Kodi mumapezanso ziphuphu zazing'ono ngati izi m'mafupa anu? (Synovial Osteochondromatosis) Tiyeni tiphunzire za izi!

Kodi muli ndi ziphuphu zazing'ono ngati mafupa pa bondo lanu kapena paphewa, zomwe zimayambitsa kupweteka ndi kutupa? Kapena n'kovuta kupindika kapena kuwongola chiwalo? Mwinanso mungakhudzidwe ndi matenda otchedwa Synovial Osteochondromatosis . Ndi dzina lalitali pang'ono, kotero n'kovuta kunena, eti? Koma musadandaule, tiyeni tikambirane mwachidule.

Kodi Synovial Osteochondromatosis ndi chiyani?

Mwachidule, iyi ndi vuto lomwe ziphuphu zazing'ono, zopanda khansa (monga ziphuphu) zimapangika mu nembanemba yopyapyala yotchedwa synovium (nembanemba yomwe imalumikiza mafupa) mkati mwa mafupa athu. Ziphuphu zimenezi zimapangidwa ndi cartilage. Zitha kukhala zazikulu kuyambira zazing'ono ngati mpunga mpaka zazikulu ngati marble. Mwachitsanzo, izi zimapezeka kwambiri m'mawondo athu, mapewa, zigongono, ndi malo olumikizirana m'chiuno. Kawirikawiri, vutoli lingakhudzenso malo olumikizirana mafupa ang'onoang'ono monga akakolo, dzanja, ndi nsagwada.

Ziphuphu zimenezi zikamayandama momasuka mkati mwa cholumikizira, zimatha kusokoneza kuyenda kwa cholumikizira, kuyambitsa kupweteka, komanso kuwononga cholumikizira, zomwe zimapangitsa kuti pakhale matenda otupa mafupa otchedwa osteoarthritis . Ngati muli ndi nyamakazi kale, vutoli likhoza kuipitsa kwambiri.

Kodi mawu awa amatanthauza chiyani kwenikweni?

Popeza dzina la matendawa ndi lovuta pang'ono, tingathe kulimvetsa bwino ngati titaligawa m'mawu akeake.

• Synovial: Izi zikutanthauza nembanemba yotchedwa synovium . Ichi ndi chomwe chimayika m'malo olumikizirana mafupa athu. Nembanemba iyi imapanga mafuta otchedwa synovial fluid . Madzi awa ndi omwe amalola kuti malo olumikizirana mafupa athu aziyenda bwino, monga mafuta mumakina. Mafupa athu, mafupa athu, ndi nembanemba iyi ya synovial zonse ndi za dongosolo lathu la minofu ndi mafupa .
• Chondro kapena Chondral: Izi zikutanthauza kagayidwe ka mafupa . Kagayidwe ka mafupa ndi minofu yofewa yomwe imapezeka mkati mwa mafupa athu yomwe imaletsa mafupa kuti asakhudzene. Ili ngati khushoni.
• Matosis kapena Mitosis: Izi zikutanthauza kusintha kwa maselo komwe kumachitika mkati mwa minofu. Kutanthauza kukula kosazolowereka kwa maselo.

Choncho, mawu awa akaphatikizidwa, dzina lakuti "synovial osteochondromatosis" limapangidwa. Gawo la "osteo" limatanthauza fupa. Izi zikutanthauza kuti nthawi zina timibulu ta cartilage timalimba ndikukhala ngati fupa. Izi zimatchedwa ossification .

Kodi pali mayina ena a vutoli?

Inde, nthawi zina madokotala amagwiritsa ntchito mayina ena pofotokoza vutoli. Mungamvenso mayina awa:

• Matenda a Reichel:Matendawa adafotokozedwa koyamba ndi dokotala wa opaleshoni waku Germany Friedrich Reichel mu 1900.
• Matenda a Reichel-Jones-Henderson: Kumayambiriro kwa zaka za m'ma 1900, madokotala a mafupa aku America Hugh Jones ndi Melvin Henderson adaphunziranso ndikuwongolera kumvetsetsa kwachipatala kwa vutoli lomwe lidadziwika ndi Dr. Reichel.
• Synovial chondroma: Mawu azachipatala akuti "-oma" amagwiritsidwa ntchito pofotokoza zotupa, kaya ndi zotupa kapena ayi.
• Synovial osteochondromatosis: "Osteo" amatanthauza fupa. Pankhaniyi, chotupacho chimakhala cholimba ngati fupa (kukhazikika kwa mafupa).

