I-Subchondral sclerosis iyisilonda esibuhlungu se-cartilages esimboza izingxenyana zangaphakathi zamalungu, lapho izicubu ezijwayelekile ezisebenzayo zifaka khona izicubu ezihlangene ezingakwazi ukwenza imisebenzi edingekayo. Ngesikhathi esifanayo, izicubu zethambo zamalungu ziqala ukutshala futhi zikhule, zenze izimila.
Le nqubo yokwelashwa ayiyona eyodwa njengesifo esihlukile, kodwa ingenye yezibonakaliso ze-osteoarthritis yamalunga nama-osteochondrosis emkholwaneni womgogodla. Akukhiphi ngokushesha, kodwa njengoba isifo esiyinkimbinkimbi sithuthuka, uma izici zokucabangela zingapheli, ukwelashwa akulungile. I-subchondral sclerosis iyakwazi ukuthinteka kubantu asebekhulile, kodwa maduzane ibonwe kubantu abasha.
Izigaba ze-subchondral sclerosis
Ukuthuthukiswa kwesifo kuhamba kancane kancane:
- Ukuqala kwe-subchondral sclerosis - ukukhula kwamathambo we-bone kwenzeka kuphela emaphethelweni okujoyina.
- I-subchondral sclerosis esesilinganisweni - ema-osteophyte e-x-ray ahlukanisiwe, igebe lokukhuluma liyancipha, futhi ingxenye eyingxenye yethambo ibonakala ngombala ogqamile.
- I-subchondral sclerosis yesigaba sesi-III - kunciphisa okuphawulekayo kwegebe elihlangene, ukukhula okukhulu kwe-bony, ukuqhutshwa kwemishini ye-joint kuyinto engaphumeleli kakhulu.
- I-subchondral sclerosis yesigaba se-IV - ama-osteophyte ngobukhulu obukhulu kakhulu, izindawo ezibonakalayo zamathambo zikhubazekile kakhulu, ukungakwazi ukuhlanganiswa ukuze kwandiswe ngokugcwele.
I-subchondral sclerosis yehlangothini lamadolo - kuyini?
Ukuhlangana kwamadolo kuvame ukuhlushwa nge-subchondal sclerosis, ihlale ihambisana nemithwalo ephezulu. Izinto eziyingozi ekuthuthukiseni izinqubo ze-pathological kule nhlangano yilezi:
- ukukhuluphala;
- ukulimala kokuhlanganyela ;
- ukuhluleka kwe-hormonal;
- izingozi zomsebenzi.
Ukukhubazeka kwembulunga kuvezwe ngeziguli ezine-osteoarthritis ezikhubazayo zamalungu amadolo, ezibonakaliswa yizimpawu ezifana nobuhlungu ngesikhathi sokuzivocavoca nokuphumula, ukukhwabanisa ekuhambeni, ubunzima bokuzihlanganisa-ukunwetshwa kwamadolo. Lokhu kuholela ekuqhekekeni, ekunciphiseni kwezicubu ezinamandla, ukulahlekelwa amandla nokuqina. Umphumela ovame ukwenziwa kwe-subchondral sclerosis wehlangothini lamadolo ukuthuthukiswa kwe-varus noma i-valgus deformities yemilenze.
I-subchondral sclerosis yomgogodla - iyini?
I-subchondral sclerosis yamapulethi okugcina emzimbeni we-vertebral vertebral ngokuvamile kukhonjiswe esifundeni somlomo wesibeletho, kaningi kakhulu emgodleni we-thoracic kanye ne-lumbar. Kulesi simo, iziguli zikhononda ngobuhlungu obungapheli endaweni ethintekayo, izinkinga zezinzwa (ukungazihlanganisi kwamalungu, ukuzondeka, ukubambisana kokuhamba kahle , njll), ukukhubazeka komgogodla nakho kungenzeka.
Ingozi enkulu yokwelapha yalesi simo sangaphakathi yingozi enkulu yokwehlukana kokucindezeleka okuzenzakalelayo, okungahle kwenzeke ngisho nokuzikhandla okungokwenyama. Ezimweni ezinganaki kakhulu, ukukhubazeka okuncane noma okuphelele kuphawulwe.
I-subchondral sclerosis yenhlanganisela ye-hip
Lokhu kwendawo yokwelashwa cishe cishe kuyinkimbinkimbi inkambo ye-arthrosis yenhlanganisela ye-hip. Ukubonakaliswa okuyinhloko kuleli cala yilezi: ubuhlungu obungapheliyo e-hip (ekuhambeni nasekuphumuleni), ukunciphisa ukuphakama kokunyakaza ekuhlanganyeleni, ukuthuthukiswa kwabantu abaqhwaga.
I-subchondral sclerosis ye-hip ibhekene nengozi eyengeziwe yokwephuka kwensikazi ye-femal ne-aseptic necrosis yekhanda layo. Ngakho-ke, uma inqubo yokwelashwa ikhonjisiwe, ukuvimbela masinyane imiphumela engaba yingozi kufanele kwenziwe. Uma ukwelashwa kungaqali ngesikhathi, ungakwazi ukulahlekelwa ngokuphelele umsebenzi wesitho.