Mapfupa ako anorwadziwawo here? Zvingave zviri 'Bone Marrow Edema'!

Wakambonzwa kurwadziwa kwepfupa here kana kuzvimba kwepfupa wobva wazvibvunza kuti, "Chii ichi?" Dzimwe nguva chikonzero chezvinhu izvi chingave chimwe chinhu chatisingatombofungi nezvacho. Nhasi tichataura nezvechirwere chaungasanzwa nezvacho, asi chakakosha kuziva nezvacho. Chirwere ichi chinonzi `Bone Marrow Edema`.

Chii chinonzi Bone Marrow Edema?

Zvakanaka, ngatitangei taona kuti Bone Marrow Edema (BME) chii. Zvichitaurwa zviri nyore, kuzvimba kwenyama yakapfava iri mukati memapfupa edu inonzi bone marrow . Unoziva, bone marrow inyama yakaita sesponji. Mumongo wemapfupa ndimo munogadzirwa masero eropa anodiwa nemuviri wedu. Saka, 'edema' kuzvimba kunokonzerwa nekuungana kwemvura. Vamwe vanhu vanotiwo 'mapfupa maronda'.

Kazhinji, chirwere ichi chinonzi `BME` chinowanikwa kana `MRI` scan yaitwa nekuda kwechimwe chikonzero. Izvi zvinoreva kuti chinogona kuwanikwa netsaona paunenge uchirapwa chimwe chirwere. `BME` dzimwe nguva inogona kukonzera kurwadziwa kwakanyanya . Asi mashoko akanaka ndeekuti kazhinji, chinopera chega nekufamba kwenguva. Panguva yekurapwa, vanachiremba vanoedza kudzora zviratidzo zvako.

Ndedzipi mhando huru dze `BME`?

Iye zvino ngationei kuti ndeapi marudzi makuru e'BME' aya. Kune marudzi maviri makuru.

Imwe yacho inonzi `BME` yechipiri.

Chinoitika munyaya iyi ndechekuti une chimwe chirwere chinokonzera BME. Semuenzaniso, kana uine chirwere chakadai seOsteoarthritis, unogona kunge uine BME semhedzisiro yazvo. Murudzi urwu rwechirwere, dzimwe nguva unogona kunge uine zviratidzo, kana kuti ungasave nezviratidzo zvachose. Ndosaka ndambotaura kare kuti zvinogona kuwanikwa netsaona kana ukaita MRI yechimwe chinhu.

Imwe yacho iSpontaneous kana kuti Primary `BME`.

Chinoitika munyaya iyi ndechekuti vanachiremba havakwanise kuwana chikonzero chakajeka che 'BME'. Asi une kurwadziwa kwakanangana nako. Izvi zvinonziwo 'Bone Marrow Edema Syndrome (BMES) .' Ngatitaurei nezveizvi zvakadzama.

Ndeupi musiyano uripo pakati pe `BME` ne `Bone Marrow Edema Syndrome (BMES)`?

Zvakanaka, saka musiyano uripi pakati pe `BME` ne `Bone Marrow Edema Syndrome (BMES)`?

Zvichitaurwa zviri nyore, 'BMES' rudzi rusingawanzoitiki rwe'BME'. Chikonzero chaicho cheizvi hachizivikanwe. Kazhinji, chirwere ichi chinoonekwa muvarume vane makore ari pakati pe30 ne60.Zvichakadaro. Dzimwe ongororo dzinoratidza kuti chirwere ichi, chinonzi `BMES`, chinogona kunge chakabatana nematambudziko ehutano akadai sehuwandu hwemafuta akawanda mumuviri (`hyperlipidemia`) uye kushomeka kwevhitamini D. Chinogona kuitika mupfupa rimwe chete kana mumapfupa akawanda. Chinowanzoonekwa muzvikamu zvepasi zvemuviri, zvakaita semakumbo.

Chinhu chakakosha ndechekuti, kunyangwe 'BMES' yakabatana ne 'BME', chirwere chakasiyana. Chiremba wako achashandisa nzira dzakasiyana dzekuongorora nekurapa 'BMES'.

Ndiani ane mukana mukuru wekuwana `BME` iyi?

Saka ndiani ane mukana mukuru wekugadzira `BME` iyi?

