Osteopetrosis: nws yog dab tsi, cov tsos mob thiab kev kho mob
Zoo Siab
Osteopetrosis yog ib qho kab mob osteometabolic tsis tshua muaj keeb kwm nyob rau hauv cov pob txha yog qhov ntau dua li ib txwm, uas tshwm sim vim kev tsis txaus ntawm lub hlwb lub luag haujlwm rau cov txheej txheem tsim pob txha thiab tawg, txhawb kev dav dav nce hauv pob txha ceev thiab ua rau muaj qee qhov tsos mob xws li raws li ntau pob txha tawv, hnov lus tsis zoo thiab hloov ntawm kev txhim kho neuronal, piv txwv li.
Txoj kev kho rau osteopetrosis yuav tsum tau pom zoo los ntawm pab pawg kho mob uas suav nrog kws kho mob hlwb, hematologist thiab orthopedist, thiab hloov hlwb pob txha feem ntau pom zoo txhawm rau txhawm rau txhim kho txoj haujlwm ntawm cov hlwb ntsig txog kev tsim pob txha.
Cov tsos mob osteopetrosis
Cov cim thiab tsos mob ntawm osteopetrosis tuaj yeem txheeb xyuas tau sai tom qab yug me nyuam, vim nws yog kab mob rau lub cev, lossis nws muaj cov cim thiab tsos mob tsuas yog ua neeg laus xwb. Tus cwj pwm tseem ceeb ntawm osteopetrosis yog qhov nce ntawm pob txha ceev, tuaj yeem pom los ntawm kev soj ntsuam cov pob txha densitometry.
Tsis tas li ntawd, tseem muaj kev pheej hmoo ntau ntawm cov pob txha tawg, txij li vim yog lub cev tsis ua haujlwm ntawm lub hlwb lub luag haujlwm rau cov txheej txheem ntawm kev tsim pob txha thiab rhuav tshem, cov pob txha los ua ntaug tawv.
Cov tsos mob ntawm osteopetrosis cuam tshuam nrog qhov tseeb tias muaj ntau dua kev tso tawm ntawm cov pob txha hauv lub cev, uas tuaj yeem ua rau muaj kev hloov pauv thoob plaws lub cev, cov tsos mob tseem ceeb tau tshwm sim:
- Qhov muag plooj;
- Hnov lus tsis zoo;
- Kev mob ntawm cov hniav thiab cov pos hniav;
- Kev loj hlob ntawm daim siab thiab tus po, ua rau muaj kev hloov pauv ntawm cov qe ntshav;
- Hloov pauv ntawm kev loj hlob neuronal;
- Ncua thaum yug cov hniav;
- Nce siab intracranial.
Kev kuaj mob osteopetrosis yog tsim los ntawm orthopedist los ntawm kev tshuaj xyuas cov duab xws li X-ray thiab pob txha densitometry, uas yog qhov kev kuaj mob yooj yim thiab tsis mob uas yog lub hom phiaj txheeb xyuas qhov ceev ntawm tus neeg cov pob txha, txhawm rau soj ntsuam qhov kev pheej hmoo ntawm pob txha lov, piv txwv. Nkag siab txog dab tsi osteopetrosis yog thiab nws yuav ua li cas.
Txawm li cas los xij, txhawm rau paub meej hom thiab teeb meem ntawm osteopetrosis, tus kws kho mob kuj tseem tuaj yeem txiav txim lwm yam kev kuaj mob, xws li suav tomography lossis cov duab ntawm lub ntsej muag txhawm rau tshuaj xyuas qhov muaj mob ntawm qee qhov mob hauv qee cov kabmob xws li lub qhov muag thiab pob ntseg, ntxiv rau kev kuaj ntshav.
Ua rau osteopetrosis
Osteopetrosis tshwm sim los ntawm kev tsis xws luag hauv ib los yog ntau caj ces ua lub luag hauj lwm rau kev tsim thiab kev loj hlob ntawm osteoclasts, uas yog cov hlwb uas tshem cov pob txha qub thiab hloov nws nrog ib qho tshiab, noj qab nyob zoo. Ua raws li cov keeb kwm ntawm cov noob hloov, cov pob txha txha yuav txawv:
- Malignant thaum yau osteopetrosis: tus menyuam muaj tus kabmob txij thaum yug los vim yog qhov tsis xws ntawm caj ces caj ceg tau los ntawm leej txiv thiab leej niam;
- Cov laus osteopetrosis: osteopetrosis tsuas yog paub tias thaum hluas los yog neeg laus, ua rau muaj kev hloov pauv hauv noob caj noob ces tsuas yog leej txiv lossis leej niam xwb.
Tus neeg mob osteopetrosis, kev hloov ntawm noob kuj tuaj yeem tshwm sim los ntawm kev hloov pauv, tsis tas yuav muaj qhov hloov pauv ntawm niam txiv.
Yuav kho tus mob li cas
Txoj kev kho rau osteopetrosis yuav tsum tau ua los ntawm ib pab neeg ua haujlwm nrog ntau tus kws kho mob, xws li kws kho menyuam yaus, kws kho mob kho pob txha, mob nqaij hlav hauv plab, kws kho mob endocrinologist thiab kws tawm dag zog.
Tam sim no, txoj kev kho mob zoo tshaj plaws rau osteopetrosis yog hloov hlwb pob txha, txij li cov hlwb uas deregulated yog tsim hauv qhov khoom ntawd. Yog li, thaum ua lub cev hloov ntshav, nws muaj peev xwm tswj kev ua haujlwm ntawm lub hlwb lub luag haujlwm rau kev tsim thiab rhuav tshem cov pob txha, sib ntaus txha osteopetrosis. Nkag siab txog kev hloov hlwb pob txha li cas.
Txawm hais tias hloov hlwb pob txha yog qhov kev pom zoo rau kev kho tus mob, lwm yam kev kho mob tuaj yeem pom zoo txhawm rau txhawm rau txhawb cov tsos mob, xws li:
- Kev hno nrog Interferon gamma-1b, uas yog cov tshuaj uas muaj peev xwm ncua kev txhim kho ntawm tus kabmob;
- Calcitriol Kom Tsawg, uas yog ib daim ntawv tseem ceeb ntawm vitamin D uas pab txhawb cov hlwb pob txha kom loj hlob ib txwm thiab txo pob txha ceev;
- Kev noj tshuaj Prednisone, uas yog cov tshuaj hormones zoo ib yam li cortisone uas tuaj yeem txhim kho kev tsim khoom ntawm cov qog ib puag ncig hauv lub cev, uas tsim tawm hauv cov pob txha;
- Kev qoj ib ce ntu, raws li lawv txhim kho tus neeg mob lub cev muaj peev xwm, pab txhawm rau txhawm rau txhim kho pob txha thiab txhim kho kev ywj pheej hauv qee cov haujlwm niaj hnub.
Tus kws kho mob tseem yuav qhia koj kom sab laj nrog tus kws qhia noj zaub mov kom yoog koj cov zaub mov kom suav nrog cov zaub mov uas pab txhawb kev txhim kho lub cev thiab pob txha, tshwj xeeb tshaj yog thaum menyuam yaus.
Tsis tas li ntawd, nws yog ib qho tseem ceeb uas yuav tsum tau mus ntsib tus kws kho qhov muag, kws kho qhov muag otdaryngologist thiab kws kho hniav txhawm rau txheeb xyuas qhov kev txhim kho thiab qhov tshwm sim muaj qee qhov mob lossis qhov tsis pom tseeb hauv lub qhov muag, hniav, lub qhov ntswg, pob ntseg thiab lub caj pas.