Loaʻa iā ʻoe nā puʻupuʻu liʻiliʻi e like me kēia i loko o kou mau hono? (Synovial Osteochondromatosis) E aʻo kākou e pili ana i ia mea!

Loaʻa iā ʻoe nā puʻupuʻu liʻiliʻi e like me ka iwi ma kou kuli a i ʻole poʻohiwi, e hōʻeha ana i ka ʻeha a me ka pehu? A i ʻole he paʻakikī ke kulou a hoʻopololei paha i kahi hui? Hiki paha iā ʻoe ke hoʻopilikia ʻia e kahi maʻi i kapa ʻia ʻo Synovial Osteochondromatosis . He inoa lōʻihi iki ia, no laila he paʻakikī ke ʻōlelo, ʻeā? Akā, mai hopohopo, e kamaʻilio maʻalahi kākou e pili ana.

He aha ka maʻi synovial osteochondrosis?

I ka ʻōlelo maʻalahi, he ʻano kēia kahi e hana ʻia ai nā puʻupuʻu liʻiliʻi, ʻaʻole maʻi kanesa (e like me nā puʻupuʻu) i loko o ka membrane lahilahi i kapa ʻia ʻo synovium (ka membrane e uhi ana i nā hono) i loko o ko kākou mau hono. Hana ʻia kēia mau puʻupuʻu i ke cartilage. Hiki iā lākou ke ʻokoʻa ka nui mai ka liʻiliʻi e like me ka hua laiki a i ka nui e like me ke kinikini. No ka laʻana, ʻike pinepine ʻia kēia mau mea ma ko kākou mau kuli, poʻohiwi, kuʻekuʻe lima, a me nā hono ʻūhā. I kekahi manawa, hiki i kēia ʻano ke hoʻopilikia i nā hono liʻiliʻi e like me ke kuʻekuʻe wāwae, ka pulima lima, a me ka ʻauwae.

Ke lana wale kēia mau puʻupuʻu i loko o ke ami, hiki iā lākou ke hoʻopilikia i ka neʻe ʻana o nā ami, e hōʻeha, a hōʻino paha i ke ami, e alakaʻi ana i kahi maʻi ami degenerative i kapa ʻia ʻo osteoarthritis . Inā loaʻa iā ʻoe ka arthritis, hiki i kēia kūlana ke hoʻonui i ka ʻino.

He aha ke ʻano o kēia mau huaʻōlelo?

ʻOiai he ʻano paʻakikī iki ka inoa o kēia maʻi, hiki iā mākou ke hoʻomaopopo maikaʻi i kona inoa inā mākou e hoʻokaʻawale iā ia i kāna mau huaʻōlelo pākahi.

• Synovial: Pili kēia i ka membrane i kapa ʻia ʻo synovium . ʻO kēia ka mea e hoʻopili ai i ko kākou mau hono. Hoʻopuka kēia membrane i kahi mea lubricating i kapa ʻia ʻo synovial fluid . ʻO kēia wai ka mea e hiki ai i ko kākou mau hono ke neʻe mālie, e like me ka ʻaila i loko o ka mīkini. No kā kākou ʻōnaehana musculoskeletal ko kākou mau hono, nā iwi, a me kēia membrane synovial.
• ʻO Chondro a i ʻole Chondral: Pili kēia i ke cartilage . He ʻiʻo palupalu ka Cartilage i loaʻa i loko o ko kākou mau hono e pale ai i nā iwi mai ka hamo ʻana kekahi i kekahi. Ua like ia me kahi uluna.
• Matosis a i ʻole Mitosis: Pili kēia i nā loli cellular e kū nei i loko o kahi ʻiʻo. ʻO ia hoʻi, ka ulu ʻana o nā cell ma ke ʻano maʻamau.

No laila, i ka hui pū ʻia ʻana o kēia mau huaʻōlelo, ua hoʻokumu ʻia ka inoa "synovial osteochondromatosis". ʻO ka ʻāpana "osteo" ke ʻano o ka iwi. ʻO ke ʻano o kēia, i kekahi manawa paʻakikī kēia mau nodules cartilage a lilo e like me ka iwi. Ua kapa ʻia kēia he ossification .

Aia kekahi mau inoa ʻē aʻe no kēia ʻano maʻi?

