Kodi mafupa anu sakupeza magazi okwanira? Izi zimatchedwa Avascular Necrosis kapena Osteonecrosis!

Kodi mudamvapo za zomwe zimachitika mafupa anu akataya magazi? Zikumveka zoopsa pang'ono, sichoncho? Koma ndi chinthu chomwe tiyenera kudziwa. Mwachidule, mafupa athu akapanda kulandira magazi omwe amafunikira, minofu ya mafupa imayamba kufa pang'onopang'ono. Ndicho chimene timachitcha kuti avascular necrosis kapena osteonecrosis. Kodi tikambirane za izi mwatsatanetsatane?

N’chifukwa chiyani izi zimachitika ku mafupa athu? Kodi Avascular Necrosis ndi chiyani?

Taganizirani izi, monga selo lililonse m'thupi lathu, mafupa athu amafunikira mpweya ndi zakudya kuti akhale ndi moyo ndikukhala olimba. Ndani amanyamula izi? Magazi. Mafupa athu si zidutswa za miyala chabe. Ndi minofu yamoyo yomwe imasinthidwa nthawi zonse, ndi maselo akale akufa ndipo maselo atsopano akupangidwa. Monga momwe kukonza nyumba, makoma akale akugwetsedwa ndipo atsopano akumangidwa, zomwe zimachitika mkati mwa mafupa. Timatcha izi kukonzanso mafupa . Tsopano ganizirani, chimachitika ndi chiyani ngati pazifukwa zina magazi omwe amaperekedwa ku mafupa awa atsekedwa kapena kuyimitsidwa? Monga momwe chomera chimafota chikapanda kupeza madzi, mafupawo salandira zakudya ndi mpweya womwe amafunikira. Kenako kupanga maselo atsopano a mafupa kumachepa, koma maselo akale amapitiriza kufa. Patapita kanthawi, gawo la fupa lomwe sililandira magazi limakhala lofooka, losweka, ndipo pamapeto pake limatha kusweka. Monga mtengo womwe wadyedwa ndi chiswe. Ndicho chomwe timatcha (Avascular Necrosis).

Kodi vutoli ndi lofala bwanji? Ndani amene ali ndi mwayi waukulu wolitenga?

Ndipotu, izi sizofala kwambiri, koma sizili choncho. Mwachitsanzo, m'dziko ngati America, akuti anthu pafupifupi 10,000 mpaka 20,000 pachaka amakhala ndi vutoli. Izi zitha kuchitika kwa aliyense wazaka zilizonse, mosasamala kanthu za jenda. Komabe, anthu azaka zapakati pa 30 ndi 40 ali pachiwopsezo chachikulu. Izi zikutanthauza kuti achinyamata, omwe ali ndi zaka zogwira ntchito, nawonso ayenera kuda nkhawa ndi izi.

Kodi Avascular Necrosis imachitika kuti nthawi zambiri?

Ngakhale matendawa amatha kukhudza chiwalo chilichonse m'thupi, nthawi zambiri amapezeka m'chiwalo cha m'chiuno . Apa ndi pomwe mwendo wanu umalumikizana ndi ntchafu yanu. Kuphatikiza apo, amatha kukhudza malo ena angapo. Izi ndi:

• Akakolo
• Nsagwada
• Mawondo
• Dzanja lapamwamba - humerus ndi mapewa

Taganizirani izi, chiuno ndi chimodzi mwa ziwalo zazikulu zomwe zimanyamula zolemera m'thupi lathu. Choncho ngati pali vuto ngati ili pamenepo, zingakhale zovuta kuyenda kapena kuimirira.

N’chifukwa chiyani izi (Avascular Necrosis) zimachitika? Kodi zimayambitsa chiyani?

Mwachidule, chilichonse chomwe chimaletsa magazi kupita ku mafupa chingayambitse izi. Nthawi zina, pafupifupi 20% ya milandu, palibe chifukwa chomveka chomwe chingapezeke . Koma zifukwa zazikulu zitha kugawidwa m'magulu awiri: 1. Traumatic Avascular Necrosis: Izi zimachitika fupa likasweka kapena cholumikizira chikasweka pangozi. Kenako mitsempha yamagazi yomwe imapereka fupa imatha kuwonongeka. 2. Non-traumatic Avascular Necrosis:Izi zimachitika pamene magazi opita ku mafupa alephera, kaya chifukwa cha matenda ena kapena chifukwa cha mankhwala omwe mukumwa. Chofunika kwambiri apa ndichakuti izi zikachitika, nthawi zambiri zimakhudza mafupa omwewo mbali zonse ziwiri za thupi . Mwachitsanzo, ngati muli ndi avascular necrosis paphewa lanu lamanja, pali mwayi waukulu kuti izi zidzachitikanso paphewa lanu lamanzere.

