Matenda a msana ndi matenda omwe amachititsa kuti thupi likhale losavomerezeka, ndiye kuti, malo olumikizirana ndi fupa la mitsempha, tendon ndi kapisozi yolumikizana, limodzi ndi msana. Pazifukwa zina, maselo omwe amapanga mafupa amaika calcium m'malo omwe sayenera. Chochitika chachikulu ndichakuti chibadwa komanso zinthu zachilengedwe zimathandizira pakuyamba kwa vutoli. Izi zitha kuyambitsa kupweteka komanso kuuma. Ngati khosi likukhudzidwa, kukula kwa mafupa kumatha kukakamiza ziwalo zina za thupi, zomwe zimatha kupangitsa kupuma kapena kumeza. Anthu omwe ali ndi msana hyperostosis amatha kukhala ndi moyo wathanzi komanso wopindulitsa akalandira chithandizo choyenera. Zolinga zake ndikuwonetsa kusinthasintha kwamalumikizidwe kuti achepetse kupweteka kwamalumikizidwe ndikupewa zoperewera poyenda komanso kugwira ntchito. 

Matenda osowawa, omwe amatha kukhudza anthu angapo am'banja limodzi, amatchedwanso:

• ankylosing vertebral hyperostosis;
• kugwedeza kwa vertebral hyperostosis;
• msana melorheostosis;
• kufalitsa idiopathic vertebral hyperostosis;
• kapena matenda a Jacques Forestier ndi Jaume Rotés-Quèrol, otchulidwa motsata dokotala waku France komanso rheumatologist waku Spain yemwe adafotokoza izi m'ma 1950.

Vertebral hyperostosis ndiye chifukwa chachiwiri chofala kwambiri cha myelopathy ya chiberekero, pambuyo pa cervicarthrosis. Zochepa kwambiri mwa anthu ochepera zaka 40, nthawi zambiri zimawonekera patatha zaka 60. Amuna amakhudzidwa kawiri kuposa akazi. Nthawi zambiri zimawonedwa m'maphunziro onenepa kwambiri omwe ali ndi matenda amitsempha omwe nthawi zina amakhala ndi matenda a shuga ndi hyperuricemia, mwachitsanzo, kuchuluka kwa uric acid mthupi. .

Zomwe zimayambitsa msana hyperostosis sizikudziwika bwino. Pazifukwa zina, maselo omwe amapanga mafupa amaika calcium m'malo omwe sayenera. Chochitika chachikulu ndichakuti chibadwa komanso zinthu zachilengedwe zimathandizira pakuyamba kwa vutoli.

Matenda a shuga amtundu wa 2 amawoneka ngati chiopsezo chachikulu, popeza 25 mpaka 50% ya odwala omwe ali ndi msana hyperostosis ali ndi matenda ashuga ndipo msana hyperostosis amapezeka mu 30% amtundu wa 2 ashuga.

Zikuwonekeranso kuti kudya kwa vitamini A kwakanthawi kochepa kumatha kubweretsa kuyambika kwa zizindikilo zoyambirira za vutoli m'mitu ya achinyamata. Pomaliza, anthu omwe ali ndi vuto la nyamakazi ya msana amatha kudwala matendawa.

Zitha kutenga nthawi yayitali kuti msana hyperostosis iwonekere. Zowonadi, anthu omwe ali ndi msana wa hyperostosis nthawi zambiri amakhala asymptomatic, makamaka kumayambiriro kwa matendawa. Amatha kudandaula za kupweteka komanso kuuma kumbuyo kapena malo olumikizana, ndikupangitsa kuyenda kukhala kovuta. 

Kawirikawiri, ululu umapezeka pamsana, paliponse pakati pa khosi ndi kumbuyo. Ululu nthawi zina umakhala wovuta m'mawa kapena pambuyo poti nthawi yayitali sagwira. Nthawi zambiri sizimatha tsiku lonse. Odwala amathanso kumva kuwawa kapena kumva bwino m'malo ena a thupi monga Achilles tendon, phazi, kneecap, kapena paphewa.

Zizindikiro zina ndizo:

• dysphagia, kapena kuvutika kumeza zakudya zolimba, zokhudzana ndi kupanikizika kwa hyperostosis pam'mero;
• kupweteka kwa m'mitsempha, sciatica kapena cervico-brachial neuralgia, yokhudzana ndi kupanikizika kwa mitsempha;
• kupweteka kwamtsempha;
• kufooka kwa minofu;
• kutopa ndi kuvutika kugona;
• maganizo.

Palibe chithandizo, kapena chodzitetezera kapena kuchiritsa kwa vertebral hyperostosis. Matendawa nthawi zambiri amalekerera. Kuchepa kwa zizindikilo nthawi zambiri kumasiyana ndi momwe msana umakhudzidwira ndi ma x-ray.

Anthu omwe ali ndi msana hyperostosis amatha kukhala ndi moyo wathanzi komanso wopindulitsa akalandira chithandizo choyenera. Zolinga zake ndikuchepetsa kulumikizana, kukhalabe olumikizana bwino ndikupewa zoperewera poyenda ndi magwiridwe antchito.

Pofuna kuthandiza wodwalayo kuti athetse ululu ndikuchepetsa kuuma kwake, atha kulandira chithandizo chamankhwala motengera:

• analgesics monga paracetamol;
• mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs);
• corticosteroids.

Kuwongolera ndi physiotherapy kapena chiropractic kumatha kuthandizira kuchepetsa kuuma ndikuwongolera kuyenda kwa odwala. Kuchita masewera olimbitsa thupi komanso kutambasula pang'ono ndichinthu chofunikira pakuwongolera. Amatha kuchepetsa kutopa, kuchepetsa kupweteka kwamalumikizidwe ndi kuuma, ndikuthandizira kuteteza mafupa polimbitsa minofu yowazungulira.

Pakakhala kuwonongeka kwa m'mimba (dysphagia) kapena kuwonongeka kwamanjenje (kupweteka kwamitsempha), kuchitidwa opaleshoni yotchedwa decompression, yomwe cholinga chake ndi kuchotsa ma osteophytes, ndiko kuti kukula kwa mafupa, kungakhale kofunikira.