ʻAe, i kekahi manawa hoʻohana nā kauka i nā inoa ʻē aʻe e wehewehe i kēia kūlana. Hiki paha iā ʻoe ke lohe i kēia mau inoa:

• ʻO ka maʻi Reichel:Ua wehewehe mua ʻia ke ʻano e ke kauka Kelemania ʻo Friedrich Reichel i ka makahiki 1900.
• ʻO ka maʻi Reichel-Jones-Henderson: I ka hoʻomaka ʻana o nā makahiki 1900, ua aʻo hou aku nā kauka ʻokiʻoki orthopedic ʻAmelika ʻo Hugh Jones lāua ʻo Melvin Henderson a hoʻomaikaʻi i ka ʻike lapaʻau o kēia kūlana i ʻike ʻia e Kauka Reichel.
• ʻO ka chondroma synovial: Hoʻohana ʻia ka huaʻōlelo lapaʻau "-oma" no nā ʻōpū, inā he ʻino a ʻaʻole paha.
• ʻO ka osteochondromatosis synovial: ʻO "Osteo" ke ʻano o ka iwi. I kēia hihia, lilo ka puʻupuʻu i paʻakikī e like me ka iwi (ossification).

ʻO wai ka mea i hoʻopilikia pinepine ʻia e ka synovial osteochondromatosis? Pehea ka maʻamau?

He maʻi laha ʻole kēia. Hoʻopilikia wale ia i hoʻokahi i loko o hoʻokahi miliona kānaka. ʻO ka mea maʻamau ia i nā kāne ma waena o 30 a me 50 mau makahiki .

Aia kekahi mau ʻano like ʻole o kēia ʻano?

ʻAe, ʻelua mau ʻano nui:

1. ʻO ka chondromatosis synovial mua: ʻAʻole ʻike ʻia ke kumu kikoʻī o kēia ʻano. Hiki iā ia ke alakaʻi i ka osteoarthritis .

2. ʻO ka chondromatosis synovial lua: ʻO kēia ke ʻano maʻamau. Hana ʻia inā loaʻa iā ʻoe kahi maʻi hono e like me ka arthritis, osteonecrosis (make ʻana o ka iwi ma muli o ka nele o ke koko) , a i ʻole osteochondritis dissecans (ka palaho ʻana o ke cartilage a me ka iwi ma lalo) .

Pehea e hana ʻia ai kēia mau puʻupuʻu? He aha ke kumu?

ʻO ke kanaka me ka synovial osteochondromatosis he ulu ʻano ʻē o ka synovium , he membrane ia e hana ana i ke cartilage i kapa ʻia he nodules . Hiki i kekahi poʻe ke hoʻomohala i nā nodules he nui o nā nui like ʻole.

Hoʻokaʻawale kēia mau puʻupuʻu mai ka synovium a lana i loko o ka wai synovial i loko o ke ami. A laila calcify lākou, ʻo ia hoʻi, lilo lākou i paʻakikī e like me ka chalk. I kekahi manawa, hoʻopaʻa kēia mau puʻupuʻu. Ke neʻe nei kēia mau puʻupuʻu paʻakikī i loko o ke ami, hōʻino lākou i ke cartilage e pale ana i ke ami. Ke mae kēia cartilage, hōʻike ʻia ka ʻili o ke ami, e hōʻeha ana i ka osteoarthritis. Inā loaʻa iā ʻoe ke ʻano lua, hiki i ka hōʻino ʻana i ke ami i loaʻa mua ke ʻoi aku ka ʻino.

He aha nā hōʻailona o kēia?

ʻO nā hōʻailona o ka synovial osteochondromatosis ua like pinepine me nā hōʻailona o ka osteoarthritis. ʻO nā hōʻailona nui ka ʻeha a me ka pehu ʻana o nā hono . Hiki ke ʻoi aku ka ʻeha ke hoʻoneʻe ʻoe i ke hono.

Eia kekahi, hiki iā ʻoe ke loaʻa nā mea e like me:

• Hiki paha iā ʻoe ke ʻike i nā puʻupuʻu (nodules) ma lalo o ka ʻili .
• Ka emi ʻana o ka neʻe ʻana o ka hui i hoʻopilikia ʻia (hiki ʻole ke kūlou a pololei paha).
• Ka hōʻiliʻili ʻana o ka wai i loko o ke hono (edema) .
• He kani "crackling" a i ʻole he manaʻo o ka paʻa (crepitus) i ka wā e hoʻoneʻe ai i ke hono.
• Pehu nā hono a ʻeha ke hoʻopā.

Ma hea kahi e ʻike pinepine ʻia ai nā hōʻailona?

Ma muli o ka ʻāpana o ke kino i hoʻopilikia ʻia, hiki iā ʻoe ke loaʻa ka ʻeha ma nā wahi aʻe:

• ʻEha kuʻekuʻe wāwae
• ʻEha kuʻekuʻe
• ʻEha hui ʻūhā
• ʻEha hui ʻauwae
• ʻEha kuli (ʻo kēia ka mea maʻamau)
• ʻEha poʻohiwi
• ʻEha pulima

Pehea e ʻike pololei ʻia ai kēia maʻi? (Diagnosis)

No ka ʻike ʻana a me ka mālama ʻana i kēia maʻi, pono ʻoe e ʻike i kahi orthopedist . He kauka lapaʻau ʻo ia i nā pilikia e pili ana i nā iwi, nā hono, a me nā ʻiʻo. E nānā ke kauka iā ʻoe a nīnau e pili ana i kāu mau hōʻailona.