Kutaura zvazviri, munhu wese anogona kubatwa neBME, zvisinei nezera, rudzi, kana kuti murume kana mukadzi. Zvisinei, kana uine zvirwere zvinotevera, njodzi yako yekubatwa neBME yakakwira zvishoma:

• Mhando dzeArthritis
• Kenza yemapfupa
• Zvirwere zvemapfupa (semuenzaniso Osteomyelitis)
• Osteoporosis (chirwere chekuonda kwemapfupa)

Ndezvipi zvikonzero zve 'BME'?

Iye zvino ngationei kuti ndezvipi zvikonzero zvinokonzera kuitika kwe 'BME'. Pane zvikonzero zvakawanda. Ngatikurukurei chimwe nechimwe.

Nekuda kwegomarara

Mamwe marudzi egomarara anogona kukonzera `BME`. Semuenzaniso:

• `Acute Myeloid Leukemia (AML)`
• Kupararira kwegomarara mumapfupa (bone metastasis)
• Chondrosarcoma (kenza yecartilage cell)
• Ewing sarcoma (gomarara rinoitika mumapfupa kana munyama dzakapfava)
• Osteosarcoma (kenza yemapfupa)
• Inogonawo kukonzerwa nemwaranzi yekurapa kenza.

Nekuda kwemamiriro ezvinhu anoora

BME inogonawo kuitika kana hutano hwenyama dzemuviri wedu huchiderera nekufamba kwenguva. Zvikuru:

• Osteoarthritis (wakanzwa nezvazvo, iyo inorwadza semabvi ako sezvaunokura)
• Tendinopathy (Matambudziko ane chekuita neTendon)

Nekuda kwehutachiona

BME inogonawo kukonzerwa nehutachiona hwemapfupa kana majoini:

• Zvirwere zvemapfupa (semuenzaniso Osteomyelitis)
• Septic arthritis (utachiona hunokonzerwa nemabhakitiriya anopinda mumajoini)

Nekuda kwekusashanda zvakanaka kweropa (mamiriro ezvinhu e ischemic)

Dzimwe nguva, kana nhengo dzakasiyana-siyana mumuviri dzikasawana ropa kana okisijeni yakakwana, `BME` inogonawo kuitika:

• `Avascular necrosis` (dzimwe nguva inonzi `osteonecrosis` - apa ndipo panorasika ropa rinoenda kumapfupa uye zvimwe zvikamu zvawo zvinofa)
• Tsoka yeCharcot (dambudziko retsoka kuvanhu vane zvirwere zvakaita sechirwere cheshuga)

Nekuda kwemamiriro ezvinhu emuviri

Dambudziko iri re'BME' rinogonawo kukonzerwa nekusagadzikana kwemaitiro emuviri wedu:

• `Cushing syndrome` (chirwere chinokonzerwa nekuwedzera kwecortisol hormone mumuviri)
• `Hyperparathyroidism` (kushanda zvakanyanya kwemagland eparathyroid)
• Mastocytosis (kuunganidzwa kwakanyanya kwerudzi rwesero rinonzi mast cells)
• Matambudziko emaminerari nemapfupa anokonzerwa nechirwere cheitsvo chisingaperi
• Osteomalacia (kupfava kwemapfupa muvanhu vakuru - kunogonawo kukonzerwa nekushaikwa kwevhitamini D)
• Osteoporosis (kutetepa kwemapfupa), kunyanya muhudyu nemabvi
• Kushaikwa kweVitamin D

Nekuda kwekuzvimba kwetsandanyama nemapfupa

BME inogonawo kuonekwa nekuda kwekuzvimba mumapfupa edu, tsinga, tsandanyama, uye tsinga:

• Ankylosing Spondylitis (AS)
• Enthesitis (kuzvimba uko tsinga nemarunda zvinonamatira pamapfupa)
• Psoriatic arthritis (kuzvimba kwemajoini kunoperekedzwa ne psoriasis)
• Rheumatoid arthritis (izvi zvakare kuzvimba kwemajoini)
• Sacroiliitis (kuzvimba kwejoini riri pakati pe sacrum nepfupa rechiuno)

Nekuda kwetsaona nekukuvara (Kukuvara)

Izvi ndizvo zvakasangana nevanhu vazhinji. BME inogonawo kukonzerwa nezvinhu zvakaita setsaona, kudonha, kana kukuvara panguva yekutamba mitambo:

