Pfupa chirwere: Types, Zviratidzo neMarapirwo

Sezvaunoziva, kuti marangwanda anotsigira kuti muviri wose. Pasina skeletal hurongwa, isu hatingavatengeri kukwanisa kwete chete kuita zvakasiyana-siyana kufamba, asi kunyange kumira. Naizvozvo, kutsigira mashandiro ari marangwanda ndeimwe unyanzvi chinokosha chinodiwa kuti upenyu.

Zvinosuruvarisa mapfupa chirwere hazvizivani. Kakawanda vari chokuita abnormalities mapfundo. Kazhinji, nezvinetso zvetsandanyama nemapfupa mamiriro vari kutanga kuonekwa pakukwegura. Kakawanda ivo kuva vakadzi vari kubereka. Kunyange zvakadaro, mapfupa chirwere inowanikwa vanhu vemazera ose. No Kunze - vana vacheche.

Zvokurwara of skeletal hurongwa: Description

Hosha mapfupa uye mapfundo vanoonekwa ne vasingadzoreki locomotor basa, izvo zvinoratidzwa zviratidzo zvakadai kuchinja gait, kutadza kuita kurereka kana kutenderera, deformation nhengo dzake kana nomuzongoza. Pathologies anogona kunge vachiberekwa (majini primed) uye vawana muupenyu hwavo. Zvirwere zviri akakamurwa vemunyika (kufukidza mumwe kana kupfuura mapfupa) uye zvakajairika kuti zvinokanganisa yose zvetsandanyama nemapfupa hurongwa. Anogumbura zvokurwara kungava majini (vachiberekwa abnormalities), bundu hunhu. Rinotaurawo akakunda zvetsandanyama nemapfupa hurongwa zvinosanganisira mitswe, dislocations mapfundo, deformation uye contractures mune systemic pathologies yacho muviri. Zvirwere mapfupa evanhu zvakafanana hwakapararira munyika. Kakawanda zvinowanika pakati hadzi vanogara. Kunyange zvakadaro, kuti chikamu varume vane zvirwere zvetsandanyama nemapfupa hurongwa kuri guru.

Hosha mapfupa uye mapfundo: mhando

The etiology remafupa vadyi pathologies siyana. Zvinoenderana worudzii chirwere kunoitika pane chimwe chiitiko. Nokudaro, chirwere Classified munzvimbo inotevera mapoka:

1. Chinopedza maronda. Izvi zvinosanganisira kusimba mune vana uye osteoporosis kuti unowanikwa nedzevakuru. Simukai nokuda kwokushayiwa zvisaririra zvinhu (calcium, phosphorous). Kushaya izvi zvinhu angamuka kubva kukodzera kudya kunovaka, uye nokuda kuti atadze kushanda zvakanaka pamusoro thyroid shwanu, ovaries.
2. Anogumbura chirwere - osteomyelitis. The chirwere kukura somugumisiro okusuma microbial vamiririri iri pfupa tishu. Izvi pamwe kuparadzwa kwayo - necrosis.
3. Yaizoitika maronda ari zvetsandanyama nemapfupa hurongwa. Izvi zvinosanganisira makatsemuka uye mitswe. Inosanganisirawo boka iri dzaparadzwa mapfundo nemarunda (kuminyuka, achitambanudza). VaBennett mapfupa zvirwere zvinorwadza - yozodzokera, compression nezvimwe zvemaziso zvinhu.
4. Chinopedza (dysplastic) zvokurwara. Kuti zvinosanganisira osteoarthritis, ankylosing spondylitis. Etiologic chinoita kuti pathologies izvi haisi chaiyo kuzivikanwa. Zvinofungidzirwa kuti vave nhaka (majini) mamiriro uye chokuita autoimmune maronda pfupa.
5. Neoplastic maronda ari zvetsandanyama nemapfupa hurongwa.
6. Rare nemagene syndromes. Izvi zvinosanganisira chirwere Paget vake, osteogenesis imperfecta, uye zvichingodaro. D.

