Yu kin gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. (Synovial Osteochondromatosis) Lɛ wi lan bɔt am!

Yu gɛt smɔl smɔl bɔmp dɛn we tan lɛk bon na yu ni ɔ yu sholda, we kin mek yu fil pen ɛn swel? Ɔ i nɔ kin izi fɔ bɛn ɔ stret wan jɔyn? Yu kin gɛt wan sik bak we dɛn kɔl Synovial Osteochondromatosis . Na smɔl lɔng nem, so i at fɔ tɔk, nɔto so? Bɔt nɔ wɔri, lɛ wi tɔk bɔt am simpul wan.

Wetin na di Sinovial Ɔstiokɔndrɔmatosis?

fכ simpul wan, dis na kכndyushכn we sכm sכm sכm sכm sכm sכm sכm sכm dεm (lεk lכm) de fכm na di tכn mεmbran we dεn kכl di synovium (di mεmbran we de layn di jכint dεm) insay wi jכint dεm. Dɛn mek dɛn lumps ya wit katilej. Dɛn kin gɛt sayz frɔm smɔl lɛk rays gren to big lɛk mabul. Fɔ ɛgzampul, dɛn kin si dɛn tin ya mɔ na wi ni, sholda, ɛlb, ɛn hip jɔyn. Na smɔl tɛm nɔmɔ dis sik kin afɛkt smɔl smɔl jɔyn dɛn lɛk di anklɛ, di an, ɛn di jaw bak.

We dɛn tin ya kin flɔt fri wan insay di jɔyn, dɛn kin mek di jɔyn nɔ muv, i kin mek pɔsin fil pen, ɛn ivin pwɛl di jɔyn, ɛn dis kin mek pɔsin gɛt wan sik we de mek di jɔyn dɛn we nɔ fayn we dɛn kɔl ɔstiɔ-arayt . If yu dɔn gɛt at at sik, dis sik kin mek i wɔs.

Wetin dɛn wɔd ya rili min?

Bikɔs di nem fɔ dis sik kɔmplikt smɔl, wi kin ɔndastand am mɔ if wi sheb am to in wan wan wɔd dɛn.

• Synovial: Dis de tכk bכt di mεmbran we dεn kכl di synovium . Dis na wetin de layn wi jɔyn dɛn. dis mεmbran de mek wan tin we de mek yu lכbrik we dεn kכl saynovial fluid . Dis wata na in de mek wi jɔyn dɛn ebul fɔ muv fayn fayn wan, lɛk ɔyl we de insay mashin. Wi joyn dεm, bon dεm, εn dis saynovial mεmbran כl de insay wi mכskul εn skel sistεm .
• Chondro ɔ Chondral: Dis de tɔk bɔt di katilej . Katilaj na sɔft tisu we de insay wi jɔyn dɛn we de mek di bon dɛn nɔ de rɔb pan dɛnsɛf. I tan lɛk kusɛn.
• Matosis כ Mitosis: dis de tכk bכt di sεl chenj dεm we de apin insay wan tisu. Dat min se di sɛl dɛn we nɔ de gro fayn.

so, we dεn wכd dεm ya kam togεda, di nem "synovial osteochondromatosis" de fכm. di "osteo" pat min bon. dis min se sכmtεm dεn kכtilaj nodul dεm ya kin at εn lεk bon. Dɛn kɔl dis ɔsifikɛshɔn .

Ɔda nem dɛn de fɔ dis sik?

Yɛs, sɔntɛnde dɔktɔ dɛn kin yuz ɔda nem dɛn fɔ tɔk bɔt dis sik. Yu kin yɛri dɛn nem dɛn ya bak:

• Di sik we dɛn kɔl Reichel in syndrome:Na wan Jaman dɔktɔ we nem Fridrik Raychɛl we de du ɔpreshɔn fɔ di fɔstɛm bin tɔk bɔt dis sik insay 1900.
• Reichel-Jones-Henderson syndrome: Insay di fɔs 1900 dɛm, wan Amɛrikin ɔtpidik sajin dɛm we nem Hugh Jones ɛn Melvin Henderson bin stɔdi mɔ ɛn mek dɛn ɔndastand dis sik we Dɔktɔ Reichel bin no bɔt di mɛrɛsin fayn fayn wan.
• Synovial chondroma: dεn kin yuz di mεdikal tεm "-oma" fכ tכmכro dεm, if dεn na malignant כ nכ.
• di sinovial osteochondromatosis: "Osteo" min bon. insay dis kes, di tכmכro kin at lεk bon (osification).

