Kodi munayamba mwada nkhawa ndi chotupa pa mkono kapena mwendo wa mwana wanu, makamaka pafupi ndi malo olumikizirana mafupa? Kapena dokotala anati panali chotupa chaching'ono pa fupa pamene anajambula X-ray chifukwa cha chinthu china? Ndizachibadwa kuti tizichita mantha tikamva mawu akuti 'chotupa'. Koma nthawi zambiri, zinthu izi si chinthu choopa. Lero, tikulankhula za vuto lofala lotchedwa Osteochondroma.
Mwachidule, kodi Osteochondroma ndi chiyani?
Osteochondroma ndi kukula kwa mafupa ndi minyewa ya mafupa komwe sikumayambitsa khansa . Kunena zoona, kumaoneka ngati kukula kochepa komwe kumamera kuchokera ku fupa. Tikayang'ana tanthauzo la liwu ili, "Osteo" amatanthauza fupa, "Chondro" amatanthauza minyewa ya mafupa, ndipo "oma" amatanthauza chotupa. Koma kumbukirani, mu zamankhwala, si zotupa zonse zomwe zimakhala ndi khansa.
Izi zimapezeka kwambiri kumapeto kwa mafupa aatali mwa ana ndi achinyamata. Izi zikutanthauza kuti, m'malo monga mawondo, mapewa, ndi chiuno. Mwana akamakula, mafupa awo amatalika kuchokera ku mbale yapadera yopangidwa ndi cartilage kumapeto kwa fupa. Timatcha izi kuti mbale yokulira. Osteochondroma ndi kukula kosazolowereka, komwe kumachitika mu mbale yokulira iyi. Gawo labwino kwambiri ndilakuti mafupa a mwana akasiya kukula, zomwe zikutanthauza kuti amasiya kutalika, osteochondroma imasiyanso kukula.
Pali mitundu iwiri ikuluikulu ya osteochondroma:
Titha kuwona izi m'njira ziwiri zazikulu. Izi zikutanthauza kuti, mfundo imodzi kapena mfundo zambiri. Izi ziwiri zimaonedwa ngati zochitika ziwiri zosiyana. Tiyeni tiwone tebulo ili m'munsimu kuti timvetse bwino izi.
| Mtundu | Kufotokozera |
|---|---|
| Osteochondroma Yokhayokha | Uwu ndi mtundu wofala kwambiri. Umapangika pamalo amodzi pa thupi, chotupa chimodzi chokha. Nthawi zambiri, sichimayambitsa zizindikiro zilizonse. Nthawi zambiri amapezeka mwangozi akatengedwa X-ray pazifukwa zina. Si khansa, kotero sichifalikira ku ziwalo zina za thupi. Chifukwa chenicheni cha kupangika kwake sichinapezekebe. |
| Ma Osteochondroma ambiri | Mu mkhalidwe uwu, ziphuphuzi zimapangika m'malo angapo pathupi. Izi nthawi zambiri zimachitika chifukwa cha chifukwa cha majini, zomwe zikutanthauza kuti zimabadwa nazo. Izi zimatchedwanso Hereditary Multiple Exostoses. Komabe, nthawi zina ziphuphu zingapo zimatha kupangika popanda chifukwa chilichonse chobadwa nacho. Ngakhale izi sizili khansa, kukhalapo kwa ziphuphu zingapo kumawonjezera chiopsezo chokhudza kukula kwa mafupa. |
Kodi izi ndi nkhani yaikulu?
Nthawi zambiri, ayi . Osteochondroma yokha nthawi zambiri siifuna chithandizo chilichonse. Komabe, dokotala wanu angakulangizeni kuti muchotsedwe opaleshoni ngati chotupacho chikukankhira minofu yapafupi, mitsempha, mitsempha yamagazi, kapena fupa lina.
Chofunika kwambiri ndichakuti mwayi woti osteochondroma isanduke khansa pakapita nthawi ndi wochepa kwambiri . Mwayi woti zimenezo zichitikire munthu amene ali ndi chotupa chimodzi ndi pafupifupi 1%. Ngakhale munthu atakhala ndi chotupa chambiri, chiopsezo chake ndi chochepa mpaka 5%. Chifukwa cha chiopsezo chochepa ichi, dokotala angafune kuti chotupacho chiziyang'aniridwa.
Pa milandu yoopsa ya osteochondromas yambiri, mwana akhoza kukhala ndi kukula kosazolowereka kwa mafupa. Izi zingakhudze mawonekedwe okha, koma nthawi zina zingasokoneze kuyenda kapena kuyambitsa ululu. Madokotala amawayang'anira ana awa nthawi zonse kuti awone ngati pali zovuta zilizonse.
Kodi kusiyana pakati pa osteochondroma ndi khansa ndi kotani?
Funso limeneli ndi limene anthu ambiri ali nalo. Pali kusiyana kwakukulu pakati pa zinthu zitatuzi.
| Udindo | Kufotokozera kosavuta |
|---|---|
| Osteochondroma | Kukula kwa mafupa ndi cartilage popanda khansa. |
| Chondrosarcoma | Iyi ndi khansa ya cartilage.Kawirikawiri, ngati osteochondroma isanduka khansa, imakhala chondrosarcoma. Khansa imayamba kuchokera ku chivundikiro cha cartilage pamwamba pa osteochondroma. |
| Matenda a Osteosarcoma | Iyi ndi khansa ya m'mafupa . Sichikugwirizana ndi Osteochondroma konse. Khansa iyi imachokera ku minofu ya m'mafupa yokha. |
Kodi mfundo iyi imawoneka bwanji komanso imamveka bwanji?
