Myositis ossificans: chithunzi, zizindikiro, zotsatira, chithandizo. ndi Zoneneratu zochizira odwala ossificans myositis chiyani?

Myositis - matenda amene amapezeka pa zifukwa zingapo, ndipo zinagwira minofu minofu mu ndondomeko yotupa. Malinga zimene zinachititsa matendawo, izo zimagawidwa m'magulu osiyanasiyana. Gulu lina la zinthu pathological ya kuletsedwa si owopsa ndipo n'ngochiritsika, pamene winayo, kuchititsa matenda aakulu mu thupi, kungachititse kuti imfa. M'nkhani ino ife tiyang'ana pa nkhani zikuluzikulu zokhudza matendawa. Apa owerenga amaphunzira, imene milandu pali myositis, maulosi aliyense pa mankhwala a ossificans myositis alipo lero, mmene kudziteteza ku matenda.

Ndi chiyani icho?

Ndi myositis monga sipekitiramu wa matenda amene potengera ndondomeko yotupa akuwuka mu minofu. Chinsinsi chizindikiro kusonyeza zotheka yatsoka matenda a chamoyo, ndi kupweteka kwa minofu, kukula ndi gulu kapena palpation. The kudwala amapezeka ndi maziko a matenda akale kapena kukhudzana ndi ozizira, ndipo angathenso kupanga chifukwa cha matenda autoimmune, kuvulala, kusupuka ndi zina zotero.

Zimayambitsa matenda conventionally zimagawidwa m'magulu awiri:

• Amkati - amene uka mwa thupi;
• exogenous - zimayambitsa kunja.

Amkati monga:

• matenda autoimmune monga lupus, nyamakazi, etc.
• matenda a chikhalidwe chosiyana - enterovirus, typhoid, fuluwenza;
• matenda oyamba ndi ntchito mu thupi la majeremusi anthu (echinococcosis, trichinosis);
• kuledzera.

zinthu Exogenous ankaona zoopsa, hypothermia, nthawi imakungika chifukwa cha ntchito iliyonse. Myositis ankaona kuti kuntchito matenda oimba, othamanga.

mitundu

Pa chiyambi cha matenda, chikhalidwe cha makhalidwe ake panopa ndi zina zimagawidwa m'magulu myositis opatsirana, septic ndi parasitic gulu. Palinso poizoni komanso zoopsa mitundu. Polymyositis (myositis ossificans) - ndi kudwala mavuto ambiri aakulu ndi osokoneza. kuphwanya Izi ndi matenda a minofu connective, ndipo nawonso, zimagawidwa m'magulu:

• zoopsa myositis ossificans;
• myositis ossificans mwapang'onopang'ono;
• neyromiozit.

Mantha myositis ossificans (zizindikiro za matenda nkhani zotsatirazi) - ndi yotupa matenda amene amapezeka pa maziko aakulu choipa kapena angapo mobwerezabwereza microtrauma. The kudwala isanafalikire mu articular Mitsemphayi ndipo kenako kumabweretsa maonekedwe a ossification mu vuto malo. Bwinobwino ankachitira opaleshoni.

Myositis ossificans mwapang'onopang'ono (zizindikiro ife kufotokoza pansipa) - ndi matenda chibadwa chifukwa cha kusintha kwa khalidwe makamaka, imbaenda chisokonezo chachikulu ku thupi ndi chifukwa - kuti munthu akamwalira. Akuti kawirikawiri kwambiri (milandu zosakwana 200 kudziwika kwa dziko yochizira matenda).

Neurotrophic myositis amapezeka ndi maziko a lalikulu kuvulala kapena mitsempha mizu ya msana. Nthawi zambiri, ndi kudwala akufotokozera mu bondo kapena ntchafu olowa.

Neyromiozit

Monga tanenera kale, zimakhudza mu mnofu ulusi mitsempha. Izi zimachitika motere. The ndondomeko yotupa amachititsa chiwonongeko cha ena a minofu, chifukwa mu mitundu yosiyanasiyana ya zinthu akumasulidwa, amene anakhudzidwa poizoni pa ulusi mitsempha. Mitsempha m'chimake pang'onopang'ono adzitsitsa, imbaenda ofananira ubongo yamphamvu mantha.

