Kodi nthawi zina mumamva chotupa pang'ono pa chidendene chanu, chala chachikulu cham'chiuno, chiuno, kapena kwina? Mwina mumamva kupweteka pang'ono kapena kupsinjika mukamayenda kapena kupinda chiwalo? Izi nthawi zambiri zimakhala kukula kwa mafupa kotchedwa exostosis, komwe ndi fupa latsopano lomwe limamera pa fupa m'thupi lathu. Musachite mantha mukamva dzinali. Si khansa. Chifukwa chake, tiyeni tikambirane chilichonse mwachidule lero.
Mwachidule, kodi Exostosis ndi chiyani?
Mwachidule, exostosis ndi fupa latsopano lomwe limamera pamwamba pa fupa labwino m'thupi lathu. Izi si matenda a khansa , ndipo sizifalikira ku ziwalo zina za thupi. Zili ngati nthambi yatsopano yomwe ikukula kuchokera pamtengo wa mtengo, koma iyi imakula kuchokera pafupa lenilenilo.
Matendawa amatha kuchitika mwa aliyense. Komabe, amapezeka kwambiri mwa ana aang'ono ndi achinyamata omwe akukula . Izi zili choncho chifukwa mafupa awo amakula mofulumira kwambiri panthawiyo. Komanso, akuluakulu omwe ali ndi nyamakazi amathanso kukhala ndi mafupa amenewa akamakula.
Nthawi zambiri, izi sizili ndi zizindikiro ndipo simungadziwe kuti zilipo. Komabe, nthawi zina zotupazi zimatha kuyambitsa ululu ndi kusasangalala.
Kodi mitundu ikuluikulu ya exostosis ndi iti?
Mafupa amenewa amatha kugawidwa m'magulu awiri akuluakulu kutengera momwe amamangiriridwa ku fupa. Amadziwikanso ndi mayina osiyanasiyana kutengera malo omwe ali.
Mitundu malinga ndi momwe zimagwirizanirana ndi fupa
| Mtundu | Kufotokozera |
|---|---|
| Sessile | Mtundu uwu wa mphuno umalumikizidwa mwachindunji ndi fupa lalikulu ndi maziko otakata, ngati phiri. |
| Yodulidwa | Mitundu iyi ya tinthu tating'onoting'ono, monga bowa, timalumikizidwa ku fupa lalikulu ndi phesi lopyapyala. |
Mitundu yodziwika bwino malinga ndi malo
- Zokoka za chidendene:Izi zimachitika kawirikawiri. Fupa lowonjezerali limatha kuchitika chifukwa cha kutambasuka kwa plantar fascia, yomwe ndi minofu yomwe ili pansi pa mapazi athu yomwe imalumikizana ndi fupa la chidendene. Ngati nthawi zambiri mumamva kupweteka kwambiri mukadzuka pabedi m'mawa, ichi chingakhale chifukwa chake.
- Matumbo a chala chachikulu cham'mapazi: Chomwe chimayambitsa matenda a nyamakazi m'mapazi athu ndi malo olumikizirana pansi pa chala chachikulu cham'mapazi. Pamene fupa layamba kuphulika apa, chala chachikulu cham'mapazi sichingathe kupindika bwino poyenda. Vutoli limatchedwanso `Hallux Rigidus`.
- Pump Bump: Yodziwikanso kuti `Haglund's Deformity`, chotupachi chingayambe pamene kumbuyo kwa chidendene kumakanda mobwerezabwereza povala nsapato zolimba komanso zolimba (makamaka nsapato zazitali).
- Kutupa kwa mafupa a m'chiuno: Pamene chipolopolo cha m'chiuno chikutha ndipo mafupa akukakamirana (Osteoarthritis), kukangana kumeneku kungayambitse kukula kwa mafupa ena.
Mitundu yomwe imafuna chisamaliro chapadera
Ma Osteochondroma ambiri a m'banja (Hereditary Multiple Osteochondromas) (HMO)
Imeneyi ndi matenda a majini. Nthawi zambiri amapezeka ali mwana. Apa ndi pamene mafupa amenewa amakula m'malo angapo pa thupi nthawi imodzi. Kawirikawiri amapezeka m'malo monga miyendo, manja, zala, ndi mapewa. Matendawa amakula mwana akamakula, koma amasiya kukula akatha msinkhu. Ngakhale kuti ndi matenda obadwa nawo, n'zotheka kuti mwana akhale ndi vutoli ngakhale kuti palibe aliyense m'banjamo amene ali nalo.
Khutu la Surfer
Monga momwe dzinalo likusonyezera, vutoli limapezeka kwambiri mwa anthu omwe amasambira m'madzi ozizira kapena kuchita masewera a m'madzi. Kumwa madzi ozizira kwa nthawi yayitali kumayambitsa kukula kwa mafupa m'njira yakunja ya khutu. Ngakhale kuti anthu ambiri alibe zizindikiro, ena amatha kutaya kumva, matenda a m'makutu, komanso kuyabwa m'makutu.
N’chifukwa chiyani kutuluka kwa mphutsi kumeneku kumachitika? Kodi zimayambitsa chiyani?
Palibe chifukwa chimodzi chokha chomwe chimayambitsa matenda a mafupa awa. Pali zinthu zingapo zomwe zingayambitse matendawa.
- Kusintha kwa majini: Monga momwe zilili m'mikhalidwe ngati HMO.
- Cholowa.
