I-Osteoarthritis: ichazwa ngemifanekiso

I-Osteoarthritis yenye yeentlobo ezingaphezu kwe-100 ze-arthritis nezifo ezihlobene . I-osteoarthritis yintlobo ephezulu kakhulu ye-arthritis. EUnited States, abantu abayizigidi ezingama-27 bahlala nesifo. I-osteoarthritis ixhaphake kakhulu kubantu abadala abangaphezu kweminyaka engama-65 ubudala kodwa abantu banoma yiyiphi na ubudala bangahlakulela isifo. Ukukhula kunyuke kakhulu emva kweminyaka engama-50 kumadoda kwaye emva kweminyaka engama-40 kwabasetyhini. Ngokwe-American College of Rheumatology, iipesenti ezingama-70 zabantu abangaphezu kweminyaka engama-70 banobungqina be- x-ray ye-osteoarthritis .

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I-Cartilage Damage From Knee Osteoarthritis
SMC Izithombe / Getty Izithombe

I-oneoarthritis ye-knee yindlela eqhelekileyo ye-osteoarthritis. Abantu abangaphezu kwezigidi ezili-10 baseMelika banama-knee osteoarthritis. Kwakhona kuyona nto ibangela ukukhubazeka e-United States.

Ukugqithisa kwe-articular (joint) i-cartilage yinkxalabo ebalulekileyo ehambelana ne-knee osteoarthritis. Le meko ingabangelwa ngu:

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U-Hip Osteoarthritis obangelwa nguKuhlahloka okuhlangeneyo
Ifoto nguPamela Burley (iStockphoto)

Uhlobo lwe-osteoarthritis luhlobo oluqhelekileyo lwe-osteoarthritis. Ekubeni i-hip isisindo somthwalo, i-osteoarthritis ingabangela iingxaki ezibalulekileyo. Malunga ne-1 kwi-4 yamaMerika angalindela ukuphuhlisa i-osteoarthritis ye-hip ngexesha lokuphila kwabo.

I-osteoarthritis ye-Hip ibangelwa kukuhlaselwa kwe-articular (joint joint) ne-wear-and-tear of joint joint. Kukho izizathu ezininzi ezinokuthi ziphuhlise:

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IziThathu eziManyeneyo ze-Osteoarthritis yesandla
IBURGER / PHANIE / Getty Izithombe

I-Osteoarthritis inokuchaphazela nayiphi na inxalenye emzimbeni, kuquka isandla. I-osteoarthritis yesandla ngokuqhelekileyo ikhula kwiindawo ezintathu kwisandla - kwisiseko sesithupha, kwintsebenziswano ecaleni kwesandla somnwe, kunye nomxube ophakathi komnwe.

Ukugqoka kunye nokusila okanye ukulimala kungenza ukuba i-osteoarthritis iphuhlise. Xa ukulimala kutshintsha ulungelelwaniso lwentsebenziswano, lunokukhawuleza umonakalo we-cartilage. Umonakalo uvame ukubonakala ezandleni kunye namajoyano awandisiweyo kunye neminwe ephosakeleyo. Iigununu zeBony ziimpawu eziqhelekileyo ezibonakalayo kunye ne-osteoarthritis yesandla. Iigundane ezincinci kunye neendwanguzo ezikufuphi ezinxulumene neminwe zibhekwa njengezakhi zeBourdrd. Xa iigununu zifumaneka kwi-fingertip, zithunyelwa njengezixhobo zeHeberden.

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Ubuninzi Ubunzima obunobungozi kwiNeck Osteoarthritis
IBURGER / PHANIE / Getty Izithombe

I-osteoarthritis, eyaziwayo njenge-spervylosis yomlomo wesibeleko, isifo sokuguqulwa okungapheliyo kwe-vertebrae kwingingqi yomlomo wesihlwele, kunye neediski phakathi kwe-vertebrae. I-oeck osteoarthritis ixhaphaza kakhulu amadoda kunye nabasetyhini ngaphezu kwe-40 kwaye iqhubeka ikhula ngakumbi ngokukhula. Ukusabalalisa kwentamo ye-osteoarthritis kuyafana kubantu kunye nabasetyhini, kodwa amadoda athambekele ekuphuhliseni imeko engaphantsi kwabesetyhini.