Osteochondroma ndi chomera chomwe chimamera kuchokera m'mafupa. Chimatha kukula kuyambira masentimita 1 mpaka 10. Zina zimakhala ndi tsinde lofanana ndi bowa komanso pamwamba pake pali thunthu. Izi zimatchedwa ``pedunculated``. Mtundu wina uli ndi maziko osalala komanso otakata . Izi zimatchedwa ``sessile```. Mtundu wa ``pedunculated`` umapezeka kwambiri pakakhala tinthu tating'onoting'ono tating'ono, pomwe mtundu wa ``sessile`` umapezeka kwambiri pakakhala tinthu tating'onoting'ono tambiri.
Simungamve chilichonse ngati muli ndi osteochondroma, koma mutha kumva chotupa chaching'ono, cholimba pansi pa khungu, pafupi ndi fupa .
Kodi zizindikiro zazikulu ndi ziti?
Popeza nthawi zambiri palibe zizindikiro, vutoli limatha kusapezeka kwa nthawi yayitali. Komabe, nthawi zina zizindikiro zotsatirazi zingawonekere.
| Chizindikiro | Chifukwa |
|---|---|
| Kumva chotupa cholimba, chaching'ono pa fupa. | Uku ndiko kukula kwa thupi kwa Osteochondroma. |
| Ululu ukamayenda. | Izi zitha kuchitika pamene fundo ikukhudza mtsempha. |
| Kumva dzanzi kapena kunjenjemera kwinakwake. | Chotupacho chingayambitsidwe ndi kukakamizidwa kwa mitsempha. |
| Mavuto a magazi m'manja kapena mwendo. | Izi zimachitika pamene magazi oundana atseka mtsempha wamagazi. |
| Zizindikiro zomwe zingawonekere ana akakhala ndi osteochondromas yambiri: | |
| |
Kodi mumadziwa bwanji ngati iyi ndi khansa?
Apanso, mwayi woti izi zisanduke khansa ndi wochepa kwambiri . Komabe, dokotala wanu adzayang'anira vutoli. Ngati muli ndi zizindikiro zotsatirazi, dokotala wanu angasankhe kuchita mayeso ena:
- Ngati pali ululu popanda chifukwa .
- Ngati chotupacho chikupitirira kukula ngakhale chigoba cha mwana chitatha kukula.
- Ngati chivundikiro cha cartilage pamwamba pa bondo la munthu wamkulu chili chokhuthala kuposa masentimita 1.5 .
Kodi matendawa amapezeka bwanji ndipo amachiritsidwa bwanji?
Dokotala wanu adzakufunsani kaye za zizindikiro zanu ndikukuyesani thupi. Ngati mukukayikira kuti muli ndi osteochondroma, adzakulamulani kuti muyikidwe X-ray . Nthawi zambiri, X-ray imatha kuzindikira bwino vutoli. Ngati pakufunika zambiri, angafune kuyesedwa ndi MRI kapena CT scan.
Ponena za chithandizo:
- Anthu ambiri omwe ali ndi chotupa chimodzi safunikira chithandizo chilichonse. Dokotala amajambula X-ray nthawi ndi nthawi kuti awone kukula kwake.
- Kuchotsa opaleshoni: Kuchotsa opaleshoni kumalimbikitsidwa kokha ngati chotupacho chikupangitsa kupweteka, kuletsa kuyenda, kapena kukakamiza mitsempha kapena mitsempha yamagazi.
- Chisamaliro chapadera kwa ana: Ana omwe ali ndi timibulu tambiri ayenera kufufuzidwa nthawi zonse ndipo timibulu tambiri tomwe tikukhudza kukula kwa mafupa tingachotsedwe.
Kodi muyenera kuopa opaleshoni?
Opaleshoni iyi nthawi zambiri imakhala yosavuta. Imachitika pansi pa mankhwala oletsa ululu. Dokotala wa opaleshoni amadula pang'ono pamalo pomwe pali chotupa ndikuchotsa chotupacho pamlingo wa fupa. Kupatulapo nthawi zina zovuta pomwe mitsempha yamagazi kapena mitsempha imakhudzidwa, nthawi zambiri iyi ndi opaleshoni yosavuta. Nthawi zambiri mutha kupita kunyumba tsiku lomwelo lomwe opaleshoniyo imachitikira..
Anthu ambiri amatha kubwerera ku zochita zawo zachizolowezi atangochita opaleshoni. Mungapemphedwe kuti mugwiritse ntchito sling kapena ndodo kwa milungu ingapo. Dokotala wanu adzakufotokozerani zomwe mungachite pa ululu m'masiku oyamba.
Mwayi woti chotupa chochotsedwa chibwerere m'mbuyo ndi wochepa kwambiri.
Uthenga Wopita Nawo Kunyumba
- Osteochondroma si khansa . Ndi kukula kowonjezera komwe kumapangidwa ndi mafupa ndi minyewa.
- Izi zimawoneka kwambiri m'mafupa a ana ndi achinyamata.
- Nthawi zambiri, palibe zizindikiro ndipo palibe chithandizo chofunikira.
- Chiwopsezo chotenga khansa n'chochepa kwambiri .
- Pokhapokha ngati mfundo ikupangitsa ululu kapena mavuto ena, ndi pomwe ingachotsedwe ndi opaleshoni yosavuta.
- Ngati inu kapena mwana wanu muli ndi chotupa chonga ichi, musachite mantha ndipo pitani kwa dokotala kuti akupatseni upangiri . Ndicho chinthu chabwino kwambiri kuchita.
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