Ho fapana ha Idiopathic Skeletal Hyperostosis, eo hangata e bitsoang DISH, ke lefu le khetholloang ke calcification (deposition of calcium) le ossification (ho thehoa ha lesapo) ka mahlahahlaha a bonolo, haholo-holo a kenang le li-ligaments . Pele e fumanoeng le e hlalositsoeng ke Forestier le Rotes-Querol ka 1950, lefu lena le ne le bitsoa "senile ankylosing hyperostosis." E boetse e bitsoa lefu la Forestier.
Ha e le DISH, masapo a axial a atisa ho ameha, haholo-holo mokokotlo oa thoko . Empa, ha bafuputsi ba lemoha hore lefu lena le ne le sa felle feela ka mokokotlo le hore le ka ama manonyeletso a sephahla, ba ile ba le reha lebitso lena ho fokotsa Idiopathic Skeletal Hyperostosis.
Matšoao le Litšoaneleho tsa DISH
Sebopeho, DISH e kenyelletsa tlhahiso ea li- osteophyte ka lehlakoreng le letona la mokokotlo oa thoracic (ho se na phetoho ea intervertebral disk space) le ho fokotseha ha li-longitudinal ligament. Ho fumanoa le ho fokotseha ha nako e telele ea longitudinal ligament ho ka boela ha e-ba teng DISH, hammoho le libaka tse kenyelletsoeng, ho akarelletsa le li-peripatellar ligaments, fascia ea plantar, Achilles tendon, olecranon (karolo ea ulna ka nģ'ane ho motsoako oa lerako), le ho feta.
Ho khetholla DISH
Tlhahlobo e hlakileng ea DISH e thehiloe liphuputsong tsa radiographic, tse kenyeletsang:
- Boteng ba li-osteophyte tse phoroselang tse lehlakoreng le letona la mokokotlo oa thoracic, ho kopanya bonyane li-vertebrae tse 'nè tse nang le mefuta-futa ea li-longitudinal ligament
- Sebaka se bolokehileng sa disvertebral disk sebakeng se amehang
- Ho ba sieo ha li-apophyseal joint ankylosis, khoholeho ea motsoako oa sacroiliac , sclerosis, kapa fusion ea intra-articular. Sehlopha sa apophyseal ke moo masapo a mabeli kapa a fetang a kopanang le mokokotlo.
Tlhahlobo e ka khonehang ea DISH e itšetlehile ka ho tsoela pele ha calcification, ossification, kapa libaka tse peli tsa anterolateral bonyane lihlopha tse peli tse nang le li-vertebral, le li-enthesopathia tse entsoeng ka serethe, olecranon le patella.
Hape, li-enthesopathies tsa pherefone e ka 'na ea e-ba pontšo ea DISH ea pele eo hamorao e ka hlahisang DISH e feletseng e hlaselitsoeng e hlakileng ka tsela ea tlhaho.
Ho ata le Lipalo-palo tse amanang le DISH
DISH e atile haholo ho banna ho feta basali. Ho ata ha DISH ho fapane ebile ho itšetlehile ka lilemo, morabe, le libaka. Ho ea ka Kelley's Textbook of Rheumatology , lipatlisiso tse entsoeng sepetlele li tlalehile ho ata ha DISH ho banna ba fetang lilemo tse 50 ho hoo e ka bang 25% ho basali ho feta 50 ho 15%. Bajuda ba neng ba feta lilemo tse 40 ba neng ba lula Jerusalema ba ne ba e-na le sekhahla se sengata, ha ho ntse ho e-ba le sekhahla se tlaase har'a ba Korea (esita le batho ba baholo ba 9%). DISH e bonolo e fumanoe mesaletsa ea batho e bileng teng lilemo tse 4000. Libakeng tsa batho ho tloha lilemong tsa bo-6 ho ea ho tsa bo-8, ho ata ho ne ho feta banna ho bapisoa le basali, ba pota-potile ka 3.7%.
Lebaka la DISH le Maemo a Amanang
Lebaka la DISH ha le tsejoe, leha ho le joalo ho na le mabaka a mang a bonahalang a amana le boemo boo. Batho ba nang le DISH hangata ba na le lefu la osteoarthritis . DISH e boetse e amahanngoa le:
- Lefu la metabolic syndrome
- Mofuta oa lefu la tsoekere (ea itšetlehileng ka insulin)
- Botenya
- Kakaretso ea bophahamo ba bophahamo bo phahameng
- Hypertension
- Hyperinsulinemia
- Dyslipidemia
- Mefuta e phahameng ea ho hōla ha hormone
- E phahame ka kakaretso e kang insulin
- Hyperuricemia
- Tšebeliso ea li-retinoids (vithamine A dintho)
Sebopeho sa lefutso
Matšoao a Amanang le DISH
Ha ho na matšoao le matšoao a amanang le DISH. Leha ho le joalo, bakuli ba bangata ba DISH ba na le bothata ba hoseng ba hoseng, bohloko ba dorsolumbar, mme ba fokotsa mokoloko oa ho tsamaea. Ho ka 'na ha e-ba le bohloko bo tebileng ba meriana e meholo le e nyenyane ea methapo ea meriana hammoho le litlhoko tsa ponahalo (serethe, tendon ea Achille, mahetleng, patella, olecranon). Mahlaba a masapo a axial a ka 'na a bitsoa libakeng tsohle tse tharo tsa mokokotlo, le lihlopha tse theko e tlaase le tse senya.
Kalafo ea DISH
Kalafo ea DISH e ikemiselitse ho fokotsa bohloko le boima, ho fokotsa tsoelo-pele ea lefu lena, ho tlisa mathata a metabolism a laoloang, le ho thibela mathata. Boikoetliso bo khanyang, mocheso, meriana ea bohloko, le lithethefatsi tse seng khahlanong le ho ruruha (NSAIDs) hangata li sebelisoa ho laola liphello tsa DISH.
Lisebelisoa:
Kelley's Textbook ea Rheumatology. Khatiso ea borobong. Khaolo ea 102. Matšoao a mafu a maholo. Reuven Mader.
Tlhahlobo ea Rheumatic Diseases. Khatiso ea leshome la boraro. Lintho Tse Ling Tse sa Tšoaneng Tse Tloaelehileng. Leqephe la 480. Peter A. Merkel. MD