Ngaba amathambo akho nawo ayabuhlungu? Kusenokuba yi-'Bone Marrow Edema'!

Ngaba wakha waziva ithambo libuhlungu okanye ilungu lidumbile waza wazibuza, "Yintoni le?" Ngamanye amaxesha unobangela wezi zinto unokuba yinto esingacingi nokuyicinga. Namhlanje siza kuthetha ngemeko onokuthi ungayiva, kodwa kubalulekile ukuyazi. Leyo yimeko ebizwa ngokuba yi-'Bone Marrow Edema'.

Yintoni iBone Marrow Edema?

Kulungile, masiqale sibone ukuba yintoni iBone Marrow Edema (BME). Ngamafutshane, kukudumba kwezicubu ezithambileyo ngaphakathi kwamathambo ethu okubizwa ngokuba yibone marrow . Uyazi, ibone marrow sisicwili esifana nesiponji. Kukumongo apho kuveliswa khona iiseli zegazi ezifunekayo emzimbeni wethu. Ngoko ke, 'i-edema' kukudumba okubangelwa kukuqokelelana kolwelo. Abanye abantu bakubiza ngokuba 'zizilonda zebone marrow'.

Ixesha elininzi, le meko ibizwa ngokuba yi-'BME' ifunyanwa xa kwenziwa iskeni ye-'MRI' ngesizathu esithile. Oko kuthetha ukuba inokufunyanwa ngengozi ngelixa unyangwa enye imeko. I-'BME' ngamanye amaxesha inokubangela iintlungu ezinzima . Kodwa iindaba ezimnandi zezokuba uninzi lwexesha, iya kuziphelela ngokwayo ngokuhamba kwexesha. Ngexesha lonyango, oogqirha baya kuzama ukulawula iimpawu zakho.

Ziziphi iintlobo eziphambili ze-'BME'?

Ngoku makhe sibone ukuba zeziphi iintlobo eziphambili zezi `BME`. Kukho iintlobo ezimbini eziphambili.

Enye yi-'BME' yesibini.

Okwenzekayo kule meko kukuba unesinye isifo esibangela i-BME. Umzekelo, ukuba unesifo esifana ne-Osteoarthritis, usenokuba ne-BME njengesiphumo esingesihle saloo nto. Kolu hlobo lwesimo, ngamanye amaxesha usenokuba neempawu, okanye ungabi nazo kwaphela iimpawu. Yiyo loo nto nditshilo ngaphambili ukuba sinokufunyanwa ngengozi xa wenza i-MRI kwenye into.

Enye yi-Spontaneous okanye i-'BME' ephambili.

Okwenzekayo kweli tyala kukuba oogqirha abakwazi ukufumana unobangela ocacileyo we-'BME'. Kodwa unentlungu ethile enxulumene nayo. Oku kukwabizwa ngokuba yi -'Bone Marrow Edema Syndrome (BMES) .' Makhe sithethe ngale nto ngokweenkcukacha ezithe vetshe.

Yintoni umahluko phakathi kwe-'BME' kunye ne-'Bone Marrow Edema Syndrome (BMES)'?

Kulungile, yintoni umahluko phakathi kwe-'BME' kunye ne-'Bone Marrow Edema Syndrome (BMES)'?

Ngamafutshane, i-'BMES' luhlobo olungaqhelekanga lwe-'BME'. Isizathu esichanekileyo soku asaziwa. Ngokuqhelekileyo, esi sifo sibonakala kumadoda aphakathi kweminyaka engama-30 ukuya kwengama-60 ubudala.Okwangoku. Ezinye izifundo zibonisa ukuba le meko, ebizwa ngokuba yi-'BMES', inokunxulunyaniswa neengxaki zempilo ezifana namanqanaba aphezulu e-cholesterol ('hyperlipidemia') kunye nokungabikho kwe-vitamin D. Inokwenzeka kwithambo elinye okanye kumathambo amaninzi. Ixhaphake kakhulu kwiindawo ezisezantsi zomzimba, njengemilenze.

Into ebalulekileyo kukuba, nangona i-'BMES' inxulumene ne-'BME', yimeko eyahlukileyo. Ugqirha wakho uza kusebenzisa iindlela ezahlukeneyo zokuxilonga nokunyanga i-'BMES'.

Ngubani onokuthi aphuhlise le `BME`?

Ngoko ke ngubani onokuthi aphuhlise le `BME`?

