Ðe wò ƒuwo hã le veve sema? Ate ŋu anye Bone Marrow Edema!

Ðe nèse ƒu ƒe veve alo ƒunukpeƒe si vuvu eye nèbia ɖokuiwò kpɔ be, "Nukae nye esia?" Ɣeaɖewoɣi la, nusi gbɔ nusiawo tso ate ŋu anye nusi ŋu míebuna gɔ̃ hã o. Egbea míele nu ƒom tso nɔnɔme aɖe si ŋu ɖewohĩ mèse nu tsoe o, gake ele vevie be nànya nu tso eŋu. Ema nye nɔnɔme si woyɔna be `Bone Marrow Edema`.

Nukae Nye Ƒumeŋuɖui ƒe Ʋuʋudedi?

Enyo, gbã la, mina míakpɔ nusi Bone Marrow Edema (BME) nye ɖa. Kpuie ko la, enye lãkusi falɛfalɛ si le míaƒe ƒuwo me si woyɔna be ƒumeŋuɖui ƒe vuvu . Ènyaa, ƒumeŋuɖui nye lãkusi si le abe ƒumebɔbɔ ene. Ƒumeŋuɖui mee ʋumenugbagbevi siwo míaƒe ŋutilã hiã la dzɔna le. Eyata, ‘edema’ nye ʋuʋudedi si tso tsi ƒe ƒuƒoƒo gbɔ. Ame aɖewo hã yɔnɛ be ‘ƒumeŋuɖui ƒe abi’.

Zi geɖe la, wokpɔa nɔnɔme sia si woyɔna be `BME` ne wowɔ `MRI` scan le susu bubu aɖe ta. Ema fia be woate ŋu ake ɖe eŋu le vo me esime wole dɔléle bubu aɖe dam na wò. `BME` ateŋu ahe vevesese sesẽ vɛ ɣeaɖewoɣi . Gake nya nyuiae nye be zi geɖe la, adzo le eɖokui si le ɣeyiɣi aɖe megbe. Le atikewɔwɔ me la, ɖɔktawo adze agbagba aɖu wò dzesiwo dzi.

Nukae nye `BME` ƒomevi veviwo?

Azɔ mina míakpɔ nusiwo nye `BME` siawo ƒe ƒomevi vevitɔwo ɖa. Le nyateƒe me la, ƒomevi vevi evee li.

Ðekae nye evelia `BME`.

Nusi dzɔna le go sia mee nye be atikewɔwɔ ƒe nɔnɔme bubu aɖe le ŋuwò si hea BME vɛ. Le kpɔɖeŋu me, ne dɔléle aɖe abe Ƒumeŋuɖui ene le ŋuwò la, àte ŋu akpɔ BME abe ema ƒe nugbegblẽ le ame ŋu ene. Le nɔnɔme sia ƒomevi me la, dzesiwo ate ŋu anɔ ŋuwò ɣeaɖewoɣi, alo dzesi aɖeke manɔ ŋuwò kura o. Esia tae megblɔ do ŋgɔ be woate ŋu ake ɖe eŋu le vo me ne èwɔ MRI na nu bubu aɖe.

Bubue nye Spontaneous alo Primary `BME`.

Nusi dzɔna le nya sia me enye be ɖɔktawo mateŋu akpɔ nusi me kɔ si gbɔ `BME` tso o. Gake vevesese tɔxɛ aɖe le ŋuwò si do ƒome kplii. Wogayɔa esia be `Bone Marrow Edema Syndrome (BMES) .` Mina míaƒo nu tso esia ŋu tsitotsito vie.

Vovototo kae le `BME` kple `Bone Marrow Edema Syndrome (BMES)` dome?

Enyo, eyata vovototo kae le `BME` kple `Bone Marrow Edema Syndrome (BMES)` dome?

Kpuie ko la, `BMES` nye `BME` ƒomevi si mebɔ o . Womenya nusi tututu gbɔ esia tso o. Zi geɖe la, wokpɔa nɔnɔme sia le ŋutsu siwo xɔ tso ƒe 30 va ɖo ƒe 60 ŋu.Le esime esia le edzi yim la. Numekuku aɖewo ɖee fia be nɔnɔme sia, si woyɔna be `BMES`, ateŋu atso lãmesẽkuxiwo abe ʋumemi ƒe agbɔsɔsɔ si sɔ gbɔ (`hyperlipidemia`) kple vitamin D ƒe anyimanɔmanɔ gbɔ. Ate ŋu adzɔ le ƒu ɖeka ko me alo le ƒu geɖe me. Wokpɔnɛ wu le ŋutilã ƒe akpa siwo le anyime, abe afɔwo ene.