Neuromyositis zizindikiro ndi:

• utachepa kapena kuchuluka tilinazo m'dera la kutanthauzira wa kudwala;
• kupweteka;
• minofu kufooka;
• ululu malo.

Chiwonongeko cha chipolopolo ulusi mitsempha amachititsa kusintha khungu tilinazo. Izi angasonyeze dzanzi kapena kumva kulasalasa, amene anatsagana ndi ululu pang'onopang'ono. Poyamba syndrome ululu ndi zolimbitsa, koma kumatheka ngakhale pa katundu wochepa. Ululu amachititsa kupuma, kasinthasintha kapena tilting wa thupi, nthambi apaulendo. Kenako zimapangitsa lokha anamva ngakhale pa mpumulo. Nthawi zambiri pali mavuto mu kudwala wa chizindikiro pamene amakhala tcheru kwambiri maganizo palpation minofu.

Progressive mawonekedwe a matenda

Mtundu wachiwiri wa polymyositis chifukwa cha matenda chibadwa, - mwapang'onopang'ono myositis ossificans. Zizindikiro za matenda kuli kovuta kuchotsa, chifukwa amaona osachiritsika. Ndi ossificans mwapang'onopang'ono myositis amapezeka ossification minofu, tendons ndi Mitsemphayi. Matendawa amapezeka pafupifupi zokha ndi kupita kwa nthawi chimakwirira gulu lalikulu minofu. Zotsatira zake woopsa mosalephera, monga ossification minofu thoracic ndi Pomeza zimaphwanya munthu akanatha kudya ndi kupuma. Progressive myositis ossificans ali dzina lina - fibrodisplations ossificans progressiva (FOP).

Zenizeni kudwala ndi pakutchulidwa kutupa mu tendons, Mitsemphayi ndi minofu, zomwe mapeto ossification. Dorsi (waukulu trapezoid) zimasintha ndi wamkulu myositis ossificans koyamba. Kodi zotsatira zomwe zimayambitsa matenda? Akuluakulu tsoka kwa kugwira ntchito kwa minofu ndi mafupa dongosolo, stiffness, kulephera kudya bwinobwino ndi kupuma - zonsezi kumachepetsa kwambiri khalidwe la moyo wodwalayo. Childs, ndondomeko umayamba ana osakwana zaka khumi ndi m'kati zaka, koma odwala ambiri kuti afe, ndipo moyo kwa zaka khumi akukula.

Only mu 2006, chifukwa cha kafukufuku wochitidwa ndi gulu la asayansi ku University of Pennsylvania, jini wakhala kuzindikiridwa, ndi kusintha kwa imbaenda ku kudwala kwambiri. Lero, akatswiri akupanga blockers masinthidwe jini lapansi.

zizindikiro za FOP

Monga tanena FOP amapezeka mwana. Mapangidwe zotheka matenda a mwana zingasonyeze ena zizindikiro za akutulukira mu unyinji pamene myositis ossificans. Kodi zizindikiro za matenda ambiri kutchulidwa?

Ndi 95% Mwina n'zotheka kuti matenda ndi kudwala kwa mwana, ngati phalanges chimodzi kapena zingapo mwa chala chachikulu ndi yokhota kumapeto inwards. Nthawi zina, palibe olowa chala. Nthawi zambiri amadwala mwapang'onopang'ono myositis anyamata. A chizindikiro cha matenda kumayambiriro wakhanda ndi chowawa palpation a minofu, ndipo iwo mokwanira wandiweyani, kumangika.

Chidzindikiro chinango matenda ndi kutupa kwa zimakhala zofewa mutu, chimene chingalowe zimachitika pa mikwingwirima zazing'ono kapena zimakhalapo, tizilombo ting'onoting'ono. Komabe, pamaso pa FOP kutupa sakulabadira mankhwala mankhwala ndipo alibe apite kwa mwezi umodzi. Pansi pa khungu kumbuyo, mkono kapena khosi chisindikizo zingachitikenso teni masentimita.

Poyamba FOP amakhudza minofu ya m'khosi kumbuyo, mutu, ndipo kenako adatchithisira mu Dipatimenti m'mimba ndi minofu m'chiuno. Komabe, matenda konse amakhudza minofu minofu ya mtima, zakulera, lilime, periocular minofu.