Ndi mitundu iti ya kusweka kwa mafupa yomwe ingayambitse Traumatic Avascular Necrosis?

Izi sizichitika ndi kusweka kulikonse, koma kusweka kwina kumakhala pachiwopsezo chachikulu.

• Kusweka kwa chiuno ndi kusokonekera kwa malo : Akuti pafupifupi 20% ya anthu amatha kukhala ndi vuto la avascular necrosis, makamaka pamene cholumikizira cha chiuno chasweka. Izi zili choncho chifukwa mitsempha yayikulu yamagazi yomwe imapereka magazi ku fupa la chiuno ili m'malo ovuta kwambiri.

Ndi matenda ndi mavuto ena ati omwe amayambitsa Nontraumatic Avascular Necrosis?

Pali zinthu zingapo zomwe zingayambitse izi:

• Matenda a Osteoporosis : Matenda omwe amachititsa kuti mafupa asweke. Makamaka mwa akazi okalamba (ndi amuna ena), matenda a avascular necrosis amatha kuchitika mwadzidzidzi m'bondo. Izi zimatchedwanso `(SPONK - Spontaneous Osteonecrosis of the Bondo)`.
• Matenda a magazi: Mwachitsanzo, matenda monga sickle cell anemia . M'matendawa, mawonekedwe a maselo ofiira a magazi amasintha ndipo amatha kutsekeka m'mitsempha yaying'ono yamagazi .
• Matenda a shuga : Anthu omwe ali ndi matenda a shuga nawonso ali pachiwopsezo chachikulu chifukwa matenda a shuga amatha kuwononga mitsempha yamagazi.
• Mankhwala a khansa : Mankhwala ena a khansa, makamaka chithandizo cha radiation , amatha kuwononga mitsempha yamagazi m'derali, zomwe zimapangitsa kuti mitsempha yamagazi isatuluke.
• Matenda a kufooka kwa thupi : Pamene anthu osambira m'madzi akuya akukwera mofulumira, thovu la mpweya limatha kupanga m'magazi ndikutseka mitsempha yamagazi.
• HIV
• Lupus: Iyi ndi matenda a chitetezo chamthupi.
• Kuika Ziwalo: Chiwopsezochi chimapezekanso, makamaka pambuyo pa zinthu monga kuyika impso. Chifukwa chimodzi cha izi ndi mankhwala ena omwe amagwiritsidwa ntchito.

Ndi zinthu ziti zomwe zimawonjezera chiopsezochi m'moyo wathu?

Zizolowezi zina zingawonjezere chiopsezo cha matendawa (Avascular Necrosis).

• Kumwa mowa mopitirira muyeso: Kumwa mowa mopitirira muyeso kungapangitse kuti mafuta azilowa m'magazi komanso kutsekereza mitsempha yamagazi.
• Kusuta: Kusuta fodya kumawononganso mitsempha yamagazi.
• Kugwiritsa ntchito mankhwala a corticosteroid kwa nthawi yayitali: Mwachitsanzo, mankhwala monga `(Prednisone).` Awa ndi mankhwala omwe amaperekedwa pa matenda ambiri. Komabe, akamwedwa kwa nthawi yayitali komanso pamlingo waukulu, mitundu iyi ya zotsatirapo zoyipa imatha kuchitika.

Kodi zizindikiro za Avascular Necrosis ndi ziti?

