Ossificans Myositis: ifoto, iimpawu, iziphumo, unyango. Yintoni na uqikelelo ukwenzela unyango izigulane kunye ossificans myositis?

Myositis - sisifo kwenzeka ngenxa yezizathu ezininzi, yaye simenza isicwili kwezihlunu kwinkqubo arhabaxa. Kuxhomekeka yintoni eyabangela sifo, ihlelwa iintlobo ezahlukeneyo. Elinye iqela iimeko zophendlo lwezifo yokulingwa ayikho yingozi kwaye enyangekayo, lo gama enye, okubangela izifo emzimbeni, inokukhokelela ekufeni. Kweli nqaku sijonga kwimiba engundoqo enxulumene esi sifo. Apha umfundi efunda, apho amatyala kukho myositis, naziphi iingqikelelo malunga nonyango ossificans myositis ezikhoyo namhlanje, indlela azikhusele sifo.

Yintoni na?

Xa myositis ziquka emininzi izifo edityanisiweyo esusela kwi inkqubo yokukrala evela izihlunu. Uphawu ephambili ebonisa ngokunokwenzeka kwezifo ephilayo, i intlungu izihlunu, mandundu intshukumo okanye Ngokucofa. Le ngezifo kwalelo imvelaphi losulelo elidlulileyo okanye ukungakhuseleki ebandayo, kwaye kananjalo ziqulunqe ngenxa yezifo samathambo, ukwenzakala, ukugruzuka njalo njalo.

Ubangelwa sifo ngokuqhelekileyo ihlelwa ngamaqela amabini:

• Zemveli - leyo kuvela ngaphakathi umzimba;
• zangaphandle - ezibangela yangaphandle.

Kwedijithali ziquka:

• izifo komzimba ezifana lupus, isifo samathambo, njl.;
• izifo yendalo eyahlukileyo - enterovirus, icesina, influenza;
• izifo ezibangelwa umsebenzi kumzimba lweentshulube oluntu (echinococcosis, trichinosis);
• ukunxila.

yeemeko zangaphandle ukuhlukumezeka ingqalelo, emzimbeni, ngamaxesha kwempixano kwemisipha okubangelwa nawuphi na umsebenzi. Myositis ingqalelo unesifo zomsebenzi iimvumi, abadlali.

iintlobo

Ngomhla ngemvelaphi sifo, uhlobo iimpawu zayo ngoku kunye nezinye zihlelwe zibe myositis ezosulelayo, izilonda noDidi ekumfimfitheni. Kukho iintlobo eziyityhefu yaye kubuhlungu. Polymyositis (ossificans myositis) - i ngezifo kunye neziphumo bumandundu kunye antsonkothileyo. Le ukuhlukunyezwa sisifo le kwizicwili kwaye, yena, ihlelwa:

• ossificans myositis ebuhlungu;
• myositis ossificans okuqhubekayo;
• neyromiozit.

Traumatic myositis ossificans (iimpawu zesi sifo, kuya kuxoxwa kamva) - yinto arhabaxa isifo lwenzeka kwisiqalo kakhulu ukwenzakala okanye multiple phinda microtrauma. Le leengxaki yenzelwe nemisipha articular kwaye ekugqibeleni kukhokelela yimbonakalo kwamathambo kwiindawo ingxaki. ngokuphumelelayo intsumpa.

ossificans Myositis ngokuqhubekayo (iimpawu sichaza ngezantsi) - into yokugula ebangelwa kuguquka ngayo isakhi ethile, nto leyo ekhokelela ukuphazamiseka kakhulu emzimbeni kwaye ngenxa yoko - ukufa komntu. Uthathwa ukuba enqabileyo kakhulu (ngaphantsi kwama-200 iimeko ezaziwayo yezonyango ihlabathi).

myositis Neurotrophic kwalelo imvelaphi yokwenzakala ezinkulu okanye iingcambu zemithambo-luvo umnqonqo. Amaninzi, kukho ngezifo senzeka kwi ngedolo okanye hip ngokuhlangeneyo.

Neyromiozit

Njengoko kuchaziwe ngaphambili, oku kuchaphazela izinto luvo intramuscular. Oku kwenzeka ngolu hlobo lulandelayo. Inkqubo yokukrala ebangela ukutshatyalaliswa iiseli izihlunu, oko kukhokelele iintlobo ezahlukeneyo kwezinto ephuma, nto leyo ibe nefuthe yityhefu kwi-luvo. Nerve esingxotyeni ngcembe zathotywa, nto leyo ekhokelela ukuba yezihlunu cylinder kukothuka uvaleke.

