Ingabe amathambo akho nawo ayabuhlungu? Kungaba yi-'Bone Marrow Edema'!

Wake wazizwa ubuhlungu bethambo noma ukuvuvukala kwamalunga wazibuza, "Kuyini lokhu?" Ngezinye izikhathi imbangela yalezi zinto ingaba yinto esingayicabangi nhlobo. Namuhla sizokhuluma ngesimo ongase ungasizwa, kodwa okubalulekile ukusazi. Leso yisimo esibizwa ngokuthi 'i-Bone Marrow Edema'.

Kuyini i-Bone Marrow Edema?

Kulungile, ake siqale sibone ukuthi iyini i-Bone Marrow Edema (BME). Kalula nje, ukuvuvukala kwezicubu ezithambile ngaphakathi kwamathambo ethu okubizwa ngokuthi i-bone marrow . Uyazi, i-bone marrow iyizicubu ezifana nesiponji. Kusemnkantsheni lapho kukhiqizwa khona amaseli egazi adingwa yimizimba yethu. Ngakho-ke, 'i-edema' ukuvuvukala okubangelwa ukunqwabelana koketshezi. Abanye abantu bakubiza nangokuthi 'izilonda zomnkantshe'.

Esikhathini esiningi, lesi simo esibizwa ngokuthi i-'BME' sitholakala lapho kwenziwa iskeni se-'MRI' ngesizathu esithile. Lokho kusho ukuthi singatholakala ngengozi ngenkathi welashwa esinye isimo. I-'BME' ngezinye izikhathi ingabangela ubuhlungu obukhulu . Kodwa izindaba ezinhle ukuthi esikhathini esiningi, sizophela sodwa ngokuhamba kwesikhathi. Ngesikhathi sokwelashwa, odokotela bazozama ukulawula izimpawu zakho.

Yiziphi izinhlobo eziyinhloko ze-'BME'?

Manje ake sibone ukuthi yiziphi izinhlobo eziyinhloko zalezi `BME`. Empeleni kunezinhlobo ezimbili eziyinhloko.

Enye i-'BME' yesibili.

Okwenzekayo kulesi simo ukuthi unesinye isimo sezokwelapha esibangela i-BME. Isibonelo, uma unesifo esifana ne-Osteoarthritis, ungase ube ne-BME njengomphumela ongemuhle walokho. Kulolu hlobo lwesimo, ngezinye izikhathi ungase ube nezimpawu, noma ungase ungabi nazo nhlobo izimpawu. Yingakho ngishilo ngaphambili ukuthi singatholakala ngengozi uma wenza i-MRI yento ethile.

Enye i-Spontaneous noma i-'BME' eyinhloko.

Okwenzekayo kulesi simo ukuthi odokotela abakwazi ukuthola imbangela ecacile ye-'BME'. Kodwa unobuhlungu obuthile obuhambisana nayo. Lokhu kubizwa nangokuthi 'i-Bone Marrow Edema Syndrome (BMES) .' Ake sixoxe ngalokhu ngemininingwane ethe xaxa.

Uyini umehluko phakathi kwe-'BME' kanye ne-'Bone Marrow Edema Syndrome (BMES)'?

Kulungile, uyini umehluko phakathi kwe-'BME' kanye ne-'Bone Marrow Edema Syndrome (BMES)'?

Kalula nje, i-'BMES' uhlobo olungavamile lwe-'BME'. Imbangela eqondile yalokhu ayaziwa. Ngokuvamile, lesi simo sibonakala kwabesilisa abaneminyaka ephakathi kuka-30 no-60.Okwamanje. Ezinye izifundo ziphakamisa ukuthi lesi simo, esibizwa ngokuthi 'i-BMES', singase sihlotshaniswe nezinkinga zempilo ezifana namazinga aphezulu e-cholesterol ('i-hyperlipidemia') kanye nokuntuleka kwe-vitamin D. Singavela ethanjeni elilodwa noma emathanjeni amaningi. Sivame ukubonakala ezingxenyeni ezingezansi zomzimba, njengemilenze.

Into ebalulekile ukuthi, nakuba i-'BMES' ihlobene ne-'BME', iyisimo esihlukile. Udokotela wakho uzosebenzisa izindlela ezahlukene zokuxilonga nokwelapha i-'BMES'.

Ubani onamathuba amaningi okuthuthukisa le 'BME'?

Ngakho-ke ubani onamathuba amaningi okuthuthukisa le 'BME'?

