Zvirwere mapfundo: subchondral sclerosis, somumwe zviratidzo chemajoini

Zvechokwadi, vanhu vakawanda kanenge kamwe muupenyu hwavo akaona kuzvuzvungudza uye kusagadzikana anokonzerwa marwadzo kumashure uye mapfundo. Chokwadi, zvakanaka, kana vari pfupi pamusana duku muviri, asi chii kana chiri chirwere chakakomba kuti inoda kutora chikamu nyanzvi?

Changing shwashwa kana subchondral kuoma dzimwe nhengo dzomuviri ndicho chikonzero uye radiographic zvisingafadzi zviratidzo zvirwere zvakadai chemajoini kana pasi musana marwadzo. Zvinofanira kucherechedzwa kuti shoko rokuti "chemajoini" inobatanidza hapana mumwe asi boka rose zvirwere zvakafanana Morphology, zvoutachiona uye sokuora zvinhu. Panyaya iyi, kwacho kwaisanganisirawo vadyi yose, kusanganisira subchondral pfupa, Kamudzira, nemarunda, periarticular tsandanyama uye synovium. Pakati huru zvekuchipatara zviratidzo osteartroza inosanganisira tisawirirane uye kwokurwadziwa mapfundo, zvichitungamirira vakabva kune kusava functionality. Ndiwo vanhu vakwegura kunyanya wechokwadi.

Kazhinji, osteoarthritis ndohwaJehovha boka vakawanda zvirwere mapfundo. Zvikonzero zvayo kukura kunogona kwete chete zvemaziso (mavanga, kukuvara, etc.), asi utachiona zvinhu (kutyora dzinotsanagura inotungamirwa masero matsva subchondral mapfupa (subchondral kuoma dzimwe nhengo dzomuviri) uye articular shwashwa). Uyewo zvikuru muna nechirwere pamusoro chemajoini ndiyo kuvapo masero zvirwere.

Ko nesekondari chemajoini. Chikonzero chokutanga, sezvo mutemo, hazvigoni kuti zviiswe. Inonzi idiopathic, kureva, anokosha kana chaiyo. Kusiyana osteoarthrosis yechipiri Chinokonzera pachena - nayo zvokuimba kukuvara Hudyu dzakasiyana mavambo (metabolic zvirwere (metabolic) zvirwere kwemakemikari anobudiswa, anogumbura pezvakaitwa majoini, kukuvara, etc.).

Kuziva zvinobudirira kuiswa X-ray chirwere kuti chinonzi osteoarthritis. It anotaura nezviratidzo zvinoverengeka kuti kuratidza nokuchinja pfupa uye articular shwashwa, kusanganisira subchondral kuoma dzimwe nhengo dzomuviri. Radiographic chiratidzo pakutanga zvokukura chemajoini vari osteophytes - mhou growths pamusoro yehombodo izvo zvinoratidzwa pakutanga pamusoro Sharpening pakati micheto vagari (pamwe hukawanika subchondral kuoma dzimwe nhengo dzomuviri) uye zvadaro, zvishoma nezvishoma kukura, tinoshandurirwa muhombe pfupa miromo uye yakatesvera panyanga dzacho. Kuvapo kuchinja mune articular shwashwa inosimbisa dzakasiyana mwero kwemajoini nzvimbo aienda. Uyezve, pakakoromoka inogona kujekesa rumwe rutivi uye panguva imwecheteyo kuwedzera pane zvimwe, izvo rinoratidzawo kuti kusagadzikana pamusoro pejoinhi.

Uyezve, X-ray Diagnostics anoratidza subchondral kuoma dzimwe nhengo dzomuviri yomugumo kwamahwendefa. ukobvu yavo inoratidza kusagadzikana pamusoro muhudyu, uye pane kazhinji nemhaka zvokuimba mupfungwa kana nemhaka yezera zvine kuchinja zviri majoini vakwegura.

Kazhinji Osteoarthritis chinowedzera kufirwa depreciation kushanda shwashwa kudzivirira pfupa kubva mumuviri uye zvokuimba mupfungwa. Compensating chinhu ichi nyaya ndiko subchondral sclerosis, i.e. bundu kana thickening pamusoro subchondral mapfupa cancellous pfupa.

Rakajairika kuRussia, rakagadzirirwa Kosinskaya NS radiographic kupatsanura pakati chemajoini maererano padariro pakukura. Somuenzaniso, imwe Danho rokutanga chirwere inozivikanwa kuvapo duku pamwe nzvimbo aienda, uye mhou growths Makaisa muganhu. Panowanikwa subchondral chirwere uye vaakasarudza aienda pamusoro kwemajoini nzvimbo inoratidza Danho rechipiri chinonzi osteoarthritis. Uye pakupedzisira, chikuva wechitatu - pakarepo uye chinokosha aienda pamusoro pakakoromoka, achiperekedzwa cystoid idzodzo uye flattening pechiso mapfundo.

Kazhinji, kurapa chemajoini - munhu nani refu uye rakaoma muitiro. zvarinotaura zvinokosha zvinosanganisira, kunyanya, kuti kukamurwa kurovedza muviri, physiotherapy, vachibatsira abvume utongi, etc.