Ingabe nomzimba wakho uqinile kanjalo? Ingabe kunzima ukugoba umgogodla wakho kanjalo? Mhlawumbe lokhu kuyi-(Diffuse Idiopathic Skeletal Hyperostosis - DISH)!

Ingabe ngezinye izikhathi uzizwa sengathi umzimba wakho uqinile kancane, ikakhulukazi uma uvuka ekuseni, futhi kunzima ukugoba umhlane noma intamo yakho? Noma ingabe amalunga akho ayabuhlungu kancane? Mhlawumbe ucabanga ukuthi lokhu kuyinto eyenzekayo njengoba ukhula. Kodwa, akuwona wonke ukuqina nobuhlungu okuvamile. Namuhla sizokhuluma ngesimo esinegama elide, kodwa esibonakala kubantu abaningi, ikakhulukazi ngemva kweminyaka engu-50. Lokho yi- (Diffuse Idiopathic Skeletal Hyperostosis) , esiphinde siyibize ngokuthi (DISH) ngamafuphi.

Ngakho-ke kuyini lokhu (ISITSHI)? Kalula nje...

Kulungile, i-DISH, uma siyibeka kalula, uhlobo lwe-arthritis. Kodwa okwenzekayo kulokhu ukuthi izicubu ezintsha zamathambo ziyakhula ngaphezu kwezicubu ezithambile emzimbeni wethu. Cabanga nje, imisipha emzimbeni wethu, izibopho ezibamba amalunga ndawonye, ​​izingxenye ezithambile ezizungeze amalunga, ziba nzima njengetshe .

Leli gama linamagama amathathu. Igama elithi "Hyperostosis" libhekisela ekukhuleni kwamathambo ngokweqile. Ku-DISH, ama-calcium deposits akheka ezicutshini ezithambile ezinamathele emathanjeni ethu. Lokhu kufakwa kwe-calcium kubangela ukuthi izicubu ezithambile ziphenduke kancane kancane zibe yithambo (ossification). Kufana nenyama encane ephenduka itshe.

"Ukusabalala" kusho ukuthi le nqubo ingenzeka noma kuphi emzimbeni. Kodwa ivame ukuqala emgogodleni wethu , ikakhulukazi phakathi nendawo, okungukuthi, ezingeni lesifuba (umgogodla wesifuba). "Idiopathic" isho ukuthi yenzeka ngaphandle kwesizathu esiqondile .

Lesi simo (i-DISH) singabangela ubuhlungu bemisipha namathambo, izinkinga zokuhamba, nezinye izinkinga. Ukukhula kwamathambo amasha kungabangela ukuqhekeka kwamathambo . Lokhu kungaba njengameva futhi kuphazamise ukusebenza kahle kwamalunga ethu.

Ingabe i-DISH nesifo se-Forestier ziyinto efanayo?

Cha, elinye igama le-DISH yisifo sikaForestier . Saqanjwa ngodokotela owaqala ukuchaza lesi simo ngawo-1950. Kamuva, ngo-1975, uResnick nethimba lakhe basebenzisa igama eliqondile kakhulu elithi Diffuse Idiopathic Skeletal Hyperostosis. Ngakho-ke, yize bebizwa ngamagama amabili, bakhuluma ngento efanayo.

Lesi simo sivame kangakanani ukubizwa ngokuthi (i-DISH)?

I-DISH empeleni iyisifo esivame kakhulu kubantu abadala . Ngokuvamile asivamile kangako ngaphambi kokuba sifinyelele eminyakeni engu-40. Kodwa-ke, cishe abantu abangu-40% abangaphezu kweminyaka engu-50 bangase babe nalesi simo. Futhi, amadoda anamathuba aphindwe kabili okuba naso kunabesifazane. Ngakho-ke, njengoba ubona, lesi akusona isifo esingavamile.

Ziyini izimpawu ze-DISH? Wazi kanjani?

Akuwona wonke umuntu one-DISH onezimpawu ezinkulu. Abanye abantu bangahlala iminyaka eminingi bengenazo izimpawu. Kodwa-ke, uma izimpawu zivela, izimpawu ezivame kakhulu ukuqina nobuhlungu obujwayelekile . Ubuhlungu bomhlane nentamo buvame kakhulu. Ungase uzizwe lokhu kakhulu uma uvuka ekuseni futhi kubanda . Ungase futhi uzwe ukulahlekelwa ukunyakaza , njengobunzima bokugoba nokuqondisa izingalo zakho.

