Myositis ossificans: duab, tsos mob, qhov tshwm sim, kev kho mob. Yuav ua li cas yog qhov kev tshwm sim rau kev kho mob ntawm cov neeg mob ossifying myositis?

Cov txheej txheem:

Myositis ossificans: duab, tsos mob, qhov tshwm sim, kev kho mob. Yuav ua li cas yog qhov kev tshwm sim rau kev kho mob ntawm cov neeg mob ossifying myositis?
Myositis ossificans: duab, tsos mob, qhov tshwm sim, kev kho mob. Yuav ua li cas yog qhov kev tshwm sim rau kev kho mob ntawm cov neeg mob ossifying myositis?

Video: Myositis ossificans: duab, tsos mob, qhov tshwm sim, kev kho mob. Yuav ua li cas yog qhov kev tshwm sim rau kev kho mob ntawm cov neeg mob ossifying myositis?

Video: Myositis ossificans: duab, tsos mob, qhov tshwm sim, kev kho mob. Yuav ua li cas yog qhov kev tshwm sim rau kev kho mob ntawm cov neeg mob ossifying myositis?
Video: Saib Tias Ntawm neeg lub cev (update) 23/4/2019 2024, Kaum ib hlis
Anonim

Myositis yog ib yam kab mob uas tshwm sim rau ntau qhov laj thawj thiab ua rau cov txheej txheem inflammatory hauv cov leeg nqaij. Raws li qhov tshwm sim ntawm tus kab mob, nws tau muab faib ua ntau hom. Ib pawg ntawm cov kab mob pathological yog conditionally harmless thiab kho tau, thaum lwm yam, ua rau mob loj heev nyob rau hauv lub cev, tuaj yeem ua rau tuag taus. Hauv tsab xov xwm peb yuav xav txog cov teeb meem tseem ceeb uas cuam tshuam txog qhov pathology no. Ntawm no tus nyeem ntawv yuav paub seb qhov mob myositis tshwm sim li cas, kev kwv yees li cas rau kev kho mob myositis ossificans muaj nyob niaj hnub no, yuav tiv thaiv koj tus kheej ntawm tus kab mob no li cas.

Qhov no yog dab tsi?

Myositis yog hais txog ntau yam kab mob, uas yog raws li cov txheej txheem inflammatory uas tshwm sim hauv cov leeg. Cov tsos mob tseem ceeb qhia tau tias muaj tus kab mob tshwm sim hauv lub cev yog mob nqaij, uas nce nrog kev txav los yog kev soj ntsuam.

myositis ossificans
myositis ossificans

Pathology tshwm sim tawm tsam keeb kwm yav dhau los ntawm kev kis kab mob lossis hypothermia, thiab tuaj yeem tsim los ntawm cov kab mob autoimmune,kev raug mob, bruises, thiab lwm yam.

Qhov ua rau tus kab mob no tau muab faib ua ob pawg:

  • endogenous - uas tshwm sim hauv lub cev;
  • exogenous - ua rau sab nraud.

Endogenous suav nrog:

  • kab mob autoimmune xws li lupus erythematosus, rheumatoid mob caj dab, thiab lwm yam;
  • kab mob ntawm ntau yam xwm txheej - enterovirus, typhoid, influenza;
  • kab mob tshwm sim los ntawm kev ua haujlwm ntawm cov kab mob hauv tib neeg lub cev (echinococcosis, trichinosis);
  • kev npam ntawm lub cev.

Exogenous ua rau raug mob, hypothermia, lub sij hawm ntawm cov leeg nro los ntawm ib qho kev ua si. Myositis yog suav tias yog ib qho kab mob ua haujlwm ntawm cov kws ntaus nkauj thiab ncaws pob.

