Necrosis Isina Ropa (Osteonecrosis)

Avascular necrosis chirwere chekufa kwe tishu dzemapfupa nekuda kwokushaya ropa. Inonziwo osteonecrosis, inogona kukonzera kuputsika kwemapfupa madiki uye kukonzera kuti pfupa rigwame. Maitiro acho anowanzo kutora mwedzi kusvika kumakore.

Pfupa rakaputsika kana joini yakabvaruka inogona kumisa kuyerera kweropa kuenda kune chikamu chepfupa. Avascular necrosis inobatanidzwawo nekushandiswa kwenguva refu kwemishonga ye steroid yakakwira uye doro rakawanda.

Munhu wese anogona kukanganiswa. Asi mamiriro acho akajairika muvanhu vane makore ari pakati pe makore makumi matatu nemakumi mashanu.

Vamwe vanhu havaone zviratidzo mumavambo eavascular necrosis. Sezvo mamirire acho achiwedzera kuipa, mapfundo anoonekwa angorwadza chete kana akaiswa uremu. Pakupedzisira, unogona kunzwa kurwadziwa kunyange uri kurara.

Kurwadziwa kunogona kunge kuri kushoma kana kukomba. Kazhinji kunoonekwa zvishoma nezvishoma. Kurwadziwa kunobatanidzwa neavascular necrosis yehurefu kunogona kutarisa pachigochiso, chidya kana gumbo. Kunze kwechirefu, rutsoka, bvi, ruoko netsoka zvinogona kukanganiswa.

Vamwe vanhu vanoita avascular necrosis kurutivi rumwe nerumwe, sekunge mumabvi ese ari maviri kana mumabvi ese ari maviri.

If you have ongoing pain in any joint, see your doctor. If you think you might have broken a bone or dislocated a joint, go to the hospital right away.

Avascular necrosis inoitika kana ropa rinoyerera kumapfupa rakatemwa kana kuderedzwa. Kuwedzera kweropa kunogona kukonzerwa ne:

• Kuhuvhunduka kwejoini kana pfupa. Kuhuvhunduka, sekunge joini yakabvaruka, kungakuvadza ropa riri pedyo. Kurapwa kenza kunosanganisira mwaranzi kunogona zvakare kusimbisa pfupa uye kukuvadza ropa.
• Mafuta anoungana muropa. Mafuta (lipids) anogona kudzivirira ropa duku. Izvi zvinogona kuderedza ropa rinoyerera kumapfupa.
• Zvirwere zvakati wandei. Zvirwere zvemuviri, sekunge sickle cell anemia uye Gaucher's disease, zvinogona zvakare kuderedza ropa rinoyerera kumapfupa.

Dzimwe nguva chikonzero cheavascular necrosis chisingakonzerwe nekuhuvhunduka hachifungidzirwi zvizere. Genetics yakasanganiswa nekushandiswa kwemowa, mishonga yakati wandei nezvimwe zvirwere zvinogona kutamba basa.

Zvinokonzera ngozi yekuwanda kwe avascular necrosis zvinosanganisira:

• Trauma. Kukuvadzwa, sekudonha kwe hip kana kupwanya, kunogona kukuvadza ropa rinopoteredza uye kuderedza ropa rinopinda mumapfupa.
• Kushandisa Steroid. Kushandisa corticosteroids yakawanda, senge prednisone, chikonzero chakajairika che avascular necrosis. Chikonzero hachizivikanwi, asi vamwe nyanzvi vanofunga kuti corticosteroids inogona kuwedzera mafuta eropa, ichideredza ropa rinopinda.
• Kunwa doro zvakanyanya. Kunwa zvinwiwa zvine doro zuva nezuva kwemakore akawanda kunogona zvakare kukonzera mafuta kuunganidzwa muropa.
• Kushandisa Bisphosphonate. Kushandisa mishonga kwenguva refu kuwedzera kusimba kwemapfupa kunogona kuita kuti pave ne osteonecrosis yemuromo. Iyi chirwere chisina kujairika chakaitika kune vamwe vanhu vakarapwa nemishonga yakawanda yezvirwere zvakaita se multiple myeloma ne metastatic breast cancer.
• Kurapwa kwakati kwemishonga. Radiation therapy yekenza inogona kusimbisa mapfupa. Kusimudzirwa kwezvikwata, kunyanya kusimudzirwa kweitsvo, zvakabatanawo ne avascular necrosis.

Zvirwere zvinobatanidzwa ne avascular necrosis zvinosanganisira:

• Pancreatitis
• Gaucher's disease
• HIV/AIDS
• Systemic lupus erythematosus
• Sickle cell anemia
• Decompression sickness, inozivikanwawo se divers' disease kana the bends
• Marudzi akati ekenza, akadai se leukemia

Isingarapwa, avascular necrosis inoipisisa. Pakupedzisira, mapfupa anogona kuwira. Avascular necrosis inokonzerawo mapfupa kurasikirwa nechimiro chawo chakapfava, zvichiita kuti pave nemarwadzo makuru emuviri.

Kuderedza njodzi yekukuvara kwemapfupa nekukuvadza kwehuwandu hwese hwemuviri:

• Dzikisa doro. Kunwa zvakanyanya chimwe chezvinhu zvinokonzera kukuvara kwemapfupa.
• Chengeta mazinga echolesterol ari pasi. Zvidimbu zvidiki zvemafuta ndiwo manyorerwo akajairika anovhara ropa rinofambira kumapfupa.
• Tarisa kushandiswa kwesteroidi. Ita shuwa kuti chiremba wako anoziva nezvekushandisa kwawakaita kana kuti uri kushandisa steroidi yakawanda. Kukuvadzwa kwemapfupa kunokonzerwa ne steroidi kunoita sekuipa kana ukashandisa steroidi yakawanda kakawanda.
• Usafume. Kusvuta kunodzikisa ropa, izvo zvinogona kuderedza kuyerera kweropa.

