I-osteophyte ikhupha i-bony ukukhula okanye idiphozithi, ebizwa ngokuba yi-bone spur. Bakhula ngokukhawuleza ngexesha kwaye kaninzi abanalo iimpawu. Zingabangela intlungu xa zifuna ezinye izakhiwo okanye zikhule zikhulu kangangokuba zinqande ukuhamba ngokubambisana. Kanti ngamanye amaxesha kuthiwa ama-osteochondral nodules, i-osteochondrophytes, kunye ne-chondro-osteophytes.
I-osteophytes kwiArthritis
I-osteophytes ihlala ikhula kumaqumrhu abonisa iimpawu zokungcoliswa .
Zidibene noluhlobo oluqhelekileyo lwe-arthritis, i- osteoarthritis . Ubukho babo buyakwazi ukuhlula i-osteoarthritis kwezinye iindidi zesifo samathambo . Nangona i-osteoarthritis ibandakanya ukungcoliswa kwe-cartilage, kukho kwakhona ukulungiswa kwethambo le- subchondral ekuhlanganyeleni , okubandakanya ukudala i-bone spurs.
Ukuqulunqwa kwama-osteophytes
I-osteophyte i-osteophyte i-fibrocartilage-capped bony outgrowth ephuma kwii-precursor cells kwi-periosteum, izicubu ezithatha amathambo kwaye ziqulethe iiseli ezenza ithambo elitsha. Ukuguqula ukukhula kwezinto β kuthatha indima ekuphuhliseni kwabo.
I-osteophyte ikhula xa i- cartilage eseleyo inzame ehlanganyelwe ukulungiswa emva kokuba kukho ukulahleka kwe-cartilage kwenye indawo. Kuye kwakha kufakwe kwigumbi elidibeneyo apho kukho ukulahleka kwe-cartilage, ebonisa ukuba sisiganeko sendawo. Ukwakhiwa kwe-osteophyte kuzinzisa ukudibanisa okonakalisiweyo.
Oko kwathiwa, indlela abayifumene ngayo kunye neyona nto evuselela ukubunjwa kwabo ayayiqondwa ngokupheleleyo. I-osteophytes ingahlakulela ekungabikho komonakalo ocacileyo we-cartilage.
Indawo ye-Osteophyte Formation
I-osteophyte engasemgangathweni inokukhula kwipheriphery or margin of any joint . Ii-osteophyte eziphambili zivelele kakhulu kwi- hip kunye namadolo .
I-osteophytes nayo ingafumaneka kwingingqi yomgudu, apho idibaniswa nentlungu okanye iinyawo kwaye ithathwa njengesigqirha esisigxina se-arthritis esonayo (i-osteoarthritis). Ngomthunzi, i-osteophyte okanye i-bone spur ingabangela ukunyanzeliswa kwesibindi (ukuxutywa kwentambo yomthambo okanye izimpande zentliziyo) kwi-neuroforamen (isikhala esingenalutho ngakwesobunxele nangakwesokudla kwi-vertebra nganye evumela ukuba iimbulunga zidlule ukusuka kumgca womgudu ukuya kwezinye iindawo lomzimba). Izimpawu ezibonakalayo kule meko zibandakanya intlungu, ukuphazamiseka, ukutshisa kunye nezikhonkwane kunye neenaliti ekuphelelweni kwezimpande zentsholongwane. Izimpawu zeemoto ziquka ukuxhamla, ukuphazamiseka, ukusilela, okanye ukulahleka kwe-muscular control inxalenye echaphazelekayo yomzimba. I-osteophyte ngokwayo ayibuhlungu, kodwa indawo yayo kunye nempembelelo yayo kwezinye izakhi zomzimba ingabangela intlungu.
Iingxaki zeengozi ze-Osteophyte Formation
Iimeko ezithile kunye neemeko zithathwa njengegalelo kwi-osteophyte. Ezi ziquka:
- Ukukhula kweminyaka
- Ukutshabalalisa ingxoxo
- Ukuguqulwa okuhlangeneyo
- Ukulimala kwezemidlalo okanye omnye umonakalo odibeneyo
- Ukunyanzeliswa okubi
- Genetics
- Ukungabikho komzimba
Ukuchonga i-Osteophytes
Ukubunjwa kwe-osteophyte kwisandla kunokufunyanwa ngokuhlolwa ngokomzimba kwendibano ye-interphalangeal ehamba phambili (PIP), intlangano ye-interphalangeal distal (DIP) kunye ne-first carpometacarpal joint (CMC).
Ukubeka nje, esandleni, i-bump okanye i-bump ingabonakala ngexesha loviwo lomzimba.
Kwamanye amajoyina, ubukho be-osteophyte bunokufunyanwa ngokusetyenziswa kwezifundo zokucinga, ezifana ne-X ray okanye iMRI okanye i-CT. Ukuba i-X-ray yayenziwa kuwo wonke umntu oneminyaka engaphezu kwama-50 ubudala, ininzi iya kubonisa ubungqina be-osteophyte. Sekunjalo, ezininzi i-osteophyte azivelisi iimpawu. Kuphela malunga ne-40 ekhulwini labantu abanama-osteophyte bakhula iimpawu ezifuna unyango.
Unyango lwe-osteophytes
Ukuba khona kwe-osteophyte yodwa akukona okwenkliniki ebalulekileyo ngaphandle kokuba iimpawu ezinxulumene nazo zihlangene. Unyango luquka:
- Ulungiso lwenyama
- Ii-NSAID (izidakamizwa ezingabhubhisiyo)
- Ii-Analgesics (i-painkillers)
- I-Steroid Injections
- Ukuphanda: Emgodleni, ukususwa kwe-osteophyte kunokufuneka ukuba kukhutshwe ngokukhawuleza kokunyanzeliswa kwesibindi okanye ukwandisa ububanzi bomgudu wamanzi omninzi ukuze unciphise i-osteophyte.
Ngokuqhelekileyo, unyango olulondolozayo luzama kuqala. Uphando lugcinwa kubantu abaneempawu ezinzima. Umsebenzi ujama ukwandisa intlungu ehambelana ne-osteophyte, ngelixa ukuphumla kukunceda ukunciphisa intlungu.
Imithombo:
> I-Goel A. Ngaba kuyimfuneko ukucwangcisa i-osteophytes kwi-myelopathy ye-spondylotic ephazamisayo? I-Journal ye-Craniovertebral Junction ne-Spine. 2013 NgoJanuwari-Juni; 4 (1): 1-2.
> I-Bone spurs (i-Osteophytes). Imisedare-iSinayi. https://www.cedars-sinai.org/health-library/diseases-and-conditions/b/bone-spurs.html.
> I-Neuroforamen - Inkcazo. ILaser Spine Institute. https://www.laserspineinstitute.com/back_problems/spinal_anatomy/vertebral_column/neuroforamen/.
> Wong SHJ, Chiu KY, Yan CH. Isihloko sokuHlola: i-Osteophytes. I-Journal ye-Orthopedic Surgery . 2016; 24 (3): 403-410. i-doi: 10.1177 / 1602400327.