Osteosclerosis kuwedzera, kunowanikwa munharaunda kana kupararira, muhutano hwemapfupa. Kuongororwa kunowanzoenderana nezviratidzo uye seti ye x-ray bvunzo. Zviratidzo zvinonyanya kuzivikanwa ndeye fragility yemapfupa, morphological uye kusagadzikana kweropa. Iko hakuna kurapwa kweosteosclerosis, iyo isingadzokerike, asi kudya uye kugara uchisimbisa muviri kunogona kudzivirira kutanga kwayo uye kukura. 

tsananguro

Osteosclerosis inoratidzwa nekukora kwepfupa retrabecular zvichikonzera kuwedzera kwepfupa density. Iyo inonziwo cancellous bone, trabecular bone ndiyo iri pakati pemapfupa. Iyo ine spans muchimiro chendiro kana makoramu akabatana kune mumwe nemumwe uye akakomberedzwa nematishu anoumbwa nemafuta uye stem masero, uye yakanyanya vascularized. Spongy bone inomiririra 20% chete yeskeleton yevakuru, inonyanya kugadzira mapfupa maduku (vertebrae).

Types

Kune marudzi maviri eosteosclerosis:

• Localized, pamwero wechikamu chidiki cheskeleton;
• Diffus, kana ichikanganisa nzvimbo yakakura yeskeleton (semuenzaniso musana wese).

Zvinokonzera

Maronda emapfupa

Osteosclerosis inogona kuitika sekuita kukuvadzwa kwebhonzo sekutsemuka kwebhonzo, kuzvimba kwebhonzo, cancer yemapfupa, kana osteoarthritis.

Osteopetrosis

Osteopetrosis ndiyo inonyanya kuzivikanwa fomu ye osteoclerosis. Osteopetrosis chirwere chisingawanzo kugarwa nhaka kunyanya nekuda kwekusashanda kwemaosteoclasts, masero anotarisira kuparadza mapfupa ekare. Sezvo muviri usingadzokorore masero emapfupa ekare, zvinotungamira kukuwedzera kwepfupa uye kuchinjwa chimiro chebhonzo. Kune marudzi akasiyana eosteopetrosis ayo anosiyana kubva pakufa muchibereko kusvika pachimiro chakasara chisina asymptomatic.

Bone dysplasias

Osteosclerosis inogona kuitika panguva yefupa dysplasia, chirwere chekukura kwepfupa chinokonzera kusakanganiswa kwechimiro, huwandu kana basa. Bone dysplasia inogona kukanganisa mapfupa edehenya, chiso, mapfupa marefu emuviri, kana skeleton yese. 

Osteosclerosis inogonawo kuzviratidza mumamiriro ezvakakura pathologies zvakare inosanganisira bone dysplasia, kunyanya hyperostosis (chirwere cheCaffey, melorheositis), Worth's syndrome, hyperostotic Lenz-Majewski dwarfism, chirwere chePyle, chirwere cheEngelmann kana pycnodysostosis inoratidzwa neosteosclerosis. skeleton, hurefu hupfupi uye fragility yebhonzo.

Metabolic zvirwere

Osteosclerosis inogonawo kuzviratidza mune zvimwe zvirwere zvemagetsi zvakadai se:

• Chepfu nemutobvu, arsenic, beryllium kana bismuth;
• Kuwanda kwevhitamini A uye D;
• Osteosclerosis yakabatana nehutachiona hweH hepatitis C;
• Fluorosis, chirwere chakabatana nekuwanda kwefluorides;
• Pseudohypoparathyroidism, boka rezvirwere zvisingawanzoitiki zvinoratidzirwa nekuremara mukutaura kweparathyroid hormone, hormone inogadzirisa chiyero che calcium muropa;
• Osteomalacia, a generalized osteopathy muvanhu vakuru, inonyanya kubatanidzwa nekushayikwa kwevhitamini D uye inoratidzirwa nekukanganiswa kwefupa mineralization;
• itsvo kukundikana;
• Rickets, zvirwere zvinoratidzirwa nekusakwana calcification yemapfupa uye cartilages uye nekuda kwevhitamini D uye kushomeka kwecalcium.

