Mimba ya Benign M'kati mwa Bone Yopangidwa ndi Maselo a Cartilage
An enchondroma ndi chotupa champhamvu chomwe chimapezeka mkati mwa fupa. Chitsanzochi ndi chakuti wodwala ali ndi x-ray kuti avulala ndi chophatikiza, kawirikawiri mapewa, bondo, kapena bondo. Pamene mgwirizano umawoneka bwino, chinthu chosaoneka chimapezeka mkati mwa fupa. Kaŵirikaŵiri izi sizigwirizana kwenikweni ndi chifukwa cha ululu, ndipo chimodzi mwa zifukwa zofala kwambiri ndi enchondroma.
Benign Bone Kukula
Pamene wodwala akumva ali ndi chotupa, izi zingayambitse nkhawa ndi mantha; odwala ambiri poyamba amakhala ndi nkhawa kuti ali ndi khansa. Matenda a feteleza a Benign ndi osagwira ntchito, omwe samafalitsidwa kumalo ena. Ngakhale ziwalo zina zowononga mafupa zingayambitse mavuto, ena nthawi zambiri samadziwika ndipo sakhudzidwa ndi thanzi la wodwalayo.
Liwu loipa ndilo liwu lomwe nthawi zambiri limagwiritsidwa ntchito polongosola zotupa. Zimatanthawuza kuti chotupa sichiri chachiwawa ndipo sichitha kufalikira. Ndizosiyana ndi mawu amwano; mawu ogwiritsidwa ntchito pofotokoza zolasa zomwe ndizokali ndipo zingathe kufalikira mthupi lonse. Matenda ambiri ali ndi zizindikiro za chimodzi kapena chimzake. Pali zotupa zowonongeka pang'onopang'ono, ndipo pali zilonda zam'mimba zoopsa , koma zambiri zimagwera m'modzi mwa magawo awiriwa.
Zikondwerero
An enchondroma ndi mtundu wa chotupa chomwe chimayambitsa mapangidwe a maselo m'magazi.
Kawirikawiri, zotupazi zimachitika mmanja kapena pamthambo wautali wa m'mphepete mwa mapiko kuphatikizapo mchere (mkono wa mafupa), femur (thipa bone) ndi tibia (fupa fupa).
Zizindikiro zambiri za enchondroma zikuphatikizapo:
- Palibe zizindikiro zirizonse
- Kuwongolera kwala ndi chotupa
- Ululu pambuyo povulazidwa
Monga tanenera, ziphuphu zambiri zimakhala popanda chiwawa.
Pali chikhalidwe chofanana chomwe chotupacho chingakhale choipa, chotchedwa chondrosarcoma. Chondrosarcoma yapamwamba (kansa yoopsa) ikhoza kukhala ngati enchondroma, ndipo mofananamo. Ngati odwala ali ndi ululu umene umabwera kuchokera ku chotupacho, kapena ngati ma-x-ray akuoneka kuti ali ndi vuto loopsa, ndiye kuti chondrosarcoma yapamwamba iyenera kuonedwa ngati yothetsera matenda.
Pali matenda otchedwa Ollier's Disease omwe odwala ali ndi ziwalo zambiri. Odwala omwe ali ndi vutoli amayang'anitsitsa mosamala kwambiri, chifukwa amatha kukhala ndi chondrosarcomas kuchokera pachimake.
Kuchiza ndi Kuwunika
Kawirikawiri, palibe chithandizo chofunikira kwa enchondroma. Zambiri zosazindikira zomwe zimapezeka mkati mwa fupa zimatha kusinthidwa ndi zachilendo x-rays kwa nthawi. Ngati chotupacho chimawoneka ngati chiwombankhanga, chimakhala chofanana kapena chimachoka, ndiye kuti kawirikawiri simukufunikira kuyang'anitsitsa. Ngati chotupacho chikuyamba kukula, chimasonyeza zizindikiro zowonjezereka, zingatsimikizire kuti chotupacho chiyenera kuchitidwa ngati chondrosarcoma. Mwamwayi, zotsatira za biopsy zingakhale zovuta kusiyanitsa pakati pa enchondroma yachibadwa ndi chiwerengero chochepa cha chondrosarcoma, motero chisankho cha mankhwala nthawi zambiri chimachokera ku zizindikiro ndi zofufuza za, m'malo mwa zotsatira za biopsy.
M'manja mwake, ziphuphu zimatha kufooketsa fupa mokwanira kuti phokoso limatha. Izi zikachitika, chovulalacho chimatchedwa kupweteka kwa matenda . Chizoloŵezi chochira cha kupweteka kwa matenda omwe amachitidwa chifukwa cha enchondroma mu dzanja ndilo loyamba kulola kuti wosweka mafupa amachiritse. Izi zingayambitse enchondroma kuchiritsa. Ngati sichoncho, dokotala wanu angakulimbikitseni njira yothetsera maselo otupa ndi kuyika fupa lapafupa m'phfupa limalimbitsa fupa ndikuletsa kuvulaza.
> Zotsatira:
> Marco RA, Gitelis S, Brebach GT, Healey JH. "Matenda a kadoti: kufufuza ndi chithandizo" J Am Acad Orthop Surg. 2000 Sep-Oct; 8 (5): 292-304.