Ingabe amathambo akheka ezindaweni ezingajwayelekile emzimbeni? Ake sifunde ngalokhu (i-Heterotopic Ossification)!

Wake wazizwa sengathi uyingxenye encane yethambo ekhula endaweni lapho ngokuvamile kungekho khona ithambo, okungukuthi, ezicutshini ezithambile njengemisipha? Noma, ngemva kokulimala okukhulu noma ukuhlinzwa, uzizwa into engavamile, njengeqhubu, eliqinile kancane, kuleyo ndawo? Mhlawumbe kuzwakala sengathi liya likhula kakhulu. Ungase uzibuze ukuthi lokhu kumayelana nani ngempela nokuthi kungani kwenzeka. Yilokho esizokhuluma ngakho namuhla. Ngokwezokwelapha, lesi simo sibizwa ngokuthi (Heterotopic Ossification) , noma (HO) ngamafuphi.

Kuyini lokhu (i-Heterotopic Ossification)? Kalula nje...

Kalula nje, i-Heterotopic Ossification inqubo yokukhula kwamangqamuzana amasha amathambo futhi akhe ithambo ngaphandle kwesistimu yethu yamathambo, ezicutshini ezithambile ngaphandle kwamathambo ethu . Lokhu kufana nezingcezu zamathambo ezengeziwe . Lokhu kuvame ukwakheka ngemva kokulimala . Kodwa-ke, ngezinye izikhathi lesi simo singavela ngaphandle kwesizathu esisobala.

Khumbula, kubantu abaningi, izingcezu zamathambo ezengeziwe ezakheka ngale ndlela zincane kakhulu. Ngakho-ke, azibangeli izimpawu ezinkulu. Kodwa-ke, ngezinye izikhathi, uma lezi zingcezu zamathambo zikhula kancane, zinganciphisa ukunyakaza kwakho futhi zibangele nezinkinga ezinkulu.

Yiziphi izinhlobo eziyinhloko ze-Heterotopic Ossification?

Lokhu (i-Heterotopic Ossification) kungahlukaniswa ngezinhlobo ezimbili eziyinhloko:

1. Uhlobo olungeyona i-genetic:

• Lolu uhlobo oluvame kakhulu . Lungenzeka kunoma yimuphi ubudala.
• Nakuba ngezinye izikhathi kuthiwa kwenzeka ngaphandle kwesizathu, ngokuvamile kwenzeka njengempendulo yohlobo oluthile lokulimala . Lokho kuhlukumezeka kungaba ukulimala okuvela engozini, noma kungaba nomthelela ezicutshini ngenxa yokuhlinzwa. Cabanga nje, uwile walimala isandla sakho, noma kwadingeka wenze ukuhlinzwa okukhulu, yilapho lesi simo singase senzeke khona.

2. Uhlobo lwezakhi zofuzo:

• Lokhu akuvamile kakhulu . Bambalwa kakhulu abantu emhlabeni abanalolu hlobo lwezakhi zofuzo (HO).
• Uma i-HO ibangelwa yizimbangela zofuzo, kungaba nzima kakhulu . Isibonelo, ukukhubazeka komhlane, izingalo, noma imilenze kungenzeka. Lesi simo sofuzo ngezinye izikhathi singaba sibi kakhulu .

Ubani onamathuba amaningi okuthuthukisa lokhu (i-Heterotopic Ossification)?

I-NONgenetic HO ingakhula kunoma ubani. Kodwa-ke, uma uke walimala noma wahlinzwa ngaphambilini , kungenzeka kakhulu ukuthi ube nalesi simo.