Zvinokonzera pfupa pathologies

Pasinei chokwadi kuti zvirwere zvose pfupa vane etiologies siyana, pane zvinoita kuti pave nekukurukurirana chero pamusoro pathologies. Izvi zvinosanganisira zvinotevera migumisiro:

1. Usava kudya. Kushomeka kunwa zvekudya akapfuma calcium, kunoita kuti vasanyanye pfupa arambe achirema. Somugumisiro, vakuru kuva osteoporosis.
2. Nokushaya chiedza chezuva. chikonzero ichi kunotungamirira zvirwere zvakadai kusimba. zvokurwara ichi kwakazara nevana vaduku.
3. Hormone zvirwere. Izvi ndezvechokwadi kunyanya pamusoro thyroid shwanu. muviri Iri basa tiine nengaidzo pakati calcium phosphorus zvinodiwa pfupa. Uyewo, kune pathologies ari zvetsandanyama nemapfupa ino anogona kuvhiringidza pamusoro parathyroid omumuviri, ari ovaries.
4. Kunwisa mutoro pamusoro marangwanda. By ichi chinoreva mhaka kuramba kwokupfeka zviyereso, kwenguva refu kurovedza muviri, kufutisa.
5. Chirwere foci chirwere. Zvinokosha kuyeuka kuti kwemabhakitiriya kana chaikonzerwa noutachiona chero nhengo kungaita kuti kupinda noutachiona munyika skeletal ino.
6. Systemic zvokurwara.
7. Genetic kubatwa zvirwere mapfupa uye mapfundo. Somuenzaniso, osteoarthritis, uye vabereki gout.

The kunotoda mune mapfupa pathologies

Zviratidzo zvirwere mapfupa kuvimba chirwere pacharo, asi pamusoro mwero kwayo zvakaoma. Kunyange zvakadaro, mashoko chiremba mufananidzo zvirwere zvetsandanyama nemapfupa hurongwa ine maitiro zvakafanana. Izvi zvinosanganisira kusanzwa kana uchifamba, pfupa deformation, kana kwemajoini kuzvimba uye nounyoro pane nzvimbo lesion. Zviratidzo izvi anowanzoramba kwerinenge zvose pathologies. Anogumbura pfupa chirwere pane vaya ataurwa zviratidzo kunoratidzwa fivha, mukuru muutera, kurasikirwa kudya.

zvokurwara ichi, akadai osteoporosis, haagoni kuva chero kunotoda mufananidzo. Fungira chirwere unogona kazhinji kuva nokuda kakawanda kunotevera murwere, zvichitungamirira pfupa mitswe.

Mumwe zvokurwara, kuva dystrophic hunhu ndiyo osteomalacia. In vakuru, rinogona kunzi vaakasarudza chirwere kuvana - kuratidzwa kusimba. The chikuru chiratidzo osteomalacia - marwadzo panguva kunyoroveswa mapfupa, kusagadzikana apo tichifamba.

Clinical kuratidzwa zvetsandanyama nemapfupa hurongwa kenza kunoenderana padariro kwacho. Kazhinji, bundu kunoratidzwa pakuonekwa mugove chisimbiso (kwakadzikira) pamwe pfupa, izvo zvinowanzoita kuti vawedzere. In kwazvo zvokukura nokuwedzera node nodes, fivha yakaderera-mugiredhi, utera.

Chirwere pakati pathologies of locomotor hurongwa

Kutsvaka kuti mapfupa chirwere chinogona kuonekwa murwere, zvakakodzera kuitisa ongororo kwete chete zvetsandanyama nemapfupa ezvinhu, asiwo yose muviri. Chikonzero chikuru kunorapwa pakiriniki vari zvichemo kurwadziwa, kukamurwa kufamba, deformation. Mazvikokota anofanira kuziva zvinhu zvinotevera: kana akatyoka kana kunyanya muviri. Pashure kuongorora mapfupa uye mapfundo. Chiremba anobvunza murwere kuita kufamba-siyana uye Anoongorora vaita. Zvimwe rabhoritari Data vari zviratidzi anokosha akadai leukocytes uye ESR, uric acid, calcium phosphorus. Uyewo, kana murwere anonyunyuta kurwadziwa kana kuomarara pamusoro mapfundo, zvakakodzera kuitisa kuongorora kuziva RA chinhu. Uyewo, X-ray zvaitwa mapfupa. Kana zvakakodzera, imwe CT scan.

