Ngaba ufumana namaqhuma amancinci anje kumalungu akho? (Synovial Osteochondromatosis) Masifunde ngayo!

Ngaba unezimbobo ezincinci ezifana namathambo edolweni okanye egxalabeni lakho, nto leyo ebangela iintlungu nokudumba? Okanye ngaba kunzima ukugoba okanye ukolula ilungu? Usenokuchaphazeleka sisifo esibizwa ngokuba yiSynovial Osteochondromatosis . Ligama elide, ngoko ke kunzima ukulitsho, akunjalo? Kodwa ungakhathazeki, masithethe ngayo ngokulula.

Yintoni i-Synovial Osteochondromatosis?

Ngamafutshane, le yimeko apho amaqhuma amancinci, angengomhlaza (afana namaqhuma) akhiwa kwi-membrane encinci ebizwa ngokuba yi-synovium (i-membrane edibanisa amalungu) ngaphakathi kwamalungu ethu. La maqhuma enziwe nge-cartilage. Angahluka ngobukhulu ukusuka kuncinci njengengqolowa yerayisi ukuya kubukhulu njengemabula. Umzekelo, la maqhuma abonakala kakhulu emadolweni ethu, emagxeni, engqinibeni, nasemalungeni ethu. Amaxesha amaninzi, le meko inokuchaphazela amalungu amancinci njengeqakala, isandla, kunye nomhlathi.

Xa la maqhuqhuva edada ngokukhululekileyo ngaphakathi kwilungu, anokuphazamisana nokunyakaza kwamalungu, abangele iintlungu, aze onakalise ilungu, nto leyo ekhokelela kwisifo samalungu esiwohlokayo esibizwa ngokuba yi-osteoarthritis . Ukuba sele une-arthritis, le meko inokuyenza ibe mandundu.

Athetha ukuthini kanye kanye la magama?

Ekubeni igama lesi sifo liyinkimbinkimbi kancinci, singaliqonda ngcono ukuba singalichaza ngokwamagama alo.

• I-Synovial: Oku kubhekisa kwi-membrane ebizwa ngokuba yi-synovium . Yile nto idibanisa amalungu ethu. Le membrane ivelisa into yokuthambisa ebizwa ngokuba yi-synovial fluid . Le fluid yile nto ivumela amalungu ethu ukuba ahambe kakuhle, njengeoyile kumatshini. Amalungu ethu, amathambo, kunye ne-synovial membrane zonke zezenkqubo yethu yemisipha .
• I-Chondro okanye i-Chondral: Oku kubhekisa kwi- cartilage . I-Cartilage sisicwili esithambileyo esifumaneka ngaphakathi kwamalungu ethu esithintela amathambo ukuba angakhuhlani. Ifana nomqamelo.
• I-Matosis okanye i-Mitosis: Oku kubhekisa kutshintsho lweseli olwenzeka ngaphakathi kwithishu. Oko kukuthi, ukukhula okungaqhelekanga kweeseli.

Ngoko ke, xa la magama edibene, kwakheka igama elithi "synovial osteochondromatosis". Eli candelo elithi "osteo" lithetha ithambo. Oku kuthetha ukuba ngamanye amaxesha la maqhuqhuva e-cartilage ayaqina aze abe njengethambo. Oku kubizwa ngokuba yi -ossification .

Ngaba kukho amanye amagama ale meko?

Ewe, ngamanye amaxesha oogqirha basebenzisa amanye amagama ukuchaza le meko. Ungaweva la magama:

• Isifo sikaReichel:Le meko yaqala ukuchazwa ngugqirha waseJamani uFriedrich Reichel ngo-1900.
• Isifo sikaReichel-Jones-Henderson: Ekuqaleni kweminyaka yoo-1900, oogqirha baseMelika abangoogqirha bamathambo uHugh Jones noMelvin Henderson bafunda ngakumbi baza baphucula ukuqonda kwezonyango ngale meko echongiweyo nguGqr. Reichel.
• I-Synovial chondroma: Igama lezonyango elithi "-oma" lisetyenziselwa iithumba, nokuba ziyingozi okanye aziyongozi.
• I-Synovial osteochondromatosis: Igama elithi "Osteo" lithetha ithambo. Kwimeko enjalo, ithumba liba lukhuni njengethambo (ossification).

