Ungacabanga ukuthi amathambo akhula ngaphakathi kwemisipha yakho nezicubu ezithambile ezizungeze amalunga akho esikhundleni salapho kufanele abe khona? Kuzwakala kungavamile, akunjalo? Kodwa empeleni kungenzeka. Lokhu yilokho esikubiza ngokuthi i-heterotopic ossification kwezokwelapha. Kalula nje, ukwakheka okungavamile kwethambo elisha ngaphandle kwamathambo. Amathambo akha ngale ndlela angakhula ngokushesha okuphindwe kathathu kunamathambo avamile. Lokhu kungabangela ukuqina nobuhlungu emalungeni akho.
Lesi simo asibathinti bonke ngendlela efanayo. Kuye ngokuthi ithambo elingeziwe likhula kuphi nokuthi likhula kangakanani. Sivame ukubonakala endaweni yesinqe. Kodwa singathinta nezindawo ezifana namadolo, amahlombe, kanye nezindololwane. Kulungile, ake sifunde kabanzi ngalokhu manje.
Kunezinhlobo ezimbili eziyinhloko zalokhu.
Ukwakheka kwe-Heterotopic kungahlukaniswa ngezinhlobo ezimbili eziyinhloko: lezo ezibangelwa izimbangela zofuzo kanye nalezo ezibangelwa izimbangela ezingezona ezofuzo.
- Uhlobo lwezakhi zofuzo: Lokhu akuvamile kakhulu. Ezinye izimo zezakhi zofuzo zingabangela ukwakheka kwamathambo engeziwe emzimbeni.
- Uhlobo olungeyona i-genetic: Lokhu kungenzeka kunoma ubani. Kuvame kakhulu ngemva kokulimala okubuhlungu noma ukuhlinzwa kokufakelwa inqulu. Lesi simo sivame ukwenzeka phakathi kwamasonto amathathu kuya kwangu-12 ngemva kokulimala noma ukuhlinzwa. Kodwa-ke, ngezinye izikhathi la mathambo angajwayelekile angakhula ezinsukwini ezimbalwa noma ngisho nezinyanga.
Kungani lokhu kwenzeka? Yiziphi izizathu?
Njengoba sixoxile ngaphambili, imbangela enkulu yalokhu ukuhlinzwa kokufakelwa i-hip ngokuphelele. Phakathi kuka-28% no-61% wabantu abenza lokhu kuhlinzwa bathuthukisa izinga elithile lokwakheka kwamathambo engeziwe. Ngokuvamile, kwakheka eduze kwezinsimbi zensimbi ezisetshenziswa ngesikhathi sokuhlinzwa.
Ngaphandle kwalokhu, kunezinye izimbangela eziningana ezithinta isimo se-Heterotopic Ossification ezingezona izakhi zofuzo.
| Isizathu | Incazelo |
|---|---|
| Izingozi nokuhlinzwa | Ukunqunywa kwezitho zomzimba, ukulimala komgogodla, ukulimala kobuchopho okubuhlungu, kanye nokuphuka kwamathambo. |
| Ezinye izimo zezokwelapha | Izimo ezifana nokusha okukhulu, isifo sohlangothi , i-polio, i-tetanus, i-multiple sclerosis (MS), kanye nobuthi be-carbon monoxide . |
| Izifo ezingavamile zofuzo | Lesi simo singabangelwa nezifo ezingavamile kakhulu zofuzo njenge-Fibrodysplasia Ossificans Progressiva (FOP) kanye ne-Progressive Osseous Heteroplasia (POH). |
Ubani osengozini enkulu yokuthuthukisa lokhu?
Uhlobo lwezakhi zofuzo lubikwe ezimweni ezingaphansi kuka-5,000 emhlabeni jikelele. Akuvamile kakhulu.
Kodwa-ke, uhlobo olungeyona i-genetic lungavela kunoma ubani, ikakhulukazi uma ube sengozini enkulu noma uke wahlinzwa.
