Ukukhula Okungavamile Kwemfuyo Lapho Akufanele Kube khona
I-ossification ye-heterotopic igama elisetshenziselwa ukuchaza ithambo elifomu endaweni lapho kungabikho khona. I-ossification ye-heterotopic ngokuvamile ichaza ukuthi ithambo lisebenza ngaphakathi kwezicubu ezithambile , kufaka phakathi imisipha, imigqa, noma ezinye izicubu. Ngokuvamile okufingqiwe "HO," i-ossification ye-heterotopic ingenzeka cishe noma kuphi emzimbeni. I-bone ye-heterotopic ivame ukwenza ngemuva kokuhlinzwa, ukulimala, noma ngezinye izikhathi ngezizathu ezingaziwa.
Izimpawu ze-Heterotopic Ossification
Uphawu oluvame kakhulu lwe-ossification ye-heterotopic ukuqina kobunye. Iningi labantu abahlakulela i-ossification ye-heterotopic abakwazi ukuzwa ithambo elingavamile, kodwa qaphela ukukhula kwethambo ukufika endleleni yokuhamba okujwayelekile. I-bone ye-heterotopic ivame ukuzungeza u-hip noma ama-elbow joints, okwenza kube nzima ukuguqa kwala majoyina. Ezinye izimpawu zingabandakanya ubukhulu obungase buzwe, ukukhubazeka kwendawo, noma ubuhlungu.
Ngabe I-Ossification Ye-Heterotopic Ivela Kanjani?
I-ossification ye-heterotopic kwenzeka lapho umzimba uthola izimpawu ezixutshwe, futhi amangqamuzana amathambo aqala ukudala ithambo elisha ngaphandle kwe-skeleton evamile. Umzimba njalo wenza amathambo amasha ukuze athathe ithambo ngaphakathi kwamasosha. Lapho kuqhuma amafu ethempheni, amathambo amasha akhiwa ukuze aphulukise ithambo elonakalisiwe. Kubantu abane-heterotopic bone form formation, inqubo efanayo kwenzeka, kodwa ngokuvamile ngesizathu engaziwa.
Inqubo yokwakha amathambo amatsha kubizwa ngokuthi i-skeletogenesis.
Uma le nqubo ivela ngaphandle kwethambo elivamile okufanele likhona, umphumela kuthiwa yi-ossification ye-heterotopic. Imiphumela ingaba kusukela ekungenakwenzeka kuze kube nzima. Kwezinye izimo, ithambo le-heterotopic lizobonakala kuphela ngoba i-x-ray yenzelwe ukukhathazeka okungahambisani. Kwabanye, imiphumela inganciphisa ikhono lomuntu ukwenza imisebenzi elula, njengokuhamba.
Yini Ebangelwa I-Osterification Ye-Heterotopic ukuze Yenzeke?
Kunezimbangela eziningi ze-heterotopic bone form formation. Lokhu kufaka:
- Izimo zofuzo (ezifana ne-fibrodysplasia ossificans progressiva ne-heteroplasia eqhubekayo eqhubekayo)
- Izinqubo zokuhlinza (kufaka phakathi ukuguqulwa kwe-hip esikhundleni kanye nokwehluka kwe-elbow kanye nokuhlinzwa okuphambene nokuqhuma )
- Ukulimala kobuchopho noma umgogodla ( ukulimala kwengqondo nokulimala komgogodla )
- Ukulimala kwezemidlalo (ama- myositis ossificans )
Ingabe Kukhona Ikhambi?
Ukwelashwa kwe-ossification ye-heterotopic kunzima, njengoba kuncane okuqondakalayo ngalokho okubangela ukuthi lesi simo senzeke. Ngenxa yokuthi akukho ukuqonda okuncane ukuthi kungani ithambo le-heterotopic lingazenza, kunzima ukwazi ukuthi ungavimbela kanjani ithambo elengeziwe lokwenza.
Ukususwa kokuhlinzwa kwamathambo e-heterotopic kungenzeka kumaguli anesifo se-heterotopic esiwumphumela wokuhlinzwa noma ukuhlukunyezwa (iziguli zobuchopho nobuhlungu bomgogodla). Ngokujwayelekile, isincomo ukuthi amathambo abo ase-heterotopic kufanele aqoke ngokugcwele, okusho ukuthi akukho thambo elengeziwe elenzayo. Ngaleso sikhathi, ukuhlinzwa kungase kubhekwe njengokususa ithambo. Lokhu kuvame ukuqhutshwa ukuze kuvunyelwe ukuhambelana kwesibindi esasiqhwaqwe ngenxa yendlela yokwakha amathambo.
Ezigulini ezine-genetic disorder ezenze ukuba ithambo le-heterotopic lenze, ukuhlinzeka ukuphathwa okungalungile.
Eqinisweni, kulezi ziguli, ukwenza ukuhlinzwa ukukhipha ithambo elingavamile kungalimaza isimo sonke.
Ucwaningo lwenziwa ukuze kunqume ukuthi kunezinhlobo zokwelapha zofuzo ukushintsha inkulumo yezakhi zofuzo ezitholakala kuziguli ezine-ossification ye-heterotopic. Lezi zokwelapha zikhona ezinyathelweni zokuqala zokuphenya.
Ingabe i-Osterification ye-Heterotopic ingavinjelwa ?:
Ezigulini ezisengozini enkulu yokuthuthukiswa kwamathambo e-heterotopic, kunezinhlobo eziningana zokwelashwa eziye zasetshenziselwa ukuvimbela ukuthuthukiswa kwamathambo amaningi. Imithi ethile, okubandakanya ukuphakama okukhulu kweminye imithi ephikisana nokuvuvukala (ama-NSAID), kuye kwaboniswa ukunciphisa ukuthuthukiswa kwethambo le-heterotopic.
Enye indlela ephikisanayo ukusetshenziswa kokwelashwa kwemisebe ngomthamo owodwa ukushintsha amangqamuzana akhiqiza ukwenziwa kwamathambo ngokweqile. Ngezinye izikhathi imishanguzo isetshenziselwa ukuhlinzwa okuyinhloko noma iziguli ezinomlando wokuthuthukiswa kwethambo le-heterotopic. Ukwelashwa kwezidakamizwa kunengxabano, njengoba imisebe ingabangela ukulimala kwezicubu futhi iphuze ukuphulukiswa lapho kwenziwe khona ukuhlinzwa.
Esikhathini esidlule, abanye odokotela abahlinzayo babesebenzisa imisebe ngesikhathi sokuhlinzwa esikhundleni sokuqashwa ukuze kuqinisekiswe ukuthi i-heterotopic bone ayizange ibe yinkimbinkimbi yokuhlinzwa. Njengamanje, ngaphandle uma isiguli sibhekwa engozini enkulu ekuthuthukiseni i-heterotopic bone form formation, ukuphathwa kwezidakamizwa akukhuthazwa.
Imithombo:
I-Kaplan FS, et al. "I-Heterotropic Ossification" J Am Acad Orthop Surg ngoMashi / Ephreli 2004; 12: 116-125.
U-Healy WL no-Iorio R. "I-Osterification ye-Heterotopic Ngemuva kwe-Hip ne-Knee Arthroplasty: Izinto Zengozi, Ukuvimbela, Nezokwelapha" J Am Acad Orthop Surg November / Disemba 2002; 10: 409-416.