Matendawa zambiri kusokonezedwa ndi khansa ndi kuyesa kuchotsa oipa chifukwa, kuti sichichititsa kuti achire, ndipo akapsa kwafalikira mafupa "zosafunika".

chithandizo

Mwatsoka, chibwenzi, mwapang'onopang'ono myositis ossificans ndi zosatheka kuthetsa, ndipo ntchito mankhwala ndi operewera. Palibe njira kutsimikiziridwa ndi kupewa FOP. Ndi kutsegula mutating jini zinali zotheka kuphunzira njira za matendawa. chithandizo njira akupangidwa zasayansi ndi ntchito yochizira matenda. Komanso, zotheka komanso mankhwala umayenera kudutsamo ziyenera lalikulu mlingo ndi nthawi ya mankhwala.

Akatswiri amene kuthana nazo myositis ossificans, ntchito mu US, pa Laboratory wa Pennsylvania McKay University Federal. Amatsogolera ntchito sayansi Frederick Kaplan, MD.

Mu masiteji koyamba matenda monga mankhwala mankhwala odana ndi yotupa, ascorbic asidi, mavitamini A ndiponso B, biostimulants. Zikavuta, matenda steroid mahomoni ntchito, ngakhale mogwira awo si bwino kutsimikiziridwa.

Ena patsogolo amatsogolera physiotherapy - ultrasound, electrophoresis. ndondomeko izi kutero kuthetsa ndi zotsatira analgesic. Iwo ayenera kutsatira mowa osachepera zakudya zokhala ndi calcium, kupewa jekeseni aliyense mu mnofu. Opaleshoni alowererepo ndi kuchotsa mapangidwe fupa ndi tanthauzo.

Mantha myositis ossificans

Isanafalikire zoopsa myositis ossificans - chikhalidwe chimene chimatsogolera ku fupa mapangidwe chifukwa mu kuvulala pachimake - sprains, fractures, sprains, kapena chifukwa traumatization mobwerezabwereza negligible, mwachitsanzo, mu othamanga kapena oimba.

Pa mtima pa matenda magazi mu mnofu minofu. Ossification nthawi zambiri anapanga mu thako, ntchafu ndi phewa minofu. Patapita nthawi zifukwa pali zizindikiro woyamba wa matenda. chisindikizo aumbike mwa minofu, yomwe ikukula mofulumira ndi chopweteka pa palpation. Patapita milungu ingapo ya chisindikizo n'kukhala petrification wa mawonekedwe kalekale, zomwe zimasokoneza kuyenda kwa olowa pafupi. Ndiye ululu zayamba kutha. Disease atengeke achinyamata, makamaka amuna ndi akulu.

Pokhapokha radiographs ndi molondola anapezeka "zoopsa myositis ossificans." Photo X-ray chithunzi pamwambapa. The chifukwa cha X-ray limasonyeza kuti chotupa zimawonedwa achilendo kuwala "mtambo" amene alibe omveka bwino. Pathologies akuwuka pa ossification poyamba mawonekedwe mwatchutchutchu, koma anakhala contours bwino ndi dongosolo.

Mantha myositis ossificans: chithandizo

Achotsa bwanji matendawa? Mantha myositis ossificans bwino Zoneneratu mankhwala. Chikadzangotha choipa kukuonetsedwa akuponya wa masabata awiri. Pambuyo kupeza zizindikiro woyamba wa matenda ndi matenda ayenera kukhala zovuta kutsatira osambira kutentha radon, radiotherapy, electrophoresis, kuwala olimbitsa. Pa nthawi yomweyo izo sizingakhoze ntchito mankhwala zolinga kutikita, paraffin, minda magetsi.

Pambuyo X-ray kuwululidwa pamaso oblachkovoy mthunzi komabe n'zotheka kupewa chitukuko cha matenda ndi chigamulocho ndondomekoyi. Mothandizidwa ndi mahomoni amapezeka resorption wa maphunziro. jakisoni steroid akutsatiridwa kwanuko. Nthawi zambiri ntchito pa matenda a "Hydrocortisone" pamodzi ndi "Novocain" njira.

Patapita miyezi yochepa zoipa, pamene ossification kale anapanga, kugwiritsa ntchito mankhwala ndiwofatsa sizimatanthauza. Patapita miyezi sikisi anadza opaleshoni - ossiofit pamodzi ndi kapisozi kuchotsedwa.

