Chilichonse Chimene Muyenera Kudziwa Ponena za Nail Patella Syndrome

Zamkati

• Zizindikiro zake ndi ziti?
• Zoyambitsa
• Kodi NPS imapezeka bwanji?
• Zovuta
• Kodi NPS imasamalidwa bwanji?
• Maganizo ake ndi otani?

Chidule

Matenda a Nail patella (NPS), omwe nthawi zina amatchedwa Fong syndrome kapena cholowa cha osteoonychodysplasia (HOOD), ndimatenda achilendo. Nthawi zambiri zimakhudza zikhadabo. Zitha kukhudzanso ziwalo mthupi lonse, monga mawondo anu, ndi machitidwe ena amthupi, monga dongosolo lamanjenje ndi impso. Pitilizani kuwerenga kuti mudziwe zambiri za vutoli.

Zizindikiro zake ndi ziti?

Zizindikiro za NPS nthawi zina zimadziwika kuyambira ali wakhanda, koma zimatha kutuluka pambuyo pake. Zizindikiro za NPS nthawi zambiri zimakumana ndi:

• misomali
• mawondo
• zigongono
• mafupa a chiuno

Mafundo ena, mafupa, ndi minofu yofewa imathanso kukhudzidwa.

Za anthu omwe ali ndi NPS ali ndi zizindikilo zomwe zimakhudza zikhadabo zawo. Zizindikirozi zitha kuphatikiza:

• zikhadabo zosakhalapo
• zikhadabo zazing'ono modabwitsa
• kusandulika
• kutalika kwa msomali
• misomali yopyapyala modabwitsa
• lunula woboola katatu, womwe ndi gawo lakumunsi kwa msomali, molunjika pamwamba pa cuticle

Zina, zizindikiro zosafala kwambiri, zimatha kuphatikiza:

• kusokoneza toenail yaying'ono
• patella yaying'ono kapena yopanda mawonekedwe, yomwe imadziwikanso kuti kneecap
• kusuntha kwa mawondo, nthawi zambiri mozungulira (mbali) kapena kupitilira apo (pamwamba)
• zotuluka m'mafupa mkati ndi mozungulira bondo
• kusokoneza kwa patellar, komwe kumatchedwanso kutaya kwamondo
• mayendedwe ochepa m'zigongono
• arthrodysplasia ya chigongono, chomwe ndi chibadwa chomwe chimakhudza mafupa
• kuchotsa zigongono
• Kutengeka kwakukulu kwa mafupa
• Nyanga za iliac, zomwe zimatuluka mozungulira, zowoneka bwino, zamfupa kuchokera m'chiuno zomwe zimawoneka pazithunzi za X-ray
• kupweteka kwa msana
• zolimba Achilles tendon
• kutsika kwa minofu
• mavuto a impso, monga hematuria kapena proteinuria, kapena magazi kapena mapuloteni mkodzo
• mavuto amaso, monga glaucoma

Kuphatikiza apo, malinga ndi m'modzi, pafupifupi theka la anthu omwe amapezeka ndi NPS amakhala osakhazikika patellofemoral. Kusakhazikika kwa Patellofemoral kumatanthauza kuti kneecap yanu yasunthira molingana bwino. Zimayambitsa kupweteka kosalekeza komanso kutupa bondo.

Kuchuluka kwa mchere wamafupa ndi chizindikiro china chotheka. Kafukufuku wina wochokera ku 2005 akuwonetsa kuti anthu omwe ali ndi NPS ali ndi 8-20% yotsika kwambiri yamafupa amchere kuposa omwe alibe, makamaka m'chiuno.

Zoyambitsa

NPS sizofala. Kafukufuku akuganiza kuti amapezeka mwa anthu. Ndi matenda amtundu komanso omwe amapezeka kwambiri mwa anthu omwe ali ndi makolo kapena abale ena omwe ali ndi vutoli. Ngati muli ndi matendawa, ana aliwonse omwe muli nawo adzakhala ndi mwayi wokhala ndi vutoli.

Ndizothekanso kukulitsa vutoli ngati kholo lilibe. Izi zikachitika, mwina zimachitika chifukwa cha kusintha kwa LMX1B jini, ngakhale ofufuza sakudziwa momwe kusinthaku kumabweretsera misomali patella. Pafupifupi anthu omwe ali ndi vutoli, palibe kholo lomwe limanyamula. Izi zikutanthauza kuti 80 peresenti ya anthu amatengera vutoli kuchokera kwa kholo lawo.

Kodi NPS imapezeka bwanji?

NPS imatha kupezeka magawo osiyanasiyana m'moyo wanu wonse. NPS nthawi zina imatha kudziwika mu utero, kapena mwana ali m'mimba, pogwiritsa ntchito ultrasound ndi ultrasonography. Kwa makanda, madotolo amatha kuzindikira vutoli ngati angazindikire ma kneecaps omwe akusowa kapena maiko awiri omwe ali ofanana.

