I ruhte pawh a na em? Bone Marrow Edema a ni thei!

Ruh na emaw, ruh hring emaw i nei a, "Hei hi eng nge ni?" A châng chuan heng thil awm chhan hi kan ngaihtuah ngai lo pawh a ni thei. Vawiin hian i hriat loh mai theih, mahse hriat a pawimawh em em condition pakhat kan sawi dawn a ni. Chu chu `Bone Marrow Edema` an tih condition a ni.

Bone Marrow Edema tih hi eng nge ni?

Okay, a hmasain Bone Marrow Edema (BME) hi eng nge a nih kan en ang. A awlsam zawngin kan ruh chhunga tissue nem tak, bone marrow , a hring chhuak a ni. I hria em, bone marrow hi sponge ang chi tissue a ni. Kan taksa mamawh thisen stem cells chu bone marrow ah hian a lo piang chhuak thin. Chuvangin, ‘edema’ hi tui awmkhawm avanga lo hring chhuak a ni. Mi thenkhat chuan ‘bone marrow lesions’ an ti bawk.

A tam zawkah chuan he `BME` an tih hi chhan dang avanga `MRI` scan an tih hian hmuhchhuah a ni. Chu chu natna dang enkawl i nih laiin accident-a hmuhchhuah a ni thei tihna a ni. `BME` hian a chang chuan natna nasa tak a thlen thei . Mahse chanchin lawmawm tak chu a tam zawkah chuan hun kal zelah a mah chauhin a bo dawn tih hi a ni. Enkawl lai hian doctor ten i symptoms control an tum ang.

`BME` chi hrang hrangte chu engte nge ni?

Tunah chuan heng `BME` chi hrang hrangte hi eng nge ni tih i lo en ang u. A nihna takah chuan chi hnih lian tak a awm.

Pakhat chu secondary `BME` a ni.

Hetiang a nih chuan thil thleng chu BME thlentu medical condition dang i nei a ni. Entirnan, Osteoarthritis ang chi natna i neih chuan chutiang side effect atan BME i nei thei. Hetiang dinhmunah hian a chang chuan symptoms i nei thei a, symptoms engmah i nei lo thei bawk. Chuvangin thil dang MRI i tih hian accidentally-in hmuh theih a ni tih ka sawi tawh a ni.

A dang chu Spontaneous emaw Primary `BME` emaw a ni.

Hetianga thil thleng chu doctor-te hian `BME` awm chhan chiang tak an hmu thei lo. Mahse, a kaihhnawih natna bik i nei a ni. Hei hi `Bone Marrow Edema Syndrome (BMES) .` an ti bawk.Hemi chungchang hi tlem han sawi ila.

`BME` leh `Bone Marrow Edema Syndrome (BMES)` te hi eng nge an danglamna?

Okay, chuti a nih chuan `BME` leh `Bone Marrow Edema Syndrome (BMES)` hi eng nge an danglamna?

A awlsam zawngin sawi ila, `BMES` hi `BME` chi khat hmuh tur awm lo tak a ni. Hei hi a chhan dik tak hriat a la ni lo. A tam zawkah chuan he natna hi mipa kum 30 leh 60 inkar ah hmuh tur a ni.Chumilai. Zirna thenkhatah chuan he natna, `BMES` tia koh hi hriselna lama harsatna, cholesterol sang (`hyperlipidemia`) level leh vitamin D tlakchhamna nen a inzawm thei niin an sawi. Ruh pakhatah chauh emaw, ruh tam takah emaw a awm thei. Taksa hnuai lam, ke-ah te hmuh tur a tam ber.

A pawimawh ber chu, `BMES` hi `BME` nen inzawm mah se, condition hran a ni. I doctor chuan `BMES` hriatchhuah leh enkawl dan hrang hrang a hmang ang.

He `BME` hi tute nge nei tam zawk?

Chuti a nih chuan tuin nge he `BME` hi tipung thei zawk?

