Myositis ossificans ndi chikhalidwe chosazolowereka chomwe chimapangitsa mafupa kupanga mkati mwa minofu ya thupi. Kawirikawiri vutoli likupezeka mwa othamanga achinyamata omwe amachititsa kuvulazidwa koopsa, kapena nthawi zina chifukwa cha kuvulaza mobwerezabwereza ku minofu. Ambiri omwe amapezeka mu ntchafu, ndipo nthawi zina pamatope, myositis ossificans nthawi zambiri amapezeka othamanga monga mpira kapena mpira osewera.
Momwemonso chifukwa cha myositis ossificans zimachitika si kwathunthu bwino. Nthano yamakono ndi yakuti maselo ofunika kwambiri pa machiritso a machiritso otchedwa fibroblasts molakwika amasiyanitsa m'maselo opanga mafupa. Mawu akuti myositis ossificans amatanthauza kuti mafupa amapanga mkati mwa minofu, ndipo izi zimapezeka pamalo a chovulalacho. Myositis ossificans amadziwika ngati njira yodziperekera matenda, kutanthauza kuti kupatsidwa nthawi kudzathetsa ndekha.
Zizindikiro
- Kumva kupweteka mkati mwa minofu yomwe imapitirira motalika kusiyana ndi kuyembekezera kusokonezeka kwa minofu yachibadwa
- Kusunthika kwazing'ono kwazomwe zili pafupi ndi minofu yovulala
- Kutupa kwa gulu la minofu, ndipo nthawi zina limatuluka kumapeto
Mayesero ambiri angathe kuchitidwa kuti aunike odwala omwe ali ndi mafupa omwe amapezeka mkati mwa minofu. Nthawi zambiri, mayeso oyambirira amachitidwa ndi x-ray. Zomwe anthu ambiri amadandaula pamene mafupa osadziwika amawonedwa pa x-ray ndikuti pakhoza kukhala chotupa m'matumbo ofewa.
Mwamwayi, myositis ossificans ali ndi zizindikiro zina zomwe zimapangitsa kuti zikhale zosiyana kwambiri ndi chotupa.
Ngati pali funso lirilonse lokhudzana ndi matendawa, kubwereza x-rays kudzapezeka patatha milungu ingapo kuti atsimikizire kuti mafupa ndi omwe amachititsa kuti misazi ikhale yovuta. Zojambula zina zamaganizo kuphatikizapo ultrasound, CT scan, MRIs, ndi bone scans zingathetsedwenso posiyanitsa myositis ossificans ndi zinthu zina.
Komanso, madokotala ena amapanga ma laboratory test. Mayesero awa ndi monga alkaline phosphatase omwe angapezeke m'magazi. Chiyesochi chikhoza kukhala chachilendo kumayambiriro kwa myositis ossificans, kenako kutsatizana ndikuyenda mkati mwa miyezi 2-3 ya kuvulala, ndikukhazikitsa mkati mwa miyezi 6 ya kuvulala.
Ma biopsies siwofunikira kwenikweni, koma ngati atayesedwa amavomereza kuti apeza mzere wochepa wa mafupa ozungulira pakati pa maselo a fibroblast. Mankhwalawa akhoza kuchitidwa ngati opaleshoni kapena akhoza kupyolera mu singano yomwe imayikidwa mu misa. Monga tanenera kale, mayeserowa amachitika nthawi zina pomwe pangakhale nkhaŵa zokhudzana ndi matendawa, ndipo ngati misa ikhoza kukhala chotupa osati myositis.
Chithandizo
Gawo loyamba la mankhwala likuwongolera kuchepetsa kutuluka magazi kwinakwake kapena kutupa mkati mwa minofu. Choncho, masitepe oyambirira ndi awa:
- Kupumula
- Chida chachitsulo
- Kupanda malire
- Mankhwala Oletsa Kutentha
Kawirikawiri ndi opaleshoni ya opaleshoni ya myositis ossificans yoyenera. Ngati myositis ossificans amachotsedwa posachedwa, pali nkhawa za kubwerera. Choncho, madokotala ambiri opaleshoni amayembekezera miyezi 6 kapena 12 asanayambe kuchotsa.
Izi zinati, pali umboni wochepa wosonyeza kuti nthawi yodikira ndi yofunika. Komanso, pali mwayi wobwerera ngakhale atachotsedwa mochedwa kwambiri. Myositis ossificans amangochotsedwa opaleshoni ngati pali zizindikiro zosalekeza ngakhale kuti ndizofunikira chithandizo chamankhwala monga kusokoneza kayendedwe ka mgwirizano kapena kuthamanga kwa misala.
Zotsatira:
Walczak BE, Johnson CN, Howe BM. "Myositis Ossificans" J Am Acad Orthop Surg. 2015 Oct; 23 (10): 612-22.