Osteochondritis Dissecans

I-Osteochondritis dissecans (os-tee-o-kon-DRY-tis DIS-uh-kanz) iyisimo sejoyinti lapho ithambo elingaphansi kwe-cartilage yejoyinti lifa ngenxa yokushoda kwegazi. Lethambo ne-cartilage singaphula bese siqhekeka, sibangele ubuhlungu futhi mhlawumbe sivikele ukunyakaza kwejoyinti.

I-Osteochondritis dissecans ivela kakhulu kubantwana nabasakhula. Ingabangela izimpawu ngemuva kokulimaza ijoyinti noma ngemuva kwezinyanga eziningi zomsebenzi, ikakhulukazi umsebenzi ophezulu njengokuqhuma nokuqhuba, okuthinta ijoyinti. Lesimo livela kakhulu emadolweni, kodwa liphinde livela ezingalweni, ezinkinini nezinye ijoyinti.

Odokotela baqala i-osteochondritis dissecans ngokulinganisa ubukhulu bokulimala, ukuthi izingcezu zihlelile noma zikhululekile, nokuthi izingcezu zihlala yini endaweni. Uma izingcezu ze-cartilage nethambo eziqhekeke zihlala endaweni, ungase ube nezimpawu ezimbalwa noma azikho. Kubantwana abancane abathombo labo zisathuthuka, ukulimala kungase kuphulukiswe ngokwalo.

Ukuhlinzwa kungase kudingeke uma izingcezu ziqhekeka futhi zibanjwe phakathi kwezingxenye ezihambayo zejoyinti yakho noma uma unebuhlungu obuqhubekayo.

Kuxhomekeke kumlomo oluthintekayo, izimpawu nezimpawu ze-osteochondritis dissecans zingafaka: Ubuhlungu. Lena yimbangela evame kakhulu ye-osteochondritis dissecans ingase iqhubekwe yimisebenzi yomzimba — ukuhamba ngezitebhisi, ukukhuphuka entabeni noma ukudlala imidlalo. Ukukhuluphala nobuhlungu. Olusu oluzungezile umlomo wakho lungase lube lukhulu futhi lube buhlungu. Ukuqhuma komlomo noma ukuvala. Umlomo wakho ungase uqhuqhe noma unamathele endaweni eyodwa uma izingcezu ezihlukanisiwe zibambe phakathi kwamathambo ngesikhathi sokuhamba. Ubuthakathaka bomlomo. Ungase uzizwe sengathi umlomo wakho "uyawa" noma ubuthakathaka. Ukunciphisa ukunyakaza. Ungase ungakwazi ukuqondisa ilungu elithintekayo ngokuphelele. Uma unebuhlungu noma ubuhlungu obuqhubekayo emadolweni akho, ehlombe noma kwenye indawo, bheka udokotela wakho. Ezinye izimpawu nezimpawu okumele zikhuthaze ucingo noma ukuvakashela udokotela wakho kufaka phakathi ukukhuluphala komlomo noma ukungakwazi ukuhambisa umlomo ngokugcwele.

Uma uhlushwa ubuhlungu obungapheli noma ukuhlunguluka emadolweni, ehlombe noma kwenye inxeba, vakashela udokotela wakho. Amanye amafomethi nezibonakaliso okumele akukhuthaze ukuba ucingo noma uvakashele udokotela wakho afaka ukukhula kwexeba noma ukungakwazi ukuhambisa inxeba ngokugcwele.

Imbangela ye-osteochondritis dissecans ayaziwa. Ukunciphisa kokugeleza kwegazi ekupheleni kwempumputhe ethintekayo kungenzeka ukuthi kubangelwa ukwenzakala okuphindaphindayo—izigameko ezincane, eziningi zokulimala okuncane, okungabonakali okulimaza ithambo. Kungenzeka ukuthi kunento yokufana, okwenza abanye abantu babe nomkhuba wokuthuthukisa lesi sifo.

I-Osteochondritis dissecans ivame kakhulu kubantwana nakwisalukazi elisephakathi kweminyaka eyi-10 neyi-20 abasebenza kakhulu ezemidlalo.

I-Osteochondritis dissecans ingandisa ingozi yokuthi ekugcineni uthuthukise i-osteoarthritis kuleyo jongo.

