Izifo namalungu: sclerosis subchondral, njengenye iimpawu osteoarthritis

Ngokuqinisekileyo, abantu abaninzi ubuncinane kanye ebomini babo abaye ngenkxamleko nobunzima ebangelwe intlungu ngasemva kunye namalungu. Kakade ke, kuhle, ukuba zimfutshane ngenxa umthambo engenamsebenzi, kodwa ukuba loo nto sisifo kakhulu ukuba ufuna inxaxheba yeengcali?

Ukutshintsha intlala okanye sclerosis subchondral ngoyena nobangela eqhelekileyo kunye iimpawu radiographic ezingemnandi izifo ezifana ezifana osteoarthritis okanye asezantsi iqolo. Kufuneka kuqatshelwe ukuba igama elithi "osteoarthritis" kuzisa kunye akukho namnye kodwa iqela lonke kwezifo kunye morphology efanayo, bemvelo neempawu clinical. Kulo mzekelo, inkqubo ababandakanyekayo kulo lonke ilunga, kuquka ithambo, philisi, nemisipha, izihlunu subchondral periarticular kunye synovium. Phakathi iimpawu eziphambili lwezonyango osteartroza ziquka ubunzima neentlungu namalungu, zikhokelela ngaxesha yokungabikho functionality. Oku abantu ingakumbi kunjalo yokwaluphala.

Ngokubanzi, osteoarthritis bobabo kwiqela ezivame izifo omzimba. Izizathu zophuhliso wayo ube nje ngoomatshini (nemivumbo, ukwenzakala, njl), kodwa kwakhona izinto eziphilayo (ukunyhashwa iinkqubo ukuyilwa iiseli ezintsha ithambo subchondral (sclerosis subchondral) kunye articular intlala). Kwakhona kubalulekile kakhulu lokufunyaniswa osteoarthritis na ukubakhona kwezifo yemfuza.

Ingaba osteoarthritis zamabanga aphakamileyo. Isizathu sokuqala, njengokuba umthetho, angeke ifakwe. Ibizwa idiopathic, oko kukuthi, ezizodwa okanye yinqobo kuye. Ngokungafaniyo osteoarthrosis secondary ibangela izicacele - it umonakalo kwi amalungu imvelaphi ezahlukeneyo (ukuphazamiseka pathways (pathways) izifo yonyango, iinkqubo ukudumba kwamalunga, ukwenzakala, njalo njalo).

Ukuze ubone isicelo ngempumelelo X-ray isifo osteoarthritis. Oku kubonisa ukuba eziliqela iimpawu ezibonisa ukuguqulwa amathambo kunye articular intlala, kuquka sclerosis subchondral. uphawu Radiographic kwi zigaba zokuqala osteoarthritis ezi osteophytes - Amahlathi nokudleka emancamini apho ziboniswa ekuqaleni ekuloleni kumphezulu zinongqameko welungu (iindawo ngokudibeneyo sclerosis subchondral) uze emva koko, ukukhula ngokuthe ngcembe, similise imilebe bone enkulu kunye spikes. Ukubakho utshintsho olubalulekileyo intlala articular siqinisekisa iqondo ezahlukeneyo exineneyo isithuba ngokudibeneyo. Ngaphezu koko, umsantsa ukuba iingqameko kwelinye icala kwaye ngexesha elinye ukwandisa kwelinye icala, nto leyo ibonisa xenga welungu.

Ukongeza, uxilongo X-ray utyhila sclerosis subchondral le amacwecwe ekupheleni. ubukhulu yabo ibonisa xenga welungu, kwaye kukho nto idla ngenxa trauma ngomatshini okanye ngenxa yotshintsho ezinxulumene-ubudala ezitho abadala.

Ukudleka rhoqo kunegalelo ilahleko umsebenzi uphelelo intlala zokukhusela ithambo ukusuka uxinezeleko ngokwasemzimbeni nobomatshini. Uhlawula into kule meko lo sclerosis subchondral, ngamanye mali okanye ukuqina kwethambo subchondral ithambo cancellous.

Olona hlobo eRashiya, yenzelwe Kosinskaya NS Ukuhlelwa radiographic of osteoarthritis ngokutsho inqanaba lophuhliso. Umzekelo, kwinqanaba lokuqala lwesifo luphawulwa ebusweni exineneyo encinane isithuba joint, kwaye ongasempumalanga kweziqu nokudleka. Ukwenzeka kwe syndrome subchondral kunye exineneyo ezahlukahlukeneyo isithuba joint ubonisa Inqanaba lesibini osteoarthritis. Ke ekugqibeleni, Isigaba sesithathu - a licuthe umsantsa ngesiquphe kwaye ebalulekileyo, ekhatshwa ngokobuninzi cystoid kwaye flattening phezu omzimba.

Ngokuqhelekileyo, unyango osteoarthritis - inkqubo kunokuba elide kunye kukhathaza. imigaqo yalo engundoqo ziquka, ubukhulu becala, umda umzimba, ukuyifundisa wamathambo ukuthotyelwa korhulumente, njl