Myositis ossificans: isithombe, izimpawu, imiphumela, ukwelashwa. Yiziphi izibikezelo for the nokwelashwa kweziguli myositis ossificans?

Myositis - isifo kwenzeka ngenxa yezizathu eziningana, futhi kuphakamisa kwemisipha izicubu e ukuvuvukala. Kuye yini eyabangela sifo, oluthathwa zibe izinhlobo ezahlukene. Elinye iqembu izimo zokucabanga okubangelwa isifo probation akuyona esiyingozi futhi esilaphekayo, kuyilapho ezinye, okubangela iziyaluyalu sina emzimbeni, kungaholela ekufeni. Kulesi sihloko sibheka izinkinga main eziphathelene sifo. Lapha umfundi ifunda, lapho amacala kukhona myositis, ukuqagela on ekwelapheni myositis ossificans akhona namuhla, yokuthi angazivikela kanjani ngenxa yalesi sifo.

Kuyini lokhu?

Ngu myositis zihlanganisa spectrum izifo okuncike i ukuvuvukala zingaveli imisipha. Uphawu ukhiye ebonisa nesenzakalo kungenzeka kwezifo i umzimba, kuyinto ubuhlungu imisipha, ukucasulwa ukunyakaza noma palpation. I zokugula kwenzeka ngokumelene ingemuva ukutheleleka esidlule noma zizwa amakhaza, futhi zingase futhi zibe ngenxa izifo sokuhlasela kwamasosha omzimba, ukulimala, nemihuzuko nokunye.

Izimbangela zesifo evamile oluthathwa ngamaqembu amabili:

• Endogenous - okuyinto kuphakama phakathi nomzimba;
• exogenous - izimbangela zangaphandle.

Endogenous zihlanganisa:

• izifo sokuhlasela kwamasosha omzimba ezifana lupus, i-rheumatoid arthritis, njll.;
• izifo bemvelo ezahlukene - enterovirus, i-typhoid, Umkhuhlane;
• izifo ezibangwa umsebenzi emzimbeni ezidala womuntu (echinococcosis, trichinosis);
• ukudakwa.

izici Exogenous ukuhlukumezeka kubhekwe, hypothermia, gqwa imisipha ukungezwani kubangelwa yimuphi umsebenzi. Myositis kubhekwa i emsebenzini isifo abaculi, abadlali.

izinhlobo

Ekhuluma ngomsuka lesi sifo, ubunjalo izici zayo zamanje kanye nezinye zihlukaniswa myositis ezithathelwanayo, ukonakala kanye isigaba yisinanakazana. Kukhona futhi izinhlobo zawo ezinobuthi futhi kuhlasimulise. Polymyositis (myositis ossificans) - a zokugula nemiphumela kakhulu ngokubikezela izinto ezididayo nezingathembekile ezinzima. Lokhu nokuphulwa isifo sezicubu zezinzwa futhi, esikhundleni salokho, libhekwa ku:

• myositis kuhlasimulise ossificans;
• myositis ossificans lesichubekako;
• neyromiozit.

Obungapheli myositis ossificans (izimpawu zesifo Kamuva sizoxoxa ngokuthi) - kuyinto isifo ukuvuvukala okwenzeka on isizinda yokulimala noma microtrauma okuphindayo amaningi. I zokugula itholakala emisipheni articular futhi kamuva kuholela ukubukeka Ukuqina sekuyenzeka ezindaweni inkinga. iphathwa surgically ngempumelelo.

Myositis ossificans lesichubekako (izimpawu thina uchaze ngezansi) - kuyinto kofuzo okubangwa ngokuguqula izakhi isakhi esithile, okuholela thuthuva ezinzima emzimbeni futhi ngenxa yalokho - ukuze kokufa komuntu. Ibhekwa njengezwekazi ivelakancane (amacala ngaphansi kuka-200 eyaziwayo kwezokwelapha emhlabeni).

myositis Neurotrophic kwenzeka ngokumelene isizinda ukulimala enkulu noma izimpande emsipheni we nomgogodla. Ngokuvamile, i-pathology eba kwamadolo noma hip ngokuhlanganyela.