Udat dɛn kin afɛkt mɔ pan di synovial osteochondromatosis? Aw i kɔmɔn?

Dis na tin we nɔ kin apin so ɔltɛm . Na lɛk wan pan ɛvri milyɔn pipul dɛn nɔmɔ i kin afɛkt. I kin mɔs pan man dɛn we ol bitwin 30 ɛn 50 ia .

Ɛni kayn tin de fɔ dis sik?

Yɛs, tu kayn dɛn de mɔ:

1. Praymari sinovial chondromatosis: dεn nכ no di εksakεt kכz fכ dis kכndyushכn. I kin mek pɔsin gɛt ɔstiɔ-arayt .

2. Sεkכndari sinovial kכndrכmatosis: Dis na di tכp we kכmכn pas כl. I kin apin if yu dɔn ɔlrɛdi gɛt wan sik we de mek yu jɔyn lɛk at at sik, ɔstionekrɔsis (di bon we de day bikɔs i nɔ gɛt blɔd) , ɔ ɔstiochondritis dissecans (we di katilej ɛn di bon we de ɔnda di bɔdi de rɔtin) .

Aw dɛn lumps ya kin fɔm? Wetin na di kɔz?

Pɔsin we gɛt sinovial ɔsteochondromatosis gɛt abnɔmal growth na di synovium we na wan mɛmbran we de mek katilej we dɛn kɔl nodul . Sɔm pipul dɛn kin gɛt bɔku nodul dɛn we gɛt difrɛn sayz.

dis lכmp dεm de brok kכmכt frכm di saynovium εn fכ fכt insay di saynovial fluid insay di jכint. Dɔn dɛn kin mek dɛn gɛt kalsifa , we min se dɛn kin at lɛk chɔk. Sɔntɛnde, dɛn lumps ya kin ivin ɔsify. as dεn had lכmp dεm ya de muv rawnd insay di jכint, dεn de pwεl di kכtilaj we de protεkt di jכint. we dis katilej de west, di joyn sεf de kכmכt, we de mek di כstio-arayt dεm we de mek yu fil pen. If yu gɛt di sɛkɔndari kayn, di damej pan di jɔyn we dɔn ɔlrɛdi de kin wɔs.

Wetin na di sayn dɛm fɔ dis?

di sayn dεm fכ di synovial osteochondromatosis kin bכku tεm lεk di wan dεm fכ osteoarthritis. Di men sayn dɛm na di joyn pen ɛn swel . Dis pen kin wɔs we yu muv di jɔyn.

Apat frɔm dat, yu kin gɛt tin dɛn lɛk:

• Yu kin fil lɛmp (nodul) ɔnda di skin .
• di rεnj fכ muvmεnt fכ di joyn we dεn afekt de dכn (inability fכ bεnd כ strεt fayn fayn wan).
• Fluid akyumyuleshכn insay di jכint (εdima) .
• "krak krak" sawnd ɔ filin fɔ tayt (crepitus) we yu de muv di jɔyn.
• Di jɔyn dɛn kin swel ɛn dɛn kin fil pen we dɛn tɔch dɛn.

Usay de sayn dɛm wae pɔrsin kin fil mɔr?

Dipen pan di pat pan di bɔdi we di sik afɛkt, yu kin gɛt pen na dɛn say ya:

• Pen na di anklɛ
• Ɛlbo pen
• Hip jɔyn pen
• Jaw jɔyn pen
• Knee pen (dis na di wan we kin apin pas ɔl) .
• Sɔlda pen
• Pen na yu an

Aw dɛn kin no dis sik kɔrɛkt wan? (Diagnosis) .

