Hetiang hian i ruh (joint) ah hian lump te te pawh i nei ve em? (Synovial Osteochondromatosis) A chanchin hi i zir chiang ang u!

I khup emaw, i kekawrte emaw-ah ruh ang chi bumps te te i nei em, chu chuan natna leh hliam a thlen thin em? A nih loh leh, ruh (joint) ben emaw, tihdik emaw a harsa em? Synovial Osteochondromatosis tih natna pawhin a nghawng thei bawk . Hming sei deuh a nih avangin sawi a harsa khawp mai, a dik em? Mahse, lungngai suh, awlsam takin sawi ila.

Synovial Osteochondromatosis hi eng nge ni?

A awlsam zawngin, hei hi kan ruh chhunga membrane te tak te, synovium (ruh siamtu membrane) an tihah hian cancer ni lo, lump te tak te (lump ang chi) a lo awm thinna dinhmun a ni. Heng lumps te hi cartilage atanga siam a ni. Buhfai chi khat ang maia te atanga marble ang maia lian thlengin an lian thei. Entirnan, hengte hi kan khup, kan kekawrte, kan kekawrte leh kan hip joint-ah te hmuh tur a tam ber. A tlem berah chuan he natna hian ke ruh tenau zawk, ke ruh, kutphah leh ke ruh te pawh a nghawng thei bawk.

Heng lumps te hi ruh chhunga zalen taka an inphah chuan ruh incheina a tibuai thei a, ruh a ti na thei a, ruh pawh a tichhe thei a, chu chuan ruh natna (degenerative joint disease ) osteoarthritis tiin a thlen thei a ni. Arthritis i neih tawh chuan he natna hian a tizual thei a ni.

Heng thute hian eng nge a awmzia tak tak?

He natna hming hi a buaithlak deuh avangin, a thumal hrang hranga kan then darh chuan hriatthiamna tha zawk kan nei thei ang.

• Synovial: Hei hian synovium an tih membrane a kawk a ni. Hei hi kan ruh (joint) line siamtu chu a ni. He membrane hian lubricating substance synovial fluid an tih chu a siam chhuak thin . He fluid hi kan ruhte chu machine-a oil ang maia kal awlsamna siamtu a ni. Kan ruhte, ruhte, leh he synovial membrane hi kan taksa ruh leh ruhro (musculoskeletal system) -a tel vek a ni .
• Chondro emaw Chondral emaw: Hei hian cartilage a kawk a ni. Cartilage hi kan ruh chhunga awm soft tissue a ni a, ruhte chu a inhnim tawn loh nan a veng a ni. Cushion ang mai a ni.
• Matosis emaw Mitosis: Hei hian tissue chhunga cellular inthlak danglamna a kawk a ni. Chu chu cell te than dan pangngai lo tihna a ni.

Chuvangin, heng thumalte hi an inzawm khawm chuan "synovial osteochondromatosis" tih hming a lo piang ta a ni. "Osteo" tih hi ruh tihna a ni. Chumi awmzia chu a chang chuan heng cartilage nodules te hi a khauh a, ruh ang maiin a lo awm thin tihna a ni. Hei hi ossification an ti a .

Hetiang dinhmun hi hming dang a awm em?

Ni e, a châng chuan doctor-te chuan he natna hi sawi nân hming dang an hmang ṭhin. Heng hmingte hi i hre mai thei bawk:

• Reichel-a natna (syndrome) chu:He dinhmun hi German surgeon Friedrich Reichel chuan kum 1900 khan a sawi hmasa ber a ni.
• Reichel-Jones-Henderson syndrome: Kum 1900 chho tir lam khan American orthopaedic surgeon Hugh Jones leh Melvin Henderson te chuan Dr. Reichel-a’n a hmuhchhuah he natna chungchang hi zirchiang lehin damdawi lam hriatthiamna an tipung a.
• Synovial chondroma: Damdawi lam thumal "-oma" tih hi tumor, malignant emaw ni lo emaw sawina atan hman a ni.
• Synovial osteochondromatosis: "Osteo" tih awmzia chu ruh tihna a ni. Chutiang a nih chuan tumor chu ruh ang maiin a khauh ta (ossification).

Synovial osteochondromatosis hi tute nge tuar tam ber? Engtiang chiahin nge a hluar?

Hei hi a awm lo hle a ni . Mi maktaduai khat zinga pakhat vel chauh a nghawng a ni. Mipa kum 30 leh 50 inkar ah a tam ber .

Hetiang dinhmun hi chi hrang hrang a awm em?

Ni e, chi hnih a awm ber a:

1. Primary synovial chondromatosis: Hetiang natna hi a chhan dik tak hriat a la ni lo. Osteoarthritis a thlen thei a ni .

