Imizimba Ephakathi Kwamathambo Enziwe Ngama-cartilage Amaseli
I-enchondroma iyisisu esibi esitholakala ngaphakathi kwethambo. Isimo esivamile ukuthi isiguli sine-X-ray yokulimala kokujoyina, ngokuvamile ihlombe, idolo noma i-ankle. Ngesikhathi ubumbano bubukeka bujwayelekile, ukungavamile kubonakala ngaphakathi kwethambo. Ngokuvamile lokhu akuhambisani ngokuphelele nombangela wobuhlungu, kanti esinye sezizathu ezivame kakhulu yi-enchondroma.
I-Benign Bone I-Tumors
Uma isiguli sizwa ukuthi sinesisu, lokhu kungabangela ukukhathazeka nokwesaba; iziguli eziningi ekuqaleni zikhathazekile ukuthi zinomdlavuza. Iziphumba ze-Benign ziyizimo ezingenangqondo, ezingafaki kwezinye izindawo. Nakuba ezinye izicubu zesifuba ezinobunzima zingabangela izinkinga, abanye bavame ukungaboni futhi bangabi nethonya empilweni yesiguli.
Igama elithi benign igama elivame ukusetshenziswa ukuchaza izicubu. Kusho ukuthi isisu asiyidlingozi futhi ngeke sisakaze. Kuyinto ehlukile yegama elibi; igama elisetshenziselwa ukuchaza izicubu ezinobudlova futhi zingasakazeka kuwo wonke umzimba. Amathumba amaningi anezici zenye noma enye. Kukhona ezinye izicubu ezimbi ezikhula kancane, futhi kunezinye izicubu ezinobuthi ezinobungozi endaweni yakini, kodwa iningi liwela kwesinye sezigaba ezimbili eziyisisekelo.
Ama-enchondromas
I-enchondroma uhlobo lwe-tumor elidala ukwakhiwa kwamangqamuzana e-cartilage ngaphakathi kwethambo.
Ngokuvamile, lezi zicubu zenzeka ezandleni noma emathanjeni amade emiphakathini kuhlanganise ne-humerus (isifuba lesandla), i-femur (ithambo lesithambo) ne-tibia (ithambo lesifuba).
Izimpawu ezivamile kakhulu ze-enchondroma zihlanganisa:
- Azikho izimpawu
- Ukuqina komunwe nge-enchondroma
- Ubuhlungu ngemva kokulimala
Njengoba kushiwo, ama-enchondromas amaningi aziphatha ngaphandle kokucindezela.
Kukhona isimo esihlobene lapho i-tumor ingaba yingozi, ebizwa ngokuthi i-chondrosarcoma. I-chondrosarcoma ephansi (umdlavuza obulalayo) ingaziphatha njenge-enchondroma, futhi ngokufanayo. Uma iziguli zinebuhlungu obuvela esithombeni, noma uma ama-x-ray ebonakala enenkinga enamandla kakhulu, khona-ke i-chondrosarcoma ephansi ephansi kufanele ibhekwe njengendlela yokuxilongwa okungenzeka.
Kukhona isifo esibizwa ngokuthi yi-Ollier's Hospital lapho iziguli zinama-enchondromas amaningi. Iziguli ezinezimo zivame ukubhekwa ngokucophelela kakhulu, ngoba zivame ukuthuthukisa ama-chondrosarcomas kulokho okwakuyi-enchondroma ngaphambili.
Ukwelashwa Nokuqapha
Ngokuvamile, akukho ukwelashwa okudingekayo ku-enchondroma. Iningi elingavamile elitholakalayo ngaphakathi kwethambo lingabuye lihlolwe nge-x-ray evamile esikhathini esithile. Uma i-tumor ibonakala njenge-enchondroma, ihlala iyafana noma ihamba, ngakho-ke ngokuvamile akudingeki ukuhlolwa okuqhubekayo. Uma i-tumor iqala ukukhula, ibonisa izimpawu zokuba nobudlova, kungase kuqinisekiswe ukuthi lesi sifo sidinga ukuphathwa njenge-chondrosarcoma. Ngeshwa, imiphumela ye-biopsy ingaba nzima kakhulu ukuhlukanisa phakathi kwe-enchondroma evamile kanye ne-chondrosarcoma ephansi, ngakho-ke izinqumo zokwelapha ngokuvamile zisekelwe ezimpawu kanye nokutholakala kwe-radiographic, kunokuba kube nemiphumela ye-biopsy.
Ngakwesokunene, ama-enchondromas anganciphisa ithambo ngokwanele ukuthi kwenzeka ukwehlukana. Uma kwenzeka lokhu, ukulimala kubizwa ngokuthi ukuphulwa kwe-pathologic . Ukwelashwa okujwayelekile kwesifo se-pathologic esibangelwa i-enchondroma esandleni siqale ukuvumela ithambo eliphukile ukuze liphulukise. Lokhu kungashukumisela ukuba i-enchondroma iphilise futhi. Uma kungenjalo, udokotela wakho odokotela angase ancoma inqubo yokususa amaseli we-tumor bese efaka ukufakelwa kwethambo emthini ukuqinisa ithambo nokuvimbela ukulimala kabusha.
> Imithombo:
> Marco RA, Gitelis S, Brebach GT, Healey JH. "Izicubu ze-cartilage: ukuhlolwa nokuphathwa" J Am Acad Orthop Surg. 2000 Sep-Oct; 8 (5): 292-304.