ọdịnaya
Osteosclerosis
Osteosclerosis bụ mmụba, mpaghara ma ọ bụ gbasaa, na njupụta ọkpụkpụ. Nchọpụta nchọpụta na-adaberekarị na mgbaà mà na usoro nyocha x-ray. Ihe mgbaà mà ndị a na-ahụkarị bụ adịghị ike ọkpụkpụ, ọdịdị ọdịdị na ọbara. Enweghị ọgwụgwọ maka osteosclerosis, nke na-adịkarịghị agbanwe agbanwe, mana nri na imega ahụ mgbe niile nwere ike igbochi mmalite na mmepe ya.
Osteosclerosis, gịnị ka ọ bụ?
definition
A na-eji osteosclerosis na-eme ka ọkpụkpụ trabecular na-ebuwanye ibu nke na-ebute njupụta ọkpụkpụ. A na-akpọkwa ọkpụkpụ kagbuo, ọkpụkpụ trabecular bụ akụkụ etiti nke ọkpụkpụ. Ọ na-agụnye steepụ n'ụdị efere ma ọ bụ ogidi ejikọrọ na ibe ya na gburugburu anụ ahụ mejupụtara abụba na sel sel, na nke ukwuu vaskụla. Ọkpụkpụ spongy na-anọchi anya naanị 20% nke ọkpụkpụ ndị okenye, ọ na-abụkarị obere ọkpụkpụ (vertebrae).
ụdị
Enwere ụdị osteosclerosis abụọ:
- Mpaghara, na ọkwa nke obere akụkụ nke ọkpụkpụ;
- Mgbasa, mgbe ọ na-emetụta a nnukwu ebe ọkpụkpụ (eg dum spain).
Eme
Ọkpụkpụ ọnya
Osteosclerosis nwere ike ime dị ka mmeghachi omume nke mmebi ọkpụkpụ dị ka mgbaji ọkpụkpụ, ọkpụkpụ ọkpụkpụ, ọrịa cancer ọkpụkpụ, ma ọ bụ osteoarthritis.
Osteoporosis
Osteopetrosis bụ ụdị ọkpụkpụ ọkpụkpụ a kacha mara amara. Osteopetrosis bụ ọrịa na-adịghị ahụkebe nke a na-eketakarị n'ihi arụrụ ọrụ nke osteoclasts, mkpụrụ ndụ na-ahụ maka ibibi ọkpụkpụ ochie. Dị ka ahụ anaghị emegharị mkpụrụ ndụ ọkpụkpụ ochie, ọ na-eduga n'ịba ụba ọkpụkpụ na ọdịdị ọkpụkpụ gbanwee. E nwere ụdị osteopetrosis dị iche iche nke na-adịgasị iche site na ọnwụ n'ime akpanwa ruo n'ụdị fọdụrụ kpamkpam asymptomatic.
Ọkpụkpụ dysplasia
Osteosclerosis nwere ike ime n'oge dysplasia ọkpụkpụ, nsogbu mmepe nke ọkpụkpụ na-ebute ọdịdị ọdịdị, olu ma ọ bụ ọrụ. Ọkpụkpụ dysplasia nwere ike imetụta ọkpụkpụ nke okpokoro isi, ihu, ogologo ọkpụkpụ nke anụ ahụ, ma ọ bụ ọkpụkpụ dum.
Osteosclerosis nwekwara ike igosipụta onwe ya na ọnọdụ nke pathologies sara mbara yana metụtara dysplasia ọkpụkpụ, karịsịa hyperostosis (ọrịa Caffey, melorheositis), ọrịa Worth, hyperostotic Lenz-Majewski dwarfism, ọrịa Pyle, ọrịa Engelmann ma ọ bụ pycnodysostosis, ọrịa stestesclerosis nke e ji mara osteosclerosis. skeleton, mkpụmkpụ ogologo na ọkpụkpụ fragility.
Ọrịa metabolic
Osteosclerosis nwekwara ike igosipụta onwe ya na ụfọdụ ọrịa metabolic dị ka:
- Nsi na ndu, arsenic, beryllium ma ọ bụ bismuth;
- oke vitamin A na D;
- Osteosclerosis metụtara nje ịba ọcha n'anya C;
- Fluorosis, pathology jikọtara na ngafe nke fluorides;
- Pseudohypoparathyroidism, otu ọrịa na-adịghị ahụkebe nke enwere ntụpọ na ngosipụta nke homonụ parathyroid, homonụ nke na-achịkwa ọkwa calcium n'ime ọbara;
- Osteomalacia, ọrịa osteopathy zuru oke na ndị okenye, nke jikọtara ya na ụkọ vitamin D yana nrụrụ nke ịnweta ọkpụkpụ;
- Ọkpụkpụ akụrụ;
- Rickets, ọrịa ndị e ji ezughị ezu calcification nke ọkpụkpụ na cartilage na n'ihi vitamin D na ụkọ calcium.