2. Secondary synovial chondromatosis: Hei hi a tam ber a ni. I ruh natna, arthritis, osteonecrosis (thisen tlakchham vanga ruh thihna) , emaw osteochondritis dissecans (cartilage leh a hnuaia ruh chhe) te i neih tawh chuan a thleng thin.

Engtin nge heng lumps te hi an lo awm? Eng nge a chhan?

Synovial osteochondromatosis vei chuan synovium chu a lo thang tha lo hle a , chu chu membrane a ni a , chu chuan cartilage a siam a , chu chu nodules an ti a ni Mi thenkhat chuan nodules lian leh te pawh a inang lo tam thei hle.

Heng lumps te hi synovium atang hian an inthen a, joint chhunga synovial fluid ah an float thin. Chumi hnuah chuan calcify , chu chu chalk ang maiin an khauh tihna a ni. A châng chuan heng lumps te hi ossify pawh a ni. Heng lump khauh tak takte hi ruh chhunga an kal kual hian ruh vengtu cartilage chu an tichhia a ni. He cartilage hi a chhe tawh chuan ruh chunglam chu a lang chhuak a, chu chuan osteoarthritis na tak a thlen thin. Secondary type i neih chuan joint awm tawha chhiatna chu a zual thei hle.

Hei hi eng symptoms nge ni?

Synovial osteochondromatosis symptoms hi osteoarthritis nen a inang fo thin. A lan chhuah dan ber chu ruh natna leh ruh natna a ni . He natna hi ruh i sawn chuan a zual thei.

Chu bâkah, hetiang hi i tawng thei bawk:

• Vun hnuaiah hian lumps (nodules) i nei thei .
• Joint natna hmuna range of motion tlahniam (bend emaw straight tha thei lo).
• Joint chhunga tui awmkhawm (edema) .
• "Crackling" sound emaw, joint tihchet laiin tightness (crepitus) hriatna emaw .
• Joints a hring a, khawih pawhin a na hle.

Khawiah nge symptoms hriat tam ber?

Taksa a nghawng dan azirin a hnuaia hmun hrang hrangah hian natna i nei thei a ni:

• Ankle na a na
• Elbow na a na
• Hip joint na a awm
• Jaw joint na a awm
• Khup na (hei hi a tam ber) .
• Kawngkhar na
• Kut na a na

Engtin nge he natna hi dik taka hriat theih a nih? (Diagnosis) tih a ni.

He natna hi hriatchhuah leh enkawl tur chuan ruh lam doctor i pan a ngai ang . Doctor a ni a, ruh, ruh leh ruh nena inzawm harsatna hrang hrangah a thiam hle. Doctor chuan a enfiah ang che a, i symptoms te a zawt ang che.

Heng loose lumps te hi X-ray hmangin hriat theih a ni tlangpui. Mahse, X-ray-ah chuan lump te tak te tak tak hmuh tur a awm lo mai thei. Chutiang a nih chuan CT scan emaw MRI scan emaw nei turin an ti mai thei che a, chu chuan i ruhkawr chu chiang zawkin a hmu thei ang.

Heng scan te hian natna hriatchhuah nan a pui hle a ni. Tin, osteoarthritis chhinchhiahna leh ruh chhunga tui awm leh awm loh an enfiah thei bawk.

Surgery tel lovin eng treatment nge tih theih ang?

Secondary synovial chondromatosis i neih chuan i doctor chuan enkawlna lian tham i tan hmain rei vak lo nghah hmasak phawt a rawt thei ang. Nonsteroidal anti-inflammatory drugs (NSAIDs) leh painkillers te hian natna lanchhuahna control nan a pui thei a ni. Chutih lai chuan, i ruh (joint) dinhmun enfiah nan scan mumal tak neih a ngai mai thei. Mahse, ruh chu nasa taka a chhiat chuan zai a ngai mai thei.

Eng surgery hmanga enkawlna nge awm?

Surgery-ah chuan lump chu lakchhuah a ni a, synovium natna hmun thenkhat emaw, a zawng zawng emaw lak chhuah a ni (hei hi synovectomy an ti a ni ). Operation hnuah chuan taksa chetna leh ruh tichak turin physical therapy i mamawh ang.

He surgery hi arthroscopic procedure angin an ti fo thin . Arthroscopy hi camera leh instrument te te chu incision tenau tlemte hmanga dah a ni. Hei hi traditional open surgery aiin a na lo zawk a, scarring a awm tlem zawk bawk. Harsatna awmna hmun azirin khup, kekawrte emaw, ruh dang emaw-ah arthroscopic surgery tih theih a ni.

