Myositis ossificans: photo, zviratidzo, mibairo, kurapwa. Ndezvipi Zvaifungidzirwa kuti pakurapa varwere myositis ossificans?

Myositis - chirwere kunoitika nokuda kwezvikonzero zvinoverengeka, uye kunoita kuti tibvunze kuti tsandanyama rinenge riri kushoma. Zvichienderana chii akakonzera chirwere, zvinonzi Classified kupinda mhando dzakasiyana. Rimwe boka pathological ezvinhu ekuedzwa haisi ngozi uye rinorapika, apo vamwe, kukonzera zvakakomba zvirwere mumuviri, unogona kutungamirira kurufu. Munyaya ino tikatarisa huru dzine chokuita chirwere. Pano muverengi anonzwa, umo nguva panoita myositis, ani zvakafanotaurwa pamusoro pakurapa myositis ossificans iripo nhasi, sei kuti vazvidzivirire kubva chirwere.

Chii?

By myositis zvinosanganisira chakarondedzera nezvirwere izvo kwakavakirwa ane kushoma zvisaitike tsandanyama. Chinokosha chiratidzo achiratidza zvaibvira panowanikwa chirwere ari muviri, ane marwadzo ari tsandanyama, kuwedzerwa kufamba kana palpation. The zvokurwara kunoitika pamusoro yaitwa kare noutachiona kana kuona chando, uye anogona kutangawo somugumisiro nokuda autoimmune zvirwere, kukuvara, mavanga uye nezvimwewo.

Zvinokonzera chirwere conventionally Classified muzvikwata zviviri:

• Endogenous - izvo inomuka mukati muviri;
• exogenous - kwokunze zvinokonzera.

Endogenous zvinosanganisira:

• autoimmune zvirwere zvakadai lupus, dzinonzi rheumatoid arthritis, etc.
• Zvirwere dzakasiyana hunhu - enterovirus, fivha, bembo;
• zvirwere anokonzerwa mubasa muviri tupukanana (echinococcosis, trichinosis);
• kudhaka.

Exogenous zvinhu vaiona kunotevera, hypothermia, nguva nenguva tsandanyama makakatanwa anokonzerwa chero basa. Myositis vaiona ane Occupational chirwere musicians, vatambi.

mhando

On Nezvekwakabva chirwere, hunhu waro kuitika uye zvimwe zvinhu dzinoiswa kupinda kutapuriranwa myositis, septic uye muchikwata parasitic. Panewo chepfu uye yaizoitika mhuka. Polymyositis (myositis ossificans) - iri zvokurwara pamwe wakakura zvikuru uye zvakawanda nemigumisiro. kutyora ichi chirwere pamusoro connective zvinyama uye, akavapindurawo, iri Classified mu:

• dzechimwe myositis ossificans;
• myositis ossificans mberi;
• neyromiozit.

Dzechimwe myositis ossificans (Zviratidzo chirwere ichakurukurwa pashure) - iri anogumbura chirwere kuti kunoitika uri kumashure zvikuru kukuvara kana vakawanda yokudzokorora. microtrauma. The zvokurwara iri mupasi mune articular nemarunda uye zvadaro inotungamirira chimiro Ossificação em mune dambudziko munzvimbo. Zvinobudirira zvakaipa surgically.

Myositis ossificans mberi (Zviratidzo isu tsanangura pazasi) - iri majini chirwere yakakonzerwa mutation imwe Gene, iyo inotungamirira kuupenyu kwazvo vachivavhiringidza mumuviri uye somugumisiro - kuti munhu afa. Kuonekwa chaizvo kushoma (asingasviki 200 vanenge kuvazivisa nyika okurapa).

Neurotrophic myositis kunoitika pamusoro yaitwa akuvara zvikuru kana tsinga Midzi musana. Kakawanda, munhu zvokurwara ikabuda ibvi kana hudyu rwakashodoka.

Neyromiozit

Sezvatamboona, zvinokanganisawo intramuscular etsinga fibers. Izvi zvinoitika sezvinotevera. Kushoma inosvitsa kuparadzwa tsandanyama masero, zvichiita nekuve zvinhu vanosunungurwa kuti zvine chepfu kukanganisa tsinga fibers. Tsinga mumuhara yaparadzwa zvishoma nezvishoma, zvichiita kuti kukundwa ari Neural akabatana ari humburumbira.