Nu vevitɔ enye be, togbɔ be `BMES` do ƒome kple `BME` hã la, enye nɔnɔme si to vovo. Wò ɖɔkta azã mɔnu vovovowo atsɔ akpɔ `BMES` ahadae.

Amekae ate ŋu axɔ `BME` sia wu?

Eyata amekae ate ŋu atu `BME` sia ɖo wu?

Le nyateƒe me la, amesiame ate ŋu axɔ BME, metsɔ le ƒe si wòxɔ, ameƒomevinyenye, alo ŋutsu alo nyɔnu nyenye me o. Gake ne atikewɔwɔ me nɔnɔme siwo gbɔna le ŋuwò la, afɔku si le BME xɔxɔ me la lolo vie:

• Ƒunukpeƒetetedɔ Ƒomeviwo
• Ƒumeŋuɖui
• Ƒumeŋuɖui (e.g. Osteomyelitis) .
• Ƒumeŋuɖui (ƒumeŋuɖui ƒe dɔléle) .

Nukae nye nusiwo gbɔ `BME` tsona?

Azɔ mina míakpɔ nusiwo nye nusiwo gbɔ `BME` ƒe dzɔdzɔ tsona ɖa. Le nyateƒe me la, susu geɖe li siwo tae. Mina míadzro wo me ɖekaɖeka.

Le kansa ta

Kansa ƒomevi aɖewo ateŋu ahe `BME` vɛ. Le kpɔɖeŋu me:

• `Ʋumenugbagbeviɣidɔ sesẽ si woyɔna be Myeloid Leukemia (AML)`
• Bone metastasis (kansa ƒe kaka ɖe ƒuwo me) .
• Chondrosarcoma (lãmenugbagbevi siwo le ƒunukpeƒewo ƒe dɔdzẽ) .
• Ewing sarcoma (kansa si dzɔna le ƒuwo alo lãkusi falɛfalɛwo me) .
• Osteosarcoma (ƒumeŋuɖui) .
• Ate ŋu atso keklẽŋusẽ ƒe atikewɔwɔ na kansa hã gbɔ.

Le nɔnɔme siwo gblẽa nu le ame ŋu ta

BME ate ŋu adzɔ hã ne míaƒe ŋutilã ƒe lãkusiwo ƒe lãmesẽ gblẽ le ɣeyiɣi aɖe megbe. Vevietɔ:

• Ƒumeŋuɖui (èse nya sia kpɔ, esi le veve sem abe wò klowo ene ne èle tsitsim) .
• Tendinopathy (Kuxi siwo do ƒome kple lãkusiwo) .

Le dɔlékuiwo ta

BME ate ŋu atso dɔlékui siwo le ƒuwo alo ƒunukpeƒewo hã gbɔ:

• Ƒumeŋuɖui (e.g. Osteomyelitis) .
• Septic arthritis (dɔlékui si tsoa dɔlékui siwo gena ɖe ƒunukpeƒewo me gbɔ) .

Le ʋu ƒe sisi ƒe gbegblẽ ta (ischemic nɔnɔmewo) .

Ɣeaɖewoɣi la, ne ŋutinu vovovo siwo le ŋutilãa me mexɔ ʋu alo oxygen si sɔ o la, `BME` hã ate ŋu adzɔ:

• `Avascular necrosis` (woyɔnae ɣeaɖewoɣi be `osteonecrosis` - esia nye esime ʋu si yia ƒuwo gbɔ bu eye woƒe akpa aɖewo kuna) .
• Charcot foot (si nye afɔ ƒe kuxi aɖe le amesiwo ŋu dɔlélewo abe suklidɔ ene le ŋu) .