Dik tak chuan, tu pawhin BME an nei thei a, kum, hnam leh mipa leh hmeichhia pawh thliar lovin. Mahse, a hnuaia damdawi lam dinhmunte hi i neih chuan BME vei theihna chance chu a sang deuh hlek a ni:

• Arthritis chi hrang hrang
• Ruh cancer a ni
• Ruh natna (e.g. Osteomyelitis) .
• Osteoporosis (ruh tihthianghlimna natna) .

`BME` awm chhante chu engte nge ni?

Tunah chuan `BME` lo awm chhan hi engte nge ni tih i lo en ang u. A nihna takah chuan a chhan hrang hrang a awm. Pakhat hnu pakhatin i sawiho ang u.

Cancer vangin

Cancer chi thenkhat chuan `BME` a thlen thei. Entir nan:

• `Acute Myeloid Leukemia (AML) avanga natna hrik awm thin`
• Bone metastasis (ruh chhunga cancer darh zel) .
• Chondrosarcoma (cartilage cell cancer) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk a.
• Ewing sarcoma (ruh emaw soft tissue emaw a cancer lo awm) .
• Osteosarcoma (ruh cancer) natna a ni.
• Cancer tan pawh radiation therapy hmanga siam a ni thei bawk.

Degenerative conditions vang a ni

BME hi hun kal zelah kan taksa peng hriselna a chhiat chuan a lo awm thei bawk. A bik takin:

• Osteoarthritis (hei hi i hre tawh a, i upat deuh deuh chuan i khup ang maia na thin)
• Tendinopathy (Tendon nena inzawm harsatna) .

Infection vangin

BME hi ruh emaw, ruh emaw natna avanga lo awm thei a ni bawk:

• Ruh natna (e.g. Osteomyelitis) .
• Septic arthritis (bacteria ruh chhunga lut avanga natna kai) .

Thisen supply a chhiat avangin (ischemic conditions) .

A châng chuan taksa peng hrang hrangin thisen emaw oxygen emaw an dawn tlem chuan `BME` a lo awm thei bawk:

• `Avascular necrosis` (a then chuan `osteonecrosis` an ti bawk - hei hi ruh chhunga thisen kalna a bo a, a then a thih hun a ni) .
• Charcot foot (zunthlum ang chi natna nei te kea harsatna awm thei) .

Metabolic condition avang hian

He `BME` dinhmun hi kan taksa metabolic process tihbuai thenkhat vang pawh a ni thei:

• `Cushing syndrome` (taksa chhunga cortisol hormone tihpun avanga lo awm) .
• `Hyperparathyroidism` (parathyroid glands te hnathawh tam lutuk) .
• Mastocytosis (mast cell an tih cell chi khat a tam lutuk) .
• Mineral leh ruh lama harsatna awm thei, kal natna rei tak avanga lo awm
• Osteomalacia (puitling ruh a nem - vitamin D tlakchham vang pawh a ni thei) .
• Osteoporosis (ruh hring hring), a bik takin hip leh khup ah
• Vitamin D tlakchhamna

Musculoskeletal inflammation vang a ni

BME hi kan ruh, kan ruh, kan ruh, leh kan nerve-a inflammation vang pawh a ni thei:

• Ankylosing Spondylitis (AS) natna hi a awm thei lo.
• Enthesitis (ruh-a tendon leh ligament inzawmkhawmna hmuna inflammation) .
• Psoriatic arthritis (psoriasis nena inzawm ruh natna) .
• Rheumatoid arthritis (hei hi ruh natna a ni bawk) .
• Sacroiliitis (sacrum leh pelvic bone inkar ruh natna) .

Accident leh hliam (Trauma) vangin .

