I-osteophyte ikhula ebusayo noma idiphozi, ebizwa nangokuthi i-bone spur. Ziyakhula kancane kancane isikhathi futhi ngokuvamile azikho izimpawu. Zingabangela ubuhlungu uma zifakela kwezinye izakhiwo noma zikhule kakhulu ukuze zivimbele ukuhamba ngokuhlanganyela. Kanti futhi ngezinye izikhathi kuthiwa yi-osteochondral nodules, i-osteochondrophytes, ne-chondro-osteophytes.
Ama-osteophytes ase-Arthritis
Ama-osteophyte avame ukuhlakulela emathanjeni abonisa izimpawu zokufa .
Zihlotshaniswa nohlobo oluvame kakhulu lwe-arthritis, i- osteoarthritis . Ukuba khona kwabo kungasiza ukuhlukanisa i-osteoarthritis nezinye izinhlobo ze- arthritis . Nakuba i-osteoarthritis ihilela ukungcoliswa kwe-cartilage, kubuye kulungiselelwe ithambo le- subchondral elihlangene, elingabandakanya ukudala i-spurs bone.
Ukwakhiwa kwama-osteophytes
Ukukhuluma ngokweqile, i-osteophyte iyinhlavu ye-fibrocartilage-capped out bony evela emangqamuzaneni angaphambili okuyi-periosteum, izicubu ezithinta amathambo futhi iqukethe amaseli abumba amathambo amasha. Ukuguqula isimo sokukhula β kuthatha indima ekuthuthukiseni kwabo.
I-osteophyte iqala lapho i- cartilage esele emzamweni ohlangene wokulimala ukulungiswa ngemuva kokulahleka kwe-cartilage kwenye indawo ehlangene. Kuvame ukwakha egumbini elihlangene lapho kutholakala khona ukulahleka kwe-cartilage, okubonisa ukuthi yisenzakalo esendaweni. Ukwakhiwa kwe-osteophyte kuqinisa ukuhlanganiswa okonakele.
Lokho kusho ukuthi indlela abayakha ngayo kanye nokuthi yini evuselela ukwakheka kwabo akuqondakali ngokuphelele. Ama-osteophyte angathuthuka futhi lapho kungekho khona umonakalo ocacile we-cartilage.
Indawo ye-Osteophyte Formation
Ama-osteophyte asemkhathini angathuthuka emkhawulweni noma emkhawulweni womunye ohlangene . Ama-osteophyte ase-Central avelele kakhulu ku- hip namadolo .
I-osteophyte nayo ingatholakala endaweni yesigodi, lapho ihlotshaniswa nobuhlungu obusemuva noma intanyeni futhi ibhekwe njengesibonakaliso esivamile se-arthritis esonayo (i-osteoarthritis). Emgodleni, i-osteophyte noma i-bone spur ingabangela ukungena kwe-nerve (ukucindezela komgogodla noma izimpande zesisindo) ku-neuroforamen (isikhala esingenalutho ngakwesobunxele nangakwesokudla kwe-vertebra ngayinye evumela ukuthi amantongomane adlule ukusuka emthonjeni womgogodla kuya kwezinye izingxenye emzimbeni). Izimpawu ezibonakalayo kuleso simo zihlanganisa ubuhlungu, ukuphazamiseka, ukushisa kanye nezikhonkwane nezinaliti emkhawulweni okhonjwe yizimpande zomgogodla ezithintekayo. Izimpawu zamamoto zihlanganisa ukungcoliswa kwemisipha, ukuxubha, ukubuthakathaka, noma ukulahlekelwa kwemisipha endaweni ehambisanayo yomzimba. I-osteophyte ngokwayo ayibuhlungu, kodwa indawo yayo futhi ngenxa yalokho umphumela wayo kwezinye izakhi zomzimba kungabangela ubuhlungu.
Izingozi Zengozi Ye-Osteophyte Formation
Izimo ezithile nemibandela kubhekwa njengengxenye yokwakheka kwe-osteophyte. Lokhu kufaka:
- Ukukhula kweminyaka
- Ukuhlukunyezwa kwe-Disc
- Ukuguqulwa okuhlangene
- Ukulimala kwezemidlalo noma ukulimala okuhlangene
- Ukumiswa okubi
- I-Genetics
- Izifo ezingavamile ze-squenital
Ukuthola ama-osteophyte
Ukwakheka kwe-osteophyte esandleni kungatholwa ukuhlolwa ngokomzimba kokuhlanganiswa okuphakathi kwe-interphalangeal (PIP), ukuhlanganiswa kwe-interphalangeal distal (DIP), nokuhlanganiswa kokuqala kwe-carpometacarpal (CMC).
Kulula nje, esandleni, i-bump noma i-lump ingabonakala ngesikhathi sokuhlolwa komzimba.
Kwamanye amalunga, ukutholakala kwe-osteophyte kungatholakala ukuthi kusetshenziswa izifundo zokucabanga, njenge-X-ray noma i-MRI noma i-CT scan. Uma ama-X-ray ayenziwa kuwo wonke umuntu oneminyaka engaphezu kwengu-50 ubudala, iningi lizobonisa ubufakazi obunye bokubunjwa kwe-osteophyte. Noma kunjalo, ama-osteophyte amaningi awavezi izimpawu. Ngamaphesenti angama-40 kuphela abantu abane-osteophyte bakhula izimpawu ezidinga ukwelashwa.
Ukwelashwa kwama-osteophytes
Ukutholakala kwe-osteophyte yedwa akuyona imithi ebalulekile emitholampilo ngaphandle kokuba izimpawu ezihambisanayo zihlangene. Ukwelashwa kungafaka:
- Ukwelapha ngokomzimba
- Ama-NSAID (izidakamizwa ezingezona ukuvuvukala)
- Ama-analgesics (ama-painkillers)
- I-Steroid Injections
- Ukwelashwa: Emgodleni, ukususwa kwe-osteophyte kungadingeka ukuba kuqhutshekwe ngokuqondile kwe-nerve impingement noma ukwandisa ububanzi bomgogodla we-umgogodla ukuze unciphise i-osteophyte.
Ngokuvamile, ukwelashwa okulindelekile kuvivinywa kuqala. Ukwelashwa kugcinwe abantu abanezibonakaliso ezinkulu. Umsebenzi uvame ukwandisa ubuhlungu obuhambisana ne-osteophyte, kuyilapho ukuphumula kusiza ekunciphiseni ubuhlungu.
Imithombo:
> Goel A. Kudingekile yini ukuvuselela ama-osteophyte ekudleni kokulunywa kwesifo se-spondylotic? I-Journal ye-Craniovertebral Junction ne-Spine. 2013 ngoJanuwari-Juni; 4 (1): 1-2.
> Bone Spurs (ama-osteophytes). Imisedari-iSinayi. https://www.cedars-sinai.org/health-library/diseases-and-conditions/b/bone-spurs.html.
> I-Neuroforamen - Isifinyezo. Laser Spine Institute. https://www.laserspineinstitute.com/back_problems/spinal_anatomy/vertebral_column/neuroforamen/.
> Wong SHJ, Chiu KY, Yan CH. Ukubuyekeza Isihloko: Ama-osteophyte. Journal of Surgery Orthopedic . 2016; 24 (3): 403-410. i-doi: 10.1177 / 1602400327.