ʻEha pū kekahi kou mau iwi? Hiki paha ke lilo i 'Bone Marrow Edema'!

Ua ʻeha anei kou iwi a i ʻole ka pehu ʻana o ke ami a noʻonoʻo, "He aha kēia?" I kekahi manawa, ʻo ke kumu o kēia mau mea, he mea ia a mākou i noʻonoʻo ʻole ai. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi āu e lohe ʻole ai, akā he mea nui e ʻike. ʻO ia ke ʻano i kapa ʻia ʻo 'Bone Marrow Edema'.

He aha ka Edema o ka Iwi Maloko?

ʻAe, e nānā mua kākou i ke ʻano o ka Bone Marrow Edema (BME). I ka ʻōlelo maʻalahi, he pehu ia o nā ʻiʻo palupalu i loko o ko kākou mau iwi i kapa ʻia ʻo ka iwi iwi . ʻIke ʻoe, he ʻiʻo e like me ka huʻa ka iwi iwi. Aia i loko o ka iwi iwi e hana ʻia ai nā hunaola koko e pono ai ko kākou kino. No laila, ʻo ka 'edema' he pehu i hoʻokumu ʻia e ka hōʻiliʻili ʻana o ka wai. Ua kapa pū kekahi poʻe iā ia he 'nā ʻeha o ka iwi iwi'.

ʻO ka hapa nui o ka manawa, ʻike ʻia kēia kūlana i kapa ʻia ʻo `BME` ke hana ʻia kahi scan `MRI` no kekahi kumu ʻē aʻe. ʻO ia hoʻi, hiki ke ʻike ʻia ma kahi hanana ʻole i ka wā e mālama ʻia ana ʻoe no kekahi kūlana ʻē aʻe. Hiki i ka `BME` ke hana i ka ʻeha nui i kekahi manawa. Akā ʻo ka nūhou maikaʻi, ʻo ka hapa nui o ka manawa, e nalo wale ia i ka hala ʻana o ka manawa. I ka wā o ka mālama ʻana, e hoʻāʻo nā kauka e kaohi i kāu mau hōʻailona.

He aha nā ʻano nui o ka `BME`?

I kēia manawa, e nānā kākou i nā ʻano nui o kēia mau 'BME'. ʻElua mau ʻano nui.

ʻO kekahi ka lua o ka `BME`.

ʻO ka mea e hana ʻia ma kēia hihia, ʻo ia ka loaʻa ʻana o kekahi maʻi ʻē aʻe e hoʻoulu ai i ka BME. No ka laʻana, inā loaʻa iā ʻoe kahi maʻi e like me ka Osteoarthritis, loaʻa paha iā ʻoe ka BME ma ke ʻano he hopena ʻaoʻao o ia mea. Ma kēia ʻano maʻi, loaʻa paha iā ʻoe nā hōʻailona i kekahi manawa, a ʻaʻole paha ʻoe i loaʻa i kekahi mau hōʻailona. ʻO ia ke kumu i ʻōlelo ai au ma mua e hiki ke loaʻa ma ka hanana ke hana ʻoe i kahi MRI no kekahi mea ʻē aʻe.

ʻO kekahi he `BME` kūlohelohe a mua paha.

ʻO ka mea e hana ʻia ma kēia hihia, ʻaʻole hiki i nā kauka ke loaʻa kahi kumu maopopo no ka 'BME'. Akā, he ʻeha kikoʻī kou e pili ana me ia. Ua kapa ʻia hoʻi kēia ʻo 'Bone Marrow Edema Syndrome (BMES) .' E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku.

He aha ka ʻokoʻa ma waena o ka `BME` a me ka `Bone Marrow Edema Syndrome (BMES)`?

ʻAe, he aha ka ʻokoʻa ma waena o ka 'BME' a me ka 'Bone Marrow Edema Syndrome (BMES)'?