Intshayeleko ezihlanganyela emidlalweni ehleliwe zingase zizuze ekufundeni ngengozi eziyifakelayo ezinhlangothini zazo ezihambisana nokusetshenziswa kakhulu. Ukufunda imishini efanele nezinqubo zomdlalo wabo, ukusebenzisa imishini yokukhusela efanele, nokuhlanganyela ekuqeqeshweni kwamandla nasekuqeqeshweni kokulingana kungasiza ekunciphiseni amathuba okulimala.

Ngesikhathi sokuxilongwa komzimba, udokotela wakho uzocindezela ehlanganweni elithintekile, ahlole izindawo eziqabukile noma ezibuhlungu. Ezimweni ezithile, wena noma udokotela wakho niyokwazi ukuzwa izingcezu eziqhelelene ngaphakathi kwehlanganwe lakho. Udokotela wakho uzobuye ahlole ezinye izakhiwo ezizungezile ihlanganwe, njengemigqomo. Udokotela wakho uzobuye akucele ukuthi uhambise ihlanganwe lakho ngezindlela ezahlukene ukuze abone ukuthi ihlanganwe linganyakazela ngokukhululekile ngaphakathi kobubanzi balo obuqhelekile. Izivivinyo zezithombe Udokotela wakho angase ayalele olunye noma ngaphezulu kwalolu hlobo lwevivinyo: Izithombe ze-X-ray. Izithombe ze-X-ray zingabonisa ukungapheleli emathanjeni ehlanganwe. Ukucubungula komfanekiso we-Magnetic resonance (MRI). Usebenzisa amaza omsakazo nensimu enamandla ye-magnetic, i-MRI inganikeza izithombe ezinemininingwane yemisipha eminingi nemincane, kufaka phakathi ithambo ne-cartilage. Uma izithombe ze-X-ray zibonakala zilungile kepha usanawo nawo ama-symptom, udokotela wakho angase ayalele i-MRI. Ukucubungula kwe-Computerized tomography (CT). Lobu buciko buhlanganisa izithombe ze-X-ray ezithathwe ngezindlela ezahlukene ukuze kwenziwe izithombe zesigaba sokuqhelelana kwezakhiwo ezingaphakathi. Ukucubungula kwe-CT kuvumela udokotela wakho ukuba abone ithambo ngemininingwane enkulu, okungasiza ekutholeni indawo yezingcezu eziqhelelene ngaphakathi kwehlanganwe. Ulwazi Olwengeziwe Ukucubungula kwe-CT I-MRI I-X-ray

Ukuphathwa kwe-osteochondritis dissecans kuhlose ukubuyisela ukusebenza okujwayelekile kwejoyinti elimele futhi kuphazamise ubuhlungu, kanye nokuncipha ingozi ye-osteoarthritis. Alukho ukwelashwa olulodwa olusebenza kubo bonke. Ezinganeni eziphila eziyikhulu, iphutha lethambo lingase liphulukiswe ngesikhathi sokuphumula nokuvikelwa. Ukwelashwa Ekuqaleni, udokotela wakho cishe uzokuncoma izindlela zokulondoloza, ezingafaka: Ukuphumula ijoyinti yakho. Gwema imisebenzi ecindezela ijoyinti yakho, njengokuqhuma nokugijima uma ihlombe lakho lilimele. Ungase udinga ukusebenzisa izinti isikhathi esithile, ikakhulukazi uma ubuhlungu bukubangela ukukhuphuka. Udokotela wakho angase futhi aphakamise ukugqoka i-splint, i-cast noma i-brace ukuze ukhusele ijoyinti amasonto ambalwa. Ukwelashwa komzimba. Ngokuvamile, lokhu kwelashwa kufaka ukwelula, ukuzivocavoca okuhambisana nokuzivocavoca okuqinisa imisipha esekela ijoyinti ehilelekile. Ukwelashwa komzimba kuvame ukunconywa ngemva kokuhlinzwa, futhi. Ukuhlinzwa Uma unezingcezu eziqhekekile ejoyinti yakho, uma indawo elimele isakhona ngemva kokuba amathambo akho ayeka ukukhula, noma uma ukwelashwa okuqondisiwe kungasizi ngemva kwezinyanga ezine kuya kweziyisithupha, ungase udinga ukuhlinzwa. Uhlobo lokuhlinzwa kuzoxhomeka ebukhoneni nasezingeni lokulimala nokuthi amathambo akho akhulile kangakanani. Cela i-aphoyintimenti