Le lãmenugbagbeviwo ƒe dɔwɔwɔ ƒe nɔnɔmewo ta

`BME` nɔnɔme sia ate ŋu atso tɔtɔ aɖewo siwo le míaƒe ŋutilã ƒe lãmenugbagbeviwo ƒe dɔwɔwɔ me hã gbɔ:

• `Cushing syndrome` (nɔnɔme si tso ŋutilã ƒe cortisol lãmetsiŋusẽ ƒe dzidziɖedzi gbɔ) .
• `Hyperparathyroidism` (parathyroid lãkusiwo ƒe dɔwɔwɔ fũ akpa) .
• Mastocytosis (lãmenugbagbevi ƒomevi aɖe si woyɔna be mast cells ƒe ƒuƒoƒo fũ akpa) .
• Tomenu kple ƒu ƒe kuxi siwo ayikudɔléle si nɔa anyi didi hena vɛ
• Osteomalacia (ƒuwo ƒe fafa le ame tsitsiwo me - ateŋu atso vitamin D ƒe anyimanɔmanɔ hã gbɔ) .
• Ƒumeŋuɖui (ƒuwo ƒe ƒuƒu), vevietɔ le akɔta kple klowo me
• Vitamin D ƒe anyimanɔmanɔ

Le lãmekawo ƒe dɔléle ta

Woate ŋu akpɔ BME hã le dɔdzẽ si le míaƒe ƒuwo, lãkusiwo, lãmekawo, kple lãmekawo me ta:

• Ankylosing Spondylitis (AS) ƒe dɔléle si woyɔna be Ankylosing Spondylitis (AS) ƒe dɔléle si nye Ankylosing .
• Enthesitis (dɔdzẽ si me lãkusiwo kple lãkusiwo léna ɖe ƒuwo ŋu le) .
• Psoriatic arthritis (ƒunukpeƒetetedɔ si kpena ɖe psoriasis ŋu) .
• Rheumatoid arthritis (esia hã nye ƒunukpeƒewo ƒe dɔdzẽ) .
• Sacroiliitis (ƒunukpeƒe si le akɔta kple akɔtaƒu dome ƒe dɔléle) .

Le afɔkuwo kple abixɔxɔ ta (Trauma) .

Esia nye nusi me ame geɖe to kpɔ. BME ate ŋu atso nusiwo abe afɔku, anyidzedze, alo abi bubu si woxɔ esime wole kamedefefe wɔm hã gbɔ:

• `ACL (Anterior Cruciate Ligament) tears` (aɖatsi gã aɖe si le klo me - esia dzɔna enuenu le kamedefefewɔlawo me)
• `Nutome Vevesese ƒe Dɔléle Sesẽ (CRPS)`
• `Compression fractures` (ƒuwo ƒe gbagbã le nutete me, vevietɔ le akɔta) .
• Akɔta ƒe ʋuʋu, si wɔnɛ be ƒumeŋuɖuiwo kuna (osteonecrosis) .
• Ƒu alo ƒunukpeƒe ƒe abi bubuwo, vevietɔ esiwo ku ɖe afɔkpodzi, akɔta, klo, alo akɔta ŋu
• Nuteɖeamedzi ƒe gbagbã (ƒuwo ƒe gbagbã nyui siwo tso agbagbadzedze fũu akpa gbɔ), vevietɔ le afɔkpodzi, afɔ, akɔta, alo klo me. Le kpɔɖeŋu me, ne ènye duƒula si zɔa mɔ didi la, esia ate ŋu adzɔ.

Nukae nye `BME` ƒe dzesiwo?

Enyo, eyata dzesi kawoe ame si ŋu `BME` le ɖena fiana?

Dzesi vevitɔe nye vevesese le ƒu aɖe me alo ƒo xlãe. Esiae nye nu gbãtɔ si ame akpa gãtɔ tona. Tsɔ kpe ɖe eŋu la, àte ŋu ade dzesi nuwo abe:

• Joint effusion (tsi si le abe tsi ene si yɔa ƒunukpeƒea) .
• Ƒunukpeƒe siwo xɔ dzo (wòsena le eɖokui me be dzoxɔxɔ le ye ŋu wu teƒe bubuwo ne woka asi eŋu) .

Gake ɖo ŋku edzi be BME ate ŋu anɔ ame aɖewo ŋu eye womaɖe dzesi aɖeke afia o . Esia tae woke ɖe eŋu ɣeaɖewoɣi le vo me ɖo.

Aleke woawɔ ade dzesi `BME` ƒe nɔnɔme?

