Osteonecrosis

Osteonecrosis ipfupa kufa inokonzerwa nehurombo hwekupa ropa. Inowanzoitika muchiuno nepabendekete, asi inogona kukanganisa mamwe majoini mahombe senge ibvi, gokora, ruoko uye gumbo.

Osteonecrosis inoitika kana chikamu chefupa chisingawane ropa uye chikafa. Mushure mechinguva, bhonzo rinogona kudonha. Kana osteonecrosis ikasarapwa, mubatanidzwa unodzikira, zvichikonzera kuomarara arthritis.

Osteonecrosis inogona kukonzerwa nechirwere kana nekushungurudzika kwakanyanya, sekutsemuka kana kupaza, izvo zvinokanganisa kuwedzerwa kweropa kune pfupa. Osteonecrosis inogona zvakare kuitika pasina kushungurudzika kana chirwere. Izvi zvinonzi idiopathic - zvichireva kuti zvinoitika pasina chikonzero chinozivikanwa.

Izvi zvinotevera zvikonzero zvinogona kuitika:

• Uchishandisa oral kana intravenous steroids
• Kunwisa doro
• Sickle cell chirwere
• Dislocation kana kutsemuka kutenderedza mubatanidzwa
• Kuvhiringidzika kwekuvhara
• HIV kana kutora mishonga yeHIV
• Radiation kurapa kana chemotherapy
• Chirwere cheGaucher (chirwere chine zvinhu zvinokuvadza zvinovaka mune dzimwe nhengo uye pfupa)
• Systemic lupus erythematosus (chirwere chinodzivirira muviri umo immune system inorwisa zvisirizvo zvinyama zvine hutano zvakaita sebhonzo)
• Legg-Calve-Perthes chirwere (hosha yehudiki umo chidya chepfupa muhudyu hachiwane ropa rakaringana, zvichikonzera kuti bhonzo rife)
• Kudzvinyirira kurwara kubva kune yakawanda yakadzika yegungwa kudhiza

Kana osteonecrosis ikaitika mubendekete repafudzi, zvinowanzoitika nekuda kwekurapwa kwenguva refu neasteroids, nhoroondo yekushungurudzika papfudzi, kana munhu ane chirwere chesero rechirwere.

Iko hakuna zviratidzo mumatanho ekutanga. Sezvo kukuvara kwepfupa kuri kuwedzera, iwe unogona kuve nezviratidzo zvinotevera:

• Marwadzo mumubatanidzwa anogona kuwedzera nekufamba kwenguva uye anova akaomarara kana bhonzo rikadonha
• Marwadzo anoitika kunyangwe pazororo
• Yakatemerwa renji yekufamba
• Kurwadziwa kweGroin, kana kubatana kwehudyu kukanganiswa
• Kukamhina, kana mamiriro acho achiitika mugumbo
• Dambudziko nekufamba kwepamusoro, kana mubatanidzwa wepafudzi ukakanganiswa

Anokuchengetedza hutano achaita bvunzo dzepanyama kuti aone kana uine chero chirwere kana mamiriro anogona kukanganisa mapfupa ako. Iwe uchabvunzwa nezve ako zviratidzo uye nhoroondo yekurapa.

Ive neshuwa yekurega mupi wako azive nezve chero mishonga kana vhitamini ekuwedzera iwe auri kutora, kunyangwe pamusoro-e-ere-mishonga.

Mushure mebvunzo, mupi wako anozoraira imwe kana kupfuura bvunzo dzinotevera:

• X-ray
• MRI
• Bone scan
• CT scan

Kana mupi wako achiziva chinokonzeresa osteonecrosis, chikamu chekurapa chichava chakanangana nemamiriro ezvinhu. Semuenzaniso, kana chirwere chekuvhara ropa chiri icho chinokonzeresa, kurapwa kunozove, muchidimbu, chemushonga-unoparadza mushonga.

Kana mamiriro acho akabatwa kare, iwe unotora marwadzo ekudzora uye kudzikisira kushandiswa kwenzvimbo yakakanganiswa. Izvi zvinogona kusanganisira kushandisa madondoro kana chiuno chako, mabvi, kana gumbo rakakanganiswa. Iwe ungangoda kuita renji-ye-inofamba maitiro. Kurapa kweasina kuvhiya kunowanzo deredza kufambira mberi kweosteonecrosis, asi vanhu vazhinji vachada kuvhiyiwa.

Sarudzo dzekuvhiya dzinosanganisira:

• Bhonzo rekubata
• Pfupa pamwe chete neropa rayo (vascularized bone kubatanidza)
• Kubvisa chikamu chemukati mefupa (core decompression) kubvisa kumanikidza uye kubvumira tsinga dzeropa nyowani kuumba
• Kucheka pfupa uye nekuchinja kuenderana kwayo kudzikisira kushushikana pane pfupa kana kubatana (osteotomy)
• Yese yekubatanidza kutsiva

Unogona kuwana rumwe ruzivo nerutsigiro zviwanikwa kusangano rinotevera:

• National Institute yeArthritis uye Musculoskeletal uye Ganda Zvirwere - www.niams.nih.gov/health-topics/osteonecrosis
• Iyo Arthritis Foundation - www.arthritis.org

Unyatsoita sei zvinoenderana nezvinotevera:

• Chikonzero che osteonecrosis
• Iyo chirwere chakanyanya sei kana chikaonekwa
• Huwandu hwepfupa hwakabatanidzwa
• Zera rako uye hutano hwakazara

Mhedzisiro inogona kusiyanisa kubva pakurapa kwakakwana kusvika kukuvara kusingaperi mufupa rakabatwa.

Yepamberi osteonecrosis inogona kutungamira kune osteoarthritis uye kudzikira kusingaperi kwekufamba. Mhosva dzakakomba dzinogona kuda kutsiva kwemajoini.

Fonera mupiki wako kana iwe uine zviratidzo.

Zviitiko zvakawanda zve osteonecrosis hazvina chikonzero chinozivikanwa, saka kudzivirira kunogona kusakwanisika. Mune zvimwe zviitiko, unogona kudzikisa njodzi yako nekuita zvinotevera:

• Dzivisa kunwa doro rakawandisa.
• Kana zvichikwanisika, dzivisa yakakwira madosi uye kushandiswa kwenguva refu kwecorticosteroids.
• Tevera matanho ekuchengetedza paunenge uchinyura kuti udzivise kuora mwoyo.

Avascular necrosis; Bone infarction; Ischemic pfupa necrosis; AVN; Aseptic necrosis

• Aseptic necrosis

McAlindon T, Wadhi RJ. Osteonecrosis. Mu: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. 7th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 206.

Whyte MP. Osteonecrosis, osteosclerosis / hyperostosis, uye kumwe kusagadzikana kwepfupa. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsiko 248.