Osteopetrosis: chii, zviratidzo uye kurapwa
Zvemukati
Osteopetrosis chirwere chisingawanzoitiki nhaka yeasteometabolic chirwere umo mapfupa akaomarara kupfuura zvakajairwa, zvinoitika nekuda kwekusaenzana kwemasero anokonzeresa kuita kwekuumbwa kwemapfupa uye kutyora, kukurudzira kuwedzera kwakawanda kwehuwandu hwemapfupa uye zvichikonzera kuoneka zvimwe zviratidzo semamwe mapfupa anotsemuka, kunetseka kunzwa uye shanduko mukusimudzira neuronal, semuenzaniso.
Mushonga we osteopetrosis unofanirwa kukurudzirwa nechikwata chekurapa chinosanganisira chiremba wevana, hematologist uye orthopedist, uye bone marrow kuisirwa inowanzo kukurudzirwa kuitira kusimudzira mashandiro emaseru ane hukama nekuumbwa kwemapfupa.
Osteopetrosis zviratidzo
Zviratidzo nezviratidzo zve osteopetrosis zvinogona kuzivikanwa nguva pfupi mushure mekuberekwa, sezvo chiri chirwere chekuzvarwa, kana panogona kunge paine zviratidzo nezviratidzo chete mukukura. Hunhu hukuru hweosteopetrosis ndiko kuwedzera kwefupa, iyo inogona kucherechedzwa nekuongorora bone densitometry.
Uye zvakare, kune zvakare mukana mukuru wekutsemuka, nekuti nekuda kwekukanganisa kwemasero anokonzeresa maitiro ekuumbwa kwemapfupa nekuparadza, mapfupa anova anopwanya.
Zviratidzo zve osteopetrosis zvine chekuita nenyaya yekuti pane kuiswa kukuru kwemapfupa mumuviri, izvo zvinogona kukonzera shanduko mumuviri wese, zviratidzo zvikuru zviri:
- Blurry chiratidzo;
- Kunetseka kunzwa;
- Zviripo zvirwere zvemazino uye matadza;
- Kuwedzera kwechiropa uye spleen, zvichikonzera kushandurwa kugadzirwa kwemasero eropa;
- Shanduko mukusimudzira neuronal;
- Kunonoka pakuzvarwa kwemeno;
- Kuwedzera kwekumanikidza kushushikana.
Kuongororwa kweosteopetrosis kunoitwa neyechiremba wemazamu kuburikidza nekuongororwa kwemifananidzo senge X-ray uye bone densitometry, inova bvunzo yakapusa uye isingarwadze inovavarira kuona kuwanda kwemapfupa emunhu, achibvumidza kuongorora njodzi yekutyoka, semuenzaniso. Nzwisisa chinonzi osteopetrosis uye kuti inoitwa sei.
Zvisinei, kusimbisa rudzi uye zvinetso zve osteopetrosis, chiremba anogonawo kuraira kumwe kuongororwa kwenjodzi, senge computed tomography kana magnetic resonance imaging yekuongorora kuvepo kwezvironda mune dzimwe nhengo dzakaita semeso nenzeve, kuwedzera pakuedzwa kweropa.
Zvinokonzera osteopetrosis
Osteopetrosis inokonzerwa nekukanganisa mune rimwe kana mamwe majini anokonzera kuumbwa nekuvandudzwa kweosteoclasts, ayo ari masero anobvisa mapfupa ekare uye anoatsiva neimwe nyowani, ine hutano. Zvichienderana nekwakabva majeni akachinjwa, mhando yeosteopetrosis inogona kusiyana:
- Yakashata hudiki osteopetrosis: mwana ane chirwere kubva pakuzvarwa nekuda kwekuremara mumageneti akagamuchirwa kubva kuna baba naamai;
- Mukuru osteopetrosis: osteopetrosis inongowanikwa mukuyaruka kana mukukura, ichikonzerwa nemajini akachinjwa kubva kuna baba chete kana amai.
Muchiitiko chevakuru osteopetrosis, iko kuchinjika kwemajini kunogona kukonzerwa neshanduko, pasina kugara nhaka kuchinjika kubva kuvabereki.
Kurapwa kunoitwa sei
Kurapa kwe osteopetrosis kunofanirwa kutungamirwa nechikwata chevanoverengeka vezvehutano, senge chiremba wevana, chiremba wemapfupa, hematologist, endocrinologist uye physiotherapist.
Parizvino, kurapwa kwakanyanya kwe osteopetrosis ndeyekutsvaira mwongo wemapfupa, sezvo masero akadzikiswa achiburitswa munhengo iyoyo. Nekudaro, kana uchiita kuisirwa, zvinokwanisika kutonga mashandiro emasero anoitisa kuumbwa uye kuparadzwa kwemapfupa, kurwisa osteopetrosis. Nzwisisa kuti kupora kwemongo wemapfupa kunoitwa sei.
Kunyangwe kufema kwemongo wemapfupa iri yekurapa yakakurudzirwa yekurapa chirwere, mamwe marapirwo anogona kukurudzirwa kuitira kusimudzira kusunungurwa kwechiratidzo, senge:
- Jekiseni neInterferon gamma-1b, iri mushonga unokwanisa kunonoka kukura kwechirwere;
- Calcitriol Inodya, inova fomu inoshanda yevhitamini D iyo inobatsira kukurudzira maseru emapfupa kuti akure zvakajairika uye kudzikamisa mapfupa;
- Prednisone kumedza, inova hormone yakafanana necortisone iyo inogona kuvandudza kugadzirwa kwemasero ekudzivirira mumuviri, ayo anogadzirwa mumapfupa;
- Physiotherapy zvikamu, sezvo ivo vachivandudza kugona kwemurwere, zvichibatsira kudzivirira kutsemuka kwemapfupa uye nekuvandudza kuzvimirira mune zvimwe zviitiko zvezuva nezuva.
Chiremba anogona zvakare kukuraira iwe kuti ubvunze wezvehutano kuti agadzirise kudya kwako kuti ubatanidze chikafu chinobatsira kufambisa muviri uye mapfupa kukura, kunyanya panguva yehucheche.
Uye zvakare, zvakakosha kuti ugare uchishanyira kuna ophthalmologist, otolaryngologist uye chiremba wemazino kuti uone kukura nekukwanisa kuoneka kwezvimwe maronda kana kusagadzikana mumaziso, mazino, mhino, nzeve nehuro, semuenzaniso.