Ndani amene nthawi zambiri amakhudzidwa ndi matenda a synovial osteochondromatosis? Kodi ndi ofala bwanji?

Vutoli ndi losowa kwambiri. Limakhudza munthu m'modzi pa anthu miliyoni imodzi okha. Limakhudza kwambiri amuna azaka zapakati pa 30 ndi 50 .

Kodi pali mitundu ina ya vutoli?

Inde, pali mitundu iwiri makamaka:

1. Chondromatosis yoyamba ya synovial: Chifukwa chenicheni cha vutoli sichikudziwika. Chingayambitse osteoarthritis .

2. Secondary synovial chondromatosis: Iyi ndi mtundu wofala kwambiri. Imachitika ngati muli kale ndi vuto la mafupa monga nyamakazi, osteonecrosis (kufa kwa mafupa chifukwa cha kusowa kwa magazi) , kapena osteochondritis dissecans (kuwonongeka kwa cartilage ndi fupa la pansi) .

Kodi ziphuphuzi zimapanga bwanji? Kodi chifukwa chake n'chiyani?

Munthu amene ali ndi matenda a synovial osteochondromatosis amakhala ndi kukula kosazolowereka kwa synovium , yomwe ndi nembanemba yomwe imapanga cartilage yotchedwa nodules . Anthu ena amatha kukhala ndi nodules zambiri za kukula kosiyanasiyana.

Ziphuphu zimenezi zimachoka pa synovium ndikuyandama mu madzi a synovial mkati mwa cholumikizira. Kenako zimasungunuka , zomwe zikutanthauza kuti zimakhala zolimba ngati choko. Nthawi zina ziphuphu zimenezi zimasungunuka. Ziphuphu zolimbazi zikamayenda mkati mwa cholumikizira, zimawononga chiphuphu chomwe chimateteza cholumikizira. Chiphuphuchi chikatha, pamwamba pa cholumikiziracho pamawonekera, zomwe zimayambitsa osteoarthritis yopweteka. Ngati muli ndi mtundu wachiwiri, kuwonongeka kwa cholumikizira chomwe chilipo kale kumatha kukulirakulira.

Kodi zizindikiro za izi ndi ziti?

Zizindikiro za synovial osteochondromatosis nthawi zambiri zimakhala zofanana ndi za osteoarthritis. Zizindikiro zazikulu ndi kupweteka kwa mafupa ndi kutupa . Ululuwu ukhoza kukulirakulira mukasuntha mafupa.

Kuphatikiza apo, mungakumane ndi zinthu monga:

• Mungamve ziphuphu (tizidutswa) pansi pa khungu .
• Kuchepa kwa kayendedwe ka chiwalo chokhudzidwa (kulephera kupindika kapena kuwongoka bwino).
• Kuchulukana kwa madzi m'malo olumikizirana mafupa (edema) .
• Phokoso "losweka" kapena kumva kulimba (crepitus) mukasuntha cholumikizira.
• Mafupa olumikizirana mafupa amatupa ndipo amapweteka akakhudza.

Kodi zizindikirozi nthawi zambiri zimamveka kuti?

Kutengera ndi gawo la thupi lomwe lakhudzidwa, mutha kumva kupweteka m'malo otsatirawa:

• Kupweteka kwa bondo
• Kupweteka kwa chigongono
• Kupweteka kwa mafupa a m'chiuno
• Kupweteka kwa mafupa a nsagwada
• Kupweteka kwa bondo (uku ndiko kofala kwambiri)
• Kupweteka kwa phewa
• Kupweteka kwa dzanja

Kodi matendawa amapezeka bwanji molondola? (Kuzindikira)

Kuti mudziwe ndi kuchiza vutoli, muyenera kuonana ndi dokotala wa mafupa . Iye ndi dokotala amene amagwira ntchito yokhudza mavuto okhudzana ndi mafupa, mafupa, ndi minofu. Dokotalayo adzakuyang'anirani ndikufunsani za zizindikiro zanu.

