Osteomalacia: chii ichocho, zvinokonzera, zviratidzo, kuongororwa uye mishonga yemishonga

Osteomalacia: chii ichocho? Chirwere ichi ndechekutyora kwemineralization ye bone tissue. Somugumisiro, kunonoka kwemapfupa kunoitika, vanova brittle uye vanowanzoenda kumarudzi akasiyana-siyana okukuvara nekukuvadzwa. Kiriniki yechirwere ichiita sezvikwereti muvana, izvo zvinoonekwa nekuda kwekushaya vitamini D3. Iyi inzira yekugadzirisa, nokuti mapfupa ose ari mumuviri anodzivirirwa. Kare, chirwere ichi chakanga chisingawanzoitiki. Zvisinei, panguva ino, nekuda kwemazuva ano ehupenyu huno, munhu wese wegumi anotambura nechirwere ichi. Muzviitiko zvakawanda, kuderedza minda yemapfupa kunoonekwa mumadzimai, dzimwe nguva kune osteomalacia mumhuka.

Urongwa hwechirwere

Izvi zvirwere zvakakamurwa kuva mhando dzakawanda, maitiro ayo anobva kune zvimwe zvikonzero. Iye zvino, mhando dzakatevera dze osteomalacia dzinozivikanwa:

1) Zvichienderana nedzimwe chirwere chacho:

• Kukwana, kureva, hypovitaminosis;
• Vitamin-resistant, inomuka nekuda kwezvipembenene zvemukati kana maitsvo.

2) Zvichienderana nekemikari chinhu chinopinda muchitsinhanisi:

• Phosphoropenic;
• Calciphenic.

3) Maererano nehutano nemakore omurwere:

• Puerperal (osteomalacia muvakadzi vane pamuviri);
• Senile (zvichienderana nekuchinja kwehutano);
• Muduku (inoonekwa panguva yekuyaruka);
• Kusvitsa.

Zvinokonzera chirwere chacho

Kuti vanzwisise kuti nei chirwere ichi chichioneka uye chinotangira, zvakawanda zvitsvakurudzo zvakaitwa. Masayendisiti akavhiringidzika, nekuda kwemafupa anova nyore uye osteomalacia inobudirira. Somugumisiro wekuita kwechigadziro cheongororo nyanzvi dzakawana, kuti hutachiona huri huwandu. Mune mamwe mazwi, zvinoreva kuti yakaumbwa mumuviri wose. Muzviitiko zvakawanda, chinangwa chiri mumapfupa. Zvimwe zvikonzero zvemazuva ano vanachiremba vanoona zvakaoma kutumidza zita.

Zvisinei, kutsvakurudza kwakanga kusiri pasina, uye zvaive zvichibvira kuziva kuti chii chinokonzera izvi. Saka, zvinotevera zvinokonzera osteomalacia:

• Kushandurwa muhutori hwemashure;
• Kusina vitamini D3 uye calcium mumuviri;
• Dystrophic zvirwere.

Izvi zvinokonzera kushandura kwechirwere. Zvakakosha kuyeuka kuti nokukurumidza chirwere chinowanikwa, zviri nyore kuti zvirape.

Chii chinokonzera kukura kwehutachiona?

Osteomalacia: chii ichocho? Sezvinenge zvataurwa, chirwere chinosanganiswa nekudzivirira kwemafupa. Kwemakore mazhinji, masayendisiti akakurumbira akaedza kuziva kuti chii chiri kukonzera chirwere? Somugumisiro wekutsvakurudza, zvimwe zvikonzero zvakaonekwa. Vanodarika makumi matanhatu kubva muzana vevarwere havana kuwana chero kusiyanisa kubva mumetabolism, uye muhuduku hwakanga huine huwandu hwakakwana hwevhitamini D mumuviri.Asi zvisinei, nemakore makumi matatu nemakumi matatu, mumwe nomumwe wavo akawanikwa aine pfu mineralization. Izvi zvinoratidza kuti midzi ye osteomalacia yakavigwa muine maitiro.

Uyezve, masayendisiti akawana kuti mahomoni akaita sei. Mushure mezvose, vakadzi vanonyorera mapfupa kazhinji pane kazhinji kupfuura varume. Mukuwedzera, zvakakosha kuziva kuti varwere vakawanda mune imwe nzira kana imwe inotaura nezvevamiririri vezvedzidzo. Pano tinoreva basa mumakemikari mune zvimakemikari, kurarama munzvimbo dzakashata dzisina kunaka, nezvimwe zvakadaro.

Zviratidzo zve osteomalacia

Kune nzira mbiri dzekusimudzira chirwere: kusaziva uye nekuratidzwa kweimwe zviratidzo. Muchiitiko chekutanga, chirwere chacho chinoonekwa pane X-ray, kazhinji kacho nengozi. Asi pane mamiriro ezvinhu apo zviratidzo zve osteomalacia zvinoratidzwa zvakajeka.