Ihe ndị ọzọ na-akpata ya
Osteosclerosis nwere ike igosipụta onwe ya n'ọnọdụ ndị ọzọ:
- Ionizing radieshon ma ọ bụ nsi ogwu n'ime intravenous;
- Ọkpụkpụ Lymphomas
- Ọrịa leukemia;
- Sarcoidosis, ọrịa na-egbu egbu nke usoro ihe kpatara ya;
- Ọrịa Paget, ọrịa ọkpụkpụ na-adịghị mma, nke a na-eme ka ọkpụkpụ na-eme ka ọkpụkpụ na-emewanyewanye;
- Ụfọdụ ọrịa cancer nke ọbara (ọrịa Vaquez) ma ọ bụ nke ọkpụkpụ azụ (myelofibrosis);
- Anaemia;
- Osteomyelitis, ọrịa nke ọkpụkpụ na-ebutekarị site na nje bacteria;
diagnostic
Nchọpụta a na-adaberekarị na mgbaama na usoro nyocha x-ray:
- Usoro mgbasa ozi redio na -eme ka o kwe omume ịkọwa ọkpụkpụ buru ibu na nke na -emezighị emezi;
- Kọmpụta kọmpụta kọmpụta na -eme ka o kwe omume ịchọpụta mkpakọ akwara nwere ike ime na okpokoro isi;
- Igwefoto resonance magnet (MRI) na-atụle ọrụ nke ụmị ọkpụkpụ;
- Ọkpụkpụ scintigraphy nwere ike ịchọpụta mpaghara oke nke na -apụta karịa na foto.
N'ọnọdụ ụfọdụ, enwere ike ịchọ nyocha ọbara na nyocha ọbara iji mee nchọpụta. Osteosclerosis nwere ike ime n'afọ ọ bụla, ma ndị nwoke ma ndị nwanyị.
MgbaĂ mĂ nke osteosclerosis
Osteosclerosis nwere ike ịbụ asymptomatic, mana ọ nwekwara ike ibute mmepe nke mgbaà mà dị iche iche dabere na ihe kpatara ya.
Ọkpụkpụ adịghị ike
Ọkpụkpụ nke ọkpụkpụ na-eme ka ọkpụkpụ ọkpụkpụ ghara ịda mbà , ọkpụkpụ na-agbaji ngwa ngwa.
Ụdị ọdịdị ọdịdị ọdịdị ahụ
Mgbe o nwere mkpụrụ ndụ ihe nketa, osteosclerosis nwere ike ime ka ọ bụrụ ihe na-adịghị mma na uto ọkpụkpụ na-eme ka ọkpụkpụ morphological na-eme ka ọkpụkpụ ọkpụkpụ (a ma ama n'egedege ihu, nkwụsị uto; mmụba na olu nke okpokoro isi, aka ma ọ bụ ụkwụ, wdg).
Ọdịiche ọbara
Mmụba nke njupụta ọkpụkpụ na-eduga na mbelata nke ụmị ọkpụkpụ nke nwere ike ime ka mbelata mmepụta nke mkpụrụ ndụ ọbara na-eduga na anaemia (na-akpata oké ike ọgwụgwụ), ọrịa ma ọ bụ ọbara ọgbụgba.
Ịbawanye nrụgide intracranial
Mgbe osteosclerosis na-emetụta ọkpụkpụ nke okpokoro isi, karịsịa na ụfọdụ osteopetrosis, ọ nwere ike ime ka nrụgide intracranial dịkwuo elu ma mpikota onu akwara cranial na-eme ka ahụ mkpọnwụ ihu, mbelata ịhụ ụzọ na / ma ọ bụ ịnụ ihe.
Ọgwụgwọ maka osteosclerosis
Enweghị ọgwụgwọ maka osteosclerosis nke na-adịkarịghị agbanwe agbanwe. Agbanyeghị, enwere ike ịtụle:
- Na -ewere corticosteroids iji mee ka ọkpụkpụ sie ike;
- Ntughari ọkpụkpụ ọkpụkpụ maka osteopetrosis nke na -egosipụta onwe ya na nwata;
- Ịwa ahụ plastik iji mezie nrụrụ ọkpụkpụ siri ike, ọkachasị ihu na agba.
Na mgbakwunye, a ga-agwọrịrị mgbaji, anaemia, hemorrhages, erughị eru (calcium na vitamin) na ọrịa na-efe efe n'otu n'otu. Ịkwụsị ibu na-enyere aka belata ibu dị n'ọkpụkpụ.
Na-egbochi osteosclerosis
nri
Enwere ike igbochi ụkọ vitamin na calcium site na nri dabere na:
- Nri bara ụba na calcium: ngwaahịa mmiri ara ehi, akwụkwọ nri akwụkwọ ndụ akwụkwọ ndụ, mkpụrụ osisi ụfọdụ, mkpụrụ akụ na azụ mkpọ dị ka sardines;
- Nri nwere vitamin D dị ka azụ nwere abụba, akwa na imeju
Mmega ahụ
Mmega ahụ na-ebu ibu dị ka ịga njem, ịgba ọsọ, ịgba egwu, igwu egwuregwu bọọlụ, na iji nwayọọ nwayọọ na-ejikọta ya na mbelata ihe ize ndụ nke ọkpụkpụ ọkpụkpụ. Ọzụzụ ike na-enyekwara aka. N'ikpeazụ, yoga na pilates na-eme ka ike na nguzozi dịkwuo mma.