Arthroscopic surgery neih chhung hian doctor chuan:

1. Vunah hian incision te te eng emaw zat siam a ni.

2. Camera device te tak te, cut pakhat neiArthroscope an dah lut a.

3. Surgical instruments chu incision dang hmangin an dah lut thin.

4. Surgery leh lumps lakchhuah hna hi video screen en chungin tih thin a ni.

5. Camera leh hmanrua te chu la chhuak rawh.

6. Incision te chu dissolvable stitches emaw bandage emaw hmangin an khar thin.

Hetiang dinhmun atang hian eng harsatna nge lo awm thei?

Hetiang dinhmun hian ruh chhiatna a thlen theihna a tipung a ni. A tlem hle a, free-floating lump chu a lian thei hle. Chumi hnuah chuan joint space zawng zawng a luah thei a, a chhehvel tissue-ah pawh a darh thei bawk. Chutiang hunah chuan ruh chu a chhe tawh angin a lang thei a, ruh chu hman theih loh vek a ni thei bawk.

Synovial osteochondromatosis hi a veng thei ang em?

Dik tak chuan mi thenkhatah hian he natna hi engvangin nge a awm tih chiang takin mithiamte chuan an la hre lo. Chuvangin, a lo thanglian loh nan thil chiang tak i tih theih a awm lo.

Hetiang natna vei tan hian eng nge a hmalam hun? (Hmuh dan tur) .

Operation nei mi pali zinga pakhat (25%) vel chuan heng lumps te hi an nei leh ang. Chuvangin, i doctor chuan regular scans a nei ang a, joint hian he natna hi a nei leh tawh em tih a enfiah ang.

Tin, he natna hian ruh natna leh ruh natna a tipung bawk. Hei pawh hi i doctor chuan a lo enkawl chhunzawm zel ang che.

Engtikah nge Doctor ka hmuh ang?

Heng symptoms te hi i neih chuan doctor pan nghal rawh:

• Joint pakhat chu a ben tha thei lo emaw, a zau thei lo emaw a nih chuan (range of motion a tlem chuan).
• Ruh pakhatah natna nasa tak leh hliam na tak a awm chuan.
• I ruhkawr atanga "click" ri danglam tak i hriat chuan, emaw, a inzawm tlat ang maia i hriat chuan.

Ka doctor hnenah eng nge ka zawh ang?

Doctor hnenah zawhna hetiang hi i zawt thei ang:

• Engvangin nge he synovial osteochondromatosis hi ka neih?
• Ka tan enge inenkawlna tha ber?
• Surgery ka mamawh tak tak em?
• Osteoarthritis ka nei em? A nih loh leh, a lo thanglian loh nan eng nge ka tih theih ang?
• Cysts te hi a lo let leh em tih emaw, complication dang a lo awm em tih emaw hriat nan eng symptoms nge ka fimkhur tur?

Synovial osteochondromatosis hi cancer a ni thei em?

Hetiang benign bone tumor hi cancer a nih hi a tlem hle . Mahse, he natna hi ruh cancer chi khat chondrosarcoma -ah a lo chang ta a ni.

Arthritis emaw ruh natna dang emaw i neih chuan synovial osteochondromatosis vei theihna i nei thei. A châng chuan, he dinhmun hi chhan hriat lohvin a lo awm ṭhin. A awm chuan osteoarthritis na tak i vei theihna chance a sang zawk a ni. A chhan chu eng pawh ni se, heng lumps nei tam tak chuan operation an mamawh ang. I doctor nen i tana tha tur enkawlna tur i sawi thei ang. Operation hnuah i doctor chuan i ruhte chu a lo enfiah ang a, a zungte chu a lo let leh em tih emaw, ruh chu a chhiat em tih emaw a enfiah ang.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

• Synovial osteochondromatosis hi cancer ni lo, ruhkawr khuh tu membrane-a lo awm a ni.
• Hei hian symptoms a thlen thei a, chu chu ruh na, a hring, leh che harsa te a ni.
• Khup, kekawr, elbow, leh hip ang chi ruh (joint) te hi a natna a tam ber.
• He natna hi X-ray, CT scan, leh MRI hmanga test hmanga hriat theih a ni.
• Vawi tam tak chu arthroscopic surgery hmangin lump leh affected membrane chu a paih chhuak thin.
• Mi thenkhat chuan lump lo awm leh theihna an neih avangin doctor thurawn zawm a pawimawh a, checkup neih fo a pawimawh bawk.
• I ruh nena inzawm symptom danglam tak tak i neih chuan doctor thurawn la nghal rawh. I man hma poh leh enkawl a awlsam zawk!

` Synovial Osteochondromatosis, Joint na, Joint nodules, Cartilage, Osteoarthritis, Arthroscopy, Synovial Osteochondromatosis, Ruh natna, Joint nodules, Cartilage, Osteoarthritis, Arthroscopy