Kodi muli ndi chotupa chachilendo m'fupa lanu? Tiyeni tikambirane za izi (Aneurysmal Bone Cyst - ABC)!

Kodi mwana wanu wabwerako kunyumba kuchokera kusewera nati, "Amayi/Abambo, zikupweteka kuno, zikuwoneka ngati chotupa chaching'ono"? Kapena mwina inunso nthawi zina mumakhala ndi zotupa zazing'ono m'mbali zosiyanasiyana za thupi lanu. Nthawi zambiri, zimatha pakatha masiku ochepa. Komabe, nthawi zina, ngati chotupacho chikupitirira, kapena ngati chikuoneka kuti chikukulirakulira, ndi bwino kuchiyang'ana pang'ono. Lero tikambirana za chotupa chofanana, koma chosowa kwambiri, chomwe chimapangika m'mafupa. Ichi chimatchedwa `(Aneurysmal Bone Cyst)` kapena `(ABC)` mwachidule.

Kodi mukudziwa kuti ``Aneurysmal Bone Cyst (ABC)'' iyi ndi chiyani?

Mwachidule, `(Aneurysmal Bone Cyst)` ndi chotupa chosaopsa, chosakhala khansa chomwe chimakula m'mafupa athu. Chotupachi chili ndi mabowo ang'onoang'ono odzaza magazi (cysts) mkati. Mawu oti "Aneurysmal" amatanthauza kutupa pakhoma la mitsempha yathu imodzi yamagazi. "Cyst" amatanthauza mabowo odzaza madzi. Chifukwa chake mukaphatikiza awiriwa, mutha kumvetsetsa tanthauzo la izi, eti?

Matendawa otchedwa `(ABC)` ndi osowa kwambiri. Matenda a mafupa nawonso ndi osowa kwambiri, ndipo pakati pawo, `(ABC)` iyi imapezeka pang'ono kwambiri. Matendawa amakhudza kwambiri ana ndi achinyamata osakwana zaka 20 .

Kodi izi zimakula kuti kwambiri?

Zotupa zimenezi zimatha kupangika m'fupa lililonse m'thupi, koma zimapezeka kwambiri m'malo awa:

• Fupa lalikulu m'ntchafu mwanu (Femur)
• Fupa la Shin `(Tibia)`
• Fupa la mkono wapamwamba `(Humerus)`
• Vertebrae m'msana
• Mafupa m'chiuno mwanu

Awa ndi malo omwe nthawi zambiri mumatha kuwona zipatso za `(ABC)`.

Kodi pali mitundu ya `ABC`?

Inde, pali mitundu iwiri ikuluikulu ya ``Aneurysmal Bone Cysts''.

1. `ABC` yoyamba: Pachifukwa ichi, chotupacho chimakula chokha, popanda chifukwa china chilichonse.

2. `ABC` yachiwiri: Izi zimachitika mukakhala kale ndi vuto lina lokhudzana ndi mafupa kapena chotupa, ndipo `(ABC)` iyi imayamba chifukwa chake.

Matenda ena a mafupa ndi khansa omwe angayambitse ABC yachiwiri ndi awa:

• `Fibrous dysplasia`
• Chotupa chachikulu cha selo
• Osteoblastoma
• Chondrosarcoma
• Matenda a Osteosarcoma

`Secondary `(ABC)` imachitika ndi matenda ena ngati awa.

Kodi zizindikiro za izi ndi ziti? Kodi mumazindikira bwanji?

Kawirikawiri, zizindikiro zimawonekera ngati kusintha kwa mkono, mwendo, chiuno, kapena msana. Izi zikuphatikizapo:

• Kwa inuMungathe kuimva ndi dzanja lanu, ndipo pakhoza kukhala chotupa kapena chotupa chooneka.
• Pakhoza kukhala ululu m'dera limenelo. Nthawi zina ululuwu ukhoza kuwonjezeka mofulumira kwambiri .
• Mudzaona kutupa kuzungulira malo omwe chotupacho chili.