Cishe izingxenye ezintathu kwezine zabantu abane-HO, noma cishe ama-75% , lesi simo sibangelwa uhlobo oluthile lokulimala.Abantu abanalezi zimo basengozini enkulu yokuthuthukisa lesi sifo (HO):

• Ukulimala komgogodla: Kubantu abayi-10 abanalezi zingozi, cishe ababili kuya kwabathathu bazoba ne-HO.
• Ukulimala ekhanda: Lokhu kungenzeka cishe kubantu abangu-1 noma ababili kwabayi-10 abaye balimala ebuchosheni, ikakhulukazi ukulimala ekhanda elivaliwe.
• Ukufakelwa kwe-hip okuphelele: Ukwenzeka kwe-HO ngemuva kokuhlinzwa kokufakelwa kwe-hip ngokuvamile kuncane. Kodwa-ke, ngezinye izikhathi kungabangela ukunyakaza okulinganiselwe kanye nokuqina endaweni ye-hip.
• Ukunqunywa kwesitho ngemva kokulimala okubuhlungu: Kutholakale ukuthi abantu abangaphezu kuka-9 kwabayi-10 okuye kwadingeka basuswe isitho somzimba ngenxa yokulimala okukhulu bangase babe nalesi simo (HO).

Cishe ingxenye yabantu abangenazo izakhi zofuzo (i-HO) bangabantu abadala abasebasha abaseminyakeni yabo yama-20 nama-30 . Futhi, amadoda anamathuba amancane okuthola lesi simo kunabesifazane.

Uma sikhuluma ngezinhlobo zofuzo, azivamile kakhulu. Ngokusho kochwepheshe, kunabantu abangaphansi kuka-5,000 emhlabeni wonke abanesifo sofuzo esibangela (HO).

I-Heterotopic Ossification ithinta kanjani umzimba wami?

(HO) empeleni ingavela noma kuphi emzimbeni. Kodwa-ke, ivame ukubonakala ezindaweni ezivame ukulimala kakhulu . Isibonelo:

• Indololwane
• Iminwe
• Intamo noma ikhanda
• I-pelvis
• Ihlombe
• Ithanga

Yiziphi izimbangela ze-Heterotopic Ossification?

I-HO ivame ukwenzeka ngemva kokulimala . Ingavela futhi ngemva kokuhlinzwa. Isibonelo, abantu abaye bashintshwa inqulu ngokuphelele ngezinye izikhathi baba ne-HO, kodwa isikhathi esiningi ayibangeli zimpawu ezinkulu.

Usengozini enkulu yokuthola i-HO uma une:

• Ukuphuka kwethambo
• Shisa
• Ukulimala komgogodla
• Ukuhlinzwa okuphelele kokufakelwa kwamalunga
• Ukulimala kobuchopho okubuhlungu (TBI)

Akuvamile kakhulu ukuthi izifo ezithile zofuzo zingabangela i-H2O. Ezinye zalezi zifo zifaka:

• I-Fibrodysplasia Ossificans Progressiva (FOP): Lesi yisifo esingavamile kakhulu esibangelwa izakhi zofuzo. Ngaphambilini esaziwa ngokuthi i-Myositis Ossificans Progressiva , lesi sifo sibangela ukuthi izicubu ezithambile zomzimba ziphenduke kancane kancane zibe amathambo.
• I-Progressive Osseous Heteroplasia (POH): Lesi esinye isimo esingavamile sofuzo.

Yiziphi izimpawu ze-Nongenetic Heterotopic Ossification?

Izimpawu ze-Heterotopic Ossification zingahluka kumuntu nomuntu. Ziya ngokuthi isifo sisakazeke kangakanani nokuthi sibi kangakanani. Ezigabeni zokuqala zesifo, izimpawu ezifana nalezi:

• Ubuhlungu
• Ukuvuvukala
• Ubumnene

Njengoba i-Heterotopic Ossification iqhubeka , ungase uqale ukuzwa iqhubu ngaphansi kwesikhumba sakho. Lesi siqhubu ngezinye izikhathi singakhula ngokushesha kakhulu futhi sibe yiqhubu elikhulu . Kungase kube nzima ukushukumisa ngeminwe yakho. Kungase futhi kube buhlungu ukusithinta.