Enyanisweni, nabani na anokuba ne-BME, kungakhathaliseki ubudala, uhlanga, okanye isini. Nangona kunjalo, ukuba unezi meko zilandelayo zempilo, umngcipheko wakho wokuba ne-BME uphezulu kancinci:

• Iintlobo zeArthritis
• Umhlaza wamathambo
• Usulelo lwamathambo (umz. i-Osteomyelitis)
• Isifo sokubhitya kwamathambo (i-Osteoporosis)

Zithini izizathu ze-'BME'?

Ngoku makhe sibone ukuba zeziphi izizathu ezibangela ukuba kubekho i-'BME'. Zininzi izizathu. Masixoxe ngazo nganye nganye.

Ngenxa yomhlaza

Ezinye iintlobo zomhlaza zingabangela i-'BME'. Umzekelo:

• `I-Acute Myeloid Leukemia (AML)`
• Ukusasazeka komhlaza emathanjeni (i-bone metastasis)
• I-Chondrosarcoma (umhlaza weseli ye-cartilage)
• I-Ewing sarcoma (umhlaza owenzeka emathanjeni okanye kwizicubu ezithambileyo)
• I-Osteosarcoma (umhlaza wamathambo)
• Ingabangelwa nalunyango lwemitha yomhlaza.

Ngenxa yeemeko eziwohlokayo

I-BME inokwenzeka naxa impilo yezicubu zomzimba wethu iwohloka ngokuhamba kwexesha. Ngokuyintloko:

• I-Osteoarthritis (ukhe wayiva le nto, leyo ibuhlungu njengamadolo akho njengoko ukhula)
• I-Tendinopathy (iingxaki ezinxulumene ne-Tendon)

Ngenxa yezifo

I-BME inokubangelwa nazizifo zamathambo okanye amalungu:

• Usulelo lwamathambo (umz. i-Osteomyelitis)
• Isifo samathambo esibizwa ngokuba yiSeptic arthritis (usulelo olubangelwa ziibhaktheriya ezingena emalungeni)

Ngenxa yokuphazamiseka kokunikezelwa kwegazi (iimeko ze-ischemic)

Ngamanye amaxesha, ukuba amalungu ahlukeneyo emzimbeni awafumani igazi okanye ioksijini eyaneleyo, i-'BME' inokwenzeka:

• `I-Avascular necrosis` (ngamanye amaxesha ibizwa ngokuba yi-`osteonecrosis` - oku kuxa umbane wegazi oya emathanjeni ulahleka kwaye iinxalenye zawo ziyafa)
• Unyawo lukaCharcot (ingxaki yeenyawo kubantu abanezifo ezifana nesifo seswekile)

Ngenxa yeemeko ze-metabolic

Le meko ye-'BME' inokubangelwa kukuphazamiseka okuthile kwiinkqubo ze-metabolic zomzimba wethu:

• `I-Cushing syndrome` (imeko ebangelwa kukwanda kwe-cortisol hormone emzimbeni)
• `I-Hyperparathyroidism` (ukusebenza ngokugqithisileyo kwamadlala e-parathyroid)
• I-Mastocytosis (ukuqokelelana okugqithisileyo kohlobo lweseli olubizwa ngokuba zii-mast cells)
• Iingxaki zeminerali namathambo ezibangelwa sisifo sezintso esingapheliyo
• I-Osteomalacia (ukuthamba kwamathambo kubantu abadala - inokubangelwa kukunqongophala kwevithamini D)
• I-Osteoporosis (ukuncitshiswa kwamathambo), ingakumbi ezinqeni nasemadolweni
• Ukunqongophala kweVithamin D

Ngenxa yokuvuvukala kwemisipha

I-BME ikwabonakala ngenxa yokudumba kwamathambo ethu, imisipha, izihlunu kunye nemithambo-luvo:

• I-Ankylosing Spondylitis (AS)
• I-Enthesitis (ukudumba apho imisipha kunye nemisipha zinamathela emathanjeni)
• I-Psoriatic arthritis (ukudumba kwamalungu okuhambisana ne-psoriasis)
• I-rheumatoid arthritis (oku kukwakukuvuvukala kwamalungu)
• I-Sacroiliitis (ukudumba kwelungu eliphakathi kwe-sacrum kunye nethambo le-pelvic)

Ngenxa yeengozi kunye nokwenzakala (iTrauma)

Le yinto abantu abaninzi abaye bahlangabezana nayo. I-BME inokubangelwa zizinto ezifana nengozi, ukuwa, okanye ukwenzakala kwezemidlalo:

