Kab mob ntawm cov pob qij txha: subchondral sclerosis, raws li ib tug ntawm cov tsos mob ntawm osteoarthritis

Yeej, feem ntau cov neeg nyob tsawg kawg ib zaug nyob rau hauv lawv lub neej muaj kev yooj yim thiab xis nyob tshwm sim los ntawm kev mob nyob rau hauv lub rov qab thiab pob qij txha. Ntawm cov hoob kawm, zoo, yog hais tias lawv yog cov luv luv li ib tug tshwm sim ntawm tsis tseem ceeb ib ce muaj zog, tab sis yog dab tsi yog hais tias nws yog ib tug kab mob loj uas yuav tsum tau kev koom tes los ntawm cov tub txawg?

Hloov cov pob txha mos los yog subchondral sclerosis yog lub feem ntau ua thiab ib tug radiographic tsis kaj siab tsos mob xws li kab mob osteoarthritis los yog tsawg rov qab mob. Nws yuav tsum tau muab sau tseg hais tias lub sij hawm "osteoarthritis" theem ua ke tsis yog ib qho tab sis ib tug tag nrho cov pab pawg neeg ntawm cov kab mob zoo li no morphology, lom thiab soj ntsuam nta. Nyob rau hauv cov ntaub ntawv no, cov txheej txheem muab kev koom tes rau tag nrho cov sib koom tes, xws li cov subchondral pob txha, tshuaj ntsiav, ligaments, periarticular nqaij thiab synovium. Ntawm cov ntsiab soj ntsuam cov tsos mob osteartroza xws li cov lim thiab kev mob ntawm cov pob qij txha, ua tom qab ib tug tsis muaj functionality. Qhov no yog tshwj xeeb tshaj yog muaj tseeb cov neeg tshaj lub hnub nyoog.

Nyob rau hauv kev, osteoarthritis belongs rau cov pab pawg neeg ntawm cov feem ntau cov kab mob ntawm cov pob qij txha. Yog vim li cas rau nws txoj kev loj hlob muaj peev xwm yuav tsis tau tsuas yog cov neeg kho tshuab (doog, kev raug mob, thiab lwm yam), tab sis kuj lom yam (ua txhaum ntawm lub dab ntawm tsim ntawm cov hlwb tshiab ntawm lub subchondral pob txha (subchondral sclerosis) thiab articular pob txha mos). Tsis tas li ntawd kuj zoo kawg thiab tseem ceeb nyob rau hauv qhov mob ntawm osteoarthritis yog muaj kev tshuaj ntsuam genetic kab mob.

Yog thawj thiab osteoarthritis. Tus thawj yog vim li cas, raws li ib tug txoj cai, yuav tsis tau ntsia. Nws yog hu ua idiopathic, piv txwv li, tshwj xeeb los yog peculiar. Tsis zoo li theem nrab osteoarthrosis nws ua cuab - nws cov neeg kho tshuab kev puas tsuaj rau cov pob qij txha sib txawv ntawm cov keeb kwm (metabolic mob (metabolic) endocrine kab mob, inflammatory dab nyob rau hauv cov pob qij txha, kev raug mob, thiab lwm yam).

Yuav kom qhia tau tias ntse thov X-ray mob ntawm osteoarthritis. Nws cov ntsiab lus rau ib tug xov tooj ntawm cov tsos mob uas muaj kev cuam tshuam ib tug kev hloov nyob rau hauv cov pob txha thiab articular pob txha mos, nrog rau subchondral sclerosis. Radiographic cov tsos mob nyob rau hauv thaum ntxov ua sawv ntawm osteoarthritis yog osteophytes - bony growths rau ntawm cov npoo ntawm uas muaj qhia thaum xub thawj nto hliav ntawm cov npoo ntawm cov kev sib koom (ob leeg chaw subchondral sclerosis) thiab ces, maj mam loj hlob, hloov mus rau hauv loj heev pob txha daim di ncauj thiab spikes. Lub xub ntiag ntawm tseem ceeb kev hloov nyob rau hauv lub articular pob txha mos muaj tseeb nrog qhov sib txawv degree ntawm ob leeg qhov chaw narrowing. Ntxiv mus, cov kis yuav roj nyob rau hauv ib txhais tes thiab nyob rau tib lub sij hawm los nthuav nyob rau lwm yam, uas tseem hais tias tus khov ntawm tus txha.

Nyob rau hauv tas li ntawd, X-ray diagnostics qhia subchondral sclerosis ntawm lub kawg paib. Lawv thickness kuj qhia cov khov ntawm cov sib koom tes, thiab muaj yog feem ntau ib tug tshwm sim ntawm cov neeg kho tshuab kev poob plig los yog vim muaj hnub nyoog txog kev hloov ntawm cov pob qij txha nyob rau hauv cov neeg laus.

Osteoarthritis feem ntau muaj txhawb rau tsis poob tus nqi muaj nuj nqi ntawm cov pob txha mos tiv thaiv cov pob txha los ntawm lub cev thiab cov neeg kho tshuab kev nyuaj siab. Compensating ceeb nyob rau hauv cov ntaub ntawv no yog lub subchondral sclerosis, i.e. pob los yog thooj ntawm cov subchondral pob txha cancellous pob txha.

Feem ntau nyob rau hauv Russia, yog tsim Kosinskaya NS radiographic kev faib ntawm osteoarthritis raws li mus rau theem ntawm txoj kev loj hlob. Piv txwv li, ib tug thawj theem ntawm tus kab mob tsiag ntawv los ntawm muaj ib tug me me sib koom chaw narrowing, thiab bony growths ciam. Tshwm sim ntawm subchondral syndrome thiab ib cov narrowing ntawm tus txha qhov chaw qhia lub thib ob theem ntawm osteoarthritis. Thiab thaum kawg, cov thib peb theem - ib tug cia li thiab tseem ceeb narrowing ntawm cov kis, nrog cystoid formations thiab flattening qhov chaw ntawm cov pob qij txha.

Feem ntau, cov kev kho mob ntawm osteoarthritis - ib tug es ntev thiab laborious txheej txheem. Nws yooj yim hauv paus ntsiab lus muaj xws li, feem ntau, cov kev txwv ntawm lub cev ua si, physiotherapy, orthopedic raws li tsoom fwv, thiab lwm yam