Ama-ossificans e-Myositis yisimo esingavamile esibangela ukuba amathambo afake ngaphakathi emisipha yomzimba. Ngokuvamile lesi simo sitholakala kubagijimi abasha abagcina ukulimala okubuhlungu, noma ngezinye izikhathi ngenxa yokulimala okuphindaphindiwe emisipha. Okuvame ukutholakala emthangeni, kanti ngezinye izikhathi kusengaphambili, ama-myositis ossificans ngokuvamile avela kubadlali abanjengobadlali bebhola noma abadlali bebhola.
Empeleni kungani ama-myositis ossificans akwenzeka akucaci ngokuphelele. Inkolelo yamanje yukuthi amangqamuzana abalulekile ekuphenduleni kokuphulukisa kokulimala okuthiwa ama-fibroblast ahluke ngokungafani emangqamuzaneni awenza amathambo. Igama elithi myositis ossificans lisho ukuthi ithambo lifake ngaphakathi kwemisipha, futhi lokhu kwenzeka endaweni yokulimala. Ama-ossificans e-Myositis ayaziwa ngokuthi inqubo yokuzilimaza ngokweqile, okusho ukuthi isikhathi esinikeziwe sizozixazulula yedwa.
Izimpawu
- Ukuzwa ubuhlungu ngaphakathi kwe-muscle ephikelela isikhathi eside kunokulindeleke ukuba kube nokungadideki kwemisipha evamile
- Ukuhamba okulinganiselwe kwamajoyina azungeze imisipha emele
- Ukuvuvukala kweqembu le-muscle, futhi ngezinye izikhathi lidlulela kuwo wonke umkhawulo
Izivivinyo eziningi zingenziwa ukuze zihlolwe iziguli ezinezinthambo ezitholakala ngaphakathi kwesisipha. Ngokuvamile, ukuhlolwa kokuqala kwenziwa i-x ray. Ukukhathazeka okujwayelekile lapho amathambo engavamile kubonakala kwi-x-ray yilokho kungaba khona isisu phakathi kwezicubu ezithambile.
Ngenhlanhla, i-myositis ossificans inezinkomba ezithile ezivame ukuzenza zihlukaniswe kalula emzimbeni.
Uma kunombuzo mayelana nokuxilongwa, ukuphindaphindiwe kwama-x-rays kuyotholakala amasonto ambalwa kamuva ukuze kuqinisekiswe ukuthi isisindo samathambo siyisifo se-myositis. Ezinye izivivinyo ze-imaging ezihlanganisa i-ultrasound, i-CT scan, i-MRIs, ne-bone scans nazo zingenziwa ukuze kwahlukaniswe ama-myositis ossificans kwezinye izimo.
Ngaphezu kwalokho, abanye odokotela bazokwenza izivivinyo zelabhorethri. Lezi zivivinyo zihlanganisa i-alkaline phosphatase engatholakala ku-bloodstream. Lokhu kuhlolwa kungase kube okuvamile ezinyathelweni zakuqala ze-myositis ossificans, elandelwa amazinga aphezulu aphakama ngaphakathi kwezinyanga ezingu-2-3 zokulimala, futhi axazulule ezinyangeni ezingu-6 zokulimala.
Ama-biopsies awadingekile, kodwa uma kwenziwa ukuhlolwa kuzoqinisekisa ukutholakala kwesigamu esincane sethanga esungeze umgudu ophakathi kwamaseli e-fibroblast. I-Biopsies ingenziwa njengendlela yokuhlinzeka noma ingenziwa ngokusebenzisa inaliti efakwe ebunzini. Njengoba kukhulunywe ngaphambili, lolu hlelo luvame ukwenza ezimweni lapho kungase kube khona ukukhathazeka mayelana nokuxilongwa, futhi uma ubukhulu bungaba yisisu futhi hhayi myositis.
Ukwelapha
Izindlela zokuqala zokwelashwa zigxila ekunciphiseni ukuphuma okunye noma ukuvuvukala ngaphakathi kwemisipha. Ngakho-ke, izinyathelo zokuqala zihlanganisa:
- Ukuphumula
- Isicelo seqhwa
- Ukuchithwa kwempahla
- Imithi elwa no-Inflammatory
Ngokuvamile ukugqoka okuhlinzekwayo kwe-myositis ossificans kuvunyelwe. Uma i-myositis ossificans isusiwe ngokushesha, kukhona ukukhathazeka mayelana nokubuya kwayo. Ngakho-ke, odokotela abaningi abahlinzayo balinde phakathi kwezinyanga ezingu-6 no-12 ngaphambi kokucubungula ukususwa.
Lokho kusho ukuthi kukhona ubufakazi obuncane bokuthi isikhathi esithile sokulinda siyadingeka. Ngaphezu kwalokho, kunethuba lokubuya ngisho nalapho lisuswe kakhulu kakhulu. I-myositis ossificans isuswa kuphela uma ikhona izimpawu eziphikisana naphezu kokwelapha okungafanelekile njengokungathi ukuphazamiseka kokunyakaza okuhlangene noma ukucindezelwa kusuka kwesisindo esiswini.
Imithombo:
Walczak BE, Johnson CN, Howe BM. "I-Myositis Ossificans" J Am Acad Orthop Surg. 2015 Okthoba; 23 (10): 612-22.