Zizindikiro sizimawonekera nthawi imodzi. Simungazindikire chilichonse kwa milungu kapena miyezi. Pakapita nthawi, zizindikiro izi zimawonekera:

• Ululu womwe umabwera ndi kutha: Ululu womwe umabwera ndi kutha, makamaka pamene kupanikizika kwagwiritsidwa ntchito pa fupa lomwe lakhudzidwa, kenako n’kutha pamene kupanikizikako kwachotsedwa.
• Kupweteka ndi kuuma pang'onopang'ono kumawonjezeka: Poyamba kungapweteke pang'ono, koma pambuyo pake ululuwo ukhoza kukhala woopsa ndipo zingakhale zovuta kusuntha cholumikiziracho.
• Kuyenda kochepa kwa cholumikizira: Mwachitsanzo, pa phewa, zimakhala zovuta kukweza mkono. Pa chiuno, zimakhala zovuta kupindika kapena kuwongolera mwendo.
• Kupunduka: Ngati muli ndi vutoli m'chiuno kapena bondo lanu, mukhoza kupunduka mukamayenda.
• Kuvuta kukwera masitepe, kuimirira, ndi kuyenda.

Ngati muli ndi chimodzi kapena zingapo mwa zizindikiro izi, muyenera kuwona dokotala .

Kodi madokotala amazindikira bwanji matenda a Avascular Necrosis?

Mukapita kwa dokotala, choyamba adzakufunsani za zizindikiro zanu ndikukuyesani. Kenako akhoza kuchita chimodzi kapena zingapo mwa izi:

• X-ray: Amatha kuyang'ana zinthu monga kusweka kwa mafupa ndi nyamakazi. Komabe, Avascular Necrosis singawonekere pa X-rays kumayambiriro.
• MRI (Magnetic Resonance Imaging - MRI): Iyi ndi njira yabwino kwambiri komanso yodziwira matenda a Avascular Necrosis. MRI imatha kuona bwino ngakhale kusintha kochepa m'mafupa, ngakhale madera omwe magazi achepa.

Kodi Avascular Necrosis imachiritsidwa bwanji?

Chithandizo chimadalira kuwonongeka kwa mafupa anu.

Ngati kuwonongeka kwa mafupa kuli kochepa, kwa mafupa ang'onoang'ono osalemera:

Pazochitika izi, opaleshoni singakhale yofunikira. Dokotala wanu angakulangizeni zinthu monga:

• Mapaketi ozizira ndi otentha (Mapaketi ozizira, Chithandizo cha kutentha): Amachepetsa ululu ndi kutupa.
• Mpumulo: Ndikofunikira kwambiri kupumitsa cholumikizira chomwe chakhudzidwacho.
• Mankhwala oletsa kutupa (NSAIDs): Mankhwala opha ululu, monga ibuprofen, amachepetsa ululu ndi kutupa.
• Chithandizo cha Thupi:Maseŵero olimbitsa thupi ndi njira zina zochiritsira kuti muchepetse kupweteka kwa mafupa ndikuwonjezera kuyenda kwa minofu.
• Zothandizira kuyenda: Gwiritsani ntchito zothandizira kuyenda monga ndodo ndi ndodo kuti muchepetse kulemera kwa malo olumikizirana mafupa omwe akhudzidwa.

(Avascular Necrosis) Ngati vutoli ndi lalikulu, opaleshoni:

Nthawi zambiri, makamaka ngati ili m'malo olumikizirana olemera monga chiuno (avascular necrosis), opaleshoni imafunika . Pali mitundu ingapo ya opaleshoni yomwe ingachite:

• Kuchepetsa Kupanikizika kwa Pakati: Mu njira iyi, dokotalayo amapanga mabowo angapo ang'onoang'ono (cores) mu fupa lomwe lakhudzidwa. Izi zimathandiza kuchepetsa kuthamanga kwa magazi mkati mwa fupa ndikuthandiza mitsempha yatsopano yamagazi kukula. Nthawi zina , mafupa opachikidwa kapena jakisoni wina amagwiritsidwa ntchito kuti mafupa achire mwachangu. Izi zimatheka pokhapokha ngati matendawa apezeka msanga.
• Kusintha Mafupa Olumikizana: Izi zikuphatikizapo kuchotsa cholumikizira chowonongeka ndikuchiyikanso cholumikizira chopangidwa. Kusintha Mafupa Olumikizana ndi Mabondo ndi maopaleshoni awiri opambana kwambiri (pafupifupi 95%) omwe amachepetsa ululu ndikuthandiza anthu omwe ali ndi Avascular Necrosis kuti ayambenso kuyenda bwino.

Kodi Avascular Necrosis ingapewedwe?

