I-subchondral sclerosis yinkimbinkimbi yethambo emalungwini. Kungathinta abantu abanesifo se- osteoarthritis futhi babangele ama-bone spurs abuhlungu. Ngenhlanhla, i-subchondral sclerosis iyatholakala kalula futhi kunezinketho eziningi zokwelashwa ezitholakalayo.
Ukuze uqonde ukuthi iyiphi i-subchondral sclerosis, kuyasiza ukuba nesithombe esicacile sokuthi i-osteoarthritis ithinta kanjani amalunga omzimba.
Akukona nje ukuthi i-osteoarthritis ilulaza i- cartilage ehlangene, ibuye igqoke esitokisini se-subchondral ngaphansi kwe-cartilage. Njengoba umzimba uzama ukubuyisela leli thambo, libuye linyuka kunanini ngaphambili, okuphumela ekubeni i-subchondral sclerosis. Kuvame ukutholakala ngezigaba kamuva ze-osteoarthritis. I-subchondral sclerosis ingabangela i- bone spurs , futhi kwezinye izimo, inganciphisa ukunyakaza kuhlangene oluhlangene.
Ukutholwa kwe-Subchondral Sclerosis
Uma une-X-ray njengengxenye yenqubo yokuxilonga ye-osteoarthritis, i-subchondral sclerosis ingenye yezinto owaziwa yi-radiologist futhi azibheka. Ibonisa i-X-ray njengesendaweni esicindezelayo esitokisini ngaphansi kwe-cartilage ekuhlanganyeleni kwakho, ebonakala njengethambo elingavamile emgqeni ohlangene. I-subchondral sclerosis ibonakala ku-osteoarthritis ezinhlangothini eziningi ezithintekayo, ezifana namadolo, u-hip, umgogodla, nezinyawo.
I-Subchondral Sclerosis e-Osteoarthritis
I-subchondral sclerosis akavame ukubikezela ukuthi i-osteoarthritis izoqhubeka kanjani.
Akufanele ucabange ukuthi i-osteoarthritis yakho iyanda kakhulu uma uthola ukuthi une-subchondral sclerosis.
Ucwaningo olwanyatheliswa ngo-2014 lwacatshangelwa ukuthi ngabe i-subchondral sclerosis eyatholakala yini nge- imagery magnetic resonance (MRI) yayihlobene nokulahlekelwa kwe-cartilage. Abacwaningi babhalisa abantu abangu-163 ngamadolo futhi bawalandela iminyaka emithathu nge-kneeline X-ray kanye nokuhlolwa kwe-MRI.
Abazange bathole ubudlelwane obalulekile phakathi kwe-baseline subchondral sclerosis kanye nokwanda kwe-cartilage loss in the same region of the knee.
Olunye ucwaningo, olwanyatheliswa ngonyaka ka-2014, luhlolisise ukuthi i-subchondral sclerosis empeleni ivikela idolo lisuka endaweni ehlanganyelwe kubantu abano-varus knee osteoarthritis . Abantu abanalesi simo ngokuvamile babizwa ngokuthi "izigxobo zomnsalo" ngoba kubangela ukungezwani okubonakalayo emadolweni nasemlenzeni. Abacwaningi kulolu cwaningo babhekane nabesifazane abangu-192 abaye bathola ukuthi bane-varus knee osteoarthritis futhi benza ama-X-ray amadolo, kanye nama-ray-ray absorptometry (DEXA) kabili , i-femul proximal, nama-knee condyles. Ucwaningo luphetha ngokuthi ukwanda kwe-subchondral bone sclerosis kungase kuvikelwe ekunciphiseni kwe-cartilage thickness.
Ukwelashwa kwe-Subchondral Sclerosis
Kunjenge-osteoarthritis, ayikho ikhambi le-subchondral sclerosis. Kodwa, kunezinyathelo ongazithatha ukuze unciphise ukuqhubeka kwayo futhi unciphise izimpawu ezibuhlungu. Ukuzivocavoca umzimba okuncane, okufaka phakathi ukuhamba ngebhayisikili, i-yoga nokubhukuda yizindlela ezinhle kakhulu zokugcina amalunga afintekile asebenzayo. Kubantu abakhuluphele ngokweqile, ukunciphisa umzimba kunconywa njengendlela yokunciphisa ukucindezeleka emajoyini abo.
Udokotela wakho angase futhi ancoma ukwelashwa ngokomzimba, i-hydrotherapy, noma ukwelapha okuphelele okunakekelwa kwezokwelapha, njenge- acupuncture . Imithi yokulwa nokuvuvukala , njenge- ibuprofen , ingabuyekezwa. Ezimweni ezimbi kakhulu, kunemithi yokwelashwa engasiza ekuhlinzekeni ukukhululeka. Ngokuvamile, noma yini ekhulula izimpawu ze-osteoarthritis izosiza izimpawu ze-subchondral sclerosis.
Kwezinye izimo ezinzima, ukuhlinzwa ukukhipha ukukhula kwethambo ngokweqile kunganconywa. Njengoba kunoma yisiphi isimo esingapheli, thintana nodokotela wakho ukuthola ukuthi iyiphi indlela yokwelashwa engcono kakhulu yezimpawu zakho.
Izwi elivela
I-subchondral bone ingaphezu kwesithombe ku-X-ray.
Kuhilelekile futhi kuthinteka yilokho okwenzekayo ngesikhumba esisodwa. Uma isifo se-cartilage sinciphisa i-osteoarthritis, ithambo liphendula. Ungagcina amalunga akho abe nempilo njengoba angaba nokuzivocavoca okuphansi kanye nokwelapha ngokomzimba.
> Imithombo:
> Akamatsu Y, Kobayashi H, Kusayama Y, Kumagai K, Mitsugi N, Saito T. Ingabe i-subchondral sclerosis ivikela ukuqhubekela phambili kwendawo ehlangene emigulini ene-varus knee osteoarthritis? I-osteoarthritis ne-Cartilage . 2014; 22. doi: 10.1016 / j.joca.2014.02.667.
> Crema M, Cibere J, Sayre E, et al. Ubuhlobo obuphakathi kwe-subchondral sclerosis bubonwe nge-MRI kanye nokulahleka kwe-cartilage eqoqweni lezifundo ezinamahlombe amadolo: isifundo se-knee osteoarthritis (KOAP). I-osteoarthritis ne-Cartilage . 2014; 22 (4): 540-546. i-doi: 10.1016 / j.joca.2014.01.006.
> Li G, Yin J, Gao J, et al. I-subchondral bone e-osteoarthritis: ukuqonda izici eziyingozi kanye nezinguquko ezincane. I-Arthritis Research & Therapy . 2013; 15 (6): 223. i-doi: 10.1186 / ar4405.