Ukugqithwa kwethambo kuhlobene nokuhlaliswa ngokubambisana
I-Bone spurs, okanye i-osteophytes, ziyi-bony projections ezifakwe kunye namalungu kwaye zidlalwa kwiimeko ezifana ne-arthritis. I-Bone spurs inokubangela intlungu kwaye ixanduva elikhulu lokunciphisa ukunyakaza ngokubambisana .
Kutheni i-Bone ichitha ifomu
I-Bone spurs ingazenza njengokuba umzimba uphendula kwisimo esingavumelekanga esidibeneyo. Isizathu esona siqhelo sisifo se- osteoarthritis , isifo esiyingozi apho i-cartilage eqhelekileyo ejikeleze iqhagamshelo iya kugqithisa.
Njengoko i-cartilage ekhuselekileyo idlulile kwaye ithambo liya kubonakala likhulu, umzimba uya kuphendula ngokuvuvukala kunye nokutshintshwa kwizakhiwo ezijikeleze amajoyina. Iigigaments ziza kutyumba, kwaye i-deposit calcium iya kufutshane ngokukhawuleza ukujikeleza amathambo amatsha. Ukukhula okwamathambo amatsha esikubhekiselele kwi-spur.
Ukubunjwa kwe-spurs kunokucatshulwa njengomzamo womzimba wokwandisa ummandla wecala elibonisiweyo - umlinganiselo wokukhusela ukusabalalisa nayiphi na impembelelo okanye amandla angasetyenziswa kulo mbutho. Ngelishwa, kudla ukuba nempembelelo echaseneyo, ukukhawulela ukuhamba ngokubambisana ngexesha lokunciphisa imizwa kunye nezinye izicubu ezisebenzisayo.
I-Bone spurs nayo iqhelekileyo kwisifo esingenalo ukuvuvukala esibizwa ngokuba sisifo se -idiopathy skeletal hyperostosis (DISH) . Nangona i-DISH ingabonakali, abantu abaninzi abangama-80 ekhulwini abathatyathwa ngesifo baya kuba neentlungu kunye nokuqina ngenxa ye-pf ukubunjwa kwe-spurs kunye nomgudu.
I-osteophytes ayifanele idideke kunye ne-enthesophytes, izibonakaliso zebony ezifakwe kwi-attachon ye-tendon okanye i-ligament.
Iimpawu zeT Bone Spurs
Kwiimeko ezininzi, i-bone spur ayiyi kubangela nayiphi na intlungu okanye iingxaki. Kwimeko apho kukho intlungu, kungenakubangelwa yi-spur ngokwayo kodwa imeko ephantsi (i-arthritis, izifo, ukuguga).
I-Bone evuthayo eyenza ngasemgodini ingabangela ukufakelwa kwentsholongwane apho i-nerve igxininiswe ngethambo. Kwimeko enjalo, kukho intlungu evezwe kwiindawo ezininzi zomzimba kuxhomekeke kwinqanaba le-nerve elichaphazelekayo. Ingabangela intlungu emilenzeni okanye kwiingalo kunye nokugungqa kunye ne-prickly, izikhonkwane kunye neenaliti ukuvakalelwa ezinyaweni nasezandleni.
Ukwakhiwa kwee-osteophyte kumalunga eminwe (ebizwa ngokuba yi- Heberden's node kunye neNouchard's node ) akubanga nje ukuba kuqhube ukuxhaphaza esixhatshazwa yi- arthritis kodwa sinciphise ngokukhawuleza ukuxhamla kwezandla kunye neminwe. Ubunzima buvame ukuqhutyelwa ngexesha lokuqala kwe-arthritis (ngokubanzi phakathi kwexesha eliphakathi) kwaye uthabathe ukuhlawula kwiminyaka emva.
Unyango lwe-Bone Spurs
Nangona i-bone ithoba ngokwabo ayinayo ingxaki, ibonisa ukuba yingxaki engundoqo engadinga unyango. Utshintsho ekukhuleni kwethambo luvame ukubhalwa ukuba luncede ukubeka iliso nokulawula ubunzima bezifo eziphazamisayo ezifana ne-arthritis. Ukuba kukho intlungu, inkunkuma engeyiyo-steroidal echasayo (NSAID) efana ne-ibuprofen inokumiselwa.
Kukho imeko ezinqabileyo xa i-bone spur ingasuswa, ngokukodwa xa ukukhula kukuchaphazela amandla omntu okusebenza. Nangona kunjalo, uninzi lwale mihlaba luya kubuya ngaphandle kokuba ingxaki esezantsi isisombululo.
Kwiimeko ze-osteoarthritis, oku akunakwenzeka.
Ngamanye amaxesha amathambo ahlambalaza iminwe okanye iinzwane (ezinjenge- hallux rigidus yezinzwane ezinkulu) zingasuswa ukuze zithuthukise ukunyakaza kwaye zinciphise intlungu.
> Umthombo:
> Wong, S .; Chiu, K .; kunye noYan, C. "Isihloko sokuHlola: i-Osteophytes." J Orthop Surg . 2016; 24 (3): 403-410.