Type

Raws li keeb kwm ntawm tus kab mob, qhov xwm txheej ntawm nws cov chav kawm thiab lwm yam cim, myositis tau muab cais ua kab mob, purulent thiab kab mob parasitic. Tseem muaj ntau hom tshuaj lom thiab raug mob. Polymyositis (ossifying myositis) yog ib hom kab mob uas muaj cov kab mob hnyav tshaj plaws thiab qhov tshwm sim tsis meej. Qhov teeb meem no yog kab mob ntawm cov ntaub so ntswg sib txuas thiab, dhau los, muab faib ua:

  • mob myositis ossificans;
  • progressive myositis ossificans;
  • Neuromyositis.

Taumatic myositis ossificans (cov tsos mob ntawm tus kab mob yuav tham tom qab) yog ib qho kab mob uas tshwm sim tawm tsam keeb kwm ntawm kev raug mob hnyav lossis rov ua dua microtraumas. Pathology yog nyob rau hauv lub articular ligaments thiab tom qab ntawd ua rauqhov tshwm sim ntawm ossification hauv thaj chaw teeb meem. Kho tau zoo nrog kev phais.

Progressive myositis ossificans (peb yuav piav qhia txog cov tsos mob ntawm tus kab mob hauv qab no) yog kab mob caj ces tshwm sim los ntawm kev hloov pauv ntawm qee cov gene, ua rau muaj teeb meem loj hauv lub cev thiab ua rau muaj kev tuag ntawm ib tus neeg. tus neeg. Nws raug suav hais tias tsawg heev (tsis pub tshaj 200 tus neeg mob paub txog kev coj noj coj ua hauv ntiaj teb).

Neurotrophic myositis tshwm sim tawm tsam keeb kwm ntawm kev raug mob ntawm cov hlab ntsha loj lossis qaum qaum. Feem ntau, cov kab mob tshwm sim hauv lub hauv caug lossis lub duav sib koom.

Neuromyositis

Raws li tau hais ua ntej, nws cuam tshuam rau cov paj hlwb intramuscular. Nws tshwm sim raws li nram no. Cov txheej txheem inflammatory ua rau kev puas tsuaj ntawm cov leeg hlwb, ua rau tso tawm ntau yam tshuaj uas muaj cov tshuaj lom rau cov paj hlwb. Cov hlab ntsha ntawm cov hlab ntsha tau maj mam rhuav tshem, uas ua rau muaj kev puas tsuaj rau cov hlab ntsha axial.

Cov tsos mob ntawm neuromyositis yog:

  • txo qis lossis nce qhov rhiab heev hauv thaj tsam ntawm thaj chaw ntawm pathology;
  • pain;
  • muscle qaug zog;
  • mob pob qij txha.

Kev puas tsuaj ntawm cov hlab ntsha ntawm cov hlab ntsha ua rau muaj kev hloov pauv ntawm daim tawv nqaij. Qhov no yuav tshwm sim nrog loog loog los yog tingling uas yog nrog los ntawm kev mob hnyav. Thaum xub thawj, qhov mob syndrome yog nruab nrab, tab sis nws intensifies txawm nrog me me loads. Mob ua rau ua pa, tig los yog qaij ntawm lub cev, txav ntawm cov ceg. Tom qab ntawd, nws ua rau nws tus kheej hnov txawm tias thaum so. Feem ntau nrogpathology, cov tsos mob ntawm nro tshwm sim thaum palpation ntawm cov leeg nyob rau hauv ib tug tense lub xeev yuav rhiab heev.

Daim ntawv ntawm tus kab mob

Hom thib ob ntawm polymyositis tshwm sim los ntawm kev mob caj ces yog myositis ossificans. Cov tsos mob ntawm pathology yog yuav luag tsis yooj yim sua kom tshem tawm, vim hais tias nws yog suav tias yog incurable. Nrog kev mob myositis ossificans, ossification ntawm cov leeg, leeg thiab ligaments tshwm sim. Tus kab mob no tshwm sim yuav luag spontaneously thiab dhau sij hawm npog ib pawg loj ntawm cov leeg. Qhov tshwm sim ua rau tuag taus yog qhov tsis tuaj yeem, txij li ossification ntawm pectoral thiab nqos cov leeg ua rau nws ua tsis tau rau tus neeg noj thiab ua pa. Progressive ossifying myositis muaj lwm lub npe - fibrodysplasia ossificans progressive (FOP).