Hei hi mi tam takin an lo tawn tawh a ni. BME hi accident emaw, tlu emaw, infiamna lama hliam emaw ang chi thil vang pawh a ni thei:

• `ACL (Anterior Cruciate Ligament) tears` (khup chhunga ligament lian tak tears - hei hi infiammiah a thleng fo thin)
• `Complex Regional Pain Syndrome (CRPS) atanga lo chhuak a ni`
• `Compression fractures` (ruh, a bik takin ruhroah compression fractures) .
• Hip dislocation, ruh tissue thihna (osteonecrosis) .
• Ruh emaw, ruh emaw hliam dang, a bik takin ke ruh, hip, khup emaw, ruhro emaw a hliam
• Stress fractures (thawhrim lutuk avanga ruh a chhe nasat lutuk), a bik takin ke ruh, ke, hip emaw khup emaw-ah. Entirnan, hla taka tlan i nih chuan hetiang hi a thleng thei a ni.

`BME` natna lan chhuah dan chu engte nge ni?

Okay, chuti a nih chuan `BME` vei hian eng symptom nge a lantir?

A lan chhuahna ber chu ruh chhung emaw, a chhehvel emawa natna a ni. Hei hi mi tam zawkin an tawn hmasak ber a ni. Chu bâkah, hetiang thilte hi i hmu thei bawk ang:

• Joint effusion (tui ang chi tuiin a luah khat) .
• Joint lum (khawih chuan hmun dang aiin a lum zawk tih hriat) .

Mahse, mi ṭhenkhat chuan BME an nei thei a, symptoms an nei lo tih hre reng ang che . Chuvangin a chang chuan accident-in hmuhchhuah a ni thin.

`BME` dinhmun hi engtin nge kan hriat theih ang?

Engtin nge doctor hian he `BME` natna hi dik taka a hriat theih ang?

A hmasa berin i doctor chuan taksa a enfiah ang. I symptoms leh i medical history te an zawt ang che. Ka sawi tawh ang khan BME hi a kaihhnawih natna dang nen hmuhchhuah a ni fo thin.

I doctor-in BME a rinhlelh chuan test ṭhenkhat tihsak turin a ti thei che a, chungte chu:

• Thisen test: Hengte hian taksaa inflammation chhinchhiahna an zawng thin.
• Bone marrow biopsy: Hei hian ruhro sample tlemte lak a, test a ni.
• `DEXA (DXA) scan`: Hei hian `Osteoporosis` (bone thinning disease) a awm leh awm loh a enfiah thin.
• MRI (Magnetic Resonance Imaging) Scan: Hei hi BME hriat theihna atana test pawimawh tak a ni. Ruhro chhunga tui awm chu chiang takin a hmu thei.
• Ultrasound hmanga scan a ni.

X-ray emaw CT scan pangngaiah chuan bone marrow edema (BME) hi chiang takin a lang lo fo tih hre reng ang che.

Engtin nge `BME` hi enkawl a nih?

Tunah chuan `BME` tan eng treatment nge awm tih i lo en ang u.

Thu lawmawm tak chu a tam zawkah chuan BME hi hun kal zelah a mah chauhin a bo dawn a ni . Mahse hun engemaw chen a la ngai dawn a ni. I doctor chuan chawlh hahdam turin a ti mai thei che , thla engemaw zat chhung pawh a ni mai thei.

I natna lan chhuah dan enkawlna atana pui turin i doctor chuan hetiang ang chi hi a rawn rawt thei bawk ang:

• Natna tidamtu leh natna tidam thei damdawi (`Nonsteroidal anti-inflammatory drugs - NSAIDs`). Entirnan, Ibuprofen tih hi a ni.
• Physical therapy: Hei hian taksa ruh a tichak a, ruh hnathawh a tichak bawk.

Natna khirh takah enkawl dan

Mahse, BME natna hi a na zawk a nih chuan, emaw, enkawlna pangngai hmanga control harsa a nih chuan, doctor chuan a hnuaia mite hi a ngaihtuah thei bawk ang:

• Steroid injection: Hengte hi natna hmunah direct-a pek theih a ni a, chu chuan inflammation a tiziaawm thei a ni.
• Inzai.