Neyromiozit

Njengoba kuphawuliwe ngaphambili, kuthinta esicutshini yezinzwa. Lokhu kwenzeka ngendlela elandelayo. Ukuvuvukala kubangela ukubhujiswa imisipha amaseli, okuholela izinhlobo ezahlukene izinto idedelwa, okuyinto nethonya anobuthi on the izinzwa. Nerve emgodleni kancane kancane phansi, okuholela Axial kwemizwa ukushaqeka isilinda.

Neuromyositis izimpawu ilezi:

• kwehle noma ukwanda kwemithwalo ukuzwela endaweni kwasendaweni zokugula;
• ubuhlungu;
• ukuba buthakathaka kwezicubu;
• ubuhlungu emalungeni.

Ukubhujiswa kwabantu igobolondo ka yezinzwa kubangela ushintsho isikhumba ukuzwela. Lokhu kungaba ukuzibonakalisa ndikindiki noma ukuluma, okuyinto ahambisana ubuhlungu ezithuthukayo. Ekuqaleni lesi sifo ubuhlungu ngokulinganisela, kodwa ke kuyenteka ngisho at imithwalo ongaphakeme. Ubuhlungu kubangela ukuphefumula, Ukujikeleza noma Itshekisela yomzimba, isitho somzimba ezinyakazayo. kamuva Wenza ngokwayo wazizwa ngisho uphumule. Ngokuvamile kukhona ukungezwani zokugula we uphawu lapho kuba kakhulu sensitive palpation imisipha ukungezwani.

ifomu Progressive lesi sifo

Eyesibili uhlobo polymyositis kubangelwa izifo ezibangelwa ufuzo, - okuqhubekayo myositis ossificans. Ngezimpawu zesifo cishe kungenakwenzeka ukususa, ngoba aselapheki. Nge okuqhubekayo myositis ossificans kwenzeka Ukuqina sekuyenzeka imisipha, imisipha kanye nemisipha. Lesi sifo kwenzeka cishe ngokuzenzakalelayo futhi nge kwesikhathi ihlanganisa iqembu elikhulu imisipha. Waba yini umphumela lapho iphuzwa ngokweqile kuyinto ezokwenzeka, njengoba Ukuqina sekuyenzeka imisipha thoracic kanye nokugwinya phuca umuntu kungenzeka ukudla aphefumule. Progressive myositis ossificans has elinye igama - fibrodisplations ossificans progressiva (FOP).

zokugula oyinhloko onikezwayo uwukuthi okuvela ukuvuvukala kule imisipha, nemisipha nemisipha, okwagcina kuholela Ukuqina sekuyenzeka. Dorsi (ezibanzi, trapezoid) nezinguquko kunabo kokuqala myositis ossificans. Iyini imiphumela izimbangela zesifo? ukuphazamiseka omkhulu ukusebenza zemisipha uhlelo, ukuqina, ukungakwazi udle evamile futhi sikwazi ukuphefumula - konke lokhu kunciphisa kakhulu izinga lesiguli zokuphila. Ngokuvamile, le nqubo iqala izingane ezingaphansi kweminyaka engu-eziyishumi futhi iqhubeka eminyakeni, kodwa iningi iziguli afe, hhayi ukuphila ngokuvumelana luyingqophamlando seminyaka eyishumi.

Kuphela 2006, sibonga ucwaningo olwenziwa iqembu lososayensi e-University of Pennsylvania, isakhi sofuzo ukhonjwe, le ngokuguqula izakhi okuholela zokugula ezinzima. Namuhla, izazi bayatfutfuka blocker ukuguquka kwezakhi zofuzo e isakhi sofuzo.