Kusiyanisa zviratidzo zvinotevera zvechirwere ichi:

• Nguva dzose, kurwadziwa kusingaperi. Varwere vanowanzonyunyutira kurwadziwa kwezvitsitsinho, mabvi, mbabvu, pelvis, chiuno. Uye mafungiro asina kufanira anomuka ose nemamwe marudzi ezvinetso, uye nekumanikidza pfupa;
• A flash yekutambudzika kwakanyanya. Pamusana pokuti mapfupa anove akaoma, kunyange mutoro muduku pazvigadziri zvinokonzera zvinogona kutungamirira pakuputsika kana kuchinja. Izvi zvinokonzera kurwadziwa kwakanyanya, kunogona kukurumidza kupfuura uye nokukurumidza kudzokorora;
• Kushaya simba mumisungo. Hypovitaminosis inotungamirira pakaputsika kwemishonga inoshanda. Somugumisiro, murwere haana kugadzikana paanenge achifamba, asingakwanisi kuwirirana nekufamba uye zvimwe zviitiko zvinobatana nekushaya simba mumisungo.

Diagnostics

Osteomalacia syndrome inowanikwa pamusana pekunyunyuta kwevarwere, nhoroondo yake, kunze kwekuongorora nekutsvakurudza. Kana chirwere ichi chiri mumatanho ekutanga, zviri nyore kuti uzvione. Murwere anoteerera mitemo, mushure mokunge chiremba aita kunyatsoongorora.

Muchiitiko chechirwere chenguva refu chechirwere, muongorori achada mamwe mashoko pamusoro pemurwere. Kuti arege kuita kukanganisa mukuzarura chirwere ichi, chiremba anobvunza murwere kuti awane mamwe maitiro. Kazhinji kazhinji iyi ndiyo electrocardiogram, ultrasound, nezvimwe. Zvakakosha kuziva kuti osteoporosis muhafu yezviitiko inoperekedzwa ne osteoporosis. Iyo inoratidzirwa nevakawanda kuputsika. Nokudaro, chiremba anofanira kufambisa tsvakurudzo kubva pane kuongororwa kwemapfupa emapfupa.

Zvinetso zvinogona kuitika

Zvinofanira kuonekwa kuti osteomalacia chirwere chakakomba zvikuru, uye kusazvidza chirwere ichi kunogona kutungamirira kumigumisiro yakaipa. Kusarudzwa kwepfungwa kusingabatsiri kunobata kwete chete basa remushuloskeletal system, asiwo muviri wose.

Osteomalacia: chii ichocho? Iyi ndiyo nzira yekuoma kwemasero ekare, izvo zvinopesanawo nekudzikisa kwemasero matsva. Nokudaro, mapfupa ose efupa anova "anonyorera", izvo zvinotungamirira kukurashika kwemasaga. Izvi, zvakare, zvinokanganisa nhengo dzinokosha dzomukati. Somugumisiro wekushandura kwebhokisi uye mapepa, zvinetso zvakakomba zvikuru zvinomuka nemukaka, mwoyo, mapapu, mumatumbo, nezvimwewo.

Therapy

Mushure mokunge nyanzvi dzakaziwana osteomalacia murwere, nzira yekurapa inotanga. Zvechokwadi, usati waiswa gwara rerapi, unofanira kutanga utanga zvikonzero. Kana vanachiremba vanogona kuzviona, zvichava kukunda kukuru. Zvadaro kurapwa kwe osteomalacia kuchava nechinangwa chekubvisa zvinhu izvo zvakanga zviri vashanduri vechirwere.

Kurapa kunosarudzwa kwete nechiremba mumwe, asi neboka revanyanzvi. Nokuda kweizvi, gastroenterologist, chiremba chiremba, nyanzvi yemapfupa, etc. inobatanidzwa. Dzimwe nguva vana gumi kana kupfuura vakasiyana-siyana vanachiremba vanounganirwa kuti vakwanise kurapwa kuitira kuti nzira idzi dzibudirire. Paanorondedzera chirwere, munhu haafaniri kukanganwa nezvezvinetso zvinogona kuitika chero nguva. Nokudaro, murwere anorayirwa kuti ashanyire vamwe vashomanana vepamusoro pehuwandu hwepurogiramu, somuenzaniso, nyanzvi yemaroto, neurologist kana pulmonologist. Kubatana kwakadaro kwachiremba kunokwanisa kupa nzira yakanakisisa yekurapa.

