipho kunye ne-cuticle. Ukuba akukho msantsa, kusenokwenzeka ukuba une-HOA.

Uvavanyo olongezelelweyo lokufumanisa i-HOA yesibini (SHO)

Ukuba ugqirha ukrokrela ukuba kukho enye imeko yezonyango ebangela i-HOA, unokucebisa ezinye iimvavanyo ezininzi:

• I-Angiography (uvavanyo lwemithambo yegazi)
• Uvavanyo lwegesi yegazi lwe-arterial
• Uvavanyo lwegazi
• Ukuskena amathambo
• I-X-reyi yesifuba
• I-CT scan (i-Computed Tomography scan) okanye i-ultrasound scan (i-Ultrasound)
• I-Echocardiogram okanye i-Electrocardiogram (EKG)
• Iskeni se-MRI (i-MRI - Umzobo we-Magnetic Resonance)
• Uvavanyo lomsebenzi wemiphunga

Olu vavanyo lunokunceda ugqirha wakho afumane unobangela we-HOA yakho. Ukuba iskeni ibonisa ukukhula okungaqhelekanga (njengethumba), ugqirha wakho unokucebisa ukuba kwenziwe i-biopsy (ukuthatha isampuli yeeseli nokuzivavanya). Oku kunokunceda ekufumaneni unobangela ochanekileyo wokukhula.

Iphathwa njani le nto?

Iindlela zonyango ziyahluka ngokuxhomekeke kuhlobo lwe-HOA.

Unyango lwe-HOA eyintloko (PHO)

Ukuba awunantlungu okanye iimpawu zakho azikho qatha, usenokungadingi naluphi na unyango olukhethekileyo lwe-HOA (PHO) yokuqala. Nangona kunjalo, ukuba uneempawu, unokukwazi ukusebenzisa amayeza anjengala:

• Amayeza angengo-steroidal alwa nokuvuvukala (ii-NSAID)
• Izithinteli ze-COX-2
• IiBisphosphonates
• I-Octreotide

Unyango lwe-HOA yesibini (SHO)

Xa kunyangwa i-HOA yesibini (i-SHO), eyona nto iphambili kunyango lwesizathu esiyintloko . Unyango lungabandakanya:

• Unyango lwe-antimicrobial kunyango lwesifo sephepha
• I-Chemotherapy yokunyanga umhlaza wemiphunga
• Ukufakelwa kwesibindi okanye ukufakelwa kwesibindi kwisifo sesibindi
• Utyando lokufakelwa imiphunga kwi-cystic fibrosis
• Ukususwa kwee-radiofrequency zee-tumor zemiphunga (kusetyenziswa ubushushu ukutshabalalisa ii-tumor)
• Utyando lwesifo sentliziyo okanye umhlaza wemiphunga

Ukuba imeko ebangela i-SHO ayinakunyangwa, ugqirha unokucebisa amayeza okulawula iimpawu.

Kuthatha ixesha elingakanani ukuchacha emva konyango?

Oku kuxhomekeke ngokwenene kuhlobo lwe-HOA onayo, ubukhali bemeko, kunye nonyango olufumanayo. Nje ukuba imeko esisiseko inyangwe, ukuqaqanjelwa yiklabhu kunokuphela ngokukhawuleza.

Ngaba kukho into esinokuyenza ukunciphisa ukwenzeka koku?

Umngcipheko we-HOA (PHO) oyintloko

Ekubeni i-PHO iyimfuza, akukho nto sinokuyenza ukunciphisa ukwakheka kwayo.

Umngcipheko we-HOA yesibini (SHO)

Ukuze kuncitshiswe umngcipheko wokuba ne-SHO, kubaluleke kakhulu ukulandela indlela yokuphila enempilo . Oku kubaluleke kakhulu ukuba usengozini yesifo sentliziyo okanye isifo semiphunga. Nazi ezinye izinto onokuzenza:

• Ukugcina ubunzima obusempilweni.
• Ukutya ukutya okunempilo kwentliziyo.
• Ukuzilolonga rhoqo.
• Ukunciphisa ukusetyenziswa kotywala neziyobisi.
• Ukuyeka ukutshaya. Oku kubaluleke kakhulu, kuba ukutshaya yimbangela enkulu yezifo ezininzi zemiphunga.
• Ukunciphisa uxinzelelo.

