Ingabe unesihlungu esinjengalesi emathanjeni akho? Ake sixoxe nge-(Osteoid Osteoma)!

Ingabe ngezinye izikhathi uzizwa ubuhlungu obungavamile emathanjeni akho, ikakhulukazi ebusuku? Mhlawumbe akusikho nje ubuhlungu bomzimba. Namuhla sizokhuluma ngesimila esincane esikhula emathanjeni esibonisa izimpawu ezifanayo, kodwa esingesona umdlavuza. Lokhu sikubiza ngokuthi (i-Osteoid Osteoma) .

Kuyini i-Osteoid Osteoma?

Kalula nje, lesi (i-Osteoid Osteoma) siyisimila esincane esakheka emathanjeni esingesona umdlavuza . Isikhathi esiningi, sincane kune-intshi. Into ebaluleke kakhulu ukuthi lezi zimila azikhuli noma zisakazekele kwezinye izingxenye zomzimba. Ngakho-ke akukho okufanele ukhathazeke ngakho.

I-Osteoid Osteoma ivame ukukhula emathanjeni amade omzimba wethu. Isibonelo, ingakhula ethanjeni lakho lesifuba (`(tibia)` - ithambo elikhulu ngaphansi kwedolo lakho) noma ethangeni lakho (`(femur)` - ithambo eliphakathi kwesifuba sakho nedolo lakho). Ngaphezu kwalokho,

• Ezandleni zakho
• Kungakhathaliseki ukuthi kuseminweni yezandla noma ezinzwaneni zezinyawo
• Endaweni yeqakala lemilenze
• Lokhu kungavela emgogodleni.

Lesi simo sibonakala ngobuhlungu obungajabulisi, obubuhlungu obuzwakala sengathi buvela ngaphakathi emzimbeni. Lobuhlungu bungaba bukhulu kakhulu ebusuku . Odokotela bavame ukwelapha lokhu ngemithi yokulwa nokuvuvukala engeyona i-steroidal (ama-NSAID) noma, kwezinye izimo, ukuhlinzwa okuncane.

Ubani onamathuba amaningi okuthuthukisa lokhu (i-Osteoid Osteoma)?

Manje ake sibone ukuthi ubani ongase abe nalesi sifo (i-Osteoid Osteoma). Lesi simo sivame ukubonakala kakhulu kubantu abaneminyaka ephakathi kwemi-5 nengama-25. Enye into ukuthi amadoda anamathuba aphindwe kathathu okuba nalesi sifo kunabesifazane. Kodwa-ke, kubalulekile ukukhumbula ukuthi noma ubani angasithola (i-Osteoid Osteoma), kungakhathaliseki ubulili, uhlanga, noma ubuzwe.

Ivame kangakanani i-Osteoid Osteoma?

Uma sibheka ukuthi lesi simo sivame kangakanani (i-Osteoid Osteoma), sibangela cishe u-10% wezimila zamathambo ezingezona umdlavuza. Lokho kusho ukuthi akuyona into engavamile kangako.

Uyini umehluko phakathi kwe-(Osteoid Osteoma) kanye ne-(Osteoblastoma)?

Manje ungase uzibuze, ingabe ikhona enye ebizwa ngokuthi ``Osteoid Osteoma'' kanye ``Osteoblastoma'', futhi uyini umehluko phakathi kwalokhu okubili? Yebo, ``Osteoblastoma'' nayo iyisimila samathambo esingesona umdlavuza. Kodwa kukhona umehluko omncane phakathi kwalokhu okubili.

• I-osteoblastoma inkulu kune-osteoid osteoma.
• I-Osteoblastoma ivame ukubonakala ekhanda, ezimbanjeni, nasemgogodleni.
• I-osteoblastoma inethuba eliphakeme kancane lokuphinda ivele kune-osteoid osteoma.
• Into ebaluleke kakhulu ukuthi ubuhlungu abuvamile ukwanda ebusuku ku-osteoblastoma.

Yiziphi izimbangela ze-Osteoid Osteoma?

Abacwaningi abakakazi kahle ukuthi yini ebangela i-osteoid osteoma. Kodwa-ke, kunezici eziningana okucatshangwa ukuthi zinegalelo ekukhuleni kwalesi simila samathambo esingesona umdlavuza:

• Ukukhula okungavamile kwamaseli emzimbeni wakho (i-neoplasia).
• Ukuvuvukala kwamathambo.
• Ingozi noma ukulimala (ukuhlukumezeka) endaweni lapho kwakheka khona isimila.

Ziyini izimpawu ze-Osteoid Osteoma?

Uphawu oluyinhloko lwalokhu (i-Osteoid Osteoma), njengoba ngishilo ngaphambili, ubuhlungu obungajabulisi nobuhlungu obuvela ngaphakathi emzimbeni. Lobuhlungu buvame ukuba bubi kakhulu ebusuku . Lobuhlungu abunciphi noma abukho ngenxa nje yokuthi wenze umsebenzi othile noma uzivocavoce.

