Ingabe uthola nezigaxa ezincane ezinjengalezi emalungeni akho? (Synovial Osteochondromatosis) Ake sifunde ngakho!

Ingabe unamaqhubu amancane afana namathambo edolweni noma ehlombe lakho, okubangela ubuhlungu nokuvuvukala? Noma kunzima ukugoba noma ukuqondisa ilunga? Ungase futhi uthintwe yisimo esibizwa ngokuthi i-Synovial Osteochondromatosis . Igama lide kancane, ngakho kunzima ukusho, akunjalo? Kodwa ungakhathazeki, ake sixoxe ngakho kalula.

Kuyini i-Synovial Osteochondromatosis?

Kalula nje, lesi yisimo lapho kwakheka khona izigaxa ezincane, ezingewona umdlavuza (njengezigaxa) olwelwesini oluncane olubizwa ngokuthi i-synovium (ulwelwesi oluhlanganisa amalunga) ngaphakathi kwamalunga ethu. Lezi zigaxa zenziwe nge-cartilage. Zingahluka ngobukhulu kusukela ezincane njengenhlamvu yelayisi kuya ezinkulu njengemabula. Isibonelo, lezi zivame ukubonwa emadolweni ethu, emahlombe, ezindololwaneni, nasemalungeni esinqeni. Akuvamile, lesi simo singathinta namalunga amancane njengeqakala, isihlakala, kanye nomhlathi.

Uma lezi ziqhubu zintanta ngokukhululeka ngaphakathi kwelunga, zingaphazamisa ukunyakaza kwamalunga, zibangele ubuhlungu, futhi zilimaze ngisho nelunga, okuholela esifweni samalunga esiwohlokayo esibizwa ngokuthi i-osteoarthritis . Uma usuvele une-arthritis, lesi simo singenza isimo sibe sibi kakhulu.

Asho ukuthini ngempela la magama?

Njengoba igama lalesi sifo liyinkimbinkimbi kancane, singaliqonda kangcono uma silihlukanisa ngamagama alo ngamanye.

• I-Synovial: Lokhu kubhekisela kulwelwesi olubizwa ngokuthi i-synovium . Yilokhu okuhlanganisa amalunga ethu. Lolu lwelwesi lukhiqiza into yokugcoba ebizwa ngokuthi i-synovial fluid . Lolu lwelwesi yilo oluvumela amalunga ethu ukuthi ahambe kahle, njengamafutha emshinini. Amalunga ethu, amathambo, kanye nalolu lwelwesi lwe-synovial konke kungokwesimiso sethu semisipha nemisipha .
• I-Chondro noma i-Chondral: Lokhu kubhekisela ku- cartilage . I-cartilage iyisicubu esithambile esitholakala ngaphakathi kwamalunga ethu esivimbela amathambo ukuthi angagudlani. Kufana nomcamelo.
• I-Matosis noma i-Mitosis: Lokhu kubhekisela ezinguqukweni zamaseli ezenzeka ngaphakathi kwezicubu. Okungukuthi, ukukhula okungavamile kwamaseli.

Ngakho-ke, uma la magama ehlanganiswa, kwakheka igama elithi "synovial osteochondromatosis". Ingxenye ethi "osteo" isho ithambo. Lokhu kusho ukuthi ngezinye izikhathi lawa maqhuqhuva e-cartilage ayaqina abe njengethambo. Lokhu kubizwa ngokuthi i-ossification .

Ingabe kukhona amanye amagama alesi simo?

Yebo, ngezinye izikhathi odokotela basebenzisa amanye amagama ukuchaza lesi simo. Ungase uzwe nalawa magama:

• I-Reichel's syndrome: isifo esithathelwanayoLesi simo saqala ukuchazwa udokotela ohlinzayo waseJalimane uFriedrich Reichel ngo-1900.
• I-Reichel-Jones-Henderson syndrome: Ekuqaleni kwawo-1900, odokotela baseMelika abahlinzayo bamathambo uHugh Jones noMelvin Henderson baqhubeka nokufunda futhi bathuthukisa ukuqonda kwezokwelapha ngalesi simo esitholwe nguDkt. Reichel.
• I-Synovial chondroma: Igama lezokwelapha elithi "-oma" lisetshenziselwa izimila, kungakhathaliseki ukuthi ziyingozi noma cha.
• I-Synovial osteochondromatosis: Igama elithi "Osteo" lisho ithambo. Kulokhu, isimila siba nzima njengethambo (ossification).

