Ngaba unentlungu enje emathanjeni akho? Makhe sithethe nge (Osteoid Osteoma)!

Ngaba ngamanye amaxesha uziva iintlungu ezingaqhelekanga emathanjeni akho, ingakumbi ebusuku? Mhlawumbi ayisiyontlungu yomzimba kuphela. Namhlanje siza kuthetha ngethumba elincinci elikhula emathanjeni elibonisa iimpawu ezifanayo, kodwa elingengomhlaza. Oku sikubiza ngokuba yi-Osteoid Osteoma .

Yintoni i-Osteoid Osteoma?

Ngamafutshane, le (i-Osteoid Osteoma) sisimila esincinci esikhula emathanjeni esingengomhlaza . Uninzi lwexesha, sincinci kune-intshi enye. Eyona nto ibalulekileyo kukuba ezi simila azikhuli okanye zisasazeke kwezinye iindawo zomzimba. Ngoko ke akukho nto inokubangela ixhala ngayo.

I-Osteoid Osteoma idla ngokukhula emathanjeni amade emzimbeni wethu. Umzekelo, ingakhula kwithambo lakho le-shin (`(tibia)` - ithambo elikhulu elingaphantsi kwedolo lakho) okanye kwithambo lakho lethanga (`(femur)` - ithambo eliphakathi kwe-shin yakho nedolo lakho). Ukongeza,

• Ezandleni zakho
• Nokuba kuseminweni yezandla okanye ezinzwaneni zeenyawo
• Kwindawo yeqatha lemilenze
• Ezi zinokukhula emnqonqoni.

Le meko ibonakaliswa yintlungu ebuhlungu nengathandekiyo evakala ngathi ivela ngaphakathi emzimbeni. Le ntlungu inokuba qatha ngakumbi ebusuku . Oogqirha badla ngokunyanga oku ngamayeza angengo-steroidal anti-inflammatory (NSAIDs) okanye, kwezinye iimeko, utyando oluncinci.

Ngubani onokuba nethuba elikhulu lokufumana oku (i-Osteoid Osteoma)?

Ngoku makhe sibone ukuba ngubani onokuba nale ngxaki (i-Osteoid Osteoma). Le meko idla ngokubonakala kakhulu kubantu abaphakathi kweminyaka emi-5 ukuya kwengama-25 ubudala. Enye into kukuba amadoda anamathuba aphindwe kathathu okuba nale ngxaki kunabafazi. Nangona kunjalo, kubalulekile ukukhumbula ukuba nabani na angayifumana le ngxaki (i-Osteoid Osteoma), kungakhathaliseki ukuba sisini, luhlanga, okanye luhlanga luni.

Ixhaphake kangakanani i-Osteoid Osteoma?

Xa ucinga ngendlela exhaphake ngayo le meko (i-Osteoid Osteoma), ibangela malunga ne-10% yeethumba zamathambo ezingezizo ezomhlaza. Oko kuthetha ukuba ayinqabile kangako.

Yintoni umahluko phakathi kwe (Osteoid Osteoma) kunye ne (Osteoblastoma)?

Ngoku usenokuba uyazibuza, ngaba ikho enye ebizwa ngokuba yi-"Osteoid Osteoma" kunye ne-"Osteoblastoma", kwaye yintoni umahluko phakathi kwezi zimbini? Ewe, i-"Osteoblastoma" ikwalithumba lamathambo elingelomhlaza. Kodwa kukho umahluko omncinci phakathi kwezi zimbini.

• I-osteoblastoma inkulu kune-osteoid osteoma.
• I-Osteoblastoma idla ngokubonakala kwikhakayi, iimbambo, kunye nomqolo.
• I-osteoblastoma inethuba eliphezulu lokuphinda ivele kune-osteoid osteoma.
• Eyona nto ibalulekileyo kukuba iintlungu azidli ngokwanda ebusuku kwi-osteoblastoma.

Ziziphi izizathu ze-Osteoid Osteoma?

Abaphandi abakayazi kakuhle into ebangela i-osteoid osteoma. Nangona kunjalo, kukho izinto ezininzi ekucingelwa ukuba zinegalelo ekuphuhlisweni kwesi sifo samathambo esingengomhlaza:

• Ukukhula okungaqhelekanga kweeseli emzimbeni wakho (neoplasia).
• Ukudumba kwamathambo.
• Ingozi okanye ukwenzakala (ukwenzakala) kwindawo apho ithumba lenzeka khona.

Ziziphi iimpawu ze-Osteoid Osteoma?

Uphawu oluphambili lwale nto (i-Osteoid Osteoma), njengoko benditshilo ngaphambili, yintlungu ebuhlungu nengathandekiyo evela nzulu emzimbeni. Le ntlungu idla ngokuba mandundu ebusuku . Le ntlungu ayinciphi okanye ayinyuki kuba nje wenze umsebenzi othile okanye umthambo.

"Khawucinge nje, nokuba akukukhathazi kangako emini, xa ulala ebusuku, awukwazi ukulala ngenxa yentlungu evela ngaphakathi emlenzeni okanye engalweni yakho. Yiyo le ntlungu."