• `Iinyembezi ze-ACL (Anterior Cruciate Ligament)` (ukukrazuka kwe-ligament enkulu edolweni - oku kwenzeka rhoqo kubadlali)
• `I-Complex Regional Pain Syndrome (CRPS)`
• `Ukuqhekeka kwamathambo okucinezelwayo` (ukuqhekeka kwamathambo okucinezelwayo, ingakumbi emgogodleni)
• Ukwahlukana kwesinqe, okubangela ukufa kwezicubu zamathambo (i-osteonecrosis)
• Ezinye iingozi zamathambo okanye amalungu, ingakumbi ezo zibandakanya iqatha, isinqe, idolo, okanye umqolo
• Ukuqhekeka koxinzelelo (ukuqhekeka okuncinci emathanjeni okubangelwa kukudinwa kakhulu), ingakumbi eqatheni, ezinyaweni, esinqeni, okanye edolweni. Umzekelo, ukuba ungumbaleki webanga elide, oku kunokwenzeka.

Zithini iimpawu ze-'BME'?

Kulungile, zeziphi iimpawu ezibonakaliswa ngumntu one-'BME'?

Uphawu oluphambili ziintlungu ethanjeni okanye ezijikeleze ithambo. Le yinto yokuqala abantu abaninzi abayifumanayo. Ukongeza, ungaphawula nezinto ezifana nezi:

• Ukuphuma kwamalungu (ulwelo olufana nolwelo oluzalisa amalungu)
• Amalungu afudumeleyo (ukuziva ushushu ngakumbi kunezinye iindawo xa uchukunyiswa)

Kodwa khumbula, abanye abantu banokuba ne-BME kodwa bangabonakalisi zimpawu . Yiyo loo nto ngamanye amaxesha ifunyanwa ngengozi.

Ungayichonga njani imeko ye-`BME`?

Ugqirha uyixilonga njani ngokuchanekileyo le meko 'ye-BME'?

Okokuqala, ugqirha wakho uza kwenza uvavanyo lomzimba. Baza kukubuza ngeempawu zakho kunye nembali yakho yezonyango. Njengoko benditshilo ngaphambili, i-BME idla ngokufunyaniswa inezinye iimeko ezinxulumene noko.

Ukuba ugqirha wakho urhanela ukuba une-BME, angakucela ukuba wenze iimvavanyo ezithile, ezifana nezi:

• Uvavanyo lwegazi: Olu vavanyo lukhangela iimpawu zokudumba emzimbeni.
• I-Bone Marrow Biopsy: Oku kuquka ukuthatha isampuli encinci yomongo wethambo uze uwuvavanye.
• `Iskeni se-DEXA (DXA)`: Esi sihlola `i-Osteoporosis` (isifo sokubhitya kwamathambo).
• I-MRI (Magnetic Resonance Imaging) Scan: Olu luvavanyo olubaluleke kakhulu lokufumanisa i-BME. Ingalubona ngokucacileyo ulwelo olukumongo wethambo.
• Iskeni ye-ultrasound.

Khumbula, i-bone marrow edema (BME) ayibonakali ngokucacileyo kwi-X-ray okanye kwi-CT scan eqhelekileyo.

Iphathwa njani i-'BME'?

Ngoku makhe sibone ukuba loluphi unyango olufumanekayo lwe-'BME'.

Iindaba ezimnandi zezokuba uninzi lwexesha, i-BME iyaphela yodwa ekuhambeni kwexesha . Kodwa kuya kuthatha ixesha. Ugqirha wakho mhlawumbi uya kukuxelela ukuba uphumle , mhlawumbi kangangeenyanga ezimbalwa.

Ukuze uncede ukulawula iimpawu zakho, ugqirha wakho unokucebisa izinto ezifana nezi:

• Iipilisi zokunciphisa iintlungu kunye neziyobisi ezilwa nokuvuvukala (`Iipilisi ezilwa nokuvuvukala ezingezizo ii-steroidal - ii-NSAID`). Umzekelo, i-Ibuprofen.
• Unyango lomzimba: Oku kunceda ukuqinisa izihlunu nokubuyisela ukusebenza kwamalungu.

Unyango kwiimeko ezinzima

Nangona kunjalo, ukuba imeko ye-BME inzima ngakumbi, okanye ukuba kunzima ukuyilawula ngonyango oluqhelekileyo, ugqirha unokuqwalasela oku kulandelayo:

• Iinaliti zeSteroid: Ezi zinokufakwa ngqo kwindawo ebuhlungu ukunciphisa ukudumba.
• Utyando.