Ubani ovame ukuthinteka kakhulu yi-synovial osteochondromatosis? Ivame kangakanani?

Lesi yisimo esingavamile kakhulu. Sithinta cishe umuntu oyedwa kwabayisigidi. Sivame kakhulu kwabesilisa abaneminyaka ephakathi kuka-30 no-50 .

Ingabe zikhona izinhlobo zalesi simo?

Yebo, kunezinhlobo ezimbili ikakhulukazi:

1. I-Primary synovial chondromatosis: Imbangela eqondile yalesi simo ayaziwa. Ingabangela i -osteoarthritis .

2. I-Secondary synovial chondromatosis: Lolu uhlobo oluvame kakhulu. Luvela uma usuvele unesimo samalunga njenge-arthritis, i-osteonecrosis (ukufa kwethambo ngenxa yokuntuleka kwegazi) , noma i-osteochondritis dissecans (ukubola kwe-cartilage kanye nethambo elingaphansi) .

La maqhubu akheka kanjani? Iyini imbangela?

Umuntu one-synovial osteochondromatosis ukhula ngendlela engavamile kwe-synovium , okuyi-membrane eyakha i-cartilage ebizwa ngokuthi ama-nodule . Abanye abantu bangase babe nama-nodule amaningi anobukhulu obuhlukahlukene.

Lezi zigaxa ziyaqhekeka ku-synovium bese zintanta ku-synovial fluid ngaphakathi kwejoyinti. Zibe seziba yi-calcify , okusho ukuthi ziba lukhuni njengeshoki. Ngezinye izikhathi lezi zigaxa ziyaqhekeka. Njengoba lezi zigaxa eziqinile zihamba ngaphakathi kwejoyinti, zonakalisa i-cartilage evikela ijoyinti. Lapho le-cartilage iguga, ubuso bejoyinti buyavezwa, okubangela i-osteoarthritis ebuhlungu. Uma unohlobo lwesibili, umonakalo wejoyinti osuvele ukhona ungaba mubi kakhulu.

Ziyini izimpawu zalokhu?

Izimpawu ze-synovial osteochondromatosis zivame ukufana neze-osteoarthritis. Izimpawu eziyinhloko ubuhlungu bamalunga nokuvuvukala . Lobuhlungu bungase bube bubi kakhulu uma ushukumisa ilunga.

Ngaphezu kwalokho, ungase uhlangabezane nezinto ezifana nalezi:

• Ungase uzwe amaqhubu (amaqhubu) ngaphansi kwesikhumba .
• Ukwehla kokuhamba kwelunga elithintekile (ukungakwazi ukugoba noma ukuqondisa kahle).
• Ukuqongelela koketshezi ngaphakathi kwamalunga (i-edema) .
• Umsindo "oqhumayo" noma umuzwa wokuqina (i-crepitus) lapho kunyakaza ilunga.
• Amalunga avuvukele futhi abuhlungu uma uwathinta.

Zikuphi izimpawu ezivame ukuzwakala?

Kuye ngengxenye yomzimba ethintekile, ungase uzwe ubuhlungu kulezi zindawo ezilandelayo:

• Ubuhlungu beqakala
• Ubuhlungu bendololwane
• Ubuhlungu bamalunga esinqeni
• Ubuhlungu bamalunga emhlathini
• Ubuhlungu edolweni (lokhu kuvamile kakhulu)
• Ubuhlungu behlombe
• Ubuhlungu besihlakala

Lesi sifo sihlolwa kanjani ngokunembile? (Ukuxilongwa)

Ukuze uxilonge futhi welaphe lesi simo, kuzodingeka ubonane nodokotela wamathambo . Ungudokotela ogxile ezinkingeni ezihlobene namathambo, amalunga kanye nemisipha. Udokotela uzokuxilonga futhi akubuze ngezimpawu zakho.