Fɔ no ɛn trit dis sik, yu go nid fɔ go to ɔtpidist . Na dɔktɔ we spɛshal pan prɔblɛm dɛn we gɛt fɔ du wit bon, jɔyn, ɛn mɔsul dɛn. Di dɔktɔ go chɛk yu ɛn aks yu bɔt di sayn dɛm we yu gɛt.

Bɔku tɛm, dɛn kin no dɛn lɔmp dɛn ya wit ɛkstrem rayt . Bɔt, dɛn nɔ kin si smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. If dis apin, dɛn kin aks yu fɔ mek dɛn du CT skan ɔ MRI skan fɔ gɛt klia pikchɔ bɔt di jɔyn.

Dɛn skan ya kin rili ɛp fɔ no di sik. Dɛn kin chɛk bak fɔ sayn dɛm fɔ ɔstiɔ-arayt ɛn wata we de bɔku na di jɔyn.

Us tritmɛnt dɛn dɛn kin du we dɛn nɔ du ɔpreshɔn?

If yu gɛt sɛkɔndari synovial chondromatosis, yu dɔktɔ kin se yu fɔ wet fɔ sɔm tɛm bifo yu bigin ɛni big tritmɛnt. Nɔn-stɛroyd anti-inflammatory drugs (NSAID) ɛn pen kil kin ɛp fɔ kɔntrol di simptom dɛm. Insay da tɛm de, yu go nid fɔ de skan ɔltɛm fɔ wach aw di jɔyn de. Bɔt if di jɔyn dɔn pwɛl bad bad wan, i kin nid fɔ du ɔpreshɔn.

Us ɔspitul tritmɛnt dɛn de we pɔsin kin gɛt?

כpεrayshכn involv fכ pul di lump εn pul pat כ כl di sinovium we afekt (dεn kכl dis saynovectomy ). Afta yu dɔn ɔpreshɔn, yu go nid fɔ gɛt fizik tritmɛnt fɔ mek yu ebul fɔ muv bak ɛn fɔ mek di jɔyn strɔng.

Bɔku tɛm dɛn kin du dis ɔpreshɔn as atrɔskɔpik prosidur . Atroskɔpi na wan we we dɛn kin put kamɛra ɛn smɔl smɔl tin dɛn insay sɔm smɔl smɔl say dɛn we dɛn kɔt. Dis nɔ kin mek pɔsin fil pen ɛn i nɔ kin mek i nɔ gɛt bɔku skata pas di tradishɔnal opin ɔpreshɔn. Dipen pan usay di prɔblɛm de, dɛn kin du atrɔskɔpik ɔpreshɔn pan di ni, sholda, ɔ ɔda jɔyn.

We dɛn de du di ɔpreshɔn we dɛn de du wit at, di dɔktɔ go:

1. Dɛn kin kɔt sɔm smɔl smɔl tin dɛn na di skin.

2. Wan smɔl kamera divays we gɛt wan kɔtDɛn kin put wan atrɔskɔp insay.

3. Dɛn kin put ɔspitul inschrumɛnt dɛn tru di ɔda say dɛn we dɛn kɔt.

4. Dɛn kin du di ɔpreshɔn ɛn pul di lumps we dɛn de wach vidio skrin.

5. Rimov di kamera ɛn di ikwipmɛnt.

6. Dɛn kin lɔk di say dɛn we dɛn kɔt wit stich dɛn we kin sɔlv ɔ bandej.

Us prɔblɛm dɛn kin kam wit dis sik?

Dis kɔndishɔn kin mek di jɔyn dɛn pwɛl mɔ ɛn mɔ. Na smɔl tɛm nɔmɔ, wan lump we de flɔt fri wan kin gro rili big. afta dat i kin tek di wan ol joyn spεs כ spre to di tisu dεm we de rawnd am. If na so i bi, i kin tan lɛk se di jɔyn nɔ fayn ɛn i nɔ go ebul fɔ yuz di jɔyn atɔl.

Yu tink se dɛn kin ebul fɔ mek dɛn nɔ gɛt di sik we dɛn kɔl synovial osteochondromatosis?

Infakt, masta sabi pipul dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin mek dis sik kin apin to sɔm pipul dɛn. So, notin nɔr de wae yu kin du fɔ mek i nɔr de divɛlɔp.

