Ukusabalalisa i-Idiopathic Skeletal Hyperostosis, evame ukubizwa ngokuthi i-DISH, isifo esibonakala ngokubalwa (i-deposition calcium) kanye ne-ossification (ukwakheka kwethambo) ezinamathisini athambile, ngokuyinhloko ukungena kanye nemigqa . Okokuqala okukhonjiswe futhi echazwe nguForestier noRotes-Querol ngo-1950, lesi sifo sabizwa ngokuthi "senile ankylosing hyperostosis." Kubuye kwabizwa ngokuthi yisifo sikaForestier.
E-DISH, i- axial skeleton ngokuvamile ihilelekile, ikakhulukazi umgogodla we- thoracic . Kodwa, lapho abacwaningi beqaphela ukuthi lesi sifo sasingagcini umgogodla nokuthi singathinta amalunga omzimba, baphinde bathiwa yi-Idiopathic Skeletal Hyperostosis.
Izimpawu Nezici ze-DISH
Ngokufanayo, i-DISH ihilela ukukhiqizwa kwama- osteophyte ngakwesokudla komgogodla we-thoracic (nge-intervertebral disk space engashintshi) kanye nokuqhutshwa kwesigungu se-longitudinal yangaphakathi. Ukubalwa kanye nokususwa kwe-longitudinal ligament yangasemva kungenzeka nakwe-DISH, kanye nezindawo zokubandakanya, kuhlanganise nemigqa ye-peripatellar, i-fascia, i-Achilles tendon, i-olecranon (ingxenye ye-ulna ngaphesheya kwehlangothini lwe-elbow), nokuningi.
Ukuthola i-DISH
Ukuxilongwa okucacile kwe-DISH kusekelwe ekutholeni kwe-radiographic, kufaka phakathi:
- Ukutholakala kwama-osteophyte aqhekekile, egeleza ngakwesokunene somgogodla we-thoracic, ukuxhuma okungenani ezine-vertebrae--sissification ehambisana ne-longitudinal ligament
- Ukuphakama kwe-disk intervertebral disk esifundeni esibandakanyekile
- Ukungabikho kwe-ankylosis ehlangene ne-apophyseal, ukuguguleka kokuhlanganyela kwe-sacroiliac , ukubola kwesibindi, noma ukuhlanganiswa kwe-intra-articular. Ukuhlanganiswa kwe-apophyseal iphuzu lapho amathambo amabili noma ngaphezulu ejoyina emgodleni.
Ukuxilongwa okubonakalayo kwe-DISH kusekelwe ekubalweni okuqhubekayo, ossification, noma kokubili esifundeni esingaphansi kwe-anterolateral okungenani emibili imizimba ye-vertebral ehambisanayo, ne-enthesopathies ehlanganisiwe yesithende, i-olecranon, ne-patella.
Futhi, ukungena kwe-peripheral enthesopathies kungase kubonise ukuthi i-DISH yokuqala ingaqhubeka ibe yi-DISH egcwele ebonakalayo ebonakala ngokucacile.
Ukukhula kanye nezibalo ezihlobene ne-DISH
I-DISH ivame kakhulu emadodeni kunabesifazane. Ukusabalala kwe-DISH kuyahluka futhi kusekelwe ebudala, ubuhlanga, kanye nendawo. Ngokusho kukaKelley's Textbook of Rheumatology , izifundo ezisekelwe esibhedlela ziye zabika ukusabalala kweDISH emadodeni aneminyaka engaphezu kwengu-50 ubudala cishe cishe ngama-25% ngokuphathelene nabesifazane abangaphezu kuka-50 ku-15%. AmaJuda angaphezu kweminyaka engama-40 ahlala eJerusalema ayenesisindo esiphakeme, kanti ukutholakala okuphansi kwatholakala kulabo baseKorea (ngisho nabantu abangu-9% asebekhulile). U-DISH omncane watholakala ezinsalela zabantu ezivela eminyakeni engu-4000. Emasimini abantu kusukela eminyakeni yesithupha kuya kweyisishiyagalolunye, ukusabalala kwakuphakeme emadodeni uma kuqhathaniswa nabesifazane, behamba ngezingu 3.7%.
Isizathu se-DISH nemibandela ehlobene
Isizathu se-DISH asiyazi, kodwa kunezici ezithile ezibonakala zihlotshaniswa nesimo. Abantu abane-DISH bavame ukuba ne- osteoarthritis . I-DISH nayo ihlotshaniswe no:
- I-metabolic syndrome
- Isifo sikashukela soshukela (esingencike ekutheni insulin)
- Ukukhuluphala
- Isilinganiso sezinga eliphezulu lesikhumba
- I-hypertension
- Hyperinsulinemia
- I-Dyslipidemia
- Amazinga aphakeme we-hormone yokukhula
- Ukwenyuka kwe-insulin-like factor factor
- Hyperuricemia
- Ukusetshenziswa kwama-retinoids (i-vitamin A substances)
Isakhiwo sezakhi zofuzo
Izimpawu Ezihlobene Ne-DISH
Azikho izimpawu nezimpawu ezihlobene ngqo ne-DISH. Kodwa-ke, iziguli eziningi ze-DISH zithola ubunzima bekusasa, ubuhlungu be-dorsolumbar, futhi bunciphise ububanzi bokuhamba. Kungenzeka kube nobuhlungu obukhulu bezingxenyana ezinkulu nezincane kanye ne-peripheral entheses (isithende, i-Achilles tendon, ihlombe, i-patella, i-olecranon). Ubuhlungu ku-axial skeleton bungase kubhekiswe kuzo zonke izifunda ezintathu zomgogodla, kanye namajoyinti aphansi kanye nesimo sangaphandle.
Ukwelashwa kwe-DISH
Ukwelashwa kwe-DISH kuhloswe ekunciphiseni ubuhlungu nokuqina, ukunciphisa ukuqhuma kwesifo, ukuletha ukuphazamiseka kwemithambo yegazi, nokuvimbela izinkinga. Ukuvivinya okukhanyayo, ukushisa, imithi yokwelashwa, kanye nezidakamizwa ezingezona ukuvuvukala (NSAIDs) ngokuvamile zisetshenziselwa ukuphatha imiphumela ye-DISH.
Imithombo:
I-Kelley's Bookbook of Rheumatology. Umagazini wesishiyagalolunye. Isahluko 102. Izifo zeT Bone eziPhezulu. Reuven Mader.
A primer on the Rheumatic Diseases. Umagazini weshumi nantathu. I-arthropathies engavamile. Ikhasi 480. Peter A. Merkel. MD