Yu bon dɛn bak kin at? I kin bi Bɔn Mɛrɔ Ɛdima!

Yu dɔn ɛva fil bon we de at ɔ yu jɔyn we swel ɛn de wɔnda se, "Wetin na dis?" Sɔntɛnde, di tin we kin mek dɛn tin ya kin apin kin bi sɔntin we wi nɔ kin ivin tink bɔt. Tide wi go tɔk bɔt wan kɔndishɔn wae yu nɔr kin yɛri bɔt, bɔt impɔtant fɔ no bɔt. Dat na wan kɔndishɔn we dɛn kɔl `Bone Marrow Edema`.

Wetin na Bɔn Mɛrɔ Ɛdima?

Okay, fɔs lɛ wi si wetin na Bone Marrow Edema (BME). Fɔ tɔk am simpul wan, na we di sɔft tisu we de insay wi bon dɛn we dɛn kɔl bon mɛro , we de swel . Yu no, bon mɛro na tisu we tan lɛk spɔnj. na insay di bon mכro de mek di bכdi stεm sεl dεm we wi bכdi nid. So, ‘edema’ na swel we de kam bikɔs ɔf wata we de gɛda. Sɔm pipul dɛn kin kɔl am bak ‘bon marrow lesions’.

Bɔku tɛm, dɛn kin no dis kɔndishɔn we dɛn kɔl `BME` we dɛn du `MRI` skan fɔ sɔm ɔda rizin. Dat min se dɛn kin no am bay we dɛn de trit yu fɔ ɔda sik. `BME` kin mek yu fil bad bad wan sɔmtɛm . Bɔt di gud nyus na dat, bɔku tɛm, i go go fɔ insɛf as tɛm de go. We dɛn de trit yu, dɔktɔ dɛn go tray fɔ kɔntrol di sayn dɛn we yu de gɛt.

Wetin na di men kayn `BME`?

Naw lɛ wi si wetin na di men kayn dɛn `BME` ya. Fɔ tru, tu men kayn dɛn de.

Wan na di sɛkɔndari `BME`.

Wetin kin apin na dis kes na dat yu gɛt ɔda mɛrɛsin we kin mek yu gɛt BME. Fɔ ɛgzampul, if yu gɛt wan sik lɛk Ɔstiɔ-arayt, yu kin gɛt BME as sayd ɛfɛkt fɔ dat. Na dis kayn sik, sɔmtɛm yu kin gɛt sɔm kayn sik, ɔr yu nɔr kin gɛt ɛni sayn atɔl. Na dat mek a bin se bifo se yu kin fɛn am incidentally we yu du MRI fɔ ɔda tin.

di כda wan na spontan כ praymar `BME`.

Wetin kin apin na dis kes na dat dɔktɔ dɛn nɔ kin ebul fɔ fɛn klia kɔz fɔ `BME`. Bɔt yu gɛt patikyula pen we gɛt fɔ du wit am. Dɛn kin kɔl dis bak `Bone Marrow Edema Syndrome (BMES) .` Lɛ wi tɔk bɔt dis smɔl mɔ.

Wetin na di difrɛns bitwin `BME` ɛn `Bɔn Mɛro Ɛdima Sindrom (BMES)`?

Okay, so wetin na di difrɛns bitwin `BME` ɛn `Bone Marrow Edema Syndrome (BMES)`?

Fɔ tɔk am simpul wan, `BMES` na wan rare kayn `BME`. Wi nɔ no di rayt tin we mek dis apin. Bɔrku tɛm, dɛn kin si dis sik pan man dɛm wae ol bitwin 30 ɛn 60 ia.We dis de bi. Sɔm stכdi dεm sho se dis kכndyushכn, we dεn kכl `BMES`, kin kכl fכ hεlth prכblεm lεk hεy kכlestכl (`hyperlipidemia`) lεvεl εn vaytam in D dεfisit. I kin apin na jɔs wan bon ɔ na bɔku bon dɛn. Dɛn kin si am mɔ na di say dɛn we de dɔŋ na di bɔdi lɛk di leg dɛn.

Di impɔtant tin na dat, pan ɔl we `BMES` gɛt fɔ du wit `BME`, na sɛpret kɔndishɔn. Yu dɔktɔ go yuz difrɛn we fɔ no ɛn trit `BMES`.

Udat kin gɛt dis `BME` mɔ?

So udat go mɔs divɛlɔp dis `BME`?

