Kusina Kuwedzerwa Ropa Kunokonzera Bone Kufa
Osteonecrosis mamiriro ezvinhu anotanga semugumisiro wenguva pfupi kana kuti zvachose kurasikirwa kweropa kune pfupa. Kushaikwa kweropa kunopa pfupa kunokonzera chikamu icho chefupa kuti chife. Ifupa rinogona kugumburwa kana richifa, uye kana iyo yakagadzirirwa pfupa iri pedo nejoka, sangano iri rinogona kuparara.
Osteonecrosis inogona kukanganisa chero pfupa rimwe chete asi kazhinji inobata magumo emadzimai, kumusoro kwepfupa, mabvi, mapepa, uye makumbo.
Osteonecrosis yejaya inonzi isingawanwi uye yakabatanidzwa kushandiswa kwe bisphosphonate. Ne osteonecrosis, rimwe pfupa rinogona kukanganiswa kana kupfuura imwe, panguva imwe chete kana panguva dzakasiyana.
Osteonecrosis inonziwo avascular necrosis, aseptic necrosis, kana ischemic necrosis yefupa.
Inowanikwa Sei Osteonecrosis?
IAmerican Academy of Orthopedic Surgeons inofungidzira kuti vanhu 10 000 kusvika ku20 000 vanogadzira osteonecrosis gore negore.
Chii Chinokonzera Osteonecrosis?
Kakawanda, ropa risina kukwana rinokonzera osteonecrosis rinowedzera zvinetso zvinotevera (kukuvara). Zvisinei, pane zvinogona kunge zvisingaiti zvinokonzera zvakare.
Kutambudza osteonecrosis kunoitika apo kuputsika, kuputsika, kana kubatana kwekukuvadza kunokonzera mitsipa yeropa, kunokanganisa kupararira kweropa kusvika pfupa. Hip fracture uye hip dislocation zvikonzero zvinowanzokonzera kushungurudza osteonecrosis.
Hazvina kuora mwoyo osteonecrosis inokura pasina kushungurudzika kana kukuvara.
Zvimwe zvirwere zvinosanganiswa zvinosanganiswa nevasingatambudziki osteonecrosis zvakadai se lupus , gout, vasculitis , osteoarthritis , kenza, chirwere cheshuga, chirwere cheGaucher, Cushing's syndrome, chirwere cheropa, sickle cell chirwere, pancreatitis, tumor, uye kuvhara ropa. Chemotherapy, high dose kana nguva refu-term corticosteroid kushandiswa, sangano rekushandura, mihizha, kusvuta, uye kusagadziriswa kushandiswa kwezvinodhaka kunoonekwa sezvipingamupinyi zvehutano hwe osteonecrosis.
Mamwe mabhuku anofunga kuti corticosteroid kushandiswa kuve chikonzero chinonyanya kukanganisa che osteonecrosis.
Kune 20% yevarwere ve osteonecrosis, chikonzero chacho hachizivikanwi uye chiitiko chinonzi idiopathic osteonecrosis.
Zviratidzo
Pakutanga, pangava pasina zviratidzo zvinoonekwa zvinowanikwa ne osteonecrosis. Asi sezvo mamiriro acho akaipisisa, kurwadziwa pamwe chete kunowanzovapo. Pakutanga, kurwadziwa kunogona kuitika chete kana uine uremu, asi seansteonecrosis inofambira mberi, pangangodaro kune marwadzo kunyange kana uchizorora. Nokufamba kwenguva, kurwadziwa kunogona kugadzirisa mararamiro ekufamba uye kuve kukanganiswa. Kurasikirwa kwebasa rinogona kukura kwechinguva chemwedzi inoverengeka. Kunyange zvazvo zviratidzo zvinowanzoonekwa zvishoma nezvishoma, zvinogona kuitika kurwadziwa kwepakarepo kubva ku osteonecrosis.
Kuziva
X-rays inowanzotanga kuongororwa kuongororwa apo pane kunetseka kwe osteonecrosis. Zvisinei, x-rays haigoni kutora matanho ekutanga osteonecrosis. Kana x-ray ichiita seyakajairika, MRI inowanzoitwa kuitira kupa mukana wakanakisisa wekuona matanho ekutanga osteonecrosis asati aonekwa pa x-ray.
Kunyange zvazvo inogona kushandiswa kuongororwa osteonecrosis, CT inopenya, bone, uye biopsy zvinowanzoshandiswa.
Kurapa
Kurapa zvinangwa zvinosanganisira kuvandudza kushandiswa kwekubatana kwakagadziriswa, kuisa humwe hutano hwakashata, uye kukurudzira kupona kwefupa.
Mukusarudza nzira yakanakisisa yokurapa, chiremba wako achafunga nezvezera rako, danho re osteonecrosis, nzvimbo yefupa rinokuvadza, uye chii chakatanga dambudziko racho.
Panogona kuva nemishonga inopiwa kupa kuderedza marwadzo, kana mishonga inomira kana inofungidzirwa kuti ndiyo inokonzera (semuenzaniso, corticosteroids). Kuderedza kuora kwekutakura kunowanzokosha pakuporesa uye kunogona kuwanikwa kuburikidza nekudzivirira mabasa kana kushandisa zvimedu kana zvimwe zvinobatsira. Range-of-kufamba maitiro anoshandiswa zvinowanzobatanidzwa sechikamu cherongwa hwekurapa. Kukurudzira magetsi dzimwe nguva kunoshandiswa kukurudzira kuwedzera kwemapfupa. Pakupedzisira, kunyange zvakadaro, vanhu vakawanda vane osteonecrosis vachada kuvhiyiwa kuti vaite zvishoma kana kuti varege kuenderera mberi kwechiitiko chacho.
Kuvhiya kunoshanda zvikuru kana osteonecrosis isina kufambira mberi kusvika pfupa rawa. Nzira dzinoshandiswa ku osteonecrosis dzinosanganisira kukanganiswa kwepfungwa, osteotomy , bone graft, uye kubatana kushandiswa .
Sources:
Osteonecrosis. National Institutes of Arthritis uye Musculoskeletal uye Skin Diseases (NIAMS). June 2009.
Osteonecrosis. Bhuna, Kubatana uye Matambudziko Matambudziko. Merck Manual. March 2008.