Isimo Esithinta I-Osteoarthritis noma I-Bone Injury
Umnkantsha we-bone edema igama elisetshenziselwa ukuchaza ukwakheka kwe-fluid (i-edema) emnothweni wethambo. Ngesikhathi leli gama lisetshenziswa kaningi ngabahlengikazi, livame ukubhekwa namhlanje njengethambo lomnyoba wethambo.
I-bone marrow i-edema yinkinga engabonakala kwi-scanning ye-ultrasound noma i- magnetic resonance imaging (MRI) futhi ngokuvamile ihlotshaniswa ne- osteoarthritis , i-fracture, noma ukulimala okuhlangene.
I-Bone Marrow Edema e-Osteoarthritis
Ukuthuthukiswa kwamathambo e-edema e-osteoarthritis ngokuvamile kubonisa isimo esibucayi.
Ngaphezu kokuqoqwa kwamanzi ama-cychs amancane, ama-subchondral ngokuvamile angabonwa kwi-MRI. Yilapho umonakalo owenziwe ku- cartilage uqala ukuqina futhi uhlanganise amasaka agcwele amanzi (cysts) ngaphakathi kokujoyina. Lokhu kubangela ukuthi indawo ehlangene ibe mncane kanye ne-cartilage ukuze iqhubeke igugile, ibangele ithambo libhebhethele ithambo .
Njengoba inqwaba ye-cartilage ilahlekile, i-receptor yezidakamizwa ezisezingeni eliphansi iyanda kakhulu, eholele ebuhlungu nasekulahlekeni kokuhamba kokuhamba. Lokhu kuyiqiniso ikakhulukazi ezimweni ze- knee osteoarthritis . Ukungahambisani kahle kwamadolo kunesidingo kuphela, kwenezela ukucindezeleka kwesakhiwo kumajoyina asevele avuliwe.
I-bone marrow edema kubantu abane-osteoarthritis ihlotshaniswa nemiphumela embi. Uma kuqhathaniswa nabantu abangenakho i-edema, labo abane-edema kungenzeka babone isimo sabo siwohloka ngokushesha, kaningi ngaphezu kwezinyanga ezingu-15 kuya kwezi-30.
I-Bone Marrow e-Edema ekulimaleni
I-bone marrow i-edema ivame ukubonakala nge-fractures nakwezinye izinto ezilimazayo zethambo noma ezihlangene, ikakhulukazi lezo ezihilela umgogodla, i-hip, amadolo noma i-ankle. Ngaphakathi kokuqukethwe kokulimala, leli gama lilinganiselwe futhi lingase libheke ekuqoqweni kwamanzi ahlanzekile noma igazi noma ukwakhiwa kwamanzi okuphuma ngenxa ye-fibrosis (izicubu ezibomvu) noma i-necrosis (ukufa kwezicubu).
Eminye yezimbangela ezivame kakhulu zethambo lamarrow edema zihlanganisa:
- Ukucindezeleka kwezinhlanzi ezinyaweni, u-hip, i-ankle, noma idolo lapho umthelela wokuphindaphindiwe ubeka khona ukungathandeki okungafanelekile ekuhlanganyeleni kwesisindo
- Izinyembezi zangaphambili zengculaza (ACL) , ngokuvamile ziyinkimbinkimbi kunokuba zilula, ezibonakalisa ngokulimaza kanye ne-synovitis ("amanzi emadolweni")
- I-vertebral compression fractures , evame ukuhlotshaniswa nobudala obudala, lapho amathambo omgogodla aqala ukuwa nokuwa
- Amathumba e- Bone lapho ukuqoqwa kwamanzi abizayo kungasiza ekunciphiseni ubuqotho bethambo futhi kwandise ingozi yokuphuka
- Ukususwa kwe-hip lapho igazi elinciphile elithebeni lingabangela i-osteonecrosis (i-bone death)
Ngenkathi ezinye izinhlobo zomnto we-bone edema zinzima ukwelapha, lezo ezihambisana nokulimala okubuhlungu noma ukunyakaza okuphindaphindiwe kungasombululwa ngokuphumula, ukuphulukisa okungenayo i-nonsteroidal , kanye nokwelapha ngokomzimba. Amacala aphezulu angadinga ama-steroid noma ukuhlinzwa.
I-bone marrow i-edema ingaba isimo esididekayo, esithinta abanye abantu ngendlela ehlukile kunezinye. Ngenkathi ijwayele ukuxazulula ezinyangeni ezine kuya kwezingu-12 emva kokulimala, amacala angu-15 amacala azoqhubeka iminyaka emibili noma ngaphezulu, ngisho naphakathi kwalabo abanempilo ephelele.
> Imithombo:
> U-Eriksen, E. "Ukwelashwa kwamathambo omnkantsha (bone marrow edema)." I-Bonekey Rep . 2015; 4: 755. I-DOI: 10.1038 / bonekey.2015.124.
> Kothari, A .; Guermazi, A .; Chmiel, S. et al. 'Ubuhlobo obuncane phakathi kwamathambo omzimba we-bone marrow nokulahleka kwe-cartilage e-knee osteoarthritis. " Ukunakekelwa kwe-Arthritis Res. 2010; 62 (2): 1988-203. I-DOI: 10.1002 / acr.20068.