I-DISH ivame ukuthinta umgogodla kanye nomgogodla ophakathi nendawo, kodwa kamuva ingathinta ezinye izingxenye zomzimba, njengezingalo nemilenze. Ungase uzwe ubuhlungu bamalunga noma i-tendonitis kulezi zindawo:

• Emahlombe
• Ezinqeni
• Ezindololwaneni
• Emadolweni
• Emaqakaleni
• Ngezithende

Ngezinye izikhathi izimpawu ziqala lapho ukukhula kwamathambo amasha, okubizwa ngokuthi ama-bone spurs, kucindezela imizwa eseduze . Lokhu kungabangela ubuhlungu obukhulu. Lobuhlungu bungaba bukhulu kakhulu uma ushukumisa umzimba wakho ngendlela ethile noma ucindezela indawo ethile.

Inzwa ecindezelwe ingabangela okulandelayo:

• Ukuba ndikindiki noma ukuthuthumela
• Njengezikhonkwane nezinaliti
• Ubuthakathaka bemisipha

Cabanga nje, uma umgogodla wakho wesibeletho ukhula ithambo elengeziwe kanje futhi uqala ukucindezela umphimbo noma umphimbo wakho, izinto ezinjengalezi zingenzeka:

• Ukusha kwezwi
• Ubunzima bokugwinya
• Ukuphefumula kobuthongo okuvimbelayo

Kungani lokhu (i-DISH) kwenzeka? Ziyini izimbangela?

Odokotela nabacwaningi basazama ukuthola ukuthi yini ngempela ebangela i-DISH. Kodwa-ke, kunezici eziningana okucatshangwa ukuthi zinegalelo kulokhu. Kodwa-ke, akukacaci ukuthi zihlobene kanjani .

• Ukwakheka kwe-Metabolism : Abantu abaningi abane-DISH nabo banesifo esibizwa ngokuthi i-metabolic syndrome . Leli yiqembu lezimo ezihlobene futhi landisa ingozi yokuthola isifo senhliziyo. Izibonelo zifaka phakathi isifo sikashukela, amazinga aphezulu e-insulin, amazinga aphezulu e-uric acid, i-cholesterol ephezulu, kanye nokukhuluphala ngokweqile.
• Izakhi zofuzo : Abanye abantu abane-DISH banophawu olukhethekile ezizakhi zofuzo zabo olubizwa ngokuthi i-HLA-B8 . Lolu phawu lwezakhi zofuzo luhlotshaniswa nezifo ezizimele ezifana nesifo sikashukela sohlobo 1.Kutholakale ukuthi kuhlotshaniswa nezifo eziningana zokuzivikela komzimba. I-DISH ayibhekwa njengesifo sokuzivikela komzimba, kodwa abantu abaningi abane-DISH nabo banesifo sikashukela.
• Ukuvuvukala : I-DISH empeleni ibhekwa njengohlobo lwe-arthritis olungavuvukali kakhulu . Okusho ukuthi, ayibangelwa ukuvuvukala okwenzeka ngokuzenzakalelayo, njengasezifweni zokuzivikela komzimba. Kodwa-ke, kucatshangwa ukuthi ukuvuvukala okuphansi kungase kuhileleke. Mhlawumbe lokhu kuvuvukala yikho okuqala inqubo yokufakwa kwe-calcium.
• Izici Zokukhula : Amazinga eqile ezinto ezifana ne-human growth hormone (HGH), i-insulin, kanye ne-insulin-like growth factor 1 (IGF-1) emizimbeni yethu kungabangela i-hyperostosis ku-DISH. Izici zokukhula zingamaprotheni nama-hormone "atshela" imizimba yethu ukuthi yenze izicubu ezintsha.

Ubani osengozini enkulu yokutheleleka yilesi sifo (i-DISH)?

Kungenzeka kakhulu ukuthi ube ne-DISH uma lezi zici zisebenza kuwe:

• Uma uneminyaka engaphezu kwengu-50 ubudala.
• Uma uyindoda.
• Uma kunezinye izinhlobo ze-arthritis.
• Uma une-metabolic syndrome.

Lesi simo esibizwa ngokuthi (i-DISH) singaba sibi kangakanani?

Akuwona wonke umuntu one-DISH onezinkinga ezinkulu. Abanye abantu abaqapheli nokuthi banayo. Kodwa-ke, kwezinye izimo ezinzima , i-DISH ingabangela izinkinga ezinkulu.

