Kuyini Ollier isifo. Ollier sika isifo: ukuxilongwa kanye nokwelashwa

Wena ungacabanga ukuthi yakho imilenze ingane encane noma izingalo zikhule? Kungenzeka uye ayithande kakhulu isifo Ollier. Yisifo lapho kukhona kwezinso kwamathambo ukuthuthukiswa amathambo, okungukuthi, dysplasia yayo. Amanye amagama okukhulunywa izifo - chondromatosis amathambo amaningi, sohlangothi olulodwa noma chondromatosis diskhondroplaziya amathambo. isihloko isifo wakhe oyinhloko kwakuwukushumayela egameni Lyons udokotela ohlinzayo Olier. Lesi sifo wathola futhi kuchazwe ngokusebenzisa X-ray 1899.

Uyini isifo Ollier

Lesi sifo libhekisela kwezinso we skeleton bony elingelakwaJuda izifo eziningi, kuhlanganise owaziwa kwabaningi omama izingane dysplasia hip.

Lesi sifo ngokuvamile ububonisa ebuntwaneni, ngenxa yalokho esake wacabanga ukuthi lokhu isifo zezingane. Manje wafakazela ukuthi zokugula engenza DEBUT kwakhe abadala (izimpawu kungenzeka noma esikhathini lobudala iminyaka 20-40). Kuyinto engavamile azalwa naso, kodwa wathola isikhathi esithile kamuva - ekuqaleni kuka ebuntwaneni noma entsheni - okungukuthi, ngesikhathi ukukhula olunzulu, lapho kuba ukusonteka okusobala amathambo kanye / noma ukuthuthukiswa okungavamile imilenze nezingalo.

isifo Ollier sika ku metaphyses yokubekezela amathambo ijabulise nemilenze avele neziqu cartilage. Izifo eba ikakhulukazi ithambo, uqwanga, namalunga ka ezandleni nasezinyaweni, ikakhulukazi izinyawo nezandla, kanye ukhalo, kodwa butholakala izimbambo, sternum ugebhezi.

Neziqu noma enhondromy ukwenza olwelwesini ithambo mncane futhi ziyaqothuka. Empeleni, kuba isimila ingozi angakhula abe abulalayo (isib, chondrosarcoma). Ngenhlanhla, lokhu kwenzeka kakhulu kuyaqabukela.

Phakathi nenkathi yokuthomba neziqu sizinze indawo kwamathambo.

Ngakho, Ollier isifo - esindayo esiwufuzo, calcification we skeleton cartilaginous lapho kwenzeka futhi ukuqina metaphyses (amathambo eside entanyeni). Isizathu sokuba ivela khona ayikaziwa. Kwezinye izimo, kuba autosomal evelele uhlamvu zofuzo.

Ngokufana diskhondroplaziey zifo syndromes ezingavamile maffucci futhi Proteus. Ekuqaleni, ngaphandle ingozi neziqu uqwanga futhi sengozini lwamathambo, isikhumba kwakhiwa hemangioma - amnyama obomvu ukuma okungajwayelekile, ehlanganisa imithambo yegazi. Esikhathini yesibili ekuthuthukiseni izimila benign ezingxenyeni ezihlukahlukene zomzimba.

Ngubani ehlaselwe isifo

Kuqala kwakukholelwa babecabanga ukuthi la mathambo chondromatosis ezingavamile. Kodwa manje, lapho luhlolo-X-ray Kwenziwa kabanzi ngokwanele, kwathi akuyona rarity. Uma iminyaka engu-20 edlule, yayibizwa echazwe amacala 30 ngokuthi sebeyakwazi kabili njengoba ningi.