Ziphuphu zotayirirazi nthawi zambiri zimatha kuzindikirika ndi X-ray . Komabe, ziphuphu zazing'ono kwambiri sizingawonekere pa X-ray. Ngati izi zitachitika, mungapemphedwe kuti muyesedwe ndi CT scan kapena MRI scan kuti mupeze chithunzi chomveka bwino cha malo olumikizirana mafupa.

Kujambula kumeneku kumathandiza kwambiri pozindikira matendawa. Kungathenso kuwona zizindikiro za osteoarthritis ndi madzi omwe akusonkhana m'malo olumikizirana mafupa.

Ndi mankhwala ati omwe angachitike popanda opaleshoni?

Ngati muli ndi vuto la secondary synovial chondromatosis, dokotala wanu angakulangizeni kuti mudikire kaye musanayambe chithandizo chachikulu. Mankhwala oletsa kutupa (NSAIDs) ndi mankhwala ochepetsa ululu angathandize kuchepetsa zizindikiro. Pakadali pano, mungafunike kuyesedwa pafupipafupi kuti muwone momwe chiwalocho chilili. Komabe, ngati chiwalocho chawonongeka kwambiri, opaleshoni ingafunike.

Ndi mankhwala otani opareshoni omwe alipo?

Opaleshoni imaphatikizapo kuchotsa chotupa ndikuchotsa gawo kapena synovium yonse yomwe yakhudzidwa (izi zimatchedwa synovectomy ). Mukamaliza opaleshoni, mudzafunika chithandizo chamankhwala kuti mubwezeretse kuyenda ndikulimbitsa cholumikizira.

Opaleshoni iyi nthawi zambiri imachitika ngati njira yofufuzira matenda a arthroscopic . Arthroscopy ndi njira yomwe imaphatikizapo kuyika kamera ndi zida zazing'ono kudzera m'mabala ochepa ang'onoang'ono. Izi sizipweteka kwambiri ndipo zimasiya zipsera zochepa monga opaleshoni yachikhalidwe yotseguka. Kutengera ndi komwe vutoli lili, opaleshoni ya arthroscopic ikhoza kuchitidwa pa bondo, phewa, kapena malo ena olumikizirana mafupa.

Pa opaleshoni ya arthroscopic, dokotalayo adza:

1. Pakhungu pamakhala mabala angapo ang'onoang'ono.

2. Kamera kakang'ono kokhala ndi kagawo kamodziArthroscope imayikidwa.

3. Zipangizo zopangira opaleshoni zimayikidwa kudzera m'mabala ena.

4. Opaleshoni ndi kuchotsa ziphuphu kumachitika poonera kanema.

5. Chotsani kamera ndi zida.

6. Mabalawo amatsekedwa ndi ma stitches osungunuka kapena bandeji.

Kodi ndi mavuto otani omwe angabwere chifukwa cha vutoli?

Vutoli limawonjezera chiopsezo cha kuwonongeka kwa mafupa. Nthawi zambiri, chotupa choyandama chimakula kwambiri. Kenako chimatha kutenga malo onse olumikizirana mafupa kapena kufalikira ku minofu yozungulira. Zikatero, cholumikiziracho chingawoneke ngati chopindika ndipo cholumikiziracho chingakhale chosagwiritsidwa ntchito konse.

Kodi synovial osteochondromatosis ingapewedwe?

Ndipotu, akatswiri sakudziwabe chifukwa chake vutoli limachitikira anthu ena. Chifukwa chake, palibe chomwe mungachite kuti mupewe kufalikira kwake.