   

Zvimwe zvinokonzeresa

Osteosclerosis inogona kuzviratidza mune zvimwe zviitiko:

• Ionizing mwaranzi kana intravenous zvinodhaka chepfu;
• Lymphomas
• Leukemias;
• Sarcoidosis, chirwere chinoputika chechirwere chisingazivikanwi chikonzero; 
• Chirwere chePaget, chirwere chisingafadzi, chinowanikwa munharaunda chinoratidzwa nekuwedzerwa kwepfupa;
• Mamwe magomarara eropa (Vaquez's disease) kana emuzongoza (myelofibrosis);
• anemias;
• Osteomyelitis, chirwere chepfupa chinowanzokonzerwa nebhakitiriya;

chirwere

Kuongororwa kunowanzoenderana nezviratidzo uye seti ye x-ray bvunzo:

• Radiology yakajairwa inoita kuti zvikwanise kujekesa mapfupa akaomarara uye asina kuumbika;
• Computed tomography inoita kuti zvikwanisike kuongorora zvinogona kuitika zvetsinga mudehenya;
• Magnetic resonance imaging (MRI) inoyera basa remapfupa emapfupa;
• Bone scintigraphy inogona kuona iyo nzvimbo dzakanyanya kutaridzika dzinoita sedzakanyanya pamifananidzo.

Mune zvimwe zviitiko, kuongororwa ropa uye kuongororwa kweropa kunogona kudiwa kuti zviongororwe. Osteosclerosis inogona kuitika pamazera ese, muvarume nevakadzi.

Osteosclerosis inogona kunge isina zviratidzo, asi inogonawo kutungamirira kukukura kwezviratidzo zvakasiyana zvichienderana nechikonzero chayo.

Bone fragility

Iko kukora kwemapfupa kunonetesa chimiro chepfupa, mapfupa anotsemuka nyore nyore.

Morphological abnormalities

Kana iine genetic mavambo, osteosclerosis inogona kukonzera kusagadzikana mukukura kwebhonzo zvichikonzera morphological deformation yezvimiro zvebhonzo (yakakurumbira huma; kukura kwekukura; kuwedzera kwevhoriyamu yedehenya, maoko kana tsoka, nezvimwewo.)

Ropa kusanzwisisika

Kuwedzera kwehutano hwemapfupa kunokonzera kuderera kwehuwandu hwemapfupa emapfupa izvo zvinogona kukonzera kuderera kwekugadzirwa kwemasero eropa kunotungamirira kuanemia (inokonzera kuneta kwakanyanya), zvirwere kana kubuda ropa.

Kuwedzerwa kudzvinyirira kusinganzwisisiki

Kana osteosclerosis inokanganisa mapfupa edehenya, kunyanya mune imwe osteopetrosis, inogona kutungamira mukuwedzera intracranial pressure uye kumanikidza cranial nerves inokonzera kuremara kwechiso, kuderera kwekuona uye / kana kunzwa.

Iko hakuna kurapwa kweosteosclerosis iyo inowanzosachinja. Zvisinei, zvinokwanisika kufunga:

• Kutora corticosteroids kusimbisa mapfupa;
• Bone marrow kuisirwa ye osteopetrosis inozviratidza muhucheche;
• Kuvhiya kwepurasitiki kugadzirisa kwakakomba kwemapfupa, kunyanya kumeso nesaya.

Mukuwedzera, kuputsika, kupererwa neropa, kubuda ropa, kushaya simba (calcium nevhitamini) uye zvirwere zvinofanira kurapwa pane imwe nyaya-ne-case basis. Kurasikirwa uremu kunobatsira kuderedza mutoro pamapfupa. 

dhayeti

Vitamin uye calcium kushomeka kunogona kudzivirirwa nekudya kunoenderana ne:

• Zvokudya zvakapfuma mu calcium: zvigadzirwa zvemukaka, miriwo yakasvibirira, mimwe michero, nzungu uye hove dzomumagaba dzakadai sardines;
• Zvokudya zvakapfuma muvhitamini D sehove dzine mafuta, mazai uye chiropa

Basa rechiito

Maekisesaizi ekutakura uremu akadai sekufamba, kumhanya, kutamba, kutamba mitambo yebhora, uye kufamba-famba kwakabatana nengozi yakaderedzwa yeosteoporosis. Kudzidzisa simba kunobatsirawo. Pakupedzisira, yoga uye pilates inovandudza simba uye kuenzanisa.