Eqinisweni, noma ubani angaba ne-BME, kungakhathaliseki ubudala, uhlanga, noma ubulili. Kodwa-ke, uma unezimo zezokwelapha ezilandelayo, ingozi yakho yokuthola i-BME iphakeme kancane:

• Izinhlobo ze-Arthritis
• Umdlavuza wamathambo
• Ukutheleleka kwamathambo (isib. i-Osteomyelitis)
• I-Osteoporosis (isifo sokuncipha kwamathambo)

Yiziphi izimbangela ze-'BME'?

Manje ake sibone ukuthi yiziphi izimbangela ezibangela ukwenzeka kwe-'BME'. Empeleni kunezizathu eziningana. Ake sixoxe ngazo ngasinye ngasinye.

Ngenxa yomdlavuza

Ezinye izinhlobo zomdlavuza zingabangela i-'BME'. Isibonelo:

• `I-Acute Myeloid Leukemia (AML)`
• Ukusabalala komdlavuza emathanjeni (i-metastasis yamathambo)
• I-Chondrosarcoma (umdlavuza weseli le-cartilage)
• I-Ewing sarcoma (umdlavuza owenzeka emathanjeni noma ezicutshini ezithambile)
• I-Osteosarcoma (umdlavuza wamathambo)
• Kungabangelwa futhi ukwelashwa ngemisebe yomdlavuza.

Ngenxa yezimo eziwohlokayo

I-BME ingenzeka nalapho impilo yezicubu zomzimba wethu iwohloka ngokuhamba kwesikhathi. Ngokuyinhloko:

• I-Osteoarthritis (oke wezwa ngalokhu, leyo ebuhlungu njengamadolo akho njengoba ukhula)
• I-Tendinopathy (izinkinga ezihlobene ne-Tendon)

Ngenxa yezifo

I-BME ingabangelwa futhi ukutheleleka kwamathambo noma amalunga:

• Ukutheleleka kwamathambo (isib. i-Osteomyelitis)
• I-Septic arthritis (ukutheleleka okubangelwa amagciwane angena emalungeni)

Ngenxa yokuphazamiseka kokunikezwa kwegazi (izimo ze-ischemic)

Ngezinye izikhathi, uma izitho ezahlukene emzimbeni zingatholi igazi noma umoya-mpilo owanele, i-'BME' nayo ingavela:

• `I-Avascular necrosis` (ngezinye izikhathi ibizwa ngokuthi `i-osteonecrosis` - lokhu kwenzeka lapho igazi eliya emathanjeni lilahleka futhi izingxenye zawo ziyafa)
• Unyawo lukaCharcot (inkinga yezinyawo kubantu abanezifo ezifana nesifo sikashukela)

Ngenxa yezimo ze-metabolic

Lesi simo se-'BME' singabangelwa futhi ukuphazamiseka okuthile ezinqubweni ze-metabolic zomzimba wethu:

• `I-Cushing syndrome` (isimo esibangelwa ukwanda kwe-cortisol hormone emzimbeni)
• `I-Hyperparathyroidism` (ukusebenza ngokweqile kwezindlala ze-parathyroid)
• I-Mastocytosis (ukuqongelela ngokweqile kohlobo lweseli olubizwa ngokuthi amaseli e-mast)
• Izinkinga zamaminerali namathambo ezibangelwa isifo sezinso esingamahlalakhona
• I-Osteomalacia (ukuthamba kwamathambo kubantu abadala - kungabangelwa nawukuntuleka kwevithamini D)
• I-Osteoporosis (ukuncipha kwamathambo), ikakhulukazi ezinqeni nasemadolweni
• Ukuntuleka kwevithamini D

Ngenxa yokuvuvukala kwemisipha

I-BME ingabonakala futhi ngenxa yokuvuvukala emathanjeni ethu, emisipha, emisipheni, kanye nasezinzwa:

• I-Ankylosing Spondylitis (AS)
• I-Enthesitis (ukuvuvukala lapho imisipha nemisipha inamathela khona emathanjeni)
• I-Psoriatic arthritis (ukuvuvukala kwamalunga okuhambisana ne-psoriasis)
• I-rheumatoid arthritis (lokhu futhi kuwukuvuvukala kwamalunga)
• I-Sacroiliitis (ukuvuvukala kwelunga eliphakathi kwe-sacrum nethambo le-pelvic)

Ngenxa yezingozi nokulimala (Ukuhlukumezeka)

Lokhu kuyinto abantu abaningi abaye babhekana nayo. I-BME ingabangelwa futhi yizinto ezifana nengozi, ukuwa, noma okunye ukulimala ngesikhathi udlala imidlalo:

• `Ukudabuka kwe-ACL (Anterior Cruciate Ligament)` (ukudabuka kwe-ligament enkulu edolweni - lokhu kwenzeka kaningi kubadlali)
• `I-Complex Regional Pain Syndrome (CRPS)`
• `Ukuqhekeka kokucindezeleka` (ukuqhekeka kwamathambo okucindezelayo, ikakhulukazi emgogodleni)
• Ukuhlukana kwezinqe, okuholela ekufeni kwezicubu zamathambo (i-osteonecrosis)
• Okunye ukulimala kwamathambo noma amalunga, ikakhulukazi lokho okubandakanya iqakala, isinqe, idolo, noma umgogodla
• Ukuqhekeka kokucindezeleka (ukuqhekeka okuncane emathanjeni okubangelwa ukuzikhandla ngokweqile), ikakhulukazi eqakaleni, onyaweni, esinqeni, noma edolweni. Isibonelo, uma ungumgijimi webanga elide, lokhu kungenzeka.

Ziyini izimpawu ze-'BME'?

Kulungile, yiziphi izimpawu eziboniswa umuntu one-'BME'?

Uphawu oluyinhloko ubuhlungu ethanjeni noma eduze kwalo. Lena yinto yokuqala abantu abaningi ababhekana nayo. Ngaphezu kwalokho, ungase uqaphele nezinto ezifana nalezi:

• Ukuphuma kwamalunga (uketshezi olufana nolwelwesi olugcwalisa ilunga)
• Amalunga afudumele (ukuzizwa ushisa kakhulu kunezinye izindawo uma uthintwa)

Kodwa khumbula, abanye abantu bangaba ne-BME kodwa bangakhombisi zimpawu . Yingakho ngezinye izikhathi itholakala ngengozi.

Ungasibona kanjani isimo se-'BME'?

Udokotela usithola kanjani ngokunembile lesi simo 'se-BME'?

Okokuqala, udokotela wakho uzokwenza ukuhlolwa ngokomzimba. Bazokubuza ngezimpawu zakho kanye nomlando wakho wezokwelapha. Njengoba ngishilo ngaphambili, i-BME ivame ukuxilongwa inezinye izimo ezihlobene.

Uma udokotela wakho esola i-BME, angakucela ukuthi wenze ezinye izivivinyo, njengokuthi:

• Ukuhlolwa kwegazi: Lokhu kuhlola izimpawu zokuvuvukala emzimbeni.
• Ukuhlolwa komnkantsha wethambo: Lokhu kuhilela ukuthatha isampula encane yomnkantsha wethambo bese uyihlola.
• `Iskeni se-DEXA (DXA)`: Lokhu kuhlola `i-Osteoporosis` (isifo sokuncipha kwamathambo).
• I-MRI (Magnetic Resonance Imaging) Scan: Lokhu ukuhlolwa okubaluleke kakhulu kokuxilonga i-BME. Kungabona ngokucacile uketshezi olusemnkantsheni wethambo.
• Ukuskena nge-ultrasound.

Khumbula, i-bone marrow edema (BME) ivame ukungabonakali kahle ku-X-ray noma ku-CT scan evamile.

Iphathwa kanjani i-'BME'?

Manje ake sibone ukuthi yiziphi izindlela zokwelapha ezitholakalayo ze-'BME'.

Izindaba ezinhle ukuthi esikhathini esiningi, i-BME izophela yodwa ngokuhamba kwesikhathi . Kodwa kuzothatha isikhathi. Udokotela wakho cishe uzokutshela ukuthi uphumule , mhlawumbe izinyanga ezimbalwa.

Ukuze akusize ulawule izimpawu zakho, udokotela wakho angase asikisele izinto ezifana nalezi:

• Iziqeda-zinhlungu kanye nemithi yokulwa nokuvuvukala (`Imithi yokulwa nokuvuvukala engeyona eye-steroidal - ama-NSAID`). Isibonelo, i-Ibuprofen.
• Ukwelashwa ngokomzimba: Lokhu kusiza ukuqinisa imisipha nokubuyisela ukusebenza kwamalunga.

Ukwelashwa ezimweni ezinzima kakhulu

Kodwa-ke, uma isimo se-BME sibi kakhulu, noma uma kunzima ukusilawula ngokwelashwa okuvamile, udokotela angase futhi acabangele okulandelayo:

• Imijovo ye-steroid: Lokhu kunganikezwa ngqo endaweni yobuhlungu ukuze kuncishiswe ukuvuvukala.
• Ukuhlinzwa.