Ezinye zalezi zinkinga yilezi:

• Ukucindezelwa kwentamo : Ukuvela kwamathambo emgogodleni wakho wesibeletho kungacindezela umphimbo noma umphimbo wakho. Lokhu kungenza kube nzima ukugwinya, ukukhuluma nokuphefumula. Lokhu kungaba kubi kakhulu ebusuku. Ukuphefumula okubangelwa ukulala kungabangela amazinga aphansi omoya-mpilo emzimbeni, okubeka ingcindezi enhliziyweni (hypoxia).
• Ukuphuka komgogodla kanye nokungazinzi : (DISH) kubangela ukuthi umgogodla uqine, okwenza kube lula ukuthi uphuke . Ngisho nokuwa okuncane noma ingozi (umthelela wamandla aphansi) kungaphula noma kuhlukanise ithambo lomgogodla emgogodleni wakho. Lokhu kungenza umgogodla wakho ungazinzile, okwandisa ingozi yakho yokulimala okwengeziwe.
• Ukucindezelwa kwentambo yomgogodla : Ezimweni ezimbi kakhulu, ukuqhekeka kwamathambo noma ukuqhekeka kwamathambo amakhulu emgogodleni kungacindezela intambo yomgogodla. Lokhu kungabangela izimo zobuhlungu bemizwa njenge- sciatica nezinye izimpawu zemizwa ezibizwa ngokuthi i-myelopathy . Esimweni esibi kakhulu, ukukhubazeka kungenzeka.

Cabanga ngakho njengenduku endala, eyomile yokhuni. Ayiguquguquki kancane, ngakho ingaphuka kalula ngisho nangokucindezela okuncane kakhulu. Umgogodla we-(DISH) unjalo.

Ngingathola kanjani ukuthi kukhona odokotela (DISH)?

Odokotela basebenzisa izivivinyo zezithombe ukuhlola i-DISH. Lokhu kungatholakala nge-X-ray evamile noma i-ultrasound . Uma kudingeka imininingwane eyengeziwe, kungenziwa i -CT scan (i-computed tomography scan).

Odokotela be-radiology, okungukuthi, odokotela ababheka izinto ezifana ne-X-ray kanye ne-CT scan, bafuna "ama-ossifications agelezayo." Okungukuthi, kungakhathaliseki ukuthi kukhona ukukhula kwamathambo amaningi emathanjeni amathathu noma amane alandelanayo, noma ukuthi imisipha emathanjeni iqinile yini. Lokhu kubukeka njenge-wax evuza ekhandleleni elise-X-ray.

Uma unezimpawu kwenye indawo emzimbeni wakho, bazobheka izimpawu zesifo nakulezo zindawo. Kungase kube khona ama-calcium deposits emalungeni noma emithanjeni lapho amathambo ehlangana khona (entheses).

Bafuna nezimpawu ezingasiza ukuhlukanisa i-DISH nezimo ezifanayo, njenge- ankylosing spondylitis kanye ne-osteoarthritis . Ngezinye izikhathi, lezi ezinye izimo zingahambisana ne-DISH.

Yiziphi izindlela zokwelapha i-DISH?

Akukho ukwelashwa kwe-DISH. Kodwa-ke, ukwelashwa ngokomzimba , noma ukwelashwa kokuzivocavoca, kungasiza ekunciphiseni ukuqina komzimba nokwandisa ububanzi bokunyakaza. Uchwepheshe wezokwelapha ngokomzimba angancoma ukuzivocavoca okunethonya elincane ongakwenza ekhaya.

Ukuze unciphise ubuhlungu, ungasebenzisa izidakamizwa zokunciphisa ubuhlungu ezithengiswa ngaphandle kwemithi kadokotela (OTC), njenge -NSAID (izidakamizwa ezilwa nokuvuvukala ezingezona eze-steroidal). Udokotela wakho angakunikeza imithi yokunciphisa ubuhlungu uma kudingeka. Imijovo ye-Cortisone inganikezwa nasezindaweni ezithile zobuhlungu.

Udokotela wakho uzoqapha isimo sakho futhi aqaphele izinkinga ezifana nokuphuka kwamathambo. Ngezinye izikhathi, angase akunikeze uhlobo lomuthi olubizwa ngokuthi ama-bisphosphonates ukusiza ukuvimbela noma ukuphulukisa ukuphuka kwamathambo.

Uma inzwa iqala ukucindezelwa, kungaba ngenxa yokukhula ngokweqile noma ukuqhekeka kwamathambo, futhi uzwa ubuhlungu obusha noma ezinye izimpawu, kungadingeka ukuthi uhlinzwe ukuze kuncishiswe ingcindezi. Ngisho namathambo aphukile ngezinye izikhathi adinga ukulungiswa ngokuhlinzwa.

Liyini ikusasa lomuntu one-(DISH)?

