Ubuhlungu Bone
-Delile
- Yini ebangela ubuhlungu bamathambo?
- Ukulimala
- Ukushoda kwamaminerali
- Umdlavuza we-Metastatic
- Umdlavuza wamathambo
- Izifo eziphazamisa ukunikezwa kwegazi emathanjeni
- Ukutheleleka
- Umdlavuza wegazi
- Ziyini izimpawu?
- Ubuhlungu bamathambo ekukhulelweni
- Butholakala kanjani ubuhlungu bamathambo?
- Buphathwa kanjani ubuhlungu bethambo?
- Ukudambisa izinhlungu
- Imithi elwa namagciwane
- Izithako zokudla okunempilo
- Ukwelashwa komdlavuza
- Ukuhlinzwa
- Ubuhlungu bethambo bungavinjelwa kanjani?
- Kwenzekani ekululameni?
- Ukubonana nodokotela nini
Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.
Buyini ubuhlungu bamathambo?
Ubuhlungu bethambo ubumnene obukhulu, ukuqaqamba, noma okunye ukungakhululeki ethanjeni elilodwa noma amaningi. Ihlukile ebuhlungwini bemisipha namalunga ngoba ikhona noma ngabe uyahamba noma cha. Ubuhlungu buvame ukuxhunyaniswa nezifo ezithinta umsebenzi ojwayelekile noma ukwakheka kwethambo.
Yini ebangela ubuhlungu bamathambo?
Izimo eziningi nemicimbi kungaholela ebuhlungwini bamathambo.
Ukulimala
Ukulimala kuyimbangela evamile yobuhlungu bamathambo. Imvamisa, lobu buhlungu buvela lapho umuntu ehlangabezana nohlobo oluthile lokuhlukumezeka, njengengozi yemoto noma ukuwa. Umthelela ungaphula noma uqhekeke ithambo. Noma yimuphi umonakalo ethanjeni ungadala ubuhlungu bamathambo.
Ukushoda kwamaminerali
Ukuze uhlale uqinile, amathambo akho adinga amaminerali namavithamini ahlukahlukene, kufaka phakathi i-calcium novithamini D. Ukuntuleka kwe-calcium novithamini D kuvame ukuholela ekuthini kwamathambo, uhlobo lwesifo samathambo esivame kakhulu. Abantu abasezigabeni zokugcina zamathambo bavame ukuba nezinhlungu zethambo.
Umdlavuza we-Metastatic
Lo ngumdlavuza oqale kwenye indawo emzimbeni kodwa wasabalala kwezinye izitho zomzimba. Umdlavuza webele, wamaphaphu, owe-thyroid, owezinso nowe-prostate uphakathi komdlavuza ovame ukusabalala emathanjeni.
Umdlavuza wamathambo
Umdlavuza wethambo uchaza amangqamuzana omdlavuza aqhamuka ethanjeni uqobo. Umdlavuza we-Bone uvame kakhulu kunomdlavuza we-metastatic bone. Kungadala ubuhlungu bamathambo lapho umdlavuza uphazamisa noma ubhubhisa isakhiwo esijwayelekile sethambo.
Izifo eziphazamisa ukunikezwa kwegazi emathanjeni
Ezinye izifo, njenge-sickle cell anemia, ziphazamisa ukunikezwa kwegazi emathanjeni. Ngaphandle komthombo wegazi ongaguquguquki, izicubu zethambo ziqala ukufa. Lokhu kubangela ubuhlungu obukhulu bamathambo futhi kwenze ithambo libe buthakathaka.
Ukutheleleka
Uma ukutheleleka kuvela noma kusakazeka emathanjeni, kungadala isimo esibi esaziwa nge-osteomyelitis. Lokhu ukutheleleka kwethambo kungabulala amangqamuzana amathambo futhi kubangele nobuhlungu bamathambo.
Umdlavuza wegazi
Umdlavuza wegazi ngumdlavuza womnkantsha. Umnkantsha wethambo utholakala emathanjeni amaningi futhi ubhekele ukukhiqizwa kwamangqamuzana amathambo. Abantu abane-leukemia bavame ukuzwa ubuhlungu bamathambo, ikakhulukazi emilenzeni.
Ziyini izimpawu?
Uphawu oluphawuleka kakhulu lobuhlungu bamathambo ukungaphatheki kahle noma ngabe usamile noma uyahamba.
