I-Subchondral sclerosis iyisilonda esonakalisa i-cartilages efaka iingxube zangaphakathi zamalungu, apho izicubu eziqhelekileyo ezisetyenziswayo zithatyathwa yinyama edibeneyo engakwazi ukwenza imisebenzi efunekayo. Ngelo xesha, izicubu zethambo zamajoyina ziqala ukutsala kwaye zikhule, zenze i-outgrowths.
Le nkqubo yentsholongwane ayixhomekekanga njengesifo esahlukileyo, kodwa enye yeembonakalo ze-osteoarthritis yamalungu kunye ne-osteochondrosis yomqolo wesipelini. Ayikukhawuleza ngokukhawuleza, kodwa njengoko isifo esiyintloko siqhubeka, ukuba izinto ezingabikhoyo zipheliswe, unyango aluchanekanga. I-Subchondral sclerosis iyakhathazeka kakhulu kubantu abadala, kodwa kungekudala ibonakaliswe kubantu abaselula.
Izigaba ze-subchondral sclerosis
Ukuphuhliswa kwesi sifo kuhamba ngokukhawuleza:
- I-subchondral sclerosis yokuqala - ukukhula kweethambo zamathambo kwenzeka kuphela kwimida yedibeneyo.
- I-subchondral sclerosis - kwi-x-ray umfanekiso we-osteophyte ihlukeneyo, i-gap isalathiso sinyanzelisiwe, kwaye inxalenye yentetho ibonakala ngumbala ogqithiseleyo.
- I-Subchondral sclerosis yesigaba se-III - kukho ukunciphisa okuphawulekayo kwegap ehlangeneyo, ukukhula okukhulu kweebony, ukusebenza kwemoto yombutho odibeneyo kubuthathaka kakhulu.
- I-Subchondral sclerosis yesigaba se-IV - i-osteophyte yayizikhulu kakhulu, iindawo ezibonakalayo zamathambo ziphosakeleyo kakhulu, ukungakwazi ukudibanisa ukuze kulungiswe kwaye kugobe.
I-subchondral sclerosis yamadolo ehlangene-yintoni na?
Ixolo elidityanisiweyo lihlala lihlushwa nge-subchondal sclerosis, lihlala liphantsi kwemithwalo ephakamileyo. Izinto ezinobungozi ekuphuhlisweni kweenkqubo zezilwanyana kule nkqubo zibandakanya:
- u bunzima;
- ukulimala kokubambisana ;
- ukusilela kwemodoni;
- izingozi zomsebenzi.
I-pathology ibonakaliswe kwizigulane ezine-osteoarthritis ezonakalisa iingxube zamadolo, ezibonakaliswe yimpawu ezinjengeentlungu ngexesha lokuzivocavoca kunye nokuphumla, ukukhwabanisa ukuhamba, ubunzima bokululeka-ukongezwa kwamadolo. Oku kukukhokelela ekuqhekekeni, ukunqunyulwa kweethambo, ukulahlekelwa kwamandla kunye nokunyaniseka. Isiphumo esisoloko sithandana se-subchondral sclerosis yexolo elihlangeneyo kukuphuhliswa kwe-varus okanye i-valgus deformities yemilenze.
I-Subchondral sclerosis yomgudu - yintoni na?
I-Subchondral sclerosis yamacwecwe okugcina amaziko omzimba onama-vertebral edlalwa rhoqo kwindawo yomlomo wesibeleko, ngokuthe rhoqo kwi-thoracic and lumbar spine. Kule meko, izigulana zikhalaza ngentlungu engapheliyo kwingingqi echaphazelekayo, iingxaki zeengxaki zegazi (ukunyanzelwa kweengalo, ukuxakeka, ukuxhatshazwa kwezinto ezihambayo , njl njl), ukukhubazeka komgudu kunokwenzeka.
Ingozi enkulu yokukhubazeka kwesi sikhundla yingozi eyongeziweyo yokuxhatshazwa ngokukhawuleza, enokuthi yenzeke nangaphandle kokuzikhandla komzimba. Kwiimeko ezininzi ezingakuhoxiswa, ukukhubazeka ngokwengxenye okanye okupheleleyo kuphawulwe.
I-Subchondral sclerosis ye-joint hip
Le ndawo yendawo yokukhubazeka iphantse idibanisa ikhosi ye-arthrosis ye-joint hip. Imbonakalo ebalulekileyo kule meko yilezi: ubuhlungu obungapheliyo kwi-hip (ukuhamba kunye nokuphumla), ukunciphisa ukuphakama kwamanyathelo ekuhambeni, ukuphuhliswa kobugcisa.
I-Subchondral sclerosis ye-hip iqulethe ingozi yokuphuka kwentamo yentombi kunye ne-aseptic necrosis yentloko yayo. Ngoko ke, ukuba inkqubo yentsholongwane ichongiwe, ukuthintela ngokukhawuleza kweziphumo ezinzima kufuneka zenziwe. Ukuba unyango aluqalanga ngexesha, ungakwazi ukulahlekelwa ngokupheleleyo ngumsebenzi wesilungu.