Diffuse osteoporosis: matšoao a le kalafo

Ho fihlela joale, ho lefu ea tsamaiso ea musculoskeletal fetohile monyenyane. Ha lilemo tse mashome a 'maloa feela tse fetileng, ho ne ho nahanoa hore mathata a joalo e ama batho ka ho lilemo tse, hona joale e haufi le liofisi tsa osteopaths, masapo lesapo la mokokotlo' me u ka bona e ngata haholo ba bacha. Diffuse osteoporosis ba boetse ba nkoa e le "hlasimolohile" lefu hloka tepelletse maikutlong akaretsang le kalafo.

ke eng lefu lena?

Tahlehelo ya bone bone segokanyipalo, brittleness le fragility tsa masapo kaofela, thinning ea dinama tse nyenyane tse lesapo - the liponahatso tsohle tsa sehlooho tsa osteoporosis diffuse. Bapisoa le mofuta o tloaelehileng oa lefu lena le, liphetoho ha ba bang ba sebakeng seo a le mong, le phelang ka kakaretso. Lefu lena le e tšoauoa ka ho phatlalatsoe bohloko lefu hore eu tšoenyang motho, eseng feela ha u khanna kapa Mokhathala 'meleng, empa hape phomotse. Ka tšoanang le eo, e ile ea eketseha ho sekamela ho tshenyo le fractures.

Diffuse osteoporosis ke kotsi hobane e fumanoa ka nako ea liphetoho tse tebileng masapo, hobane matšoao a lekgetlo la ntlha ha e itseng 'me a ka ba le sieo ka ho feletseng.

causation ea lefu

opereishene tlwaelehileng ea 'mele e amana ho dithulaganyo tse peli e tšoanang: sebopeho sa lesapo dinama tse nyenyane tse le ho timetsoa ha eona. Tlōlo ea ho leka-lekana ena le matsapa tsa catabolism isang brittleness le fokotseha lesapo segokanyipalo. Tshebetso ena e go tlhofofadiwa ke lintlha tse latelang:

1. lilemo mokuli a - likokoana-hloko botsofali ha e so hlakoloa. Ka mor'a lilemo tse 50 tsa puso ea tsamaiso ea musculoskeletal e bo ntse bo mpefala, e le tshebetso ya makala haholo.
2. liphetoho hormonal amanang le menopause, tlosa makala e motšehali ho ikatisa le ho litsoelesa, liphetoho litsoelesa adrenal le thyroid.
3. Hypovitaminosis D, susumelletsang motho malabsorption oona tsamaisong lesapo k'halsiamo.
4. tšebeliso ea nako e telele ea meriana (li-hormone, lithethefatsi immunosuppressive, antacids, anticonvulsants).
5. Tahi le ho tsuba.
6. Ka tsela e feteletseng ho ikoetlisa.
7. Ho ba teng ha lihlahala.
8. Lefa predisposition.

setshwantsho ea tleleniki

Bakeng sa nako e telele le lefu lena ha e na le matšoao a liponahatso hore eketsa boima ba 'mele oa fumanoe qalong. Maemong a mangata, mokuli o ithuta ka boloetse ba hae ka mor'a bobe. Diffuse osteoporosis ba lesapo la mokokotlo a tsamaea le matšoao a latelang:

• ea fokotseha ka khōlo ea ka emetse disentimitara tse seng kae;
• theha hump mele tlōla;
• bohloko ea kamehla;
• deformation ea sefuba;
• tlhokeho ya mola thekeng;
• fokotseha ka bokgoni;
• mokhathala ka potlako.

Diffuse osteoporosis, ho ruruha ea manonyello a le bontšoang kateng, tsamaiso e fokolang, opeloa, spasms mesifa ea maoto le matsoho e ka tlaase.

Ka belaela letotong la lefu lena?

bakuli ba seng feela, empa hape ditsebi le lilemo tse ngata tsa liketso, ka ho ferekanngoa le osteoporosis, mafu a hlabang la manonyeletso. Hangata e mafu tsena li etsahala ka nako e tšoanang, leha ho le joalo, tsena ke tse peli tse fapaneng ka ho feletseng lefu tse hlokang hore ho nahanela e khethehileng.

Ka bomalimabe, diffuse lesapo osteoporosis etsa ka boeona ikutloa kateng ka mor'a fractures. The diso ho fetisisa bath a compression fractures la mokokotlo, le femoral kapa radial lesapo hore etsahala ka mor'a kgahlamelo ya maqhubu a fokolang haholo ho Ntlha e sithabetsang. Ho ea ka lipalo-palo, halofo ea bakuli ba ileng ba amohela compression senya, sa tsebe hore na ponahalo ea bona. , Ho phaella ho bohloko eeng moriting morao, ha ho na matšoao a ka 'na sa tšoenya.

Ka mor'a likhoeli tse seng kae, esita le lefu bohloko disappears, le mamello ke hlokomele mathata a ho fihlela mo ntša kotsi le hlahlamang. bohloko bo phehellang le na letho ho etsa le fractures joalo itseng le ka 'na ba e bontsha gore go ya myeloid kankere ea mali kapa lesapo metastases.

