Kukula Kwambiri kwa Matenda a Pathupi kumene Siyenera Kuyenera
Kuthamanga kwa maheketero ndilo mawu ogwiritsira ntchito kufotokoza fupa limene limapanga malo omwe sayenera kukhalapo. Mafupa amachititsa kuti mafupa apangidwe m'kati mwake, kuphatikizapo minofu, mitsempha, kapena ziwalo zina. Kawirikawiri mawu akuti "HO," osterification a heterotopic amatha kuchitika pafupifupi paliponse m'thupi. Mafupa a heterotopu amapangidwa pambuyo pochita opaleshoni, kuvulala, kapena nthawi zina chifukwa cha zifukwa zosadziwika.
Zizindikiro za Kachiritsira Ossification
Chizindikiro chofala kwambiri cha heterotopic ossification ndi kuuma kwa mgwirizano. Anthu ambiri omwe amapanga mafinya a heterotopic sangathe kumva mafupa osadziwika, koma onani kuti kukula kwa fupa kukuyenda m'njira yoyendayenda. Mafupa a heterotopu amapangidwa mozungulira mchiuno kapena pamalumikiza, kumapangitsa kuti ziwalozo zikhale zovuta. Zizindikiro zina zingaphatikizepo misa yomwe ingamveke, kuwonongeka kwa dera, kapena ululu.
Kodi Kutentha Kwambiri Kumayamba Nthawi Yanji?
Mafupa amachititsa kuti thupi lisamangidwe, ndipo maselo amatha kuyamba kupanga mafupa atsopano kunja kwa mafupa. Thupi limapanga mafupa atsopano kuti alowe m'malo mwa mafupa. Pamene fractures imachitika pfupa, fupa latsopano limapangidwa kuti lichiritse fupa lowonongeka. Kwa anthu omwe ali ndi mafupa a heterotopic, zofanana ndizo zimachitika, koma nthawi zambiri chifukwa chosadziwika.
Njira yatsopano yopangira mafupa imatchedwa skeletogenesis.
Pamene njirayi imapezeka kunja kwa kumene mafupa enieni ayenera kukhalapo, zotsatira zake zimatchedwa heterotopic ossification. Zotsatira zake zikhoza kukhala zosafunika kwenikweni. Nthaŵi zina, fupa la heterotopic lidzawoneka kokha chifukwa x-ray inachitidwa chifukwa chodera nkhaŵa. Kwa ena, zotsatira zingachepetse mphamvu ya munthu kuchita zinthu zosavuta, monga kuyenda.
Nchiyani Chimachititsa Heterotopic Ossification Kuti Ichitike?
Pali zifukwa zingapo zomwe zimayambitsa mafupa a heterotopic mapangidwe. Izi zikuphatikizapo:
- Matenda a mitsempha (monga fibrodysplasia ossificans progressiva ndi heteroplasia osapitirirabe)
- Njira zopangira opaleshoni (kuphatikizapo kupweteka kwa nsalu komanso kupweteka kwa mphuno komanso opaleshoni yophulika )
- Kuipa kwa ubongo kapena msana wam'mimba ( kuvulala kwa ubongo ndi kuvulala kwa msana )
- Kuvulala kwa masewera ( myositis ossificans )
Kodi Alipo Chithandizo?
Chithandizo cha kutentha kwa heterotopic ndi kovuta, pokhapokha kumamvetsetsa zomwe zimachititsa kuti vutoli lichitike. Chifukwa palibe kumvetsetsa chifukwa chake mafupa a heterotopic angapangidwe, n'zovuta kudziwa momwe mungapewere mafupa ena osapanga.
Kuchotsa opaleshoni ya mafupa a heterotopic ndi kotheka kwa odwala omwe mafupa a heterotopic amayamba chifukwa cha opaleshoni kapena kupwetekedwa mtima (odwala ndi ubongo wothandizira msana). Kawirikawiri, malangizowo ndi kuti mafupa awo a heterotopic ayenera kukhala okhwima, kutanthauza kuti palibe mafupa ena omwe akupanga. Panthawi imeneyo, opaleshoni ikhoza kuganiziridwa kuchotsa fupa. Izi kawirikawiri zimagwiritsidwa ntchito pofuna kulola kusuntha kwa mgwirizano umene unasungunuka chifukwa cha fupa.
Kwa odwala omwe ali ndi matenda omwe amachititsa kuti mafupa a heterotopic apangidwe, opaleshoni ndi mankhwala olakwika.
Ndipotu, mwa odwalawa, kuchita opaleshoni kuchotsa mafupa osalimba kungapangitse chikhalidwe chonse kukhala choipa.
Kafukufuku akuchitidwa kuti adziwe ngati pali mankhwala omwe amachititsa kuti mitundu ya majeremusi iwononge ma jeremusi omwe amapezeka kwa odwala omwe ali ndi heterotopic ossification. Mankhwalawa ali m'mayambiriro a kufufuza.
Kodi Kutentha kwa Heterotopisi Kungapezeke ?::
Odwala omwe ali pachiopsezo chachikulu kuti apangidwe mafupa a heterotopic, pali mankhwala ambiri omwe agwiritsidwa ntchito pofuna kuteteza mafupa owonjezera. Mankhwala ena, kuphatikizapo kuchuluka kwakukulu kwa mankhwala osagwiritsidwa ntchito ndi anti-inflammatory (NSAIDs), awonetsedwa kuti achepetse chitukuko cha fupa la heterotopic.
Chinthu china chovutitsa ndi kugwiritsa ntchito mankhwala opatsirana pogwiritsa ntchito mankhwala omwe amachititsa kuti mafupa apangidwe kwambiri. Nthaŵi zina maizitsi amagwiritsidwa ntchito opaleshoni yaikulu kapena odwala omwe ali ndi mbiri ya chitukuko cha mafupa a heterotopic. Mankhwalawa ndi otsutsana, monga kuwala kwa dzuwa kungawononge minofu ndi kuchepetsa machiritso kumene opaleshoni yachitidwa.
M'mbuyomu, madokotala ena opaleshoni ankagwiritsa ntchito ma radiation panthawi ya opaleshoni yowonongeka kuti atsimikizire kuti mafupa a heterotopic sanali opangidwa ndi opaleshoni. Pakalipano, pokhapokha ngati wodwala akuonedwa kuti ali pachiopsezo chachikulu chokula kwa mafupa a heterotopic, mankhwala osokoneza bongo samalimbikitsa.
Zotsatira:
Kaplan FS, et al. "Heterotropic ossification" J Am Acad Orthop Surgery March / April 2004; 12: 116-125.
Healy WL ndi Iorio R. "Kutentha kwa Heterotopisi Pambuyo Hip ndi Knee Arthroplasty: Zowopsa, Kupewa, ndi Chithandizo" J Am Acad Orthop Surg November / December 2002; 10: 409-416.