Osteomalacia: chimene icho chiri, zimayambitsa, zizindikiro, matenda ndi mankhwala mbali

Osteomalacia: ndichiyani? Matendawa ndi mineralization mkhutu minofu fupa. Chifukwa ndi olimbikitsa kwa mafupa, iwo anakhala Chimaona ndi sachedwa onse kuvulala kapena kuwonongeka. matenda Clinic akufanana rickets ana, lomwe limapezeka chifukwa chosowa vitamini D3. Izi ndondomeko dongosolo, chifukwa pali pokonza a mafupa mu thupi. Poyamba, matenda ndi osowa kwambiri. Panopa Komabe, chifukwa otaya moyo wamasiku ano, munthu aliyense chakhumi amadwala matenda. Nthawi zambiri, mafupa mineralization anati mu akazi, osteomalacia nthawi zina amapezeka mu nyama.

gulu la matenda

kudwala Izi lagawidwa mitundu, chikhalidwe cha omwe kumatengera zifukwa zina. Pa nthawi, mitundu ya osteomalacia zotsatirazi:

1) Malinga pakutchulidwa matendawa:

• chofunika, mwachitsanzo, kuperewera kwa vitamini;
• vitamini zosagwira, vutolo limachitika kuchokera mu matumbo kapena impso zotupa.

2) Malinga ndi mchitidwe mankhwala kuti kumatanthauza Polankhula:

• fosforopenicheskaya;
• kaltsiepenicheskaya.

3) Malinga kugonana ndi zaka wodwalayo:

• puerperal (osteomalacia mu amayi apakati);
• senile (ukapezeka chifukwa kusintha obwera ndi ukalamba);
• Youth (kumachitika nthawi yotha msinkhu);
• climacteric.

The zimayambitsa matenda

Kuti timvetse chifukwa pali matenda ndi zimene poyambirira izo, iyo inali yaikulu ya kafukufuku. Asayansi angazunguzike mitu chifukwa cha zomwe mafupa kukhala ofewa ndi kukhala osteomalacia. Chifukwa cha zatsopano zambiri akatswiri anapeza kuti nthendayo zowombetsa mkota. M'mawu ena, izi zikutanthauza kuti aumbike mozungulira thupi. Nthawi zambiri kuganizira ndi mu mafupa. The zifukwa zapadera lero, madokotala amavutika dzina.

Komabe, kafukufuku sinapite pachabe, ndipo anali kupeza zimene Mfundo chikoka ndondomeko imeneyi. Choncho, pali zimayambitsa zotsatirazi osteomalacia:

• kusintha m'thupi;
• losowa vitamini D3 ndi calcium mu thupi;
• matenda osachiritsika.

Mavuto ngati amenewa activators wa kupitilira matenda. M'pofunikanso kukumbukira kuti kale matendawa amapezeka, kosavuta ndi kuchiza.

Kumene kumakhudza chitukuko cha matenda?

Osteomalacia: ndichiyani? Monga tanenera kale, matenda amagwirizana ndi olimbikitsa a mafupa. Kwa zaka zambiri asayansi anayesera kupeza bwino, nchifukwa chake pali matenda? Chifukwa cha zofufuza zimayambitsa ena akhala sakudziwika. Mu oposa 60% ya odwala sanapeze chosayenerera aliyense mu kagayidwe, ndi monga mwana m'thupi anali vitamini zokwanira D. Komabe, m'zaka 30-40, aliyense wa iwo anapezeka ndi fupa mineralization. Izi zikusonyeza kuti osteomalacia mizu m'manda ku makhalidwe chibadwa.

Komanso, ofufuza anapeza zinthu mahomoni. Ndipotu, akazi pokonza mafupa opezeka mu 10 nthawi zambiri kuposa abambo. Komanso, Dziwani kuti ambiri odwala mwanjira ikukhudzana bwanji ndi nthumwi za kudzinenera yeniyeni. Kumeneku kukutanthauza ntchito m'mafakitale mankhwala, akukhala m'dera zosawononga chilengedwe akumane, ndi zina zotero D..

Zizindikiro za osteomalacia

Pali njira ziwiri kudwala matenda: zizindikiro ndi kuwonetseredwa zizindikiro zina. Mbali yoyamba nthendayo wapezeka pa X-ray, nthawi zambiri mwangozi. Koma pali zinthu zizindikiro osteomalacia chowala kwambiri.

