I-Osteosclerosis ukwanda, okwasendaweni noma ukusakazeka, ekuqineni kwamathambo. Ukuxilongwa ngokuvamile kusekelwe ezimpawini kanye nesethi yokuhlolwa kwe-x-ray. Izimpawu ezivame kakhulu ukuqina kwethambo, ukungahambi kahle kwe-morphological kanye negazi. Akukho ukwelashwa kwe-osteosclerosis, ngokuvamile engenakuhlehliswa, kodwa ukudla nokuzivivinya okuvamile kungavimbela ukuqala nokukhula kwayo. 

Incazelo

I-Osteosclerosis ibonakala ngokuqina kwethambo le-trabecular okuholela ekukhuleni kwamathambo. Futhi ebizwa ngokuthi ithambo elikhansela, ithambo le-trabecular liyingxenye emaphakathi yamathambo. Iqukethe izikhala ngendlela yamapuleti noma amakholomu axhunywe komunye nomunye futhi ezungezwe izicubu ezakhiwe ngamafutha nama-stem cells, futhi ane-vascularized kakhulu. Ithambo lesiponji limele kuphela amaphesenti angama-20 ohlaka lwamathambo abantu abadala, ikakhulukazi lakha amathambo amancane (ama-vertebrae).

izinhlobo

Kunezinhlobo ezimbili ze-osteosclerosis:

• Okwasendaweni, ezingeni lengxenye encane yohlaka lwamathambo;
• Sabalalisa, lapho sithinta indawo enkulu yohlaka lwamathambo (isb wonke umgogodla).

Izimbangela

Izilonda zamathambo

I-Osteosclerosis ingenzeka njengokusabela ekulimaleni kwamathambo njengokuphuka kwethambo, ukuvuvukala kwamathambo, umdlavuza wamathambo, noma i-osteoarthritis.

I-Osteopetrosis

I-Osteopetrosis iyindlela eyaziwa kakhulu ye-osteoclerosis. I-Osteopetrosis iyisifo esiyivelakancane esiyivelakancane ikakhulukazi ngenxa yokungasebenzi kahle kwama-osteoclast, amangqamuzana aphethe ukucekela phansi amathambo amadala. Njengoba umzimba ungavuseleli amangqamuzana amathambo amadala, kuholela ekukhuleni kwamathambo kanye nokushintsha kwesimo samathambo. Kunezinhlobo ezahlukene ze-osteopetrosis ezihluka ngokuhamba kwesikhathi kusukela ekufeni esibelethweni kuya esimweni esihlala singabonakali ngokuphelele.

I-Bone dysplasia

I-Osteosclerosis ingenzeka ngesikhathi se-bone dysplasia, ukuphazamiseka kokukhula kwethambo okuholela ekumeni okungavamile, umthamo noma umsebenzi. I-Bone dysplasia ingathinta amathambo ogebhezi, ubuso, amathambo amade omzimba, noma uhlaka lwamathambo wonke. 

I-Osteosclerosis ingase futhi ibonakale esimweni se-pathologies ebanzi futhi ehlanganisa i-bone dysplasia, ikakhulukazi i-hyperostosis (isifo sikaCaffey, i-melorheositis), i-Worth's syndrome, i-hyperostosis ye-Lenz-Majewski dwarfism, isifo sika-Pyle, isifo sika-Engelmann noma i-pycnodysostosis ebonakala nge-osteosclerosis, uhlaka lwamathambo, ubude obufushane kanye nobuthakathaka bethambo.

Izifo ze-metabolic

I-Osteosclerosis ingase ibonakale kwezinye izifo ze-metabolic ezifana:

• Ubuthi obunomthofu, i-arsenic, i-beryllium noma i-bismuth;
• inani elikhulu lamavithamini A no-D;
• I-osteosclerosis ehambisana ne-virus ye-hepatitis C;
• I-fluorosis, i-pathology exhunywe ngokweqile kwama-fluoride;
• I-Pseudohypoparathyroidism, iqembu lezifo ezingavamile kakhulu ezibonakala ngokukhubazeka ekuboniseni i-hormone ye-parathyroid, i-hormone elawula izinga le-calcium egazini;
• I-osteomalacia, i-osteopathy ejwayelekile kubantu abadala, ikakhulukazi exhunywe ekuntuleni kwe-vitamin D futhi ibonakala ngokukhubazeka kokumbiwa kwamathambo;
• Ukwehluleka kwezinso;
• Ama-rickets, izifo ezibonakala ngokunganele kwamathambo nama-cartilages futhi ngenxa yokuntuleka kwe-vitamin D kanye ne-calcium.