I ka ʻōlelo maʻalahi, he ʻano kakaikahi ʻo `BME` ka `BMES`. ʻAʻole ʻike ʻia ke kumu pololei o kēia. ʻO ka hapa pinepine, ʻike ʻia kēia ʻano i nā kāne ma waena o 30 a me 60 mau makahiki.I kēia manawa. Manaʻo kekahi mau noiʻi e pili ana paha kēia kūlana, i kapa ʻia ʻo `BMES`, i nā pilikia olakino e like me ke kiʻekiʻe o ka cholesterol (`hyperlipidemia`) a me ka nele o ka wikamina D. Hiki ke loaʻa i hoʻokahi iwi a i ʻole i nā iwi he nui. ʻIke pinepine ʻia ia ma nā ʻāpana haʻahaʻa o ke kino, e like me nā wāwae.

ʻO ka mea nui, ʻoiai pili ka `BMES` i ka `BME`, he maʻi ʻokoʻa ia. E hoʻohana kāu kauka i nā ʻano hana like ʻole e ʻike a mālama i ka `BMES`.

ʻO wai ka mea i ʻoi aku ka paʻakikī e hoʻomohala i kēia `BME`?

No laila ʻo wai ka mea i ʻoi aku ka paʻakikī e hoʻomohala i kēia `BME`?

ʻO ka ʻoiaʻiʻo, hiki i kekahi ke loaʻa i ka BME, me ka nānā ʻole i ka makahiki, ka lāhui, a i ʻole ke kāne. Eia nō naʻe, inā loaʻa iā ʻoe nā kūlana olakino ma lalo nei, ʻoi aku ka kiʻekiʻe o kou pilikia o ka loaʻa ʻana o ka BME:

• Nā ʻano o ka ʻāʻī
• Ka maʻi ʻaʻai iwi
• Nā maʻi iwi (e like me Osteomyelitis)
• Osteoporosis (maʻi lahilahi o ka iwi)

He aha nā kumu o ka 'BME'?

I kēia manawa, e nānā kākou i nā kumu e kōkua ai i ka hanana ʻana o `BME`. Aia kekahi mau kumu. E kūkākūkā kākou iā lākou pākahi.

Ma muli o ke kanesa

Hiki i kekahi mau ʻano maʻi kanesa ke hana i ka `BME`. Eia kekahi laʻana:

• ʻO ka maʻi leukemia myeloid koʻikoʻi (AML)
• Ka metastasis o ka iwi (ka laha ʻana o ke kanesa i nā iwi)
• ʻO Chondrosarcoma (ka maʻi ʻaʻai cartilage cell)
• ʻO ka sarcoma Ewing (kahi maʻi ʻaʻai e kū mai ana i nā iwi a i ʻole nā ​​​​ʻiʻo palupalu)
• ʻO ka Osteosarcoma (ka maʻi ʻaʻai iwi)
• Hiki ke hana ʻia e ka radiation therapy no ka maʻi kanesa.

Ma muli o nā kūlana degenerative

Hiki nō hoʻi ke loaʻa ka BME i ka wā e hōʻino ai ke olakino o nā ʻiʻo o ko mākou kino i ka hala ʻana o ka manawa. ʻO ka mea nui:

• ʻO ka Osteoarthritis (ua lohe ʻoe i kēia, ʻo ka mea e ʻeha ai e like me kou mau kuli i kou wā ʻelemakule)
• Tendinopathy (nā pilikia e pili ana i ke tendon)

Ma muli o nā maʻi

Hiki ke hana ʻia ʻo BME e nā maʻi o nā iwi a i ʻole nā ​​​​hono:

• Nā maʻi iwi (e like me Osteomyelitis)
• ʻO ka maʻi Septic (kahi maʻi i hoʻokumu ʻia e ka bacteria e komo ana i nā hono)

Ma muli o ka nele o ke kahe koko (nā kūlana ischemic)

I kekahi manawa, inā ʻaʻole lawa ke koko a i ʻole ka oxygen i nā ʻāpana like ʻole o ke kino, hiki nō hoʻi ke loaʻa ka `BME`:

• ʻO ka `Avascular necrosis` (i kekahi manawa i kapa ʻia ʻo `osteonecrosis` - ʻo ia ka wā e nalowale ai ke kahe koko i nā iwi a make kekahi mau ʻāpana o lākou)
• ʻO ka wāwae ʻo Charcot (kahi pilikia o nā wāwae i nā poʻe me nā maʻi e like me ka maʻi diabetes)