Kusiyanitsa zizindikiro zotsatirazi matendawa:

• nthawi zonse, Sipadzakhalanso ululu. Odwala Kawirikawiri ululu mu zidendene, mawondo, nthiti, mafupa a chiuno, kuchepetsa kumbuyo. Komanso, maganizo opweteka angapeze pamene mitundu ina ya akatundu, ndi kuthamanga pa fupa;
• inayamba ululu. Chifukwa chakuti mafupa kukhala Chimaona, ngakhale katundu ang'onoang'ono dongosolo minofu ndi mafupa kungayambitse wovulala kapena mapindikidwe. Izo zimayambitsa kupweteka kwambiri maganizo pochitika ndi kubwereza posachedwapa;
• Kufooka mwa minofu. Hypovitaminosis kumabweretsa kuphwanya ntchito minofu. Motero, wodwalayo Kusakhazikika poyenda, kuyenda mkhutu kayendedwe, ndi milandu atsala zokhudzana ndi kufooka mu minofu.

diagnostics

syndrome osteomalacia amawapeza zochokera madandaulo wodwala, mbiri yake ya udokotala, kunja kuona ndi kafukufuku. Ngati matenda ndi mu magawo oyambirira, kuwulula ake mwachilungamo wophweka. Odwala likufa njira muyezo, kenako dokotala amapanga matenda.

Pankhani kumene yaitali matenda ayenera zambiri katswiri deta mtima. Kupewa ku chizindikiritso cha matenda, adokotala anafunsa wodwalayo alandire njira zina. Nthawi zambiri ndi ECG, ultrasound, ndi zina zotero. D. Chofunika, osteomalacia mu theka la milandu limodzi ndi kufooka kwa mafupa. Iwo amakhala ndi fractures angapo. Choncho, dokotala ayenera kafukufuku potengera ziyenera a mafupa.

zosokonezeka zotheka

Dziwani kuti osteomalacia ndi matenda aakulu, ndi kunyalanyaza matenda kungakhale ndi zotsatirapo zoipa. Mochedwa matenda a kungasokoneze osati pa ntchito ya mapeto a minofu ndi mafupa, komanso chamoyo wonse.

Osteomalacia: ndichiyani? Izi ndondomeko ya lifotabe maselo wakale umene china chirichonse ndi chiphinjo kwa mineralization maselo atsopano. Choncho, fupa onse akukhala "zofewa", imbaenda mapindikidwe kwambiri za mafupa a. Zimenezi, ndi mbali yaikulu pa ziwalo zofunika. Chifukwa, mapindikidwe wa thorax ndi mafupa a chiuno uka mavuto aakulu kwambiri ndi chikhodzodzo, mtima, mapapo, intestine, ndi zina zotero D..

mankhwala

Kamodzi akatswiri apeza osteomalacia wodwalayo, lipole umayamba. Kumene, pamaso kupereka njira mankhwala, muyenera kuzindikira zoyambitsazo. Madokotala amatha kudziwa, zidzakhala chigonjetso chachikulu. Ndiye mankhwalawa osteomalacia umalimbana kuchotsa zinthu zimene anthu olimbikitsa matenda.

Therapy si dokotala ndi gulu la akatswiri. Pakuti ichi ankachita gastroenterologist, dokotala, mafupa, ndi zina zotero .. Nthawi zina kwa mankhwalawa kusonkhanitsa madokotala khumi kapena kuposerapo osiyana njira zinali zothandiza kwambiri. Kupatsa mankhwala, sitingathe kuyiwala za mavuto amene angayambe nthawi iliyonse. Choncho, mtima wa akulangizidwa kukaona angapo yopapatiza akatswiri mbiri, monga cardiologist, katswiriyu kapena pulmonologist. Izi mgwirizano wa madokotala amatha kudziwa nthawi imene njira yabwino kwambiri mankhwala.

ndi mankhwala

Pambuyo othandizira kudziwika osteomalacia anasankha mankhwala njira. Pali njira ziwiri: zachipatala ndi opaleshoni. Last ntchito milandu yochepa. Pankhani ndi mankhwala, tichipeza makamaka a jekeseni Mlingo waukulu vitamini D. kutumikiridwa poyamba, pang'onopang'ono kuchepetsa iwo mu njira ya mankhwala. Komanso, nthawi zambiri madokotala mankhwala ingestion mavitamini B ndi C.