Uma kudingeka ukuhlinzwa, udokotela angase asikisele inqubo ebizwa ngokuthi `ukuhlinzwa kwe-Core decompression.` Lokhu kuhilela ukubhoboza imigodi emincane emathanjeni athintekile. Le migodi inciphisa ingcindezi ngaphakathi kwethambo futhi inciphise ubuhlungu.

Ukuze kukhuthazwe ukukhula komnkantsha okunempilo, udokotela ohlinzayo angenza nezinto ezifana nalezi:

• Uma i-BME ibangelwe yimbangela efana nomdlavuza, kunganconywa ukufakelwa umnkantsha wamathambo kusetshenziswa amaseli e-stem.
• Imigodi ebholiwe ingagcwaliswa ngemicu yamathambo.

Ungalindela ukululama ngokushesha kangakanani ngemva kokwelashwa?

Ngingalindela imiphumela ngokushesha kangakanani ngemva kokuthola ukwelashwa kwe-'BME'?

Lokhu kuncike kakhulu ekutheni yini ebangele i-BME yakho, ukuthi isimo sakho sibi kangakanani, nokuthi uthola ukwelashwa okunjani. Esikhathini esiningi , izimpawu ziyanyamalala zingakapheli izinyanga ezi-4 kuya kweziyi-12 . Kodwa ngezinye izikhathi i-BME ingahlala iminyaka emibili noma ngaphezulu. Ngakho-ke kufanele ubekezele.

Ingabe ingozi yokuthola i-BME ingancishiswa?

Ngakho-ke kukhona yini esingakwenza ukunciphisa ingozi yokuthola i-'BME'?

Eqinisweni, akukho ongakwenza ukunciphisa ingozi yakho yokuthola i-BME. Kodwa ukufuna iseluleko sezokwelapha ngokushesha nje lapho uqala izimpawu kungakusiza ukuthi uqale ukwelashwa ngokushesha . Lokho kubaluleke kakhulu.

Yini ongayilindela uma une-'BME'? Ungazinakekela kanjani?

Yini okufanele uyilindele uma une-'BME'? Kufanele uzinakekele kanjani?

Njengoba ngishilo ngaphambili, i-'BME' yisimo esivame ukuba ngcono ngokuhamba kwesikhathi , ngakho ungakhathazeki kakhulu ngaso.

Into ebaluleke kakhulu ukunikeza amathambo akho e-BME ukuphumula okwanele futhi ulandele imiyalelo kadokotela wakho ngqo. Thatha imithi yakho njengoba uyalelwe, phumula, futhi wenze izivivinyo zokwelapha umzimba uma kudingeka.

Kunini lapho ngidinga ukubona udokotela futhi?

Kufanele uphinde uye kudokotela nini?

Uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo, qiniseka ukuthi ubona udokotela:

• Kulungile uma izimpawu zakho zibuya noma ziba zimbi kakhulu .
• Uma unenkinga nganoma yimiphi imiphumela emibi evela ekwelashweni okuthathayo.
• Uma kungekho ntuthuko noma imiphumela ebonakala ngemva kwesikhathi esithile sokwelashwa.

Esimweni esinjalo, udokotela angancoma ezinye izindlela zokwelapha ezingakusiza.

Ngakho-ke, uthini umyalezo okufanele siwuthathe ...

I-Bone Marrow Edema (BME) yisimo esenzeka lapho uketshezi luqoqana emnkantsheni wethu wamathambo. Kungabangelwa yizinto ezahlukahlukene, okuhlanganisa umdlavuza, ukutheleleka, izimo zokuvuvukala, kanye nezingozi. Uphawu oluyinhloko ubuhlungu bamathambo. Odokotela basebenzisa ukuhlolwa kwegazi, ama-MRI, kanye nama-ultrasound ukuze baluxilonge. Ukwelashwa kufaka phakathi ukuphumula, ama-painkiller, kanye nokwelashwa ngokomzimba. Okubaluleke kakhulu, i-BME yisimo esivame ukuxazululeka ngokuhamba kwesikhathi. Ngakho-ke, kubalulekile ukufuna usizo lwezokwelapha ngokushesha okukhulu uma kuvela izimpawu, futhi uthole ukuphumula okufanele kanye nokwelashwa. Ungesabi, kodwa ungakushayi indiva futhi!

Ukuvuvukala Kwethambo , Ubuhlungu Bethambo, i-MRI, i-BME, Ukuvuvukala Kwamalunga, Izimpawu Zamathambo, Ukuvuvuka Kwethambo