Chikhalidwe Chogwirizana ndi Osteoarthritis kapena Kugwidwa kwa Thupa
Mafupa a mthethe edema ndi mawu omwe amagwiritsidwa ntchito kufotokoza kumanga madzi (edema) mu fupa la fupa. Ngakhale kuti mawuwa akugwiritsidwabe ntchito kawirikawiri ndi ogwira ntchito zachipatala, amatchulidwa masiku ano ngati zilonda za mafupa.
Mafupa a edema ndi mkhalidwe umene ungawoneke pa kujambulidwa kwa ultrasound kapena magnetic resonance imaging (MRI) ndipo nthawi zambiri umagwirizanitsidwa ndi osteoarthritis , fracture, kapena joint joint.
Bone Marrow Edema ku Osteoarthritis
Kukula kwa mafupa a edema m'thupi la osteoarthritis nthawi zambiri kumasonyeza kuti vutoli likuipiraipira.
Kuphatikiza pa kusungunuka kwa madzimadzi, subchondral cysts kawirikawiri amawoneka pa MRI. Izi ndi pamene kuwonongeka kwa cartilage kumayamba kuuma ndikupanga timagulu tomwe timagwiritsa ntchito madzi. Izi zimapangitsa malo ophatikizirana kuti apitirize kukhala ochepa kwambiri, kuti pfupa lisakanike ndi fupa .
Pamene katemera wambiri umatayika, mapulogalamu a mitsempha amawonekera kwambiri, amachititsa ululu komanso kuwonjezeka kwa kuyenda. Izi ndizowona makamaka pamaganizo a kneearthritis . Kusokoneza bondo kumbuyo kumangowonjezera vutoli, kuwonjezera kukhumudwa kwa ziwalo zowonongeka kale.
Mafupa a edema m'thupi mwa anthu omwe ali ndi osteoarthritis akugwirizana ndi zotsatira zovuta. Poyerekeza ndi anthu omwe alibe edema, omwe ali ndi edema amatha kuona kuti matenda awo akukulirakulira mwamsanga, nthawi zambiri pa miyezi 15 mpaka 30.
Bone Marrow Edema mu Kuvulala
Mafupa a edema amawoneka ndi mavulala ndi zovulala zazikulu kapena zamagulu, makamaka zomwe zimakhudzana ndi msana, chiuno, mawondo, kapena khungu. Ponena za kuvulala, mawuwa ndi osalongosoka ndipo angatanthauze kuwonjezereka kwa madzi kapena madzi kapena madzi omwe amachokera ku fibrosis (minofu yowopsya) kapena necrosis (imfa ya minofu).
Zina mwazimene zimayambitsa mafupa a mmafu ndi awa:
- Kupsinjika maganizo kwa phazi, chiuno, chikopa, kapena bondo komwe kumabwereza mobwerezabwereza kumapangitsa kupanikizika kosafunika pa cholemetsa cholemera
- Misozi yamakono (ACL) misonzi , kawirikawiri imakhala yovuta osati yosavuta, yomwe imawonekera ndi kuvulaza ndi synovitis ("madzi pa bondo")
- Mavenda oterewa , omwe nthawi zambiri amakhala okalamba, kumene mafupa a msana amayamba kugwa ndi kugwa
- Ziphuphu zokhudzana ndi kusungunuka kwa madzi zimathandiza kuchepetsa kuphulika kwa mafupa ndi kuonjezera ngozi ya kupasuka
- Kuchotsa mchiuno komwe magazi omwe amachepetsa pang'onopang'ono amachititsa osteonecrosis (fupa imfa)
Ngakhale kuti mtundu wina wa mafupa a edema ndi ovuta kuchiza, omwe amavutika ndi kuvulaza kapena kubwerera mobwerezabwereza nthawi zambiri amatha kuthetsedwa ndi kupuma, mankhwala osokoneza bongo , komanso mankhwala. Matenda owopsa angafune injini ya steroid kapena opaleshoni.
Mafupa a edema angakhale chisokonezo, chokhudza anthu ena mosiyana ndi ena. Ngakhale kuti zimatha kuthetsa pakadutsa miyezi inayi kapena 12 pambuyo povulazidwa, mpaka 15 peresenti ya milandu idzapitirira zaka ziwiri kapena kuposerapo, ngakhale pakati pa iwo omwe ali ndi thanzi langwiro.
> Zotsatira:
> Eriksen, E. "Matenda a mafupa a fupa (bone marrow edema)." Bonekey Rep . 2015; 4: 755. DOI: 10.1038 / bonekey.2015.124.
> Kothari, A .; Guermazi, A .; Chmiel, S. et al. 'Kulimbana pakati pa mafupa a pakati pa mafupa a mitsempha ndi kupwetekedwa kwa katemera m'matumbo a knee. " Matenda a Matenda a Nyamakazi 2010, 62 (2): 1988 mpaka 203. DOI: 10.1002 / acr.20068.