Osteonecrosis (Nassin Necrosis) Ya Bayyana

Rashin Jirgin jini ya sa Kashe ya mutu

Osteonecrosis shine yanayin da ya taso ne saboda sakamakon wucin gadi na har abada ko na asarar jini zuwa kashi. Rashin jinin jini ga kashi yana sa ɓangaren kasusuwan ya mutu. Ƙashi na iya rushewa kamar yadda ya mutu, kuma idan kashin da ya shafa ya kusa da haɗin gwiwa, ɗakin da zai haɗa zai iya rushe.

Osteonecrosis zai iya rinjayar kowace kasusuwa amma mafi rinjaye yana rinjayar iyakar femur, babba na kashi, gwiwoyi, kafadu, da idon kafa.

Osteonecrosis na muƙamuƙi an yi la'akari da rare kuma ana danganta shi da amfani da bisphosphonate. Tare da osteonecrosis, kashi ɗaya zai iya shafar ko fiye da ɗaya, ko dai a lokaci ɗaya ko a lokuta daban-daban.

Osteonecrosis kuma ana kiransa necrosis na kwaskwarima, maganin necrosis, ko ischemic necrosis na kashi.

Yaya Yada Yayi Aiki Yaya Osteonecrosis?

Cibiyar Nazarin Ƙwararrun Orthopedic American ta ce kimanin mutane 10,000 zuwa 20,000 suna bunkasa osteonecrosis a kowace shekara.

Me ya sa Osteonecrosis?

Sau da yawa, rashin jinin jini wanda yake haifar da osteonecrosis yana tasowa bayan ciwo (rauni). Duk da haka, za'a iya samun wadanda ba a haɗari ba.

Traumatic osteonecrosis yana faruwa a lokacin da raunuka, rarrabawa, ko haɗin gwiwa tare da raunin da ke kewaye da jini, ya rushe jini zuwa ga kashi. Lalacewa ta hanyo da rarrabawar hanzari shine sanadin magunguna na traumatic osteonecrosis.

Ƙungiyar rashin ciwon osteonecrosis tasowa ba tare da ciwo ba ko rauni.

Wasu yanayi na likita suna hade da wadanda basu da cututtukan osteonecrosis irin su lupus , gout, vascularitis , osteoarthritis , ciwon daji, ciwon sukari, cutar Gaucher, ciwon Cushing, ciwon hanta, cututtukan ciwon sikila, pancreatitis, ciwace-ciwacen jini, da kuma cutar jini. Chemotherapy, babban kashi ko dogon lokacin da ake amfani da corticosteroid , dasawar jiki, radiation, shan taba, da kuma yin amfani da barasa na yau da kullum suna dauke da hadarin haɗari ga osteonecrosis.

Wasu samfuran sunyi la'akari da amfani da corticosteroid don zama mafi mahimmanci na osteonecrosis.

Ga kashi 20 cikin dari na marasa lafiya na Osteonecrosis, ba a san dalilin ba kuma an san yanayin ne a matsayin osteonecrosis na idiopathic.

Cutar cututtuka

Da farko, akwai yiwuwar babu alamun bayyanar cututtuka da ke hade da osteonecrosis. Amma yayin da yanayin yake damuwa, haɗin gwiwa yana nunawa. Da farko, zafi zai iya faruwa ne kawai lokacin da nauyin nauyi, amma yayin da ciwon osteonecrosis ya cigaba, akwai damuwa ko da lokacin hutawa. Bayan lokaci, jin zafi zai iya rage iyakar motsi kuma ya zama tawaya. Rashin haɗin aiki zai iya bunkasa a tsawon watanni da yawa. Duk da yake bayyanar cututtuka da yawa suna bayyana a hankali, yana yiwuwa a fuskanci ciwon kwatsam daga osteonecrosis.

Sanin asali

Hanyoyin X sune yawancin gwaji na farko da aka umarce su lokacin da ake tuhumar osteonecrosis. Duk da haka, hasken rana bazai karba farkon matakan osteonecrosis ba. Idan hasken radiyo ya bayyana na al'ada, anyi amfani da MRI don bayar da damar mafi kyau na gano farkon matakan osteonecrosis ba a iya ganowa akan x-ray ba.

Kodayake ana iya amfani dashi don gano asali na osteonecrosis, CT scans, ƙusar da kwayoyi, da kuma biopsy suna da wuya a yi amfani dashi.

Jiyya

Hanyoyin nishaɗi sun hada da inganta amfani da haɗin gwiwa, da hana haɗuwa da haɗin gwiwa, da kuma inganta rayuwar rayayyen.

A zabar zabi mafi kyawun magani, likitanku zaiyi la'akari da shekarun ku, mataki na osteonecrosis, shafin lalacewar kasuwa, da abin da ya fara matsala.

Akwai magunguna da aka ba su don rage ciwo, ko magunguna sun tsaya idan an ɗauka su zama dalilin (misali, corticosteroids). Rage nauyi yana da mahimmanci don warkarwa kuma za'a iya cimma ta hanyar iyakance ayyukan ko ta amfani da kulluna ko sauran motsi. Ayyuka na kan iyaka suna yawan kunshe ne a matsayin ɓangare na shirin shirin. Ana amfani da kayan lantarki a wasu lokuta don inganta ci gaban kashi. A ƙarshe, duk da haka, mafi yawan mutanen da ke dauke da osteonecrosis zasu buƙaci tiyata don jinkirta ko dakatar da ci gaban yanayin.

Tiyata yana da mafi inganci idan osteonecrosis bai ci gaba zuwa rushewar kashi ba. Tsarin da aka yi amfani dashi ga osteonecrosis sun hada da mahimmancin zuciya, dashi, gyare- gyaren kashi, da maye gurbin haɗin gwiwa .

Sources:

Osteonecrosis. Cibiyar Nazarin Arthritis da Musculoskeletal da Skin cuts (NIAMS). Yuni 2009.

Osteonecrosis. Kashi, Haɗin gwiwa da Muscle Disorders. Merck Manual. Maris 2008.