Ezigabeni zokugcina zesifo, iqhubu lingaba nzima nakakhulu . Uma liseduze nelunga, njengenqulu noma ihlombe lakho, linganciphisa nokunyakaza kwelunga lakho . Cabanga ngakho, okwenza kube nzima ukuphakamisa ingalo yakho noma ukugoba umlenze wakho.

Yiziphi izimpawu ze-Genetic Heterotopic Ossification?

Manje ake sibone ukuthi yiziphi izimpawu ezingavela ngenxa yalezo zinhlobo zezakhi zofuzo ezingavamile (HO). Uma unesifo sezakhi zofuzo esibizwa ngokuthi (FOP) (Heterotopic Ossification), ungase ubone izimpawu ezinjengalezi:

• Uzwane olukhulu lwe-Missshapen
• Ukukhubazeka komgogodla
• Izinkinga zesakhiwo eminweni yakho

Njengoba lesi sifo siqhubeka, abantu abaningi baba nezimpawu ezinzima kakhulu. Isibonelo, kuba nzima ukuhamba, kanti abanye abantu baba nobunzima bokuphefumula . Lesi simo esingavamile (HO) ngezinye izikhathi singanciphisa isikhathi sokuphila .

Kwesinye isifo sofuzo, i-POH, izimpawu zibonakala kakhulu esikhumbeni . Kulokhu, amathambo akheka okokuqala ezicutshini ezingaphansi kwesikhumba . Njengoba lesi sifo siqhubeka, amathambo nawo aqala ukwakheka ezicutshini ezixhumene ngaphakathi emzimbeni.

I-Heterotopic Ossification ihlolwa kanjani?

Ukuze athole ukuthi une-Heterotopic Ossification, udokotela wakho angenza ezinye izivivinyo . Okubaluleke kakhulu kulezi izivivinyo ze-imaging . Lokhu kufaka phakathi:

• (I-CT scan)
• (Ukuskena kwe-MRI)
• (I-Positron Emission Tomography - ukuskena kwe-PET)
• (Ukuskena kwe-Ultrasound)
• (I-X-ray)

Lezi zivivinyo zinganquma ngokunembile indawo kanye nosayizi wezingcezu zethambo ezengeziwe.

Okubalulekile:Uma udokotela wakho esola ukuthi une-heterotopic ossification, angakhetha ukugwema i -biopsy , ehilela ukuthatha ucezu lwezicubu bese eluhlola. Lokhu kungenxa yokuthi kunezinhlobo ezithile ze-heterotopic ossification, ngisho nangokuhlinzwa okuncane, ezandisa ingozi yokukhula kwethambo kwezinye izingxenye zomzimba.

Kuhlonzwa kanjani ukuthi i-post-hip replacement (HO) iyatholakala?

Uma usuthole i-HO ngemuva kokuhlinzwa kokufakelwa i-hip, odokotela bazosebenzisa izikali ezikhethekile zokuhlola ukuhlola ukuthi i-HO isisabalale kangakanani.

Enye yezinto ezisetshenziswa kakhulu kulezi ukuhlukaniswa kweBrooker . Ngokwalolu hlelo, i-heterotopic ossification ihlukaniswe amazinga amane:

• Ibanga 1: Kunezingcezu ezincane zethambo ezicutshini ezizungeze inqulu yakho.
• Ibanga lesi-2: Unama-bone spurs angajwayelekile (abizwa ngokuthi ama-bone spurs ) azungeze i-pelvis noma i-femur yakho. Kodwa kukhona okungenani isentimitha elilodwa lesikhala phakathi kwala ma-bone spurs.
• Ibanga lesi-3: Ama-bone spurs atholakala eduze kwe-pelvis noma i-femur, kodwa ibanga eliphakathi kwawo lingaphansi kwesentimitha elilodwa .
• Ibanga lesi-4: Ilunga lakho lesinqe liqinile (liqinile) noma seliphenduke i-ankylosis (ukukhiyana kwamathambo ndawonye) . Lokhu kusho ukuthi ilunga alikwazi ukunyakaza kahle.