Lezi ziqhumane ezikhululekile ngokuvamile zingatholakala nge -X-ray . Kodwa-ke, iziqhumane ezincane kakhulu zingase zingabonakali ku-X-ray. Uma lokhu kwenzeka, ungase ucelwe ukuba wenze i -CT scan noma i-MRI scan ukuze uthole isithombe esicacile selungu.

Lezi ziskeni ziwusizo kakhulu ekuxilongeni lesi sifo. Zingahlola nezimpawu ze-osteoarthritis kanye nokunqwabelana koketshezi emalungeni.

Yikuphi ukwelashwa okungenziwa ngaphandle kokuhlinzwa?

Uma une-secondary synovial chondromatosis, udokotela wakho angase akuncome ukuthi ulinde isikhashana ngaphambi kokuqala noma yikuphi ukwelashwa okukhulu. Imithi yokulwa nokuvuvukala engeyona eye-steroidal (ama-NSAID) kanye nemithi yobuhlungu ingasiza ekulawuleni izimpawu. Okwamanje, kungadingeka ukuthi uhlolwe njalo ukuze uqaphe isimo sejoyinti. Kodwa-ke, uma ijoyinti lonakele kakhulu, kungase kudingeke ukuhlinzwa.

Yiziphi izindlela zokwelapha ezitholakalayo zokuhlinzwa?

Ukuhlinzwa kuhilela ukususa iqhubu nokususa ingxenye noma yonke i-synovium ethintekile (lokhu kubizwa ngokuthi i-synovectomy ). Ngemva kokuhlinzwa, uzodinga ukwelashwa ngokomzimba ukuze uvuselele ukunyakaza nokuqinisa ilunga.

Lokhu kuhlinzwa kuvame ukwenziwa njengenqubo ye-arthroscopic . I-Arthroscopy inqubo ehilela ukufaka ikhamera namathuluzi amancane ngokusebenzisa izimbobo ezimbalwa ezincane. Lokhu akubuhlungu kakhulu futhi kushiya izibazi ezincane njengokuhlinzwa okuvulekile okuvamile. Kuye ngokuthi inkinga ikuphi, ukuhlinzwa kwe-arthroscopic kungenziwa edolweni, ehlombe, noma kwelinye ilungu.

Ngesikhathi sokuhlinzwa kwe-arthroscopic, udokotela uzokwenza okulandelayo:

1. Kwenziwa izimbobo eziningana ezincane esikhumbeni.

2. Idivayisi encane yekhamera ene-cut eyodwaKufakwa i-arthroscope .

3. Izinto zokuhlinza zifakwa ngezinye izimbobo.

4. Ukuhlinzwa nokususwa kwamaqhubu kwenziwa ngesikhathi kubukelwa isikrini sevidiyo.

5. Susa ikhamera nemishini.

6. Izimbobo zivalwa ngezithungo ezincibilikayo noma ngebhandeji.

Yiziphi izinkinga ezingavela kulesi simo?

Lesi simo sandisa ingozi yokulimala kwamalunga. Akuvamile kakhulu, iqhubu elintantayo lingakhula libe likhulu kakhulu. Lingabe selihlala lonke iqhubu noma lisakazekele ezicutshini ezizungezile. Ezimweni ezinjalo, iqhubu lingabonakala likhubazekile futhi iqhubu lingase lingabe lisasetshenziswa nhlobo.

Ingabe i-synovial osteochondromatosis ingavinjelwa?

Eqinisweni, ochwepheshe abakakazi kahle ukuthi kungani lesi simo senzeka kwabanye abantu. Ngakho-ke, akukho lutho oluqondile ongakwenza ukuze usivimbele ukuthi singabi khona.