Differential chirwere repfupa chirwere

Kuti kusiyanisa umwe kubva kune umwe mapfupa chirwere, unofanira ukanyatsoongorora murwere. Pamusoro okutambirwa kukuvara pakarepo radiography, uye zvokuongorora hakusi nyore. Kushoma anobudirira fungira yakafanira rokuongorora muzvidimbu (kuvapo maronda pamwe purulent kugutsikana, hyperemia uye edema), wakawedzera tembiricha muviri, rabhoritari Data (leukocytosis, nokukurumidza erythrocyte sedimentation zvazvingava). Chinopedza pfupa kuchinja chirwere ne X-ray. Kana uchifungidzira bundu kana chikofu rinoitwa kombiyuta tomography. zvirwere zvakadai chemajoini kana ankylosing spondylitis vanozivikanwa (zvikurukuru) nokuda kunotoda mufananidzo. Vari kusiyaniswa munhu raidudzwa deformation pamusoro zvetsandanyama nemapfupa ino uye kuchinja gait.

pfupa chirwere: mabatiro pathologies

Kunyange shoma kurwadziwa kana akavarambidza nemafambiro vanofanira kuona chiremba. Pamusoro okutambirwa kukuvara zvakakosha kuti nguva x-mwaranzi uye vachikanda, sezvo pfupa arege zvikure pamwe, pashure izvo zvinoda yakareba kurapwa. Uyewo, mishonga inodiwa kugadzirisa chimiro nemaronda. Izvi ndezvechokwadi kunyanya varwere chirwere cheshuga uye varicose mutsinga. Pasinei chokwadi kuti zvirwere izvi hazvisi chokuita zvetsandanyama nemapfupa hurongwa, trophic nemaronda kungatungamirira kukura osteomyelitis. Kana curvature ari nomuzongoza, flat tsoka uye gait nenyonganiso vanofanira kuona podiatrist. Kunotevera vanechokuita mitswe uye dislocations mapfundo. Rheumatologist unyanzvi mune anogumbura maitiro somugumisiro autoimmune kwacho.

Diet kurapa nokuda pfupa pathologies

Chero pfupa chirwere kunoratidza kuti kudya zvinenge zvataurwa. zvokudya zvakakodzera kuchaita kusimbisa mapfupa, asiwo kuti vadzivise pakuzadzisa ari zvokurwara. Most zvose izvozvo chokuita nokushushikana chinopedza zvirwere. Kuti vave nechokwadi zvakakodzera pamwero calcium mumuviri, unofanira kudya dheri zvigadzirwa. The soro zviri maatomu akafanana izvi akaona zvakaoma chizi, koteji chizi, yogati. Karusiyamu mabhuku anosanganisira chiropa, inomera nzungu. Hatina kutokurudzira kushandiswa shuga, mazambiringa, bhinzi, uye doro.

Medical uye kuvhiya kurapwa

In anogumbura zvirwere mapfupa uye mapfundo vaishandisa zvinodhaka NSAIDs boka. Izvi zvinosanganisira mushonga "Diclofenac", "Artoksan", "Aertal". Uyewo kugamuchira inonyaradza marwadzo omusoro inokurudzirwa. Somuenzaniso, "Ketonal" chinodhaka. mishonga Izvi zvakakodzera uye zvinotyisa maronda pfupa. Vakadzi kubereka kazhinji kutanga osteoporosis. Kuderedza mapfupa fragility estrogensoderzhaschih yakarumbidza kushandisa zvinodhaka. In chakakomba deformation pamusoro zvetsandanyama nemapfupa maitiro akaita oparesheni. Uyewo, Kuvhiya kunoratidzwa kana kuonekwa kuti bundu kukura uye osteomyelitis.

Kudzivirira pfupa chirwere

Kuti udzivise nechitarisiko kana kukura pfupa abnormalities, zvinokosha kuita zvokudya, kuderedza uremu. Zvinonzi Dzakamukurudzirawo rokuita muviri, asi chinhu chikuru pano - Usaita nayo. Prophylaxis kuti anogumbura ezvinhu kutsvinda foci chirwere uye asingaurayiwi kurapa panguva exacerbation echirwere chirwere (sinusitis, tonsillitis).