Kunezinye izindlela zokuhlukanisa ezinjengalezi. Zonke zibheka izici ezifanayo ze-(HO). Isici esiyinhloko esinquma ubukhali be-(HO) ukuthi ngabe lawo ma-bone spurs akhona nokuthi aqhelelene kangakanani .

Iphathwa kanjani i-Heterotopic Ossification?

Ukwelashwa kwe-heterotopic ossification (HO) kuyahlukahluka kuye ngezimpawu zakho, uhlobo lwe-HO, nokuthi lesi sifo sesisakazeke kangakanani. Ngokuvamile, udokotela wakho angancoma ukwelashwa okulandelayo:

• Imithi: Kubantu abane-genetic (Heterotopic Ossification), imithi efana ne -corticosteroids inganikezwa ngezikhathi zokubhebhetheka kwesifo ngokuzumayo.
• Ukwelashwa ngokomzimba: Lokhu kungasiza ekwandiseni ububanzi bokunyakaza emalungeni akho futhi kunciphise ubuhlungu. Uchwepheshe wezokwelapha ngokomzimba uzokufundisa izivivinyo ezifanele wena.
• Ukuhlinzwa: Uma unobuhlungu obukhulu ngenxa yokwakheka kwezicubu ezithambile, noma uma ukuhamba kwakho kulinganiselwe kangangokuthi awukwazi ukwenza imisebenzi yansuku zonke , ukuhlinzwa kungaba yindlela yokugcina yokususa ithambo elengeziwe. Kodwa-ke, kunengozi encane yokuthi i-HO ingaphinde ivele ngemva kokuhlinzwa.Ezimweni eziningi, uma kunqunywa ukuhlinzwa, kungadingeka ukuthi unikezwe imithi ngisho nokwelashwa ngemisebe ngemuva kwalokho ukuze uvimbele ukulahlekelwa amathambo.

Ingabe i-Heterotopic Ossification ingavinjelwa?

Uma uhlelelwe ukuhlinzwa kwamathambo, udokotela wakho angase akunikeze izindlela ezithile zokwelapha ukuze kuncishiswe ingozi yakho yokuthola i-HO. Ikakhulukazi, usengozini enkulu yokuthola i-HO ngemva kokuhlinzwa kokufakelwa i-hip uma unezinye zezimo ezilandelayo:

• (I-Ankylosing Spondylitis) (Lesi yisifo esibangela ukuvuvukala kwamalunga omgogodla)
• (I-Osteoarthritis) (Isifo samalunga angasebenzi kahle)
• Uma kube nomlando we-(HO) ngaphambili (Umlando we-HO)

Kulezi zimo, udokotela wakho angase ancome ukwelashwa kokuvimbela ukuze kugcinwe imiphumela yokuhlinzwa kwakho. Ezinye izifundo zibonise ukuthi ukuthatha imithi engeyona eye-steroidal yokulwa nokuvuvukala (ama-NSAID) ngaphambi nangemva nje kokuhlinzwa kunganciphisa ingozi yokuthola i-otitis media (HO) yangemva kokuhlinzwa.

Kodwa-ke, ayikho indlela eqinisekisiwe yokuvimbela ngokuphelele ukuthuthukiswa kwe-Heterotopic Ossification. Kodwa-ke, kunezinto ezithile ongazenza ukuze unciphise ingozi yakho. Isibonelo, phatha ukulimala kahle ngokushesha nje lapho kwenzeka . Lokho kusho ukusebenzisa indlela ye-RICE :

• R - Ukuphumula
• I - Iqhwa (Iqhwa)
• C - Ukucindezela
• E - Ukuphakama (ukugcina indawo elimele iphakeme)

Futhi, ukuqeqeshwa kwamandla, ukwelula, nokuphumula ngokwanele kungasiza ekuvimbeleni ukulimala.

Uma kwenzeka (i-Heterotopic Ossification), ingabe izophela?

