Osteosclerosis

Osteosclerosis

ʻO ka Osteosclerosis kahi hoʻonui, kūloko a pālahalaha paha, i ka iwi iwi. Hoʻokumu pinepine ʻia ka ʻike ma nā hōʻailona a me kahi hoʻonohonoho o nā hoʻokolohua x-ray. ʻO nā hōʻailona maʻamau he palupalu iwi, morphological a me ke koko ʻino. ʻAʻohe lāʻau lapaʻau no ka osteosclerosis, he mea hiki ʻole ke hoʻololi ʻia, akā hiki i ka ʻai a me ka hoʻoikaika kino maʻamau ke pale i kona hoʻomaka ʻana a me ka ulu ʻana. 

Osteosclerosis, he aha ia?

Definition

Hōʻike ʻia ka Osteosclerosis e ka mānoanoa o ka iwi trabecular e hoʻonui ai i ka nui o ka iwi. Kapa ʻia ka iwi cancellous, ʻo ka iwi trabecular ka ʻāpana waena o nā iwi. Loaʻa ia i nā span ma ke ʻano o nā papa a i ʻole nā ​​kolamu i pili kekahi i kekahi a hoʻopuni ʻia e nā ʻiʻo i haku ʻia me nā momona a me nā pūnaewele kumu, a me ka vascularized nui. He 20% wale nō o ka iwi ʻōiwi ka iwi spongy, ʻo ia ka nui o nā iwi liʻiliʻi (vertebrae).

ano

ʻElua ʻano o ka osteosclerosis:

  • Localized, ma ke kiʻekiʻe o kahi wahi liʻiliʻi o ka iwi iwi;
  • Hoʻolaha, i ka wā e hoʻopilikia ai i kahi ʻāpana nui o ka iwi iwi (e laʻa me ka iwi kuamoʻo holoʻokoʻa).

Nā kumu

ʻAha iwi

Hiki ke loaʻa ka Osteosclerosis ma ke ʻano he hopena i ka pōʻino o ka iwi e like me ka haʻi ʻana o ka iwi, ka ʻeha iwi, ka maʻi maʻi iwi, a i ʻole ka osteoarthritis.

Osteopetrosis

ʻO Osteopetrosis ka mea kaulana loa o ka osteoclerosis. ʻO ka Osteopetrosis kahi maʻi hoʻoilina kakaʻikahi ma muli o ka hana ʻole o nā osteoclast, nā cell i mālama i ka luku ʻana i nā iwi kahiko. ʻOiai ʻaʻole hana hou ke kino i nā pūnaewele iwi kahiko, alakaʻi ia i ka hoʻonui ʻana i ka iwi iwi a hoʻololi i ke ʻano o ka iwi. Aia nā ʻano like ʻole o ka osteopetrosis e ʻokoʻa ana mai ka make i loko o ka ʻōpū a hiki i ke ʻano i koe ʻole asymptomatic.

Nā iwi dysplasia

Hiki ke loaʻa ka Osteosclerosis i ka wā o ka iwi dysplasia, kahi maʻi hoʻomohala o ka iwi e hopena ai i kahi ʻano like ʻole, ka nui a i ʻole ka hana. Hiki ke hoʻopilikia i nā iwi o ke poʻo, ka maka, nā iwi lōʻihi o ke kino, a i ʻole ka iwi iwi āpau. 

Hiki i ka Osteosclerosis ke hōʻike iā ia iho i loko o ka pōʻaiapili o nā pathologies ākea e pili pū ana me ka dysplasia iwi, i ka hyperostosis (ka maʻi o Caffey, melorheositis), ka maʻi o Worth, ka hyperostotic Lenz-Majewski dwarfism, ka maʻi o Pyle, ka maʻi o Engelmann a i ʻole ka pycnodysostosis, kahi pathology o ka osteosclerosis. iwi iwi, ʻano pōkole a me ka palupalu iwi.

Nā maʻi metabolic

Hiki i ka Osteosclerosis ke hōʻike iā ia iho i kekahi mau maʻi metabolic e like me:

  • ʻO ka ʻona me ke kēpau, arsenic, beryllium a i ʻole bismuth;
  • He nui ka nui o ka huaora A a me D;
  • Osteosclerosis pili i ka ma'i hepatitis C;
  • ʻO Fluorosis, kahi maʻi maʻi i pili i ka nui o nā fluoride;
  • ʻO Pseudohypoparathyroidism, kahi hui o nā maʻi kakaʻikahi i hōʻike ʻia e kahi kīnā i ka hōʻike ʻana o ka hormone parathyroid, kahi hormone e hoʻoponopono i ke kiʻekiʻe o ka calcium i loko o ke koko;
  • ʻO Osteomalacia, he osteopathy maʻamau i nā mākua, pili nui i ka hemahema o ka huaora D a ʻike ʻia e kahi kīnā i ka mineralization iwi;
  • ʻAʻole kīpē;
  • ʻO Rickets, nā maʻi i hōʻike ʻia e ka lawa ʻole o ka calcification o nā iwi a me nā cartilages a ma muli o ka vitamin D a me ka nele o ka calcium.

