Uyazazi izimila zamathambo ezingengozi? Ake sixoxe!

Wake wabona, noma wabhekana nento efana neqhubu elincane ethanjeni? Noma ingabe kwenzekile enganeni yakho? Ngezinye izikhathi kuyinto evamile ukuzizwa wesaba kancane uma ubona lezi zinto, akunjalo? Kodwa akuzona zonke izimila eziyimidlavuza eyingozi. Namuhla sizokhuluma ngalawo, lawo akheka emathanjeni, kodwa angewona ayingozi, okungukuthi, lawo awela esigabeni esithi "Benign"`, noma " Benign Bone Tumors`` . Namuhla sizokhuluma ngezinto eziningi ezifana nokuthi ziyini ngempela lezi, ukuthi ubani ozitholayo, ziyini izimpawu, nokuthi zelashwa kanjani.

Uyazi ukuthi iyini le (Benign Bone Tumor)?

Kalula nje, lolu uhlobo lwesimila oluqala ohlelweni lwakho lwamathambo, okungukuthi, emathanjeni akho. Kodwa into ebalulekile ukuthi iningi lalezi ziluhlobo "olubi" ("Benign"). "Olubi" ("Benign") lusho ukuthi lezi akuzona izimo "zomdlavuza" ezinomdlavuza. Lokhu kusho ukuthi lezi zimila azisabalali zisuka lapho zakheka khona ziye kwezinye izingxenye zomzimba.

Cabanga nje, isimila esinjengalesi singakhula kunoma yiliphi ithambo emzimbeni wethu, kunoma iyiphi ingxenye yalelo thambo. Ngokuvamile, lokhu kubonakala kwamanye amathambo amakhulu emzimbeni wethu. Isibonelo, ezindaweni ezifana nethambo lethanga `(Femur)`, ithambo lomlenze `(Tibia)`, ithambo kusukela ehlombe kuya endololwaneni `(Humerus)`, ithambo lesinqe `(Pelvis)`, umgogodla `(Spine)` kanye nezimbambo `(Ribs).

Ezinye izinhlobo zamathumba zivame kakhulu ezindaweni ezithile. Isibonelo, ezinye izinhlobo zivame kakhulu ezindaweni zokukhula zomgogodla noma ezindaweni ezifana nezinqe, amadolo, namahlombe.

Ubani othola lezi zinto kaningi? Abantu abasha?

Yebo, lesi simo esibizwa ngokuthi "Ama-Benign Bone Tumors" sivame kakhulu kubantu abangaphansi kweminyaka engama-30. Ikakhulukazi, inani elikhulu lama-tumors anjalo litholakala ezinganeni lapho uhlelo lwazo lwamathambo lusakhula.

Ingxenye engcono kakhulu ukuthi iningi lala mathumba angengozi ayayeka ukukhula uma ukukhula kwamathambo engane sekuqediwe, okusho ukuthi amathambo ayayeka ukukhula. Lokhu kuvame ukuba phakathi kweminyaka eyi-14-16 yamantombazane kanye neyi-16-19 yabafana.

Yiziphi izinhlobo ezivamile zezimila zamathambo?

Kunezinhlobo ezahlukene zalezi `(Benign Bone Tumors)`. Ake sibheke ezinye zezinhlobo eziyinhloko ezibonakala. Ngayinye yalezi ihlukile kancane kwenye.