Hiki ke ʻike pinepine ʻia kēia mau puʻupuʻu palupalu me kahi X-ray . Eia nō naʻe, ʻaʻole paha e ʻike ʻia nā puʻupuʻu liʻiliʻi loa ma kahi X-ray. Inā hana ʻia kēia, e noi ʻia paha ʻoe e hana i kahi CT scan a i ʻole MRI scan e kiʻi i kahi kiʻi maopopo o ke hono.

He kōkua nui kēia mau scan i ka ʻike ʻana i ka maʻi. Hiki iā lākou ke nānā i nā hōʻailona o ka osteoarthritis a me ka hōʻiliʻili ʻana o ka wai i loko o ke hono.

He aha nā lāʻau lapaʻau e hiki ke hana me ke ʻoki ʻole ʻana?

Inā loaʻa iā ʻoe ka chondromatosis synovial lua, hiki i kāu kauka ke ʻōlelo aku e kali ʻoe i kekahi manawa ma mua o ka hoʻomaka ʻana i kekahi lāʻau lapaʻau nui. Hiki i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) a me nā lāʻau ʻeha ke kōkua i ka kaohi ʻana i nā hōʻailona. I kēia manawa, pono paha ʻoe e loaʻa nā scans maʻamau e nānā i ke kūlana o ka hui. Eia nō naʻe, inā ua hōʻino nui ʻia ka hui, pono paha ke ʻoki ʻana.

He aha nā ʻano hana lapaʻau i loaʻa?

ʻO ke ʻoki kino e pili ana i ka wehe ʻana i ka puʻupuʻu a me ka wehe ʻana i kahi hapa a i ʻole ka synovium i hoʻopilikia ʻia (ua kapa ʻia kēia he synovectomy ). Ma hope o ke ʻoki kino, pono ʻoe i ka lāʻau lapaʻau kino e hoʻihoʻi i ka neʻe a hoʻoikaika i ka hui.

Hana pinepine ʻia kēia ʻoki kino ma ke ʻano he kaʻina hana arthroscopic . ʻO Arthroscopy kahi kaʻina hana e pili ana i ke komo ʻana i kahi kāmela a me nā mea hana liʻiliʻi ma o kekahi mau ʻoki liʻiliʻi. ʻAʻole ʻeha kēia a waiho i ka liʻiliʻi o ka ʻeha ma mua o ke ʻoki kino hāmama kuʻuna. Ma muli o ka wahi o ka pilikia, hiki ke hana ʻia ke ʻoki kino arthroscopic ma ke kuli, poʻohiwi, a i ʻole kekahi hui.

I ka wā o ke ʻoki arthroscopic, e hana ke kauka:

1. Hana ʻia kekahi mau ʻoki liʻiliʻi ma ka ʻili.

2. He mea kāmela liʻiliʻi me hoʻokahi ʻokiHoʻokomo ʻia kahi arthroscope .

3. Hoʻokomo ʻia nā mea hana ʻoki ma o nā ʻoki ʻē aʻe.

4. Hana ʻia ke ʻoki ʻana a me ka wehe ʻana i nā puʻupuʻu i ka wā e nānā ana i kahi pale wikiō.

5. Wehe i ke kāmela a me nā lako.

6. Ua pani ʻia nā ʻoki me nā humuhumu hiki ke hoʻoheheʻe ʻia a i ʻole kahi kāʻei.

He aha nā pilikia e hiki ke kū mai mai kēia maʻi?

Hoʻonui kēia kūlana i ka pilikia o ka hōʻino ʻia ʻana o nā hono. He mea kākaʻikahi loa, hiki i kahi puʻupuʻu lana ke ulu nui loa. A laila hiki iā ia ke noho i ka hakahaka hono holoʻokoʻa a i ʻole e pālahalaha aku i nā ʻiʻo a puni. I kēlā mau hihia, hiki ke ʻike ʻia ke hono he ʻano ʻē a hiki ke lilo i mea hiki ʻole ke hoʻohana ʻia.

Hiki ke pale ʻia ka synovial osteochondromatosis?

ʻO kaʻoiaʻiʻo, ʻaʻole maopopo i nā loea ke kumu o kēia ʻano i kekahi poʻe. No laila, ʻaʻohe mea kikoʻī āu e hiki ai ke hana e pale aku ai i kona ulu ʻana.