Abantu abaneminyaka ephakathi kuka-20 no-40 banamathuba amaningi okuba nalesi simo. Amadoda anamathuba amancane okuba naso kunabesifazane.
Ziyini izimpawu zalokhu?
Izimpawu zalokhu ziyahlukahluka kumuntu nomuntu. Kuya ngendawo kanye nenani lokwakheka kwamathambo engeziwe. Izimpawu ezivamile ezibonakala ezigabeni zokuqala zifaka:
- Ubuhlungu noma ukuzwela endaweni ethintekile.
- Indawo ivuvukele .
- Abanye abantu bangase babe nomkhuhlane , ikakhulukazi ebusuku, ongaba phezulu kunasemini.
Uma isimo siba sibi kancane, ungase ukwazi ukuzwa lokhu kukhula kwethambo elisha ngaphansi kwesikhumba sakho, njengeqhubu.Uma uyicindezela, izozizwa iqine futhi iqine, futhi ngeke ukwazi ukuyishukumisa kalula. Lawa ma-bone spurs avame ukuba mahle futhi abukhali, ngakho-ke kungaba buhlungu ukuwathinta. Uma i-bone spur iseduze ne-joint, kancane kancane kuzoba nzima ukugoba noma ukuqondisa lelo joint, futhi lizoqala ukubuhlungu.
Uma kubangelwa izifo zofuzo...
Uma unalesi simo ngenxa yesimo sofuzo njenge-FOP noma i-POH, izimpawu zakho zingase zihluke kancane. Ku-FOP, ungase ubone izimo ezingavamile ezandleni zakho, ezinyaweni nasemhlane. Uma lokhu kukhula kwamathambo kuqhubeka, kungathinta ikhono lakho lokuhamba ngisho nokuphefumula. Udokotela wakho uzokhathazeka kakhulu ngalezi zimpawu ezinzima.
Ku-POH, amathambo akheka okokuqala engqimbeni yamafutha angaphansi kwesikhumba phakathi kwesikhumba nemisipha. Ngokuhamba kwesikhathi, lokhu kungasakazeka kujule ezicutshini ezithambile nasezicutshini ezixhumeneyo.
Udokotela ukuthola kanjani lokhu?
Izimpawu zokuqala zalesi simo, njengomkhuhlane, ukuvuvukala, kanye nobuhlungu bamalunga, ngezinye izikhathi zingaphambaniswa nezinye izimo zezokwelapha.
Ngakho-ke, udokotela wakho angase acele ukuhlolwa okuhlukahlukene ukuze anqume ezinye izimo zezokwelapha nokubona ukuthi lezi zingcezu zethambo ezengeziwe zikhona yini.
- Ukuhlolwa kwegazi
- Ukuhlolwa okuhlukahlukene kwezithombe :
- Ukuskena nge-ultrasound
- I-X-ray
- Ukuskena kwe-MRI
- Ukuskena kwe-CT
- Ukuskena kwe-PET
Uma unalesi simo ngemuva kwengozi noma ukuhlinzwa kokufakelwa inqulu, udokotela wakho cishe uzohlukanisa ukukhula kwalezi zingcezu zamathambo zibe yizigaba 1 kuya ku-4. Uhlu oluvame ukusetshenziswa kulokhu ukuhlukaniswa kweBrooker . Lumane luthi:
- Ibanga 1: Lesi yisigaba sokuqala. Ama-spurs amancane amathambo aqala ukwakheka ezicutshini ezizungeze isinqe.
- Ibanga lesi-2: Izingcezu zamathambo zisakazekele kwezinye izingxenye ze -pelvis kanye ne-femur. Kukhona igebe okungenani isentimitha elilodwa phakathi kwezingcezu zamathambo.
- Ibanga lesi-3: Izingcezu zamathambo sezinkulu, futhi ibanga eliphakathi kwazo lingaphansi kwesentimitha elilodwa.
- Ibanga lesi-4: Lesi yisigaba sokugcina. Amathambo ayahlangana, bese ilunga linganyakazi.
