Osteosclerosis yog ib qho kev nce, hauv zos los yog diffuse, nyob rau hauv pob txha ceev. Kev kuaj mob feem ntau yog nyob ntawm cov tsos mob thiab kev kuaj x-ray. Cov tsos mob feem ntau yog pob txha fragility, morphological thiab ntshav txawv txav. Tsis muaj kev kho mob rau osteosclerosis, uas feem ntau tsis tuaj yeem hloov pauv, tab sis kev noj zaub mov thiab kev ua lub cev tsis tu ncua tuaj yeem tiv thaiv nws qhov pib thiab kev loj hlob. 

Lus txhais

Osteosclerosis yog tus cwj pwm los ntawm thickening ntawm cov pob txha trabecular uas ua rau cov pob txha muaj zog. Kuj hu ua cancellous pob txha, trabecular pob txha yog qhov nruab nrab ntawm cov pob txha. Nws muaj spans nyob rau hauv daim ntawv ntawm daim hlau los yog kab txuas rau ib leeg thiab ib puag ncig los ntawm cov ntaub so ntswg uas muaj li ntawm cov rog thiab qia hlwb, thiab heev vascularized. Cov pob txha spongy sawv cev tsuas yog 20% ​​ntawm cov neeg laus pob txha, nws tsuas yog ua rau cov pob txha me (vertebrae).

hom

Muaj ob hom osteosclerosis:

• Localized, nyob rau theem ntawm ib feem me me ntawm lub cev pob txha;
• Diffuse, thaum nws cuam tshuam rau thaj tsam loj ntawm lub cev pob txha (xws li tag nrho tus txha nraub qaum).

Ua rau

Cov pob txha

Osteosclerosis tuaj yeem tshwm sim raws li kev cuam tshuam rau pob txha puas xws li pob txha pob txha, pob txha o, mob qog noj ntshav, lossis osteoarthritis.

Txha cajqaum

Osteopetrosis yog hom kab mob uas paub zoo tshaj plaws ntawm osteoclerosis. Osteopetrosis yog ib yam kab mob uas tsis tshua muaj tshwm sim los ntawm kev ua haujlwm tsis zoo ntawm osteoclasts, cov hlwb ua kom puas cov pob txha qub. Raws li lub cev tsis rov siv cov pob txha qub, nws ua rau cov pob txha muaj zog ntxiv thiab hloov cov pob txha zoo. Muaj ntau hom osteopetrosis uas txawv nyob rau hauv cov chav kawm los ntawm kev tuag nyob rau hauv utero mus rau daim ntawv tshuav tag nrho asymptomatic.

Pob txha dysplasia

Osteosclerosis tuaj yeem tshwm sim thaum cov pob txha dysplasia, kev loj hlob ntawm cov pob txha uas ua rau muaj qhov txawv txav ntawm cov duab, ntim lossis ua haujlwm. Pob txha dysplasia tuaj yeem cuam tshuam cov pob txha ntawm pob txha taub hau, ntsej muag, cov pob txha ntev ntawm lub cev, lossis tag nrho cov pob txha. 

Osteosclerosis tuaj yeem tshwm sim nws tus kheej hauv cov ntsiab lus ntawm cov kab mob dav dav kuj cuam tshuam nrog cov pob txha dysplasia, tshwj xeeb tshaj yog hyperostosis (Caffey's disease, melorheositis), Worth's syndrome, hyperostotic Lenz-Majewski dwarfism, Pyle's disease, Engelmann's disease lossis pycnodysostosis. pob txha, luv stature thiab pob txha fragility.

Cov kab mob metabolic

Osteosclerosis tuaj yeem tshwm sim nws tus kheej hauv qee yam kab mob metabolic xws li:

• Tshuaj lom nrog txhuas, arsenic, beryllium lossis bismuth;
• ntau dhau ntawm vitamin A thiab D;
• Osteosclerosis txuam nrog kab mob siab C;
• Fluorosis, ib qho pathology txuas nrog ntau tshaj ntawm fluorides;
• Pseudohypoparathyroidism, ib pawg ntawm cov kab mob tsis tshua muaj tshwm sim los ntawm qhov tsis xws luag hauv kev qhia ntawm parathyroid hormone, ib yam tshuaj uas tswj cov qib calcium hauv cov ntshav;
• Osteomalacia, ib tug generalized osteopathy nyob rau hauv cov neeg laus, feem ntau txuas rau vitamin D tsis txaus thiab tus cwj pwm los ntawm ib tug tsis xws luag nyob rau hauv cov pob txha mineralization;
• Lub raum tsis ua haujlwm;
• Rickets, kab mob tshwm sim los ntawm tsis txaus calcification ntawm cov pob txha thiab pob txha mos thiab vim vitamin D thiab calcium deficiency.