Pali ena zinthu zimene zingakuthandizeni kuti ziyende bwino mankhwala ndi pakalibe muyambirenso - opaleshoni ayenera kukhala atraumatic, m'pofunika kutsatira electrotome mosamala kutenga bala M'mimbamo, kuchita inakonzedwa zodzitetezera pa nthawi postoperative.

Myositis ossificans Diagnostics

Chizindikiritso cha matenda ikuyamba ndi kuphunzira chithunzi matenda. Lankhulani ndi mtima amatilola kuti adziwe kupezeka mu moyo omaliza matenda amene angakhale choyambitsa pa chitukuko cha myositis. Nthawi zambiri kudwala kumachitika chifukwa cystitis, osteomyelitis, erysipelas khungu kutupa. Mavairasi, mabakiteriya ndi matenda a mafangasi komanso hule chitukuko cha myositis. Matendawa likakhazikitsidwa komanso pambuyo kuvulala, omangana minofu, hypothermia. Yaitali nkhawa pa magulu ena minofu Padzakhalanso kudwala.

Monga tanena kale, pali ululu pamene myositis ossificans. Odwala Kawirikawiri wa kupweteka ululu ndi minofu kufooka. Palpation mbali bwanji za thupi chimathandiza kuona pamaso / pakalibe yokoka ndi minofu mfundo.

Matendawa akhoza kuyamba mchikakamizo cha poizoni, monga uchidakwa ndi kugwiritsa ntchito mankhwala osokoneza bongo. Mukumwa mankhwala tidzapeze kulephera minofu.

kafukufukuyu

Kuwonjezera kusonkhanitsa mbiri zoona imagwiridwa kutsimikiza matenda X-ray timaona ossification. Nthawi zina akhoza kuchitika kompyuta tomography, ndi radioisotope kuphunzira minofu anakhudzidwa.

Kukhalapo mu myositis thupi pali kusintha khalidwe mu kusanthula ambiri a magazi. Njira ina ndi kuchita zasayansi kafukufuku Revmoproby - mayesero kudziwa chikhalidwe cha matenda ndi kuti achotse matenda autoimmune, komanso kudziwa mphamvu ya ndondomeko yotupa.

Indicators Revmoproby amasonyeza limati zosiyana za thupi. Mwachitsanzo, C-zotakasika mapuloteni - pentopeni kwa gawo pachimake za ndondomeko yotupa. Antistreptolisin-O - chinthu chimene m'thupi ndi matenda streptococcal. kukhalapo kwake limasonyeza la misempha kapena nyamakazi. Revmofaktor - ndi chitetezo ndiye kuti chakudya m'thupi mwa pathologies autoimmune.

maphunziro Morphological ku matenda a myositis ndi biopsy - kutengera pa kusanthula biomaterial ndi mosamala izo. Waukulu ntchito - kudziwa structural kusintha minofu ndi connective minofu.

kupewa

Myositis ossificans Kuteteza mfundo za angapo, zofunika kwambiri zomwe kulemekeza njira lamanja la moyo - ntchito popanda zolimbitsa thupi kwambiri, chakudya chamagulu ndi chithandizo mwamsanga matenda aliwonse.

zakudya zabwino kumathandiza kutupa mu minofu - opindulitsa polyunsaturated mafuta zidulo ali nsomba; mankhwala ndi okhutira mkulu wa salicylates (masamba); mapulotini zidyeke (amondi, nkhuku); Zamgululi zokhala ndi zambiri kashiamu; dzinthu.

zofunika kwambiri kumwa boma, imene tsiku ayenera kudyedwa za malita awiri a madzi. Sitiyenera kunyalanyaza Morse ndi compotes, zothandiza ndi wobiriwira tiyi. Kuthetseratu edema bwino kutenga decoction a m'chiuno duwa. Pakuti kupewa myositis zothandiza nthawi yocheza panja. odwala ambiri kawirikawiri nkhawa nkhani: ngati n'zotheka myositis ossificans kuchita Zochita? Koma mukhoza, katundu ayenera kukhala kuwala ndi mlingo. Kuwonjezera olimbitsa ku matenda tikulimbikitsidwa kuumitsa, kusambira, kupalasa njinga.

Kuteteza myositis mulinso gulu zonse, n'kofunika kupewa wongokhala ndi hypothermia. Kumene, kupewa yabwino ya matenda, pakalibe choipa chilichonse.