Matenda a nyamakazi ndi ofewetsa kukula kapena kuika, omwe amatchedwanso fupa la fupa. Amakula pang'onopang'ono pakapita nthawi ndipo nthawi zambiri alibe zizindikiro. Zingathe kupweteka ngati zimakhudzidwa pazinthu zina kapena zimakula kwambiri kuti zisamayende limodzi. Nthawi zina amatchedwanso osteochondral nodules, osteochondrophytes, ndi chondro-osteophytes.
Osteophytes mu Arthritis
Osteophytes nthawi zambiri amakhala ndi ziwalo zomwe zimasonyeza zizindikiro zowonongeka .
Amayanjanitsidwa ndi matenda ambiri a nyamakazi, osteoarthritis . Kukhalapo kwawo kungathandize kusiyanitsa osteoarthritis ndi matenda ena a nyamakazi . Ngakhale matenda a osteoarthritis akuphatikizapo kuwonongeka kwa khungu, palinso kusinthika kwa mafupa a subchondral mumphati , omwe angaphatikize kupanga mapangidwe a fupa.
Kupanga Osteophytes
Kulankhula zamakono, nyamakazi ndi tizilombo ta fibrocartilage yomwe imachokera ku maselo oyambirira a periosteum, minofu yomwe imayambitsa mafupa ndipo ili ndi maselo omwe amapanga fupa latsopano. Kusintha kukula kwa chinthu β kumathandiza pakukula kwawo.
Matenda a nyamakazi amayamba pamene katsamba kotsalira kowonongeka kamangidwe kamene kamakhala kosalekeza kumalo ena ophatikizana. Chimawoneka mu chipinda chogwirizanamo kumene kuli kosaleta, kutanthauza kuti ndizochitika zochitika. Mapangidwe a osteophyte amalimbitsa mgwirizano wowonongeka.
Izi zikuti, momwe zimakhalira ndi zomwe zimapangitsa kuti mapangidwe awo asamvetsetse bwino. Mafupa a osteophytes amatha kukhalanso opanda vuto lodziwika bwino la cartilage.
Malo a Osteophyte Formation
Matenda a m'magazi amatha kukhala pamtunda kapena pamphepete mwa mgwirizano uliwonse . Mafupa a m'mphepete mwa nyanja amapezeka kwambiri m'chiuno ndi bondo .
Mafupa a osteophyte amatha kupezeka m'mphepete mwa msana, kumene amayamba kupweteka kumbuyo kapena kupweteka kwa mutu ndipo amalingalira ngati chizindikiro chodziwika cha nyamakazi yowonongeka (osteoarthritis). Mu msana, osteophyte kapena fupa la mfupa lingayambitse mitsempha ya mitsempha (compression of the spinal cord kapena mitsempha ya mitsempha) pa neuroforamen (malo opanda kanthu kumanzere ndi kumanja kwa vertebra iliyonse yomwe imalola kuti mitsempha ipite kuchokera kumtunda wa msana kumalo ena za thupi). Zizindikiro zowoneka pazinthu izi zikuphatikizapo kupweteka, kupweteka, kuyaka ndi pini ndi singano kumapeto kwa mitsempha ya m'mimba. Zizindikiro zamagalimoto zimaphatikizapo kuthamanga kwa minofu, kupunduka, kufooka, kapena kutayika kwa thupi kumbali yogwirizana. Mankhwalawa amachititsa kuti azivutika.
Zinthu Zowopsa kwa Maphunziro a Osteophyte
Zinthu zina ndi zikhalidwe zimatengedwa kuti zimathandiza kupanga mapangidwe a osteophyte. Izi zikuphatikizapo:
- Kuwonjezeka kwa zaka
- Kutayika kwa chidziwitso
- Kuwonongeka kofanana
- Kuvulala kwa masewera kapena kuvulala kwina
- Kusasintha kosauka
- Genetics
- Congenital chigoba chosadziwika
Kuzindikira Osteophytes
Mapangidwe a mafinya amtunduwu amatha kupezeka ndi kuunika kwapakati pa interphalangeal joint (PIP), mgwirizano wa interphalangeal (DIP), ndi choyamba cha carpometacarpal (CMC).
Mwachidule, mu dzanja, chifuwa kapena mtanda ukhoza kuwonetsedwa panthawi yofufuza.
Kwa ziwalo zina, kukhalapo kwa mafinya amatha kupezeka pogwiritsa ntchito zojambula zojambula, monga X-ray kapena MRI kapena CT scan. Ngati X-ray imaperekedwa kwa aliyense wopitirira zaka 50, ambiri angasonyeze umboni wina wa mapangidwe a nyamakazi. Komabe, mafinya ambiri samabweretsa zizindikiro. Pafupifupi 40 peresenti ya anthu omwe ali ndi mafinya amayamba kukhala ndi zizindikiro zomwe zimafuna chithandizo.
Kuchiza kwa Osteophytes
Kukhalapo kwa nyamakazi yokha sikumagwira ntchito pokhapokha ngati zizindikiro zogwirizana zimakhalapo. Chithandizo chingaphatikizepo:
- Kuchiza thupi
- NSAIDs (mankhwala osakanizika ndi mankhwala osagwiritsidwa ntchito)
- Malangizidwe (painkillers)
- Steroid Injections
- Opaleshoni: Pakapita msana, kuchotsedwa kwa osteophyte kungakhale kofunikira kuti munthu asamangidwe mwakachetechete kapena kuwonjezera kukula kwake kwa msana kuti asachepetsedwe ndi osteophyte.
Kawirikawiri, chithandizo chodziletsa chimayesedwa poyamba. Opaleshoni imaperekedwa kwa anthu omwe ali ndi zizindikiro zoopsa. Ntchito imayambitsa kupweteka komwe kumayambitsa matenda a mafinya, pamene kupuma kumathandiza kuchepetsa ululu.
Zotsatira:
> Goel A. Kodi nkofunikira kubwezeretsa nyongolotsi m'matenda osokoneza bongo? Journal of Craniovertebral Junction ndi Champhamvu. 2013 January-June; 4 (1): 1-2.
> Mafupa Ophwanya (Osteophytes). Mikungudza-Sina. https://www.cedars-sinai.org/health-library/diseases-and-conditions/b/bone-spurs.html.
> Neuroforamen - Mwachidule. Laser Spine Institute. https://www.lasspineinstitute.com/back_problems/spinal_anatomy/vertebral_column/neuroforamen/.
> SHJ, Chiu KY, Yan CH. Onaninso mutu: Osteophytes. Journal of Surgery Opaleshoni . 2016; 24 (3): 403-410. lembani: 10.1177 / 1602400327.