Mea Kākau: Joan Hall
Lā O Ka Hana: 3 Pepeluali 2021
HōʻAno Hou I Ka Lā: 24 Nowemapa 2024
Anonim
Maʻi Paget o ka iwi - Kino PaʻA
Maʻi Paget o ka iwi - Kino PaʻA

ʻO ka maʻi Paget kahi maʻi e pili ana i ka luku ʻia ʻana o ka iwi me ka ulu hou ʻana. Loaʻa kēia i ka deformity o nā iwi i hoʻopili ʻia.

ʻAʻole maopopo ke kumu o ka maʻi Paget. Ma muli paha o nā kumu kūlohelohe, akā hiki pū kekahi i kahi maʻi viral i ka wā mua o ke ola.

Kū ka maʻi i ka honua holoʻokoʻa, akā ʻoi aku ka nui ma Europe, Australia, a me New Zealand. Ua lilo ka maʻi i mea liʻiliʻi ma mua o 50 mau makahiki i hala.

I ka poʻe me ka maʻi Paget, aia ka haki maʻamau o ka iwi o ka iwi i nā wahi kikoʻī. A ukali ʻia kēia e ka hana iwi ʻole. ʻO ka ʻāpana hou o ka iwi i ʻoi aku ka nui, akā nāwaliwali. Hoʻopiha pū ʻia ka iwi hou me nā kīʻaha koko hou.

ʻO ka iwi i hoʻopili ʻia aia wale nō i hoʻokahi a i ʻole ʻelua mau wahi o ka iwi iwi, a i ʻole nā ​​iwi ʻokoʻa i ke kino. Hoʻohui pinepine ia i nā iwi o nā lima, nā iwi iwi, nā wāwae, nā pelvis, nā iwi kuamoo, a me nā iwi poʻo.

ʻO ka hapa nui o ka poʻe me ke ʻano ʻaʻohe o lākou hōʻailona. Hoʻomaopopo pinepine ʻia ka maʻi Paget ke hana ʻia kahi x-ray no kekahi kumu ʻē aʻe. ʻIke ʻia paha i ka hoʻāʻo ʻana e ʻike i ke kumu o ke kiʻekiʻe o ke kōkō kiʻekiʻe o ke koko.


Inā kū lākou, e hoʻopili pū nā ʻōuli:

  • ʻEha iwi, ʻeha puʻupuʻu a i ʻole ʻāʻī, a me ka ʻāʻī o ka ʻāʻī (ʻeha ke ʻeha a hiki i ka hapa nui o ka manawa)
  • Kulou ana o nā wāwae a me nā ʻano ʻē ʻē aʻe i ʻike ʻia
  • Hoʻonui i nā poʻo poʻo a me nā iwi poʻo
  • Haki
  • ʻEha poʻo
  • Lohe hoʻolohe
  • Hoʻemi ʻia ke kiʻekiʻe
  • ʻO ka ʻili pumehana ma luna o ka iwi pili

ʻO nā hoʻāʻo e hōʻike ai i ka maʻi Paget me:

  • ʻImi iwi
  • Iwi-lā
  • ʻO nā māka kiʻekiʻe o ka haʻihaʻi iwi (no ka laʻana, N-telopeptide)

Hiki paha i kēia maʻi ke hoʻopili i nā hopena o nā hōʻike aʻe:

  • Alkaline phosphatase (ALP), isoenzyme kikoʻī iwi
  • Kalipuna serum

ʻAʻole pono e mālama ʻia nā poʻe āpau me ka maʻi Paget. ʻO ka poʻe ʻaʻole pono ka lapaʻau me nā poʻe:

  • Loaʻa wale nā ​​hoʻokolohua koko haʻahaʻa
  • ʻAʻohe hōʻailona a ʻaʻohe hōʻike o ka maʻi hana

Lapaʻau pinepine ʻia ka maʻi Paget ke:

  • Pili kekahi mau iwi, e like me nā iwi kaumaha, a ʻoi aku ke kiʻekiʻe o ka makaʻu o ka haki.
  • Ke hele nei a ʻoi aku ka maikaʻi o ka hoʻololi ʻana o ka iwi (hiki i ka lapaʻau ke hōʻemi i ka hopena o nā haʻi).
  • Aia nā deformities bony.
  • Loaʻa i ke kanaka ka ʻeha a i ʻole nā ​​hōʻailona ʻē aʻe.
  • Hoʻopili ʻia ka iwi poʻo. (Pale aku kēia i ka nalo ʻana o ka lohe.)
  • Hoʻokiʻekiʻe ʻia nā pae calcium a hoʻomaka i nā ʻōuli.

Kōkua ka lāʻau lapaʻau i mea e pale ai i ka hoʻohaunaele o ka iwi a me ka hoʻokumu ʻana. I kēia manawa, aia kekahi mau papa o nā lāʻau i hoʻohana ʻia e mālama ai i ka maʻi Paget. Pākuʻi ʻia kēia mau mea:


  • Bisphosphonates: ʻO kēia mau lāʻau ka lāʻau mua, a kōkua lākou i ka hōʻemi ʻana i ka hana hou ʻana o ka iwi. Lawe pinepine ʻia nā lāʻau i ka waha, akā hiki ke hāʻawi ʻia ma o ke aa (intravenously).
  • Calcitonin: Pili kēia hormone i ka metabolism iwi. Hiki ke hāʻawi ʻia ma ke ʻano he nasal spray (Miacalcin), a i ʻole he injection i lalo o ka ʻili (Calcimar a i ʻole Mithracin).

Acetaminophen (Tylenol) a i ʻole nonsteroidal anti-inflammatory drug (NSAIDs) hiki ke hāʻawi ʻia no ka ʻeha. I nā hihia koʻikoʻi, pono paha ke kahakaha orthopedic e hoʻoponopono i kahi hemahema a haki paha.

Pōmaikaʻi paha ka poʻe me kēia ʻano mai ka lawe ʻana i nā pūʻulu kākoʻo no ka poʻe me nā ʻike like.

ʻO ka hapa nui o ka manawa, hiki ke kaohi ʻia ke ʻano me nā lāʻau. Hiki i kahi poʻe liʻiliʻi ke hoʻomōhala i kahi maʻi ʻaʻai o ka iwi i kapa ʻia ʻo osteosarcoma. Pono kekahi poʻe i ke ʻoki pani pani.

Komo pū nā pilikia:

  • Haki iwi
  • Kuli ke kuli
  • Nā hemahema
  • Hewa puʻuwai
  • Hypercalcemia
  • ʻO Paraplegia
  • Spen stenosis

Kāhea i kāu mea mālama ola inā hoʻomohala ʻoe i nā ʻōuli o ka maʻi Paget.


Nā deformans osteitis

  • X-ray

ʻO Ralston SH. Maʻi Paget o ka iwi. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 233.

ʻO Singer FR. Ka maʻi o Paget o ka iwi. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 72.

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