Kupanda Kupha Magazi Kumayambitsa Bone Kufa
Osteonecrosis ndi mkhalidwe umene umapangika chifukwa cha kusakhalitsa kapena kosatha imfa ya magazi ku fupa. Kuperewera kwa magazi ku fupa kumapangitsa mbali imeneyo ya fupa kufa. Pfupa lingagwe ngati likufa, ndipo fupa lomwe lakhudzidwa lili pafupi ndi chophatikizana, mcherewu ukhoza kugwa.
Osteonecrosis ikhoza kukhudza fupa lililonse koma makamaka limakhudza mapeto a femur, chapamwamba mkono fupa, mawondo, mapewa, ndi mabotolo.
Osteonecrosis wa nsagwada amawoneka kuti ndi osowa ndipo wagwirizana ndi ntchito ya bisphosphonate. Ndi osteonecrosis, fupa limodzi lingakhudzidwe kapena kuposera limodzi, mwina panthawi imodzi kapena nthawi zosiyana.
Osteonecrosis imatchedwanso avascular necrosis, aseptic necrosis, kapena ischemic necrosis ya fupa.
Kodi Osteonecrosis Ndi Yotani?
A American Academy of Orthopedic Surgeons amanena kuti anthu 10,000 mpaka 20,000 amapanga osteonecrosis chaka chilichonse.
Kodi Chimachititsa Osteonecrosis N'chiyani?
Kawirikawiri, kufooka kwa magazi komwe kumayambitsa osteonecrosis kumabweretsa zovuta zotsatirazi (kuvulala). Komabe, pangakhale zopanda mavuto zomwe zimayambitsanso.
Zoopsa za osteonecrosis zimachitika pamene kuvulala, kupunduka, kapena kuvulaza kowonongeka kumawononga mitsempha yambiri ya magazi, kumasokoneza kufalikira kwa magazi mpaka fupa. Kuphulika kwa njoka ndi kupsinjika kwa chiuno ndizozimene zimayambitsa vuto loopsa la osteonecrosis.
Osagwidwa ndi matenda osteonecrosis akuyamba popanda kupsinjika kapena kuvulala.
Zinthu zina zamankhwala zimagwirizanitsidwa ndi zosautsa zoopsa za osteonecrosis monga lupus , gout, vasculitis , osteoarthritis , khansa, shuga, matenda a Gaucher, matenda a Cushing, matenda a chiwindi, matenda odwala matenda odwala matenda, kupweteka kwa chiwindi, zotupa, ndi matenda otsekemera magazi. Chemotherapy, mlingo wautali kapena mankhwala a corticosteroid ya nthawi yaitali, kupatsirana thupi, maizoni, kusuta, ndi kumwa mowa mopitirira muyeso amaonedwa kuti ndi zoopsa za osteonecrosis.
Zina zimapezeka kuti ntchito ya corticosteroid ndi imene imayambitsa osteonecrosis.
Kwa odwala 20% a osteonecrosis, chifukwa chake sichidziwika ndipo chikhalidwechi chimadziwika kuti idiopathic osteonecrosis.
Zizindikiro
Poyamba, sipangakhale zizindikiro zodziwika zogwirizana ndi osteonecrosis. Koma pamene matendawa akufalikira, ululu wamkati umakhalapo. Poyamba, ululu ungakhalepo pokhapokha mutakhala wolemera, koma monga osteonecrosis ikupita, pangakhale ululu ngakhale pamene mupumula. Pakapita nthawi, kupweteka kungachepetse kayendetsedwe kake ndikukhala wosatetezeka. Kutaya kwa mgwirizano wothandizira kumatha kukula kwa miyezi yambiri. Ngakhale kuti zizindikiro zimapezeka pang'onopang'ono, n'zotheka kuvutika ndidzidzidzi kuchokera ku osteonecrosis.
Kudziwa
X-rays ndizoyeso zoyambirira zoyezetsa matenda pamene akukayikira osteonecrosis. Komabe, x-rays sangatenge masitepe oyambirira a osteonecrosis. Ngati X-ray imawoneka ngati yachilendo, MRI imayesedwa kuti ipereke mwayi wapadera wotulukira masitepe oyambirira a osteonecrosis yomwe sichinawonekere pa x-ray.
Ngakhale angagwiritsidwe ntchito kuti azindikire osteonecrosis, CT, zizindikiro za fupa, ndi chidziwitso sizimagwiritsidwa ntchito kawirikawiri.
Chithandizo
Zolinga zamankhwala zimaphatikizapo kupititsa patsogolo kugwiritsiridwa ntchito kwa mgwirizano wokhudzana ndi matendawa, kuletsa kuwonongeka kwa mgwirizano, ndikulimbikitsa kupulumuka kwa fupa.
Posankha njira yabwino yoperekera chithandizo, dokotala wanu adzaganizira za msinkhu wanu, siteji ya osteonecrosis, malo osokoneza bongo, ndi zomwe zinayambitsa vutoli.
Pakhoza kukhala mankhwala omwe amaperekedwa kuti athetse ululu, kapena mankhwala amasiya ngati akuganiza kuti ndi chifukwa (mwachitsanzo, corticosteroids). Kuchepetsa kulemera kwa thupi ndikofunikira kuti machiritso akwaniritsidwe ndipo angathe kupindula mwa kuchepetsa ntchito kapena kugwiritsa ntchito zida zina kapena zina zothandizira. Zochita zolimbitsa thupi nthawi zambiri zimaphatikizidwa monga gawo la dongosolo la mankhwala. Kupititsa patsogolo magetsi nthawi zina kumagwiritsidwa ntchito polimbikitsa kukula kwa mafupa. Komabe, pamapeto pake, anthu ambiri omwe ali ndi osteonecrosis amafunika opaleshoni kuti achepetse kapena kuti asiye kupitirira.
Opaleshoni imathandiza kwambiri ngati osteonecrosis siinapite patsogolo mpaka fupa likugwa. Ndondomeko zomwe zimagwiritsidwa ntchito pa osteonecrosis zimaphatikizapo kuperewera kwapakati, osteotomy , kupaka mafupa, ndi kuphatikizidwa pamodzi .
Zotsatira:
Osteonecrosis. Maphunziro a National Aritritis and Musculoskeletal ndi Matenda a Khungu (NIAMS). June 2009.
Osteonecrosis. Matenda, Ophatikizana ndi Amtundu. Merck Manual. March 2008.