A vertebral compromise inogona kuitika mumusana kana mapfupa emunhu chero upi zvake kana ari kutambura nePaget's disease..
Ichi chirwere chakakomba chinogona kutungamirira kune kukanganiswa kwemutsipa wepelinha mumusana uye kudzvinyirira mitsipa iyo inogona kupedzisira ichitungamirira kune inorwadza vascular kana paresthetic chirwere. (paralyzing).
Chirwere ichi chinogona kutungamirira ku quadriparesis kana quadriparestesia (kuremara kwemuviri kubva pamutsipa zvichidzika kana kupera simba) kana zvikasaitwa nenguva dzakakodzera.
Pakati pezvirwere zvinopera zvemapfupa, kunewo chirwere chePaget.
Index
Zvikonzero zvechirwere chePaget
The chikonzero chechirwere chePaget ichi ndichiri muzvidzidzo, istological in nature. Izvi zvinoreva kuti mukuremara mumasero emapfupa.
Mukufamba kwehupenyu, masero emapfupa anoparadzwa uye anogadziriswa zvakare., inzira inoitika pakati pemasero emapfupa anonzi osteoclasts uye osteocytes.
Chiyero chekuparadzwa kweosteoclasts hachimbopfuuri mwero wekuvakazve, saka panofanira kuva nekuenzana pakati pemhando dzose dzemasero.
Muchirwere chePaget, nzira iyi haishande uye maosteocytes anoramba achigadzirisa masero emapfupa achikonzera kuwedzera kwekukura mune mamwe mapfupa..
Kana izvi zvikaitika pamwero wemusana uye zvinokanganisa musana, munhu wacho anogona kuoma mitezo uye kurwadziwa kwavo kunogona kunge kwakaoma.
Zvimwe zvidzidzo zvekurapa zvinoisa chirwere chePaget uye kubatanidzwa kwayo kwe vertebral se rheumatic mamiriro. Saka irwowo rudzi rwe degenerative bone zvirwere
Pamuviri inogona kufanana nerheumatoid arthritis kunyangwe isingaburitse kukanganiswa kwakadaro.
Kuongororwa kwechirwere
Kana pane kiriniki inoongororwa nachiremba, uko kune vertebral compromise, zviratidzo nezviratidzo zvekukura kwebhonzo nekutsikirira kana kuipa, quadriplegia kana yakakosha paresis, chiremba nyanzvi anogona kuita zvidzidzo izvi:
- X-rays kana X-rays, mifananidzo
- Kuongorora ropa: marabhoritari akazara ane bhonzo kana rheumatic zviratidzo
- Bone scintigraphy, kuyera kuwanda kwemapfupa kwakakosha
Kuwedzera kwakawedzera kukura mumusana wemuzongoza pachikamu chelumbar kunoonekwa mumufananidzo., cervical, dorsal kana sacral. Panguva ino panogona kunge paine vertebral kubatanidzwa netsinga kana midziyo.
Kurapa kwechirwere
Kunyange zvazvo chirwere chacho hachina kuunza kubatanidzwa mumuzongoza, vascular kana paresis, chirwere chinogona kurapwa nemishonga inotevera:
Analgesics AIMEs, Chirwere chePaget chinorapwa ne-anti-inflammatories uye mishonga yemarwadzo kazhinji.
Bisphosphonate mishonga, chero bedzi urombo husina kukura hwemapfupa hunogona kudziviswa, kufambira mberi kwakawanda kuri kuitwa muchirwere ichi
Kuvhiyiwa kweOrthopedic: kuitira kugadzirisa matambudziko emapfupa emapfupa uye kudzivirira kudzvinyirirwa kwetsinga.
Shandisa calcitonin nejekiseni rezasi.
Mumakore achangopfuura zvave zvakadaro Chirwere chePaget ne physiotherapeutic kurapwa, iyo inogona kupa yakanakisa mhedzisiro yekudzikisa tsinga uye kuderedza kuzvimba kwetsinga nzvimbo.
Pakupedzisira, vanorwara nechirwere ichi vanokurudzirwa kutakura huremu huri pakati nepakati, famba umire, kudzivirira paresis kana compression. Vana chiremba vane hunyanzvi vanogona kukuzivisa nezve maekisesaizi aunogona kuita kuvandudza nekurerutsa mamiriro acho..