Izimpawu ze-FOP

Njengoba kushiwo ngenhla, FOP kwenzeka eminyakeni yobungane. Ukwakheka kungenzeka lesi sifo ingane kungase kubonise ezinye izimpawu abasafufusa iningi uma myositis ossificans. Ayini izimpawu zesifo kuthiwa kakhulu?

Nge-95% amathuba kungenzeka ukuxilonga zokugula wengane, uma eyodwa noma ngaphezulu phalanges ukuthi uzwane elikhulu kuthiwa engonxantathu ngaphakathi. Kwezinye izimo, akukho ngokuhlanganyela umunwe. Ngokuvamile uhlushwa okuqhubekayo myositis abafana. A uphawu lesi sifo ekuqaleni kuka esewusana kuyinto palpation okubuhlungu imisipha, zinjalo ngokwanele aminyene, lesengcile.

Enye uphawu sifo ukuvuvukala kwezicubu ezithambile ikhanda, okungase kwenzeke imihuzuko ezincane noma imihuzuko, ukulunywa yizinambuzane. Nokho, ukuba khona FOP ukuvuvukala akasabeli yokwelapha yezokwelapha futhi akayi kuze kuphele inyanga. Ngaphansi isikhumba emuva, ibhodi lemisindo noma entanyeni uphawu kungaphinde kwenzeke amasentimitha engaze ibe yishumi.

Ekuqaleni FOP kuthinta imisipha nasentanyeni, emhlane, ikhanda, futhi kamuva ngihlaliswa iminyango besisu nemisipha hip. Nokho, isifo neze kuthinta izicubu imisipha yenhliziyo, diaphragm, ulimi, imisipha periocular.

Lesi sifo ngokuvamile kudidaniswe umdlavuza bese uzama ukususa ukuqina wakubangela, okungahambisani kuholele ekusimameni, futhi icuphe nokukhula ngokushesha amathambo "ezingadingekile."

ukwelashwa

Ngeshwa, kuze kube manje, lesichubekako myositis ossificans cishe akunakwenzeka ukuqeda, futhi ukwelashwa isicelo kuyinto ayizwakali. Azikho izindlela neshaya nokuvinjelwa FOP. Nakuvulwa mutating isakhi sofuzo kwenzeka ukufunda izinqubo lesi sifo. Izindlela zokwelapha ngaphandle isakhiwa endaweni yokucwaninga futhi lisetshenziswe zokwelapha. Ngaphezu kwalokho, kungenzeka zokwelapha zokuhlola kumele zidlule ukuhlolwa esingathí sina umthamo kanye isikhathi sokwelashwa.

Izazi ukubhekana naso myositis ossificans, ukusebenza e-US, e-Laboratory of Pennsylvania McKay Federal University. Eliqondisa umsebenzi yesayensi Frederick Kaplan, MD.

Ezigabeni zokuqala zesifo zihlanganisa eqeda ukuvuvukala yokwelapha izidakamizwa, ascorbic acid, ngamavithamini A no-B, biostimulants. Ezimweni ezimbi kakhulu, asetshenziselwa sifo hormone steroid, nakuba ukusebenza kwabo hhayi kungase kutholakale kahle.

Ezinye ngcono kuholela Physiotherapy - ultrasound, electrophoresis. Lezi zinqubo vumela ekuxazululeni nomphumela analgesic. Kufanele banamathele ukusetshenziswa ubuncane ukudla okune-calcium, ukugwema noma iyiphi ujove esicutshini. kokungenela Steel nokususwa ithambo kumiswa alusho lutho.

Obungapheli myositis ossificans

Kuhunyushelwe kuhlasimulise myositis ossificans - isimo esiholela bone ekwakhekeni okuholela ukulimala acute - Ukwenyela, waphuka, Ukwenyela, noma ngenxa traumatization okuphindayo azinakwa, isb, abasubathi noma abaculi.

