Subchondral sclerosis ndi kuphulika kwa fupa m'magulu. Zingakhudze anthu omwe ali ndi matenda a mitsempha ya m'magazi ndipo amachititsa kupweteka kwa fupa. Mwamwayi, subchondral sclerosis imawoneka mosavuta ndipo pali njira zambiri zamankhwala zomwe zingapezeke.
Kuti mumvetsetse subchondral sclerosis ndizothandiza kuti mukhale ndi chithunzi cha momwe osteoarthritis imakhudzira ziwalo za thupi.
Sikuti khungu la osteoarthritis limangosakaniza kanyumba kamodzi kokha, komabe imatayika pansi pa fupa la subchondral pansi pa karotila. Pamene thupi limayesa kubwezeretsa mafupawa, imabwerera m'mbuyo kuposa kale, zomwe zimachititsa subchondral sclerosis. Kawirikawiri amadziwika m'magulu amtsogolo a osteoarthritis. Subchondral sclerosis ikhoza kuyambitsa fupa , ndipo nthawi zina, ikhoza kuchepetsa kuyendayenda mu mgwirizano wokhudzidwa.
Kuzindikira kwa Subchondral Sclerosis
Pamene muli ndi X-ray monga gawo la chithandizo cha matenda a osteoarthritis, subchondral sclerosis ndi chimodzi mwa zinthu zomwe radiologist imaziwona ndikuziwona. Zimasonyeza pa X-ray ngati malo ofupa a fupa pansi pa kanyumba kamodzi komwe mumakhala, mukuwoneka ngati fupa loyera loyera pamzere wowonjezera. Subchondral sclerosis imawoneka mu osteoarthritis mu ziwalo zambiri zomwe zimakhudzidwa, monga bondo, chiuno, msana, ndi phazi.
Subchondral Sclerosis mu Osteoarthritis
Subchondral sclerosis sichiti nthawi zambiri kufotokozera mmene osteoarthritis idzasinthira.
Musaganize kuti matenda anu osteoarthritis akuipira ngati mukupezeka ndi subchondral sclerosis.
Kafukufuku wofalitsidwa mu 2014 anawona ngati subchondral sclerosis yomwe inkapezeka ndi kujambula kwa maginito (MRI) inali yogwirizana ndi imfa ya cartilage. Ochita kafukufuku analembetsa anthu 163 omwe anali ndi ululu wamondo ndikuwatsata kwa zaka zitatu ndi masewero a knee oyambira ndi ma MRI.
Iwo sanapeze mgwirizano wofunika pakati pa sublineondemic sclerosis ndi chiwopsezo chowonjezeka cha khunyu kumalo komweko pa bondo.
Phunziro lina, lomwe linatulutsidwa mu 2014, linasanthula ngati subchondral sclerosis inali kuteteza bondo kuchoka pa malo ophatikizana ndi anthu omwe ali ndi varus knee osteoarthritis . Anthu omwe ali ndi vutoli nthawi zambiri amatchulidwa kuti "lamba" chifukwa amachititsa kusiyana pakati pa bondo ndi mwendo. Ofufuza pa kafukufukuyu anawona amayi 192 amene anapezeka kale ndi varus knee osteoarthritis ndipo ankachita maondo X, komanso mphamvu zamagetsi X-radi absorptometry (DEXA) m'mphepete mwa mimba, femir wambiri, ndi condyles za knee. Kafukufukuyo anapeza kuti kuwonjezeka kwa subchondral bone sclerosis kungateteze kuchepa kwa kaloti.
Chithandizo cha subchondral sclerosis
Mofanana ndi matenda a osteoarthritis, palibe mankhwala a subchondral sclerosis. Koma, pali masitepe omwe mungatenge kuti muchepetse kayendedwe kake ndi kuchepetsa zizindikiro zowawa. Kuchita masewera olimbitsa thupi, kuphatikizapo kugwiritsa ntchito njinga yamoto, yoga, ndi kusambira ndi njira zabwino kwambiri zothandizira ziwalo zomwe zimakhudzidwa. Kwa anthu omwe ali olemera kwambiri, kutaya thupi kumalimbikitsidwanso ngati njira yothetsera nkhawa pamagulu awo.
Dokotala wanu angalimbikitsenso chithandizo chamankhwala, hydrotherapy, kapena chithandizo chamankhwala chokwanira, monga kuchizira. Mankhwala otsutsa-kutupa , monga ibuprofen , angaperekedwe. Pa milandu yowopsa kwambiri, pali mankhwala omwe akuthandizira kupereka chithandizo. Kawirikawiri, chirichonse chimene chimachepetsa zizindikiro za osteoarthritis chidzathandizanso zizindikiro za subchondral sclerosis.
Nthawi zina, opaleshoni kuchotsa kuchuluka kwa mafupa angapangidwe. Monga momwe ziliri ndi matenda aakulu, funsani dokotala wanu kuti mudziwe njira yabwino kwambiri yothetsera zizindikiro zanu.
Mawu Ochokera
Thupi la subchondral siliposa chithunzi pa X-ray.
Zimakhudzidwa ndi ndipo zimakhudzidwa ndi zomwe zikuchitika ndi khalala pamodzi. Pamene katsamba kakang'ono kakang'ono kamakhala kochepa m'magazi a osteoarthritis, fupa limatuluka. Mutha kuika mapulogalamu anu abwino monga momwe angathere pochita masewera olimbitsa thupi komanso mankhwala opatsirana.
> Zotsatira:
> Akamatsu Y, Kobayashi H, Kusayama Y, Kumagai K, Mitsugi N, Saito T. Do subchondral sclerosis protect the progression of space joint in patients with varus knee osteoarthritis? Osteoarthritis ndi Cartilage . 2014; 22. lembani: 10.1016 / j.joca.2014.02.667.
> Crema M, Cibere J, Sayre E, et al. Chiyanjano pakati pa subchondral sclerosis chimazindikiritsidwa ndi MRI ndi khunyu kumwalira kwa gulu la anthu omwe ali ndi ululu wamondo: mawondo a knee osteoarthritis progress (KOAP). Osteoarthritis ndi Cartilage . 2014; 22 (4): 540-546. do: 10.1016 / j.joca.2014.01.006.
> Li G, Yin J, Gao J, et al. Thupi la subchondral m'magazi a osteoarthritis: kuzindikira zowopsa ndi kusintha kwazing'ono. Arthritis Research & Therapy . 2013; 15 (6): 223. lembani: 10.1186 / ar4405.