Nekubatsira kwemishonga

Mushure mekutora osteomalacia, nyanzvi dzinosarudza nzira yekurapa. Kune nzira mbiri: mishonga uye chirwere. Iyo yekupedzisira inoshandiswa muzvikamu zvishoma. Nezvekurapa nemishonga, inosanganisira zvikuru majekiseni e vitamini D. Kutanga, maitiro makuru anotarisirwa, zvishoma nezvishoma achidzikisa munguva yekurapa. Mukuwedzera, vanachiremba vanowanzorondedzera kudya kwevhitamini B uye C.

Ichokwadi ndechokuti ivo vanonyatsoita phosphorus uye calcium metabolism, uyewo vanosimudzira basa remagetsi emagetsi. Izvi zvinonyanya kubudirira nehutachiona husina simba hunokonzerwa ne osteomalacia. Vitamine B uye C zvinotarisirwa kuwedzera basa revhithamini D. Zvinofanira kuonekwa kuti kurapwa kunofanira kuitwa pasi pekutarisa kwakasimba kwechiremba anoenda. Izvi zvinokonzerwa nekuti kutora mishonga inoda nguva dzose kuongororwa kwemuti neropa uye uye, kana zvichidikanwa, kuchinja doses.

Kupindira kwokuvhiya

Sezvinenge zvataurwa, nzira iyi inoshandiswa muzviitiko zvishoma. Inoshandiswa mune zvinotevera:

• Apo kuora kwemapfupa kunokanganisa basa remukati nhengo dzinokosha. Munyaya iyi, vanachiremba vanoshandisa vertebroplasty. Inosanganisira mukusimbisa vertebrae nerubatsiro rwemari yezvokurapa uye mapurimi. Dzimwe nguva kugadzirisa mbabvu uye mapfupa emapfupa achishandisa zvivakwa zvakakosha;
• Mafupa akawanda, pamwe chete nekupora zvishoma. Ipapo vanachiremba vanokurudzira kuiswa kwechirongwa chekurapa chichagadzirisa pfupa panzvimbo yakakodzera. Izvi zvinogadzirwa pamusangano uye ine simbi kana polymer.

Chero zvingava, zvisarudzo zvakadaro zvinogadzirwa nachiremba nemvumo yemurwere.

Kuongororwa kwe osteomalacia kunobata sei mararamiro?

Zviratidzo uye kurapa kwe osteomalacia zvine simba guru pamweya wemurwere. Anofanira kuongorora zvachose mararamiro ake, uyewo kuita shanduko muzvokudya.

Saka, mamwe mazano kubva kuvanyori:

• Chokutanga pane zvose, iwe unofanirwa kutora chikamu chinowanzoitwa polushku uye mattress nokuda kwemapfupa. Izvo zvinodikanwa kuti kune humwe hutambu hwakasiyana hwakakosha hwekugovera kugovera kugoverwa kwemuviri. Sezvo kuderedzwa kwemapfupa kunogona kutungamirira kumatambudziko nemusana, izvi zvinodiwa hazvigoni kuregererwa. Uyezve, unofanirwa kuumba hurumende yako yezuva kuitira kuti pane nguva yekuzorora zvakakwana;
• Kana basa racho richida kwenguva yakareba kuti rigare munzvimbo yakasimba, zvinofanira kumira nekudziya kamwe chete pazuva. Zvinenge zvakakwana kufamba-famba nehofisi kwemaawa mashomanana kana kukwira imwe ndege yezvikwiriso;
• Zvakakosha kuita maererano nehurumende yekunwa. Izvi zvinoda kunyanya kukosha kana osteoporosis inosangana neasteoporosis. Inofanira kuyeukwa kuti ivhu remvura yose harifaniri kudarika 2 litres pazuva. Chiremba anoenda achakuudza nzira yakakodzera yokunwa, uye inofanira kuteverwa;
• Kana murwere akawandisa, unofanira kuedza kumubvisa. Kuderedza uremu hwemuviri kunobatsira kuderedza mutoro pfupa.

Mhedziso

Osteomalacia: chii ichocho? Muchikamu chino takafunga nezvechirevo ichi. Ichi chirwere, chinoratidzirwa nekuputsa kwemineralization ye bone tissue. Somugumisiro wemigumisiro iyi, mapfupa anononoka, izvo zvinotungamirira kumigumisiro isingafadzi.

Mushure mekuonekwa kwehutano, zvirongwa zvechiremba zvinofanira kuteverwa. Sezvakaratidzwa zvinoratidzira, kune vakarangwa vakagadzirwa kukura kwe osteomalacia inoguma uye kurwadziwa kunonyangarika. Mune zvimwe zviitiko, mushonga wemaatomical defects unogoneka. Saka, kuitira kuti ubvise chirwere ichi, unofanira kunyatsoongorora utano hwako uye teerera kuchiremba wako.