Tangoganizirani, mwana wanu akubwera kunyumba kuchokera kusewera tsiku lina ndipo akunena kuti mwendo wake ukupweteka. Pali kutupa pang'ono ndi chotupa chomwe mungamve m'dzanja lanu. Ngati sichikutha patatha masiku awiri kapena atatu, ndipo ululuwo ukuwonjezeka pang'onopang'ono, ndiye kuti muyenera kuda nkhawa pang'ono.

Makamaka, ngati chotupa cha `(ABC)` ichi chikayamba msana ndikukankhira mitsempha ya msana, zizindikiro zina zingachitike:

* Kusamva Chisoni

* Kumva ngati nyerere zikuthamanga mozungulira, kapena ma pini ndi singano (Paresthesia)

* Kufooka kwa minofu

* Nthawi zina, zimatha kupangitsa kuti munthu adwale ziwalo .

Choncho, ngati muli ndi zizindikiro ngati izi pamodzi ndi kupweteka kwa msana, ndikofunikira kwambiri kupeza upangiri wa dokotala nthawi yomweyo.

N’chifukwa chiyani `ABC` iyi yapangidwa? Chifukwa chake n’chiyani?

Kunena zoona, akatswiri azachipatala sanapezebe chomwe chimayambitsa matendawa. Komabe, pali zinthu zingapo zomwe zikuganiziridwa kuti zimayambitsa matendawa:

• Zingakhale chifukwa cha mavuto ena a mitsempha yamagazi mkati mwa mafupa.
• Zingakhalenso chifukwa cha kusintha kwina kwa majini komwe kumalamulira momwe maselo athu amakulira ndi kugawikana.

Izi ndi nkhani zazikulu zomwe zikukayikiridwa pakadali pano.

Kodi ndi mavuto otani omwe angabwere chifukwa cha izi?

Matendawa otchedwa "Aneurysmal Bone Cyst" angayambitse mavuto ena.

• Makamaka ngati izi zitachitikira ana, zimatha kusokoneza kukula kwa mafupa awo . Izi zikutanthauza, mwachitsanzo, kuti mkono umodzi kapena mwendo umodzi ungakhale waufupi pang'ono kuposa unzake.
• Ngati chotupacho chikukulirakulira pang'onopang'ono ndikufooketsa fupa, pali mwayi waukulu woti fupa lithyoke . Ngakhale kugwa pang'ono kungathyole fupa.

Chifukwa chake, ndikofunikira kusamalira izi.

Kodi madokotala amazindikira bwanji izi?

Inu kapena mwana wanu mukapita kwa dokotala yemwe ali ndi zizindikiro izi, chinthu choyamba chomwe angachite ndikuchita kafukufuku wathunthu . Iye adzayang'ana mosamala zotupa zilizonse zomwe mungaone kapena kumva.

Kenako, mayeso ojambulira zithunzi ngati awa angachitike kuti atsimikizire zina:

• Kujambula mafupa
• Kujambula kwa CT (Kujambula kwa Computed Tomography)
• Kujambula kwa MRI (Kujambula kwa Magnetic Resonance)
• X-ray

Kujambula kumeneku kungasonyeze zinthu zambiri, monga mtundu wa chotupacho, kukula kwake, ndi momwe chimakhudzira fupa.

Kuphatikiza apo, nthawi zina dokotala angasankhe kuchita biopsy . Izi zikutanthauza kutenga tinthu tating'onoting'ono ta chotupacho ndikuchiyang'ana pansi pa maikulosikopu. Izi ndi kutsimikizira ngati chotupacho chili ndi maselo a khansa kapena ayi.

Kodi mankhwala a izi ndi otani? (Chithandizo)

Nkhani yabwino ndi yakuti pali njira zochizira matenda a "ABC" amenewa. Chithandizocho chimadalira zinthu zingapo, monga kukula kwa chotupacho, komwe chili, komanso zaka zanu.

Opaleshoni

Chithandizo chofala kwambiri ndi opaleshoni yotchedwa curettage . Izi zimaphatikizapo dokotala wa mafupa kudula khungu lozungulira chotupacho, kuchotsa ma cysts ndi mkati mwa chotupacho. Kenako malowo amadzazidwa ndi fupa, kaya fupa lochokera kwa wopereka kapena kuchokera ku gawo lina la thupi lanu.

