Ama-ossificans e-Myositis yimeko engavamile eyenza ukuba ithambo libe yinkangala ngaphakathi kwimizimba yomzimba. Ngokuqhelekileyo le meko ifunyenwe kubadlali abancinci abagcina ukulimala kabuhlungu, okanye ngamanye amaxesha ngenxa yokulimala okuphindaphindiweyo kwisisipha. Eyona nto ibonakala ihlala emlenzeni, kwaye ngamanye amaxesha i-forearm, i-myositis ossificans idlalwa kubadlali abafana nebhola lebhola okanye abadlali bebhola.
Kutheni kutheni i-myositis ossificans eyenzekayo ayifani ngokupheleleyo. Iingcamango zamanje kukuba iiseli ezibalulekileyo kwimpendulo yokuphilisa yokulimala ebizwa ngokuthi i-fibroblast ihluke ngokungafaniyo kwiithambo ezenza iiseli. Igama elithi myositis ossificans lithetha ukuba ithambo lifake ngaphakathi kwimizi, kwaye oku kwenzeka kwiindawo zokulimala. Ama-ossificans e-Myositis ayaziwa njengenkqubo yokuziphazamisa ngokwabo, oku kuthetha ukuba ixesha elinikwe lona liya kuzincoma.
Iimpawu
- Ukuva ubunzima ngaphakathi kwimizimba eqhubekayo kunokuba ikulindeleke ukuba ididekile ye-muscle evamile
- Ukuhamba ngokukhawuleza kwamajoyina azungeze isistim esilimele
- Ukuvuvukala kweqela le-muscle, kwaye ngamanye amaxesha liya kufikelela ekupheleni
Uninzi lweemvavanyo lunokwenziwa ukuze kuhlolwe izigulane ezinesithambo esiswini esifumene kwisisipha. Uninzi lwamaxesha amaninzi, uvavanyo lokuqala luqhutshwa ngu-x ray. Ukukhathazeka okuqhelekileyo xa ithambo elingavamile libonwa kwi-x-ray kukuba kunokuba ne-tumor ngaphakathi kwezicubu ezithambileyo.
Ngethamsanqa, i-myositis ossificans inezinye izikhokelo eziqhelekileyo ezenza kube lula ukuhlula kwi-tumor.
Ukuba kukho nayiphi na umbuzo malunga nokuxilongwa, ukuphinda i-ray-ray iya kufumana iiveki ezimbalwa emva koko ukuqinisekisa ukuba inqwaba yethambo i-myositis ossificans. Ezinye iimvavanyo zokucinga ezibandakanya i-ultrasound, i-CT scan, i-MRIs, kunye ne-scans i-scans nayo ingenziwa ukwenzela ukwahlula i-myositis ossificans kwezinye iimeko.
Ukongeza, abanye oogqirha baya kwenza iimvavanyo zelabhoratri. Ezi mvavanyo zibandakanya i-alkaline phosphatase efumaneka kwigazi. Olu vavanyo lunokuba luqhelekileyo kumanyathelo okuqala e-myositis ossificans, olulandelwe ngamanqanaba aphakamileyo ngaphakathi kweenyanga ezili-2 zokulimala, nokugqiba kwiinyanga ezili-6 zokulimala.
Iimpawu ze-Biopsies azikho imfuneko, kodwa ukuba zenziwa uvavanyo ziya kuqinisekisa ukufunyanwa kwesithambo esincinci sesithambo esijikeleze umgca ophakathi kwamaseli e-fibroblast. I-Biopsies inokuthi yenziwe njengenkqubo yokucubungula okanye inokwenziwa ngedaliti efakwe kwinqununu. Njengoko kuthethwe ngaphambili, lo vavanyo luqhutyelwa kwiimeko apho kunokukhathazeka malunga nokuxilongwa, kwaye ukuba ubunzima bunokuba yintlungu kwaye ingabi myositis.
Unyango
Izigaba zokuqala zonyango zijoliswe ekunciphiseni ukuphuma kwamanzi okanye ukutshaya ngaphakathi kwimizi. Ngoko ke, amanyathelo okuqala afaka:
- Ukuphumla
- Isicelo seqhwa
- Ukuchithwa kwempahla
- Imithi echasayo
Ngokuqhelekileyo ukugqitywa ngokugqithisileyo kwe-myositis ossificans kuqinisekisiwe. Ukuba i-myositis ossificans isuswe ngokukhawuleza, kukho ukukhathazeka ngokubuyela kwayo. Ngoko ke, abaninzi abagqirha balinda phakathi kweenyanga ezili-6 ukuya kwe-12 ngaphambi kokuqwalaselwa ukususwa.
Oku kuthetha, kukho ubungqina obuncinane bokuthi ixesha elithile lokulinda liyimfuneko. Ngaphezulu, kukho ithuba lokubuya nangona usususwe kakhulu. I-Myositis ossificans igqithiselwa kuphela xa kukho iimpawu eziqhubekayo nangona unyango olungenalo unyango olufana nokuphazamiseka kokuhamba kunye okanye uxinzelelo olusuka kwintsholongwane.
Imithombo:
UWalkzak BE, uJohnson CN, uHowe BM. "I-Myositis Ossificans" J Am Acad Orthop Surg. 2015 Oct; 23 (10): 612-22.