myositis ossificans
myositis ossificans

Cov kab mob yog raws li qhov tshwm sim ntawm cov txheej txheem inflammatory hauv cov leeg, ligaments thiab cov leeg, uas thaum kawg ua rau lawv ossification. Cov leeg ntawm sab nraub qaum (dav, trapezius) tau txais kev hloov pauv loj tshaj plaws hauv ossifying myositis. Dab tsi yog qhov tshwm sim ntawm tus kab mob no? Kev cuam tshuam loj heev hauv kev ua haujlwm ntawm cov leeg musculoskeletal, nruj ntawm kev txav, tsis muaj peev xwm noj thiab ua tsis taus pa ib txwm - tag nrho cov no ua rau tus neeg mob lub neej zoo. Raws li txoj cai, cov txheej txheem pib hauv cov menyuam yaus thaum muaj hnub nyoog kaum xyoo thiab nce ntau xyoo, txawm li cas los xij, cov neeg mob feem ntau tuag ua ntej txog hnub nyoog kaum xyoo.

Tsuas yog xyoo 2006 ua tsaug rau kev tshawb fawb los ntawm pawg kws tshawb fawb los ntawmPennsylvania State University, ib lub noob tau txheeb xyuas tias nws qhov kev hloov pauv ua rau muaj kab mob hnyav. Niaj hnub no, cov kws tshaj lij tab tom tsim cov blockers ntawm kev hloov pauv hauv cov noob.

Symptoms of FOP

Raws li tau hais los saum no, FOP tshwm sim thaum menyuam yaus. Qhov tshwm sim ntawm tus kab mob hauv tus menyuam tuaj yeem qhia tau los ntawm ntau cov cim qhia uas tshwm sim rau feem ntau nrog rau myositis ossificans. Dab tsi yog cov tsos mob pom tseeb tshaj plaws ntawm tus kab mob?

nrog myositis ossificans dab tsi yog cov tsos mob
nrog myositis ossificans dab tsi yog cov tsos mob

Nrog 95% qhov tshwm sim, nws tuaj yeem kuaj pom tus kab mob hauv tus menyuam yog tias ib lossis ntau lub phalanges ntawm tus ntiv taw loj tau khoov sab hauv. Qee zaum, tus ntiv tes tsis muaj qhov sib koom ua ke. Feem ntau, kev loj hlob myositis cuam tshuam rau cov tub. Cov tsos mob ntawm tus kab mob thaum ntxov yog mob palpation ntawm cov leeg, thaum lawv hnyav heev, nruj.

Lwm qhov cim qhia ntawm pathology yog o ntawm cov ntaub so ntswg ntawm lub taub hau, uas tuaj yeem tshwm sim nrog me me bruises lossis khawb, kab tom. Txawm li cas los xij, thaum muaj FOP, qhov o tsis teb rau kev kho tshuaj thiab tsis ploj mus hauv ib hlis. Lumps txog li kaum centimeters loj tuaj yeem tshwm sim hauv qab daim tawv nqaij tom qab, hauv pliaj lossis caj dab.

Ua ntej, FOP cuam tshuam rau cov leeg ntawm caj dab, nraub qaum, taub hau, thiab tom qab ntawd nqis mus rau hauv cov leeg nqaij plab thiab femoral. Txawm li cas los xij, tus kab mob no yeej tsis cuam tshuam rau cov leeg nqaij ntawm lub plawv, lub diaphragm, tus nplaig, cov leeg ntawm qhov muag.

Tus kab mob no feem ntau tsis meej pem nrog oncology thiab lawv sim tshem tawm cov tawv tawv uas tau tshwm sim, uas tsis ua rau rov zoo,tab sis provokes kev loj hlob sai ntawm "tsis tsim nyog" cov pob txha.

