Kodi munayamba mwachitapo mantha pang'ono mutapeza chotupa chaching'ono kapena chotupa m'thupi lanu, makamaka pa fupa m'dzanja kapena mwendo wanu? Kapena munayamba mwamvapo katundu waukulu mumtima mwanu mutaona chinthu chonga chimenecho m'thupi la mwana wanu? Ndizachilendo kukhala ndi mantha akuti "Kodi khansa iyi ndi iyi?" Koma ndikusangalala kukuuzani, si zotupa zonse zomwe zimapangidwa m'mafupa ndi khansa . Ndipotu, nthawi zambiri, izi si zotupa za khansa , zopanda vuto. Chifukwa chake lero, tiyeni tikambirane za zotupa za mafupa izi zomwe si khansa, kutanthauza, `(Zotupa za Bone Zosavulaza)`.
Mwachidule, kodi zotupa za mafupa zosavulaza izi ndi ziti?
Monga momwe dzinalo likusonyezera, chofunika kwambiri ndichakuti "si khansa." Awa ndi maselo omwe amayambira mu fupa. Koma sali amphamvu ngati maselo a khansa . Khalidwe lalikulu la khansa ndilakuti imafalikira kuchokera komwe idayambira kupita ku ziwalo zina za thupi (monga mapapo , chiwindi ). Koma zotupa za `(Benign)` izi sizifalikira motero. Izi zikutanthauza kuti, zimakhalabe mu fupa lomwelo lomwe zidayambira. Zili ngati chizindikiro chachibadwa pakhungu. Zilipo, zitha kukula pang'ono, koma sizifalikira kwina kulikonse.
Mtundu uwu wa chotupa ukhoza kufalikira m'fupa lililonse m'thupi lathu. Koma chimapezeka kwambiri m'mafupa akuluakulu m'thupi lathu. Mwachitsanzo:
Mitundu ina ya zotupa imakhala ndi malo enieni omwe zingapangikire. Mwachitsanzo, zimatha kupangika m'malo omwe mafupa amakulira (growth plates) mozungulira mafupa monga m'chiuno, bondo, kapena phewa.
Kodi zotupa zimenezi n’zofala bwanji? Ndani amene amadwala kwambiri?
Ichi ndi mfundo yofunika kwambiri yomwe muyenera kudziwa. Zotupa za m'mafupa zomwe si khansa zimapezeka kwambiri mwa anthu osakwana zaka 30. Zimapezeka kwambiri mwa makanda ndi ana aang'ono omwe mafupa awo akukulabe.
Taganizirani izi, pali nthawi imene mafupa athu amasiya kukula. Tikuitcha kuti `(Kukula kwa mafupa)` m'mawu azachipatala. Mwachidule, "nthawi imene kukula kwa mafupa kumathera". Nthawi zambiri, atsikana amasiya kukula ali ndi zaka 14-16, ndipo anyamata azaka zapakati pa 16-19. Chodabwitsa n'chakuti zotupa zambiri za `(Benign)`, mafupa akasiya kukula, zotupazo zimasiyanso kukula . Zina mwa izo zimatha kudzifooketsa zokha.
Izi zikutanthauza kuti, ngati dokotala akukuuzani kuti mwana wanu ali ndi chotupa chonga ichi, musadandaule mopanda chifukwa. Nthawi zambiri, ndi vuto lomwe limadzithetsa lokha mwana akamakula.
Kodi mitundu yofala kwambiri ya zotupa za mafupa zomwe si za khansa ndi iti?
Pali mitundu yosiyanasiyana ya mtedza uwu. Musadandaule ngati mayinawo akumveka ngati asayansi pang'ono. Ndifotokoza mwachidule. Zidzakhala zosavuta kuti muyang'ane izi patebulo.