• `Kubvaruka kweACL (Anterior Cruciate Ligament)` (kubvaruka kwetsinga huru mubvi - izvi zvinowanzoitika muvatambi)
• `Complex Regional Pain Syndrome (CRPS)`
• `Kutyoka kwemapfupa` (kutyoka kwemapfupa, kunyanya mumusana)
• Kubuda kwehudyu, zvichikonzera kufa kwemapfupa (osteonecrosis)
• Kumwe kukuvara kwemapfupa kana majoini, kunyanya kuya kunosanganisira gumbo, chiuno, ibvi, kana musana
• Kutsemuka kwemapfupa kunokonzerwa nekushanda nesimba zvakanyanya, kunyanya mugumbo, tsoka, chiuno, kana ibvi. Semuenzaniso, kana uri mumhanyi wedaro refu, izvi zvinogona kuitika.

Ndezvipi zviratidzo zve `BME`?

Saka, munhu ane `BME` anoratidza zviratidzo zvipi?

Chiratidzo chikuru kurwadziwa mukati kana pedyo nepfupa. Ichi ndicho chinhu chekutanga chinosangana nevanhu vazhinji. Pamusoro pezvo, unogona zvakare kuona zvinhu zvakaita se:

• Kubuda kwemvura mumajoini (mvura yakaita semvura inozadza joini)
• Majoini anodziya (kunzwa kupisa kupfuura dzimwe nzvimbo kana abatwa)

Asi yeukai, vamwe vanhu vanogona kuva neBME vasingaratidze zviratidzo . Ndosaka dzimwe nguva ichiwanikwa netsaona.

Nzira yekuziva sei mamiriro e `BME`?

Chiremba anoongorora sei chirwere ichi che 'BME' nemazvo?

Kutanga, chiremba wako achakuongororwa muviri. Vachakubvunza nezvezviratidzo zvako uye nhoroondo yako yehutano. Sezvandambotaura, BME inowanzoonekwa ine zvimwe zvirwere zvine chekuita nayo.

Kana chiremba wako achifungidzira kuti une BME, anogona kukukumbira kuti uite mimwe miedzo, yakaita se:

• Kuongororwa kweropa: Izvi zvinotarisa zviratidzo zvekuzvimba mumuviri.
• Kuongororwa kwemapfupa emubofu: Izvi zvinosanganisira kutora sampuli diki yemapfupa emubofu woiedza.
• `DEXA (DXA) scan`: Iyi inoongorora `Osteoporosis` (chirwere chekutetepa kwemapfupa).
• MRI (Magnetic Resonance Imaging) Scan: Iyi iongororo yakakosha kwazvo yekuongorora BME. Inokwanisa kuona zvakajeka mvura iri mumongo wemapfupa.
• Kuongororwa kweUltrasound.

Yeukai, kuputika kwemapfupa emubofu (BME) hakuwanzoonekwi zvakajeka paX-ray kana CT scan yenguva dzose.

`BME` inorapwa sei?

Iye zvino ngationei kuti ndeapi marapirwo aripo e `BME`.

Mashoko akanaka ndeekuti kazhinji, BME inonyangarika yoga nekufamba kwenguva . Asi zvinotora nguva. Chiremba wako angangokuudza kuti uzorore , pamwe kwemwedzi mishoma.

Kuti akubatsire kudzora zviratidzo zvako, chiremba wako anogonawo kukukurudzira zvinhu zvakaita se:

• Mishonga inouraya marwadzo uye mishonga inorwisa kuzvimba (`Nonsteroidal anti-inflammatory drugs - NSAIDs`). Semuenzaniso, Ibuprofen.
• Kurapa muviri: Izvi zvinobatsira kusimbisa tsandanyama uye kudzoreredza mashandiro emajoini.

Kurapa muzviitiko zvakakomba

Zvisinei, kana chirwere cheBME chakanyanya kuoma, kana kuti zvakaoma kudzora nekurapwa kwakajairika, chiremba anogonawo kufunga nezvezvinotevera:

• Majekiseni eSteroid: Aya anogona kupihwa zvakananga kunzvimbo ine marwadzo kuderedza kuzvimba.
• Kuvhiyiwa.