Kev kho mob

Hmoov tsis zoo, niaj hnub no kev mob myositis ossificans zoo li tsis tuaj yeem tshem tawm, thiab kev kho mob siv tsis zoo. Tsis muaj cov txheej txheem pov thawj rau kev tiv thaiv FOP. Nrog rau kev tshawb pom ntawm cov noob hloov pauv, nws tsuas yog tuaj yeem kawm txog cov txheej txheem ntawm qhov pib ntawm tus kab mob. Cov kev kho mob yog tsim nyob rau hauv lub chav kuaj thiab tsis siv nyob rau hauv kev kho mob xyaum. Tsis tas li ntawd, kev sim tshuaj kho tau yuav tsum tau ntsuas qhov tseeb ntawm qhov ntau npaum li cas thiab lub sijhawm kho.

Cov kws tshaj lij tshwj xeeb uas cuam tshuam nrog myositis ossificans ua haujlwm hauv Asmeskas, ntawm McKay Laboratory ntawm Pennsylvania Federal University. Frederick Kaplan, MD, PhD, saib xyuas cov haujlwm tshawb fawb.

Nyob rau theem pib ntawm tus kab mob, kev kho mob suav nrog tshuaj tiv thaiv kab mob, ascorbic acid, vitamins A thiab B, biostimulants. Hauv cov xwm txheej hnyav ntawm cov kab mob, cov tshuaj steroid yog siv, txawm hais tias lawv cov txiaj ntsig tsis tau raug pov thawj.

Cov tsos mob tshwm sim ntawm myositis ossificans
Cov tsos mob tshwm sim ntawm myositis ossificans

Physiotherapy ua rau qee qhov kev txhim kho - ultrasound, electrophoresis. Cov txheej txheem no muab kev daws teeb meem thiab ua kom muaj zog. Nws yog ib qho tsim nyog yuav tsum ua raws li qhov tsawg kawg nkaus ntawm cov khoom uas muaj calcium, kom tsis txhob muaj kev txhaj tshuaj intramuscular. Kev phais thiab tshem tawm cov pob txha tsim tsis muaj txiaj ntsig.

Taumatic myositis ossificans

Kev mob myositis ossificans yog ib yam kab mobuas ua rau cov pob txha tsim los ntawm kev raug mob hnyav - dislocations, fractures, sprains, los yog vim muaj kev raug mob me me, piv txwv li, hauv cov kis las lossis ntaus suab paj nruag.

Cov kab mob yog ua raws li cov ntshav hauv cov leeg nqaij. Feem ntau, ossificates yog tsim nyob rau hauv gluteal, femoral thiab lub xub pwg leeg. Qee lub sij hawm tom qab raug mob, thawj cov tsos mob ntawm pathology tshwm sim. Lub foob yog tsim nyob rau hauv cov leeg, uas loj hlob sai heev thiab yog mob ntawm palpation. Tom qab ob peb lub lis piam, qhov induration hloov mus rau hauv ib qho kev txiav txim siab ossification uas txwv tsis pub txav mus los ntawm qhov sib koom ua ke. Ces qhov mob maj mam ploj mus. Tus kab mob no cuam tshuam rau cov tub ntxhais hluas, feem ntau yog cov txiv neej uas tsim cov leeg nqaij.

myositis ossificans photo
myositis ossificans photo

Tsuas yog tom qab kuaj x-ray, qhov kev kuaj mob ntawm qhov mob ossifying myositis tau ntseeg tau. Daim duab ntawm x-ray yog qhia saum toj no. Qhov tshwm sim ntawm lub xov tooj cua qhia tau hais tias ib yam ntawm lub teeb "huab" tau pom nyob rau hauv thaj chaw cuam tshuam, uas tsis muaj ciam teb meej. Cov ossificates tshwm sim los ntawm pathology thaum xub thawj tsis muaj cov duab meej, tab sis tom qab ntawd tau txais ib qho qauv thiab meej contours.