Nthawi zina izi sizingapeweke, makamaka zikachitika chifukwa cha ngozi. Koma pali zinthu zomwe tingachite kuti tichepetse chiopsezo:

• Kusiya kusuta: Ichi ndi chinthu chomwe muyenera kuchita.
• Chepetsani kumwa mowa: Ndi bwino kuchepetsa mowa momwe mungathere.
• Kulamulira kuchuluka kwa cholesterol m'magazi: Kuchuluka kwa cholesterol m'magazi sikwabwino pa mitsempha yamagazi.
• Ngati mukumwa mankhwala a corticosteroid chifukwa cha matenda osatha, lankhulani ndi dokotala wanu za kuchepetsa mlingo. Musasiye kumwa mankhwala anu kapena kusintha mlingo musanafunse dokotala wanu kaye.

Kodi Avascular Necrosis ingachiritsidwe kwathunthu?

Mwatsoka, palibe mankhwala a Avascular Necrosis. Chithandizo chimangowongolera kupitirira kwa matendawa ndikuchepetsa ululu. Anthu ambiri pamapeto pake amafunika opaleshoni, makamaka opaleshoni yolowa m'malo mwa mafupa. Kuphatikiza apo, anthu omwe ali ndi Avascular Necrosis amatha kudwala matenda oopsa a osteoarthritis pakapita nthawi.

Kodi ndiyenera kupita kwa dokotala liti?

Matenda a Avascular necrosis ndi matenda omwe amakula pang'onopang'ono pakapita nthawi. Ngati mwapezeka ndi vutoli, muyenera kusamala kwambiri ndi zizindikiro zanu, makamaka ululu ndi kuvutika kuyenda. Pitani kwa dokotala nthawi yomweyo ngati muli ndi zotsatirazi:

• Ululu womwe sumatha ngakhale mutapuma kapena mutamwa mankhwala ochepetsa ululu.
• Ululu wake ndi waukulu kwambiri moti zimakhala zovuta kuyenda kapena kusuntha.
• Ngati mukulephera popanda chifukwa .

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Ndi bwino kufunsa mafunso awa mukapita kwa dokotala:

• Nchifukwa chiyani ndinadwala Avascular Necrosis?
• Ndi njira iti yothandizira yomwe ndi yabwino kwa ine?
• Kodi mavuto a mankhwala awa ndi otani?
• Kodi ndi chithandizo chotani chomwe ndikufunika pambuyo pa chithandizo?

Matenda a Avascular Necrosis ndi matenda opweteka kwambiri komanso oopsa. Ngati muli ndi matenda omwe amawonjezera chiopsezo chanu chotenga matendawa, kapena ngati mukumwa mankhwala omwe amawonjezera chiopsezo chanu, lankhulani ndi dokotala wanu. Iye angakuuzeni zizindikiro za matenda a Avascular Necrosis. Kuzindikira msanga ndi chithandizo kungathandize kuchepetsa kukula kwa matendawa.

Zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, tiyeni tifotokoze mwachidule zina mwa zinthu zomwe muyenera kukumbukira kuchokera pa zomwe takambirana:

• Avascular Necrosis ndi pamene magazi amasiya kupita ku mafupa, zomwe zimapangitsa kuti mafupa afe.
• Izi nthawi zambiri zimakhudza chiuno , komanso zimatha kukhudza madera monga mawondo ndi mapewa.
• Izi zitha kuchitika chifukwa cha zinthu monga kusweka kwa mafupa, matenda ena (monga matenda a shuga, lupus), mankhwala ena (monga corticosteroids), kumwa mowa mopitirira muyeso, ndi kusuta fodya .
• Ngati muli ndi zizindikiro monga kupweteka pafupipafupi, kuuma kwa mafupa, kapena kupunduka, pitani kwa dokotala.
• Kujambula ndi MRI ndiyo njira yabwino kwambiri yodziwira izi.
• Chithandizo chimaphatikizapo kupuma, mankhwala, physiotherapy , ndipo pazochitika zazikulu, opaleshoni (Kuchepetsa Kupanikizika, Kubwezeretsa Ma Joint) ingafunike.
• Ngakhale kuti matendawa sangachiritsidwe kwathunthu, amatha kuthetsedwa ngati atazindikirika msanga ndipo chithandizo chayamba.

Ngati muli ndi mafunso ena okhudza izi, musazengereze kulankhula ndi dokotala wanu. Khalani ndi thanzi labwino!