Une mapundu madiki akaita semapfupa here mumabvi ako kana papfudzi, zvichikonzera kurwadziwa nekuzvimba? Kana kuti zvakaoma here kukotama kana kutwasanudza joini? Unogonawo kukanganiswa nechirwere chinonzi Synovial Osteochondromatosis . Zita racho rakareba, saka zvakaoma kutaura, handiti? Asi usazvidya mwoyo, ngatitaurei nezvazvo zviri nyore.
Chii chinonzi Synovial Osteochondromatosis?
Zvichitaurwa zviri nyore, ichi chirwere umo mapundu madiki, asina kenza (akaita semapundu) anoumbwa mumembrane yakatetepa inonzi synovium (membrane inofukidza majoini) mukati memajoini edu. Mapundu aya akagadzirwa necartilage. Anogona kusiyana muhukuru kubva padiki semupunga kusvika pakukura semarble. Semuenzaniso, aya anowanzoonekwa mumabvi edu, pamafudzi, mumagokora, uye mumajoini ehudyu. Kashoma, chirwere ichi chinogonawo kukanganisa majoini madiki akadai segumbo, ruoko, uye shaya.
Kana mapundu aya akayangarara zvakasununguka mukati mejoini, anogona kukanganisa kufamba kwemajoini, kukonzera marwadzo, uye kutokuvadza joini, zvichikonzera chirwere chejoini chinonzi osteoarthritis . Kana uine arthritis kare, chirwere ichi chinogona kuita kuti zvinyanye kuipa.
Mashoko aya anorevei chaizvo?
Sezvo zita rechirwere ichi rakaoma zvishoma, tinogona kunzwisisa zviri nani kana tikachitsanangura mumashoko acho ega ega.
- Synovial: Izvi zvinoreva membrane inonzi synovium . Izvi ndizvo zvinoisa majoini edu pamitsetse. Iyi membrane inoburitsa chinhu chinozora chinonzi synovial fluid . Iyi fluid ndiyo inobvumira majoini edu kufamba zvakanaka, semafuta ari mumuchina. Majoini edu, mapfupa, uye iyi membrane ye synovial zvese ndezve musculoskeletal system yedu.
- Chondro kana kuti Chondral: Izvi zvinoreva shwashwa . shwashwa igwara rakapfava rinowanikwa mukati memajoini edu rinodzivirira mapfupa kuti asakwizane. Rakaita sechitsigiro.
- Matosis kana kuti Mitosis: Izvi zvinoreva shanduko dzemasero dzinoitika mukati menyama. Kureva, kukura kusingawanzoitiki kwemasero.
Saka, kana mazwi aya akabatanidzwa, zita rekuti "synovial osteochondromatosis" rinoumbwa. Chikamu che "osteo" chinoreva pfupa. Izvi zvinoreva kuti dzimwe nguva maronda aya anoomarara uye anova sepfupa. Izvi zvinonzi ossification .
Pane mamwe mazita echirwere ichi here?
Ehe, dzimwe nguva vanachiremba vanoshandisa mamwe mazita kutsanangura chirwere ichi. Unogona kunzwawo mazita aya:
- Reichel's syndrome: chirwere chepfungwaDambudziko iri rakatanga kutsanangurwa nachiremba wekuGermany Friedrich Reichel muna 1900.
- Reichel-Jones-Henderson syndrome: Mukutanga kwema1900, vanachiremba vekuAmerica vanovhiya mapfupa Hugh Jones naMelvin Henderson vakaenderera mberi nekudzidza nekuvandudza kunzwisisa kwechiremba kwechirwere ichi chakatsanangurwa naDr. Reichel.
- Synovial chondroma: Izwi rezvekurapa rekuti "-oma" rinoshandiswa kureva bundu, ringave rine njodzi kana kuti kwete.
- Synovial osteochondromatosis: "Osteo" zvinoreva pfupa. Muchiitiko ichi, bundu rinova rakaoma sepfupa (ossification).
Ndiani anonyanya kubatwa ne synovial osteochondromatosis? Yakajairika zvakadii?
Ichi chirwere chisingawanzoitiki . Chinongobata munhu mumwe chete pavanhu miriyoni imwe chete. Chinonyanya kuitika muvarume vane makore ari pakati pe30 ne50 .
Pane mhando dzechirwere ichi here?
Ehe, kune mhando mbiri chete:
1. Primary synovial chondromatosis: Chikonzero chaicho chechirwere ichi hachizivikanwe. Chinogona kutungamira ku osteoarthritis .
2. Secondary synovial chondromatosis: Iyi ndiyo mhando inonyanya kuitika. Inoitika kana uine chirwere chemapfupa chakadai searthritis, osteonecrosis (kufa kwemapfupa nekuda kwekushaya ropa) , kana osteochondritis dissecans (kuora kwekatsi nemapfupa ari pasi) .
Mapundu aya anoumbwa sei? Chii chinokonzera izvi?