Kana kuvhiyiwa kuchidikanwa, chiremba anogona kupa zano rekuti `Core decompression surgery`. Izvi zvinosanganisira kuboora maburi madiki akati wandei mupfupa rakakanganiswa. Maburi aya anoderedza kumanikidzwa mukati mepfupa uye anoderedza marwadzo.

Kuti akurudzire kukura kwakanaka kwemapfupa, chiremba anogonawo kuita zvinhu zvakaita se:

• Kana BME yakaitika nekuda kwechikonzero chakadai sekenza, kuisirwa mubofu uchishandisa stem cells kunogona kukurudzirwa.
• Maburi akaboorwa anogonawo kuzadzwa nemapfupa akasungirirwa.

Ungatarisira kupora nekukurumidza zvakadii kubva pakurapwa?

Ndingatarisira mhedzisiro munguva pfupi sei mushure mekurapwa kwe `BME`?

Izvi zvinoenderana nekuti chii chakakonzera BME yako, kuti chirwere chako chakanyanya sei, uye kuti kurapwa kwaunowana kwacho kwakawanda. Kazhinji , zviratidzo zvinopera mukati memwedzi mina kusvika gumi nemiviri . Asi dzimwe nguva BME inogona kugara kwemakore maviri kana kupfuura. Saka unofanira kuva nemoyo murefu.

Njodzi yekubatwa neBME inogona kuderedzwa here?

Saka pane zvatingaita here kuderedza njodzi yekubatwa ne "BME"?

Kutaura chokwadi, hapana chaunogona kuita kuderedza njodzi yako yekuva neBME. Asi kutsvaga rubatsiro rwechiremba kana wangotanga zviratidzo kunogona kukubatsira kutanga kurapwa nekukurumidza . Izvozvo zvakakosha zvikuru.

Chii chaunotarisira kana uine `BME`? Ungazvitarisira sei?

Chii chaunofanira kutarisira kana uine `BME`? Unofanira kuzvitarisira sei?

Sezvandambotaura, `BME` chirwere chinowanzova nani nekufamba kwenguva , saka usanyanya kunetseka nezvazvo.

Chinhu chinonyanya kukosha kupa mapfupa ako eBME zororo rakakwana uye kutevedzera mirairo yachiremba wako nemazvo. Inwa mushonga wako sezvawakarairwa, zorora, uye ita maekisesaizi ekurovedza muviri kana zvichidikanwa.

Ndinofanira kuona chiremba zvakare rini?

Unofanira kuona chiremba zvakare rini?

Kana ukasangana nechimwe chezvinotevera, iva nechokwadi chekuona chiremba:

• Hazvina kuipa kana zviratidzo zvako zvikadzoka kana kuti zvikanyanya kuipa .
• Kana muine zvinokunetsai nezvemigumisiro yemishonga yamuri kutora.
• Kana pasina kuvandudzika kana mhedzisiro inoonekwa mushure menguva yakati yekurapwa.

Muchiitiko chakadaro, chiremba anogona kukurudzira mamwe marapirwo angakubatsira.

Saka, chii chiri kutaurwa kubva munyaya iyi?

Kuora Kwemapfupa (BME) chirwere chinoitika kana mvura yaungana mumapfupa edu. Chinogona kukonzerwa nezvinhu zvakasiyana-siyana, zvinosanganisira kenza, hutachiona, zvirwere zvinoputika, uye tsaona. Chiratidzo chikuru kurwadziwa kwemapfupa. Vanachiremba vanoshandisa bvunzo dzeropa, MRIs, uye ultrasound kuti vaone kuti chirwere ichi chinoonekwa sei. Kurapa kunosanganisira kuzorora, mishonga inoderedza marwadzo, uye physiotherapy. Chinonyanya kukosha ndechekuti, BME chirwere chinowanzopera nekufamba kwenguva. Saka, zvakakosha kutsvaga rubatsiro rwechiremba nekukurumidza kana zviratidzo zvikaonekwa, uye kuwana zororo rakakodzera uye kurapwa. Usavhunduke, asi usazviregeredzawo!

Kuzvimba Kwemapfupa , Marwadzo Emapfupa, MRI, BME, Kuzvimba Kwemajoini, Zviratidzo Zvemapfupa, Kuzvimba Kwemapfupa Sinhala