Wetin na de luk fɔ pɔrsin wae gɛt dis sik? (Autluk) .

Na lɛk wan pan ɔl 4 pipul dɛm (25%) we dɛn du ɔpreshɔn go gɛt dɛn lumps ya bak. So, yu dɔktɔ go de du skan ɔltɛm fɔ chɛk if di jɔyn de gɛt dis sik bak.

Dɔn bak, dis sik kin mek yu jɔyn dɛn pwɛl ɛn gɛt at at sik. Yu dɔktɔ go kɔntinyu fɔ chɛk yu fɔ dis bak.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt ɛni wan pan dɛn sayn ya, go to dɔktɔ wantɛm wantɛm:

• If wan joyn nɔ kin ebul fɔ bɛn ɔ ɛkstɛnd fayn fayn wan (if di rɛnj fɔ muv nɔ bɔku).
• If bad bad pen ɛn swel de na wan jɔyn.
• If yu yɛri wan ɔnusual "klik" sawnd frɔm yu jɔyn dɛm, ɔ if yu fil lɛk se dɛn dɔn stɔp.

Wetin a fɔ aks mi dɔktɔ?

Yu kin aks di dɔktɔ kwɛstyɔn dɛn lɛk:

• Wetin mek a bin gɛt dis synovial osteochondromatosis?
• Wetin na di bɛst tritmɛnt fɔ mi?
• Yu tink se a rili nid ɔpreshɔn?
• A gɛt ɔstiɔ-arayt? Ɔ, wetin a go du fɔ mek i nɔ de divɛlɔp?
• Us simptom dɛn a fɔ luk fɔ fɔ si if di sist dɛn de kam bak ɔ if ɔda prɔblɛm dɛn de kam?

Yu tink se di synovial osteochondromatosis kin bi kansa?

I nɔ kin izi fɔ mek wan benign bon tumor lɛk dis bi kansa. Bɔt bɔku tɛm dɔn de we dis sik dɔn tɔn to wan kayn bon kansa we dɛn kɔl chondrosarcoma .

If yu gɛt at at sik ɔ ɔda bon sik, yu kin de pan denja fɔ gɛt synovial osteochondromatosis. Sɔntɛnde, dis sik kin apin fɔ no rizin. If i du dat, yu de pan big risk fɔ gɛt ɔstiɔ-arayt we de mek yu fil pen. Ilɛk wetin mek dɛn du dis, bɔku pipul dɛn we gɛt dɛn lumps ya go nid ɔpreshɔn fɔ pul dɛn. Yu kin tɔk to yu dɔktɔ bɔt di tritmɛnt dɛn we fayn fɔ yu. Afta dɛn dɔn du di ɔpreshɔn, yu dɔktɔ go wach yu jɔyn dɛn fɔ si if di lumps kam bak ɔ if ɛnitin dɔn pwɛl di jɔyn.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

• di sinovial osteochondromatosis na wan lכmp we nכ de kεnsar we de fכm insay di mεmbran we de kכba di joyn dεm.
• Dis kin mek yu gɛt sayn lɛk pen na yu jɔyn, swɛlin, ɛn i nɔ kin izi fɔ muv.
• di joyn dεm lεk di ni, di sכlda, di εlbo, εn di hip kin afekt mכst.
• Dɛn kin no di sik bay we dɛn de du tɛst lɛk ɛkstrem rayt, CT skan, ɛn MRI.
• Bɔku tɛm, we dɛn kin du atrɔskɔpik ɔpreshɔn, dɛn kin pul di lump ɛn di mɛmbran we dɔn afɛkt.
• Bikɔs sɔm pipul dɛn kin gɛt prɔblɛm fɔ gɛt di sik bak, i impɔtant fɔ fala di advays we di dɔktɔ gi dɛn ɛn dɛn kin chɛk dɛn ɔltɛm.
• If yu gɛt ɛni ɔda kayn sayn we gɛt fɔ du wit yu jɔyn dɛn, go to dɔktɔ wantɛm wantɛm. Di kwik we yu kech am, na di mɔ i izi fɔ trit!

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