ʻO Spinal hyperostosis kahi maʻi e hopena i ka ossification o nā entheses, ʻo ia hoʻi, nā wahi o ka hoʻopili ʻana ma ka iwi o nā ligament, nā aʻa a me ka capsule hui, ma ka iwi kuamoʻo. No kekahi kumu, ke waiho nei nā hunaola i ke kūkulu ʻana i nā iwi i ka calcium ma nā wahi ʻaʻole pono. ʻO ka hanana nui loa ke kumu a me nā mea pili i ke kaiaulu i ka hoʻomaka ʻana o kēia kūlana. Hiki i kēia ke hōʻeha i ka ʻeha a me ka ʻoʻoleʻa. Inā pili ka ʻāʻī, hiki i ka ulu ʻana o ka iwi ke hoʻokau i nā kino o nā kino ʻē aʻe, a he mea ia e pilikia ai i ka hanu ʻana a me ka ale ʻana. Hiki i nā poʻe me ka hyperostosis ʻōiwi ke alakaʻi i nā ola hana a loaʻa ke loaʻa iā lākou ka lāʻau kūpono. ʻO kāna mau pahuhopu ka mālama ʻana i ka maʻalahi o nā hono e hoʻēmi i ka ʻeha hui a pale i nā palena i ka ʻōlelo a me ka hana. 

Ua kapa ʻia kēia maʻi laha ʻole, ka mea hiki ke hoʻopili i kekahi mau lālā o ka ʻohana like.

• ankylosing vertebral hyperostosis;
• hyperostosis vertebral puʻupuʻu;
• melorheostosis ʻōiwi;
• hoʻolaha idiopathic vertebral hyperostosis;
• a i ʻole ka maʻi o Jacques Forestier a me Jaume Rotés-Quèrol, i kapa ʻia nā inoa no ke kauka Palani a me ka rheumatologist Sepania nāna i wehewehe ia mau mea i nā makahiki 1950.

ʻO Vertebral hyperostosis ka lua o nā kumu maʻamau o ka myelopathy cervix, ma hope o cervicarthrosis. Kākaʻikahi loa ka poʻe ma lalo o 40, hōʻike mau ia ma hope o 60 mau makahiki. Pālua ka hopena o nā kāne ma mua o ka wahine. ʻIke pinepine ʻia ia i nā poʻe momona i loaʻa i ka maʻi vascular i kekahi manawa me ka maʻi diabetes a me hyperuricemia, ʻo ia hoʻi ka hoʻonui ʻia o ka pae o ka uric acid i ke kino. .

ʻO nā kumu o ka spinal hyperostosis e wehewehe maikaʻi ʻole ʻia. No kekahi kumu, ke waiho nei nā hunaola i ke kūkulu ʻana i nā iwi i ka calcium ma nā wahi ʻaʻole pono. ʻO ka hanana i ʻike ʻia ka hana pilikino a me nā ʻano kaiapuni i ka hoʻomaka ʻana o kēia kūlana.

ʻO ke ʻano o ka maʻi diabetes 2 he mea nui weliweli, ʻoiai he 25 a 50% o nā mea maʻi me ka hyperostosis ʻōiwi i diabetic a ʻike ʻia ka spinal hyperostosis ma 30% o nā diabetic ʻano 2.

Ua ʻike ʻia nō hoʻi ka hoʻolōʻihi ʻia ʻana o ka wikamina A hiki ke alakaʻi i ka hoʻomaka ʻana o nā ʻōuli mua o ke ʻano i nā ʻōpio. ʻO ka mea hope loa, ʻo nā kumuhana e ʻeha nei i ka osteoarthritis o ke kua i ka makaukau e hoʻomohala i kēia maʻi.

He lōʻihi paha ka lōʻihi no ka hōʻike ākea ʻana o ke kuamoʻo iā ia iho. ʻOiai, ʻo ka poʻe me ka hyperostosis ʻōiwi ka pinepine pinepine i ka asymptomat, keu hoʻi i ka hoʻomaka ʻana o ka maʻi. Hiki nō naʻe iā lākou ke namunamu no ka ʻeha a me ka ʻoʻoleʻa o ka hope a i ʻole nā ​​hono, e paʻakikī ana i ka neʻe. 

ʻO ka maʻamau, kū ka ʻeha ma ka iwi kuamoʻo, ma waena o ka ʻāʻī a me ka ʻaoʻao lalo. ʻOi aku ka ʻeha o kekahi manawa i ke kakahiaka a i ʻole ma hope o ka lōʻihi o ka hana ʻole. ʻAʻole hele ia no ke koena o ka lā. E ʻike paha ka poʻe maʻi i ka ʻeha a palupalu paha i nā ʻāpana ʻē aʻe o ke kino e like me ka tendon Achilles, ka wāwae, kneecap, a i ʻole ka hui pū poʻohiwi.

ʻO nā mea'ē aʻe he:

• dysphagia, a i ʻole paʻakikī e ale i nā meaʻai paʻa, e pili ana i ka kaomi ʻana o ka hyperostosis ma ka esophagus;
• ʻeha neuropathic, sciatica a i ʻole cervico-brachial neuralgia, pili i ka kaomi ʻana o nā ʻalolo;
• haki iwi kuamoʻo;
• nāwaliwali o nā mākala;
• luhi a paʻakikī i ka hiamoe ʻana;
• kaumaha.

ʻAʻohe lāʻau lapaʻau, ʻaʻohe mea pale a mālama ʻole hoʻi no ka vertebral hyperostosis. ʻO ka maʻi i nā hapanui o nā hihia i ʻae maikaʻi ʻia. Hoʻohālikelike ka haʻahaʻa o nā ʻōuli me ka pae o ke kuamoʻo e pili ana i nā x-ray.

Hiki i nā poʻe me ka hyperostosis ʻōiwi ke alakaʻi i nā ola hana a loaʻa ke loaʻa iā lākou ka lāʻau kūpono. ʻO kāna mau pahuhopu ka mea e hōʻemi ai i ka ʻeha pū, mālama i ka loli o ka hui a pale i nā palena i ka ʻōlelo o ka neʻe a me ka hana.

I mea e kōkua ai i ka mea maʻi e kaohi i ka ʻeha a hōʻemi i ka ʻoʻoleʻa, loaʻa paha iā ia ke kōkua i ka mālama ʻana i nā hōʻailona ma muli o:

• analgesics e like me paracetamol;
• nā lāʻau anti-inflammatory nonsteroidal (NSAIDs);
• corticosteroids.

Hiki i ke kaohi ʻana e ka physiotherapy a i ʻole ke chiropractic ke kōkua i ka palena i ka paʻakikī a hoʻomaikaʻi i ka neʻe ʻana o ka mea maʻi. ʻO ka hana kino a me ka hoʻolōʻihi kaulike kekahi mea nui o ka hoʻokele. Hiki iā lākou ke hōʻoluʻolu i ka luhi, hoʻomaha i ka ʻeha hui a me ka ʻoʻoleʻa, a kōkua i ka pale ʻana i nā hono ma ka hoʻoikaika ʻana i nā io a puni lākou.

I ka hanana o ka digestive (dysphagia) a i ʻole hopohopo (ʻeha neuropathic) pōʻino, kahi hana ʻoki ʻana i kapa ʻia he decompression, i manaʻo ʻia e hemo i nā osteophytes, ʻo ia ka mea e pono ai nā ulu iwi, pono paha.