Pakuongororwa kwemuviri, mushandi wehutano achamanikidza kumativi emapfundo ako, achiongorora kuti kune tsitsi here. Angafambisawo mapfundo ne nzvimbo dzakasiyana kuti aone kana huwandu hwekufamba hwakaderedzwa.

Zvirwere zvizhinji zvinogona kukonzera kurwadziwa kwepfundo. Kuongororwa kwemifananidzo kunogona kubatsira kuwana chikonzero chekurwadziwa. Kuongororwa kunogona kusanganisira:

• X-rays. Dzinogona kuratidza kuchinja kwemapfupa kunoitika munzvimbo dzekupedzisira dze avascular necrosis. Pakutanga kwechirwere ichi, X-rays kazhinji hadziratidzi matambudziko.
• MRI ne CT scan. Aya maekisi anoita mifananidzo yakadzama inogona kuratidza kuchinja pakutanga mumapfupa kunogona kuratidza avascular necrosis.
• Bone scan. Huwandu duku hwematerial inobuditsa mwaranzi inoiswa mumutsinga. Iyi tracer inofamba kumapfupa akakuvadzwa kana ari kurapa. Inoratidzika sezvitsvuku zvakajeka pane imaging plate.

Chinangwa ndechekudzivirira kurasikirwa kwemapfupa kunowedzera.

Pakutanga kwe avascular necrosis, mishonga yakati wandei inogona kubatsira kudzikamisa zviratidzo:

Chiremba wenyu angakurudzira:

Nekuti vanhu vazhinji havawanikwe nezviratidzo kusvika avascular necrosis yava yakakura, chiremba wenyu angakurudzira kuvhiya. Sarudzo dzinosanganisira:

• Mishonga inorwisa kuzvimba isiri ye steroid (NSAIDs). Mishonga inowanikwa pasina chinyorwa chechiremba senge ibuprofen (Advil, Motrin IB, nezvimwewo) kana naproxen sodium (Aleve) inogona kubatsira kudzikamisa marwadzo ane chekuita ne avascular necrosis. Mishonga ine simba inorwisa kuzvimba isiri ye steroid (NSAIDs) inowanikwa ne chinyorwa chechiremba.

• Mishonga ye osteoporosis. Rudzi urwu rwemishonga runogona kunonoka kuwedzera kwe avascular necrosis, asi humbowo hwakasiyana.

• Mishonga inoderedza cholesterol. Kuderedza huwandu hwe cholesterol mafuta muropa kunogona kubatsira kudzivirira kuvhara kwezvipembenene izvo zvinogona kukonzera avascular necrosis.

• Mishonga inovhura ropa midziyo. Iloprost (Ventavis) inogona kuwedzera kuyerera kweropa kubone yakakuvadzwa. Kutsvakurudza kuri kudiwa.

• Mishonga inopfava ropa. Kune matambudziko ekugwamba ropa, mishonga inopfava ropa, senge warfarin (Jantoven), inogona kudzivirira kuvhara mu midziyo inodyisa mapfupa.

• Kuzorora. Kuganhurira basa remuviri kana kushandisa ma crutch kwemavhiki mashoma kuchengetedza uremu kubva pajoyinthi kunogona kubatsira kunonoka kukuvara kwemapfupa.

• Mazvikanwa. Munyanzvi wekurapa muviri anogona kudzidzisa mazvikanwa ekubatsira kuchengetedza kana kuvandudza kuyerera kwejoyinthi.

• Kusimudzira kwemagetsi. Mazuva emagetsi anogona kukurudzira muviri kukura mapfupa matsva kutsiva mapfupa akakuvadzwa. Kusimudzira kwemagetsi kunogona kushandiswa panguva yekuvhiya uye kunoshandiswa zvakananga kune nzvimbo yakakuvadzwa. Kana kunogona kupihwa kuburikidza ne electrodes yakabatanidzwa paganda.

• Core decompression. Chiremba anobvisa chikamu chepamusoro pemapfupa. Kunze kwekudzikisa marwadzo, nzvimbo yakawedzerwa mukati mepfupa inokurudzira kugadzirwa kwe tishu remapfupa ane hutano uye midziyo mitsva yeropa.

• Kusimudza mapfupa (graft). Maitiro aya anogona kubatsira kusimbisa nzvimbo yemupfupa yakakuvadzwa ne avascular necrosis. Graft ndeyechikamu chepfupa rakaoma rinotorwa kubva kune imwe nzvimbo yemuviri.

• Kuumbazve mapfupa (osteotomy). Chikamu chepfupa chinobviswa pamusoro kana pasi pejoyinthi inotakura uremu, kubatsira kuendesa uremu kubva papfupa rakakuvadzwa. Kuumbazve mapfupa kunogona kubatsira kunonoka kutsiva kwejoyinthi.

• Kutsiva kwejoyinthi. Kana pfupa rakakuvadzwa rawa kana kurapwa kwakasiyana kusina kubatsira, kuvhiya kunogona kutsiva zvikamu zvakakuvadzwa zvejoyinthi nezvikamu zvepurasitiki kana simbi.

• Kurapa kwe regenerative medicine. Kuunganidzwa kwematumbu emapfupa uye kuwanda ndimaitiro matsva anogona kubatsira avascular necrosis yehutu pakutanga. Panguva yekuvhiya, chiremba anobvisa sampuli yemupfupa wakakuvadzwa wehutu uye anoisa masero ematumbu emapfupa panzvimbo yawo. Izvi zvinogona kubvumira mapfupa matsva kukura. Kutsvakurudza kuri kudiwa.