Aleke ɖɔkta awɔ akpɔ `BME` ƒe nɔnɔme sia nyuie?

Gbã la, wò ɖɔkta ado wò ŋutilã kpɔ. Woabia nya wò tso wò dzesiwo kple wò atikewɔwɔ ŋutinya ŋu. Abe alesi megblɔe va yi ene la, zi geɖe la, wokpɔa dɔléle bubu siwo do ƒome kplii le BME ŋu.

Ne wò ɖɔkta susu be BME la, ate ŋu abia tso asiwò be nàwɔ dodokpɔ aɖewo, abe:

• Ʋudodokpɔ: Esiawo dia dzesi siwo fia be dɔdzẽ le ŋutilãa me.
• Ƒumeŋuɖui me ɖeɖe: Esia bia be woaɖe ƒumeŋuɖui sue aɖe atsɔ adoe kpɔ.
• `DEXA (DXA) scan`: Esia léa ŋku ɖe `Osteoporosis` (ƒu ƒe ʋuʋu ƒe dɔléle) ŋu.
• MRI (Magnetic Resonance Imaging) Scan: Esia nye dodokpɔ vevi aɖe ŋutɔ si woatsɔ anya BME. Ete ŋu kpɔa tsi si le ƒumeŋuɖui me nyuie.
• Ultrasound ƒe fotoɖeɖe.

Ðo ŋku edzi be zi geɖe la, womekpɔa ƒumeŋuɖui ƒe ʋuʋu (BME) nyuie le X-ray alo CT-dɔdamɔnu si wozãna edziedzi me o.

Aleke wowɔa nu ɖe ​​`BME` ŋui?

Azɔ mina míakpɔ atike siwo li na `BME` ɖa.

Nya nyuiae nye be zi geɖe la, BME ayi le eɖokui si le ɣeyiɣi aɖe megbe . Gake axɔ ɣeyiɣi aɖe. Anɔ eme be wò ɖɔkta agblɔ na wò be nàgbɔ ɖe eme , ɖewohĩ ɣleti ʋɛ aɖewo.

Be wòakpe ɖe ŋuwò nàkpɔ wò dzesiwo gbɔ la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò hã be:

• Vevesesenutsitikewo kple dɔlékuiwutikewo (`Nonsteroidal anti-inflammatory drugs - NSAIDs`). Le kpɔɖeŋu me, Ibuprofen.
• Lãmesẽnyawo gbɔ kpɔkpɔ: Esia kpena ɖe lãmekawo ŋu wòdoa ŋusẽ eye ƒunukpeƒewo gawɔa dɔ.

Atikewɔwɔ le dɔléle sesẽwo me

Gake ne BME ƒe nɔnɔmea nu sẽ wu, alo ne esesẽ be woaɖu edzi kple atikewɔmɔnu siwo sɔ la, ɖɔkta ate ŋu abu nusiwo gbɔna hã ŋu:

• Steroid dodo: Woate ŋu ado esiawo ɖe teƒe si vevesesea le tẽ be wòaɖe abi dzi akpɔtɔ.
• Amekoko.

Ne ehiã be woawɔ dɔ na ame la, ɖɔkta ate ŋu aɖo aɖaŋu be woawɔ dɔ aɖe si woyɔna be `Core decompression surgery.` Esia bia be woaɖe do sue geɖe ɖe ƒu si ŋu dɔlélea le la me. Do siawo ɖea nyaƒoɖeamenu si le ƒua me dzi kpɔtɔna eye woɖea vevesese dzi kpɔtɔna.

Be amekolaa nade ƒumeŋuɖui ƒe tsitsi nyuie ƒe dzi ƒo la, ate ŋu awɔ nanewo abe:

• Ne BME dzɔ le nusi gbɔ wòtso abe kansa ene gbɔ la, woate ŋu akafui be woado ƒumeŋuɖui na ame to lãmenugbagbeviwo zazã me.
• Woate ŋu atsɔ ƒu siwo wodo hã ayɔ do siwo woɖe la me.

Aleke gbegbee nàte ŋu akpɔ mɔ be yehaya tso atikewɔwɔ me kabae?

Aleke gbegbee mate ŋu akpɔ mɔ na emetsonuwo kaba le `BME` ƒe atikewɔwɔ vɔ megbe?

