Chifukwa ndi Chithandizo cha Bone Spurs

Mfupa wambiri wamphongo umagwirizana ndi kutentha kwa mgwirizano

Mafupa amatulutsa, kapena mafinya, ndi mapuloteni omwe amawoneka m'magulu ndipo nthawi zambiri amawoneka ngati matenda a nyamakazi. Kuphulika kwa mafupa kungayambitse kupweteka ndipo makamaka kumayambitsa zolepheretsa kuyendera limodzi .

Chifukwa Chiyani Fupa Fomu Fomu

Mphuno ya mafupa ingapangidwe ngati thupi limayankha ku chinthu chosavuta kuzungulira mgwirizano. Chifukwa chofala kwambiri ndi matenda a osteoarthritis , matenda opweteka omwe khungu lachidziwitso lozungulira palimodzi likuchepa kwambiri.

Pamene chitetezo choteteza chitetezo chimatha ndipo mafupa amayamba kuwoneka bwino, thupi lidzayankha ndi kutupa ndikusintha kwa zigawo zozungulira. Mavitamini amatha kudya, ndipo pang'onopang'ono timadzi timene timapanga timadzi timene timakhala tikukula. Kukula kwa fupa kwatsopano kumene ife tikukutcha kuphulika.

Mapangidwe a spurs angaganizedwe ngati kuyesa kwa thupi kuti liwonjeze malo omwe akugwiritsidwa ntchito - chiyero chotetezera kuti chikhale chabwino chogawira mphamvu kapena mphamvu zomwe zingagwiritsidwe ntchito pamtundu umenewo. Tsoka ilo, limakhala ndi zotsatira zosiyana, kulepheretsa kuyenda palimodzi pamene kulimbikitsa mitsempha ndi zinyama zina kumagwiritsira ntchito mgwirizano umenewo.

Mphuno ya mafupa imakhalanso yowonongeka mu matenda omwe sali otupa omwe amatchedwa idiopathy mafupa hyperostosis (DISH) . Ngakhale chifukwa cha DISH sichikudziwika, ambiri mwa anthu 80 pa 100 aliwonse omwe amapezeka kuti ali ndi matendawa amamva ululu ndi kuuma chifukwa cha pf mapangidwe a spurs pamsana.

Osteophyte sayenera kusokonezeka ndi enthesophytes, ziwonetsero za bony zomwe zimapangika pa chida cha tendon kapena ligament.

Zizindikiro za Mphuno Zamtundu

NthaƔi zambiri, fupa la fupa silidzachititsa ululu uliwonse kapena mavuto. Ngakhale pamene pali ululu, sizingatheke chifukwa chodzipweteka koma vutoli (matenda a nyamakazi, matenda, kuwonongeka).

Fupa lomwe limapangidwira pamtsempha limatha kupangitsa kuti mitsempha ikhale yolimba kwambiri. Zikatero, pangakhale ululu womwe umakhala m'magulu angapo a thupi malingana ndi momwe mzere wa mitsempha umakhudzidwira. Zingathe kupweteka m'milingo kapena manja komanso kufooka ndi phokoso, pini-ndi-singano kumva m'mapazi kapena manja.

Mapangidwe a osteophytes pamagulu a zala (omwe amatchedwa nthiti za Heberden ndi nambala za Bouchard ) sizimangopangitsa kuti kutupa timayanjana ndi nyamakazi koma kumachepetsa kwambiri kuwonongeka kwa manja ndi zala. Kupweteka kumapezeka nthawi zambiri m'mayambiriro a nyamakazi (nthawi zambiri pozungulira zaka zakubadwa) ndipo amayamba kugonjera m'badwo wotsatira.

Kuchiza kwa Bone Spurs

Ngakhale fupa lakununkhira silimakhala lovuta, limasonyeza vuto lalikulu lomwe lingayesedwe mankhwala. Kusintha kwa kukula kwa mafupa kumatchulidwa kawirikawiri kuthandiza kuthana ndi kuyang'anira matenda aakulu omwe amatha kudwala monga nyamakazi. Ngati pali ululu, mankhwala osagwiritsa ntchito steroidal anti-inflammatory (NSAID) monga ibuprofen angapangidwe.

Nthawi zambiri nthawi zina mafupa amatha kuchotsedwa, makamaka ngati kukula kumakhudza momwe munthu angagwiritsire ntchito. Komabe, ambiri mwa mankhwalawa adzabwerera pokhapokha ngati vuto lomweli likuwongolera mwanjira inayake.

Ngati matenda a osteoarthritis, izi sizingatheke.

Nthawi zina fupa limathamanga pala zala kapena zala zazing'ono (monga zimachitikira ndi hallux rigidus chala chachikulu) zitha kuchotsedwa kuti zisinthe kayendetsedwe kake ndi kuchepetsa ululu.

> Chitsime:

> Wong, S .; Chiu, K.; ndi Yan, C. "Nkhani Yopenda: Osteophytes." J Orthop Surg . 2016; 24 (3): 403-410.