Zvese iwe zvaunofanirwa Kuziva Nezve Chipikiri Patella Syndrome

Zvemukati

• Ndezvipi zviratidzo?
• Zvinokonzera
• NPS inoonekwa sei?
• Matambudziko
• NPS inorapwa sei uye inotarisirwa?
• Ndeapi maonero?

Mhedziso

Nail patella syndrome (NPS), dzimwe nguva inonzi Fong syndrome kana nhaka yeasteoonychodysplasia (HOOD), isingawanzoitika geni kusagadzikana. Inowanzo bata nzara. Iyo inogona zvakare kukanganisa majoini mumuviri wese, senge mabvi ako, uye mamwe masystem emuviri, senge system yemitsipa neitsvo. Ramba uchiverenga kuti udzidze zvakawanda nezve iyi mamiriro.

Ndezvipi zviratidzo?

Zviratidzo zveNPS dzimwe nguva zvinoonekwa kubvira paucheche, asi zvinogona kubuda gare gare muhupenyu. Zviratidzo zveNPS zvinowanzoitika mune:

• nzara
• mabvi
• magokora
• chiuno

Mamwe majoini, mapfupa, uye zvinyoro zvinyoro zvinogona zvakare kukanganiswa.

Nezve vanhu vane NPS vane zviratidzo zvinokanganisa nzara dzavo. Zviratidzo izvi zvinogona kusanganisira:

• nzara dzisipo
• nzara diki zvisina kujairika
• kushanduka
• kutsemuka kwenguva refu kwembambo
• nzara dzakaonda zvisingaite
• lunula yakaita mativi matatu, chinova chikamu chepasi chechipikiri, pamusoro chaipo peganda

Zvimwe, zvisingawanzo zviratidzo, zvinogona kusanganisira:

• akashatisa nzwara diki
• diki kana zvisina kujairika patella patella, iyo inozivikanwawo seye kneecap
• kusuduruka kwemabvi, kazhinji padhuze (kudivi) kana kumusoro (kumusoro)
• kubuda kubva mumapfupa mukati uye kutenderedza ibvi
• patellar dislocations, inozivikanwawo sekupfugama kwemabvi
• yakaganhurirwa renji yekufamba mugokora
• arthrodysplasia yegokora, inova iyo geni mamiriro anokanganisa majoini
• kutsemurwa kwemaoko
• huwandu hwekuwedzera kwemajoini
• nyanga dziri iliac, idzo dziri mbiri, dzakafanana, dzemabhonzo dzinobuda kubva muchiuno dzinowanzoonekwa pamifananidzo yeX-ray
• kurwadziwa shure
• yakasimba Achilles tendon
• tsandanyama yepasi tsandanyama
• matambudziko eitsvo, akadai sehematuria kana proteinuria, kana ropa kana mapuroteni mumuguta
• matambudziko eziso, akadai seglaucoma

Pamusoro pezvo, sekureva kweimwe, ingangoita hafu yevanhu vanoonekwa vaine NPS ruzivo patellofemoral kusagadzikana. Patellofemoral kusagadzikana kunoreva kuti kneecap yako yabuda mukuenderana kwakaringana. Inokonzera kurwadziwa kusingaperi uye kuzvimba mumabvi.

Yakaderera mapfupa emaminera emagetsi chimwe chiratidzo chinogoneka. Imwe ongororo kubva mugore ra2005 inoratidza kuti vanhu vane NPS vane masendi masere ezana makumi masere kubva muzana echipfupa chemaminerari kupfuura vanhu vasina, kunyanya muchiuno.

Zvinokonzera

NPS haisi yakajairika mamiriro. Tsvagiridzo inofungidzira kuti inowanikwa muvanhu. Icho chirwere chemagene uye chinowanzoitika kune vanhu vane vabereki kana dzimwe nhengo dzemhuri dzine chirwere ichi. Kana iwe uine chirwere, chero vana vauinazvo vanozove nemakumi mashanu muzana mukana wekuvawo nemamiriro acho.

Izvo zvakare zvinokwanisika kukudziridza iyo mamiriro kana pasina mubereki anayo. Kana izvi zvikaitika, zvinogona kunge zvichikonzerwa nekuchinja kweiyo LMX1B geni, kunyangwe vaongorori vasingazive chaizvo kuti shanduko inotungamira sei kune mbambo patella. Mune zvevanhu vane chirwere ichi, hapana mubereki anotakura. Izvi zvinoreva kuti makumi masere muzana yevanhu vanogara nhaka mamiriro kubva kune mumwe wevabereki vavo.

NPS inoonekwa sei?

NPS inogona kuongororwa pamatanho akasiyana muhupenyu hwako hwese. NPS dzimwe nguva inogona kuzivikanwa muchibereko, kana kana mwana ari mudumbu, achishandisa ultrasound uye ultrasonography. Mune vacheche, vanachiremba vanogona kuongorora mamiriro acho ezvinhu kana vakaona asina mabheji kana mabhii maviri akaenzana aneac spurs.