Ma muli o nā kūlana metabolic

Hiki ke hana ʻia kēia kūlana `BME` e kekahi mau haunaele i nā kaʻina hana metabolic o ko mākou kino:

• ʻO ka maʻi Cushing (kahi maʻi i hoʻokumu ʻia e ka piʻi ʻana o ka hormone cortisol o ke kino)
• ʻO ka hyperparathyroidism (ka hana nui o nā kelepa parathyroid)
• Mastocytosis (ka hōʻiliʻili nui ʻana o kahi ʻano cell i kapa ʻia he mast cells)
• Nā pilikia mineral a me ka iwi i hoʻokumu ʻia e ka maʻi puʻupaʻa mau loa
• ʻO ka Osteomalacia (palupalu o nā iwi i nā pākeke - hiki ke hana ʻia e ka nele o ka huaora D)
• ʻO ka Osteoporosis (ka lahilahi o nā iwi), ʻoi aku hoʻi ma nā pūhaka a me nā kuli
• Ka nele o ka wikamina D

Ma muli o ka mumū o ke kino

Hiki ke ʻike ʻia ka BME ma muli o ka mumū i loko o ko mākou mau iwi, nā tendons, nā ʻiʻo, a me nā aʻalolo:

• ʻO ka Ankylosing Spondylitis (AS)
• ʻO ka Enthesitis (ka mumū kahi e hoʻopili ai nā aʻalolo a me nā ligaments i nā iwi)
• ʻO ka maʻi psoriatic (kahi mumū o nā hono e hele pū me ka psoriasis)
• ʻO ka Rheumatoid arthritis (he mumū kēia o nā hono)
• ʻO Sacroiliitis (ka mumū o ka hui ma waena o ka sacrum a me ka iwi pelvic)

Ma muli o nā ulia a me nā ʻeha (Trauma)

He mea kēia i ʻike ʻia e nā poʻe he nui. Hiki ke hana ʻia ka BME e nā mea e like me kahi ulia, hāʻule, a i ʻole kekahi ʻeha ʻē aʻe i ka wā e pāʻani ana i nā haʻuki:

• ʻO ka haehae ʻana o ka ACL (Anterior Cruciate Ligament) (he haehae ʻana o kahi ligament nui ma ke kuli - hana pinepine ʻia kēia i nā mea pāʻani)
• ʻO ka maʻi ʻeha ʻāpana paʻakikī (CRPS)
• ʻO nā haki compression (nā haki compression o nā iwi, ʻoi aku hoʻi ma ka iwi kuamoʻo)
• ʻO ka dislocation o ka ʻūhā, e hopena ana i ka make ʻana o nā iwi (osteonecrosis)
• ʻO nā ʻeha iwi a hui paha, ʻoiai nā mea e pili ana i ka kuʻekuʻe wāwae, ka ʻūhā, ke kuli, a i ʻole ka iwi kuamoʻo
• Nā haki koʻikoʻi (nā māwae liʻiliʻi i nā iwi i hana ʻia e ka hoʻoikaika nui ʻana), ʻoiai ma ke kuʻekuʻe wāwae, ka wāwae, ka ʻūhā, a i ʻole ke kuli. Eia kekahi laʻana, inā he mea holo mamao ʻoe, hiki ke hana ʻia kēia.

He aha nā hōʻailona o ka maʻi 'BME'?

ʻAe, he aha nā hōʻailona e hōʻike ai kekahi me ka `BME`?

ʻO ka hōʻailona nui ka ʻeha i loko a i ʻole a puni ka iwi. ʻO kēia ka mea mua i ʻike ʻia e ka hapa nui o ka poʻe. Eia kekahi, e ʻike paha ʻoe i nā mea e like me:

• ʻO ka hoʻokahe ʻana o ka hui (kahi wai e like me ka wai e hoʻopiha ana i ka hui)
• Nā hono mehana (manaʻo wela ma mua o nā wahi ʻē aʻe ke hoʻopā ʻia)

Akā e hoʻomanaʻo, hiki i kekahi poʻe ke loaʻa ka BME a ʻaʻole hōʻike i kekahi mau hōʻailona . ʻO ia ke kumu i ʻike ʻia ai i kekahi manawa ma ke ʻano ulia.