   

Lwm yam ua

Osteosclerosis tuaj yeem tshwm sim nws tus kheej hauv lwm qhov xwm txheej:

• Ionizing hluav taws xob los yog tshuaj lom hauv cov hlab ntsha;
• Lymphomas
• Leukemias;
• Sarcoidosis, ib tug kab mob inflammatory uas tsis paub ua; 
• Paget tus kab mob, ib tug benign, localized pob txha kab mob tshwm sim los ntawm accelerated pob txha turnover;
• Qee cov qog nqaij hlav ntawm cov ntshav (Vaquez tus kab mob) lossis ntawm tus txha caj qaum (myelofibrosis);
• Mob ntshav qab zib;
• Osteomyelitis, kab mob ntawm cov pob txha feem ntau tshwm sim los ntawm cov kab mob;

diagnostic

Kev kuaj mob feem ntau yog nyob ntawm cov tsos mob thiab cov kev kuaj x-ray:

• Cov duab hluav taws xob ib txwm ua rau nws muaj peev xwm hais txog qhov ntom ntom thiab cov pob txha tsis zoo;
• Kev suav tomography ua rau nws muaj peev xwm txheeb xyuas cov hlab ntsha tuaj yeem ua rau pob txha taub hau;
• Sib nqus resonance imaging (MRI) ntsuas kev ua haujlwm ntawm cov pob txha pob txha;
• Cov pob txha scintigraphy tuaj yeem txheeb xyuas thaj chaw uas tuab tshaj plaws uas pom ntau dua qhov tsis pom kev ntawm cov duab.

Qee zaum, kev kuaj ntshav thiab kev kuaj ntshav yuav tsum tau kuaj xyuas kom kuaj tau. Osteosclerosis tuaj yeem tshwm sim rau txhua lub hnub nyoog, hauv cov txiv neej thiab poj niam.

Osteosclerosis tuaj yeem yog asymptomatic, tab sis nws kuj tuaj yeem ua rau muaj cov tsos mob sib txawv nyob ntawm nws qhov ua rau.

Pob txha fragility

Cov pob txha tuab ua rau cov pob txha tsis muaj zog, cov pob txha tawg yooj yim dua.

Morphological txawv txav

Thaum nws muaj keeb kwm caj ces, osteosclerosis tuaj yeem ua rau muaj qhov txawv txav ntawm cov pob txha loj hlob ua rau morphological deformation ntawm cov pob txha pob txha (lub hauv pliaj zoo; kev loj hlob retardation; nce ntim ntawm pob txha taub hau, tes lossis taw, thiab lwm yam.)

Ntshav txawv txav

Kev nce hauv cov pob txha ceev ua rau txo qis ntawm cov pob txha pob txha uas tuaj yeem ua rau cov qe ntshav qis ua rau cov ntshav tsis txaus (ua rau qaug zog heev), kis kab mob lossis los ntshav.

Nce intracranial siab

Thaum osteosclerosis cuam tshuam rau cov pob txha ntawm pob txha taub hau, tshwj xeeb tshaj yog nyob rau hauv qee qhov osteopetrosis, nws tuaj yeem ua rau muaj zog intracranial siab thiab ua rau cov hlab ntsha hauv cranial ua rau lub ntsej muag tuag tes tuag taw, tsis pom kev thiab / lossis hnov ​​​​lus.

Tsis muaj kev kho mob rau osteosclerosis uas feem ntau irreversible. Txawm li cas los xij, nws tuaj yeem xav txog:

• Noj cov tshuaj corticosteroids los txhim kho cov pob txha;
• Hloov pob txha rau osteopetrosis uas tshwm sim nws tus kheej thaum yau;
• Kev phais yas los kho cov pob txha tsis zoo, tshwj xeeb tshaj yog ntawm lub ntsej muag thiab puab tsaig.

Tsis tas li ntawd, pob txha, mob ntshav qab zib, hemorrhages, deficiency (calcium thiab vitamin) thiab kab mob yuav tsum tau kho raws li qhov xwm txheej. Kev poob phaus pab txo qhov hnyav ntawm cov pob txha. 

Noj cov zaub mov

Vitamin thiab calcium tsis txaus tuaj yeem tiv thaiv nrog kev noj zaub mov raws li:

• Cov khoom noj uas muaj calcium: cov khoom noj siv mis, zaub ntsuab, txiv hmab txiv ntoo, txiv ntoo thiab cov kaus poom ntses xws li sardines;
• Cov khoom noj uas muaj vitamin D zoo li cov ntses rog, qe thiab daim siab

Kev ua kom lub cev

Kev tawm dag zog hnyav xws li taug kev, khiav, seev cev, ua si pob, thiab taug kev nrawm yog cuam tshuam nrog txo qis kev pheej hmoo ntawm pob txha. Kev cob qhia muaj zog kuj pab tau. Thaum kawg, yoga thiab pilates txhim kho lub zog thiab sib npaug.