Kwa anthu ena, madotolo amatha kudziwa kuti ali ndi vutoli ndi kuwunika kuchipatala, kusanthula mbiri ya banja, komanso kuyesa labotale. Madokotala amathanso kugwiritsa ntchito mayeso otsatirawa kuti azindikire zovuta m'mafupa, mafupa, ndi ziwalo zofewa zomwe zakhudzidwa ndi NPS:

• kompyuta tomography (CT)
• X-ray
• kujambula kwa maginito (MRI)

Zovuta

NPS imakhudza ziwalo zambiri m'thupi lonse ndipo imatha kubweretsa zovuta zambiri, kuphatikizapo:

• Kuwonjezeka kwa chiopsezo chophwanyika: Izi zimachitika chifukwa cha kuchepa kwa mafupa ophatikizana ndi mafupa ndi mafupa omwe nthawi zambiri amakhala ndi mavuto ena, monga kusakhazikika.
• Scoliosis: Achinyamata omwe ali ndi NPS ali pachiwopsezo chachikulu chotenga matendawa, omwe amayambitsa kupindika kwamtsempha.
• Preeclampsia: Amayi omwe ali ndi NPS atha kukhala ndi chiopsezo chowonjezeka chokhala ndi vuto lalikulu nthawi yapakati.
• Kumva kusokonekera: Anthu omwe ali ndi NPS amatha kuchepa mphamvu pakumva kutentha ndi kupweteka. Akhozanso kumva dzanzi ndi kumva kulasalasa.
• Mavuto am'mimba: Anthu ena omwe ali ndi NPS amafotokoza kudzimbidwa komanso matenda opweteka m'mimba.
• Glaucoma: Ichi ndi vuto la diso momwe kuwonjezeka kwa diso kumawononga mitsempha ya optic, yomwe imatha kubweretsa kuwonongekeratu.
• Mavuto amphongo: Anthu omwe ali ndi NPS nthawi zambiri amakhala ndi mavuto ndi impso zawo komanso dongosolo la mkodzo. Nthawi zovuta kwambiri za NPS, mutha kukhala ndi vuto la impso.

Kodi NPS imasamalidwa bwanji?

Palibe mankhwala a NPS. Chithandizo chimayang'ana pakuwongolera zizindikilo. Mwachitsanzo, kupweteka kwamaondo, kumatha kuyang'aniridwa ndi:

• mankhwala ochepetsa ululu monga acetaminophen (Tylenol) ndi opioid
• ziboda
• kulimba
• chithandizo chamankhwala

Kuchita opaleshoni yokonzanso nthawi zina kumafunika, makamaka pambuyo povulala.

Anthu omwe ali ndi NPS ayeneranso kuyang'aniridwa chifukwa cha mavuto a impso. Dokotala wanu angakulimbikitseni kuyesa kwamkodzo pachaka kuti muwone thanzi la impso zanu. Mavuto akayamba, mankhwala ndi dialysis zitha kuthandizira kuthana ndi vuto la impso.

Amayi oyembekezera omwe ali ndi NPS amakhala pachiwopsezo chotenga preeclampsia, ndipo kawirikawiri izi zimatha kubereka pambuyo pobereka. Preeclampsia ndi vuto lalikulu lomwe limatha kubweretsa kugwa ndipo nthawi zina kumwalira. Preeclampsia imayambitsa kuthamanga kwa magazi ndipo imatha kupezeka kudzera pakuyesa magazi ndi mkodzo kuti muwone momwe ziwalo zimagwirira ntchito.

Kuwunika kwa magazi nthawi zonse kumakhala gawo la chisamaliro chobereka, koma onetsetsani kuti dokotala wanu adziwe ngati muli ndi NPS kuti athe kudziwa za chiwopsezo chanu. Muyeneranso kukambirana ndi dokotala za mankhwala aliwonse omwe mukumwa kuti athe kudziwa omwe ali oyenera kumwa mukakhala ndi pakati.

NPS imakhala pachiwopsezo cha khungu. Glaucoma imatha kupezeka kudzera pakupima kwamaso komwe kumawunika kupsinjika kwa diso lanu. Ngati muli ndi NPS, pangani mayeso am'maso nthawi zonse. Ngati mupanga glaucoma, madontho amaso ogwiritsidwa ntchito angagwiritsidwe ntchito kuchepetsa kupanikizika. Muyeneranso kuvala magalasi apadera okonza. Nthawi zina, angafunike kuchitidwa opaleshoni.

Ponseponse, njira zingapo zophunzitsira za NPS ndizofunikira pochiza zizindikilo ndi zovuta.

Maganizo ake ndi otani?

NPS ndimatenda achilengedwe osowa kawirikawiri, omwe nthawi zambiri amatengera kwa makolo anu. Nthawi zina, ndizotsatira zakusintha kwadzidzidzi mu LMX1B jini. NPS nthawi zambiri imayambitsa mavuto m'misomali, mawondo, chigongono, ndi m'chiuno. Zitha kukhudzanso machitidwe ena osiyanasiyana amthupi kuphatikiza impso, dongosolo lamanjenje, ndi ziwalo zam'mimba.

Palibe mankhwala a NPS, koma zizindikiro zimatha kuyendetsedwa pogwira ntchito ndi akatswiri osiyanasiyana. Funsani dokotala wanu wamkulu kuti mudziwe kuti ndi katswiri uti amene angakuthandizeni kwambiri.