Infakt, ɛnibɔdi kin gɛt BME, ilɛksɛf na in ej, in kɔlɔ, ɔ if na man ɔ uman. Bɔt if yu gɛt dɛn sik ya, yu risk fɔ gɛt BME go bɔku smɔl:

• Di kayn we aw pɔsin kin gɛt at at sik
• Bɔn kansa
• Bon infεkshכn dεm (e.g. Osteomyelitis) .
• Ɔstioporosis (di sik we de mek yu bɔdi tan) .

Wetin na di tin dɛm we de mek `BME`?

Naw lɛ wi si wetin na di tin dɛn we de mek `BME` apin. Fɔ tru, bɔku rizin dɛn de. Lɛ wi tɔk bɔt dɛn wan bay wan.

Na bikɔs ɔf kansa

Sɔm kayn kansa kin mek yu gɛt `BME`. Fɔ ɛgzampul:

• `Akyu Mayloid Lukimiya (AML)`
• Bɔn mɛtastasis (we kansa kin skata to di bon dɛn) .
• Chondrosarcoma (kansa we de na di kɔtlɛj sɛl) .
• Ewing sarcoma (kansa we kin apin na di bon ɔ di sɔft tisu) .
• Osteosarcoma (bɔn kansa) .
• I kin kam bak bay we dɛn de yuz redyushɔn tɛrapi fɔ kansa.

Bikɔs ɔf di kɔndishɔn dɛn we de pwɛl

BME kin apin bak we di wɛlbɔdi na wi bɔdi in tisu dɛn kin pwɛl as tɛm de go. Di men wan:

• Osteoarthritis (yu dɔn yɛri bɔt dis, di wan we de at lɛk yu ni as yu de ol)
• Tendinopathy (Prɔblɛm dɛn we gɛt fɔ du wit di tɛndon) .

Bikɔs ɔf di infɛkshɔn dɛn

BME kin kam bak bay infεkshכn na di bon dεm כ di joyn dεm:

• Bon infεkshכn dεm (e.g. Osteomyelitis) .
• Septic arthritis (na infεkshכn we baktri dεm we de kam insay di joyn dεm) .

Bikɔs ɔf di blɔd saplai we nɔ de wok fayn (ischemic kɔndishɔn) .

sכmtεm, if difrεn כgan dεm na di bכdi nכ gεt inof bכdi כ כksijεn, `BME` kin apin bak:

• `Avaskulεr nεkrכsis` (sכmtεm dεn kin kכl am `osteonecrosis` - dis na we di bכdi we de gi di bon dεm de lכs εn pat dεm de day)
• Charcot foot (na wan kɔmplikɛshɔn fɔ di fut pan pipul dɛm wae gɛt sik lɛk dayabitis) .

Bikɔs ɔf di mɛtabolik kɔndishɔn dɛn

dis `BME` kכndishכn kin kכz bak bay sכm disturbans dεm na wi bכdi in mεtabolik prכsεs dεm:

• `Cushing syndrome` (na wan kכndyushכn we di bכdi in kכtisol כmon de inkrεs)
• `Hyperparathyroidism` (we di paratayroyd gland dεm de wok pasmak) .
• Mastocytosis (we de kכmכt pasmak fכ wan kayn sεl we dεn kכl mast sεl) .
• Minral ɛn bon prɔblɛm dɛn we kin kam wit krεse sik na di kidni
• Osteomalacia (di bon dεm we de sכft pan big pipul dεm - i kin kכz bak we dεn nכ gεt vaytam in D) .
• כstioporosis (di bon dεm de tכn), spεshal wan na di hip εn di ni dεm
• Vitamin D we nɔ de

Bikɔs ɔf di mɔskul ɛn skel inflamɛns

yu kin si BME bak bikoz fכ inflameshn na wi bon dεm, tεndon dεm, mכsul dεm, εn nεv dεm:

• Ankylosing Spondylitis (AS) we gɛt di sik.
• Enthesitis (inflameshɔn usay di tεndon dεm εn ligament dεm de atak di bon dεm) .
• Psoriatic arthritis (na inflameshn na di joyn dɛm we kin kam wit psoriasis) .
• Rimatɔyd at atraytis (dis na inflamɛns bak na di jɔyn dɛm) .
• Sacroiliitis (inflamεshכn na di jכint bitwin di sakrum εn di pεlvik bon) .

Bikɔs ɔf aksidɛnt ɛn injuri (Trauma) .