Ngubani ochaphazeleka kakhulu yi-synovial osteochondromatosis? Ixhaphake kangakanani?

Esi sisifo esingaqhelekanga kakhulu. Sichaphazela umntu omnye kuphela kwisigidi. Sixhaphake kakhulu kumadoda aphakathi kweminyaka engama-30 ukuya kwengama-50 ubudala .

Ngaba kukho naziphi na iintlobo zale meko?

Ewe, kukho iintlobo ezimbini eziphambili:

1. I-Primary synovial chondromatosis: Isizathu esichanekileyo sale meko asaziwa. Ingakhokelela kwi -osteoarthritis .

2. I-Secondary synovial chondromatosis: Olu lolona hlobo luxhaphakileyo. Luyenzeka ukuba sele unemeko yamalungu efana ne-arthritis, i-osteonecrosis (ukufa kwethambo ngenxa yokunqongophala kwegazi) , okanye i-osteochondritis dissecans (ukubola kwe-cartilage kunye nethambo elingaphantsi) .

Zenzeka njani ezi ziqhuma? Yintoni imbangela?

Umntu one-synovial osteochondromatosis ukhula ngendlela engaqhelekanga kwi-synovium , eyilwelwesi elenza i-cartilage ebizwa ngokuba zii-nodules . Abanye abantu banokuba nee-nodules ezininzi ezinobukhulu obahlukeneyo.

Ezi ziqhuma ziyaqhekeka kwi-synovium zize zintante kwi-synovial fluid ngaphakathi kwejoyinti. Emva koko ziyanyibilika , oko kuthetha ukuba ziba nzima njengetshokholethi. Ngamanye amaxesha ezi ziqhuma ziyaqhekeka. Njengoko ezi ziqhuma ziqinileyo zihamba ngaphakathi kwejoyinti, zonakalisa i-cartilage ekhusela ijoyinti. Xa le cartilage iphela, umphezulu wejoyinti uyavela, nto leyo ebangela i-osteoarthritis ebuhlungu. Ukuba unohlobo lwesibini, umonakalo kwijoyinti esele ikhona unokuba mandundu.

Zithini iimpawu zoku?

Iimpawu ze-synovial osteochondromatosis zihlala zifana nezo ze-osteoarthritis. Iimpawu eziphambili ziintlungu zamalungu kunye nokudumba . Le ntlungu inokuba mandundu xa ushukumisa ilungu.

Ukongeza, unokufumana izinto ezifana nezi:

• Usenokuziva amaqhuma (iiqhuma) phantsi kolusu .
• Ukuncipha komgama wokuhamba kwelungu elichaphazelekayo (ukungakwazi ukugoba okanye ukulula kakuhle).
• Ukuqokelelana kolwelo ngaphakathi kwelungu (i-edema) .
• Isandi "esirhawuzelayo" okanye imvakalelo yokuxinana (crepitus) xa ushukumisa ilungu.
• Amalungu avuvukile kwaye abuhlungu xa uwachukumisa.

Ziphi iimpawu ezivame ukuvakala?

Ngokuxhomekeke kwinxalenye yomzimba echaphazelekayo, unokufumana iintlungu kwezi ndawo zilandelayo:

• Intlungu yeqakala
• Intlungu yengqiniba
• Intlungu yamalungu esinqe
• Intlungu yamalungu emihlathi
• Intlungu yedolo (le yeyona ixhaphakileyo)
• Intlungu yamagxa
• Intlungu yesandla

Sichongwa njani esi sifo ngokuchanekileyo? (Ukuxilongwa)

Ukuze uxilonge kwaye unyange le meko, kuya kufuneka ubone ugqirha wamathambo . Ngugqirha ogxile kwiingxaki ezinxulumene namathambo, amalungu kunye nezihlunu. Ugqirha uza kukuxilonga aze akubuze ngeempawu zakho.