   

Ezinye izimbangela

I-Osteosclerosis ingazibonakalisa kwezinye izimo:

• Imisebe ye-ionizing noma ubuthi bezidakamizwa emithanjeni;
• I-Lymphomas
• I-leukemia;
• I-Sarcoidosis, isifo sokuvuvukala kwesistimu yesizathu esingaziwa; 
• Isifo sikaPaget, isifo samathambo esingenabungozi, esibonakala ngokushintsha kwamathambo ngokushesha;
• Izinhlobo ezithile zomdlavuza wegazi (isifo sikaVaquez) noma womgogodla (myelofibrosis);
• I-anemia;
• I-osteomyelitis, ukutheleleka kwethambo okuvame ukubangelwa amagciwane;

kwesifo

Ukuxilongwa kuvame ukususelwa kuzimpawu kanye nesethi yokuhlolwa kwe-x-ray:

• I-radiology ejwayelekile yenza kube nokwenzeka ukugqamisa amathambo aminyene futhi abumbeke kabi;
• I-computed tomography yenza kube nokwenzeka ukuxilonga ukucindezelwa kwezinzwa okungenzeka kugebhezi;
• I-imaging resonance magnetic (MRI) ikala umsebenzi womnkantsha;
• I-Bone scintigraphy ingakhomba izindawo eziminyene kakhulu ezibonakala zingabonakali kahle ezithombeni.

Kwezinye izimo, ukuhlolwa kwegazi nokuhlolwa kwegazi kungase kudingeke ukuze kutholakale ukuxilongwa. I-Osteosclerosis ingenzeka kuyo yonke iminyaka, kokubili amadoda nabesifazane.

I-Osteosclerosis ingase ingabonakali, kodwa futhi ingaholela ekuthuthukiseni izimpawu ezihlukahlukene kuye ngokuthi imbangela yayo.

Ubuthakathaka bethambo

Ukuqina kwamathambo kwenza amathambo abe buthaka, amathambo aphuke kalula.

Ukungajwayelekile kwe-morphological

Uma inomsuka wofuzo, i-osteosclerosis ingabangela ukungavamile ekukhuleni kwamathambo okubangela ukuwohloka kwe-morphological yezakhiwo zamathambo (isiphongo esivelele; ukukhubazeka kokukhula; ukwanda kwevolumu yogebhezi lwekhanda, izandla noma izinyawo, njll.)

Ukungajwayelekile kwegazi

Ukwanda kokuqina kwamathambo kuholela ekwehleni komnkantsha wethambo okungaholela ekwehleni kokukhiqizwa kwamangqamuzana egazi okuholela ekulahlekelweni yigazi (okubangela ukukhathala okukhulu), izifo noma ukopha.

Ukwanda kwengcindezi ye-intracranial

Lapho i-osteosclerosis ithinta amathambo ogebhezi, ikakhulukazi kwezinye i-osteopetrosis, ingaholela ekwenyukeni kwengcindezi ye-intracranial futhi icindezele izinzwa ze-cranial ezibangela ukukhubazeka kobuso, ukuncipha kombono kanye / noma ukuzwa.

Akukho ukwelashwa kwe-osteosclerosis okuvamise ukungalungiseki. Nokho, kungenzeka ukucabangela:

• Ukuthatha ama-corticosteroids ukuqinisa amathambo;
• Ukufakelwa komnkantsha we-bone for osteopetrosis ozibonakalisa ebuntwaneni;
• Ukuhlinzwa kwepulasitiki ukulungisa ukukhubazeka kwamathambo okunzima, ikakhulukazi ebusweni nasemhlathini.

Ngaphezu kwalokho, ukuphuka, i-anemia, ukopha, ukuntula (i-calcium ne-vitamin) kanye nezifo kufanele ziphathwe ngecala ngalinye. Ukulahlekelwa isisindo kusiza ukunciphisa umthwalo emathanjeni. 

Ukudla

Ukuntuleka kwevithamini ne-calcium kungavinjelwa ngokudla okusekelwe kulokhu:

• Ukudla okunothe nge-calcium: imikhiqizo yobisi, imifino eluhlaza, izithelo ezithile, amantongomane nezinhlanzi ezisemathinini ezifana nesadini;
• Ukudla okunothe ngovithamini D njengezinhlanzi ezinamafutha, amaqanda nesibindi

Umsebenzi womzimba

Ukuzivocavoca umzimba okuthwala isisindo njengokuqwala izintaba, ukugijima, ukudansa, ukudlala imidlalo yebhola, nokuhamba ngokushesha kuhlotshaniswa nengozi encishisiwe ye-osteoporosis. Ukuqeqesha amandla nakho kuyasiza. Ekugcineni, i-yoga nama-pilates athuthukisa amandla nokulinganisela.