Kunokubakho ezinye iimpawu ezininzi:

• Ukukhubazeka kwamathambo.
• Utshintsho okanye ubunzima kwindlela yokuhamba (iingxaki zokuhamba).
• Intlungu nokuqina kwamalungu.
• Ukushwabana kwemisipha okanye ukuncipha kobukhulu bayo (`(atrophy)`).
• Umlenze omnye mde kunomnye (oku kwenzeka ukuba kukho ithumba kwithambo lethanga okanye kwithambo lesifuba).
• Ukuba kukho ithumba emgogodleni, iimeko ezifana ne-`(Sciatica)` (intlungu kwi-nerve ye-sciatic, i-nerve eqala ethangeni ukuya elunyaweni) kunye ne-`(Scoliosis)` (ukugoba komqolo).
• Ukudumba.

Ngamanye amaxesha, ukuba le thumba ikhula kufutshane nelinye lamalungu akho, inokubonisa iimpawu ezifana nezi:

• Ukuqokelelana kolwelo olujikeleze ilungu (ukuphuma kwamalungu).
• I-Osteoarthritis (i-arthritis ebangelwa kukuguguleka nokukrazuka kwamalungu).
• Ukuqina kunye nokuxinana kwamalungu (ukuqiniswa kwamalungu).

I-Osteoid Osteoma ifunyaniswa njani?

Kulungile, ngoku ukuba unale mpawu, ugqirha uyixilonga njani i-Osteoid Osteoma?

Okokuqala, ugqirha wakho uza kukubuza ngeempawu zakho aze akuhlole. Angakubuza imibuzo malunga neentlungu zakho, efana nale:

• Kudala kangakanani le ntlungu ikhona?
• Injani intlungu?
• Ngaba ukwenza nantoni na kuyayithomalalisa intlungu? (Umzekelo, ukuthatha ezinye izithomalalisi zentlungu)
• Ngaba bekukho ingozi okanye ukwenzakala kwindawo apho kukho intlungu?

Ukuba ugqirha wakho ukrokrela ukuba le isenokuba yi-Osteoid Osteoma, ngokusekelwe kwinto oyithethayo, unokucebisa ezinye iimvavanyo, ezifana nezi:

• I-X-reyi: Oku kuthatha umfanekiso wamathambo akho. Kwi-X-reyi, i-osteoid osteoma ibukeka njengendawo encinci, ephakathi yethambo elijiyileyo.
• Ukuskena kwamathambo okwenziwa ngamanqanaba amathathu: Nantsi into eyenzekayo:
• Ugqirha ufaka into enemisebe (i-radiotracer) emthanjeni wakho. Ikhamera iyayibona le misebe ize ithathe imifanekiso ye-radiotracer emathanjeni akho.
• Emva koko, ikhamera ithatha umfanekiso wobungakanani begazi eliqokelelana emathanjeni akho nakwizicwili ezithambileyo.
• Ekugqibeleni, emva kweeyure ezimbini okanye ezintathu emva kokufakwa kwenaliti, kuthathwe enye imifanekiso kwindawo enye.

Olu vavanyo lunceda ugqirha ukuba afumane indawo echanekileyo enesi sifo.

• I-CT scan (i-Computed Tomography scan) okanye i-MRI (i-Magnetic Resonance Imaging): I-CT scan inokunceda ekuxilongeni i-osteoid osteoma kuba inika umfanekiso ocacileyo wethambo lakho. I-MRI, nangona ingachanekanga kangako, inokunceda ukuqinisekisa ukuba akukho mhlaza.
• I-Biopsy: Kwi-biopsy, ugqirha uthatha isampuli encinci yethumba aze alihlole phantsi kwe-microscope ukuze abone ukuba ayinazo na iimpawu ze-osteoid osteoma. Ingakwalela nezinye iimeko.
• Uvavanyo lwegazi: Ugqirha angenza uvavanyo lwegazi ukujonga naluphi na usulelo.

Iphathwa njani i-Osteoid Osteoma?

Iindaba ezimnandi zezokuba ezinye ii-osteoid osteomas ziyaphela zodwa ngokuhamba kwexesha ngaphandle konyango . Nangona kunjalo, kungathatha iminyaka ukuba ezi thumba ziphele.

Njengonyango, ungasebenzisa `(NSAIDs)` (amayeza angengo-steroidal anti-inflammatory). La `(NSAIDs)` ayafumaneka njengamayeza athengiswa ngaphandle kwemvume kagqirha (umz. `(aspirin)`, `(ibuprofen)` okanye `(naproxen)`) kunye namayeza abhalwe ngugqirha. `(NSAIDs)` zinokunceda ukunciphisa iintlungu kwaye zikhawulezise ukushwabana kwethumba (Osteoid Osteoma). Ngolu hlobo lonyango, iimpawu zihlala zinyamalala kwiinyanga ezingama-33 (oko kukuthi malunga neminyaka emi-2 neenyanga ezili-9).