chakuti zimakhudza mozungulira pa kashiamu ndi phosphorous kagayidwe ndi matenda wamanjenje dongosolo. Makamaka ogwira mtima ndi pamene minofu kufooka anachititsa osteomalacia. Mavitamini B ndi C Cholinga chake cholimbikitsa ntchito vitamini D. Dziwani kuti mankhwala ayenera kuchitidwa kuyang'aniridwa okhwima dokotala. Ichi ndi chifukwa chakuti phwando mankhwala amafuna polojekiti zonse mkodzo ndi magazi magawo ndipo ngati Mlingo zofunika kusintha.

alowererepo opaleshoni

Monga tanenera kale, njira imeneyi ntchito milandu yochepa. Izo ntchito zinthu zotsatirazi:

• pamene fupa mapindikidwe disrupts mkati ziwalo zofunika kwambiri. Pankhaniyi, madokotala amagwiritsa ntchito vertebroplasty. Ndi kulimbitsa vertebral ntchito simenti ndi ma polima zachipatala. Nthawi zina amagwiritsa ntchito potseka nthiti ndi mafupa m'chiuno ndi ziwembu wapadera;
• fractures angapo, limodzi ndi machiritso pang'onopang'ono. Kenako madokotala analimbikitsa oyamba a nyumba thanzi, amene adzakonza fupa mu malo olondola. Kamangidwe kameneka aikidwa pa nthawi ya maphatikizidwe ndi tichipeza chitsulo kapena polima.

Mulimonse, mfundo zimenezi yotentha ndi dokotala pa chilolezo cha wodwalayo.

Kodi matenda a osteomalacia amakhudza njira ya moyo?

Zizindikiro ndi mankhwala a osteomalacia ndi mphamvu pa moyo wa wodwalayo. Iye alipo nthawi zonse kukhala ndi kukonzanso wathunthu, komanso kusintha mu zakudya.

Choncho, ena nsonga kwa akatswiri:

• sitepe yoyamba ndi m'malo ochiritsira mite matiresi ndi mafupa. Ndi zofunika kuti pali kuuma mabacteria osiyana Amawapatsa uzigawidwa yake ya kulemera kwa thupi. Popeza olimbikitsa mafupa kungayambitse mavuto ndi msana, lamulo limeneli sitingakane. Muyeneranso kulenga zochita zanu za tsiku ndi tsiku kuti panali nthawi zina zabwino;
• ngati ntchito pamafunika kukhala mu malo malo amodzi kwa nthawi yaitali, ndiye muyenera pafupipafupi osachepera 1 nthawi paola kudzuka ndi kuchita kulimbitsa thupi. Wokwanira kuti aziwoneka ngati mphindi pang'ono mozungulira ofesi kapena apite ndege imodzi masitepe;
• ndi kofunika kupitiriza kumwa boma. Lamulo limeneli n'kofunika kwambiri ngati limodzi ndi osteomalacia kufooka kwa mafupa. Tiyenera kukumbukira kuti buku lonse la madzimadzi sayenera upambana malita 2 pa tsiku. Dokotala kupezeka adzanena zolondola kumwa boma, ndipo ayenera kutsatira;
• Ngati wodwala onenepa, muyenera mphamvu zonse kuyesa kuchotsa izo. Kuchepetsa thupi kungachepetse katundu fupa.

Pomaliza

Osteomalacia: ndichiyani? M'nkhaniyi, ife anayang'ana pa chiphunzitso cha. matenda wofanana ndi chisokonezo cha mineralization minofu fupa. Chifukwa cha kukhudzana amenewa ndi Chinachepa mafupa, imbaenda zotsatira zoipa.

Pambuyo kudziwika kudwala n'kofunika kutsatira ndi ganizo la dotoloyo. Monga mmene kumapeto, mu chitukuko kulangidwa odwala osteomalacia anaima ndi ululu kusiyiratu. Nthawi zina pangakhale mankhwala wopunduka anatomical. Choncho, kuchotsa matenda, m'pofunika kuti aziona kwambiri thanzi lawo ndi kumvetsera kwa dokotala.