     

ʻO nā kumu ʻē aʻe

Hiki i ka Osteosclerosis ke hōʻike iā ia iho i nā hihia ʻē aʻe:

  • Ionizing radiation a i ʻole ka lāʻau ʻawaʻawa intravenous;
  • ʻO Lymphomas
  • Leukemia;
  • ʻO Sarcoidosis, kahi maʻi ʻeha o ka ʻike ʻole ʻia; 
  • ʻO ka maʻi o Paget, he maʻi iwi ʻokoʻa i ʻike ʻia e ka hoʻololi ʻana o ka iwi;
  • 'O kekahi mau ma'i 'a'ai o ke koko (Vaquez's disease) a i 'ole o ke kuamo'o (myelofibrosis);
  • Anemia;
  • Osteomyelitis, he ma'i o ka iwi i hana pinepine 'ia e ka bacteria;

PalekanaEND_LINK

Hoʻokumu pinepine ʻia ka hōʻailona ma nā hōʻailona a me kahi hoʻonohonoho o nā hoʻokolohua x-ray:

  • Hiki i ka radiology maʻamau ke hōʻike i nā iwi ākea a hewa hoʻi;
  • Hiki i ka tomography helu ke hiki ke ʻike pono i nā kaomi nerve i loko o ka iwi poʻo;
  • ʻO ke kiʻi hoʻohālikelike magnetic (MRI) e ana i ka hana o ka iwi iwi;
  • Hiki i ka iwi scintigraphy ke hoʻomaopopo i nā wahi momona i ʻike ʻia i ka opaque ma nā kiʻi.

I kekahi mau hihia, pono nā hoʻāʻo koko a me nā hoʻāʻo ʻana i ke koko e hana i kahi hōʻailona. Hiki ke loaʻa ka Osteosclerosis i nā makahiki āpau, i nā kāne a me nā wahine.

Nā hōʻailona o ka osteosclerosis

Hiki i ka Osteosclerosis ke asymptomatic, akā hiki ke alakaʻi i ka ulu ʻana o nā hōʻailona like ʻole e pili ana i kona kumu.

ʻAha iwi

ʻO ka mānoanoa o nā iwi e nāwaliwali ai ke ʻano o ka iwi, ʻoi aku ka maʻalahi o ka haki ʻana o nā iwi.

Nā mea ʻino ʻino

Ke loaʻa iā ia kahi kumu genetic, hiki i ka osteosclerosis ke hoʻoulu i ka ulu ʻana o ka iwi e hoʻololi i ka morphological deformation o nā hale iwi (lae koʻikoʻi; hoʻemi ka ulu ʻana; hoʻonui i ka nui o ka iwi poʻo, nā lima a me nā wāwae, etc.)

Nā maʻi kīnā ʻole o ke koko

ʻO ka hoʻonui ʻana i ka nui o ka iwi e alakaʻi i ka emi ʻana o ka nui o ka momona o ka iwi e hiki ai ke hoʻemi i ka hana ʻana o nā pūnaʻi koko e alakaʻi ana i ka anemia (no ka luhi nui), nā maʻi a i ʻole ke koko.

Hoʻonuiʻia i ka pēpena hoʻokomo

Ke hoʻopilikia ka osteosclerosis i nā iwi o ke poʻo, ʻoi aku hoʻi i kekahi osteopetrosis, hiki iā ia ke alakaʻi i ka piʻi ʻana o ka intracranial pressure a hoʻopaʻa i nā aʻalolo cranial e hoʻoulu ai i ka lolo o ka maka, ka emi ʻana o ka ʻike a / a i ʻole ka lohe.

Nā lāʻau lapaʻau no ka osteosclerosis

ʻAʻohe lāʻau lapaʻau no ka osteosclerosis i hiki ʻole ke hoʻololi. Eia naʻe, hiki ke noʻonoʻo:

  • Lawe i nā corticosteroids e hoʻoikaika i nā iwi;
  • Ka hoʻoneʻe iwi iwi no ka osteopetrosis e hōʻike iā ia iho i ka wā kamaliʻi;
  • Pākuʻi lula e hoʻoponopono i nā hemahema iwi nui, keu hoʻi o ka maka a me ka iwi.

Eia kekahi, pono e mālama ʻia nā haʻihaʻi, anemia, hemorrhages, deficiencies (calcium and vitamin) a me nā maʻi i kēlā me kēia hihia. ʻO ka lilo ʻana o ke kaumaha ke kōkua i ka hoʻopaʻa ʻana i ka ukana ma nā iwi. 

Kāohi i ka osteosclerosis

ʻai

Hiki ke pale ʻia nā hemahema o ka huaora a me ka calcium me nā meaʻai ma muli o:

  • ʻO nā meaʻai momona i ka calcium: nā meaʻai waiu, nā lau ʻōmaʻomaʻo, kekahi mau huaʻai, nā nati a me nā iʻa hiki ke like me ka sardines;
  • ʻO nā meaʻai momona i ka vitamina D e like me ka iʻa momona, nā hua manu a me ke ake

Hoʻohana pilikino

ʻO nā hoʻoikaika kaumaha e like me ka hele wāwae, ka holo ʻana, ka hula, ka pāʻani kinipōpō, a me ka hele wikiwiki ʻana e pili ana i ka hōʻemi ʻana o ka osteoporosis. He kōkua nō hoʻi ka hoʻomaʻamaʻa ikaika. ʻO ka hope, hoʻomaikaʻi ka yoga a me ka pilates i ka ikaika a me ke kaulike. 

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