X-ray tlhlahlobo ho fumana hore na liponahatso ea pele ea lefu lena le ho bontšoa ho batho bohle e ne e akarelletsa ho sehlopha kotsi. Hona ho kenyeletsa batho ba nang le maemo a latelang:

• mathoasong a menopause;
• ka nako e telele hormonal lithethefatsi;
• ho ba teng ha fractures khafetsa pele ka ba lilemo li 40;
• BMI e ka tlase e tloaelehileng;
• histori e rarahaneng lelapa ka mafu a ea tsamaiso ea musculoskeletal.

mehato tekotshupo

Diffuse osteoporosis hloka feletseng kalafo akaretsang, empa ho ka etsahala feela ka mor'a ho hlahloba ka ho feletseng ea 'mele, ho lumella ho fumana hore na boemo ba masapo tsohle. Ka mor'a ho bokella histori ea bophelo le lefu setsebi laela mokuli ho X-ray itlhahloba, eo lumella ho hlahloba matšoao tse latelang tsa osteoporosis diffuse:

• fokotswa lesapo segokanyipalo;
• thinning ea vertebrae ea;
• ho tepella maikutlo ea discs intervertebral 'meleng vertebral;
• boteng ba osteophyte (lesapo overgrowth ya dinama tse nyenyane tse ka mokgwa wa hillocks kapa spines).

Radiography ke rutang mokhoa oa ho hlahloba ka, empa ha ho na liphetoho ikemiselitse lintlafatso makolopetso. E mong a ka bona feela setshwantsho ka kakaretso. Bakeng sa ho feta ka botebo tekotshupo tšebeliso lesapo densitometry e lumellang ho fumana hore na "chelete" ba dinama tse nyenyane tse masapo.

Joalo dinyakisiso e ka ho phethahatsoa sebelisa efe kapa efe ya mekhoa maemo a tepelletse maikutlong, Leha ho le joalo, e nkoa e le e atileng ka ho fetisisa X-ray absorptiometry, eo dumella ho bona hore lesapo matsoai segokanyipalo. Mokuli e behoa tafole e khethehileng, hammoho eo itlho tsamaea. Tsamaiso le ha a hloke ho fana ka koetliso e khethehileng. RA e na le mekhoa e 'meli tekotshupo: pheriferale lumella ho bolela ka ho toba segokanyipalo sa la masapo a letsoho, wrist, kapa calcaneus, le setsi - ba femur le masapo a mokokotlo.

The mokhoa latelang sebelisoa ho phapang le lefu lena e ea computed tomography. Sephetho phuputso e entsoeng ho etsa hore ho be bonolo ho a bale indices itseng tsa segokanyipalo, ho itšetlehile ka boima ba 'mele le lilemo tsa ba le mamello.

melao-motheo ea phekolo

Diffuse osteoporosis, kalafo lokela ho etsoa litsi tse khethehileng, a tsitsinkela moqotetsane, hloka ho kenya letsoho ha ditsebi 'maloa (endocrinologist, rheumatologist, boloetse ba methapo). Kgetho ya lingaka ho kenya letsoho ha ho itšetlehile ka sesosa sa lefu lena. The hangata ho fetisisa amehang setsebi endocrinologist.

Phekolo ea osteoporosis lokela ho phethahatsoa ka nako le kalafo ya mafu a e bakileng lona ketsahalo (hyperthyroidism, hypothyroidism, hypogonadism le sa t. D.). Diffuse osteoporosis hloka lihlopha tse latelang lithethefatsi:

1. Nonsteroidal-ba khahlanong le a hlabang lithethefatsi - imolla bohloko, felisa ho ruruha, cropped matšoao a hlabang itšoara joang ( "Movalis" "Revmoksikam").
2. Ho bolela slowing fatše timetso ea lesapo dinama tse nyenyane tse ( "Osteohin", "Miakaltsik").
3. K'halsiamo.
4. Derivatives oa vithamine D.
5. Lithethefatsi tse susumelletsang hore mosebetsi oa osteoblasts ( "Ossin").
6. Steroid ama nchafatso ea lesapo dinama tse nyenyane tse ( "teriparatide," "Testosterone").
7. Calcitonin ka tlōlo ea mesebetsi thyroid tsoelesa e.
8. Ka menopause e behiloeng estrogen bananeng le progesterone lithethefatsi ka phekolo Phetolo.
9. Bakeng sa ditlolo ea lihlooho tsa puisano li sebelisoa le dikarolo-ba khahlanong le a hlabang.

Ho lumelloa ho sebelisa ea physiotherapy, ka ho khetheha, phonophoresis, ultrasound phekolo a khoheli, sililoa, phekolo tsa boitlhakiso likarolo.

mehato e thibelang

phepo e nepahetseng ke e 'ngoe ea lintlha tse ho thibela se feela diffuse, empa hape mefuta e meng ea osteoporosis. Hammoho le lihlahisoa tsa ka e lokela ho fanoa e le chelete e lekaneng ea divithamini le liminerale, haholo-holo khalsiamo. Hanela ho tsuba le ho sebelisa joala hampe le tsona li phetha karolo ea bohlokoa ka ho thibelo ya.

batho ba hōlileng le ba neng ba ile ba oela sehlopha kotsi bakeng sa lefu lena, lokela ho feta ho hlahloba ka nako le nako, e le hore ho fumana hore na letotong la lefu lena le ka mekhahlelo ba pele.

bofello

diffuse osteoporosis kalafo ke le le raraaneng le e telele thulaganyong, eo ka linako tse ling ba le sephetho sa tšoanelang. Ho bonolo ho thibela lefu lena le, ho latela keletso setsebi ho feta ho qeta chelete e ngata ea, nako le matla a ho loantša le eena.