Ezinye izimpawu zincike kwisizathu esithile sobuhlungu bethambo lakho.
| Imbangela yobuhlungu bamathambo | Ezinye izimpawu ezihambisanayo |
| Ukulimala | Ukuvuvukala, amakhefu abonakalayo noma ukukhubazeka, ukuqhuma noma ukugaya umsindo lapho ulimele |
| Ukushoda kwamaminerali | Ubuhlungu bemisipha nezicubu, ukuphazamiseka kokulala, amajaqamba, ukukhathala, ubuthakathaka |
| I-osteoporosis | Ubuhlungu beqolo, ukuma okugoqile, ukulahleka kokuphakama ngokuhamba kwesikhathi |
| Umdlavuza we-Metastatic | Uhla olukhulu lwezimpawu kuya ngokuthi umdlavuza usabalale kuphi ongafaka ikhanda, ubuhlungu besifuba, ukuqhekeka kwamathambo, ukuqubuka, isiyezi, i-jaundice, ukuphefumula okuncane, ukuvuvukala esiswini |
| Umdlavuza wamathambo | Ukwanda kwamathambo, isigaxa noma isisindo ngaphansi kwesikhumba, ukuba ndikindiki noma ukuhayiza (kusukela lapho isimila sicindezela emsipheni) |
| Kuphazamise ukunikezwa kwegazi emathanjeni | Ubuhlungu obuhlangene, ukulahleka komsebenzi ohlangene, nobuthakathaka |
| Ukutheleleka | Ububomvu, ukusakazeka okuvela endaweni yokutheleleka, ukuvuvukala, ukufudumala endaweni yokutheleleka, ukwehla kokuhamba kokunyakaza, isicanucanu, ukungathandi ukudla |
| Umdlavuza wegazi | Ukukhathala, isikhumba esiphaphathekile, ukuphefumula okuncane, ukujuluka ebusuku, ukuncipha kwesisindo okungachazeki |
Ubuhlungu bamathambo ekukhulelweni
Ubuhlungu bamathambo e-pelvic kuyinto ejwayelekile kwabesifazane abaningi abakhulelwe. Lobu buhlungu kwesinye isikhathi kubhekiselwa kubo njengobuhlungu bebhande lobunqunu obuhlobene nokukhulelwa (PPGP). Izimpawu zifaka phakathi ubuhlungu ethanjeni le-pubic nokuqina nobuhlungu emajoyintini okhalo.
I-PPGP ngokuvamile ayixazululi kuze kube ngemuva kokulethwa. Ukwelashwa ngaphambi kwesikhathi kunganciphisa izimpawu, noma kunjalo. Izinketho zokwelashwa zingafaka:
- ukwelashwa mathupha ukuhambisa amalunga ngendlela efanele
- ukwelashwa ngokomzimba
- ukuzivocavoca kwamanzi
- izivivinyo ukuqinisa phansi okhalo
Ngenkathi kuvamile, i-PPGP isengajwayelekile. Kufanele uxhumane nodokotela wakho ukuthola ukwelashwa uma uzwa ubuhlungu be-pelvic.
Butholakala kanjani ubuhlungu bamathambo?
Udokotela udinga ukukhomba imbangela yobuhlungu yokuncoma ukwelashwa. Ukwelapha imbangela eyisisekelo kunganciphisa kakhulu noma kuqede ubuhlungu bakho.
Udokotela wakho uzokwenza ukuhlolwa komzimba abuze ngomlando wakho wezokwelapha. Imibuzo ejwayelekile ifaka phakathi:
- Buphi ubuhlungu obutholwayo?
- Uqale nini ukuzwa ubuhlungu?
- Ingabe izinhlungu ziya ngokuya ziba zimbi?
- Ingabe zikhona ezinye izimpawu ezihambisana nobuhlungu bethambo?
Udokotela wakho angalawula ukuhlolwa kwegazi ukuze afune ukushoda kwamavithamini noma izimpawu zomdlavuza. Ukuhlolwa kwegazi kungasiza nodokotela wakho ukuthola ukutheleleka nokuphazamiseka kwezindlala okungaphazamisa impilo yethambo.
Ama-X-ray we-Bone, ama-MRIs, kanye ne-CT scan angasiza udokotela wakho ukuthi ahlole indawo ethintekile yokulimala, izilonda zamathambo, nezicubu ngaphakathi kwethambo.
Izifundo zomchamo zingasetshenziselwa ukuthola ukungajwayelekile ngaphakathi komnkantsha wamathambo, kufaka phakathi i-myeloma eminingi.
Kwezinye izimo, udokotela wakho uzodinga ukusebenzisa izivivinyo eziningi ukukhipha izimo ezithile nokuthola imbangela ngqo yobuhlungu bamathambo akho.
Buphathwa kanjani ubuhlungu bethambo?
Lapho udokotela esethole imbangela yobuhlungu bamathambo, bazoqala ukwelapha imbangela eyimbangela. Bangakweluleka ukuthi uphumule indawo ethintekile ngangokunokwenzeka. Kungenzeka bakunikeze umuthi wokuqeda izinhlungu ukuze ulwe nobuhlungu bethambo obulinganiselwe.
Uma udokotela wakho engaqiniseki ngembangela futhi esola ukutheleleka, bazokuqala kuma-antibiotic. Thatha inkambo ephelele yemithi, noma ngabe izimpawu zakho ziphela ezinsukwini ezimbalwa. AmaCorticosteroids nawo asetshenziswa kakhulu ukunciphisa ukuvuvukala.
