I-synovium, ebizwa nangokuthi i-membrane ye-synovial, iyisisindo esithambile esinesigcawu sezingxube ze-diarthrodial, ama-tendon sheaths, nama-bursae. I-synovium igxila yonke indawo yangaphakathi yesibambisene, ngaphandle uma ukuhlanganiswa kuhlanganiswe ne- cartilage . I-synovium inezingqimba zangaphandle (ukuzwa kwangaphakathi) kanye nengqimba yangaphakathi (intima). Amaseli we-intima abizwa ngokuthi ama-synoviocytes.
Kunezinhlobo ezimbili ze-synoviocytes, uhlobo lwe-A (i-macrophage-etholakala) nohlobo B (i-fibroblast-etholakala). I-subintima iqukethe i-intra-articular (ngaphakathi kwemikhumbi), njengemithwalo yegazi nemikhumbi ye-lymphatic, kanye nemisipha. Ngaphansi kocansi lwe-synoviocytes, kukhona izicubu ze-adipose noma izicubu ezinamafutha. I-synovium yilapho uketshezi lwe-synovial ukhiqizwa khona, into egcwala futhi isondla i-cartilage namathambo ngaphakathi kwe-capsule ehlangene.
I-Synovium e-Rheumatoid Arthritis
Njengezinye izifo eziningi ze-rheumatic, i- rheumatoid arthritis yisifo esizimele . Esifweni noma esimweni esizimele, amasosha omzimba omuntu, ngokuvamile asiza ukuvikela umzimba ekuthelelekeni nasezifo, ahlasele izicubu zawo ezihlangene ngezizathu ezingaziwa. Ku-arthritis ye-rheumatoid, amaseli omzimba omzimba aya e-synovium futhi aqale ukuvuvukala (synovitis). Inqubo yokuvuvukala ibonakala ngokusakazeka kwama cell synovial, i-vascularization eyandisiwe, nokungena kwezicubu ngamaseli avuthayo, kufaka phakathi i-lymphocytes, amaseli e-plasma, nama-macrophages acushiwe.
Lokhu kubonakala njengezimpawu ezijwayelekile zesifo samathambo - ukushisa , ubomvu, ukuvuvukala, nobuhlungu.
Njengoba i-arthritis ye-rhumatoid iqhubeka, i-synovium evuthayo ihlasela futhi ibhubhise i-cartilage kanye nethambo le-joint. Imisipha, imijondolo, nezintambo ezizungezile ezisekela futhi zizinzile zihlangene zibuthakathaka futhi azikwazi ukusebenza ngendlela evamile.
Lezi zimphumela ziholela ebuhlungu obuhlangene kanye nomonakalo ohlangene ngokuvamile obonakala kubantu abane-arthritis ye-rheumatoid. Ukuqonda okwenzekayo ku-synovium ku-arthritis ye-rheumatoid kukusiza ukuba uqonde izimpawu nokuqina kwesifo.
Ukwelashwa Okubhekiswe Ku-Synovium Ebuhlungu - Ingabe Kuyeza?
Kube nesithakazelo phakathi kwabacwaningi mayelana nokuthuthukiswa kwezidakamizwa ezithile eziphathelene nesifo sofuba se-rheumatoid arthritis. Kungenzeka ukuthi izidakamizwa zingaqondisa i-synovium ngokuphumelela okwenyukayo ngenkathi isinciphile isistimu. Uma lokhu kwakwenza ngempela-okukwazi, ama-imaging agents angahle afundiswe ku-synovium, okuvumela ukuhlolwa kwe-synovitis esebenzayo emajoyini amaningi. Ngenkathi kube khona ukuthuthukiswa kule ndawo, i-receptor ethile ye-synovial ayitholakali.
> Imithombo:
> Freemont, u-Anthony J. The Pathophysiology of Cartilage and Synovium. I-British Journal ye-Rheumatology. 1996; 35 (isithathu 3): 10-13.
> Garrood T. noPitzalis C. Ukubhekisisa iSynovium evuthayo. Ukufuna Okucacile. I-arthritis ne-Rheumatism. April 2006.
> Kelley's Bookbook of Rheumatology. Umagazini wesishiyagalolunye. Firestein et al. I-Biology ye-Joint Joint. Amakhasi 8-10.
> O'Connell, uJohn X., MB FRCPC. Ukukhubazeka kwe-Synovium. I-American Journal of Clinical Pathology.
> Smith, Malcolm D. I Synovium evamile. I-Open Rheumatology Journal. 2011; 5: 100-106.