Izitshalo Ezigcwele Amagciwane Ezihlangene Ezihlobene Ne-Osteoarthritis
I-subchondral bone cyst (SBC) isigxobo esigcwele amanzi esakhiwe ngaphakathi kwesikhala esihlangene njenge-hip, knee, noma ehlombe. Bangakwazi ukuthuthukisa kubantu abane- osteoarthritis futhi ngokuvamile abaphulukisiwe.
Indlela i-Osteoarthritis iqhubekela phambili ngayo
I-osteoarthritis ibangelwa ukuwa kwe- cartilage emajoyini. I-cartilage isebenza njengamathambo phakathi kwamathambo ahlangene, okuvumela ukuba bagxilane futhi babambe ukushaqeka ngokunyakaza ngokomzimba.
I-osteoarthritis ngokuvamile iqala ngezigaba:
- Lapho kuqala izifo, isikhala esiphakathi kwamathambo ahlangene sizoqala ukunciphisa ngenxa yokwehla kwamathambo.
- Njengoba ihlangene izama ukuzilungisa, ukulungiswa kwamathambo kungase kube yingozi futhi kuholele ekusungulweni kwe-bone spurs (ama- osteophytes ) nokuthuthukiswa kwe-subchondral sclerosis (ukuqina kobunye ngenxa yokwanda kwamathambo).
- Njengoba ukulahleka kwe-cartilage kuqhubeka, ama-SBC angase aqale ukwakha futhi aqhubekele ekuhlanganyeleni.
- Ukunyuka kwe-cartilage ekugcineni kuzokwenza ukuthi amathambo agubhe amathambo , abangela ubuhlungu nokulahlekelwa ukuhamba.
Izimbangela Nezimpawu
I-subchondral bone iyinhlamba yethambo ngaphansi kwe-cartilage. Nge-osteoarthritis, ukunikezwa kwegazi kulezi zindawo kuvame ukwanda njengoba umzimba uzama ukulungisa umonakalo ohlangene. Ukucindezela okwenyene kakhulu kubangelwa ukwakhiwa kwamapokheji angama- hyaluronic acid esiwabhekisela njenge-SBC.
Kanye namathambo ahlambalaza futhi anyuke amathambo, ukubunjwa kwama-SBC kungadala ukucindezela izimpawu ze-osteoarthritis. Kusukela esimweni sokubonakalisa izimpawu, ama-SBC akuzona zonke izinto ezihlukile futhi angabangela ubuhlungu obuncane nokulinganisela kanye / noma abathinte ukuguquguquka okuhlangene.
Akubona bonke abantu abanesifo se-osteoarthritis abazokwakha i-SBC, futhi akucaci nakanjani ukuthi kungani abanye abantu behlakulela isimo futhi abanye abakwenzi.
Ukuxilongwa
Ama-SBC atholakala ane-X-ray. Zizovela njengama-capsules agcwele amanzi e-space joint kodwa ngokuvamile ayichazwa kabi futhi kunzima ukubona. Esimweni esinjalo, ukuskena kwe-imagination magnetic resonance (MRI) kungalawulwa ukuhlinzeka udokotela umbono obhekene nesithathu.
Lokhu, kanye nokubuyekezwa kwezimpawu zomuntu kanye nezici zobungozi, kuvamise ngokwanele ukuqinisekisa ukuxilongwa.
Izinto eziyingozi kwiSBC zihlanganisa:
- Ukukhuluphala
- Ukubhema
- Ukulungiswa okungavamile kokuhlanganiswa
- Ukuma okungajwayelekile okungavamile
- Ukulimala kwangaphambi kokuhlanganyela
- Umlando womndeni we-osteoarthritis
Ukwelapha
I-SBC ayiphathwa ngokuqondile njengoba ukudansa kwe-cyst kungabangela ukutheleleka kanye nokwehla kwesimo esihlangene. Esikhundleni salokho, udokotela uzothola izindlela zokusiza ukunciphisa izimpawu eziyingozi nezesikhathi eside ze-osteoarthritis.
Izinketho zingafaka:
- Izidakamizwa eziphikisana nezidakamizwa (NSAIDs) zokuphatha ubuhlungu
- Ukulahlekelwa kwesisindo sokunciphisa ukucindezela kwamalungu
- Ukuvivinya umzimba okuphansi (njengokuhamba ngebhayisikili, ukubhukuda, noma imishini elliptical) ukugcina noma ukuthuthukisa ukuguquguquka okuhlangene
- Ukwelapha ngokomzimba
- Ukwelashwa kwe-Ultrasound
- Imithi yokuhlunguphaza okunamandla, kuhlanganise ne- opioids , uma ezinye izinhlungu zokuphumula zihluleka ukusebenza
Uma engekho kulezi zindlela okuhlinzekwa ngazo ukuhlinzeka ukukhululeka, udokotela angase ancome ukuhlinzwa okuhlanganyelwe kokujoyina .
Imithombo:
> Guangyi, L .; I-Yin, J .; UGao, J. et al. "I-subchondral bone e-osteoarthritis: ukuqonda izinto eziyingozi kanye nezinguquko ezincane." I-Arthritis Res Ther. 2013; 15 (6): 223. I-DOI: 10.1186 / ar4405.
> Han Xinyun, A .; UHamid Rhammalah, uB .; kanye noTan, A. "Iqiniso Ngama-Cysts Emagcekeni E-Osteoarthritis Knee." Vula i-Orthop J. 2014; 8: 7-10. I-DOI: 10.2174 / 1874325001408010007.