Ukusabalalisa i-Idiopathic Skeletal Hyperostosis, ebizwa ngokuba yi-DISH, isifo esichazwe ngokubalwa (ukuchithwa kwe-calcium) kunye ne-ossification (ukwakheka kwethambo) kumathishini athambileyo, ngokuyinhloko angena kunye nemigqa . Okokuqala kwachongwa kwaye kuchazwe nguForestier kunye neRotes-Querol ngo-1950, eso sifo sabizwa ngokuthi "senile ankylosing hyperostosis." Kuye kwagqitywa njengesifo se-Forestier.
Kwi-DISH, i- axial skeleton ibandakanyeke, ngokukodwa i- thoracic spine . Kodwa, xa abaphandi beqaphela ukuba lesi sifo sasingagqithwanga emgodini kwaye singathintela ama-joint joints, baphinda bathiwa ngu-Diffuse Idiopathic Skeletal Hyperostosis.
Iimpawu kunye neempawu zeDISH
Ngokomntu, i-DISH ibandakanya ukuveliswa kwee- osteophyte ngakwesokudla kwesigxobhozo (kunye ne-disk space interk space) engatshintshi) kunye ne-ossification ye-longitudinal ligament. Ukubalwa kunye nokuchithwa kwe-longitudinal longitudinal ligament kungenziwa nakwi-DISH, kunye nemimandla yenkalo, kuquka i-peripatellar ligaments, i-fascia ye-plantar, i-Achilles tendon, i-olecranon (inxalenye ye-ulna ngaphaya komgca we-elbow), kunye nokunye.
Ukuchonga iDISH
Ukuxilongwa ngokucacileyo kwe-DISH kusekelwe kwiziphumo ze-radiographic, eziquka:
- Ubukho bee-osteophyte eziqhekezayo, ezijikelezayo kwicala lesigxina, ukudibanisa ubuncinane ezine ezine-vertebrae -orossification zangaphambili zelitamental longitudinal
- Ukuphakama kwediski ye-disk egcinwe kwindawo echaphazelekayo
- Ukungabikho kwe-ankylosis yokudibanisa i-apophyseal, ukukhulelwa kwe-sacroiliac, ukubola kwesifo okanye ukunyusa kwe-intra-articular. Idibaniso ye-apophyseal yindawo apho amathambo amabini okanye ngaphezulu ajoyina emthonjeni.
Ukuxilongwa ngokucacileyo kwe-DISH kusekelwe ekubhaleni okuqhubekayo, ossification, okanye zombini wendawo ye-anterolateral yobuncinane ubuncinane obunobumba obunomzimba obunemigangatho, kunye ne-entheopathies ehambelana nesithende, i-olecranon kunye ne-patella.
Kwakhona, i-enthesopathies yendawo yomhlaba ingabonakalisa i-DISH yangaphambili eyayiza kukhula ibe yi-DISH epheleleyo ebonakalayo ngokucacileyo.
Ubuninzi kunye nezibalo ezihambelanayo ne-DISH
I-DISH iqheleke kakhulu kumadoda kunabesifazane. Ubuninzi be-DISH buhluka kwaye busekelwe kwiminyaka yobudala, ubuhlanga, kunye nendawo yokuhlala. Ngokwe- Kelley's Bookbook yeRheumatology , izifundo ezisekelwe esibhedlele ziye zaxela ukubaluleka kwe-DISH kumadoda aneminyaka engama-50 ubudala kwiminyaka engama-25% malunga nabesifazane abangaphezu kwe-50 kwi-15%. AmaYuda angaphezu kweminyaka engama-40 ahlala eYerusalem aphezulu kakhulu, ngelixa kwakukho ukuhlawula okuphantsi kwalabo baseKorea (kungekhona abantu abangama-9% abantu abadala). I-DISH epholileyo yafunyaniswa kwisityebi somntu esiphathelene neminyaka engama-4000. Kwiintshukumo zabantu ukususela kwi-6 ukuya kweyesi-8, iinkulungwane eziphezulu ziphezulu kumadoda xa kuthelekiswa nabasetyhini, zihamba nge-3.7%.
Isizathu se-DISH kunye neemeko ezihambelanayo
Isizathu se-DISH asiyazi, kodwa kukho izinto ezithile ezibonakala zihambelana nale meko. Abantu abanesifo se-DISH kaninzi banesifo se- osteoarthritis . I-DISH idibaniswe nayo:
- Isifo se-Metabolic syndrome
- Isifo sikashukela esinesifo (esingaxhomeki kwi-insulin)
- Ukunyanya
- Umlinganiselo wesisindo esiphakamileyo somlenze
- U xinzelelo
- Hyperinsulinemia
- Dyslipidemia
- Amanqanaba aphakamileyo okukhula kwehomoni
- Ukuphakanyiswa kokukhula kwe-insulin
- Hyperuricemia
- Ukusetyenziswa kwama-retinoids (izinto ze-vitamin A)
Iimpawu zokuzalwa
Iimpawu ezinxulumene neDISH
Akukho zibonakaliso kunye neempawu ezihambelana ngqo ne-DISH. Nangona kunjalo, ezininzi izigulane ze-DISH zinamava obunzima bokusa, ubuhlungu be-dorsolumbar, kunye nokunciphisa uluhlu lwesinyanzelo. Kube nobunzima obugqithiseleyo kumalungu amakhulu kunye namancinci athungathayo kunye ne-piproperal enteses (isithende, intambo ye-Achilles, i-shoulder, patella, i-olecranon). Ubuhlungu kwi-axial skeleton bungabonakala kuyo yonke imimandla emithathu yomgudu, kunye namalungu amaninzi aphezulu kunye nama-sternoclavicular.
Unyango lwe-DISH
Uphulo lwe-DISH lujoliswe ekunciphiseni ubuhlungu nokuqina, ukunciphisa ukuqhubela phambili kwesi sifo, ukukhupha izifo ezinokulawulwa komzimba kunye nokukhusela iingxaki. Ukusetyenziswa kokukhanya, ukufudumala, amayeza enhlungu , kunye nezidakamizwa ezingabhubhisiyo (i-NSAID) zisetyenziselwa ukulawula imiphumo ye-DISH.
Imithombo:
I-Kelley's Bookbook yeRheumatology. I-ninth edition. Isahluko 102. Izifo zeThambo eziPhambili. Reuven Mader.
I-primer kwi-Rheumatic Diseases. Ishumi elinesithathu. Ngaphantsi kwezinto eziqhelekileyo. Ikhasi 480. Peter A. Merkel. MD