Neuromyositis zviratidzo vari:

• ungaderedza kana yakawedzera aikanganiswa munzvimbo localization ose zvokurwara;
• marwadzo;
• tsandanyama simba;
• marwadzo majoini.

Kuparadzwa goko tsinga fibers kunokonzera nokuchinja ganda wanda. Izvi kungazviratidza chiveve kana tingling, ayo achiperekedzwa mberi marwadzo. Pakutanga marwadzo chirwere chiri mwero, asi kunosimudzirwa kunyange panguva yakaderera zvinorema. Marwadzo kunokonzera kufema, kutenderera kana tilting kwemuviri, richiripo inofamba. Iye gare gare zvinoita pacharo akanzwa kunyange zororo. Kazhinji pane makakatanwa ari zvokurwara ane chiratidzo kana anoshinga kwazvo nehanya palpation tsandanyama kusawirirana.

Progressive chimiro chirwere

The mhando chechipiri polymyositis kukonzerwa nemagene zvinetso, - mberi myositis ossificans. Zviratidzo chirwere kwakaoma zvisingaiti kubvisa, nokuti hachirapiki. Mberi myositis ossificans kunoitika Ossificação em kuti tsandanyama, nemarunda nemarunda. The chirwere kunoitika anenge nomuzvarirwo uye nokufamba kwenguva rinofukidza boka guru netsandanyama. Inouraya Mugumisiro hakudzivisiki, sezvo Ossificação em pakati thoracal uye pakuparadza tsandanyama kumira munhu mukana kudya ufuridzire. Progressive myositis ossificans ane rimwe zita - fibrodisplations ossificans progressiva (FOP).

Zvinokonzera zvokurwara ndiye panowanikwa kuzvimba ari nemarunda, nemarunda uye tsandanyama, izvo pakupedzisira inotungamirira Ossificação em. Dorsi (paupamhi, trapezoid) vanosangana nokuchinja nepfungwa kwokutanga myositis ossificans. Migumisiro kunokonzera chirwere? Serious anovhiringidza kushanda zvetsandanyama nemapfupa ezvinhu, kuomarara, kutadza kudya kazhinji uye kufema - izvi zvose kunoderedza zvikuru unhu murwere woupenyu. Kazhinji, izvi kunotanga vana pasi pemakore gumi uye mberi kwemakore, asi vakawanda varwere kufa, uye kwete kurarama-gore gumi chinhu.

Chete muna 2006, akavonga yokutsvakurudza achiitiswa boka remasayendisiti kubva University of Pennsylvania, majini rakazivikanwa, ari mutation iyo zvinoisa kukuru zvokurwara. Nhasi, nyanzvi dziri kusimukira blockers kunotouraya mu majini.

Zviratidzo FOP

Sezvataurwa pamusoro apa, FOP rinowanikwa muuduku. The zvichibvira paumbwe chirwere ari mwana zvingaratidza zvimwe zviratidzo zvichiitika vakawanda kana myositis ossificans. Chii zviratidzo chirwere zvinonyanya kutaurwa?

With 95% fungidziro Zvinoita rokuongorora ari zvokurwara mwana, kana mumwe kana kupfuura phalanges of guru chigunwe Vane curved poura. Mune zvimwe zviitiko, hapana munwe rwakashodoka. Most vanowanzotambura kubva mberi myositis vakomana. A chiratidzo hosha mukutanga paucheche inorwadza palpation tsandanyama, uye vari zvakakwana gobvu, kuoma.

Chimwe chiratidzo chirwere ari kuzvimba zvinyoronyoro nyama yacho musoro, izvo zvinogona kuitika zviduku mavanga kana anokwenya, zvipembenene ikaruma. Zvisinei, pamberi FOP kuzvimba haateereri wezvokurapa kurapa uye asingauyi kukwira pamwedzi. Pasi paganda shure, honokono kana mutsipa chisimbiso zvingaitikawo masendimita anosvika gumi.

Pakutanga FOP inokanganisa tsandanyama kwemitsipa, musana, musoro, uye gare gare kutura munzvimbo abdominal uye muhudyu tsandanyama madhipatimendi. Zvisinei, chirwere haana kunokanganisa tsandanyama rinenge mwoyo, kuti diaphragm, rurimi, periocular tsandanyama.