| Mtundu wa Chotupa | Kufotokozera kosavuta |
|---|---|
| Enchondroma | Izi zimapangidwa ndi cartilage. Zimapezeka mkati mwa fupa, pamalo pomwe pali mafuta a m'mafupa. |
| Osteochondroma | Izi zimapangidwa ndi cartilage ndi mafupa. Zingathenso kukula pamene fupa likukula. Zimakula kuchokera m'fupa. |
| Fibroma yosatulutsa mafupa | Mtundu uwu ndi wofala kwambiri mwa ana. Nthawi zambiri, matendawa amatha okha. Amapezeka mwangozi akatengedwa X-ray kuti akachite ngozi ina. |
| Chondroblastoma | Izi nthawi zambiri zimachotsedwa opaleshoni chifukwa zimakhudza mafupa apafupi. Izi zingayambitse ululu waukulu kwa ana. |
| Osteoma ya Osteoid | Izi zimakonda kupezeka m'mafupa ataliatali a miyendo ndipo zimapezeka kwambiri mwa anyamata. Chizindikiro chachikulu ndi kupweteka kwambiri, makamaka usiku . Mankhwala ochepetsa ululu (NSAIDs) angathandize kuchepetsa ululu. |
| Chotupa chachikulu cha selo | Izi ndi zachilendo pang'ono. Koma zimatha kukula mofulumira. Azimayi ali ndi mwayi wochuluka wozikulitsa. Nthawi zambiri, opaleshoni imafunika. |
| Chiphuphu cha mafupa cha Aneurysmal (Aneurysmal bone cyst - ABC) | Izi zimatha kukula kwambiri ndipo zingafunike opaleshoni kapena sclerotherapy kuti zichepetse chotupacho. |
| Chiphuphu cha mafupa cha unicameral (UBC) | Izi zimapangidwanso pafupi ndi malo okulira. Chotupachi chingafooketse fupa ndikupangitsa kuti lisweke . Apa ndi pomwe chimapezeka nthawi zambiri. |
N’chifukwa chiyani zotupa zimakhala ngati izi?
Ndipotu, nthawi zambiri, palibe chifukwa chomveka bwino cha izi. Akuganiza kuti chotupa chimapangika pamene maselo m'mafupa athu ayamba kugawikana ndikukula mosalamulirika pazifukwa zina. Koma ofufuza akuyesetsabe kupeza chifukwa chake.
Kodi zizindikiro za chotupa ichi ndi ziti?
Chodabwitsa apa ndichakuti zotupa zambiri za m'mafupa "zosavulaza" siziwonetsa zizindikiro zilizonse .
Tangoganizirani, mwana wanu wagwa akusewera ndipo wavulala mkono wake. Ndiye mukupita naye kwa dokotala ndikumujambula X-ray. Pamenepo dokotalayo amaona kuti pali fupa laling'ono m'dzanja. Mpaka nthawi imeneyo, inu kapena mwana wanu simukudziwa za izi. Nthawi zambiri, zinthu izi zimapezeka mwangozi motere.
Komabe, nthawi zina zizindikiro zimatha kuwoneka. Pazochitika zotere, mutha kuwona zotsatirazi:
- Kutupa kapena chotupa chooneka: Malo omwe chotupacho chili angawoneke ngati otupa komanso owoneka pamwamba pa khungu.
- Ululu: Nthawi zina pangakhale ululu waukulu. Ululuwu ukhoza kuwonjezeka tsiku ndi tsiku. Nthawi zina ululu ungamveke ngakhale simukuchita chilichonse ndipo mukupumula.
- Kusweka kwa mafupa: Pamene chotupacho chikukulirakulira, chimafooketsa mafupa. Izi zimapangitsa kuti fupa lisweke ngakhale litagwa pang'ono lomwe silinalisweke nthawi zambiri.
Kodi dokotala amapeza bwanji izi?
Ngati mukuganiza kuti muli ndi chotupa kapena kutupa pa fupa, choyamba muyenera kuonana ndi dokotala nthawi yomweyo . Dokotalayo adzakuyang'anirani kaye mosamala. Kenako, angakupatseni mayeso angapo kuti atsimikizire matendawa:
- Mayeso Ojambula:
- X-ray: Iyi ndi njira yoyamba, yosavuta, komanso yofunika kwambiri yoyezera. X-ray nthawi zambiri ingapereke lingaliro labwino la mtundu wa chotupacho.
- Kujambula kwa CT (Kujambula kwa Computed Tomography): Kungathe kupanga zithunzi zambiri zamitundu itatu kuposa X-ray.
- Kujambula kwa MRI (Magnetic Resonance Imaging scan): Izi zimathandiza kupeza chithunzi chomveka bwino cha minofu yofewa (minofu, mitsempha) yozungulira fupa.
- Kujambula Mafupa: Kuyesa kumeneku kumachitika kuti apeze madera omwe maselo a thupi ali ndi ntchito zambiri.
Nthawi zambiri, mayeso a magazi kapena mkodzo safunika kuti munthu adziwe chotupa chosaopsa ngati ichi. Kaye amatenga X-ray, ndipo pokhapokha ngati pakufunika, amajambulanso zina.
Kodi mankhwala ochizira izi ndi otani?
Palibe mankhwala amodzi okha a chotupa chilichonse cha m'mafupa "chosavulaza". Chithandizo chimadalira mtundu wa chotupa chomwe muli nacho, kukula kwake, komwe chili, komanso momwe chakhudzira fupa lanu.
