I-Subchondral sclerosis yinyumba yamathambo. Inokuchaphazela abantu abane- osteoarthritis kwaye bangela ukuba i-bone spurs ibuhlungu. Ngethamsanqa, i-subchondral sclerosis iyabonakala lula kwaye kukho iindlela ezininzi zokwelapha ezikhoyo.
Ukuqonda ukuba yiyiphi i-subchondral sclerosis, kukunceda ukuba nomfanekiso ocacileyo wendlela u-osteoarthritis echaphazela ngayo amajoyina omzimba.
I-osteoarthritis ayiyonto kuphela inokuhlambalaza i- cartilage ngokubambisana, iphinda igqoke ithambo lesigqana phantsi kwe-cartilage. Njengoko umzimba uzama ukubuyisela leli thambo, libuya likhudlwana kunexesha elide, elibangelwa yi-subchondral sclerosis. Ngokuqhelekileyo kufunyanwa ngokubanzi kwizigaba ezilandelayo ze-osteoarthritis. I-Subchondral sclerosis ingabangela i- bone spurs , kwaye kwezinye iimeko, inokunciphisa ukunyakaza kwi-joint joint.
Ukufumanisa i-Subchondral Sclerosis
Xa une-X-ray njengenxalenye yenkqubo yokuxilonga ye-osteoarthritis, i-subchondral sclerosis yenye yezinto i-radiologist ekhangeleyo kwaye ibone. Ibonisa kwi-X-ray njengendawo yecala yecathambo phantsi kwe-cartilage kwidibene yakho, ibonakala njengethambo elingavamile elimhlophe kumgca odibeneyo. I-Subchondral sclerosis ibonakala kwi-osteoarthritis kwiindawo ezininzi ezichaphazelekayo, ezifana neendolo, i-hip, umlenze, neenyawo.
I-Subchondral Sclerosis e-Osteoarthritis
I-Subchondral sclerosis ayisoloko isichazela indlela i-osteoarthritis eya kuqhuba ngayo.
Akufanele ucinge ukuba i-osteoarthritis yakho iyanda kakhulu xa ufumanisa ukuba unesiskritral sclerosis.
Uphando olupapashwe ngo-2014 lubonelelwe ukuba i-subchondral sclerosis eyafunyanwa ngumbono wamagnetic resonance (MRI) yahlanganiswa nokulahleka kwe-cartilage. Abaphandi babhalise abantu abangama-163 ngeentlungu ezidolo kwaye bawalandela iminyaka emithathu kunye needolo zokuqala ze-X-rays kunye neemviwo ze-MRI.
Abazange bafumane imibutho ephawulekayo phakathi kwe-baseline subchondral sclerosis kunye nobungozi obuninzi bokulahleka kwe-cartilage endaweni efanayo kumadolo.
Olunye uphando, olwanyatheliswa ngo-2014, luhlolisise ukuba i-subchondral sclerosis empeleni yayikhusela idolo ukusuka kwindawo edibaniseneyo kubantu abane- varus knee osteoarthritis . Abantu abanalo mqathango baye bathunyelwa ngokuthi "i-bow-legged" kuba kubangela ukungafani okubonakalayo emadolweni nasemlenzeni. Abaphandi kulolu cwaningo babhekisela kuma-192 amabhinqa aye afunyaniswe ukuba ne-varus knee i-osteoarthritis kwaye enza i-X-rays emadolweni, kunye ne -X-ray absorptiometry (DEXA) kwi-lumbar spine, i-femur ehamba phambili kunye neendlela zokuguqa. Uphononongo luphelile ukuba ukwanda kwe-subchondral bone sclerosis kunokukhusela ekunciphiseni kwe-cartilage ubukhulu.
I-Subchondral Sclerosis Treatment
Njenga-osteoarthritis, akukho nonyango ye-subchondral sclerosis. Kodwa, kukho amanyathelo onokuyithatha ukuze unciphise ukuqhubela phambili nokunciphisa iimpawu ezibuhlungu. Ukusebenzisa umzimba ophantsi, okubandakanya ukusebenzisa i-bike, i-yoga kunye nokubhukuda kuyindlela efanelekileyo yokugcina amajoyina afanelekile. Kubantu abagqithiseleyo, ukunciphisa umzimba kunconywa njengendlela yokunciphisa uxinzelelo kumalungu abo.
Ugqirha wakho unokucebisa kwakhona unyango, i-hydrotherapy, okanye unyango oluthe xaxa lwezokwelapha, ezifana nokunyanga. Amachiza anxamnye nokuvuvukala , njenge- ibuprofen , anokucetyiswa kwakhona. Kwiimeko ezininzi ezingakumbi, kukho imishanguzo yonyango enokukunceda ukubonelela uncedo. Ngokuqhelekileyo, nantoni na ekhupha iimpawu ze-osteoarthritis iya kunceda iimpawu ze-subchondral sclerosis.
Kwezinye iimeko ezinzima, utyando lokususa ukukhula kwethambo elingaphezulu kunokucetyiswa. Njengaye naziphi na izifo ezingapheliyo, qhagamshelana nogqirha wakho ukuba ufumane inkcazo efanelekileyo yokunyanga iimpawu zakho.
ILizwi
Ithambo le-subchondral lingaphezulu komfanekiso kwi-X-ray.
Iyabandakanyeka kwaye ichaphazeleka yintoni eyenzekayo kunye ne-cartilage edibeneyo. Xa i-cartilage igxinwa kwi-osteoarthritis, ithambo liyakwenza. Unako ukugcina amajoyina akho aphilileyo njengoko anokukwazi ukusetyenziswa ngokunyanga kunye nokunyanga.
> Imithombo:
> Akamatsu Y, Kobayashi H, Kusayama Y, Kumagai K, Mitsugi N, Saito T. Ngaba i-subchondral sclerosis ikhusela ukuqhubela phambili kwendawo edibeneyo kwizigulane nge-varus knee osteoarthritis? I-Osteoarthritis kunye neKartilage . 2014; 22. i-doi: 10.1016 / j.joca.2014.02.667.
> Crema M, Cibere J, Sayre E, et al. Ulwalamano oluphakathi kwe-subchondral sclerosis lufunyenwe nge-MRI kunye nokulahleka kwe-cartilage kwiqela labafundi abaneentlungu: idolo le-knee osteoarthritis progression (KOAP). I-Osteoarthritis kunye neKartilage . 2014; 22 (4): 540-546. i-doi: 10.1016 / j.joca.2014.01.006.
> Li G, Yin J, Gao J, et al. I-subchondral bone kwi-osteoarthritis: ukuqonda kwiimeko ezinobungozi kunye noshintsho oluthile. Uphando lwe-arthritis kunye neyeza . 2013; 15 (6): 223. i-doi: 10.1186 / ar4405.