Pehea e ʻike ai i ke kūlana `BME`?

Pehea e hiki ai i ke kauka ke ʻike pololei i kēia maʻi 'BME'?

ʻO ka mea mua, e hana kāu kauka i kahi hoʻokolokolo kino. E nīnau lākou iā ʻoe e pili ana i kāu mau hōʻailona a me kou mōʻaukala olakino. E like me kaʻu i ʻōlelo ai ma mua, ʻike pinepine ʻia ʻo BME me nā kūlana pili ʻē aʻe.

Inā kānalua kāu kauka iā BME, hiki iā ia ke noi iā ʻoe e hana i kekahi mau hoʻokolohua, e like me:

• Nā hoʻāʻo koko: Ke nānā nei kēia i nā hōʻailona o ka mumū i loko o ke kino.
• ʻO ka biopsy iwi iwi: Pili kēia i ka lawe ʻana i kahi hāpana liʻiliʻi o ka iwi iwi a hoʻāʻo iā ia.
• ʻO ke kiʻi ʻana o ka `DEXA (DXA)`: Nānā kēia no ka `Osteoporosis` (maʻi lahilahi o ka iwi).
• MRI (Magnetic Resonance Imaging) Scan: He hoʻāʻo koʻikoʻi loa kēia no ka ʻike ʻana i ka BME. Hiki iā ia ke ʻike maopopo i ke kahe i loko o ka iwi iwi.
• Ke nānā ʻana i ka ultrasound.

E hoʻomanaʻo, ʻaʻole ʻike maopopo ʻia ka edema iwi mako (BME) ma kahi X-ray maʻamau a i ʻole CT scan.

Pehea e mālama ʻia ai ka `BME`?

I kēia manawa, e nānā kākou i nā lāʻau lapaʻau i loaʻa no ka 'BME'.

ʻO ka nūhou maikaʻi, ʻo ka hapa nui o ka manawa, e nalo wale ʻo BME i ka hala ʻana o ka manawa . Akā e lōʻihi ka manawa. E haʻi aku paha kāu kauka iā ʻoe e hoʻomaha , malia paha no kekahi mau mahina.

No ke kōkua ʻana i ka mālama ʻana i kāu mau hōʻailona, ​​​​hiki i kāu kauka ke kuhikuhi i nā mea e like me:

• Nā lāʻau hoʻopau ʻeha a me nā lāʻau anti-inflammatory ('Nonsteroidal anti-inflammatory drugs - NSAIDs'). Eia kekahi laʻana, ʻo Ibuprofen.
• Hoʻōla kino: Kōkua kēia i ka hoʻoikaika ʻana i nā ʻiʻo a hoʻihoʻi i ka hana hui.

Lapaʻau i nā hihia koʻikoʻi

Eia nō naʻe, inā ʻoi aku ka koʻikoʻi o ke kūlana BME, a inā paʻakikī ke kaohi me nā lāʻau lapaʻau maʻamau, hiki i ke kauka ke noʻonoʻo i kēia mau mea:

• Nā inikini steroid: Hiki ke hāʻawi pololei ʻia kēia mau mea i ka wahi o ka ʻeha e hōʻemi i ka mumū.
• ʻOki kino.

Inā pono ke ʻoki kino, hiki i ke kauka ke kuhikuhi i kahi kaʻina hana i kapa ʻia ʻo 'Core decompression surgery.' Pili kēia i ka ʻeli ʻana i kekahi mau lua liʻiliʻi ma ka iwi i hoʻopilikia ʻia. Hoʻemi kēia mau lua i ke kaomi i loko o ka iwi a hoʻemi i ka ʻeha.

No ka hoʻoikaika ʻana i ka ulu ʻana o ka iwi momona olakino, hiki i ke kauka lapaʻau ke hana i nā mea e like me:

• Inā ua hana ʻia ka BME ma muli o ke kumu e like me ke kanesa, hiki ke ʻōlelo ʻia kahi hoʻoili iwi iwi me ka hoʻohana ʻana i nā cell stem.
• Hiki ke hoʻopiha ʻia nā lua i wili ʻia me nā hoʻopili iwi.

Pehea ka wikiwiki e hiki ai iā ʻoe ke manaʻo e ho'ōla mai ka lāʻau lapaʻau?

