Imizimba ye-Benign ngaphakathi kweThambo eyenziwe ngamaseli e-cartilage
I-enchondroma yi-tumor ephazamisayo efunyenwe ngaphakathi kwethambo. Isimo esiqhelekileyo kukuba isigulane sine-x-ray yokulimala kwi-joint, ngokuqhelekileyo ihlombe, idolo okanye i-ankle. Nangona idibeneyo ibonakala iqhelekileyo, ukungaqhelekanga kubonakala ngaphakathi kwethambo. Ngokuqhelekileyo ezi zinto azihambelani ngokupheleleyo neentlungu, kwaye esinye sezizathu eziqhelekileyo si-enchondroma.
I-Boneign Bone Tumors
Xa isiguli esivela sine-tumor, oku kunokubangela ukuxhalabisa kunye nokwesaba; ezininzi izigulane ziqala ukukhathazeka ukuba zineomhlaza. Izidumbu ze-Benign ze-bone ziyiimeko ezingenakunzima, ezingafaki kwezinye iindawo. Nangona ezinye izifo zesifo seesifuba ezinobungozi zingabangela iingxaki, abanye bahlala bengabonakali kwaye abanayo impembelelo kwimpilo yesigulane.
Igama elibi lilizwi elisoloko lisetyenziswe ukuchaza izicubu. Kuthetha ukuba i-tumor ayinamandla yaye ayiyi kusasazeka. Kuchasene negama elibi; igama elisetyenziselwa ukuchaza izicubu ezinobudlova kwaye zingasasazeka kuwo wonke umzimba. Uninzi lwezihlamba zinempawu zenye okanye enye. Kukho izilonda ezibi zikhula ngokukhawuleza, kwaye zikhona izilonda ezinobunzima zendawo, kodwa ezininzi ziwela kwelinye lezona zibini ziseko.
Enchondromas
I-enchondroma luhlobo lwesifo esiyingozi esibangela ukubunjwa kweeseli ze-cartilage ngaphakathi kwethambo.
Ngokuqhelekileyo, ezi zihlamba zenzeka ezandleni okanye kumathambo amathambo omde emida ekubandakanya i-humerus (ithambo lesifuba), i-femur (ithambo lesithambo) kunye ne-tibia (ithambo lesifuba).
Iimpawu eziqhelekileyo ze-enchondroma ziquka:
- Ayikho impawu
- Ukunyiswa komnwe nge-enchondroma
- Ubuhlungu emva kokulimala
Njengoko kuthethwe, amaninzi ama-enchondromas aziphathe ngaphandle kobugwenxa.
Kukho imeko ehambelana nayo apho i-tumor ingaba yingozi, ebizwa ngokuba yi-chondrosarcoma. I-chondrosarcoma ephantsi (umhlaza obulalayo) ingaziphatha njenge-enchondroma, kwaye ngokufanayo. Ukuba izigulane zineentlungu ezivela kwi-tumor, okanye ukuba i-ray-ray ibonakala ingxaki enkulu, ngoko-ke i-chondrosarcoma ephantsi-bakala kufuneka ithathelwe ingqalelo njengesifo sokuxilongwa.
Kukho isifo esibizwa ngokuthi yi-Ollier's disease apho izigulane zinamacandromas amaninzi. Izigulane ezile meko zijongwa ngokubanzi ngokubanzi, njengoko ziyakwazi ukuhlakulela i-chondrosarcomas kwizinto ezazikade zi-enchondroma.
Unyango no kubeka iliso
Ngokuqhelekileyo, akukho unyango oluyimfuneko kwi-enchondroma. Uninzi olungaqhelekanga olufunyenwe ngaphakathi kwithambo luya kuphinda lugqitywe nge x-ray eziqhelekileyo ngexesha elide. Ukuba i-tumor ibonakala njenge-enchondroma, ihlala enye okanye ihamba, ngoko ke akukho mfuneko yokuba uhlolwe rhoqo. Ukuba i-tumor iqala ukukhula, ibonisa iimpawu zokuba nobudlova, kunokumisela ukuba i-tumor kufuneka iphathwe ngokungakumbi njenge-chondrosarcoma. Ngelishwa, iziphumo ze-biops zinokuba nzima kakhulu ukuhlula phakathi kwe-enchondroma eqhelekileyo kunye ne-chondrosarcoma ephantsi, ngoko ke izigqibo zonyango zisekelwe kwiimpawu kunye neziphumo ze-radiographic, kunokuba ziphumo ze-biopsy.
Esandleni, ama-enchondromas angancipha ithambo ngokwaneleyo ukuba kwenzeka ukuphuka. Xa kwenzeka oko, ukulimala kuthiwa yi- pathologic fracture . Ukunyanga okuqhelekileyo kwintlupheko ye-pathologic ebangelwa i-enchondroma esandleni sokuqala kukuvumela ukuphulwa kwethambo ukuphilisa. Oku kunokuvuselela i-enchondroma ukuphilisa. Ukuba akunjalo, ugqirha wakho unokuncoma inkqubo yokususa iiseli ze-tumor kwaye ubeke i-bone graft kwithambo ukuqinisa ithambo nokukhusela ukulimala kwakhona.
> Imithombo:
> UMarco RA, uGitelis S, Brebach GT, uHealey JH. "Izicubu ze-cartilage: uvavanyo kunye nonyango" J Am Acad Orthop Surg. 2000 Sep-Oct; 8 (5): 292-304.