(I-DISH) ivame ukuqala kamuva empilweni, ngakho-ke iba yimbi kancane kancane.Kungathatha iminyaka efika kweyi-10 ukuthi izimpawu zivele. Ukuqala uhlelo lokwelashwa ngokushesha nje lapho izimpawu zivela kungasiza ekuzilawuleni.

Uma i-DISH inzima, ingaba yinkinga , iphazamise imisebenzi yansuku zonke futhi ikhululeke. Izinkinga ezinkulu azivamile. Uma zenzeka, zingelashwa ngokuhlinzwa.

Ingabe ikhona indlela yokuvimbela ukwakheka kwe-DISH?

Imbangela eqondile ye-DISH ayaziwa, ngakho-ke kunzima ukuyivimbela. Kodwa-ke, abacwaningi bayazi ukuthi izici ze-metabolic ezifana noshukela ophezulu egazini, amazinga aphezulu e-insulin, kanye nama-triglyceride aphezulu kwandisa ingozi.

Uma unesifo esibangelwa ukungasebenzi kahle kwe-metabolic , into engcono kakhulu ongayenza ukuvimbela i-DISH ukuthi ingakhuli ukuphatha lezo zimo ngendlela efanele . Ngisho nangemva kokuba i-DISH isiqalile, ukwelapha lezi zimo kungasiza ekuvimbeleni i-DISH ukuthi ibe yimbi kakhulu.

Kufanele ngizinakekele kanjani ngenkathi ngihlala ne-(DISH)?

Into engcono kakhulu kubantu abane-arthritis ewohlokayo, njenge-DISH, ukwenza ukuzivocavoca okuvamile, okungenamthelela omkhulu . Ukusungula inqubo yokuzivocavoca yansuku zonke kungakusiza ukuthi ugcine ukuguquguquka kwakho namandla isikhathi eside ngangokunokwenzeka.

Ngokubona udokotela wakho njalo ukuze ahlolwe, angaqapha isimo sakho nokuthi sishintsha kanjani. Lokhu kubavumela ukuthi bangenelele ukuze bavimbele izinkinga ezinkulu ngaphambi kokuba zenzeke.

I-Diffuse Idiopathic Skeletal Hyperostosis (DISH) yisimo esinegama elide futhi siseyimfihlakalo kancane. Kodwa kuwe, sibangela ubuhlungu nokuqina. Esikhathini esiningi, sincane, futhi abanye abantu basiphambanisa nento eyenzekayo njengoba ukhula.

Kodwa-ke, kuhlale kufanelekile ukutshela udokotela ngezimpawu zakho. Uma i-DISH itholakala kusenesikhathi, wena nodokotela wakho ningakha uhlelo lokuphatha izimpawu zakho nokuvimbela izinkinga.

Ezinye izinto engicabanga ukuthi zibalulekile kuwe (Umyalezo Wokuya Ekhaya)

Kulungile, manje usuqonda kangcono lokho ebesikhuluma ngakho (i-DISH). Okokugcina, nazi izinto ezibalulekile okufanele uzikhumbule:

• (DISH) yisimo lapho kwakheka khona ithambo elisha ezicutshini ezithambile zomzimba, okubangela ukuqina nobuhlungu, ikakhulukazi ezindaweni ezifana nomhlane nentamo.
• Lokhu kuvamile kubantu abaneminyaka engaphezu kwengu-50, ikakhulukazi abesilisa.
• Akuwona wonke umuntu ozobhekana nezimpawu ezinkulu, kodwa uma uzwa ukuqina kwasekuseni, ubuhlungu, noma ubunzima bokunyakaza komzimba wakho, tshela udokotela wakho.
• Abantu abanezinkinga ze-metabolic ezifana nesifo sikashukela kanye ne-cholesterol ephezulu basengozini enkulu yokuthola i-DISH.
• Nakuba kungekho ikhambi eliphelele, izimpawu zingalawulwa ngokwelashwa ngokomzimba, imithi yokubulala izinhlungu, futhi ngezinye izikhathi nokuhlinzwa.
• Into ebaluleke kakhulu ukubona udokotela uma unalezi zimpawu, ungacabangi nje ukuthi ziyizimpawu ezivamile zokuguga. Ukutholwa kusenesikhathi kungasiza ekuvimbeleni izinkinga eziningi.

Sithemba ukuthi lolu lwazi luwusizo. Hlala uphilile!

` ISIDLO, i-Diffuse Idiopathic Skeletal Hyperostosis, isifo samathambo, ubuhlungu bamalunga, ubuhlungu bomhlane, ubuhlungu bentamo, isifo samathambo