Mankhwala osagwiritsa ntchito opaleshoni

Ngati opaleshoni siingatheke, kapena kuwonjezera pa opaleshoni, pali njira zina zochiritsira monga:

• Kutsekeka kwa mitsempha yamagazi: Izi zimaphatikizapo kutseka mitsempha yamagazi yomwe imapereka magazi ku chotupacho. Izi zimapangitsa kuti chotupacho chitaye magazi ndikuyamba kuchepa.
• Jakisoni wa Doxycycline : Mankhwalawa amalowetsedwa mu chotupacho, zomwe zimapangitsa kuti chichepetse ndikuletsa chotupacho kukula kwambiri.
• Mankhwala olimbitsa mafupa: Mankhwala monga Denosumab (Prolia®) angaperekedwenso kuti alimbikitse mafupa.
• Chithandizo cha radiation: Izi zimagwiritsidwa ntchito kuwononga maselo a chotupacho. Komabe, nthawi zambiri zimagwiritsidwa ntchito pokhapokha ngati mankhwala ena sanagwire ntchito.
• Sclerotherapy: Iyi ndi njira yojambulira mankhwala mu chotupa. Mankhwalawa amachititsa kuti chotupacho chichepe.

Dokotala wanu adzakusankhirani chithandizo chabwino kwambiri.

Zimatenga nthawi yayitali bwanji kuti munthu achire? (Kuchira)

Nthawi yochira kwa inu kapena mwana wanu imadalira mtundu wa chithandizo chomwe chinachitidwa. Mwachitsanzo, pambuyo pa curettage, fupa lingatenge miyezi itatu kapena isanu ndi umodzi kuti lichiritsidwe.Zingatenge nthawi, choncho ndikofunikira kufunsa dokotala zomwe mungayembekezere, zomwe mungachite, komanso zomwe simuyenera kuchita mukachira mutachitidwa opaleshoni.

Kodi ndiyenera kukaonananso ndi dokotala liti?

Matendawa otchedwa ``Aneurysmal Bone Cyst'' nthawi zina amatha kubwereranso ngakhale mutalandira chithandizo. Chifukwa chake, ngati mukumva ngati muli ndi chotupa chatsopano m'dera lomwe mudalandira kale, kapena ngati mukumva kupweteka, muyenera kuwona dokotala nthawi yomweyo . Musatenge mopepuka.

Kodi vutoli lili bwanji? Kodi lingachiritsidwe? (Zomwe zingachitike ndi matenda a shuga)

Matenda a Aneurysmal Bone Cysts ndi matenda ochiritsika kwambiri nthawi zambiri. Ndi nkhani yabwino, sichoncho? Koma, monga tanenera kale, munthu m'modzi pa anthu asanu aliwonse ali ndi mwayi woti matendawa abwererenso . Nthawi zambiri, amabwereranso mkati mwa chaka choyamba mutalandira chithandizo. Ichi ndichifukwa chake madokotala amanena kuti ndikofunikira kupitiliza kuyang'anira (kutsatira).

Chinthu chofunika kwambiri - zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, tiyeni tikukumbutseni zinthu zina zofunika kwambiri zomwe muyenera kukumbukira kuchokera pa zomwe takambirana.

• Ndizachilendo kukhala ndi ziphuphu ndi mabala pathupi lanu. Izi zitha kuchitika ngati mutagunda chitseko kapena kugwa mukusewera. Komabe, ngati chotupa sichikutha patatha masiku ochepa, chikupitirira, kapena chikuoneka kuti chikukulirakulira, muyenera kuwonana ndi dokotala .
• `Aneurysmal Bone Cyst (ABC)` si khansa . Musadandaule nazo. Komabe, zingayambitse mavuto aakulu monga kusweka kwa mafupa.
• Vutoli limakhudza kwambiri ana ndi achinyamata.
• Pali mankhwala abwino ochizira izi, choncho musachite mantha, ndipo funsani upangiri wa dokotala nthawi yomweyo ngati muli ndi zizindikiro.

Ngati inu kapena wina m'banja mwanu ali ndi vutoli, chonde pitani kwa dokotala kuti akupatseni upangiri ndi chithandizo. Khalani ndi thanzi labwino!

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