Osteosclerosis ndi kuwonjezeka, komwe kumapezeka kapena kufalikira, mu kachulukidwe ka mafupa. Matendawa nthawi zambiri amatengera zizindikiro komanso mayeso a x-ray. Zizindikiro zofala kwambiri ndi fragility ya fupa, morphological and blood abnormalities. Palibe chithandizo cha osteosclerosis, chomwe nthawi zambiri chimakhala chosasinthika, koma zakudya ndi masewera olimbitsa thupi nthawi zonse zingalepheretse kuyambika kwake ndi kukula kwake. 

Tanthauzo

Osteosclerosis imadziwika ndi kukhuthala kwa fupa la trabecular zomwe zimapangitsa kuti mafupa achuluke. Komanso amatchedwa cancellous bone, trabecular bone ndi gawo lapakati la mafupa. Amakhala ndi zipatala mu mawonekedwe a mbale kapena mizati olumikizidwa kwa wina ndi mzake ndipo atazunguliridwa ndi minofu wapangidwa mafuta ndi tsinde maselo, ndipo kwambiri vascularized. Fupa la sponji limayimira 20% yokha ya mafupa akuluakulu, makamaka amapanga mafupa ang'onoang'ono (vertebrae).

mitundu

Pali mitundu iwiri ya osteosclerosis:

• Kumaloko, pamlingo wa gawo laling'ono la mafupa;
• Kufalikira, pamene zimakhudza dera lalikulu la mafupa (mwachitsanzo msana wonse).

Zimayambitsa

Matenda a mafupa

Osteosclerosis imatha kuchitika chifukwa cha kuwonongeka kwa mafupa monga kusweka kwa fupa, kutupa kwa mafupa, khansa ya m'mafupa, kapena osteoarthritis.

Osteop Petrosis

Osteopetrosis ndi mtundu wodziwika bwino wa osteoclerosis. Osteopetrosis ndi matenda osowa cholowa makamaka chifukwa cha kukanika kwa osteoclasts, maselo amene amayang'anira kuwononga mafupa akale. Popeza thupi silibwezeretsanso maselo akale a mafupa, kumabweretsa kuchulukirachulukira kwa mafupa ndikusintha mawonekedwe a fupa. Pali mitundu yosiyanasiyana ya osteopetrosis yomwe imasiyanasiyana kuchokera ku imfa mu utero mpaka mawonekedwe otsala asymptomatic.

Mafupa a dysplasia

Osteosclerosis imatha kuchitika panthawi ya fupa la dysplasia, vuto lakukula kwa fupa lomwe limabweretsa kusakhazikika kwa mawonekedwe, kuchuluka kapena ntchito. Bone dysplasia ingakhudze mafupa a chigaza, nkhope, mafupa aatali a thupi, kapena mafupa onse. 

Osteosclerosis imatha kuwonekeranso m'matenda ochulukirapo omwe amakhudzanso mafupa a dysplasia, makamaka hyperostosis (matenda a Caffey, melorheositis), Worth's syndrome, hyperostotic Lenz-Majewski dwarfism, matenda a Pyle, matenda a Engelmann kapena pycnodysostosis yodziwika ndi osteosteosis, mafupa, kutalika kwafupi komanso kufooka kwa mafupa.

Matenda a metabolic

Osteosclerosis imatha kuwonekeranso m'matenda ena a metabolism monga:

• Poizoni ndi lead, arsenic, beryllium kapena bismuth;
• kuchuluka kwa vitamini A ndi D;
• Osteosclerosis yokhudzana ndi kachilombo ka hepatitis C;
• Fluorosis, matenda okhudzana ndi kuchuluka kwa fluoride;
• Pseudohypoparathyroidism, gulu la matenda osowa kwambiri yodziwika ndi chilema mu mawu a parathyroid timadzi, timadzi kuti nthawi kashiamu m'magazi;
• Osteomalacia, osteomalacia wamba mwa akuluakulu, makamaka okhudzana ndi kusowa kwa vitamini D ndipo amadziwika ndi vuto la mafupa a mafupa;
• Impso kulephera;
• Rickets, matenda omwe amadziwika ndi kusakwanira kwa mafupa ndi ma cartilages komanso chifukwa cha kusowa kwa vitamini D ndi calcium.