Pehea ka wikiwiki e hiki ai iaʻu ke manaʻo i nā hopena ma hope o ka loaʻa ʻana o ka lāʻau no ka 'BME'?

Pili maoli kēia i ke kumu o kou BME, pehea ke koʻikoʻi o kou kūlana, a me ke ʻano o ka lāʻau āu e loaʻa ai. ʻO ka hapa nui o ka manawa , nalowale nā ​​​​hōʻailona i loko o 4 a 12 mau mahina . Akā i kekahi manawa hiki i ka BME ke mau no ʻelua mau makahiki a ʻoi aku paha. No laila pono ʻoe e hoʻomanawanui.

Hiki ke hoʻemi ʻia ka pilikia o ka hoʻomohala ʻana i ka BME?

No laila, aia kekahi mea e hiki ai iā mākou ke hana e hōʻemi i ka pilikia o ka hoʻomohala ʻana i ka `BME'?

ʻOiaʻiʻo, ʻaʻohe mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka loaʻa ʻana o ka BME. Akā, ʻo ka ʻimi ʻana i ke aʻo lapaʻau i ka wā e loaʻa ai iā ʻoe nā hōʻailona hiki ke kōkua iā ʻoe e hoʻomaka koke i ka mālama ʻana . He mea nui loa ia.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka `BME`? Pehea e mālama ai iā ʻoe iho?

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka `BME`? Pehea ʻoe e mālama ai iā ʻoe iho?

E like me kaʻu i ʻōlelo ai ma mua, ʻo ka 'BME' kahi maʻi e hoʻomaikaʻi pinepine i ka hala ʻana o ka manawa , no laila mai hopohopo nui no ia mea.

ʻO ka mea nui loa, ʻo ia ka hāʻawi ʻana i kou mau iwi BME i ka nui o ka hoʻomaha a hahai pololei i nā ʻōlelo a kāu kauka. E lawe i kāu lāʻau lapaʻau e like me ke kauoha, e hoʻomaha, a e hana i nā hoʻoikaika kino inā pono.

Āhea wau e pono ai e ʻike hou i ke kauka?

Āhea ʻoe e ʻike hou ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o kēia mau mea, e ʻike pono i ke kauka:

• ʻAʻole pilikia inā hoʻi mai kāu mau hōʻailona a i ʻole e ʻoi aku ka ʻino .
• Inā he mau hopohopo kāu e pili ana i nā hopena ʻaoʻao mai nā lāʻau lapaʻau āu e lawe nei.
• Inā ʻaʻohe hoʻomaikaʻi a hopena paha e ʻike ʻia ma hope o kekahi manawa o ka lāʻau lapaʻau.

I ia hihia, hiki i ke kauka ke kuhikuhi i nā lāʻau ʻē aʻe e hiki ke kōkua iā ʻoe.

No laila, he aha ka manaʻo lawe -home mai kēia moʻolelo?

ʻO ka Bone Marrow Edema (BME) kahi maʻi e kū mai ana i ka wā e hōʻiliʻili ai ka wai i loko o ko kākou iwi iwi. Hiki ke hana ʻia e nā kumu like ʻole, me ke kanesa, ka maʻi, nā kūlana mumū, a me nā ulia. ʻO ka hōʻailona nui ka ʻeha o ka iwi. Hoʻohana nā kauka i nā hoʻāʻo koko, MRI, a me nā ultrasound e ʻike ai. Hoʻokomo pū ʻia nā lāʻau lapaʻau i ka hoʻomaha, nā mea ʻeha, a me ka hoʻōla kino. ʻO ka mea nui loa, ʻo ka BME kahi maʻi e hoʻopau pinepine ʻia i ka hala ʻana o ka manawa. No laila, he mea nui e ʻimi koke i ke kōkua lapaʻau inā ʻike ʻia nā hōʻailona, ​​a loaʻa ka hoʻomaha kūpono a me ka lāʻau lapaʻau. Mai hopohopo, akā mai hoʻowahāwahā pū kekahi!

ʻEdema iwi iwi , ʻEha iwi, MRI, BME, Pehu hui, Nā hōʻailona iwi, Edema iwi iwi Sinhala