Ukuze ubone ukuthi ukuqala ngqo ngokuvamile akwenzeki uma lokuzalwa akubanga isifundo ashukumisayo njalo usebenzisa ama-X ray, ikakhulukazi ingane isencane futhi kwengane esiswini, kuyilapho, eqinisweni, kukhona Ollier isifo. Lesi sifo, ngasendleleni, amantombazane wembula cishe izikhathi ezimbili kaningi ngaphezu abafana.

izimpawu

Ungalahlekelwa izimpawu zesifo, abazali kumelwe baqaphe uma ingane:

• lusala ukuthuthukiswa Kwezinye izingxenye nemilenze / emikhawulweni;
• asymmetry wawubona futhi kunciphisa kuzo;
• izinyonga waphawula;
• kukhona misalignment we ukhalo;
• ugobile samanje enhlanganisweni yebhantshi valgus noma varus hlobo.

Zonke lezi zici enze kube nokwenzeka ukuba baphethe ngokuthi le ingane Ollier isifo.

Lesi sifo akusilo njalo sobala ngokushesha ngesikhathi sokuzalwa, kodwa lapho ngineminyaka engu-iminyaka 1-4, uzophawula ukuthi ingane kancane kunokulindelekile, okwandisa izinyawo noma izandla. Lona uphawu oyinhloko sifo, akunakugwenywa. Zonke ezinye ingane ngendlela evamile, naphezu kweqiniso lokuthi etshelwa ukuthi une-"isifo Ollier sika."

Diskhondroplaziya avame kuthinta owodwa zokwenziwa, Nokho kukhona izimo ukunqotshwa kokubili. Uma lesi sifo oye wathinta phansi, umntwana kuyoba ukukhula aphansi ngenxa kokunciphisa yabo. Ikakhulukazi efanele kakhulu amathambo uma inqubo sokugembula Yayiqala ekuseni kakhulu. Deformation uqhubeke intuthuko othatha isikhathi eside. Yiqiniso, ukuchayeka ngokwemvelo kulesi sifo, kuba elifushane, mkhulu, ukushintsha Gait, izinyonga siyenzeka. Kungase kube varus noma valgus deformity ka kwamadolo (kancane kaningi - ekupheleni proximal ka kunawo wonke noma unyawo), ukugobeka komhlandla sokukhubazeka komgogodla. Imisipha yoma kule isifo alikho.

izinguquko Big angaphansi a ndlela yokuhlasela yokuhlanganisa izihlangu, metatarsal, futhi kwezinye izimo, metacarpals. Bona mfushane, enwetshiwe, kunemibhalo eyayihunyushwe kabi futhi uqwanga aqukethe khanyisa eziningi.

isifo Ollier sika kungenzeka ophukayo ngenxa yesifo bajwayela lowo ithambo okungalungile. Nokho, lona wayelimele kakhulu ekhanda ngokuvamile ngaphandle komzamo yene.

Comorbidities

Diskhondroplaziyu ungakwazi ukuhamba izilonda nezinye izitho, nakuba izifo ezihlobene ukuthuthukisa akuzona njalo. Ikakhulukazi, amantombazane asemancane isifo Ollier sika kungenzeka teratoma we esibelethweni kanye endocrine zempilo, kuhlanganise obukhulu, obuhlanganisa kokuya esikhathini ekuseni kakhulu futhi ukuthomba kom yashesha Ukuqina sekuyenzeka.

Nokho, ukuthuthukiswa is wabuyela esimweni esivamile ngokususa i isimila esibelethweni.

ukuhlola

Ukuze bahlonze izifo Ollier sika, kuba okokuqala kudingekile ukuba roentgen. Kufanele futhi kube biopsy amathambo-magnetic resonance imaging. Phezu ukuthola lesi sifo, iziguli ezidinga njalo bayohlolwa udokotela, uma kunesidingo, ngokushesha ukukhomba ukuguqulwa abulalayo ukuze chondrosarcoma.

ukuxilongwa umehluko

Imiphumela yaloku kuhlola okungenhla Ukwahlukaniswa yesifo Ollier sika, eqinisweni, akudingekile emva X-ray, ngoba isithombe chondromatosis ethize kakhulu. Nokho, esimweni ngasinye kuyinto eyodwa, kodwa iqoqo izimpawu ubuhlungu cishe okuphindaphindiwe, ngakho odokotela kumelwe siqambe eziningi izifo ezifanayo.