"Cabanga nje, noma kungakhathazi kakhulu emini, uma ulala ebusuku, awukwazi ukulala ngenxa yobuhlungu obuvela ngaphakathi emlenzeni noma engalweni yakho. Yilokho ubuhlungu obunjalo."

Kungase kube nezinye izimpawu eziningana:

• Ukukhubazeka kwamathambo.
• Izinguquko noma ubunzima endleleni yokuhamba (ukuphazamiseka kokuhamba).
• Ubuhlungu nokuqina kwamalunga.
• Ukuncishiswa kwemisipha noma ukwehla kosayizi (`(atrophy)`).
• Umlenze owodwa mude kunomunye (lokhu kwenzeka uma kukhona isimila ethanjeni lethanga noma ethanjeni lomlenze).
• Uma kukhona isimila emgogodleni, izimo ezifana ne-`(Sciatica)` (ubuhlungu emgogodleni we-sciatic, umthambo osuka ethangeni uye onyaweni) kanye ne-`(Scoliosis)` (ukugoba komgogodla).
• Ukuvuvukala.

Ngezinye izikhathi, uma lesi simila sikhula eduze kwelinye lamalunga akho, singase sibonise nezimpawu ezifana nalezi:

• Ukuqongelela koketshezi oluzungeze ilunga (ukuphuma kwamalunga).
• I-Osteoarthritis (i-arthritis ebangelwa ukuguguleka nokuguga kwamalunga).
• Ukuqina nokuqina kwamalunga (ukugoba kwamalunga).

I-Osteoid Osteoma itholakala kanjani?

Kulungile, uma unalezi zimpawu, udokotela uyixilonga kanjani i-Osteoid Osteoma?

Okokuqala, udokotela wakho uzokubuza ngezimpawu zakho bese ekwenza ukuhlolwa ngokomzimba. Angase akubuze imibuzo mayelana nobuhlungu bakho, njengokuthi:

• Sekuyisikhathi esingakanani lobu buhlungu bukhona?
• Ubuhlungu bunjani?
• Ingabe ukwenza noma yini kuyabuqeda ubuhlungu? (Isibonelo, ukuthatha imithi yokubulala izinhlungu)
• Ingabe kube nengozi noma ukulimala endaweni lapho kukhona khona ubuhlungu?

Uma udokotela wakho esola ukuthi lokhu kungaba yi-Osteoid Osteoma, ngokusekelwe kulokho okushoyo, angase asikisele ezinye izivivinyo, ezifana nalezi:

• I-X-ray: Lokhu kuthatha isithombe samathambo akho. Ku-X-ray, i-osteoma ye-osteoid ibukeka njengendawo encane, ephakathi yethambo elijiyile.
• Ukuskena kwamathambo okwenziwa ngezigaba ezintathu: Nakhu okwenzekayo:
• Udokotela ufaka into ekhipha imisebe (i-radiotracer) emthanjeni wakho. Ikhamera ithola lokhu kukhishwa kwemisebe bese ithatha izithombe ze-radiotracer emathanjeni akho.
• Okulandelayo, ikhamera ithatha isithombe senani legazi eliqoqana emathanjeni akho nasezicutshini ezithambile.
• Ekugcineni, emahoreni amabili noma amathathu ngemva komjovo, kuthathwe ezinye izithombe endaweni efanayo.

Lokhu kuskena kusiza udokotela ukuthola indawo eqondile yesimila.

• I-CT scan (i-Computed Tomography scan) noma i-MRI (i-Magnetic Resonance Imaging): I-CT scan ingasiza ekuxilongeni i-osteoid osteoma ngoba inikeza isithombe esicacile sethambo lakho. I-MRI, nakuba ingeyona enembile kangako, ingasiza ekuqinisekiseni ukuthi awukho umdlavuza.
• I-Biopsy: Ku-biopsy, udokotela uthatha isampula encane yesimila bese esihlola ngaphansi kwe-microscope ukuze abone ukuthi sinazo yini izimpawu ze-osteoid osteoma. Kungaphinde kunqume ezinye izimo.
• Ukuhlolwa kwegazi: Udokotela angase futhi enze ukuhlolwa kwegazi ukuhlola noma yikuphi ukutheleleka.

Iphathwa kanjani i-Osteoid Osteoma?

Izindaba ezinhle ukuthi amanye ama-osteoma e-osteoid azophela ngokwawo ngokuhamba kwesikhathi ngaphandle kokwelashwa . Kodwa-ke, kungathatha iminyaka ukuthi la mathumba aphele.

Njengokwelashwa, ungasebenzisa `(NSAIDs)` (imithi elwa nokuvuvukala engeyona eye-steroidal). Lawa `(NSAIDs)` atholakala njengemithi ethengiswa ngaphandle kwemithi kadokotela (isb. `(aspirin)`, `(ibuprofen)` noma `(naproxen)`) kanye nemithi kadokotela. `(NSAIDs)` angasiza ekunciphiseni ubuhlungu futhi asheshise ukushwabana kwesimila (i-Osteoid Osteoma). Ngalolu hlobo lokwelashwa, izimpawu zivame ukunyamalala zingakapheli izinyanga ezingu-33 (lokho kungaba yiminyaka emi-2 nezinyanga ezingu-9).