• I-Enchondroma: Lolu hlobo lwesimila luqala ku- cartilage . Lwakheka ngaphakathi kwethambo, lapho kukhona khona umongo wethambo.
• I-Osteochondroma: Lezi zakhiwe yi-cartilage kanye nethambo. Lezi zimila zingakhula zibe zinkulu njengoba uhlelo lwamathambo omzimba lukhula. Zikhula zisuka ethanjeni.
• I-fibroma engakhiqizi izicubu: Ngokumangalisayo, lolu uhlobo oluvame kakhulu lwesimila samathambo ezinganeni. Esikhathini esiningi, lezi zimila ziyaziphelela zodwa. Esikhathini esiningi, zitholakala ngengozi. Cabanga ngengane yakho iwa ngenkathi idlala futhi ilimele ingalo yayo. Udokotela uzothola kuphela ngalolu hlobo lwesimila ngesikhathi se-X-ray.
• I-Chondroblastoma: Lolu hlobo lwesimila lungakhula futhi luthinte amalunga aseduze. Ngakho-ke, luvame ukususwa ngokuhlinzwa. Luvame futhi ukuvela ezinganeni futhi lungabangela ubuhlungu obukhulu .
• I-osteoma ye-Osteoid: Lolu hlobo luvame ukuthinta amathambo amade omzimba. Luvame kakhulu kwabesilisa. Ubuhlungu bungaba bubi kakhulu ebusuku, ikakhulukazi ngokushintsha kwama-hormone. Imithi yokulwa nokuvuvukala engeyona eye-steroidal (ama-NSAID) ingasiza ekunciphiseni lobu buhlungu.
• I-Osteoblastoma: Lolu uhlobo oluvame kakhulu kwabesilisa. Ukuhlinzwa kuvame ukuba yindlela yokwelapha.
• I-Periosteal chondroma: Lezi zakhiwe nge-cartilage futhi zitholakala phezu kwethambo. Lokhu kuvame ukwelashwa ngokuhlinzwa.
• Isimila esikhulu seseli: Lolu hlobo lwesimila aluvamile, kodwa lungakhula ngokushesha kakhulu. Abesifazane banamathuba amancane okusithola. Ukuhlinzwa kuyindlela yokwelapha evame kakhulu.
• I-Chondromyxoid fibroma: Lolu hlobo olungavamile lwesimila luqala emnkantsheni wethambo. Ukwelashwa kwalokhu kuvame ukwenziwa ngokuhlinzwa.
• I-Aneurysmal bone cyst (ABC): Lawa ma-cyst ngezinye izikhathi angakhula abe makhulu impela. Aphathwa ngokujova kaningi ngomuthi obizwa ngokuthi i-sclerotherapy noma ukuhlinzwa. Inhloso yalo muthi ukusiza ukugcwalisa isikhala lapho kwakukhona khona i-cyst.
• Ama-cyst ethambo angenamakhamera [alula] (UBC): Lawa avame ukutholakala eduze kwama-growth plates. Avame ukutholakala lapho isimila sibuthakathaka ithambo futhi sabangela ukuphuka. Ukwelashwa kuvame ukuhilela ukufakelwa kwethambo, i-sclerotherapy, noma ukuhlinzwa.
• I-dysplasia ye-fibrous:Lolu futhi uhlobo oluvamile lwesimila samathambo. Lungavela njengesimila esisodwa noma njengezimila eziningi. Ukuhlinzwa ngokuvamile akudingeki ngaphandle kokuthi ubukhulu besimila buthaka ithambo.

Kungani izimila zamathambo zifana nalolu hlobo? (Izimbangela)

Eqinisweni, la mathumba ethambo akheka lapho amangqamuzana ethambo ehlukana ngokungalawuleki, ekhula ngokushesha, futhi akha inqwaba noma iqoqo lamangqamuzana. Kodwa ezimweni eziningi, asikho isizathu esicacile esitholakele sokuthi kungani lokhu kwenzeka. Okusho ukuthi, kunzima ukusho ngokuqinisekile, "Yingakho la mathumba akheka."

Ziyini izimpawu zalokhu? Ukubona kanjani? (Izimpawu)

Izimpawu ze-`(Benign Bone Tumors)` zingahluka. Abanye abantu bangase babe nalezi zimila ngaphandle kwezimpawu. Kodwa-ke, kunezimpawu ezithile ezivamile:

• Ukuvuvukala okubonakalayo noma iqhubu: Ngezinye izikhathi, iqhubu lingavela ngaphezu kwesikhumba lapho kukhona khona ithambo.
• Ubuhlungu: Lokhu kungaba nzima futhi kungaqhubeka. Ungase uzizwe ubuhlungu ngisho noma umile nje, okungukuthi, uphumule.
• Ukuphuka: Isimila esikhulayo senza ithambo libe buthaka, futhi ngisho nomphumela omncane ungabangela ukuba ithambo liphuke.

Kodwa khumbula, ezimweni eziningi, la mathumba awabonisi zimpawu. Atholakala ngengozi lapho kwenziwa i-X-ray ngesinye isizathu, isibonelo, ngemva kwengozi.

Odokotela bakuthola kanjani lokhu?

