Cudurada kalagoysyada: sclerosis subchondral, sida mid ka mid ah calaamadaha osteoarthritis

Dhab ahaantii, dadka intooda ugu yaraan hal mar noloshooda soo maray ay dhib iyo raaxo la'aan sababa xanuun dhabarka iyo kala goysyada. Dabcan, si fiican, haddii ay yihiin gaaban oo sabab u ah jimicsi yar awgood, laakiin waxa haddii ay tahay cudur halis ah oo u baahan ka qaybgalka xirfadlayaasha?

Beddelidda carjawda ama sclerosis subchondral waa sababta ugu badan oo ah calaamadaha xun radiographic cudurada sida osteoarthritis ama dhabar xanuunka hooseeyo. Waa in la ogaadaa in ereyga "osteoarthritis" waxa uu isku keenaa hal koox dhan oo ah cudurada la fataahadda la mid ah, noolaha iyo muuqaalada kiliinikada. Xaaladdan oo kale, habka lug wadajir ah oo dhan, oo ay ku jiraan lafaha, kaabsal, seedaha, muruqyada periarticular subchondral iyo synovium. Waxaa ka mid ah calaamadaha ugu weyn ee caafimaad oo osteartroza ka mid ah dhaawac iyo xanuun kalagoysyada, taasoo keentay markii dambe in la'aanta ah ee ka shaqeynayaan. Tani waa dadka gaar ahaan dhabta ah ee da 'wayni.

Guud ahaan, osteoarthritis iska leh kooxda ugu badan ee cudurada kalagoysyada. The sababaha ay horumarka noqon kartaa ma aha oo kaliya si farsamaysan (burbur, dhaawac, iwm), laakiin sidoo kale xaalado dabiici ah (xadgudub ku ah geedi socodkii formation of unugyada cusub ee lafta subchondral (sclerosis subchondral) iyo carjawda articular). Sidoo kale muhiimad weyn ee cudurka of osteoarthritis waa jiritaanka cudurada hidaha.

Ma osteoarthritis hoose iyo kuwa sare. Sababta ugu horeysay, sida caadiga ah, in aan lagu rakibi karo. Waxaa lagu magacaabaa idiopathic, ie, gaarka ah ama hanti. Si ka duwan osteoarthrosis sare keena cad - waa dhaawac, si ay meesha uu asal ahaan kala duwan (xanuunada dheefshiidka (dheefshiidka) cudurada hormoonada jidhka, geeddi socodka bararka kala goysyada, dhaawacyada, iwm).

Si loo garto si guul codsatay cudurka X-ray ah osteoarthritis. Waxaa tilmaamay in tiro ka mid ah calaamadaha oo ka tarjumaya in isbedel carjawda laftayda iyo articular ah, oo ay ku jiraan sclerosis subchondral. calaamad Radiographic in marxaladaha hore ee osteoarthritis waa osteophytes - in ay sameeyaan koritaan lafaha on geesaha of kuwaas oo muujiyey at fool dusha ugu horeysay ee cidhifyada wadajirka ah (meelaha wadajirka sclerosis subchondral) ka dibna, si tartiib ah u sii kordhaya, beddelaa bushimaha lafta weyn iyo Sabuul. Joogitaanka isbedelo waa weyn ee carjawda articular Xaqiijiyay heerka kala duwan ee cidhiidhi meel wadajir ah. Waxaa intaa dheer, farqiga u la cidhiidhi kartaa on gacanta ku hal iyo waqti isku mid ah si loo ballaariyo on kale, kaas oo sidoo kale waxay muujinaysaa in xasilooni ee wadajirka ah.

Intaa waxaa dheer, Baadhista X-ray waxyooday sclerosis subchondral of taarikada dhamaadka. Ay dhumucdiisuna waxay sidoo kale muujinaysaa xasilooni ee wadajirka ah, oo sida caadiga ah waxaa jira sabab u ah dhaawacyada farsamo ama sababta oo ah isbedel da'da la xiriira ee laabatooyinka ee dadka waayeelka ah.

Osteoarthritis inta badan waxay keentaa in khasaaraha ka mid ah shaqo qiimo dhaca carjawda ilaalinta lafta ka stress jirka iyo farsamo. Celino factor kiiskan waa sclerosis ku subchondral, i.e. buro ama wax kuusan oo lafta subchondral ee lafta cancellous.

The ugu badan ee Russia, waxaa loogu talagalay Kosinskaya NS kala soocidda radiographic of osteoarthritis si ku xiran marxaladda horumarinta. Tusaale ahaan, marxaladda koowaad ee cudurka lagu gartaa joogitaanka cidhiidhi meel wadajir ah oo yar, iyo in ay sameeyaan koritaan lafaha soohdinta. Dhacdo of syndrome subchondral iyo meel cidhiidhi ah oo kala duwan oo ah meel bannaan oo si wadajir ah waxay muujinaysaa marxaladda labaad ee osteoarthritis. Ugu dambayntiina, marxaladda saddexaad - meel cidhiidhi ah lama filaan ah oo la taaban karo oo ah farqiga, Ulasocto qaababka cystoid iyo fidsanaan dusha sare ee laabatooyinka.

Sida caadiga ah, daaweynta osteoarthritis - geeddi-socodka ah halkii dheer oo caadi ah. Its mabaadiida aasaasiga ah waxaa ka mid ah, ugu horrayn, xaddidaadda ee dhaqdhaqaaqa jirka, daaweynta dabiiciga ah, nidaam waafaqsan lafaha, iwm