Liza kuba njani ikamva kumntu one-HOA?

Kumntu one-HOA (PHO) eyintloko

I-PHO ingayeka ukuba mandundu ngokwayo. Ngamanye amaxesha, ingakumbi emva kokufikisa, isenokude iphucuke ngokupheleleyo.

Kumntu one-HOA yesibini (SHO)

Ukuba unobangela oyintloko unyangwa ngempumelelo, imeko inokunyangeka ngokupheleleyo. Nangona kunjalo, ukuba unobangela oyintloko awunakunyangwa ngempumelelo (umzekelo, umhlaza onzima), imeko isenokuqhubeka.

Kuza kwenzeka ntoni ukuba imeko ye-HOA ihlala ixesha elide?

Ukuba imeko ye-HOA ibiqhubeka ixesha elide, unokufumana izinto ezifana nezi:

• Ukulahlekelwa kuluhlu lokuhamba kwamalungu
• I-Osteoarthritis (intlungu yamalungu)
• Intlungu

Nangona kunjalo, khumbula ukuba uninzi lwezi mpawu lunokulawulwa ngonyango olufanelekileyo .

Ukuba kukho i-HOA, uzinyamekela njani?

Ukuba une-HOA, eyona nto ingcono onokuyenza kukuqhubeka usela unyango olunikiweyo ukulawula iimpawu zakho. Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho.

Ufanele uye nini kugqirha?

Kufuneka ulumke ngezi zinto:

• Emva konyangoUkuba iimpawu zokuya eklabhuni ziyaphinda zibuye, bona ugqirha. Oku kunokubonisa ukuphinda kwengxaki engundoqo.
• Ukuba unenkxalabo malunga nemiphumo emibi evela kunyango .
• Ukuba akukho phuculo lubonakalayo nangona unyango luthatha ixesha.

Kwiimeko ezinjalo, ugqirha wakho unokucebisa ezinye iindlela zonyango ezifanelekileyo kuwe.

Isishwankathelo: Izinto Ekufuneka Uzikhumbule (Umyalezo Omele Uwuthathe Uwuthathe Uwuthathe Uwuthathe Ekhaya)

Kulungile, masikhumbule nje kancinci into ebesithethe ngayo.

I-Hypertrophic osteoarthropathy (HOA) yimeko apho iincam zeminwe zidumba kwaye iinzipho zibuthathaka. Isenokuba yeyokuqala (i-genetic) okanye eyesibini (ebangelwa sisifo esithile). Izizathu eziphambili ze-HOA yesibini zizifo zemiphunga nezentliziyo.

• Iimpawu: Ukudumba kweminwe, iinzipho zeenyawo ezikhule ngaphakathi, iintlungu zamalungu, kunye nokuqina kolusu.
• Uxilongo: Uvavanyo lwezonyango, iimvavanyo ezikhethekileyo (iLovibond, amanqaku eShamroth), kunye neeskeni zokukhangela unobangela oyintloko.
• Unyango: Kwi-PHO, amayeza anikwa ngokweempawu. Kwi-SHO, eyona nto iphambili kunyango lwesifo esisisiseko.
• Eyona nto ibalulekileyo: Ukuba ubona naluphi na utshintsho kwiminwe yakho, musa ukulutyeshela kwaye ufune ingcebiso kagqirha. Kuba, nangona i-HOA ingeyona ingozi, isifo esibangela loo nto sinokuba yingozi.

Ndiyathemba ukuba olu lwazi uza kulufumana luluncedo. Hlala usempilweni!

I- Hypertrophic Osteoarthropathy, ukudumba kweminwe, utshintsho lwezinzipho, i-PHO, i-SHO, isifo semiphunga, isifo sentliziyo, iintlungu zamalungu, ukuqaqanjelwa ngamadlala