Uma usola ukuthi uneqhubu noma ukuvuvukala ethanjeni, qala ubonane nodokotela womndeni wakho. Uzokuhlola kahle futhi, uma kudingeka, angase akucele ukuthi kwenziwe ezinye izivivinyo ezimbalwa. Eziyinhloko yilezi:

• Ukuhlolwa kwezithombe: Lokhu kufaka phakathi ama-X-ray, ama-CT scan (ama-Computed Tomography scans), kanye nama-MRI scan (ama-Magnetic Resonance Imaging scans). Lokhu kunganikeza ulwazi oluningi mayelana nohlobo, ubukhulu, kanye nendawo yesimila.
• Ukuskena kwamathambo: Lokhu futhi kuyindlela ekhethekile yokuhlolwa eyenziwa ngezinye izikhathi.

Akuvamile kakhulu ukuthi ku-odwe ukuhlolwa kwegazi noma kokuhlolwa komchamo ukuze kutholakale "i-Benign Bone Tumor". Udokotela ochwepheshe bezimila zamathambo angase aqoke "i-Bone scan", "i-CT scan", "i-MRI scan", noma "i-Biopsy" (ukuthatha ingxenye encane yesimila ukuze ihlolwe). Kodwa-ke, ukuhlolwa kokuqala kanye "ne-X-ray" yizinyathelo zokuqala ezifanele kakhulu. Udokotela wakho wezingane noma udokotela womndeni anga-oda lezi zivivinyo zokuqala.

Yiziphi izindlela zokwelapha lokhu?

Akukho ukwelashwa okukodwa kwezimila zamathambo ezingengozi. Uhlobo lokwelashwa luncike ezintweni eziningana, okuhlanganisa uhlobo lwesimila, ubukhulu baso, indawo yaso, nokuthi sithinte kangakanani amandla ethambo.

Ingabe kumane nje kuyindaba yokulinda? Noma udinga ukuhlinzwa?

Ezimweni eziningi, udokotela wakho angase asikisele ukuthi "Uqaphelisise." Okusho ukuthi, ngaphandle kokwelashwa, kodwa ukuqapha isimila ngezikhathi ezithile ukuze ubone ukuthi siyashintsha yini.

Kwezinye izimo, udokotela angase atuse imithi, ukuhlolwa okukhethekile kwezithombe, i-biopsy, noma ukuhlinzwa ukuze kususwe isimila.

Iningi lezimila ezingenabungozi lingelashwa ngempumelelo ngokuhlinzwa. Ezimweni eziningi, ingozi yokuthi isimila sibuye iphansi kakhulu - ngokuvamile ingaphansi kuka-5%. Kodwa-ke, ezinye izimila zamathambo ezingenabungozi, njengezicubu zamangqamuzana amakhulu, cishe ziyobuya. Kodwa-ke, uma zibuya, kunezindlela ezinhle zokuzelapha.

Hlobo luni lokuhlinzwa olwenzayo?

Uma welapha `(Ama-Benign Bone Tumors)` ngokuhlinzwa, kubalulekile ukususa isimila kanye nokuvumela ithambo elisha eliphilile ukuba likhule esikhundleni salo. Udokotela ohlinzayo owelapha izimila ezinjalo kufanele azame ukususa isimila ngomonakalo omncane ngangokunokwenzeka ezicutshini zethambo ezinempilo ezizungezile isimila.

Odokotela abahlinzayo kudingeka babe nolwazi ekusebenziseni izinto zokufakelwa kwamathambo (amapuleti ensimbi akhethekile, amaphini, njll.) kanye nokufakelwa kwamathambo (ukufakelwa kwamathambo). Uma lezi zindlela zihlanganiswa, abantu abanezimila zamathambo ezingenabungozi, ikakhulukazi intsha, bangalulama ngokuphelele ngemva kokwelashwa futhi babuyele emisebenzini yabo evamile ngaphandle kwemingcele.

Kunezinye izindlela zokwelapha izinhlobo ezithile zezimila zamathambo. Isibonelo, i-osteoid osteoma ingelashwa nge-radiofrequency ablation noma i-thermal necrosis. Lezi zindlela zokwelapha zidinga i-anesthesia futhi zivame ukwenziwa yiqembu lodokotela abahlinza amathambo kanye nodokotela be-radiology. Ama-Aneurysmal bone cysts (ama-ABC) angelashwa ngochungechunge lwemijovo yomuthi obizwa ngokuthi i-doxycycline . Lokhu kungasiza ekuvimbeleni ukuhlinzwa okuvulekile.

