Kufala kwa Idiopathic Skeletal Hyperostosis, yomwe imatchedwa DISH, ndi matenda omwe amachititsa calcification (calcium deposit) ndi ossification (kupanga mafupa) m'zinthu zofewa, makamaka m'kati mwake . Choyamba chodziwika ndi kufotokozedwa ndi Forestier ndi Rotes-Querol mu 1950, matendawa amatchedwa "senile ankylosing hyperostosis." Icho chinatchedwanso matenda a Forestier.
Mu DISH, mitsempha ya axial imakhala ikukhudzidwa, makamaka mthunzi wa thoracic . Koma, ochita kafukufuku atazindikira kuti matendawa sagwiritsidwa ntchito pa msana komanso kuti angakhudze ziwalo zogwirira ntchito, adatchulidwanso kuti Akufalitsa Idiopathic Skeletal Hyperostosis.
Zizindikiro ndi Zizindikiro za DISH
Makhalidwe, DISH imaphatikizapo kupanga ma osteophytes kumbali yakumanja ya msana wa thoracic (ndi intervertebral disk space yosasinthika) ndi kutsekemera kwa mlengalenga kotchedwa longitudinal ligament. Kuwerengetsa ndi kusokoneza malo ochedwa longitudinal ligament kungathenso kupezeka ku DISH, kuphatikizapo malo ozungulira, kuphatikizapo ziwalo zogwiritsira ntchito, zamoyo zapadera, Achilles tendon, olecranon (mbali ya ulna kupitirira muzowonjezera), ndi zina zambiri.
Kuzindikira DISH
Kufufuza kotsimikizika kwa DISH kumachokera pazomwe zapeza, kuphatikizapo:
- Kukhalapo kwa mafinya otchedwa coarse, othamanga m'mphepete mwa mphuno ya thoracic, kuphatikizapo osachepera anayi amtundu wa vertebrae -or-ossification wa anterior longitudinal ligament
- Kusungidwa kwa intervertebral disk kutali m'dera lomwe likukhudzidwa
- Kusakhala ndi apophyseal mgwirizano wa ankylosis, kutentha kwa sacroiliac pamodzi , sclerosis, kapena intra-articular fusion. Mgwirizano wa apophyseal ndipamene mafupa awiri kapena angapo amalowa mu msana.
Chodziŵika bwino cha DISH chimachokera ku kuwerengera kosalekeza, kutsekedwa, kapena m'dera loyambirira la mankhwala osachepera awiri, komanso ziwalo zowonongeka za chidendene, olecranon, ndi patella.
Komanso, ziwalo zazing'onoting'ono zamkati zimakhala zisonyezero za DISH yoyambirira yomwe ingadzakhalenso DISH yokwanira yomwe ikuwonekera poyera.
Kukula ndi Zowerengera Zokhudzana ndi DISH
DISH ndi yofala kwambiri kuposa amuna. Kufalikira kwa DISH kumasiyanasiyana ndipo kumachokera pa msinkhu, mtundu, komanso malo. Malingana ndi Kelley's Textbook of Rheumatology , kafukufuku wopita ku chipatala wanena kuti kuchuluka kwa DISH kwa amuna oposa 50 ali ndi zaka 25% poyerekeza ndi akazi oposa 50 pa 15%. Ayuda a zaka zoposa 40 okhala ku Yerusalemu anali ndi chiwerengero chochulukirapo, koma chiwerengero chochepa cha anthu a ku Korea (ngakhale anthu 9 okalamba) chinali chochepa. DISH Wachikondi anapezeka m'mabwinja a anthu kuyambira zaka 4000. M'mibadwo ya anthu kuyambira zaka za m'ma 6 mpaka 8, kufalikira kunali kochuluka kwa amuna poyerekeza ndi akazi, akuyendetsa pafupi 3.7%.
Chifukwa cha DISH ndi Zinthu Zogwirizana
Chifukwa cha DISH sichidziwika, komabe palinso zinthu zina zomwe zikuwoneka zikugwirizana ndi chikhalidwecho. Anthu omwe ali ndi DISH nthawi zambiri amakhala ndi osteoarthritis . DISH inayanjananso ndi:
- Matenda a zamadzimadzi
- Matenda a shuga (osadalira insulini)
- Kunenepa kwambiri
- Chiŵerengero chapamwamba chozungulira chiwerengero
- Kuthamanga kwa magazi
- Hyperinsulinemia
- Dyslipidemia
- Matenda owonjezeka a kukula kwa hormone
- Zowonjezera kukula kwa insulini
- Hyperuricemia
- Kugwiritsiridwa ntchito kwa retinoids (vitamini A substances)
Chibadwa chodziwika bwino
Zizindikiro Zogwirizana ndi DISH
Palibe zizindikiro ndi zizindikiro zomwe zimagwirizanitsidwa ndi DISH. Komabe, odwala ambiri a DISH amakumana ndi kuuma kwa m'mawa, kupweteka kwa dorsolumbar, ndi kuchepetsa kuyenda. Pangakhale ululu wopweteka wa ziwalo zazikulu ndi zing'onozing'ono zapakati pazitali komanso phokoso lazitsulo (chidendene, Achilles tendon, shoulder, patella, olecranon). Kupweteka kwa mafuko a axial kungakhale kotchulidwa ndi zigawo zonse zitatu za msana, ndi zida zowonjezera komanso zowonjezereka.
Kuchiza kwa DISH
Chithandizo cha DISH chimayambitsa kuthetsa ululu ndi kuuma, kuchepetsa kukula kwa matendawa, kubweretsa mavuto a kagayidwe kachakudya, ndi kupeŵa mavuto. Zochita zolimbitsa thupi, kutentha, mankhwala opweteka, komanso mankhwala osokoneza bongo (NSAIDs) amagwiritsidwa ntchito poyang'anira zotsatira za DISH.
Zotsatira:
Kelley's Textbook ya Rheumatology. Kusindikiza kwachisanu ndi chinayi. Chaputala 102. Matenda Ochepetsa Matenda. Reuven Mader.
Choyamba pa Rheumatic Diseases. Kusindikiza kwachisanu ndi chitatu. Zochepa Zochepa Zokwanira. Tsamba 480. Peter A. Merkel. MD