Ngaba i-Loose and Unableable Joints iyibangela okanye isiphumo se-Osteoarthritis?
Ukuxhatshazwa okuhlangeneyo kuchazwa njengokungabi nantoni okanye ukungazinzi kokubambisana. I-laxity edibeneyo idibene ne- osteoarthritis , kodwa ngaba imbangela ye-osteoarthritis, okanye ngenxa yesifo?
UkuQiniseka kokuQinisekisa okuHlangeneyo kunye nokuLaxity
Ngokutsho kwe-Internal Medicine News, udidi oluqhelekileyo lokuxhatshazwa okuhlangeneyo luhluka phakathi kwabantu abahlukeneyo nangaphezulu kwexesha. Kuyinyaniso yokuba abanye abantu bazalwa beguquguquka ngakumbi kunabanye, ngelixa abanye bebenokusebenza ngokubanzi ekuwandiseni uluhlu lwabo lokunyuswa ngokuthatha inxaxheba kwimisebenzi efana ne yoga okanye ukuzilolonga.
Siyazi ukuba ukuhamba ngokubambisana kukhulu kunabesifazana kunamadoda, kwaye abantwana nabo banokuguquguquka, nangona ukuguquguquka kunciphisa kunye nobudala.
Iimeko ezibangele ukuxhatshazwa okuhlangeneyo
Iindidi ezinama-syndromes ezinobunzima obungavumelekanga ngokubambisana zibonisa izizathu zendalo. Ezi meko ziquka iMarfan syndrome, Stickler syndrome, kunye ne- Ehlers-Danlos syndrome . Ezinye izimo - iingxaki ezingenakulungelelaniswa nezicubu ezixhumeneyo - zinokuthi zingene kweli qela. Izigulane ezininzi ezinokukhathazeka okungahambiyo kwezicubu ezixhamlayo zinezinyo zokugaya okanye i-palate ephezulu. Ezinye iziganeko, kuxhomekeke kwisifo, ziquka: isikhumba esikhathekayo, ukunyunyuza okulula, i-hernias, i-osteoarthritis yokuqala, isifo sesisu okanye isisu, i-postural orthostatic tachycardia, kunye ne-hypotension.
Izigulane zaseMarfan zijongene nokukhula kweengcambu ze-aortic kunye nokuphuka. Izigulane ze-Stickler syndrome zisengozini ye-osteoarthritis kunye ne-dysplasia yamathambo. Uninzi lweemeko eziwela phantsi kwe-Ehlers-Danlos syndrome zijongene nokuxhatshazwa kunye nolusu olunomzimba oluthile.
Ukukhwabanisa kwi-Knee Osteoarthritis
Ukuxoshwa kwamadolo e- osteoarthritic akuzange kufundwe ngokubanzi kubantu. Ngo-1999, abaphandi bathatha umsebenzi. Bavavanya i-varus-valgus kunye ne-anteroposterior laxity kuma-25 abathathi-nxaxheba abatsha. Kwakukho nabangama-24 abathathi-nxaxheba abangenalo i-osteoarthritis ye-clinical, ngaphandle kwe- osteoarthritis okanye i- osteoarthritis yangaphambili okanye kunye nabangama-164 abathatha inxaxheba kwi-knee osteoarthritis ne- osteophytes .
Abaphengululi baphetha ngelithi ukunyuka okuxhatshazwayo okunxulumene ne-osteoarthritis kunokusesikweni kwisifo. Ukulahleka kwe-cartilage kudibaniswa nokugqithiswa okukhulu kwe-varus-valgus; Kungenzeka ukuba i-varus-valgus laxity yandisa umngcipheko we-knee osteoarthritis kwaye igalelo ekuqhubekeni kwe-knee osteoarthritis.
Olunye uphando, olwanyatheliswa ngo-2005, luhlolisise imibutho phakathi kweenguqu kwizinto ezidibeneyo, njengendawo edibaniseneyo okanye i-osteophyte yokubunjwa kunye ne-laxity, kunye nokudibanisa kunye kunye nokuxhatshazwa kubantu abane-knee osteoarthritis. Emva kokuqhuba iimvavanyo ezithile, abaphengululi baphetha ukuba zombini indawo edibeneyo kunye nokudibanisa ihambelana nokuxhatshazwa ngokubambisana.
Izigulane ezinamahlombe emadolo, kuxhomekeka ngobunzima bawo, zinokucetyiswa ukuba ziphephe umsebenzi ochaphazelayo okanye ukunyanzelwa koqeqesho. Kule meko, uqeqesho oluphantsi kokuxhatshazwa lusetyenziselwa ukunceda ukuzinzisa ukudibanisa. Ukuqhawula nokuxhasa ixolo kunokuba luncedo.
Ukukhwabanisa kwi-Ankle Osteoarthritis
Ngokuqhelekileyo, i-laxity engamaqhwaba engapheli iqala ngokulimala kwimigaments egcina isigxina sesigane. I-ray-ray ne-MRI zinceda ukuqinisekisa ukuxilongwa kwe-laxity ye-ankle. Ukwelapha umzimba, ukugquma, iqhwa, ukuphakama, kunye nezidakamizwa ezichasene nezidakamizwa zisetyenziselwa ukuvuselela i-ankle.
Ukukhwabanisa kwi-Hip Osteoarthritis
Enye yeemeko eziphambili ezinxulumene ne-hip laxity yi-Dysplasia yophuhliso ye-Hip (iDDH), isakhiwo esingaqhelekanga sokubambisana kwe-hip apho ibhola kunye ne-socket zingaboni kakuhle. Kwi-DDH, iigaments zomxube we-hip zingaba zikhululekile, zibangele ukukhawuleza okanye ukungazinzi. Kwamanye abantwana, ekuzalweni, umlenze ukhululekile kwisiseko. Kwabanye, umlenze wesangqa awukho ngokupheleleyo kwisiseko. Ukunyaniseka kungadluka xa umntwana ekhula kwaye usebenza ngakumbi. Iimeko, ukuba zingakhange ziphendululwe, ziye zadibana nomngcipheko okhulayo wokuphuhlisa i-osteoarthritis.
Imithombo:
Iimbangela ze-Genetic ye-Laxity Joint. IiNgxelo zeMpilo zoPhakathi. Howard P. Levy. 04/01/08.
http://www.internalmedicinenews.com/views/genetics-in-your-practice/blog/genetic-causes-of-joint-laxity/99bd9877f4693693a35b3249aa9e91c9.html
Ukuxhatshazwa emadolweni aphilileyo kunye ne-osteoarthritic. Sharma L. et al. Arthritis & Rheumatism. 1999May; 42 (5): 861-70.
http://www.ncbi.nlm.nih.gov/pubmed/10323441
Utshintsho olunezakhiwo, ukulungelelanisa, kunye nokukhwabanisa kwi-osteoarthritis yamadolo. van der Esch M. et al. I-Scandinavian Journal yeRheumatology. 2005 Julayi-Aug; 34 (4): 298-301.
http://www.ncbi.nlm.nih.gov/pubmed/16195163
I-Ankle Laxity. Imisedare-iSinayi. Ufikelele ngomhla we-1/29/13.
http://www.cedars-sinai.edu/Patients/Health-Conditions/Ankle-Laxity.aspx
Ukuphuhliswa okuPhuhliso (iDysplasia) ye-Hip (iDDH). OrthoInfo. Fi kelele 01/29/13.
http://orthoinfo.aaos.org/topic.cfm?topic=A00347