Roentgen aqede atypical Chondrodystrophy, hemihypertrophy noma ithambo yoma, ukusonteka rachitic namanye izifo. Futhi, ngenxa-X ray, ke ayifakiwe Recklinghausen sifo, ngokuvamile kungenziwa udidekile Ollier isifo. Isimiso esiyinhloko - isidingo ukwenza i x-ray amathambo awo wonke umzimba, kunokuba ingxenye yalo.

izinkombandlela ukwelashwa

Diskhondroplaziya okwamanje, ngeshwa, ayinakho izindlela okunengqondo ukwelashwa. Ngokuphambene, isibonelo, izifo ezifana hip dysplasia, chondromatosis iphathwa kuphela ukulungiswa kuhlinzwa ka ukusonteka. Kwezinye izimo, kubonisa yokufakelwa hip esikhundleni. Ezinye izindaba zika-ukwelashwa isiguli kufanele wamukele, - lingaze futhi basekelane.

kokungenela Steel kuboniswa ikakhulu abadala, ngoba, ngokusho kokuma yesimanje, lapho ukulungiswa kuhlinzwa at abasesikoleni Imiphumela uhambisane atholiwe, okusho ukuthi umqondo ukwelashwa kuhlinzwa kuphela imiswe phakathi ukusonteka, kodwa hhayi ashukumisayo. Nokho, ngenxa yokulimala kabi ukuhlinzwa kungenzeka izingane, ikakhulukazi uma kuziwa iminwe, okuyinto kakhulu uhlanekezelwe at Ollier isifo.

Lesi sifo sidinga nokugcina ngokuhlanganyela kanye bone: iziguli kuboniswe ugqoke izicathulo wamathambo, ukusetshenziswa besokunxele wamathambo namanye amadivayisi zokuthola amalunga omzimba. Iziguli kufanele alwa elakhelwe lokhu kwelashwa zokugula kanye nokuzivocavoca yezemidlalo.

Zisebenziseke yokuzijwayeza kanye umzimba ku simulators ekhethekile. Kuyasiza ukubuyisela imisipha iphimbo kanye ukuqinisa emisipheni.

ukuba nombono ongafani ngeke

Ngokusho ucwaningo, kaningi esikhathini sokuthomba, uqwanga esikhundleni ithambo (mhlawumbe yingakho ezimweni omdala lesi sifo kutholwa kakhulu akuvamile). Nokho, isimo sezulu lingaphansi kuka raduzhen izingane: ukusonteka, siqala kancane, kodwa uthuthuka. Yilokhu kuyingozi Ollier isifo.

Lesi sifo kubonakala ngakho ngamunye esimweni ngasinye, ukuthi onalesi sifo jikelele kunzima ukuhlola nangokunembile. Lapho izilonda amaningi kuba ngconywana kuka esimweni ukuguqulwa olulodwa ehunyushelwe. ukusonteka Single kuholela nokufinyezwa omunye izitho zomzimba yingakho nge asymmetry yabo, ikakhulukazi uma kuziwa ezinganeni ezincane. Futhi akunakwenzeka ukulungisa. Futhi ekuthuthukiseni ekuseni yomdlavuza kwandisa ingozi sengozini ezihlukahlukene iminwe.

Uguquko ku chondrosarcoma

Naphezu kweqiniso lokuthi ushintsho abulalayo ekubukeni - chondrosarcoma - akwenzeki njalo, kodwa kunethuba nomdlavuza. Isikhathi esiningi lokhu kwenzeka eminyakeni yokuthomba, nakuba eziningi ucwaningo lwamuva lubonisa ukuthi kungase kwenzeke ngemva kwesikhathi eside kakhulu. Ngenxa yalesi sizathu, iziguli Kunconywa diskhondroplaziey wokubonisana njalo nodokotela kanye nokuhlolwa odokotela.