Ngezinye izikhathi odokotela bangase batuse ukuhlinzwa kwe-Osteoid Osteoma. Ngesikhathi sokuhlinzwa, ungase unikezwe i-anesthesia ejwayelekile noma i-anesthesia yendawo. Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa:

• I-Curettage: Lokhu kuhilela udokotela ohlinzayo enza i-incision encane esikhumbeni sakho bese edlula kuyo ukuze asuse sonke isimila .
• Ukususwa kwe-radiofrequency okuqondiswa yi-CT: Lena inqubo engangenisi kakhulu. Kule nqubo, udokotela ohlinzayo ushisa isimila bese esisusa. Nansi indlela okwenziwa ngayo:
• Kusetshenziswa i-CT scan ukuthola isimila.
• Ngemuva kwalokho, kufakwa "i-radiofrequency probe" (idivayisi ekhethekile) esigaxeni.
• Kusetshenziswa ugesi osebenza ngesivinini esiphezulu ukushisa nokubhubhisa isimila.

Ngokuvamile, lokhu kwelashwa "kokukhishwa kwama-radiofrequency" kungenziwa kanye kuphela ukuze kususwe isimila.

Ingabe ingozi yokuthola i-Osteoid Osteoma ingancishiswa?

Akukho lutho ongakwenza ukunciphisa ingozi yokuthola i-Osteoid Osteoma. Kodwa-ke, uma wazi izimpawu, ungafuna iseluleko sezokwelapha, usiqaphe, futhi uthole ukwelashwa ngokushesha okukhulu.

Yini ongayilindela endabeni ye-Osteoid Osteoma?

Uma une-Osteoid Osteoma, ongakulindela kuncike ekwelashweni okutholayo.

• Ukwelapha: Lokhu kunezinga eliphezulu lempumelelo. Kodwa-ke, ezinye izinkinga zingavela. Isibonelo:
• Ukopha.
• Ukulimala kwezinye izicubu ezizungezile.
• Imikhawulo yokuzivocavoca.
• Izifo.
• Izingozi zokubulala izinzwa okuvamile.
• Ubuthakathaka bamathambo.
• Ukususwa kwe-radiofrequency okuqondiswa yi-CT: Le ndlela inezinga lempumelelo elingaba ngu-90% . Kodwa-ke, izinkinga ezifana nalezi:
• I-cellulitis (ukutheleleka kwesikhumba).
• I-Complex Regional Pain Syndrome (CRPS).
• Ukuphazamiseka kwemizwa (`(Neuropathies)`).
• Ukusha kwesikhumba.
• I-thrombophlebitis yangaphandle.

Ngingabuyela nini emsebenzini/esikoleni?

Uma une-curettage, kuzodingeka uhlale esibhedlela izinsuku ezimbalwa. Ngemva kwalokho, kungase kudingeke wenze ukwelashwa ngokomzimba ekhaya amasonto ambalwa ngaphambi kokuba ubuyele emsebenzini noma esikoleni.

Kodwa-ke, uma une-radiofrequency ablation, ungaya ekhaya ngalo lolo suku. Iningi labantu lingabuyela emsebenzini noma esikoleni ezinsukwini ezimbili kuya kwezintathu.

Iyini inhloso yalesi simo (i-Osteoid Osteoma)?

Uma sibheka lesi simo (i-Osteoid Osteoma), imiphumela mihle kakhulu . (i-Osteoid Osteoma) ingelapheka ngokuphelele ngokuhamba kwesikhathi, kungaba ngokwayo, noma ngemithi "ye-NSAID", noma ngokuhlinzwa.

Ungazinakekela kanjani nge-(Osteoid Osteoma)?

Ungenza okulandelayo ukunciphisa ingozi yezinkinga ngemva kokuhlinzwa:

• Nciphisa ukuzivocavoca izinyanga ezimbalwa.
• Bheka uchwepheshe wezokwelapha ngokomzimba ukuze uthole iseluleko nokwelashwa.
• Uma uqhubeka nobuhlungu, bonana nodokotela ngokushesha .

Ngakho-ke, yiziphi izinto okufanele sizikhumbule kule ndaba?

I-Osteoid I-Osteoma iyisimila esingeyona umdlavuza esakheka emathanjeni. Sivame ukuvela emathanjeni amade omzimba wethu. Izimpawu eziyinhloko ubuhlungu obuba bubi kakhulu ebusuku, ukuvuvukala, nokuqina kwamalunga. Odokotela bayixilonga ngokuhlolwa okufana ne-X-ray kanye nokuskena kwamathambo okwenziwa ngezigaba ezintathu. Ukwelashwa kufaka phakathi imithi yobuhlungu ebizwa ngokuthi ama-NSAID noma ukuhlinzwa.

Into ebaluleke kakhulu ukuthi lesi simo (i-Osteoid Osteoma) singalapheka ngokuphelele ngokuhamba kwesikhathi, kungaba ngokuzenzekela noma ngokwelashwa.Ngakho-ke ungesabi ngokungadingekile. Uma unalezi zimpawu, kungcono ukubona udokotela ngokushesha bese uthola iseluleko.

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