Ezi ziqhuma zikhululekileyo zihlala zibonwa nge -X-ray . Nangona kunjalo, iziqhuma ezincinci kakhulu zisenokungabonakali kwi-X-ray. Ukuba oku kuyenzeka, unokucelwa ukuba wenze i -CT scan okanye i-MRI scan ukuze ufumane umfanekiso ocacileyo welungu.

Ezi scan ziluncedo kakhulu ekuxilongeni esi sifo. Zinokujonga neempawu ze-osteoarthritis kunye nokwakheka kolwelo kwilungu.

Loluphi unyango olunokwenziwa ngaphandle kotyando?

Ukuba une-secondary synovial chondromatosis, ugqirha wakho unokucebisa ukuba ulinde ixesha elithile ngaphambi kokuba uqale naluphi na unyango olukhulu. Amayeza angengo-steroidal anti-inflammatory (NSAIDs) kunye nee-painkillers zinokunceda ukulawula iimpawu. Okwangoku, unokufuna ukuhlolwa rhoqo ukuze ujonge imeko yelungu. Nangona kunjalo, ukuba ilungu lonakele kakhulu, utyando lunokufuneka.

Ziziphi iindlela zonyango zotyando ezikhoyo?

Utyando lubandakanya ukususa iqhuma kunye nokususa inxalenye okanye yonke i-synovium echaphazelekayo (oku kubizwa ngokuba yi-synovectomy ). Emva kotyando, uya kufuna unyango lomzimba ukuze ubuyisele intshukumo kwaye uqinise ilungu.

Olu tyando ludla ngokwenziwa njengenkqubo ye-arthroscopic . I-Arthroscopy yinkqubo equka ukufakwa kwekhamera kunye nezixhobo ezincinci ngokusebenzisa imingxunya embalwa emincinci. Oku akubuhlungu kakhulu kwaye kushiya amanxeba amancinci njengotyando oluvulekileyo lwendabuko. Ngokuxhomekeke kwindawo yengxaki, utyando lwe-arthroscopic lunokwenziwa edolweni, egxalabeni, okanye kwelinye ilungu.

Ngexesha lotyando lwe-arthroscopic, ugqirha uza:

1. Kwenziwa imingxunya emininzi emincinci eluswini.

2. Isixhobo esincinci sekhamera esinomcu omnyeKufakwa i-arthroscope .

3. Izixhobo zotyando zifakwa ngezinye izigcawu.

4. Utyando nokususwa kwamaqhuqhuva kwenziwa ngelixa kujongwe ividiyo.

5. Susa ikhamera kunye nezixhobo.

6. Amanxeba avalwa ngezititshi ezinyibilikayo okanye ngebhandishi.

Zeziphi iingxaki ezinokuvela kule meko?

Le meko inyusa umngcipheko wokonakala kwamalungu. Kunqabile kakhulu, iqhuma elidadayo linokukhula libe likhulu kakhulu. Linokuthi emva koko lihlale lonke iqhubu okanye lisasazeke kwizicubu ezingqongileyo. Kwiimeko ezinjalo, iqhubu linokubonakala likhubazekile kwaye iqhubu lisenokungasebenzi ngokupheleleyo.

Ngaba i-synovial osteochondromatosis ingathintelwa?

Enyanisweni, iingcali azikayazi ukuba kutheni le meko isenzeka kwabanye abantu. Ngoko ke, akukho nto ikhethekileyo onokuyenza ukuyithintela ukuba ingaveli.

Iyintoni imbono yomntu onesi sifo? (Imbono)

Malunga nomntu omnye kwabane (25%) otyando uya kuphinda avelise la maqhuqhuva. Ngoko ke, ugqirha wakho uya kwenza iiskeni rhoqo ukujonga ukuba ilungu liyaphinda lifumane le meko.