Mune vamwe vanhu, vanachiremba vanogona kuongorora mamiriro acho nekiriniki kuongororwa, kuongororwa kwenhoroondo yemhuri, uye kuyedzwa kwerabhoritari. Vanachiremba vanogona zvakare kushandisa anotevera ekufungidzira bvunzo kuti vaone zvisina kujairika mumapfupa, majoini, uye zvakapfava zvinyama zvakakanganiswa neNPS:

• computed tomography (CT)
• X-ray
• kufungidzira kwemagineti resonance (MRI)

Matambudziko

NPS inobata majoini mazhinji mumuviri wese uye inogona kutungamira kumatambudziko mazhinji, kusanganisira:

• Kuwedzera kwenjodzi yekutyoka: Izvi zvinokonzerwa nekuderera kwepfupa kwakabatana nemapfupa nemajoini ayo anowanzo kuve nemamwe matambudziko, senge kusagadzikana.
• Scoliosis: Vechidiki vane NPS vari panjodzi yekuwedzera hosha iyi, iyo inokonzeresa kutenderera kwemuzongoza.
• Preeclampsia: Vakadzi vane NPS vanogona kunge vaine njodzi yekuwedzera dambudziko rakakomba panguva yekuzvitakura.
• Kusanzwisisika kwekunzwa: Vanhu vane NPS vanogona kuona kuderedzwa kwekunzwa kutembiricha uye kurwadziwa. Vanogona zvakare kunzwa chiveve nekurumwa.
• Matambudziko emudumbu: Vamwe vanhu vane NPS vanotaura kuzvimbirwa uye chirwere chinokanganisa ura.
• Glaucoma: Ichi chirwere cheziso umo kuwedzera kweziso kumeso kunokuvadza iyo optic nerve, iyo inogona kutungamira mukusingaperi kuona kurasikirwa.
• Zvinetso zveRenal: Vanhu vane NPS vanowanzo kuve nezvinetso neitsvo uye urinani system. Muzviitiko zvakanyanyisa zveNPS, unogona kukundikana kukundikana.

NPS inorapwa sei uye inotarisirwa?

Iko hakuna mushonga weNPS. Kurapa kunotarisana nekugadzirisa zviratidzo. Marwadzo mumabvi, semuenzaniso, anogona kutarisirwa ne:

• marwadzo-ekudzora mishonga senge acetaminophen (Tylenol) uye maopioid
• zvimedu
• brace
• kurapa kwepanyama

Kuvhiya kwekugadzirisa dzimwe nguva kunodiwa, kunyanya mushure mekupunzika.

Vanhu vane NPS vanofanirwa kuongororwa nezvematambudziko eitsvo. Chiremba wako anogona kukurudzira gore negore bvunzo dzekuongorora hutano hweitsvo dzako. Kana matambudziko achisimuka, mishonga uye dialysis inogona kubatsira kubata uye kubata nyaya dzeitsvo.

Vakadzi vane nhumbu vane NPS vane njodzi yekuvandudza preeclampsia, uye kashoma izvi zvinogona kukura mushure mekubereka. Preeclampsia chirwere chakakomba chinogona kutungamira mukubatwa uye dzimwe nguva kufa. Preeclampsia inokonzeresa kuwedzerwa kweropa uye inogona kuongororwa kuburikidza neropa uye weti kuyedza kuongorora kumagumo nhengo yebasa.

Kuwedzera kweropa kuongororwa chikamu chenguva dzose chekuchengetwa kwepamuviri, asi ita shuwa kuti chiremba wako azive kana iwe uine NPS kuitira kuti vagone kuziva njodzi yako yakawedzera yeichi chiitiko. Iwe unofanirwa zvakare kutaura nachiremba wako nezve chero mishonga yauri kutora kuti vagone kuona kuti ndeapi akachengeteka kutora kana uine pamuviri.

NPS inotakura njodzi yeglaucoma. Glaucoma inogona kuongororwa kuburikidza nekuongororwa kweziso kunoongorora kumanikidza kwakakomberedza ziso rako. Kana iwe uine NPS, ronga nguva dzose bvunzo dzemaziso. Kana iwe ukaita glaucoma, mishonga yemaziso inodonha inogona kushandiswa kudzikisa kumanikidza. Iwe unogona zvakare kuda kupfeka chaiwo ekugadzirisa magirazi eziso. Mune zvimwe zviitiko, kuvhiya kunogona kudikanwa.

Pakazara, nzira dzakasiyana siyana dzeNPS dzakakosha pakurapa kwezviratidzo uye matambudziko.

Ndeapi maonero?

NPS chirwere chisingawanzoitika, chinowanzogarwa nhaka kubva kune mumwe wevabereki vako. Mune zvimwe zviitiko, imhedzisiro yeshanduko inongoitika mu LMX1B geni. NPS inowanzo kukonzera matambudziko muzvipikiri, mabvi, gokora, uye chiuno. Iyo inogona zvakare kukanganisa akasiyana siyana mamwe masystem emuviri anosanganisira itsvo, tsinga system, uye nhengo dzemudumbu.

Iko hakuna kurapwa kweNPS, asi zviratidzo zvinogona kutarisirwa nekushanda pamwe neakasiyana mazvikokota. Bvunza nachiremba wako wepamoyo wekutanga kuti uone kuti ndeupi nyanzvi iri akanakisa pane ako chaiwo maratidziro.