Ngesikhathi inhliziyo sifo ukopha izicubu kwemisipha. Ukuqina sekuyenzeka uvame kwakheka buttock, ethangeni nesiphanga imisipha. Esikhathini esithile ngemva ukulimala zikhona izimpawu zokuqala yesifo. kwakheka uphawu bemisipha, okuyinto likhula ngesivinini futhi okubuhlungu palpation. Ngemva kwamasonto ambalwa uphawu iguqulwe ibe petrification bunjwa nanini, okwenza zilinganiselwe izinhlobo ukuhamba joint eseduze. Khona-ke ubuhlungu siyaphela kancane kancane. Izifo ekuthonyweni abantu abasha, ikakhulukazi amadoda nge kwemisipha.

Kuphela emva radiographs thembeke kutholakala ukuthi uphethwe yini "kuhlasimulise myositis ossificans." Photo-X-ray esithombeni ngenhla. Waba yini umphumela wesibindi-X-ray kubonisa ukuthi lesion siyenzeka eyinqaba ukukhanya "ifu" ongenawo imingcele ecacile. Pathologies okuvela phakathi nesikhathi Ukuqina sekuyenzeka ekuqaleni abanalo ukuma ocacile, kodwa kamuva abe wabuka ecacile futhi isakhiwo.

Obungapheli myositis ossificans: ukwelashwa

Kanjani ukuqeda lesi sifo? Obungapheli myositis ossificans kuyinto izibikezelo evumayo ukuze bayothola ukwelashwa. Ngokushesha ngemva ukulimala kuboniswa ekubunjweni ka amasonto amabili. Ngemva uzingela izimpawu zokuqala zesifo kanye yaloku kuhlola okungenhla kumele kube lula ukusebenzisa ukushisa Radon zokugeza, welashwa ngemisebe, electrophoresis, ukukhanya yokuzivocavoca. Ngesikhathi esifanayo asikwazi esetshenziselwa ukwenza umuthi massage, upharafini, inkambu kagesi.

Ngemva X-ray embula khona oblachkovoy isithunzi Kusengenzeka ukuvimbela ukuthuthukiswa isifo futhi ubuyisele emuva inqubo. Ngaphansi kwethonya hormone kwenzeka resorption lemfundo. imijovo steroid abazenzi endaweni. Ngokuvamile esetshenziswa ekwelashweni kwe-"Hydrocortisone" kanye "Novocain" isixazululo.

Ngemva kwezinyanga ezimbalwa emva ukulimala, lapho sekwakhiwe le Ukuqina sekuyenzeka kakade, ukusebenzisa ukwelashwa ngoludala akwenzi mqondo. Ngemva kwezinyanga eziyisithupha yakhetha ukuhlinzwa - ossiofit kanye capsule isusiwe.

Kukhona ezinye izimo eziyoba ziyoba nomphumela omuhle yokwelapha futhi ukungabi khona lokubuya kwesifo - lo msebenzi kumelwe atraumatic, kubalulekile ukuba sisebenzise electrotome ukuthatha ngokucophelela kule ingaphakathi isilonda, enze okuhleliwe izinyathelo esikhathini postoperative.

Myositis ossificans Ukuxilonga

Ukukhomba isifo siqala ngokutadisha yesithombe emtholampilo. Xoxa isiguli kusivumela ukucacisa khona emphilweni zokugcina izifo ukuthi kungaholela sokuthuthukiswa myositis. Ngokuvamile zokugula kwenzeka ngenxa cystitis, osteomyelitis, Erysipelas isikhumba ukuvuvukala. Amagciwane kanye nezifo fungal kuvuse ukuthuthukiswa myositis. Kumiswa sifo futhi emva ukulimala, imisipha amajaqamba, hypothermia. ukucindezeleka isikhathi eside amaqembu athile imisipha futhi kuholele ekutheni egunjini lokuhlolwa kwezifo.