Munhu ane synovial osteochondromatosis ane kukura kusingawanzoitiki kwe synovium , inova membrane inoumba cartilage inonzi nodules . Vamwe vanhu vanogona kuva nemapundu akawanda ane saizi dzakasiyana.
Mapundu aya anobuda kubva pa synovium oenda mumvura ye synovial iri mukati mejoini. Anobva aita calcify , zvinoreva kuti anooma sechoko. Dzimwe nguva mapundu aya anotoita semapundu. Sezvo mapundu aya akaomarara achifamba-famba mukati mejoini, anokuvadza goroti rinodzivirira joini. Kana goroti iri rapera, pamusoro pejoini panobva paonekwa, zvichikonzera osteoarthritis inorwadza. Kana uine rudzi rwechipiri, kukuvara kwejoini kuripo kunogona kuwedzera.
Ndezvipi zviratidzo zveizvi?
Zviratidzo zve synovial osteochondromatosis zvinowanzofanana nezve osteoarthritis. Zviratidzo zvikuru kurwadziwa kwemajoini nekuzvimba . Marwadzo aya anogona kuwedzera kana uchifambisa joini.
Uye zvakare, unogona kusangana nezvinhu zvakaita se:
- Unganzwa mapundu (mapundu) pasi peganda .
- Kuderera kwekufamba kwejoini rakakanganiswa (kusakwanisa kukotama kana kutwasanudza zvakanaka).
- Kuungana kwemvura mukati mejoini (edema) .
- Ruzha rwe "kutsemuka" kana kunzwa kwekubatwa (crepitus) kana uchifambisa joini.
- Mapfundo anozvimba uye anorwadza kana ukabatwa.
Zviratidzo zvinonyanya kunzwika kupi?
Zvichienderana nechikamu chemuviri chakanganiswa, unogona kunzwa kurwadziwa munzvimbo dzinotevera:
- Kurwadziwa kwegumbo
- Kurwadziwa kwegokora
- Kurwadziwa kwemajoini ehudyu
- Kurwadziwa kwemajoini eshaya
- Kurwadziwa kwebvi (uku ndiko kunonyanya kuitika)
- Kurwadziwa kwepafudzi
- Kurwadziwa kweruoko
Chirwere ichi chinoongororwa sei nemazvo? (Kuongororwa)
Kuti uongorore uye urape chirwere ichi, unofanira kuona chiremba wemapfupa . Iye chiremba ane hunyanzvi mumatambudziko ane chekuita nemapfupa, mapfundo, uye tsandanyama. Chiremba achakuongorora uye achakubvunza nezvezviratidzo zvako.
Mapundu aya akasununguka anowanzoonekwa neX -ray . Zvisinei, mapundu madiki anogona kusaonekwa paX-ray. Kana izvi zvikaitika, unogona kukumbirwa kuti uite CT scan kana MRI scan kuti uwane mufananidzo wakajeka wejoini.
Kuongororwa uku kunobatsira zvikuru pakuongorora chirwere ichi. Kunogonawo kutarisa zviratidzo zve osteoarthritis uye kuungana kwemvura mumajoini.
Ndezvipi zvinorapwa zvinogona kuitwa pasina kuvhiyiwa?
Kana uine chirwere che secondary synovial chondromatosis, chiremba wako anogona kukukurudzira kuti umirire kwenguva yakati usati watanga chero kurapwa kukuru. Mishonga isingashandisi masteroidal anti-inflammatory (NSAIDs) uye mishonga inoderedza marwadzo inogona kubatsira kudzora zviratidzo. Panguva ino, ungangoda kuongororwa nguva nenguva kuti uone mamiriro ejoini. Zvisinei, kana joini rakakuvara zvakanyanya, kuvhiyiwa kunogona kudiwa.
Ndeapi marapirwo ekuvhiya aripo?
Kuvhiyiwa kunosanganisira kubvisa bundu uye kubvisa chikamu kana yese synovium yakakanganiswa (izvi zvinonzi synovectomy ). Mushure mekuvhiyiwa, uchada kurapwa kwemuviri kuti udzorere kufamba uye kusimbisa joini.
Kuvhiyiwa uku kunowanzoitwa senzira yekuongorora mapfupa . Arthroscopy inzira inosanganisira kuisa kamera nemidziyo midiki kuburikidza nemavanga madiki. Izvi hazvinyanyi kurwadza uye zvinosiya mavanga mashoma pane kuvhiyiwa kwakavhurika kwechinyakare. Zvichienderana nenzvimbo yedambudziko, kuvhiyiwa kwemapfupa kunogona kuitwa pabvi, pafudzi, kana rimwe pfundo.
Panguva yekuvhiyiwa kwe arthroscopic, chiremba acha:
1. Kuchekwa kudiki kwakati wandei kunoitwa paganda.
2. Kamera diki ine kamuchina kamwe cheteArthroscope inoiswa.
3. Zvishandiso zvekuvhiya zvinopinzwa kuburikidza nemamwe macheko.
4. Kuvhiyiwa nekubviswa kwemapundu kunoitwa uchitarisa vhidhiyo.
5. Bvisa kamera nemidziyo.
6. Maburi anochekwa anovharwa nemasitichi anonyungudika kana nebhandeji.
Ndezvipi zvinetso zvinogona kuitika kubva muchirwere ichi?