Kwakhona, le meko inyusa umngcipheko wokonakala kwamalungu kunye nesifo samathambo. Ugqirha wakho uza kuqhubeka ekujonga oku nawe.

Ndifanele ndimbone nini ugqirha?

Ukuba unayo nayiphi na kwezi mpawu, bona ugqirha ngokukhawuleza:

• Ukuba ilungu alikwazi ukugotywa okanye ukwandiswa ngokufanelekileyo (ukuba uluhlu lokunyakaza lulinganiselwe).
• Ukuba kukho intlungu ebuhlungu kunye nokudumba kwilungu.
• Ukuba uva isandi esingaqhelekanga "sokuklikha" kumalungu akho, okanye ukuba uziva ngathi abambekile.

Ndimele ndibuze ntoni kugqirha wam?

Ungabuza ugqirha imibuzo efana nale:

• Kutheni le nto ndiphuhlise le osteochondromatosis ye-synovial?
• Yeyiphi indlela engcono yonyango kum?
• Ngaba ndiyaludinga ngokwenene utyando?
• Ngaba ndinesifo samathambo? Okanye, ndingenza ntoni ukuthintela ukuba singabikho?
• Zeziphi iimpawu ekufuneka ndizijonge ukuze ndibone ukuba ii-cysts ziyabuya na okanye kukho ezinye iingxaki ezikhulayo?

Ngaba i-synovial osteochondromatosis ingaba ngumhlaza?

Kunqabile kakhulu ukuba ithumba lamathambo elingelona libi elifana neli libe ngumhlaza. Nangona kunjalo, kukho iimeko ezininzi apho le meko iye yakhula yaba luhlobo lomhlaza wamathambo olubizwa ngokuba yi -chondrosarcoma .

Ukuba une-arthritis okanye esinye isifo samathambo, usenokuba sengozini yokufumana i-synovial osteochondromatosis. Ngamanye amaxesha, le meko iyenzeka ngaphandle kwesizathu esicacileyo. Ukuba iyenzeka, usengozini enkulu yokufumana i-osteoarthritis ebuhlungu. Nokuba yintoni na imbangela, abantu abaninzi abafumana la maqhuqhuva baya kufuna utyando ukuze bawasuse. Ungathetha nogqirha wakho malunga neendlela zonyango ezifanelekileyo kuwe. Emva kotyando, ugqirha wakho uya kujonga amalungu akho ukuze abone ukuba amaqhuqhuva ayabuya na okanye ukuba kukho nawuphi na umonakalo kwilungu.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

• I-Synovial osteochondromatosis sisiqhuma esingengomhlaza esikhula kwi-membrane egubungela amalungu.
• Oku kunokubangela iimpawu ezifana nentlungu yamalungu, ukudumba, kunye nobunzima bokuhamba.
• Amalungu afana nedolo, igxalaba, ingqiniba, kunye nesinqe achaphazeleka kakhulu.
• Esi sifo sinokuchongwa ngovavanyo olufana ne-X-ray, i-CT scans, kunye ne-MRIs.
• Rhoqo, utyando lwe-arthroscopic lususa iqhuma kunye ne-membrane echaphazelekayo.
• Ekubeni abanye abantu benomngcipheko wokuphinda babuye kwiqhuma, kubalulekile ukulandela iingcebiso zonyango kunye nokuhlolwa rhoqo.
• Ukuba uneempawu ezingaqhelekanga ezinxulumene namalungu akho, funa ingcebiso kagqirha ngoko nangoko. Okukhona uyifumana kwangethuba, kokukhona kulula ukuyinyanga!

I- Synovial Osteochondromatosis, Intlungu yamalungu, Amaqhuqhuva amalunga, I-Cartilage, I-Osteoarthritis, I-Arthroscopy, I-Synovial Osteochondromatosis, Intlungu yamalungu, Amaqhuqhuva amalunga, I-Cartilage, I-Osteoarthritis, I-Arthroscopy