Taumatic myositis ossificans: kho

Yuav ua li cas thiaj tshem tau tus kab mob? Traumatic myositis ossificans muaj qhov pom zoo rau kev kho mob. Tam sim ntawd tom qab qhov kev raug mob, lub plaster cam khwb cia yog qhia txog li ob lub lis piam. Tom qab kuaj pom thawj cov tsos mob ntawm tus kab mob thiab tsim kom muaj kev kuaj mob, nws yog qhov yuav tsum tau uasiv lub teeb cua sov, da dej radon, xov tooj cua, electrophoresis, kev kho lub teeb. Tib lub sijhawm, zaws, paraffin, hluav taws xob tsis tuaj yeem siv rau kev kho mob.

Tom qab lub xov tooj cua tau nthuav tawm pom muaj huab cua ntxoov ntxoo, nws tseem muaj peev xwm tiv thaiv kev loj hlob ntawm tus kab mob thiab thim rov qab cov txheej txheem. Nyob rau hauv tus ntawm cov tshuaj hormones, lub tsim yog resorbed. Kev txhaj tshuaj steroid yog muab tshuaj pleev. Feem ntau hauv kev kho mob lawv siv "Hydrocortisone" ua ke nrog cov tshuaj "Novocain".

Tom qab ob peb lub hlis tom qab raug mob, thaum lub ossification twb tsim, nws tsis muaj kev nkag siab los siv kev kho mob. Rau lub hlis tom qab, lawv mus rau kev phais mob - lub ossiophyte raug tshem tawm nrog rau cov tshuaj ntsiav.

Muaj qee qhov xwm txheej, kev ua tiav uas yuav ua rau muaj txiaj ntsig zoo ntawm kev kho mob thiab qhov tsis tuaj yeem rov ua haujlwm dua - kev ua haujlwm yuav tsum muaj kev ntxhov siab, yuav tsum siv lub tshuab hluav taws xob, ua tib zoo suture lub qhov txhab kab noj hniav, thiab nqa. tawm cov kev tiv thaiv kab mob hauv lub sijhawm tom qab phais.

Kev kuaj mob ntawm myositis ossificans

Kev txheeb xyuas tus kab mob pib nrog kev kawm ntawm daim duab kho mob. Kev sib tham nrog tus neeg mob tso cai rau koj kom paub txog qhov muaj nyob hauv lub neej ntawm cov kab mob zaum kawg uas tuaj yeem dhau los ua qhov tshwm sim rau kev txhim kho myositis. Feem ntau, pathology tshwm sim vim cystitis, osteomyelitis, erysipelas ntawm daim tawv nqaij. Kab mob, kab mob thiab kab mob fungal kuj provoke kev loj hlob ntawm myositis. Tus kab mob no kuj tshwm sim tom qab raug mob, mob leeg, hypothermia. Ntev loads ntawm qee cov leeg nqaij kuj ua raupathology.

Raws li tau sau tseg ua ntej, nrog myositis ossificans, mob tshwm sim. Cov neeg mob feem ntau yws txog qhov mob thiab cov leeg tsis muaj zog. Palpation ntawm thaj chaw cuam tshuam ntawm lub cev pab txiav txim siab qhov muaj / tsis muaj qhov hnyav thiab nodules hauv cov leeg.

Cov tsos mob ntawm myositis ossificans
Cov tsos mob ntawm myositis ossificans

Tus kab mob tuaj yeem tshwm sim los ntawm kev cuam tshuam ntawm cov tshuaj lom, xws li cawv thiab siv yeeb tshuaj. Qee cov tshuaj kuj ua rau cov leeg mob.

txheej txheem xeem

Ntxiv rau keeb kwm thiab kev kuaj mob, X-ray tau ua kom paub meej qhov kev kuaj mob, uas tso cai rau kuaj ossification. Qee lub sij hawm CT scan thiab radioisotope kawm txog cov leeg nqaij tuaj yeem ua tiav.