Iimpawu Neuromyositis zezi:

• ukuncipha okanye ukwanda novakalelo kummandla eyendawo leengxaki;
• buhlungu;
• buthathaka kwezihlunu;
• intlungu omzimba.

Ukutshatyalaliswa yeqokobhe of luvo ibangela utshintsho uvakalelo esikhumbeni. Oku ukuzibonakalisa ndindisholo okanye esibuhlungu, ezo zihamba ziintlungu progressive. Ekuqaleni intlungu syndrome ukuba ngcathu, kodwa zinokukhuliswa nokuba imithwalo eliphantsi. Iintlungu ebangela ukuphefumla, ujikelezo okanye tilting lomzimba, yalityatya ngokwamathambo motion. kamva wenza ngokwayo waziva nokuba baphumle. Amaxesha amaninzi kukho imimoya ngezifo lwe luphawu xa uba ethe kakhulu kwempixano Ngokucofa kwezihlunu.

uhlobo okuqhubekayo sifo

Uhlobo lwesibini polymyositis okubangelwa neengxaki yemfuza, - ossificans myositis progressive. Iimpawu sifo phantse akunakwenzeka ukuba ukususa, kuba njengento esinganyangekiyo. Kunye ossificans myositis phambili kwenzeka kwamathambo izihlunu, imisipha kunye nemisipha. Isifo kwenzeka phantse ngokuqhutywa ngumdla kwaye ngokuhamba kwexesha ibandakanya iqela elikhulu izihlunu. Isiphumo ebulalayo uba sezintlungwini, njengoko Ukuqina kwe izihlunu thoracic nokuginya emohluthayo umntu ithuba lokuba nditye aphefumle. ossificans myositis Progressive inomnye igama - fibrodisplations ossificans progressiva (FOP).

ngezifo engaphantsi xa kukuvela ukudumba kwi imisipha, nemisipha kunye nezihlunu, nto leyo ekugqibeleni kukhokelela kwamathambo. Dorsi (ububanzi balo, trapezoid) bangenele utshintsho kunye ossificans mkhulu myositis sokuqala. Yintoni ebangela ukuba iziphumo sifo? ukuphazamiseka esizimiseleyo ekusebenzeni musculoskeletal inkqubo, ukuqina, ukungakwazi adle ngokwesiqhelo ukuphefumla - konke oku kunciphisa kakhulu umgangatho yesigulane yobomi. Ngokuqhelekileyo, le nkqubo iqala abantwana abangaphantsi kweminyaka elishumi kwaye inkqubela kule minyaka, kodwa inkoliso izigulana kufa wena, akuyi kuphila ukuya kunyaka-elishumi imbali.

Kuphela ngo-2006, ngoncedo uphando olwenziwe liqela oososayensi e University of Pennsylvania, isakhi sele ichongiwe, lo guquko leyo ekhokelela ukuba ngezifo kakhulu. Namhlanje, iingcali nokuphuhlisa blocker imizila kwi sofuzo.

iimpawu FOP

Njengoko kukhankanyiwe ngasentla, FOP yenzeka ebuntwaneni. Ukwenziwa kwesi sifo kwi usana ukuze abonise iimpawu asakhulayo uninzi xa myositis ossificans. Zeziphi iimpawu zesi sifo kugqame kakhulu?

Nge 95% okuba kunokwenzeka ukuba ukuhlola ngezifo womntwana, ukuba phalanges omnye okanye ngaphezulu nakubhontsi ziya kujikwa izibilini. Kwezinye iimeko, akukho joint umnwe. Amaninzi ubunzima ukusuka myositis amakhwenkwe okuqhubekayo. A uphawu esi sifo ebuntwaneni ekuqaleni i Ngokucofa kubuhlungu zezihlunu, kwaye ashinyeneyo ngokwaneleyo, eladlulayo.

Olunye uphawu sifo iindumbisa ancedisana ezithambileyo entloko, nenokuthi kwenzeke ukugruzuka ezincinane okanye imikrwelo, buluma sinambuzane. Nangona kunjalo, phambi FOP ukudumba akaphenduli kuthomalaliso zonyango yaye singenyuki siye inyanga. Phantsi eluswini emva, inyuke iye okanye intamo itywina kwakhona zenzeka kweesentimitha elishumi.

Ekuqaleni FOP kuchaphazela izihlunu entanyeni, emva, intloko, yaye kamva bewuhlisele kungena amasebe esiswini kunye nezihlunu hip. Nangona kunjalo, esi sifo zange kuchaphazela ijwabu kwezihlunu wentliziyo, uvalo, ulwimi, izihlunu periocular.