He aha ka manaʻo no kekahi me kēia maʻi? (Manaʻo)

Ma kahi o hoʻokahi o nā kānaka ʻehā (25%) i hana ʻia i ke ʻoki kino e loaʻa hou kēia mau puʻupuʻu. No laila, e hana kāu kauka i nā scan maʻamau e nānā inā e loaʻa hou ana kēia maʻi i ka hono.

Eia kekahi, hoʻonui kēia ʻano i ka pilikia o ka hōʻino ʻana o nā hono a me ka rumatika. E hoʻomau kāu kauka i ka nānā ʻana iā ʻoe no kēia.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻike koke i ke kauka:

• Inā ʻaʻole hiki ke kulou pono ʻia a hoʻolōʻihi ʻia paha kahi hui (inā ua kaupalena ʻia ka laulā o ka neʻe ʻana).
• Inā he ʻeha nui a me ka pehu ʻana i loko o kahi hono.
• Inā lohe ʻoe i kahi leo "kaomi" ʻē aʻe mai kou mau hono, a inā paha ʻoe e manaʻo nei ua paʻa lākou.

He aha kaʻu e nīnau aku ai i kaʻu kauka?

Hiki iā ʻoe ke nīnau i ke kauka i nā nīnau e like me kēia:

• No ke aha i loaʻa ai iaʻu kēia synovial osteochondromatosis?
• He aha ka lāʻau lapaʻau maikaʻi loa noʻu?
• Pono maoli anei au i ke ʻoki kino?
• Loaʻa iaʻu ka osteoarthritis? A i ʻole, he aha kaʻu e hana ai e pale aku ai i kona ulu ʻana?
• He aha nā hōʻailona e pono iaʻu e nānā ai e ʻike inā e hoʻi mai ana nā cysts a i ʻole inā e ulu ana nā pilikia ʻē aʻe?

Hiki i ka synovial osteochondromatosis ke lilo i maʻi kanesa?

He mea kākaʻikahi loa ka lilo ʻana o kahi puʻupuʻu iwi maikaʻi e like me kēia i maʻi kanesa. Eia nō naʻe, ua nui nā hihia i ulu ai kēia ʻano i kahi ʻano maʻi kanesa iwi i kapa ʻia ʻo chondrosarcoma .

Inā loaʻa iā ʻoe ka maʻi ʻāʻī a i ʻole kekahi maʻi iwi ʻē aʻe, hiki paha iā ʻoe ke loaʻa i ka synovial osteochondromatosis. I kekahi manawa, hiki mai kēia ʻano me ke kumu ʻole. Inā hana ia, ʻoi aku ka nui o kou pilikia no ka loaʻa ʻana o ka osteoarthritis ʻeha. ʻOiai ke kumu, nui ka poʻe e loaʻa i kēia mau puʻupuʻu e pono ai ke ʻoki ʻana e wehe iā lākou. Hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i nā koho lapaʻau kūpono iā ʻoe. Ma hope o ke ʻoki ʻana, e nānā kāu kauka i kou mau hono e ʻike inā e hoʻi mai nā puʻupuʻu a i ʻole he pōʻino i ka hono.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

• ʻO ka synovial osteochondromatosis kahi puʻupuʻu ʻaʻole kanesa e hana ana i loko o ka membrane e uhi ana i nā hono.
• Hiki i kēia ke hana i nā hōʻailona e like me ka ʻeha o nā hono, ka pehu ʻana, a me ka paʻakikī i ka neʻe ʻana.
• ʻO nā hono e like me ke kuli, poʻohiwi, kuʻekuʻe, a me ka ʻūhā ka mea i hoʻopilikia pinepine ʻia.
• Hiki ke ʻike ʻia ka maʻi ma o nā hoʻokolohua e like me nā X-ray, CT scans, a me MRI.
• I ka manawa pinepine, wehe ke ʻoki arthroscopic i ka puʻupuʻu a me ka membrane i hoʻopili ʻia.
• Ma muli o ka pilikia o kekahi poʻe i ka hoʻi hou ʻana o ka puʻupuʻu, he mea nui e hahai i ka ʻōlelo aʻo a ke kauka a hana i nā nānā kino maʻamau.
• Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē e pili ana i kou mau hono, e ʻimi koke i ke kōkua lapaʻau. ʻO ka wā koke e loaʻa ai iā ʻoe, ʻo ka maʻalahi ka mālama ʻana!

ʻO ka Osteochondromatosis Synovial, ʻEha hui, Nā puʻupuʻu hui, Cartilage, Osteoarthritis, Arthroscopy, Osteochondromatosis Synovial, ʻEha hui, Nā puʻupuʻu hui, Cartilage, Osteoarthritis, Arthroscopy