Ukwehla kwamathambo kuhlobene nokuguqulwa okuhlangene
I-bone evuthayo, noma i-osteophyte, yizibuko zebony ezifakwe ngamalunga futhi zivame ukubonakala ezimweni ezifana ne-arthritis. I-bone spurs ingabangela ubuhlungu futhi ikakhulukazi ibangela ukulinganiselwa kokunyakaza okuhlangene .
Kungani I-Bone Spurs Ifomu
I-bone spurs ingahle ifane njengoba umzimba uphendula ngendlela engavamile ehambisana nomunye. Isizathu esivame kakhulu isifo se- osteoarthritis , isifo esiyingozi lapho i-cartilage evamile ejikelezayo khona ihamba kancane kancane.
Njengoba i-cartilage evikelayo idlulile futhi ithambo liya ngokuya libonakala, umzimba uzophendula ngokuvuvukala kanye nezinguquko ezakhiweni ezungeze amalunga. Amagciwane azokukhukhula, futhi i-calcium i-deposit izoba kancane kancane ejikeleze ukukhula kwamathambo amasha. Lokhu ukukhula kwamathambo okusha lokho esikubhekisela ku-spur.
Ukwakhiwa kwe-spurs kungacatshangwa ukuthi umzamo womzimba wokwandisa indawo yomzimba ovulekile - isilinganiso sokuzivikela sokusakaza kangcono noma yimuphi umthelela noma amandla angasetshenziswa kulowo ohlangene. Ngeshwa, kuvame ukuba nomthelela ohlukile, ukuvimbela ukuhamba okuhlangene ngenkathi kuvinjelwa izinzwa kanye nezinye izicubu ezisebenzisayo.
I-bone spurs nayo ivame kakhulu kwisifo esingenalo ukuvuvukala esibizwa ngokuthi i- diffuse idiopathy skeletal hyperostosis (DISH) . Nakuba imbangela ye-DISH engaziwa, njengoba abantu abaningi abangamaphesenti angu-80 abathintekayo benesifo bazozwa ubuhlungu nokuqina ngenxa yalokho ukubunjwa kwe-spurs emgodleni.
Ama-osteophyte akufanele adidaniswe ne-enthesophytes, ukubonakala kwe-bony okufakwe ekunamathiselwe kwethenda noma ligament.
Izimpawu ze-Bone Spurs
Ezimweni eziningi, i-bone spur ngeke ibangele noma yibuphi ubuhlungu noma izinkinga. Ngisho ezimweni lapho kukhona khona ubuhlungu, kungase kungabangelwa yi-spur ngokwayo kodwa isimo esisemqoka (i-arthritis, isifo, ukuguqulwa).
I-bone evuthayo eyenza eduze komgogodla ingabangela ukungena lapho i-nerve igcizelelwe khona ukuthutha kwamathambo. Esimweni esinjalo, kungaba khona ubuhlungu obuzwa ezinxenyeni eziningi zomzimba kuye ngokuthi yikuphi umthamo we-nerve othintekile. Kungabangela ubuhlungu emilenzeni noma ezingalweni kanye nokuziphazamisa kanye nokuzikhandla, izikhonkwane-nezinaliti ukuzwa ezinyaweni noma ezandleni.
Ukwakhiwa kwama-osteophyte emathanjeni eminwe (okuthiwa ama-node ka-Heberden no- Bouchard's nodes ) akubanga nje ukuthi ukuvuvukala okujwayelekile sihlanganisa ne-arthritis kodwa kunciphisa ngokungathí sina ukuxoshwa kwezandla neminwe. Ubuhlungu kaningi buba khona phakathi kwezigaba zangaphambilini ze-arthritis (ngokuvamile ephakathi kweminyaka yobudala) futhi uvame ukwehla esikhathini esizayo.
Ukwelashwa kwe-Bone Spurs
Ngenkathi i-bone ihluma ngokwabo ayinenkinga, ibonisa inkinga ebalulekile engadinga ukwelashwa. Izinguquko ekukhuleni kwethambo ngokuvamile zibhalwe ukusiza ukuqapha nokuphatha ubunzima bezifo eziphazamisayo njenge-arthritis. Uma kukhona ubuhlungu, isidakamizwa esingezange-steroidal sokuvuvukala (i-NSAID) efana ne-ibuprofen ingahle sinqunywe.
Kukhona izimo ezingavamile uma isikhukhula senyama singasuswa, ikakhulukazi uma ukukhula kuthinta kakhulu ikhono lomuntu lokusebenza. Kodwa-ke, iningi lalezi zinhlayiya lizobuyela ngaphandle uma inkinga engaphansi ixazululwe ngandlela-thile.
Ezimweni ze-osteoarthritis, lokhu kungenzeka ukuthi akunakwenzeka.
Ngezinye izikhathi amathambo aqhudelana neminwe noma izinzwane (ezifana nokwenzeka nge- hallux rigidus yezinzwane ezinkulu) angasuswa ukuze athuthukise ukunyakaza futhi anciphise ubuhlungu.
> Umthombo:
> Wong, S .; I-Chiu, K .; no-Yan, C. "Isihloko sokubukeza: ama-osteophytes." J Orthop Surg . 2016; 24 (3): 403-410.