Ngamanye amaxesha oogqirha banokucebisa utyando lwe-Osteoid Osteoma. Ngexesha lotyando, unganikwa i-anesthesia eqhelekileyo okanye i-anesthesia yendawo. Kukho iintlobo ezimbini eziphambili zotyando:

• I-Curettage: Oku kubandakanya ugqirha otyandayo ukuba enze i-incision encinci eluswini lwakho aze ayigqibe ukuze asuse lonke ithumba .
• Ukususwa kwe-radiofrequency okukhokelwa yi-CT: Le yinkqubo engaphantsi kakhulu. Kule nkqubo, ugqirha ushushu ithumba aze alisuse. Nantsi indlela eyenziwa ngayo:
• I-CT scan isetyenziselwa ukufumana ithumba.
• Emva koko, ``i-radiofrequency probe`` (isixhobo esikhethekileyo) idluliselwa kwithumba.
• Umbane osebenzisa i-high-frequency usetyenziselwa ukufudumeza nokutshabalalisa ithumba.

Ngokwesiqhelo, olu nyango lwe-"radiofrequency ablation" lunokwenziwa kube kanye ukuze kususwe ithumba.

Ngaba umngcipheko wokufumana i-Osteoid Osteoma ungancitshiswa?

Akukho nto unokuyenza ukunciphisa umngcipheko wokuba ne-Osteoid Osteoma. Nangona kunjalo, ukuba uyazi iimpawu, ungafuna ingcebiso yezonyango, uyibeke esweni, kwaye ufumane unyango ngokukhawuleza.

Yintoni onokuyilindela kwimeko ye-Osteoid Osteoma?

Ukuba une-Osteoid Osteoma, into onokuyilindela ixhomekeke kunyango olufumanayo.

• Unyango lokukhusela: Olu nyango lunezinga eliphezulu lempumelelo. Nangona kunjalo, ezinye iingxaki zinokwenzeka. Umzekelo:
• Ukopha.
• Ukonakala kwezinye izicwili ezingqongileyo.
• Imiqathango yokuzilolonga.
• Iintsholongwane.
• Iingozi ze-anesthesia jikelele.
• Ubuthathaka bamathambo.
• Ukususwa kwe-radiofrequency okukhokelwa yi-CT: Le ndlela inezinga lempumelelo elimalunga ne-90% . Nangona kunjalo, iingxaki ezifana nezi:
• I-Cellulitis (usulelo lolusu).
• I-Complex Regional Pain Syndrome (CRPS).
• Iingxaki zemithambo-luvo (`(Neuropathies)`).
• Ukutsha kolusu.
• I-thrombophlebitis engaphezulu.

Ndingabuyela nini emsebenzini/esikolweni?

Ukuba une-curettage, kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa. Emva koko, kusenokufuneka wenze unyango lomzimba ekhaya iiveki ezimbalwa ngaphambi kokuba ubuyele emsebenzini okanye esikolweni.

Nangona kunjalo, ukuba une-radiofrequency ablation, ungabuyela ekhaya ngaloo mini inye. Uninzi lwabantu lunokubuyela emsebenzini okanye esikolweni kwiintsuku ezimbini ukuya kwezintathu.

Injani imeko yale meko (i-Osteoid Osteoma)?

Ukuba sijonga le meko (i-Osteoid Osteoma), iziphumo zilungile kakhulu . (i-Osteoid Osteoma) inokunyangeka ngokupheleleyo ngokuhamba kwexesha, nokuba yodwa, okanye ngamayeza "e-NSAIDs", okanye ngotyando.

Ungazinyamekela njani nge (Osteoid Osteoma)?

Ungenza oku kulandelayo ukunciphisa umngcipheko weengxaki emva kotyando:

• Nciphisa umthambo kangangeenyanga ezimbalwa.
• Bona ingcali yezonyango ukuze ufumane iingcebiso kunye nonyango.
• Ukuba uyaqhubeka nokuba neentlungu, bonana nogqirha ngoko nangoko .

Ngoko ke, zeziphi izinto esifanele sizikhumbule kweli bali?

I-Osteoid I-Osteoma sisimila esingengomhlaza esikhula emathanjeni. Sidla ngokukhula emathanjeni amade omzimba wethu. Iimpawu eziphambili ziintlungu eziba mandundu ebusuku, ukudumba, kunye nokuqina kwamalungu. Oogqirha bayixilonga ngovavanyo olufana ne-X-ray kunye ne-bone scans yesigaba sesithathu. Unyango lubandakanya ii-painkillers ezibizwa ngokuba yi-NSAIDs okanye utyando.

Eyona nto ibalulekileyo kukuba le meko (i-Osteoid Osteoma) inokunyangeka ngokupheleleyo ekuhambeni kwexesha, nokuba kuyenzeka ngokuzenzekelayo okanye ngonyango.Ngoko ke musa ukoyika ngokungeyomfuneko. Ukuba unale mpawu, kungcono ukubona ugqirha ngokukhawuleza uze ufumane ingcebiso.

I- Osteoid Osteoma, ithumba lamathambo, iintlungu zamathambo, iintlungu zasebusuku, iithumba ezingezizo ezomhlaza, ii-NSAID, utyando lwamathambo, i-Osteoid Osteoma, ithumba lamathambo, iintlungu zamathambo, iintlungu zasebusuku