Diffuse Idiopathic Skeletal Hyperostosis, wanda ake kira DISH, wani cututtuka ne da ke lissafta (ƙaddamar da allurar) da kuma ossification (kafa kashi) a cikin kyakyawa masu yatsa, da farko haɗuwa da haɗi . Da farko da aka gano da Forestier da Rotes-Querol suka bayyana a shekarar 1950, ana kiran wannan cutar "hyperostosis." An kuma kira shi cutar ta Forestier.
A DISH, skeleton na tsakiya yana yawanci da hannu, musamman ma spin thoracic . Amma, lokacin da masu bincike suka gane cewa cutar ba ta iyakancewa ne kawai ba da kuma cewa zai iya tasiri ga mahalli, sun sake kira shi Diffuse Idiopathic Skeletal Hyperostosis.
Kwayoyin cututtuka da halaye na DISH
Yawancin hali, DISH ya haɗa da samar da osteophytes tare da gefen dama na spin thoracic (tare da canjin intervertebral sarari ba tare da canzawa) da kuma ossification na ligament na tsawon lokaci. Ƙididdigawa da ƙaddamarwa na ligament na tsawon lokaci na iya faruwa a DISH, kazalika da yankunan da ke ciki, ciki har da ligaments mai haɗari, tsire-tsire, tsintsiya mai sauƙi, olecranon (wani ɓangare na ƙananan haɗin gwiwa), da sauransu.
Diagnosing DISH
Sakamakon ganewa na asali na DISH ya dogara ne akan binciken binciken labaran, ciki har da:
- Kasancewar muni, mai gudana osteophytes a gefen dama na kashin thoracic, haɗawa a kalla huɗun kalmomi guda huɗu -nosssification na ligament na tsawon lokaci
- Tsare-tsaren tsaka-tsalle tsakanin tsaka-tsaki a yankin
- Rashin apkhyseal haɗin gwiwar ankylosis, zubar da haɗin zubar da jini , sclerosis, ko fuska mai ciki. Wani haɗin gwiwa na apophyseal yana da mahimmanci inda biyu ko fiye kasusuwa suka shiga cikin kashin baya.
Mai yiwuwa ganewar asali na DISH yana dogara ne akan ƙididdigar ci gaba, ossification, ko duka bangarori guda biyu na akalla ƙwayoyin jikin mutum biyu, da kuma adhesopathies da dama daga cikin sheqa, olecranon, da patella.
Har ila yau, ƙididdigar labaran ƙwayar cuta na iya nuna alamun farko na DISH wanda zai iya ci gaba a cikin cikakken DISH wanda yake da alaƙa.
Yanayi da labaran da suka danganci DISH
DISH yafi kowa cikin maza fiye da mata. Yanayin DISH ya bambanta kuma yana dogara ne akan shekaru, kabilanci, da kuma yanayin wuri. A cewar Kelley's Textbook of Rheumatology , nazarin binciken asibiti ya ruwaito adadin DISH a cikin maza da suka fi shekaru 50 a kusan kimanin 25% da mata fiye da 50 zuwa 15%. Yahudawan da suka kai shekaru 40 da suka zauna a Urushalima sun fi karuwa, yayin da aka samo asali a tsakanin mutanen Koriya (har ma da kashi 9 cikin dari na tsofaffi). Ra'ayin rashin lafiya ya samo a cikin ɗan adam yana dawo da shekaru 4000. A cikin 'yan Adam daga karni na 6 zuwa 8th, yawancin mutane sun fi girma a cikin maza idan aka kwatanta da mata, suna yin kusan kashi 3.7%.
Dalili na DISH da Yanayin da suka shafi
Dalilin DISH ba'a san shi ba, duk da haka akwai wasu dalilai da suka bayyana sun haɗa da yanayin. Mutane tare da DISH sau da yawa suna da osteoarthritis . DISH an haɗa shi da:
- Ciwon maganin ƙwayar cuta
- Ciwon sukari mellitus (wanda ba insulin dogara)
- Kiba
- Babban ƙuƙwalwar ƙumma
- Hawan jini
- Hyperinsulinemia
- Dyslipidemia
- Girman girma na hormone girma
- Haɗarin insulin-kamar girma factor
- Hyperuricemia
- Yin amfani da retinoids (abubuwa bitamin A)
A kwayoyin predisposition
Kwayoyin cututtuka da aka haɗa tare da DISH
Babu alamu da bayyanar cututtuka musamman hade da DISH. Duk da haka, mafi yawan marasa lafiya DISH sunyi jin dadi, damuwa dorsolumbar, kuma rage ragowar motsi. Akwai matsananciyar ciwo na ɗakuna da ƙananan kwakwalwa da kuma ƙwayoyin jiki (diddige, Alaylles tendon, kafada, patella, olecranon). Raguwa a cikin kwarangwal mai ƙila za a iya danganta ga dukkanin yankuna uku na kashin baya, da kuma ɗakunan da suka dace da farashin da suka dace.
Jiyya na DISH
Jiyya na DISH an tsara shi don kawar da ciwo da ƙyama, jinkirin cigaba da cutar, kawo rashin lafiyar jiki a karkashin iko, da kuma hana rikitarwa. Harkokin haske, zafi, magunguna masu zafi, da kuma kwayoyin anti-inflammatory (NSAIDs) ana amfani da ita don sarrafa sakamakon DISH.
Sources:
Kelley's Textbook na Rheumatology. Tsarin na tara. Babi na 102. Cututtuka masu lalacewa. Reuven Mader.
Matsayi mai mahimmanci akan cututtuka na Rheumatic. Na sha uku edition. Kadan Arthropathies. Page 480. Bitrus A. Merkel. MD