Kodi chiyembekezo cha munthu amene ali ndi vutoli ndi chotani? (Outlook)

Pafupifupi munthu m'modzi mwa anayi (25%) amene achitidwa opaleshoni adzayambanso kuoneka ndi ziphuphu zimenezi. Chifukwa chake, dokotala wanu adzayang'ana nthawi zonse kuti awone ngati cholumikiziracho chikuyambiranso.

Komanso, vutoli limawonjezera chiopsezo cha kuwonongeka kwa mafupa ndi nyamakazi. Dokotala wanu apitilizabe kukuyang'anirani ngati pali vuto ili.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo:

• Ngati cholumikizira sichingathe kupindika bwino kapena kutambasulidwa (ngati mtunda woyenda ndi wochepa).
• Ngati pali ululu waukulu ndi kutupa m'malo olumikizirana mafupa.
• Ngati mukumva phokoso lachilendo la "kudina" kuchokera m'mafupa anu, kapena ngati mukumva ngati kuti atsekeredwa.

Kodi ndifunse dokotala wanga chiyani?

Mungathe kufunsa dokotala mafunso monga:

• N’chifukwa chiyani ndinayamba kudwala matenda a synovial osteochondromatosis?
• Kodi chithandizo chabwino kwambiri kwa ine ndi chiti?
• Kodi ndikufunikadi opaleshoni?
• Kodi ndili ndi matenda a osteoarthritis? Kapena, ndingachite chiyani kuti ndipewe kufalikira kwake?
• Ndi zizindikiro ziti zomwe ndiyenera kuyang'ana kuti ndione ngati ma cysts akubwerera kapena ngati pali mavuto ena omwe akuchitika?

Kodi synovial osteochondromatosis ingakhale khansa?

Sizofala kwambiri kuti chotupa cha m'mafupa chosaopsa ngati ichi chikhale khansa. Komabe, pakhala zochitika zingapo pomwe vutoli lasanduka mtundu wa khansa ya m'mafupa yotchedwa chondrosarcoma .

Ngati muli ndi nyamakazi kapena matenda ena a mafupa, mungakhale pachiwopsezo chotenga matenda a synovial osteochondromatosis. Nthawi zina, vutoli limachitika popanda chifukwa chomveka. Ngati lichitika, mumakhala pachiwopsezo chachikulu chotenga matenda opweteka a osteoarthritis. Kaya chifukwa chake ndi chiyani, anthu ambiri omwe amatenga ziphuphuzi amafunika opaleshoni kuti achotsedwe. Mutha kulankhula ndi dokotala wanu za njira zochiritsira zomwe zili zoyenera kwa inu. Pambuyo pa opaleshoni, dokotala wanu adzayang'anira mafupa anu kuti awone ngati ziphuphuzo zabwerera kapena ngati pali kuwonongeka kulikonse kwa mafupa.

Zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

• Synovial osteochondromatosis ndi chotupa chomwe sichili khansa chomwe chimapangika mu nembanemba yomwe imaphimba mafupa.
• Izi zingayambitse zizindikiro monga kupweteka kwa mafupa, kutupa, komanso kuvutika kuyenda.
• Kawirikawiri zimakhudza mafupa monga mawondo, mapewa, zigongono, ndi chiuno.
• Matendawa amatha kupezeka kudzera mu mayeso monga X-ray, CT scans, ndi MRIs.
• Kawirikawiri, opaleshoni ya arthroscopic imachotsa chotupa ndi nembanemba yomwe yakhudzidwa.
• Popeza anthu ena ali ndi chiopsezo chobwereranso kwa chotupacho, ndikofunikira kutsatira malangizo a dokotala ndikupita kukayezetsa nthawi zonse.
• Ngati muli ndi zizindikiro zachilendo zokhudzana ndi mafupa anu, funsani dokotala nthawi yomweyo. Mukachipeza msanga, zimakhala zosavuta kuchichiza!

Synovial Osteochondromatosis, Kupweteka kwa mafupa, Ziphuphu za mafupa, Cartilage, Osteoarthritis, Arthroscopy, Synovial Osteochondromatosis, Kupweteka kwa mafupa, Ziphuphu za mafupa, Cartilage, Osteoarthritis, Arthroscopy