Isifo sidla kubhidaniswe somhlaza uzama ukususa yokuqaqadeka wenze, loo nto ikhokelele ekubeni wobuyiselo, yaye ichukumisa ukukhula ngokukhawuleza amathambo "ngokungeyomfuneko".

unyango

Ngelishwa, ukuza kuthi ga ngoku, ossificans myositis progressive phantse akunakwenzeka ekupheliseni, kunye nonyango isicelo yi nokungaphumeleli kwawo. Akukho iindlela eqinisekisiwe kwaye nokuthintelwa FOP. Emva kokuvulwa mutating zezilimo kwenzeka kuphela ukufunda iinkqubo ze esi sifo. ziphuhlisiwe iindlela zonyango elabhoratri ezisetyenziswa yezonyango. Ukongeza, sokuhlola zonyango kunokwenzeka kufuneka zidlule uvavanyo esinzulu idosi ixesha lonyango.

Iingcali ajongene nayo myositis ossificans, ukusebenza US, xa Laboratory of Pennsylvania McKay Federal University. Eqondisa umsebenzi lwenzululwazi Frederick Kaplan, MD.

Kumanqanaba okuqala sifo ziquka unyango anti-ukudumba iziyobisi, ascorbic acid, iivithamini A no-B, biostimulants. Kwiimeko kakhulu, isifo iihomoni steroid asetyenziswa, nangona ukusebenza sawo ukuwuphumeza kakuhle.

Ubungcono ikhokelela physiotherapy - ultrasound, electrophoresis. Ezi nkqubo siyakuvumela ukusombulula nesiphumo iintlungu. Kufuneka ngqo nokusetyenziswa ubuncinane okune calcium, ukuphepha naluphi inaliti intramuscular. ungenelelo inxeba, kunye nokususwa ukuyilwa ithambo ingamampunge.

ossificans myositis esibuhlungu

Eyendayo ossificans myositis traumatic - isimo ekhokelela ekwakhiweni amathambo kubangele ukulimala etsolo - komsipha, kwizaphuko, komsipha, okanye ngenxa traumatization phinda okungenamsebenzi, umz, xa iimbaleki okanye iimvumi.

Xa intliziyo sifo ukopha ijwabu kwezihlunu. Ukuqina amaninzi senziwa ezinqeni, umlenze negxalaba kwizihlunu. Emva kwexesha elithile ukonzakala kukho iimpawu lokuqala lwesifo. uphawu senziwa zezihlunu, nto leyo likhula ngokukhawuleza kwaye kabuhlungu Ngokucofa. Emva kweeveki ezimbalwa itywina iguqulelwa ibe petrification isimo elingenammiselo, nto leyo eyenza nokushukumisa entlanganweni ekufuphi. Emva koko ubuhlungu kancane kancane. Disease semngciphekweni abatsha abantu, ingakumbi amadoda kwemisipha.

Kuphela emva kokuba radiographs unesifo "ossificans myositis esibuhlungu." Ngokuthembekileyo Photo X-ray picture ngasentla. Isiphumo X-ray ibonisa ukuba sisilonda esidumbileyoesingaphakathi elifana neli 'ilifu "yinqobo ukukhanya okuye akukho imida ecacileyo. Ezimbi evela ngexesha kwamathambo ekuqaleni akukho imilo article, kodwa kamva abe yakhiwe ecacileyo kunye nesakhiwo.

ossificans myositis esibuhlungu: unyango

Indlela ukuphelisa esi sifo? ossificans myositis traumatic yi Ingxelo kakuhle kunyango. Ngoko nangoko emva kokonzakala iyaboniswa ekhupha ngayo kwiiveki ezimbini. Emva uzingela Iimpawu zokuqala zesi sifo yaye Uxilongo kufuneka kube lula ukusebenzisa leebhate ubushushu radon, radiotherapy, electrophoresis, imithambo ukukhanya. Ngelo xesha ke asikwazi kusetyenziselwa amayeza iinjongo yokuthanjiswa, iparafini, nangecandelo yombane.

Emva kokuba X-ray watyhila ubukho oblachkovoy shadow kunokwenzeka nangoku ukuthintela ukunwenwa kwezifo umva le nkqubo. Phantsi yempembelelo hormone kwenzeka resorption yemfundo. izitofu steroid yenziwa ekuhlaleni. Kudla esetyenziswa ukunyanga "Hydrocortisone" kunye nesisombululo "Novocain".

Emva kweenyanga ezimbalwa emva kokuba ukonzakala, xa kwamathambo sele kwasekwa, ukusebenzisa unyango endala akwenzi ngqiqo. Kwiinyanga ezintandathu kamva zabhenela utyando - ossiofit kunye philisi isusiwe.