1. Kuyang'anitsitsa: Nthawi zambiri, chisankho chabwino chomwe dokotala angapange ndi "kudikira ndikuwona." Makamaka pa zotupa zazing'ono zomwe sizili ndi zizindikiro, zomwe zapezeka mwangozi, sizidzachiritsidwa ndipo zidzayang'aniridwa ndi X-ray nthawi zonse kuti zione ngati chotupacho chikukulirakulira.
2. Kuchotsa Opaleshoni: Ngati chotupacho chikupangitsa kupweteka, chikukulirakulira mofulumira, kapena chili pachiwopsezo chosweka fupa, dokotala angasankhe kuchita opaleshoni.
- Opaleshoniyo ikuphatikizapo kuchotsa chotupa chonse.
- Kulumikiza mafupa nthawi zina kumachitika kuti kudzaza malo obisika omwe atsala pochotsa chotupacho. Izi zikutanthauza kuti chidutswa chaching'ono cha fupa kapena zinthu zopangidwa kuchokera ku mbali ina ya thupi zimagwiritsidwa ntchito kudzaza malo obisikawo.
- Akatswiri omwe amachita opaleshoniyi amasamala kwambiri kuchotsa chotupa chokha komanso kuchepetsa kuwonongeka kwa minofu yathanzi yozungulira. Ichi ndichifukwa chake zotsatira zake zimakhala zabwino kwambiri.
3. Njira zina zochizira:
- Pa zotupa zina, monga osteoid osteoma, chithandizo chotchedwa radiofrequency ablation chingachitike popanda opaleshoni, pogwiritsa ntchito chipangizo chonga singano chomwe chimayikidwa pakhungu ndikuwononga chotupacho ndi mafunde a wailesi.
- Zotupa monga ``Aneurysmal bone cysts (ABCs)'' zitha kuchiritsidwa popanda opaleshoni poika jekeseni ya chotupacho ndi mankhwala omwe amachititsa kuti chichepetse kangapo.
Kodi pali zoopsa zilizonse pa opaleshoni?
Kawirikawiri awa ndi opaleshoni yosavuta, ndipo mavuto akuluakulu ndi osowa. Komabe, monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa zina zomwe zingachitike kawirikawiri.
- Kuwonongeka kwa mitsempha
- Matenda
- Kutuluka magazi
- Kuuma kwa mafupa
Koma mwayi woti izi zichitike ndi wochepa kwambiri, choncho musachite mantha nazo mopanda chifukwa.
Kodi chiyembekezo cha vutoli ndi chotani? (Zomwe zidzachitike)
Iyi ndi nkhani yabwino kwambiri yomwe mungamvepo. Chiyembekezo cha munthu amene ali ndi zotupa za m'mafupa zomwe si khansa ndi chabwino kwambiri .
Pali mankhwala othandiza pa izi. Pambuyo pa chithandizo, ululu umatha kwathunthu. Vutoli silikuika moyo pachiswe. Komanso, mwayi woti ichi ndi chotupa "chosavulaza" chomwe pambuyo pake chidzasanduka khansa ndi wochepa kwambiri (osakwana 1%).
Chifukwa chake, palibe chifukwa chochitira mantha kapena kukhumudwa ndi izi.
Uthenga Wopita Nawo Kunyumba
- Musamaope kuganiza kuti ndi khansa mukaona chotupa m'fupa lanu. Zotupa zambiri zomwe zimapangika m'mafupa sizikhala ndi khansa (zoipa) komanso zopanda vuto lililonse.
- Vutoli ndi lofala kwambiri, makamaka pakati pa ana ndi achinyamata .
- Nthawi zambiri, zotupa izi sizimaonetsa zizindikiro ndipo zimapezeka mwangozi X-ray ikatengedwa pazifukwa zina.
- Ngati muli ndi kutupa, chotupa, kapena ululu womwe umawonjezeka tsiku ndi tsiku ndipo sumatha ngakhale mutapuma, pitani kwa dokotala nthawi yomweyo .
- Pali mankhwala othandiza pa vutoli. Zotsatira zake ndi momwe zinthu zilili pambuyo pa chithandizo ndi zabwino kwambiri .
Zotupa za m'mafupa zosavulaza, zotupa za m'mafupa zomwe si khansa, zotupa za m'mafupa, zotupa za m'mafupa, kutupa kwa m'mafupa mu Chisinhala, osteochondroma Chisinhala, enchondroma Chisinhala
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