Spinal hyperostosis chirwere chinoguma ne ossification ye entheses, kureva, nzvimbo dzekunamatira papfupa remarunda, tendon uye capsule yakabatanidzwa, pamwe chete nemuzongoza. Nokuda kwechimwe chikonzero, masero ane basa rekuvaka mapfupa ari kuisa calcium munzvimbo dzavasingafaniri. Chinonyanya kuitika ndechekuti majini uye zvakatipoteredza zvinotora chikamu mukutanga kwechiitiko ichi. Izvi zvinogona kukonzera marwadzo nekuoma. Kana mutsipa uchikanganiswa, kukura kwepfupa kunogona kuisa kudzvinyirira kune mamwe maitiro emuviri, izvo zvinogona kukonzera kuoma mukufema kana kumedza. Vanhu vane spinal hyperostosis vanogona kurarama hupenyu hunoshanda uye hunobudirira pavanowana kurapwa kwakakodzera. Zvinangwa zvaro ndezvekuchengetedza kushanduka kwemajoini kuderedza kurwadza kwemajoini uye kudzivirira miganhu maererano nekufamba uye kushanda. 

Ichi chirwere chisingawanzo, chinogona kubata nhengo dzakawanda dzemhuri imwe chete, inonziwo:

• ankylosing vertebral hyperostosis;
• kuputika vertebral hyperostosis;
• musana melorheostosis;
• kuparadzira idiopathic vertebral hyperostosis;
• kana chirwere chaJacques Forestier naJaume Rotés-Quèrol, vakatumidzwa maererano nechiremba wechiFrench uye Spanish rheumatologist uyo akarondedzera mu1950s.

Vertebral hyperostosis ndiyo yechipiri inonyanya kukonzera cervical myelopathy, mushure mecervicarthrosis. Kashoma muvanhu vari pasi pemakore makumi mana, inowanzoonekwa mushure memakore makumi matanhatu. Varume vanobatwa nekaviri kupfuura vakadzi. Inonyanya kucherechedzwa muvanhu vakafuta vanotambura nechirwere chevascular dzimwe nguva vachiperekedzwa nechirwere cheshuga uye hyperuricemia, kureva kuwedzera kwehuwandu hweuric acid mumuviri. .

Zvikonzero zvepinal hyperostosis zvichiri kutsanangurwa zvisina kunaka. Nokuda kwechimwe chikonzero, masero ane basa rekuvaka mapfupa ari kuisa calcium munzvimbo dzavasingafaniri. Chinonyanya kuitika ndechekuti majini uye zvakatipoteredza zvinotora chikamu mukutanga kwechiitiko ichi.

Type 2 chirwere cheshuga chinoratidzika sechinonyanya kuisa njodzi, sezvo 25 kusvika 50% yevarwere vane spinal hyperostosis vane chirwere cheshuga uye musana hyperostosis inowanikwa mu30% yerudzi rwechipiri rwechirwere cheshuga.

Izvo zvakaonekwawo kuti kutora kwenguva refu kwevhitamini A kunogona kutungamirira kukutanga kwezviratidzo zvekutanga zvechiitiko mune zvidzidzo zviduku. Pakupedzisira, vanhu vari kutotambura neosteoarthritis yemusana vanowanzoita chirwere ichi.

Zvinogona kutora nguva yakareba kuti musana hyperostosis uzviratidze pachena. Zvechokwadi, vanhu vane spinal hyperostosis vanowanzova asymptomatic, kunyanya pakutanga kwechirwere. Vanogona, zvisinei, vachinyunyuta nezvemarwadzo uye kuoma mumusana kana majoini, zvichiita kuti kufamba kuve kwakaoma. 

Kazhinji, kurwadziwa kunoitika pamwe chete nemuzongoza, chero pakati pemutsipa uye pasi kumashure. Marwadzo dzimwe nguva akanyanya kuoma mangwanani kana mushure menguva refu yekusaita basa. Kazhinji hazviendi kwezuva rose. Varwere vanogonawo kunzwa kurwadziwa kana unyoro mune dzimwe nzvimbo dzemuviri dzakadai seAchilles tendon, tsoka, kneecap, kana pfudzi.

Zvimwe zviratidzo zvinosanganisira:

• dysphagia, kana kuomerwa nekumedza chikafu chakasimba, chine chekuita nekudzvanywa kwe hyperostosis pagurokuro;
• neuropathic kurwadziwa, sciatica kana cervico-brachial neuralgia, yakabatana nekudzvinyirira kwetsinga;
• vertebral fractures;
• kushaya simba kwemhasuru;
• kuneta uye kunetseka kurara;
• kuora mwoyo.

Iko hakuna kurapwa, kana kudzivirira kana kurapa kune vertebral hyperostosis. Chirwere chacho kazhinji chinobvumirwa zvakanaka. Iko kuderera kwezviratidzo zvinowanzosiyana nehuwandu hwekubatanidzwa kwemusana kunoonekwa pa x-rays.

Vanhu vane spinal hyperostosis vanogona kurarama hupenyu hunoshanda uye hunobudirira pavanowana kurapwa kwakakodzera. Zvinangwa zvaro ndezvekuderedza marwadzo emajoini, kuchengetedza kushanduka kwemajoini uye kudzivirira miganhu maererano nekufamba uye kushanda.

Kuti abatsire murwere kudzora marwadzo uye kuderedza kuoma, angave ane nzira yekurapa zviratidzo zvichienderana ne:

• analgesics akadai paracetamol;
• nonsteroidal anti-inflammatory drugs (NSAIDs);
• corticosteroids.

Kutungamirirwa ne physiotherapy kana chiropractic kunogona kubatsira kuderedza kuoma uye kuvandudza kufamba kwemurwere. Kuita zvemuviri uye kutambanudza zvine mwero zvakare chinhu chakakosha chekutarisira. Vanogona kurerutsa kuneta, kubvisa marwadzo emajoini nekuoma, uye kubatsira kudzivirira majoini nekusimbisa tsandanyama dzakavapoteredza.

Muchiitiko chekudya (dysphagia) kana kutya (neuropathic pain) kukanganisa, kupindira kwekuvhiya kunonzi decompression, inotarisirwa kubvisa osteophytes, kureva kukura kwebhoni, inogona kudiwa.