Muchidimbu chekurapa, kuzvimba kunoreva kuzvimba kwetishu, nhengo kana chikamu chemuviri. Izvi zvinogona kubatanidzwa nekuzvimba, edema, post-traumatic hematoma, abscess kana kunyangwe bundu. Icho chikonzero chenguva zhinji chekutaurirana nachiremba. Zviratidzo zvinosiyana zvichienderana nehunhu uye nzvimbo yekuzvimba. Kuzvimba chiratidzo chekiriniki, kwete chiratidzo. Iko kuongororwa kuchadzoserwa zvinoenderana nezviri kutaurwa uye kuchatsigirwa nemimwe bvunzo (x-rays, ultrasound, MRI, scanner). Iyo yekurapa inoenderanawo nerudzi rwekuzvimba, uye kunyanya chikonzero chayo.

Kana izwi rekuti "kuzvimba kwepfupa" rikashandiswa zvishoma, zvichinyatso kutaura, munyika yekurapa, mamwe mamota anokanganisa kumeso kwepfupa anogona kuperekedzwa nekuzvimba kunoonekwa pakurova. Bone bundu ndiko kukura kwehutachiona hutachiona mukati mefupa. Mazhinji mapundu emapfupa ane hutachiona (husina cancer) uchienzaniswa nemamota akaipa (ane gomarara). Wechipiri musiyano mukuru kupatsanura maturu "epakutanga", anowanzo kuve akaipa, kubva kune yechipiri (metastatic) inogara yakaipa.

Bhenign (isina-cancer) bundu bundu ibundu risingatambanuke kune zvimwe zvikamu zvemuviri (kwete metastasize). Bundu rinotyisa kazhinji harisi kutyisidzira hupenyu. Mazhinji asina-kenza mapundu mapfupa anobviswa nekuvhiyiwa kana kurapwa, uye kazhinji haadzoke (kudzoka).

Mapundu ekutanga anotanga mupfupa uye anogona kunge ari benign kana, zvakanyanya kushomeka, akaipa. Hapana chikonzero kana fungidziro yechinhu inotsanangura kuti sei kana kuti vanoonekwa sei. Kana zviripo, zviratidzo zvinowanzo kuve maronda epamhepo pane pfupa rinotsigira, rakadzika uye rinogara risingapfuure, kusiyana neosteoarthritis, risingadzikire kana razorora. Kunyanya kusarudzika, bundu rinoita kuti mapfupa emuviri asaonekwa rinoratidzwa nekutyoka "kunoshamisa" nekuti kunoitika mushure mekukuvara kudiki.

Kune akawanda marudzi akasiyana ebenign bundu ane hukama nemhando dzakasiyana dzemasero anoigadzira: isiri-ossifying fibroma, osteoid osteoma, hofori sero bundu, osteochondroma, chondroma. Ivo vanonyanya kubata vechidiki uye vechidiki vakuru, asiwo vana. Hunhu hwavo hunoratidzwa nekunonoka kwavo kwekushanduka-shanduka uye kusavapo kwekupararira kuri kure. Nzvimbo dzawo dzakajairika dziri padyo nemabvi, chiuno, uye nzvimbo yepafudzi.

Semutemo wakajairika, kunze kwemamota mashoma (asiri-ossifying fibroma), zvinokurudzirwa kubvisa bundu kubvisa kusagadzikana kana kurwadziwa, kuderedza njodzi yekutyoka kana, kazhinji kacho, kudzivirira kubva pakushanduka. mune bundu rakaipa. Iko kuvhiya kunoenderana nekuita kubvisa (kubvisa) kwechikamu chakakanganiswa chefupa, mukugadzirisa nzvimbo yakabviswa uye pamwe nekusimbisa pfupa nesimbi yekuvhiya kana osteosynthesis. Iyo yakabviswa bundu vhoriyamu inogona kuzadzwa nefupa kubva kumurwere (autograft) kana pfupa kubva kune mumwe murwere (allograft).

Mamwe mamota ane bundu haana zviratidzo kana kurwadziwa. Iyo dzimwe nguva inotsvaga kuwanikwa kweiyo radiology. Dzimwe nguva marwadzo ari mufupa rakakanganiswa rinoda kuongororwa kwakazara kweradiology (X-ray, CT scan, kunyangwe MRI). Muzviitiko zvakawanda, kufungidzira kwekurapa kunoita kuti zvikwanisike kunyatsoziva uye nekutsanangudza rudzi rwechirwere, nekuda kwechitarisiko chayo chakanyanya. Mune zvimwe zviitiko apo iyo yekupedzisira kuongororwa isingakwanise kuitwa, chete pfupa biopsy ndiyo inosimbisa kuongororwa uye kutonga chero fungidziro yechirwere chakaipa. Iyo pfupa sampuro ichaongororwa nachiremba.

Cherekedza yakatarwa ye osteoid osteoma, bundu diki remamirimita mashoma muhupamhi, kazhinji rinorwadza, iro iro kuvhiya kusingaitwe nachiremba anovhiya asi nachiremba wechirwere. Bundu iri rinoparadzwa zvine hunyanzvi nema electrode maviri akaunzwa mariri, pasi pekutarisa scanner.

Zvipembenene zvakashata zvinokanganisa mapfupa hazviwanzo uye zvinokanganisa vechidiki nevakuru vechidiki. Iwo maviri makuru marudzi eanosemesa mapfupa bundu mune iri zera boka (90% yemapfupa malignancies) ndeaya:

• osteosarcoma, yakanyanya kuwanda yekenza yemapfupa, zana kusvika zana nemakumi mashanu emakesi matsva pagore, kazhinji murume;
• Ewing's sarcoma, bundu risingawanzo rinobata vanhu vatatu mumamirioni pagore muFrance.

Marwadzo anoramba ari chiratidzo chikuru chekufona. Iko kudzokorora uye kushingirira kwemarwadzo aya, ayo anodzivirira kurara kana kujairika, ipapo kuoneka kwekuzvimba kunotungamira mukukumbira bvunzo (X-ray, scanner, MRI) izvo zvinoita kuti kufungidzira kuongororwa. Aya mamota haana kujairika uye anofanirwa kurapwa munzvimbo dzehunyanzvi.

Kuvhiya ndiro dombo repakona rekurapa kurapwa kwesarcomas, pazvinogoneka uye chirwere hachina metastatic. Inogona kusanganiswa ne radiotherapy uye chemotherapy. Sarudzo yekurapa inoitwa nenzira yakabatana pakati pevanyanzvi vanobva kwakasiyana maitiro (kuvhiya, radiotherapy, oncology, imaging, anatomopathology) uye inogara ichifunga nezve kusiana kwemurwere mumwe nemumwe.

Iwo makuru mamota anogona kukonzera bone metastases (sekondari mamota) mazamu, itsvo, prostate, thyroid uye mapapu kenza. Kurapa kweaya metastases kunovavarira kuvandudza hupenyu hwemurwere, nekudzora marwadzo uye nekuderedza njodzi yekutyoka. Izvo zvinosarudzwa pamusoro uye kuongororwa neboka rezvemhando dzakasiyana (oncologist, chiremba, radiotherapist, nezvimwewo).