Dambudziko iri rinowedzera njodzi yekukuvara kwemajoini. Kashoma, bundu rinoyangarara rinogona kukura zvakanyanya. Rinogona kutora nzvimbo yese yemajoini kana kupararira kune tishu dzakapoteredza. Muzviitiko zvakadaro, joini rinogona kuita serakakanganisika uye joini rinogona kusashanda zvachose.
Ko synovial osteochondromatosis inogona kudzivirirwa here?
Kutaura zvazviri, nyanzvi hadzisati dzaziva kuti sei chirwere ichi chichiitika kune vamwe vanhu. Saka, hapana chaunogona kuita kuti chisaitike.
Chii chiri tarisiro yemunhu ane chirwere ichi? (Outlook)
Munhu mumwe chete pavanhu vana (25%) vanovhiyiwa vanozowana mapundu aya zvakare. Saka, chiremba wenyu achaita scan nguva dzose kuti aone kana mapfundo ari kuwana chirwere ichi zvakare.
Uyewo, chirwere ichi chinowedzera njodzi yekukuvara kwemajoini uye arthritis. Chiremba wako acharamba achikutarisawo kuti uone kana izvi zvichiitika.
Ndinofanira kuona chiremba rini?
Kana uine chimwe chezviratidzo izvi, enda kuna chiremba nekukasika:
- Kana joini risingakwanise kukotama kana kurebeswa zvakanaka (kana kufamba kwaro kwakaganhurirwa).
- Kana paine kurwadziwa kwakanyanya uye kuzvimba mujoini.
- Kana ukanzwa ruzha rusingawanzoitiki rwekuti "clicking" kubva mumajoini ako, kana kuti ukanzwa sekunge abatwa.
Chii chandinofanira kubvunza chiremba wangu?
Unogona kubvunza chiremba mibvunzo yakaita seiyi:
- Sei ndakaita chirwere ichi che synovial osteochondromatosis?
- Ndeipi nzira yakanakisisa yekurapa?
- Ndinoda kuvhiyiwa zvechokwadi here?
- Ndine chirwere che osteoarthritis here? Kana kuti, chii chandingaita kuti ndidzivise kukura kwacho?
- Ndezvipi zviratidzo zvandinofanira kutarisa kuti ndione kana ma cysts ari kudzoka kana kuti mamwe matambudziko ari kutanga?
Ko synovial osteochondromatosis inogona kuva kenza here?
Kashoma kuti bundu remapfupa risina njodzi rakadai rive kenza. Zvisinei, pane zviitiko zvakawanda apo chirwere ichi chakazokura kuva mhando yekenza yemapfupa inonzi chondrosarcoma .
Kana uine arthritis kana chimwe chirwere chemapfupa, unogona kunge uri panjodzi yekubatwa ne synovial osteochondromatosis. Dzimwe nguva, chirwere ichi chinoitika pasina chikonzero chakajeka. Kana zvikaitika, uri panjodzi huru yekubatwa ne osteoarthritis inorwadza. Chero chikonzero chipi zvacho, vanhu vazhinji vanowana mapundu aya vachada kuvhiyiwa kuti vaabvise. Unogona kutaura nachiremba wako nezvenzira dzekurapa dzakakunakira. Mushure mekuvhiyiwa, chiremba wako achatarisa mapfundo ako kuti aone kana mapundu acho adzoka kana kana paine kukuvara kwepfundo.
Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)
- Synovial osteochondromatosis ibundu risingabatanidzi kenza rinoumbwa mumembrane inofukidza majoini.
- Izvi zvinogona kukonzera zviratidzo zvakaita sekurwadziwa kwemajoini, kuzvimba, uye kuoma kufamba.
- Majoini akadai sebvi, fudzi, gokora, uye hudyu ndiwo anonyanya kukanganiswa.
- Chirwere ichi chinogona kuonekwa kuburikidza nekuongororwa kwakadai seX-rays, CT scans, uye MRIs.
- Kazhinji, kuvhiyiwa kwe arthroscopic kunobvisa bundu ne membrane yakakanganiswa.
- Sezvo vamwe vanhu vaine mukana wekudzoka kwebundu, zvakakosha kutevedzera mazano echiremba uye kugara vachiongororwa.
- Kana uine zviratidzo zvisingawanzoitika zvine chekuita nemajoini ako, tsvaga rubatsiro rwechiremba nekukasika. Kana ukangokurumidza kubata chirwere ichi, zvinova nyore kurapa!
` Synovial Osteochondromatosis, Marwadzo emajoini, Mapfundo emajoini, Cartilage, Osteoarthritis, Arthroscopy, Synovial Osteochondromatosis, Marwadzo emajoini, Mapfundo emajoini, Cartilage, Osteoarthritis, Arthroscopy











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