Ingabe zikhona izingozi ekuhlinzweni?

Ngenxa yokuthi iningi lalezi zinhlinzeko lilula, izinkinga ezinkulu azivamile. Kodwa-ke, kunezingozi ezithile ezingavamile (kodwa ezingaba khona). Lokhu kufaka phakathi: ukulimala kwemizwa, ukutheleleka, ukopha ngokweqile, ukuqina kwamalunga, kanye nokungakwazi ukubuyela emidlalweni esezingeni eliphezulu.

Ayikho indlela yokuvimbela lokhu ukuthi kungenzeki? (Ukuvimbela)

Njengoba abacwaningi bethole,Okwamanje ayikho indlela yokuvimbela ukwakheka kwalezi "Zimila Zethambo Ezingenabungozi".

Ingabe lesi simo siyingozi? Ingabe sizoba ngcono? (Isibikezelo)

Isibikezelo kubantu abane-Benign Bone Tumors sihle kakhulu. Bangelashwa, futhi ubuhlungu bungadanjiswa ngokwelashwa. Lesi simo asivamile ukuba yingozi empilweni. Akuvamile kakhulu (ngaphansi kuka-1%) ukuthi ama-Benign Bone Tumors abe nomdlavuza.

Kufanele simbone nini udokotela? (Kufanele simbone nini udokotela)

Uma unenkinga ngempilo yakho, kufanele ukwazi ukubona udokotela nganoma yisiphi isikhathi. Uma ubona iqhubu noma ukuvuvukala eduze kwelinye lamathambo akho, noma uma ubuhlungu buba bubi kakhulu futhi bungapheli, kufanele nakanjani ubone udokotela.

Izimila zamathambo ezingewona umdlavuza. Zivame kakhulu kunezimila zamathambo ezinobungozi. Zivame ukuvela kubantu abasha. Uma wena noma ingane yakho ninezimpawu ezifana neqhubu kanye/noma ukuvuvukala, kanye nobuhlungu obuba bubi kakhulu lapho niphumule, shayela udokotela wakho. Ngisho noma isimila singewona umdlavuza, ungase udinge ukwelashwa. Ukuxilongwa kusenesikhathi kanye nokwelashwa kungcono kakhulu.

Ngakho-ke yiziphi izinto ezibaluleke kakhulu okudingeka sizikhumbule?

Kulungile, sesikhulume kakhulu nge-`(Benign Bone Tumors)` manje. Ngakho-ke, ake sixoxe ngezinto ezibaluleke kakhulu okufanele sizikhumbule kulokho esikhulume ngakho.

• Incazelo engeyinhle ayiyona ingozi: Lezi zimila azinawo umdlavuza, futhi ngeke zisabalale kwezinye izingxenye zomzimba. Lena yinto ebaluleke kakhulu.
• Kuvame kakhulu kubantu abasha: Lokhu kungabonakala ikakhulukazi ezinganeni ngesikhathi sokukhula kwamathambo azo.
• Qaphela izimpawu: Khathazeka uma uneqhubu ethanjeni, ukuvuvukala, noma ubuhlungu obandayo (ikakhulukazi ebusuku). Kodwa ngezinye izikhathi kungase kungabi khona izimpawu nhlobo.
• Bona udokotela: Uma unemibuzo, ungangabazi ukubona udokotela bese uyohlolwa. Ukuxilongwa okusheshayo kungcono ngaso sonke isikhathi.
• Kukhona ukwelashwa, futhi ukululama kungenzeka: Ukwelashwa kuncike ohlotsheni, usayizi, kanye nendawo yesimila. Izinketho zokwelapha zisukela ekulindeni okuqaphile kuya ekuhlinzweni. Imiphumela iphumelela kakhulu.
• Akuvamile ukuba nomdlavuza: Lezi zimila ezingenabungozi zinethuba eliphansi kakhulu lokuba nomdlavuza kamuva.

Ngakho-ke, ngithemba ukuthi lolu lwazi luzokusiza. Khumbula, uma ubona ushintsho emzimbeni wakho, kuwukuhlakanipha ukuqaphela lokho bese uthatha izinyathelo ezidingekayo.

Izimila zamathambo, Isimila Samathambo Esingenabungozi, Izimila zamathambo ezingezona ezomdlavuza, Ubuhlungu bamathambo, Izimila zamathambo ezinganeni, Ukuvuvukala kwamathambo, i-X-ray