Surgery neih a ngai a nih chuan doctor chuan `Core decompression surgery` tih dan tur a rawt thei a ni.Hei hian ruh natnaah hian khur te te engemaw zat laih a ngai a ni. Heng khur te hian ruh chhunga pressure a tihziaawm bakah natna a tiziaawm bawk.

Bone marrow hrisel taka thanna tur fuih nan surgeon chuan hetiang hi a ti thei bawk:

• BME hi cancer ang chi thil avanga lo awm a nih chuan stem cell hmanga ruhro thlak (bone marrow transplant) a tha thei ang.
• Drilled holes te hi bone grafts hmangin a khat thei bawk.

Engtiang chiahin nge enkawlna atanga i dam thuai beisei theih ang?

`BME` enkawlna ka dawn hnuah eng chen nge result ka beisei theih ang?

Hei hi i BME chhan, i dinhmun a nasat dan leh eng enkawlna nge i dawn tih ah a innghat tak zet a ni. A tam zawkah chuan thla 4 atanga thla 12 chhungin symptoms hi a bo vek thin . Mahse a chang chuan BME hi kum hnih emaw a aia rei emaw pawh a daih thei. Chuvangin i dawhtheih a ngai a ni.

BME vei theihna hi a tlahniam thei ang em?

Chuti a nih chuan `BME' vei theihna tur tihtlem nan kan tih theih tur a awm em?

Dik tak chuan BME vei theihna tur tihziaawmna tur engmah i ti thei lo. Mahse symptoms i neih veleh doctor advice dil hian enkawlna i tan nghal vat thei a ni . Chu chu a pawimawh hle mai.

`BME` i neih chuan eng nge beisei tur? Engtin nge i in enkawl ang?

`BME` i neih chuan eng nge i beisei ang? Engtin nge i in enkawl ang?

Ka sawi tawh ang khan, `BME` hi hun kal zelah a lo tha chho tlangpui thin , chuvangin ngaihtuah lutuk suh.

A pawimawh ber chu i BME ruhte chu chawlh hahdamna tam tak pe a, i doctor thupek dik taka zawm hi a ni. I damdawi ei tur chu a tih angin ei la, chawlh hahdam la, a tul chuan physical therapy exercise ti bawk ang che.

Engtikah nge doctor ka hmuh leh a ngaih?

Engtikah nge doctor i hmuh leh ang?

A hnuaia mi hi i tawn chuan doctor pan ngei ngei tur a ni:

• I symptoms a lo let leh emaw a na zual emaw chuan a pawi lo .
• I damdawi ei avanga side effects awm thei tur chungchangah ngaihtuahna i neih chuan.
• Hun engemaw chen enkawl hnuah pawh hmasawnna leh result hmuh tur a awm loh chuan .

Chutiang hunah chuan doctor chuan i tanpui thei tur enkawlna dang a rawt thei che a ni.

Chuti a nih chuan, he thawnthu atanga take -home message chu eng nge ni?

Bone Marrow Edema (BME) hi kan ruhroah tui a lo awm khawm hian a lo awm thin a ni. Thil chi hrang hrang avanga lo awm thei a ni a, chung zingah chuan cancer, infection, inflammatory conditions, leh accident te pawh a tel. A lan chhuah dan ber chu ruh na a ni. Doctor-te chuan thisen test te, MRI te, ultrasound te hmangin a natna hriat theih a ni. Enkawlnaah chuan chawlh hahdam, natna tidamtu, leh taksa lam enkawlna te a tel. A pawimawh ber chu BME hi hun kal zelah a reh tlangpui thin a ni. Chuvang chuan natna lanchhuahna a lo lang a nih chuan a rang thei ang bera damdawi lam pan a pawimawh a, chawlh hahdam leh inenkawlna mumal tak neih a pawimawh bawk. Hlauthawng suh, mahse ngaihthah bawk suh!

` Bone Marrow Edema, Ruh Natna, MRI, BME, Joint Swelling, Ruh Symptoms, Bone Marrow Edema Sinhala