Dis na sɔntin we bɔku pipul dɛn dɔn ɛkspiriɛns. BME kin kam bak bikɔs ɔf tin dɛn lɛk aksidɛnt, fɔdɔm, ɔ ɔda injuri we yu de ple spɔt:

• `ACL (Anterior Cruciate Ligament) tears` (dεn de te na wan big ligament na di kכn - dis kin apin bכku tεm pan atlet dεm)
• `Kɔmpleks Rijinal Pen Sindrom (CRPS)`
• `Kכmpreshכn frakshכn` (kכmpreshכn frakshכn dεm na di bon dεm, spεshal wan na di spayna)
• di hip dislokeshכn, we de mek di bon tisu dεm day (osteonecrosis) .
• Ɔda bon ɔ jɔyn injury, mɔ di wan dɛn we gɛt fɔ du wit di anklɛ, hip, ni, ɔ spayna
• Stress fracture (fayn krak krak na di bon dɛm we kin kam bikɔs yu de tray pasmak), mɔ na di anklɛ, fut, hip, ɔ ni. Fɔ ɛgzampul, if yu na pɔsin we de rɔn fɔ lɔng tɛm, dis kin apin.

Wetin na di simptom dɛm fɔ `BME`?

Okay, so wetin simptom pɔsin we gɛt `BME` de sho?

Di men sayn na pen na ɔ rawnd wan bon. Dis na di fɔs tin we bɔku pipul dɛn kin gɛt. Apat frɔm dat, yu kin notis tin dɛn bak lɛk:

• Joint effusion (wan wata we tan lɛk wata we de ful-ɔp di jɔyn) .
• Jɔyn dɛn we wam (dɛn kin fil wam pas ɔda say dɛn we dɛn tɔch am) .

Bɔt mɛmba se sɔm pipul dɛn kin gɛt BME ɛn dɛn nɔ kin sho ɛni sayn . Na dat mek sɔntɛnde dɛn kin diskɔba am bay chans.

Aw fɔ no di `BME` stetɔs?

Aw dɔktɔ kin no dis `BME` kɔndishɔn kɔrɛkt wan?

Fɔs, yu dɔktɔ go du yu bɔdi ɛgzam. Dɛn go aks yu bɔt yu sik ɛn yu mɛdikal histri. As a bin dɔn tɔk, bɔku tɛm dɛn kin no se BME gɛt ɔda tin dɛn we gɛt fɔ du wit am.

If yu dɔktɔ saspek BME, i kin aks yu fɔ du sɔm tɛst dɛn, lɛk:

• Blɔd tɛst: Dɛn tin ya kin luk fɔ sayn dɛm fɔ inflamɛns na di bɔdi.
• Bɔn mכro bayɔpsi: Dis kin min fɔ tek smɔl sεmpl pan bon mכro εn tεst am.
• `DEXA (DXA) scan`: Dis de chεk fכ `Osteoporosis` (bכn tinin sik).
• MRI (Magnetic Resonance Imaging) Scan: Dis na wan rili impɔtant tɛst fɔ no if yu gɛt BME. I kin si klia wan di wata we de insay di bon mɛro.
• Ultrasound skan we dɛn kin yuz.

Mɛmba se bɔku tɛm, yu nɔ kin si di bon mɛro ɛdima (BME) klia wan we yu de du ɛkstrem rayt ɔ CT skan ɔltɛm.

Aw dɛn kin trit `BME`?

Naw lɛ wi si us tritmɛnt dɛn de fɔ `BME`.

Di gud nyus na dat, bɔku tɛm, BME go go fɔ insɛf as tɛm de go . Bɔt i go tek sɔm tɛm. Yu dɔktɔ go mɔs tɛl yu fɔ rɛst , sɔntɛm fɔ sɔm mɔnt.

Fɔ ɛp fɔ kɔntrol yu sik dɛn, yu dɔktɔ kin tɛl yu bak tin dɛn lɛk:

• Pen kil ɛn anti-inflammatory drɔgs (`Nɔnsterɔyd anti-inflammatory drɔgs - NSAIDs`). Fɔ ɛgzampul, wan mɛrɛsin we dɛn kɔl Ibuprofen.
• Fizik tritmɛnt: Dis kin ɛp fɔ mek di mɔsul dɛn strɔng ɛn mek di jɔyn dɛn wok bak.

Tritmɛnt we dɛn gɛt siriɔs kes

Bɔt if di BME kɔndishɔn rili bad, ɔ if i at fɔ kɔntrol wit nɔmal tritmɛnt, di dɔktɔ kin tink bak bɔt dɛn tin ya:

• Stɛroyd injɛkshɔn: Dɛn kin gi dɛn tin ya dairekt to di say we di pen de fɔ ridyus di inflamɛns.
• Ɔpreshɔn.