Njengoba kuphawuliwe ngaphambili, kukhona ubuhlungu lapho myositis ossificans. Iziguli ngokuvamile esekhala ezidabukile ubuhlungu futhi ukuba buthakathaka kwezicubu. Palpation zezitho abathintekayo yomzimba uyasiza ekuboneni khona / ukungabikho-gravity kanye nokuphenyisisa imisipha ifindo.

Lesi sifo ingaqala ngaphansi kwethonya ezinobuthi, ezifana ukuluthwa utshwala, nokusebenzisa izidakamizwa. Ukuthatha imithi ethile futhi kuholela ekuhlulekeni kwemisipha.

Lokhu inhlolovo

Ngaphezu kwalokho nibuthela umlando neluhlolo wenziwa ukuqinisekisa uphethwe X-ray ukuthi kwembula Ukuqina sekuyenzeka. Ngezinye izikhathi kungaba kwenziwe ikhompyutha tomography, futhi radioisotope cwaningo kwemisipha abathintekayo.

Ukuba khona kule myositis umzimba ukukhombisa izinguquko isici kule ukuhlaziywa jikelele igazi. Enye indlela ukuba sifeze zocwaningo laboratory Revmoproby - ukuhlolwa ukuthi ukusiza ukuthola ubunjalo isifo futhi ekhipha izifo sokuhlasela kwamasosha omzimba, kanye ukuhlonza ukushuba ukuvuvukala.

Izinkomba Revmoproby abonisa uthi ezihlukeneko zomzimba. Ngokwesibonelo, amaprotheni C-esisheshayo - umaka yesigaba okukhulu ukuvuvukala. Antistreptolisin-O - ikhemikhali ekhiqizwa emzimbeni by igciwane streptococcal. Ukuba khona kwawo kubonisa rheumatism noma i-rheumatoid arthritis. Revmofaktor - kukhona amasosha omzimba akhiqizwa nomzimba pathologies sokuhlasela kwamasosha omzimba.

izifundo morphological e sitholakele myositis kuyinto biopsy - ngokuthwala ukuhlaziywa biomaterial futhi Ukutadisha ngokucophelela ke. Umsebenzi main - ukunquma izinguquko ezihlelekile bemisipha kanye ezicutshini.

zokuvimbela

Myositis ossificans Prevention kuhlanganisa izimiso eziningana, ebaluleke kunazo zonke okuyinto nokuhlonipha indlela efanele yokuphila - Umsebenzi ngaphandle umsebenzi ngokweqile, ukudla okunempilo kanye nokwelashwa ngokushesha kwanoma iyiphi isifo.

ukudla okunempilo kusiza ukuvimbela ukuvuvukala bemisipha - nenzuzo polyunsaturated okunamafutha acid eziqukethwe inhlanzi; imikhiqizo wokuqukethwe lelisetulu salicylates (imifino); amaprotheni digestible (alimondi, inkukhu); Imikhiqizo equkethe esiningi calcium; okusanhlamvu.

Kubaluleke kakhulu ukuphuza umbuso, lapho usuku ziphele mayelana ezimbili amalitha amanzi. Kufanele banganakwa Morse kanye compotes, itiye ewusizo futhi oluhlaza. Ukuqeda edema Kunconywa ukuthatha decoction rose okhalweni. Ngokuba nokuvimbela myositis eziwusizo ukuchitha isikhathi ngaphandle. Iziguli eziningi ngokuvamile ukhathazekile umbuzo onjalo: noma kungenzeka myositis ossificans ukuvivinya umzimba? Ungakwazi, Nokho, umthwalo kufanele kube ukukhanya kanye umthamo. Ngaphandle yokuzijwayeza kule isifo watusa lukhuni, ukubhukuda, wamabhayisikili.

Prevention myositis sihlanganisa ukuhamba njalo, kubalulekile ukugwema sokungasebenzi futhi hypothermia. Yiqiniso, ukuvimbela engcono izifo ukungabi khona noma yikuphi ukulimala.