Ukuba kufuneka utyando, ugqirha angacebisa inkqubo ebizwa ngokuba yi-'Core decompression surgery.' Oku kuquka ukugqobhoza imingxunya emininzi emincinci kwithambo elichaphazelekayo. Le mingxunya inciphisa uxinzelelo ngaphakathi kwithambo kwaye inciphise iintlungu.

Ukukhuthaza ukukhula komongo wethambo okunempilo, ugqirha otyandayo angenza izinto ezifana nezi:

• Ukuba i-BME yenzekile ngenxa yesizathu esifana nomhlaza, kunokucetyiswa ukuba kufakwe umongo wethambo kusetyenziswa iiseli ezisisiseko.
• Imingxunya ebholiweyo ingazaliswa ngee-bone grafts.

Ungalindela ukuba uphile ngokukhawuleza kangakanani emva konyango?

Ndingalindela iziphumo emva kokufumana unyango lwe-'BME' nini?

Oku kuxhomekeke kakhulu kwinto ebangele i-BME yakho, ukuba imeko yakho imbi kangakanani, kunye nonyango olufumanayo. Uninzi lwexesha , iimpawu ziyaphela kwiinyanga ezi-4 ukuya kwezi-12 . Kodwa ngamanye amaxesha i-BME inokuhlala iminyaka emibini okanye nangaphezulu. Ngoko ke kufuneka ube nomonde.

Ngaba umngcipheko wokufumana i-BME ungancitshiswa?

Ngoko ke ngaba kukho into esinokuyenza ukunciphisa umngcipheko wokufumana 'i-BME'?

Inyaniso kukuba, akukho nto unokuyenza ukunciphisa umngcipheko wakho wokuba ne-BME. Kodwa ukufuna ingcebiso kagqirha kwangoko nje ukuba ubonakalise iimpawu kunokukunceda uqale unyango ngokukhawuleza . Oko kubaluleke kakhulu.

Yintoni onokuyilindela ukuba une-'BME'? Ungazinyamekela njani?

Yintoni omele uyilindele ukuba une-'BME'? Ufanele uzinyamekele njani?

Njengoko benditshilo ngaphambili, 'i-BME' yimeko edla ngokuba ngcono ngokuhamba kwexesha , ngoko ke ungakhathazeki kakhulu ngayo.

Eyona nto ibalulekileyo kukunika amathambo akho e-BME ukuphumla okwaneleyo kwaye ulandele imiyalelo kagqirha wakho ngokuchanekileyo. Sela amayeza akho njengoko kumiselwe, phumla, kwaye wenze umthambo wonyango ukuba kuyimfuneko.

Kufuneka ndiphinde ndibone ugqirha kwakhona nini?

Ufanele ubuye nini ugqirha kwakhona?

Ukuba ufumana nayiphi na kwezi zilandelayo, qiniseka ukuba ubona ugqirha:

• Kulungile ukuba iimpawu zakho ziyabuya okanye ziya ziba mandundu .
• Ukuba unenkxalabo malunga nemiphumo emibi evela kunyango olusebenzisayo.
• Ukuba akukho phuculo okanye iziphumo zibonakala emva kwexesha elithile lonyango.

Kwimeko enjalo, ugqirha unokucebisa ezinye iindlela zonyango ezinokukunceda.

Ngoko ke, yintoni umyalezo oza kuwuthatha ekhaya kweli bali?

I-Bone Marrow Edema (BME) yimeko eyenzeka xa ulwelo luqokelelana kumongo wethu wethambo. Inokubangelwa zizinto ezahlukeneyo, kubandakanya umhlaza, usulelo, iimeko zokudumba, kunye neengozi. Uphawu oluphambili ziintlungu zamathambo. Oogqirha basebenzisa uvavanyo lwegazi, ii-MRI, kunye nee-ultrasound ukuze bayixilonge. Unyango luquka ukuphumla, iintlungu zentlungu, kunye nonyango lomzimba. Okubaluleke kakhulu, i-BME yimeko ehlala iphela ngokuhamba kwexesha. Ke ngoko, kubalulekile ukufuna unyango ngokukhawuleza ukuba iimpawu ziyavela, kwaye ufumane ukuphumla kunye nonyango olufanelekileyo. Musa ukoyika, kodwa ungayityesheli!

Ukudumba kweBone Marrow, Intlungu yeBone, iMRI, i-BME, Ukudumba kwamalungu, Iimpawu zeBone, Ukudumba kweBone Marrow