Izigxoba ezizaliswe nge-Fluid-Filled in Joints Associated with Osteoarthritis
I-subchondral bone cyst (i-SBC) isigxoba esigcwele amanzi esakhiweyo ngaphakathi kwendawo edibeneyo efana ne-hip, idolo okanye ihlombe. Basenokuhlakulela kubantu abane- osteoarthritis yaye abaqhelekanga ukuphathwa.
I-Osteoarthritis iqhubela phambili
I-osteoarthritis ibangelwa ukuphahlaka kwe- cartilage kumalungu. I-cartilage isebenza njengentambo phakathi kwamathambo ahlangeneyo, evumela ukuba baqhube kunye kunye nokunyanyiswa kwezinto eziphathekayo.
I-osteoarthritis ikhula ngezigaba:
- Ekuqaleni kwezifo, isikhala phakathi kwamathambo ahlangeneyo siya kuqala ukunciphisa ngenxa yokwehla kwesifo se-cartilage.
- Njengoko umdibaniso uzama ukuzilungisa ngokwawo, ukulungiswa kwethambo kunokuthi kungabikho nto kwaye kunokukhokelela ekubunjweni kweethambo (i- osteophytes ) kunye nophuhliso lwe-subchondral sclerosis (ukuqina kobambiswano ngenxa yokwanda kweethambo).
- Njengoko i-cartilage ilahleka, ii-SBC ziqala ukudala nokukhupha kwi-joint.
- Ukunyuka kwe-cartilage ekugqibeleni kuya kubangela ukuba ithambo lixubhe ngethambo , ibangela intlungu kunye nokulahleka kokuhamba.
Izizathu kunye neempawu
I-subchondral bone ithambo lesithambo ngaphantsi kwe-cartilage. Nge-osteoarthritis, ukunikezelwa kwegazi kule mimandla kuyenyuka njengoko umzimba uzama ukulungisa umonakalo odibeneyo. Uxinzelelo olunyuka kakhulu luxanduva lokwakheka kwamapokotshi e- hyaluronic asiyibiza ngokuba yi-SBC.
Kanye kunye namathambo kunye nokunyuka kwamathambo, ukubunjwa kwe-SBCs kunokunyanzela iimpawu ze-osteoarthritis. Ukususela kumbono wesifo, ii-SBC azizona zonke izinto ezahlukileyo kwaye zingabangela iintlungu eziphantsi ukuya kweyomodareyitha kunye / okanye zichaphazele ukuguquguqulelana okufanayo.
Akunabo bonke abantu abane-osteoarthritis baya kuphuhlisa i-SBC, kwaye akucaci isizathu sokuba abanye abantu bahlakulele imeko kwaye abanye abayifumani.
Ukuxilongwa
I-SBC ifunyaniswa ne-X-ray. Ziza kubonakala njengeefomsile ezizaliswe ngogesi kwindawo edibeneyo kodwa zisoloko zichazwe kakuhle kwaye kunzima ukuzibona. Kwimeko enjalo, ukukhangela kwe-imagination magnetic resonance (MRI) ingahlawulwa ukuba kunikezelwe ugqirha umbono ongaphezulu kweyesithathu.
Oku, kunye nokuhlaziywa kwempawu zomntu kunye nemingcipheko, kudla ngokwaneleyo ukuqinisekisa ukuxilongwa.
Imiba yengozi yeSBC iquka:
- Ukunyanya
- Ukutshaya
- Ulungelelwaniso olungavumelekanga
- Ubume obungavumelekanga
- Ukulimala kwangaphambili
- Imbali yentsapho ye-osteoarthritis
Unyango
I-SBC ayiphathwa ngokuthe ngqo njengoko ukukrazwa kwe-cyst kunokukhokelela ekusulelekeni kunye nokunyuka kweimeko ezidibeneyo. Kunoko, ugqirha uya kufumana iindlela zokuncedisa ukunciphisa iimpawu eziqhelekileyo kunye nexesha elide le-osteoarthritis.
Izinketho ziquka:
- Izidakamizwa ezichasene nezidakamizwa (non-steroidal anti-inflammatory (NSAIDs) ukunyanga iintlungu
- Ukunciphisa ubunzima bokunciphisa uxinzelelo kumalungu
- Ukusetyenziswa kwempembelelo ephantsi (njengokuhamba ngebhayisikili, ukubhukuda okanye i-elliptical machines) ukugcina okanye ukuphucula ukulungelelanisa okufanayo
- Ulungiso lwenyama
- Unyango lwe-ultrasound
- Iimvavanyo zonyango ezinzima, kuquka i- opioids , ukuba ezinye iintlungu zithintela ukusebenza
Ukuba akukho nanye kwezi zikhetho zibonelela ngokukhulula, ugqirha unokucebisa ukuba uqhutywe ngokutsha .
Imithombo:
> Guangyi, L .; Yin, J; UGao, J. et al. I-subchondral bone kwi-osteoarthritis: ukuqonda kwiimeko ezinobungozi kunye nezinguqu ezincinane. Arthritis Res Ther. 2013; 15 (6): 223. INGXELO: 10.1186 / ar4405.
> Han Xinyun, A .; Hamid Rhammalah, B .; kunye neTan, A. "Inyaniso Ngamaqhekeza e-Substondral e-Osteoarthritis ye-Knee." Vula i-Orthop J. J.; 8: 7-10. INGXELO: 10.2174 / 1874325001408010007.