Uyini umbono womuntu onalesi simo? (I-Outlook)

Cishe umuntu oyedwa kwabane (25%) ohlinzwa uzophinde abe nalezi ziqhubu. Ngakho-ke, udokotela wakho uzokwenza ukuhlolwa okuvamile ukuhlola ukuthi ilunga liyaphinda lithole lesi simo.

Futhi, lesi simo sandisa ingozi yokulimala kwamalunga kanye nesifo samathambo. Udokotela wakho uzoqhubeka nokukuhlola nalokhu.

Kufanele ngimbone nini udokotela?

Uma unezinye zalezi zimpawu, xhumana nodokotela ngokushesha:

• Uma ilunga lingakwazi ukugoba noma ukwelulwa kahle (uma ibanga lokunyakaza lilinganiselwe).
• Uma kukhona ubuhlungu obukhulu kanye nokuvuvukala emalungeni.
• Uma uzwa umsindo ongavamile "wokuchofoza" emalungeni akho, noma uma uzizwa sengathi abambekile.

Yini okufanele ngiyibuze udokotela wami?

Ungabuza udokotela imibuzo efana nale:

• Kungani ngithole le-synovial osteochondromatosis?
• Yikuphi ukwelashwa okungcono kakhulu kimi?
• Ingabe ngidinga ngempela ukuhlinzwa?
• Ingabe nginesifo samathambo? Noma, yini engingayenza ukuze ngivimbele ukuthi singabi khona?
• Yiziphi izimpawu okufanele ngizibheke ukuze ngibone ukuthi ama-cyst ayabuya yini noma kukhona ezinye izinkinga ezikhulayo?

Ingabe i-synovial osteochondromatosis ingaba umdlavuza?

Akuvamile kakhulu ukuthi isimila samathambo esingenabungozi njengalesi sibe umdlavuza. Kodwa-ke, kube nezimo eziningana lapho lesi simo sesiphenduke uhlobo lomdlavuza wamathambo olubizwa ngokuthi i-chondrosarcoma .

Uma unesifo samathambo noma esinye isifo samathambo, ungase ube sengozini yokuthola i-synovial osteochondromatosis. Ngezinye izikhathi, lesi simo senzeka ngaphandle kwesizathu esicacile. Uma kwenzeka, usengozini enkulu yokuthola i-osteoarthritis ebuhlungu. Kungakhathaliseki ukuthi imbangela iyini, abantu abaningi abathola la maqhubu bazodinga ukuhlinzwa ukuze bawasuse. Ungakhuluma nodokotela wakho ngezinketho zokwelapha ezifanele wena. Ngemva kokuhlinzwa, udokotela wakho uzoqapha amalunga akho ukuze abone ukuthi amaqhubu ayabuya yini noma kukhona umonakalo emalunganeni.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

• I-Synovial osteochondromatosis yiqhubu elingelona umdlavuza elakheka olwelwesini olumboza amalunga.
• Lokhu kungabangela izimpawu ezifana nobuhlungu bamalunga, ukuvuvukala, kanye nobunzima bokunyakaza.
• Amalunga afana nedolo, ihlombe, indololwane, kanye nesinqe avame ukuthinteka.
• Lesi sifo singatholakala ngokuhlolwa okufana ne-X-ray, i-CT scan, kanye ne-MRIs.
• Ngokuvamile, ukuhlinzwa kwe-arthroscopic kususa iqhubu kanye nolwelwesi oluthintekile.
• Njengoba abanye abantu benengozi yokuphinda babuye neqhubu, kubalulekile ukulandela iseluleko sezokwelapha nokuhlolwa njalo.
• Uma unezimpawu ezingavamile ezihlobene namalunga akho, funa iseluleko sezokwelapha ngokushesha. Uma usheshe uzithola, kulula ukuzelapha!

I- Synovial Osteochondromatosis, Ubuhlungu bamalunga, Amaqhubu amalunga, I-Cartilage, I-Osteoarthritis, I-Arthroscopy, I-Synovial Osteochondromatosis, Ubuhlungu bamalunga, Amaqhubu amalunga, I-Cartilage, I-Osteoarthritis, I-Arthroscopy