Kukho ezinye iimeko eziya kukhokelela zihambe kakuhle unyango kunye nokungabikho kokuwela - umsebenzi kufuneka atraumatic, kuyimfuneko ukusebenzisa electrotome ukuthatha ngenyameko em- ngenxeba, enze amanyathelo othintelo ngolu xesha postoperative.

Myositis ossificans Uxilongo

Ukuchongwa kwe Isifo siqala ukufunda umfanekiso lwezonyango. Thetha isigulane ivumela ukuba ukufumanisa ubukho apha ebomini lokugqibela izifo abe umnyele kuphuhliso myositis. Amaxesha amaninzi ngezifo kwenzeka ngenxa Ngokuzimela, osteomyelitis, erysipelas isikhumba komtshiso oko. Iintsholongwane, iintsholongwane kunye nosulelo fungal nazo zikwabangela kuphuhliso myositis. Isifo ibunjiwe emva yokwenzakala, amahlaba kwezihlunu, emzimbeni. uxinezeleko Long-term kwi kumaqela athile yesihlunu isenokukhokelela zokugula.

Njengokuba bekutshiwo ngaphambili, xa ossificans myositis kwenzeka intlungu. Izigulane badla ezikhala iqaqamba intlungu izihlunu buthathaka. Ngokucofa iinxalenye ochaphazelekayo omzimba kunceda ukufumanisa ubukho / ukungabikho womxhuzulane izihlunu amaqhina.

Esi sifo ukuphuhlisa phantsi kweempembelelo izinto eziyityhefu, ezifana utywala kunye nokusetyenziswa kweziyobisi. Imithi ezithile nayo kukhokelela ukusilela kwezihlunu.

olu phando

Ukongezelela niwubuthayo imbali kunye noviwo yenzelwa ukuqinisekisa uxilongo X-ray phendla kwamathambo. Ngamanye amaxesha enokwenziwa Itomography ikhompyutha, kunye radioisotope ukufunda izihlunu abachaphazelekayo.

Ukubakho kwi myositis umzimba ukubonisa utshintsho uphawu kuhlalutyo jikelele igazi. Enye indlela kukuba ukwenza uphando elebhu Revmoproby - iimvavanyo ezinceda kucacisa uhlobo sifo yaye ngaphandle izifo samathambo, kwakunye ukuchonga ngobunzulu inkqubo arhabaxa.

Iimpawu Revmoproby zibonisa amazwe ahlukeneyo emzimbeni. Umzekelo, C-izidubuli protein - isiphawuli kwesigaba zale nkqubo arhabaxa. Antistreptolisin-O - into leyo yenziweyo emzimbeni a usulelo streptococcal. Ubukho balo ibonisa rheumatism okanye isifo samathambo. Revmofaktor - ke omzimba ziveliswa komzimba ezimbi sokuhlasela.

izifundo Morphological kwi lokufunyaniswa myositis yinto biopsy - ngokuthatha kucazululo biomaterial kunye nokufunda ngenyameko ngayo. Umsebenzi ophambili - ukujonga utshintsho kumaziko kwizihlunu zomzimba nokuqina.

ukuvimbela

Myositis ossificans Prevention ibandakanya imigaqo ezininzi, eyona ibaluleke ngakumbi kuzo kukuhlonela ekunene indlela yobomi - umsebenzi ngaphandle umthambo ngokugqithiseleyo, ukutya okunazo kunye nonyango ekhawulezileyo nasiphi na isifo.

okunesondlo inceda ukuthintela ukudumba kwi izihlunu - yingenelo fatty polyunsaturated equlathwe iintlanzi; Iimveliso ezinomthamo omkhulu salicylates (imifuno); iiproteni ukutya (neentyantyambo zeamangile, inkukhu); Products equlathe izixa ezikhulu calcium; okuziinkozo.

kubaluleke kakhulu umbuso ukusela, apho ngosuku ziphele malunga neelitha ezimbini zamanzi. Ngaba ityeshelwe worse kunye compotes, tea luncedo and green. Ukunciphisa nokudumba Kucetyiswa ukuba Thatha decoction rose esinqeni. Kuthintelo myositis luncedo ukuchitha ixesha phandle. Izigulane ezininzi basoloko ikhathazekile umbuzo onjalo: ingaba ossificans myositis kunokwenzeka ukwenza imithambo? Unako, nangona kunjalo, umthwalo kufuneka ukukhanya balawule. Ngaphandle imithambo kule sifo abuyise lukhuni, nokuqubha, ngebhayisekile.

Prevention myositis ibandakanya intshukumo rhoqo, kubalulekile ukuphepha yokungasebenzi kunye emzimbeni. Kakade ke, ukunqanda kakuhle izifo ukungabikho Nakuphi na ukwenzakala.