Izinketho zokwelashwa zobuhlungu bamathambo zifaka:
Ukudambisa izinhlungu
Ukudambisa izinhlungu kuphakathi kwemithi ebekwa kakhulu yokunciphisa izinhlungu zethambo, kodwa azisilapisi isimo esingaphansi. Izindlela zokwelapha ezithengisa izinto ezifana ne-ibuprofen (Advil) noma i-acetaminophen (iTylenol) zingasetshenziswa. Imithi kadokotela efana neParacetamol noma i-morphine ingasetshenziselwa izinhlungu ezilinganayo noma ezinzima.
Iyaphela? Thola iTylenol ne-ibuprofen manje.
Imithi elwa namagciwane
Uma unesifo samathambo, udokotela wakho angakunika ama-antibiotic anamandla ukubulala igciwane elibangela ukutheleleka. Lawa ma-antibiotic angafaka i-ciprofloxacin, clindamycin, noma i-vancomycin.
Izithako zokudla okunempilo
Abantu abane-osteoporosis badinga ukubuyisa amazinga abo e-calcium nevithamini D. Udokotela wakho uzokunika izithasiselo zokudla okunempilo ukuze welaphe ukuntuleka kwamaminerali. Izithasiselo zitholakala ngohlobo lwamanzi, iphilisi, noma uhlobo oluhlafunwayo.
Thola izithasiselo ze-calcium nezithasiselo zikavithamini D online.
Ukwelashwa komdlavuza
Ubuhlungu bamathambo obudalwa umdlavuza kunzima ukwelashwa. Udokotela uzodinga ukwelapha umdlavuza ukudambisa izinhlungu. Ukwelashwa okuvamile komdlavuza kufaka phakathi ukuhlinzwa, ukwelashwa ngemisebe, kanye nokwelashwa ngamakhemikhali (okungakhuphula ubuhlungu bethambo). Ama-bisphosphonates awuhlobo lwemithi esiza ukuvimbela ukulimala kwethambo nobuhlungu bamathambo kubantu abanomdlavuza wamathambo we-metastatic. Kunganconywa nokuncishiswa kobuhlungu be-opiate.
Ukuhlinzwa
Ungadinga ukuhlinzwa ukuze ususe izingxenye zethambo ezifile ngenxa yokutheleleka. Ukuhlinzwa kungadingeka futhi ukusetha kabusha amathambo aphukile nokususa izicubu ezibangelwa umdlavuza. Ukuhlinzwa okwakhiwa kabusha kungasetshenziswa ezimweni ezinzima lapho amalunga angashintshwa noma afakwe khona.
Ubuhlungu bethambo bungavinjelwa kanjani?
Ukugcina amathambo aqinile, enempilo kwenza kube lula ukugwema ubuhlungu bamathambo. Ukugcina impilo enhle yamathambo, khumbula uku:
- gcina uhlelo lokuzivocavoca olunempilo
- thola i-calcium eyanele novithamini D
- phuza kuphela ngokulinganisela
- gwema ukubhema
Kwenzekani ekululameni?
Ezimweni eziningi, kuthatha isikhathi esithile ukupholisa inkinga ebangela ubuhlungu bethambo, noma ngabe ubuhlungu buvela ekhemotherapy noma ukuphuka.
Ngesikhathi sokululama, gwema ukubhebhethekisa noma ukushayisa izindawo ezithintekile. Lokhu kungavimbela ukulimala okuqhubekayo nobuhlungu futhi kuvumele ukwelashwa. Phumuza izindawo ezithintekile ngangokunokwenzeka futhi ukhubaze indawo uma kunengozi yokuqhubeka nokulimala.
Kwabanye abantu, izinsizakusebenza ezinjengezinsimbi, izihlinzeko, nokufakwa kunganikeza ukwesekwa okungavikela ithambo futhi kuqede nobuhlungu.
Ukubonana nodokotela nini
Izimo ezibucayi zivame ukuba imbangela yobuhlungu bamathambo. Ngisho nobuhlungu bethambo obuncane bungakhombisa isimo esiphuthumayo. Uma uhlangabezana nobuhlungu bethambo obungachazeki obungathuthuki ezinsukwini ezimbalwa, thintana nodokotela wakho.
Kufanele futhi ubone udokotela uma ubuhlungu bethambo buhambisana nokuncipha komzimba, ukuncipha kwesifiso sokudla, noma ukukhathala okujwayelekile.
Ubuhlungu bamathambo obubangelwa ukulimala kufanele futhi buphakamise ukuvakasha kukadokotela. Ukwelashwa kuyadingeka ukuze kuphulwe kusuka ekuhlukumezeni okuqondile kuya ethanjeni. Ngaphandle kokwelashwa okufanele, amathambo angaphola ezindaweni ezingalungile futhi avimbele ukunyakaza. Ukuhlukumezeka futhi kukubeka engozini yokutheleleka.
Iseluleko Sethu
I-Olanzapine (Zyprexa)
