Anopa mafiroti isinganzwisisiki bony kukura kana kuisa, iyo inonziwo pfupa spur. Vanokura zvishoma nezvishoma pane nguva uye kazhinji havana zviratidzo. Zvinogona kukonzera marwadzo kana zvikaita pane zvimwe zvivako kana kuti zvikure zvakakura sekuti zvibvumire kufamba mune imwe sangano. Iro dzimwe nguva dzinonzi maodules osteochondral, osteochondrophytes, uye chondro-osteophytes.
Osteophytes muArthritis
Maosteophytes anowanzokura muzvibatano zvinoratidza zviratidzo zvekuora .
Ivo vanobatanidzwa nevanonyanya kuratidza arthritis, osteoarthritis . Kuvapo kwavo kunogona kushanda kusiyanisa osteoarthritis kubva kune dzimwe mhando dzeArthritis . Kunyange zvazvo chirwere chinonzi osteoarthritis chinosanganisira kuora kwemarara, kunezve kugadziriswa kwe subchondral bone mubatanidzwa, iyo inogona kusanganisira kuumba bone spurs.
Kuumbwa kweOsteophytes
Inyanzvi-kutaura, inonzi osteophyte inonzi fibrocartilage-capped bony inogrowth inobva kumashure epamberi mu periosteum, mhuka inotenderera mapfupa uye ine masero anoumba pfupa idzva. Kuchinja kukura kwezvinhu β kunobatsira pakukura kwavo.
Anopa mafiroti anowedzera apo sartilage yakasara iri mukuvhiringidza kuedza kuedza kugadziriswa mushure mekunge martilage kurasikirwa kune imwe nzvimbo mubatanidzwa. Iko kunowanzoita muimba yakabatanidzwa uko kwakave nekushaya kurasika kwekateti, zvichiratidza kuti inzvimbo yakatarwa. Osteophyte formation inogadzirisa zvakakanganiswa.
Izvozvo zvakati, kunyanya kwavanoita uye izvo zvinokurudzira maitiro avo hazvinyatsonzwisiswi. Osteophytes inogonawo kukura musipo kwekujekesa karotilage kukuvara.
Nzvimbo yeOsteophyte Formation
Marginal osteophytes inogona kukura panharaunda kana kumucheto kwechibatanidzwa chero chipi zvacho . Central osteophytes inonyanya kuzivikanwa muchiuno nemabvi .
Osteophytes inogonawo kuwanika mumharapara, iyo inobatanidzwa nekunzwa shure kana kuputsika kwemutsipa uye inofungidzirwa sechiratidzo chinowanzosvibisa arthritis (osteoarthritis). Muchizuru, ansteophyte kana bone spur inogona kukonzera musungo weropa (kukanganiswa kwemutsipa wesipinha kana nerve midzi) paNeuroforamen (nzvimbo isina chinhu kune kuruboshwe uye kurudyi kwe vertebra imwe inobvumira mitsetse kuti ipfuure kubva mumutsipa wepelinha kuenda kune dzimwe nzvimbo yemuviri). Zviratidzo zvinowanikwa mumamiriro ezvinhu aya zvinosanganisira kurwadziwa, kupera, kupisa uye pini uye nenyuchi mumucheto wakashandirwa nehutachiona hwemutsipa wesimbi. Zviratidzo zvinoshambadza zvinosanganisira kuputika kwemasumbu, kuputika, kushaya simba, kana kurasikirwa kwemaviri musimba mune chimwe chikamu chakabatanidzwa chemuviri. Irooophyte pachayo haina marwadzo, asi nzvimbo yayo uye naizvozvo iyo inoshanda kune dzimwe zvivako zvemuviri zvinogona kukonzera marwadzo.
Njodzi Zviitiko zveOsteophyte Formation
Zvimwe zvinhu uye mamiriro ezvinhu zvinoonekwa sezvipi zvinokonzerwa neansteophyte maitiro. Izvi zvinosanganisira:
- Kuwedzera kwezera
- Disc degeneration
- Joint degeneration
- Kukuvara kwemitambo kana kumwe kukuvadza kwekubatana
- Murombo kumira
- Genetics
- Congenital skeletal kusagadzikana
Kuongororwa Osteophytes
Osteophyte yakagadzirwa muruoko inogona kuongororwa nekuongorora kwemuviri mutauro weprophaimal interphalangeal (PIP), distal interphalangeal joint (DIP), uye yekutanga carpometacarpal joint (CMC).
Zvichingoisa, muruoko, bump kana bundu rinogona kuonekwa panguva yekuongorora.
Kune mamwe mazamu, kuvapo kweansteophyte kunogona kuongororwa uchishandisa zvidzidzo zvekufungidzira, zvakadai se-X-ray kana MRI kana CT scan. Kana X-rays yakaitwa kune munhu wese anopfuura makore makumi mashanu, vazhinji vaizopa humwe uchapupu hwehutachiona hwekugadzira. Asi, vazhinji vane maronda havaiti zviratidzo. Kunenge kwakapoteredza makumi mana kubva muzana yevanhu vane osteophytes vanoita zviratidzo zvinoda kurapwa.
Kurapa kweOsteophytes
Kuvapo kweansteophyte pachako hakusi kwekliniki inokosha kunze kwekuti zviratidzo zvakabatana zvinowanikwa. Mishonga inogona kusanganisira:
- Physical therapy
- NSAIDs (nonsteroidal anti-inflammatory drugs)
- Analgesics (painkillers)
- Steroid Injections
- Kuvhiya: Mumumhino, kubviswa kweansteophyte kunogona kudikanwa kukanganiswa zvakananga kwekushongedzwa kwehutano kana kuti kuwedzera murwere wepasinini kuperera kuderedza kunamatira neosteophyte.
Kazhinji, kurapa kwakachengetedzwa kunoedzwa kutanga. Kuvhiya kunochengeterwa vanhu vane zviratidzo zvakakomba. Chiito chinowedzera kuwedzera marwadzo anosangana neansteophyte, asi zororo rinobatsira kuderedza marwadzo.
Sources:
> Goel A. Zvakakosha here kubatanidza osteophytes mukuderera kwepondylotic myelopathy? Zvinyorwa zve Craniovertebral Junction uye Spine. 2013 January-June; 4 (1): 1-2.
> Bone Spurs (Osteophytes). Misidhari-Sinai. https://www.cedars-sinai.org/health-library/diseases-and-conditions/b/bone-spurs.html.
> Neuroforamen - An Overview. Laser Spine Institute. https://www.laserspineinstitute.com/back_problems/spinal_anatomy/vertebral_column/neuroforamen/.
> Wong SHJ, Chiu KY, Yan CH. Kudzokorora Chinyorwa: Osteophytes. Nyaya yeOrpedpedic Surgery . 2016; 24 (3): 403-410. doi: 10.1177 / 1602400327.