The chirwere rinowanzoshandiswa kuvhiringidzwa kenza uye edza kubvisa nokuomesa akaita, kuti haiiti kuti apore, uye kunokonzera Kuwedzera mapfupa "basa".

mabatiro

Zvinosuruvarisa kuti zvevakomana, mberi myositis ossificans kutonetsa kubvisa, uye vakashandisa kurapa iri isashande. Hapana nekusimba nzira uye kudzivirira FOP. Panovhurwa kusachinja majini zvaiita chete yokudzidza dzinotsanagura chirwere. kurapwa nzira vari yakatanga murabhoritari uye inoshandiswa okurapa. Uyewo, zvinobvira experimental dzokurapa kuenda kuburikidza chakakura tinyatsonzwisisa pamusoro chipimo chemushonga uye nguva kurapwa.

Penyanzvi kubata nawo myositis ossificans, kushanda US, panguva Laboratory of Pennsylvania McKay Federal University. Anotungamirira basa esayenzi Frederick Kaplan, MD.

In kwokutanga nzendo chirwere zvinosanganisira Anti-anogumbura zvinodhaka kurapa, ascorbic acid, mavhitaminzi A uye B, biostimulants. In Muzviitiko zvakaipisisa, chirwere steroid mahormone anoshandiswa, kunyange zvazvo kushanda kwavo hakusi zvakanaka nekusimba.

Vamwe kuvandudzika anotungamirira physiotherapy - Ultrasound, electrophoresis. Matanho aya akwanise kugadzirisa uye marwadzo kushanda. Zvinofanira kuomerera shoma kudyiwa zvokudya zvine calcium, kudzivisa chero intramuscular jekiseni. Kuvhiya kupindira uye kubviswa pfupa inotungamirwa maturo.

Randakambosangana naro myositis ossificans

Vemunyika dzechimwe myositis ossificans - chirwere inotungamirira pfupa inotungamirwa zvinoguma chakasimba kukuvara - sprains, mitswe, sprains, kana nokuda yokudzokorora. traumatization kunyora nezvavo, semuenzaniso, mune vatambi kana musicians.

Panguva mwoyo chirwere iri ropa ari tsandanyama tishu. Ossificação em kakawanda kuumbwa mune buttock, chidya nepfudzi tsandanyama. Imwe nguva pashure zvinokuvadza pane zviratidzo chirwere rokutanga. Tsandanyama vanoumba chisimbiso iri kukura nokukurumidza uye kurwadza ari palpation. Pashure pemavhiki mashomanana mumwe chisimbiso ari kutendeuka kuva petrification pakati nokusingagumi chimiro, izvo ichikutadzisa ari kufamba rwakashodoka pedyo. Zvadaro marwadzo zvishoma kunyangarika. Chirwere muvamwe vechidiki, zvikurukuru varume tsandanyama.

Chete mushure radiographs yakavimbika chirwere "zvinorwadza myositis ossificans." Photo X-ray mufananidzo pamusoro. Mugumisiro X-ray chinoratidza kuti lesion ari kuchengetwa chairwo "gore" chiedza kuti haana miganhu zvakajeka. Pathologies yomuka panguva Ossificação em pakutanga hatina chaicho chimiro, asi gare gare akava zvakajeka contours nechivako.

Dzechimwe myositis ossificans: kurapwa

How kubvisa chirwere? Dzechimwe myositis ossificans akanaka Zvaifungidzirwa kuti anorapwa. Pakarepo mushure kukuvara kunoratidzwa vachikanda wamavhiki maviri. Mushure Detective nezviratidzo chirwere uye zvokuongorora wokutanga anofanira kuva nyore kushandisa kupisa radon dzokugezera, radiotherapy, electrophoresis, chiedza jimunasitikisi. Panguva iyoyo haigoni kushandiswa somushonga zvinangwa masaja, Paraffin, wemagetsi munda.

Mushure X-ray akaratidza kuvapo oblachkovoy mumvuri ichiri zvinogoneka kudzivisa kukura chirwere uye kuzvishandura muitiro. Nokupesvedzera mahormone kunoitika resorption dzidzo. Steroid majekiseni yaitwa munharaunda. Rinowanzoshandiswa pakurapa "Hydrocortisone" pamwe "Novocain" mhinduro.

Pashure pemwedzi mishomanana pashure kukuvara, kana Ossificação em watopiwa kuumbwa, kushandisa kuchinja kurapwa hazvina musoro. Mwedzi mitanhatu gare gare akarwawo kuvhiyiwa - ossiofit pamwe Kamudzira kubviswa.