Ngezinye izikhathi, yebo . Iningi labantu abane-HO engeyona eyezakhi zofuzo bayalulama ngokuphelele . Ezimweni eziningi, i-HO ekhula ngemva kokulimala iba ngcono ngokwelashwa okungadingi ukuhlinzwa, njengokuphumula, iqhwa, kanye nokuzivocavoca okulula.

Kodwa-ke, ayikho ikhambi lohlobo lwezakhi zofuzo (HO) . Nakuba ukwelashwa kungalawula izimpawu, lesi sifo siya siba sibi kancane kancane.

Yini enye okufanele ngiyibuze udokotela?

Uma uthola ukuthi unesifo (HO), kuvamile ukuba nemibuzo eminingi. Ungase ufune ukubuza udokotela wakho izinto ezifana nalezi:

• "Nginaluphi uhlobo (lwe-HO)?"
• "Iyini imbangela engaba khona yalokhu?"
• "Yiziphi izindlela zokwelapha (i-Heterotopic Ossification)?"
• "Ingabe kukhona izinguquko zendlela yokuphila engingazenza ukuze ngivimbele lokhu?"
• "Yimaphi amathuba okudlulisela i-gene (HO) ezinganeni zami?" (Uma unayo i-gene)

Ingabe (i-Heterotopic Ossification) ibuhlungu?

Yebo . Ubuhlungu endaweni ethintekile buwuphawu oluyinhloko noluvame kakhulu lwe-Heterotopic Ossification. Ngokuvamile, ubuhlungu buyanda njengoba ukukhula kwamathambo kukhula.

Kodwa-ke, uma une-heterotopic ossification ngemuva kokulimala noma ukuhlinzwa, kunezindaba ezinhle . Iningi labantu abane-non-genetic (HO) bayalulama ngokugcwele ngokwelashwa.

Ingabe i-osteoporosis iyayithinta ingozi yokuthola i-HO ngemva kokuhlinzwa?

Cha. Ezinye izimo zezokwelapha zingandisa ingozi yokukhula (HO) ngemva kokuhlinzwa. Kodwa-ke, akukho ukuxhumana okuqinisekisiwe phakathi (i-Osteoporosis) kanye (HO).

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngakho-ke, cishe usuyaqonda manje ukuthi (i-Heterotopic Ossification) ukwakheka kwethambo elisha ngaphakathi kwezicubu ezithambile zomzimba wethu, ezindaweni lapho ngokuvamile kungekho khona ithambo. Lokhu ngezinye izikhathi kungaba ngenxa yokulimala noma ukuhlinzwa, noma kungaba ngenxa yezimbangela ezingavamile kakhulu zofuzo.

• Ungakhathazeki: Esikhathini esiningi, ikakhulukazi uma kubangelwa ukulimala, akusiyo ingozi futhi kungelapheka ngokwelashwa okufanele.
• Qaphela izimpawu: Uma ubona iqhubu elisha emzimbeni wakho, uma kukhona ubuhlungu noma ukuvuvukala kuleyo ndawo, ikakhulukazi endaweni lapho kube nokulimala khona, kuwumqondo omuhle ukubona udokotela.
• Izinhlobo zofuzo azivamile: Izinhlobo zofuzo (HO) azivamile kakhulu, kodwa zingaba zimbi kakhulu.
• Kunezindlela zokwelapha: Okungeyona i-genetic (HO) kungaqedwa ngezinto ezifana nemithi kanye nokwelashwa ngokomzimba.

Uma uneminye imibuzo mayelana nalokhu, qiniseka ukuthi ukhuluma nodokotela wakho. Uzokuchazela ngokuningiliziwe.

Ukwakheka kwe- Heterotopic Ossification, ukukhula kwamathambo, izicubu ezithambile, ukulimala, ukuhlinzwa, izifo zofuzo, ubuhlungu, ukuvuvukala, ukunyakaza kwamalunga, ithambo elengeziwe