Utshintsho olubangelwa ukuguqulwa kommandla wesibeleko somlomo wesibeleko lunokuqinelela enye okanye ingcambu yeengcambu. Ukunyanzelwa kweentlungu akukwazi nje ukubangela intlungu entanyeni, kodwa ubuhlungu, ubuthathaka, ukugubungela, kunye nokugubungela ingalo. Nangona ukulimala kwentamo eyadlulayo kunokukhokelela entanyeni ye-osteoarthritis kwiminyaka kamva, ukuguga yinto ebalulekileyo yengozi okanye imbangela yentamo ye-osteoarthritis. Amaphesenti angama-70 amabhinqa namadoda angama-85% anesibonakaliso se-x-ray yentamo ye-osteoarthritis engama-60 ubudala.

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Yintoni eyahlukileyo phakathi kwe-Osteoarthritis ne-Rheumatoid Arthritis?
BruceBlaus / Wikimedia Commons / CC-BY-SA-4.0

I-osteoarthritis yindlela eqhelekileyo ye-arthritis. Ngakolunye uhlangothi, i-rheumatoid arthritis ibonwa njengoluhlobo olunokukhubazeka okanye olukhubaza u-arthritis. I-Osteoarthritis (ekwabizwa ngokuba yintlungu edibeneyo okanye isifo se-arthritis) kubangelwa ukuphuka kwe-cartilage ehlangene. I-cartilage isebenza njengentambo phakathi kwamathambo enokudibanisa. Ukulahleka kwe-cartilage kungabangela ukuba amathambo ahlabe amathambo kwi-joint - imeko ebuhlungu kakhulu. Ngokuqhelekileyo, i-osteoarthritis iqala ngokubambisana.

I-rheumatoid arthritis yinto engapheliyo, yokuvuvukala kwe-arthritis. Ikwahlulwa njengesifo esizimele (oko kukuthi, iiseli ze-immune zihlasela amathambo omzimba). I synovium (ibhondi yokudibanisa) ichaphazeleka ngokusisifo se-rheumatoid arthritis, kodwa izitho nazo zingathinteka. Amalungu amaninzi afakwe kwi-rheumatoid arthritis.

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Ukutshintshwa kwe-Knee Ukhetho lokuThatyathwa kweNqabayolo
33karen33 / Getty Izithombe

Ngokuqhelekileyo, izigulane ze-arthritis kuqala zizama unyango olulondolozayo ukuze zilawulwe ubuhlungu beendolo kwaye zizame kwaye zenze umonakalo odibeneyo. Ukuba unyango olulondolozayo ( imithi , injensi , i- braces , unyango lomzimba , ukushisa ) aluncedo kwaye aluvelisi impendulo eyanelisayo, ezininzi izigulane zijonga ukutshintsha kwamadolo njengesithuba sabo sokugqibela sonyango.

Isalathisi sokuguqula idolo inezinto ezi-3: i-femoral (zentsimbi), i-tibial (iplastiki kwisitye sensimbi) kunye ne-patellar (iplastiki). I-prosthesis ithatha indawo edibeneyo yedolo.

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Ukutshintshwa kwe-Hip ukubuyisela ukusebenza kunye nokuhamba
UMonty Rakusen / Getty Izithombe

Unyaka ngamnye eUnited States yedwa, ngaphezu kwe-285,000 ukutshintshwa kwe-hip isenziwa, kwaye inani kulindeleke ukuba liphindwe kabili ukuya kuma-573,000 ngonyaka we-2030.

Kukho kwakhona ukutshintshwa kwe-ceramic hip kunye nezinye iindlela zokutshintshwa kwe-hip yokuphela-umzekelo, iBirmingham Hip Resurfacing System .

Imithombo:

I-Osteoarthritis Handout kwiMpilo. NIAMS. 7/7/07. http://awww.niams.hin.gov/hi/topics/arthritis/oahandout.htm

I-Hip Inombolo Yokutshintshwa. I-American Academy ye-Orthopedic Surgeons. Agasti 2007.
http://orthoinfo.aaos.org/topic.cfm?topic=A00377

I-Osteoarthritis ye-Knee. JAMA. NgoFebruwari 26, 2003 - Vol. 289. No.8. Isikhokelo soMonde kwi-Osteoarthritis ye-Knee. Iziko leeOthopathiki kunye noBugqirha be-Hip neKnee. http://www.eorthopod.com/public/patient_education/6516/osteoarthritis_of_the_knee.html