Pane zvimwe zvinhu kuchaita kuti nemigumisiro yokurapa uye kusavapo kuitazve - kuvhiyiwa anofanira kuva atraumatic, zvakakodzera kushandisa electrotome kunyatsoongorora kutora ari ronda mhango, kuita yakarongwa matanho ari postoperative munguva.

Myositis ossificans Diagnostics

Kuziva hosha chinotanga kudzidza kunotoda mufananidzo. Kutaura murwere kunotibvumira kuziva kuvapo muupenyu rokupedzisira zvirwere zvinogona kuva chikungiso kuti kukura myositis. Kazhinji zvokurwara kunoitika nokuda cystitis, osteomyelitis, erysipelas ganda kuzvimba. Nemavhairasi, mabhakitiriya uye fungal zvirwere kukonzera kukura myositis. The chirwere achiumbwa uye pashure kukuvara, tsandanyama chinyamunhari chinorwadza, hypothermia. kushushikana Long-izwi mamwe mapoka tsandanyama uyewo kuguma zvokurwara.

Sezvatamboona, pane marwadzo apo myositis ossificans. Varwere kazhinji chokunyunyuta pamusoro vachirwadziwa marwadzo uye tsandanyama simba. Palpation of sei nhengo dzomuviri chinobatsira kuziva kuvapo / kusavapo regiravhiti uye tsandanyama nokusunungura mapfundo.

The chirwere unogona kuva pasi pokudzora zvine chepfu, akadai udhakwa uye kushandisa zvinodhaka. Kutora mamwe mishonga uyewo kunounza tsandanyama kutadza.

ongororo iyi

Kuwedzera kuunganidza nhoroondo uye kuongororwa rinoitwa kuzosimbisa chirwere X-ray kuti anoratidza Ossificação em. Dzimwe nguva zvinogona kuitwa kombiyuta tomography, uye radioisotope kudzidza kwakakanganisa netsandanyama.

Kuvapo mumuviri myositis vanoratidza unhu kuchinja mukuru Kuongororwa kweropa. Chimwe nzira iri kuita tsvakurudzo rabhoritari Revmoproby - nemiedzo kuti kukubatsira kuona hunhu chirwere uye kuti asava autoimmune zvirwere, uyewo kuona kusimba kushoma.

Zviratidzi Revmoproby kunoratidza zvakasiyana inoti muviri. Somuenzaniso, C-reactive mapuroteni - chiratidzo pakati chenjera chokutambudzika kushoma. Antistreptolisin-O - imwe pfuma kuti anogadzirwa muviri mumwe streptococcal chirwere. Kuvapo Its rinoratidza rheumatism kana dzinonzi rheumatoid arthritis. Revmofaktor - ndivo antibodies kuti anobudiswa mumuviri mune autoimmune pathologies.

zvidzidzo Morphological mune chirwere pamusoro myositis chinhu biopsy - kutora pamusoro biomaterial kuongorora uye kunyatsodzidza nayo. The huru basa - kuona STRUCTURAL kuchinja tsandanyama uye connective tishu.

dziviriro

Myositis ossificans Prevention inosanganisira mitemo akawanda, chinonyanya kukosha izvo kuremekedza nzira youpenyu - basa pasina kunyanyisa muviri, kudya zvinovaka muviri uye nokukurumidza kurapwa chero chirwere.

zvokudya Good kunobatsira kudzivisa kuzvimba ari tsandanyama - rinobatsira polyunsaturated mafuta acids zviri hove; zvigadzirwa rurefu zviri salicylates (miriwo); digestible mapuroteni (almonds, huku); Products ane yakawanda calcium; bota.

Zvikuru kunwa hwechiFascist, umo zuva apere pamusoro marita maviri emvura. Hakufaniri kuregwa Morse uye compotes, anobatsira uye girini tii. Kubvisa edema inokurudzirwa kutora decoction ruva muhudyu. Nokuti kudzivirira myositis zvinobatsira kupedzera nguva panze. Varwere vazhinji kazhinji hanya mubvunzo wakadaro; kana zvichibvira myositis ossificans kuita kurovedza? Unogona Zvisinei, mutoro inofanira kuva chiedza uye uwandu husingakuvadzi. Kunze jimunasitikisi mune chirwere ichi yakarumbidza vachiomesa, kushambira, kuchovha bhasikoro.

Kudzivirira myositis zvinosanganisira kugara kufamba, zvakakosha kuti vadzivise basa uye hypothermia. Chokwadi, zvakanaka kudzivirira chirwere kusavapo upi kukuvara.