Matenda zimfundo ndi: subchondral sclerosis monga mwa zizindikiro za nyamakazi

Ndithudi, anthu ambiri kamodzi pa moyo wawo anakumana ndi mavuto komanso nkhawa chifukwa cha kupweteka kwa msana ndi mafupa. Ndithudi, bwino, ngati iwo ali aafupi chifukwa zolimbitsa thupi zazing'ono, koma bwanji ngati ndi matenda aakulu amene amafuna nawo akatswiri?

Kusintha chichereŵechereŵe kapena subchondral sclerosis ndi chifukwa ambiri ndi radiographic zizindikiro zosasangalatsa matenda monga nyamakazi kapena ululu otsika kumbuyo. Tikumbukenso kuti mawu akuti "nyamakazi" umabweretsa pamodzi imodzi koma gulu lonse la matenda ndi kafukufuku wakapangidwe kazachilengedwe zofanana, kwachilengedwenso mbali matenda. Pankhaniyi, zimachitika olowa lonse, kuphatikizapo subchondral fupa, kapisozi, Mitsemphayi, minofu periarticular ndi synovium. Mwa zizindikiro zazikulu matenda osteartroza monga mavuto ndi ululu wa malo, zikubweretsa kenako ndi kusowa magwiridwe. Ichi ndi anthu makamaka chifukwa cha ukalamba.

Ambiri, nyamakazi uli gulu la ambiri matenda zimfundo ndi. Chifukwa chitukuko kungakhale osati makina (mikwingwirima, kuvulala, etc.), komanso zifukwa za chilengedwe (kuphwanya njira ya mapangidwe maselo atsopano a fupa subchondral (subchondral sclerosis) ndi articular chichereŵechereŵe). Komanso chofunika kwambiri matenda a nyamakazi ndi pamaso pa matenda chibadwa.

Kodi nyamakazi pulayimale ndi sekondale. Chifukwa choyamba, monga ulamuliro, sakhoza anaika. Njirayi imatchedwa idiopathic, ie, wapadera kapena achilendo. Mosiyana osteoarthrosis sekondale izo zimayambitsa zoonekeratu - izo mawotchi kuwonongeka kwa mafupa a chiyambi osiyana (matenda kagayidwe kachakudya (kagayidwe kachakudya) matenda endocrine, njira yotupa mu mafupa, kuvulala, etc.).

Kudziwa bwinobwino ntchito X-ray matenda a nyamakazi. Umatiuza angapo zizindikiro zimene zimasonyeza kusintha fupa ndi articular chichereŵechereŵe, kuphatikizapo sclerosis subchondral. Radiographic chizindikiro mu magawo oyambirira a nyamakazi ndi osteophytes - zophuka Bony pa m'mbali mwa amene amaoneka poyamba pamwamba Kukulitsa a m'mbali mwa olowa (kali olowa subchondral sclerosis) kenako, pang'onopang'ono kukula, lidzasinthidwa milomo chachikulu mafupa ndi spikes. Pamaso pa kusintha kwambiri chichereŵechereŵe articular chinatsimikizira digiri osiyana malo olowa kuchepetsa. Ndiponso, kusiyana akhoza mwapang'ono pa dzanja limodzi ndipo nthawi yomweyo kukuza pa ena, amene amasonyeza kusakhazikika kwa olowa.

Komanso, X-ray diagnostics limasonyeza subchondral sclerosis mbale mapeto. makulidwe awo kumasonyezanso kusakhazikika kwa anawa ndipo pali zambiri chifukwa cha zoopsa makina kapena chifukwa cha kusintha obwera ndi ukalamba zimfundo okalamba.

Nyamakazi zambiri kumathandiza kuti imfa ya depreciation ntchito ya chichereŵechereŵe kuteteza fupa maganizo thupi ndi makina. Akulipira Chinthu mu nkhani iyi ndi sclerosis subchondral, i.e. chotupa kapena thickening wa subchondral fupa cancellous fupa.

Ambiri mu Russia, lakonzedwa Kosinskaya NS radiographic gulu la nyamakazi malinga siteji ya chitukuko. Mwachitsanzo, gawo loyamba la matenda yodziwika ndi kukhalapo kwa yaing'ono olowa danga kuchepetsa, ndi zophuka Bony malire. Zadzidzidzi wa syndrome subchondral ndi kuchepetsa osiyana malo olowa limasonyeza gawo lachiwiri la nyamakazi. Ndipo potsiriza, gawo lachitatu - mwadzidzidzi ndi chidwi kuchepetsa a kusiyana ndi limodzi mwa dongosolo cystoid ndi flattening pamwamba pa malo.

Kawirikawiri, mankhwala a nyamakazi - kani yaitali ndipo yolemetsa ndondomeko. mfundo zake zikuluzikulu monga yaikulu ya malire a zolimbitsa thupi physiotherapy, mafupa kugwilizana boma, etc.