- Ngozi kapena kuvulala (Kuvulala/Kuvulala).
- Kukalamba.
- Matenda a nyamakazi/Osteoarthritis: Ichi ndi chifukwa chofala kwambiri. Pamene chipolopolo cha mafupa chikafooka, thupi limayesetsa kulimbitsa mafupawo. Chifukwa cha khama limenelo, mafupa owonjezerawa amapangika.
- Kaimidwe koipa.
- Kupweteka kwa msana.
Mwachidule, malo olumikizirana athu ali ngati ma bearing pakati pa matayala awiri a galimoto. Akatha, gawo limenelo la galimoto limakhala losakhazikika. Matupi athu akatha malo olumikizirana choncho, amapanga fupa lowonjezera pofuna kulilimbitsa. Ndicho chimene timachitcha kuti bone spur kapena exostosis.
Kodi zizindikiro za exostosis ndi ziti?
Anthu ambiri alibe zizindikiro. Kutupa kwa fupa sikopweteka. Ululu umachitika pokhapokha ngati kutupako kukankhira mitsempha yapafupi, kukankha fupa lina kapena minofu, kapena kusokoneza kuyenda kwa cholumikizira.
Ngati zizindikiro za matendawa zapezeka, zikhoza kukhala motere:
| Mtundu wa chizindikiro | Zinthu zoti muwone |
|---|---|
| Zizindikiro zodziwika bwino |
|
| Makhalidwe apadera a ana omwe ali ndi vuto la HMO |
Kodi mankhwala ochizira izi ndi otani?
Chithandizo chimadalira zizindikiro zanu. Ngati palibe ululu kapena kusasangalala, nthawi zambiri palibe chithandizo chofunikira. Komabe, ngati pali ululu, mutha kuyesa izi.
Zinthu zomwe mungachite kunyumba
- Aisi: Ingachepetse kutupa ndi ululu.
- Kupuma: Pewani kuchita zinthu zomwe zimayambitsa ululu.
- Mankhwala oletsa ululu: Mankhwala oletsa kutupa omwe si a steroidal (NSAIDs) monga ibuprofen angagwiritsidwe ntchito. Komabe,Ndi bwino kufunsa dokotala wanu musanamwe mankhwala aliwonse.
- Kuika zitseko zamkati mwa nsapato: Ngati muli ndi zitseko zamkati pamapazi anu, mutha kuchepetsa ululu poika zothandizira zofewa (zoika zitseko za nsapato/zitseko zamkati) mkati mwa nsapato zanu.
- Kuchepetsa thupi: Ngati muli onenepa kwambiri, kuchepetsa thupi kungathandize kuchepetsa kupanikizika kwa mafupa anu.
Chithandizo chamankhwala
Ngati mankhwala apakhomo sakuchepetsa ululu, dokotala wanu angakutumizireni ku mitundu iyi ya mankhwala.
- Kuchiza Thupi: Kuchita masewera olimbitsa thupi ndi njira zina kumathandiza kuti mafupa aziyenda bwino komanso kuchepetsa ululu.
- Mankhwala: Mankhwala amphamvu ochepetsa ululu omwe dokotala wakupatsani.
- Jakisoni wa Cortisone: Jakisoni uyu, womwe umalowetsedwa mwachindunji m'malo olumikizirana mafupa, ungachepetse ululu ndi kutupa mwachangu.
- Opaleshoni: Opaleshoni imachitika pokhapokha ngati palibe chithandizo china chomwe chikugwira ntchito ndipo ululu uli waukulu, ndipo fupa lowonjezerali lichotsedwa. Ngati ana omwe ali ndi HMO ali ndi kutalika kosiyana kwa miyendo, opaleshoni imachitikanso kuti iwakonze .
Kodi kutuluka kwa mphutsi kungapewedwe?
Sitingathe kupewa zinthu zina, monga majini. Komabe, zinthu izi zingathandize kuchepetsa chiopsezo chanu:
- Khalani ndi kulemera koyenera.
- Khalani ndi kaimidwe koyenera (khalani molunjika, imirirani molunjika).
- Valani nsapato zabwino zomwe zikukwanirani bwino.
- Tenthetsani (tambasulani) bwino musanayambe kuchita masewera olimbitsa thupi.
- Idyani zakudya zopatsa thanzi.
- Ngati mukusambira m'madzi ozizira, valani zotchingira makutu.
Uthenga Wopita Nawo Kunyumba
- Kutuluka kwa fupa m'thupi (exostosis) ndi chotupa chomwe sichili ndi khansa chomwe chimamera pa fupa. Nthawi zambiri, izi si zoopsa.
- Zizindikiro monga kupweteka, kutupa, ndi kuuma kwa minofu zimachitika pokhapokha ngati chotupacho chikukankhira mitsempha, minofu, kapena mafupa ena ozungulira.
- Izi zimachitika kawirikawiri kwa ana ndi akuluakulu omwe ali ndi nyamakazi.
- Chithandizo chikufunika pokhapokha ngati pali zizindikiro. Pali njira zosiyanasiyana zochiritsira, kuyambira zinthu zosavuta monga kupuma ndi ayezi mpaka opaleshoni.
- Ngati mukumva chotupa chatsopano m'thupi lanu, kapena muli ndi ululu wokhalitsa wa mafupa, chofunika kwambiri ndikuonana ndi dokotala woyenerera ndikupeza upangiri woyenera, m'malo modziyesa nokha.
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