Esia nɔ te ɖe nusi gbɔ wò BME tso, alesi wò dɔlélea nu sẽe, kple atike si nèxɔ dzi ŋutɔŋutɔ. Zi geɖe la , dzesiawo nu yina le ɣleti 4 va ɖo 12 me . Gake ɣeaɖewoɣi la, BME ate ŋu anɔ anyi ƒe eve alo esi wu nenema gɔ̃ hã. Eyata ele be nàgbɔ dzi ɖi.

Ðe woate ŋu aɖe afɔku si le BME xɔxɔ me dzi akpɔtɔa?

Eyata ɖe nane li míate ŋu awɔ atsɔ aɖe afɔku si le `BME' xɔxɔ me dzi akpɔtɔa?

Le nyateƒe me la, naneke meli nàte ŋu awɔ atsɔ aɖe afɔku si le BME xɔxɔ me dzi akpɔtɔ o. Gake atikewɔlawo ƒe aɖaŋuɖoɖo didi ne ènya dze dzesiwo ko ate ŋu akpe ɖe ŋuwò nàdze atikewɔwɔ gɔme kaba . Ema le vevie ŋutɔ.

Nukae nàkpɔ mɔ na ne `BME` le asiwò? Aleke nàwɔ akpɔ ɖokuiwò dzii?

Nukae wòle be nàkpɔ mɔ na ne `BME` le asiwò? Aleke wòle be nàlé be na ɖokuiwòe?

Abe alesi megblɔe va yi ene la, `BME` nye nɔnɔme si zi geɖe la, enyona ɖe edzi le ɣeyiɣi aɖe megbe , eyata mègatsi dzi fũu ɖe eŋu o.

Nu vevitɔe nye be nàna wò BME ƒuwo nagbɔ ɖe eme geɖe eye nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ. No wò atikewo abe alesi wogblɔe ene, gbɔ ɖe eme, eye nàwɔ kamededewo ne ehiã.

Ɣekaɣie wòhiã be magayi ɖɔkta gbɔ ake?

Ɣekaɣie wòle be nàgakpɔ ɖɔkta ake?

Ne nu siawo dometɔ aɖe do mo ɖa la, kpɔ egbɔ be yeyi ɖɔkta gbɔ:

• Menyo o ne wò dzesiawo gatrɔ alo wova gagblẽ ɖe edzi .
• Ne ètsi dzi ɖe atike siwo zãm nèle ƒe nugbegblẽ le ame ŋu aɖewo ŋu .
• Ne womekpɔ ŋgɔyiyi alo emetsonu aɖeke le atikewɔwɔ ɣeyiɣi aɖe megbe o.

Le nɔnɔme sia tɔgbe me la, ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã atike bubu siwo ate ŋu akpe ɖe ŋuwò.

Eyata nukae nye gbedasi si wotsɔ yi aƒemee tso ŋutinya sia me?

Ƒumeŋuɖui ƒe Ʋuʋudedi (BME) nye dɔléle si dzɔna ne tsi ƒo ƒu ɖe míaƒe ƒumeŋuɖui me. Ate ŋu atso nu vovovowo gbɔ, siwo dometɔ aɖewoe nye kansa, dɔlékuiwo xɔxɔ, dɔdzẽ ƒe nɔnɔmewo, kple afɔkuwo. Dzesi vevitɔe nye ƒu ƒe vevesese. Ðɔktawo zãa ʋudodokpɔ, MRI, kple ultrasound tsɔ dea dzesii. Dɔdamɔnuawo dometɔ aɖewoe nye ɖiɖiɖeme, vevesesenutsitikewo, kple kamedede. Vevietɔ wu la, BME nye nɔnɔme si nu sẽna zi geɖe le ɣeyiɣi aɖe megbe. Eyata ele vevie be woayi atikewɔƒe kaba ne dzesiawo dze, eye nàgbɔ ɖe eme nyuie ahawɔ atike nɛ. Mègatsi dzodzodzoe o, gake mègaŋe aɖaba ƒu edzi hã o!

` Ƒumeŋuɖui ƒe Ʋuʋu, Ƒumeve, MRI, BME, Ƒumeŋuɖui, Ƒumeŋuɖui ƒe Dzesiwo, Ƒumeŋuɖui ƒe Ʋuʋu Sinhala