   

Zoyambitsa zina

Osteosclerosis imatha kuwonekera nthawi zina:

• ionizing poizoniyu kapena mtsempha wa mankhwala poizoni;
• Lymphomas
• Leukemia;
• Sarcoidosis, matenda otupa osadziwika bwino; 
• Matenda a Paget, matenda oopsa, omwe amadziwika ndi kuwonjezeka kwa mafupa;
• Makhansa ena a magazi (matenda a Vaquez) kapena a msana (myelofibrosis);
• Kuchepa kwa magazi m'thupi;
• Osteomyelitis, matenda a mafupa omwe nthawi zambiri amayamba chifukwa cha mabakiteriya;

matenda

Matendawa nthawi zambiri amatengera zizindikiro ndi mayeso a x-ray:

• Ma radiology wamba amathandizira kuwonetsa mafupa owirira komanso osasintha;
• Kuwerengedwa kwa tomography kumathandiza kuti muzindikire kuthekera kwa mitsempha m'mutu;
• Kujambula kwa maginito (MRI) kumayesa ntchito ya fupa;
• Scintigraphy ya mafupa imatha kuzindikira madera akhatho kwambiri omwe amawoneka osasintha pazithunzizo.

Nthawi zina, kuyezetsa magazi ndi kuyezetsa magazi kungafunike kuti adziwe matenda. Osteosclerosis imatha kuchitika pazaka zonse, mwa amuna ndi akazi.

Osteosclerosis imatha kukhala yopanda zizindikiro, koma imatha kuyambitsanso zizindikiro zosiyanasiyana malinga ndi zomwe zimayambitsa.

Kufooka kwa mafupa

Kuchulukana kwa mafupa kumafooketsa dongosolo la mafupa, mafupa amathyoka mosavuta.

Matenda a morphological

Ikakhala ndi chibadwa, osteosclerosis imatha kuyambitsa kusakhazikika kwa mafupa omwe amachititsa kuti mafupa apangidwe (pamphumi yodziwika bwino, kuchepa kwa kukula; kuwonjezeka kwa chigaza, manja kapena mapazi, ndi zina zotero.)

Zovuta zamagazi

Kuwonjezeka kwa kuchulukitsitsa kwa mafupa kumabweretsa kuchepa kwa mafupa omwe angapangitse kuchepa kwa maselo a magazi omwe amachititsa kuti magazi awonongeke (kumayambitsa kutopa kwakukulu), matenda kapena kutuluka magazi.

Kuchuluka kwa intracranial pressure

Pamene osteosclerosis amakhudza mafupa a chigaza, makamaka ena osteopetrosis, kungachititse kuti kuchuluka intracranial kuthamanga ndi compress cranial minyewa kuchititsa nkhope ziwalo, kuchepa masomphenya ndi / kapena kumva.

Palibe chithandizo cha osteosclerosis yomwe nthawi zambiri imakhala yosasinthika. Komabe, ndizotheka kuganizira:

• Kutenga corticosteroids kulimbitsa mafupa;
• Kuika mafupa a mafupa a osteopetrosis omwe amadziwonetsera ali mwana;
• Opaleshoni yapulasitiki kukonza zolakwika zam'mafupa, makamaka kumaso ndi nsagwada.

Kuonjezera apo, fractures, kuchepa kwa magazi m'thupi, kutaya magazi, zofooka (calcium ndi vitamini) ndi matenda ayenera kuchitidwa nthawi ndi nthawi. Kutaya thupi kumathandiza kuchepetsa katundu pa mafupa. 

zakudya

Kuperewera kwa vitamini ndi kashiamu kumatha kupewedwa ndi zakudya motengera:

• Zakudya zokhala ndi calcium yambiri: mkaka, masamba obiriwira, zipatso zina, mtedza ndi nsomba zamzitini monga sardine;
• Zakudya zokhala ndi vitamini D monga nsomba zamafuta, mazira ndi chiwindi

Zochita zathupi

Zochita zolimbitsa thupi zolemetsa monga kukwera maulendo, kuthamanga, kuvina, kusewera masewera a mpira, ndi kuyenda mofulumira zimagwirizanitsidwa ndi kuchepetsedwa kwa chiopsezo cha osteoporosis. Maphunziro a mphamvu amathandizanso. Pomaliza, yoga ndi pilates zimalimbitsa mphamvu komanso kukhazikika.