If yu nid fɔ du ɔpreshɔn, di dɔktɔ kin tɛl yu fɔ du sɔntin we dɛn kɔl `Core decompression surgery.` Dis kin min fɔ drɔ sɔm smɔl ol dɛn na di bon we afɛkt. Dɛn ol ya de ridyus di prɛshɔn we de insay di bon ɛn i nɔ de mek di pen nɔ bɔku.

Fɔ ɛnkɔrej di bon mɛrɔ fɔ gro fayn fayn wan, di dɔktɔ we de du di ɔpreshɔn kin du tin dɛn bak lɛk:

• If BME dɔn apin bikɔs ɔf sɔntin lɛk kansa, dɛn kin se dɛn fɔ transplant bon mɛrɔ we dɛn yuz stem sɛl dɛn.
• Dɛn kin ful-ɔp di ol dɛn we dɛn dɔn drɔ bak wit bon graft.

Aw kwik yu go ebul fɔ ɛkspɛkt fɔ wɛl afta yu dɔn gɛt tritmɛnt?

Aw kwik a kin ɛkspɛkt rizɔlt afta a dɔn gɛt tritmɛnt fɔ `BME`?

Dis rili dipen pan wetin mek yu BME, aw yu sik bad, ɛn us tritmɛnt yu de gɛt. Bɔrku tɛm , di sayn dɛm kin dɔn insay 4 to 12 mɔnt . Bɔt sɔmtɛm BME kin las fɔ tu ia ɔ ivin lɔng pas dat. So yu fɔ peshɛnt.

Yu tink se dɛn kin ridyus di risk fɔ gɛt BME?

So enitin de we wi kin du fɔ ridyus di risk fɔ gɛt `BME'?

Fɔ tɔk tru, natin nɔr de we yu kin du fɔ ridyus yu risk fɔ gɛt BME. Bɔt fɔ go to dɔktɔ jɔs afta yu gɛt di sik kin ɛp yu fɔ bigin tritmɛnt kwik kwik wan . Dat rili impɔtant.

Wetin fɔ ɛkspɛkt if yu gɛt `BME`? Aw fɔ kia fɔ yusɛf?

Wetin yu fɔ ɛkspɛkt if yu gɛt `BME`? Aw yu fɔ kia fɔ yusɛf?

As a bin se bifo, `BME` na kondishɔn we kin ɔltɛm bɛtɛ wit tɛm , so nɔ wɔri tumɔs bɔt am.

Di tin we impɔtant pas ɔl na fɔ gi yu BME bon dɛn bɔku rɛst ɛn fala yu dɔktɔ in instrɔkshɔn dɛn ɛksaktɔli. Tek yu mɛrɛsin lɛk aw dɛn tɛl yu fɔ tek am, rɛst, ɛn du ɛksesaiz fɔ yu bɔdi if nid de.

Ustɛm a nid fɔ go to dɔktɔ bak?

Ustɛm yu fɔ go to dɔktɔ bak?

If yu gɛt ɛni wan pan dɛn tin ya, mek shɔ se yu go to dɔktɔ:

• I nɔ bad if yu sik kam bak ɔr wɔs .
• If yu gɛt ɛni wɔri bɔt ɛni sayd ɛfɛkt frɔm di tritmɛnt dɛm wae yu de tek.
• If dɛn nɔ si ɛni impɔtant ɔ rizulyt afta sɔm tɛm we dɛn dɔn trit am.

If na so i bi, di dɔktɔ kin tɛl yu ɔda tritmɛnt dɛn we go ɛp yu.

So, wetin bi di tek -home mesej from dis tori?

Bone Marrow Edema (BME) na wan kכndyushכn we de apin we wata de bכku na wi bon mכro. I kin kam bikɔs ɔf difrɛn tin dɛn lɛk kansa, infekshɔn, inflammatory conditions, ɛn aksidɛnt. Di men sayn na di bon pen. Dɔktɔ dɛn kin yuz blɔd tɛst, MRI, ɛn ɔltra saund fɔ no if i gɛt am. Di tritmɛnt dɛn na fɔ rɛst, fɔ tek mɛrɛsin fɔ mek pɔsin fil pen, ɛn fɔ trit yu bɔdi. Di tin we impɔtant pas ɔl na dat, BME na wan kɔndishɔn we kin sɔlv as tɛm de go. So, i impɔtant fɔ go to dɔktɔ kwik kwik wan if yu gɛt di sik, ɛn gɛt di rayt rɛst ɛn tritmɛnt. Nɔ panik, bɔt nɔ ignore am bak!

` Bon Mכro Edima, Bon Pen, MRI, BME, Jכint Swεlin, Bon Simptom dεm, Bon Mכro Edima Sinhala