Iphathwa kanjani?
Uma udokotela wakho esesitholile lesi simo, kunezindlela eziningana zokwelapha. Ukwelashwa okutholayo kuzoncika ekutheni isifo sesisabalale kangakanani nokuthi izimpawu zakho zimbi kangakanani.
- Imithi:Udokotela wakho angase akunike imithi yokunciphisa ubuhlungu ukulawula ubuhlungu kanye nemithi efana ne-corticosteroids ukuvimbela noma ukulawula ukwakheka kwamathambo amasha.
- Ukwelashwa ngokomzimba: Ukwelashwa ngokomzimba kuyasiza kakhulu kubantu abaningi. Ukuzivocavoca okuphakanyiswe ngumelaphi womzimba kungakusiza ukuthi ugcine noma uthuthukise ububanzi bokunyakaza kwamalunga akho. Kungasiza futhi ekulawuleni ubuhlungu.
- Ukuhlinzwa: Uma isimo sakho sibi ngokwanele ukuthi singathinta imisebenzi yakho yansuku zonke, udokotela wakho angase akuncome ukuhlinzwa ukuze kususwe ithambo elengeziwe. Kodwa-ke, lokhu kuvame ukuba yindlela yokugcina . Lokhu kuhlinzwa kwenziwa nangemva kokuba ukukhula kwethambo elisha sekumile, okungukuthi, ngemva kokuba selivuthiwe. Uma uhlinzwa ngaphambi kwalokho, lingakhula futhi.
- Ukwelashwa ngemisebe: Ngenxa yokuthi la mathambo angakhula futhi ngemva kokuhlinzwa, odokotela ngezinye izikhathi batusa ukwelashwa ngemisebe ukuze kuvinjelwe.
Ingabe lokhu kungavinjelwa ukuthi kwenzeke?
Njengoba kunzima ukukhomba imbangela eqondile yokwakheka kwethambo elingavamile, kunzima futhi ukulivimbela. Kodwa-ke, eminye imithi itholakale ivimbela noma yehlisa ijubane lokukhula kwaleli thambo elingavamile.
Isibonelo, i-Coumadin (i-Warfarin) enciphisa igazi ingasiza ngalokhu. Lokhu kungenxa yokuthi i-vitamin K ibalulekile ekukhuleni kwamathambo, kanti i-Coumadin inciphisa ikhono lomzimba lokwenza i-vitamin K. Imithi elwa nokuvuvukala engeyona i-steroidal (NSAIDS) ingasiza nasekuvimbeleni lesi simo ngokuvimbela ukwakheka kwamangqamuzana ethambo.
Kodwa khumbula into eyodwa. Ungalokothi uqale ukuthatha noma yimuphi umuthi ngaphandle kokubonisana nodokotela wakho nganoma yisiphi isizathu. Kufanele nakanjani ukhulume nodokotela wakho futhi ulandele iseluleko sakhe ukuze uthole uhlelo lokwelapha olungcono kakhulu lwesimo sakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Heterotopic Ossification ukwakheka okungavamile kwethambo elisha ngaphandle kohlaka lwamathambo, ngaphakathi kwezicubu ezithambile.
- Lesi simo sivame ukwenzeka ngemva kokuhlinzwa kokufakelwa inqulu noma ingozi enkulu.
- Izimpawu zokuqala zifaka phakathi ubuhlungu, ukuvuvukala, kanye nomkhuhlane. Kamuva, kungase kuzwakale iqhubu eliqinile ngaphansi kwesikhumba.
- Ukuqina kwamalunga kanye nobunzima bokunyakaza kuyizinkinga ezinkulu.
- Ukwelashwa kuhlanganisa imithi, ukwelashwa ngokomzimba, futhi ezimweni ezimbi kakhulu, ukuhlinzwa.
- Uma unalezi zimpawu noma ungabaza ngalokhu, xhumana nodokotela wakho ngokushesha ukuze uthole iseluleko.
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