Dab tsi yog qhov prognosis rau kev kho mob hauv ossifying myositis
Dab tsi yog qhov prognosis rau kev kho mob hauv ossifying myositis

Qhov muaj myositis hauv lub cev yog qhia los ntawm cov yam ntxwv hloov pauv hauv kev kuaj ntshav dav dav. Lwm txoj hauv kev ntawm kev tshawb fawb hauv chaw soj nstuam yog ua cov kev kuaj mob rheumatic - cov kev ntsuam xyuas uas pab txiav txim seb qhov xwm txheej ntawm tus kab mob thiab tsis suav nrog cov kab mob autoimmune, nrog rau txheeb xyuas qhov kev siv ntawm cov txheej txheem inflammatory.

Qhov ntsuas ntawm kev kuaj mob rheumatic qhia ntau lub xeev ntawm lub cev. Piv txwv li, C-reactive protein yog ib qho cim ntawm theem mob ntawm cov txheej txheem inflammatory. Antistreptolysin-O yog ib yam khoom uas tsim tawm hauv lub cev thaum muaj kab mob streptococcal. Nws lub xub ntiag qhia tias mob rheumatism lossis mob caj dab rheumatoid. Rheumofactor yog ib qho tshuaj tiv thaiv kab mob uas tsim tawm hauv lub cev thaum autoimmunepathologies.

Kev tshawb nrhiav Morphological hauv kev kuaj mob ntawm myositis yog biopsy - kev noj cov khoom siv biomaterial rau kev tsom xam thiab nws txoj kev tshawb fawb kom zoo. Lub luag haujlwm tseem ceeb yog los txiav txim qhov kev hloov pauv ntawm cov leeg nqaij thiab cov nqaij sib txuas.

Kev Tiv Thaiv

Kev tiv thaiv ntawm myositis ossificans suav nrog ntau lub hauv paus ntsiab lus, qhov tseem ceeb ntawm kev tswj hwm txoj kev ua neej zoo - kev ua si yam tsis muaj kev tawm dag zog lub cev ntau dhau, kev noj zaub mov zoo thiab kho raws sijhawm ntawm txhua yam kab mob.

Kev noj zaub mov kom tiav pab kom tsis txhob muaj cov txheej txheem inflammatory hauv cov leeg - fatty polyunsaturated acids muaj nyob rau hauv cov ntses yog pab tau; cov zaub mov muaj salicylates (zaub); yooj yim digestible proteins (almonds, nqaij qaib); zaub mov muaj calcium; cereals.

Kev haus dej haus cawv yog qhov tseem ceeb heev, uas yuav tsum tau haus li ob litres dej ib hnub. Txiv hmab txiv ntoo dej qab zib thiab compotes yuav tsum tsis txhob neglected; ntsuab tshuaj yej kuj tseem pab tau. Txhawm rau tshem tawm puffiness, nws raug nquahu kom noj rosehip decoction. Rau kev tiv thaiv ntawm myositis, nws yog ib qho tsim nyog los siv sij hawm nyob rau hauv cov huab cua ntshiab. Ntau tus neeg mob feem ntau txhawj xeeb txog lo lus nug no: nws puas tuaj yeem ua kev tawm dag zog nrog myositis ossificans? Nws yog ua tau, txawm li cas los, lub load yuav tsum yog lub teeb thiab dosed. Ntxiv nrog rau kev ua si gymnastics, tawv tawv, ua luam dej, caij tsheb kauj vab raug pom zoo rau tus kab mob no.

Kev tiv thaiv ntawm myositis kuj suav nrog kev txav mus tas li, nws yog qhov tseem ceeb los tiv thaiv lub cev tsis muaj zog thiab hypothermia. Tau kawg, kev tiv thaiv zoo tshaj plaws ntawm pathology yog qhov tsis muaj kev raug mob.

Pom zoo: