I-vertebral compromise ingenzeka emgogodleni noma emathanjeni anoma ubani uma ehlushwa isifo sikaPaget..
Lesi sifo esibi kakhulu singaholela ekwehleni komgogodla emgogodleni futhi cindezela izinzwa ezingagcina ziholele esifweni esibuhlungu se-vascular noma i-paresthetic. (okhubazekile).
Lesi sifo singaholela ku-quadriparesis noma i-quadriparestesia (ukukhubazeka komzimba kusukela entanyeni kuya phansi noma ubuthakathaka) uma kungaphathwanga ngesikhathi esifanele.
Phakathi kwezifo eziwohlokayo zamathambo, kukhona futhi isifo sikaPaget.
Inkomba
Izinkinga ze-Paget's disease
I imbangela yalesi sifo sikaPaget usesezifundweni, i-histological in nature. Lokhu kusho ukuthi kusici kumaseli amathambo.
Enkambweni yokuphila, amangqamuzana amathambo ayabhujiswa futhi akhiwe kabusha., inqubo eyenzeka phakathi kwamaseli amathambo okuthiwa ama-osteoclast nama-osteocyte.
Izinga lokubhujiswa kwama-osteoclast alilokothi lidlule izinga lokwakhiwa kabusha, ngakho-ke kufanele kube nokulingana phakathi kwazo zombili izinhlobo zamaseli.
Esifweni sikaPaget, le nqubo ayisebenzi futhi ama-osteocyte ayaqhubeka nokuhlanganisa amangqamuzana amathambo abangela izinga eleqile lokukhula kwamanye amathambo..
Uma lokhu kwenzeka ezingeni lomgogodla futhi kuthinta umgogodla, umuntu angakhubazeka futhi ubuhlungu bakhe bungaba nzima kakhulu.
Ezinye izifundo zezokwelapha zihlukanisa isifo sikaPaget kanye nokubandakanyeka kwayo kwe-vertebral njengesimo se-rheumatic. Ngakho futhi uhlobo izifo zamathambo eziwohlokayo
Ngomzimba ingafana nesifo samathambo nakuba ingakhiqizi ukuyekethisa okunjalo.
Ukuxilongwa kwesifo
Lapho kunomtholampilo otholwe udokotela, lapho kukhona ukuhambisana kwe-vertebral, izimpawu nezimpawu zokukhula kabusha kwethambo nokucindezelwa noma okubi nakakhulu, i-quadriplegia noma i-paresis ebalulekile, udokotela onguchwepheshe angenza lezi zifundo:
- Ama-X ray noma ama-X ray, izithombe
- Ukuhlolwa kwegazi: amalabhorethri aphelele anezinkomba zamathambo noma ze-rheumatic
- I-Bone scintigraphy, ukukala ukuminyana kwamathambo kubalulekile
Ukukhula kabusha okuyihaba kumgogodla womgogodla ezingeni le-lumbar kubonakala esithombeni., wesibeletho, i-dorsal noma i-sacral. Ngalesi sikhathi kungase kube nokubandakanyeka kwe-vertebral nezinzwa noma izitsha.
Ukwelashwa kwalesi sifo
Nakuba lesi sifo singakakhiqizi ukubandakanyeka emgogodleni, i-vascular noma i-paresis, lesi sifo singelashwa ngalezi zindlela zokwelapha ezilandelayo:
Ama-Analgesics AIMEs, Isifo sikaPaget selashwa ngama-anti-inflammatories kanye nemithi yobuhlungu ngokujwayelekile.
Izidakamizwa ze-bisphosphonate, inqobo nje uma ukukhula kabi kwamathambo kungavinjelwa, intuthuko enkulu yenziwa kulesi sifo
Ukuhlinzwa kwamathambo: ukuze uxazulule izinkinga zethambo lamathambo futhi uvimbele ukucindezelwa kwezinzwa.
Faka i-calcitonin ngomjovo ongaphansi kwesikhumba.
Eminyakeni yamuva kuye kwaba njalo Isifo sikaPaget ngokwelashwa kwe-physiotherapeutic, okunganikeza imiphumela emihle kakhulu yokunciphisa izinzwa nokunciphisa ukuvuvukala kwezindawo zezinzwa.
Ekugcineni, labo abaphethwe yilesi sifo bayelulekwa ukuthi bathwale izinsimbi ezilinganiselwe, hamba ume, ukugwema i-paresis noma ukucindezela. Odokotela abangongoti bangakwazisa ngokuzivocavoca ongakwenza ukuze uthuthukise futhi udambise isimo..