Ukulinganisa ukuqhubela phambili kwe-Osteoarthritis
Iimifanekiso ze-X-ray ziyakwazi ukubona indawo edibeneyo. Kwiindawo ezinempilo, kukho isiqhelo esivamile sendawo phakathi kweephesti zamathambo ezenza umdibaniselwano. Iziphelo zamathambo edibeneyo zihlanganiswe ngombutho we-articular cartilage. Kwi-joint joint-affected one-arthritis-kukho ubungqina bokunciphisa isikhala phakathi kweephesheni zamathambo ngokubambisana, ngenxa yokulahleka kwe- cartilage .
I-carticlage ye-Articular isebenza njengendawo yokutya kunye nokuxhalabisa ngaphakathi kwendibano. Xa i-cartilage iyancipha okanye igqoke, idibeneyo echaphazelekayo iyaba buhlungu, inzima, kwaye iyancipha kwinqanaba lokunyakaza . Xa idibeneyo ibonakaliswe kakhulu kwaye i-cartilage iphelele kakhulu, umonakalo uvame ukubhekwa njengethambo -ithambo .
Indawo edibanisayo yendawo yindawo yokuqalwa kwe-Arthritis Diagnosis
Ukuphonononga i-arthritis kuvame ukuquka ukulinganisa indawo kunye kunye nokugweba nokuba sele kuncitshiswe. I -x-ray ethwele ubunzima ithathwa ukuba ikhangele indawo edibaniseneyo eminqeni nasemadolweni.
Kwi- osteoarthritis , indawo edibeneyo idityaniswe ngokuqhelekileyo i-asymmetric. Ihlukahluka kumacandelo ahlukeneyo okuguqa ngamadolo kunye neendawo ezibandakanyekayo ezihlangeneyo. Nangona kunjalo, ngokuqhelekileyo i-symmetric kwi-osteoarthritis yamanyathelo omunwe.
Nangona iindawo ezidibeneyo zincinci ngokuqhelekileyo zibonakaliso lokuqala lwe-arthritis diagnostic, yinto nje inkcazo.
Indawo edibeneyo idityanisiweyo inentsingiselo eyahlukileyo kwaye ibonisa ngamaxesha ahlukeneyo kwiintlobo ezahlukeneyo zesifo samathambo. Ubudala begulane kwakhona kubaluleka kubaluleka beendawo ezidibeneyo.
Ezinye iziphumo ze-radiographic, kunye neziphumo zovavanyo lomzimba kunye neemvavanyo zegazi, kufuneka ziqwalaselwe ngethuba lokuxilonga.
Indawo yokudibanisa ingabakho ngeemeko ezahlukeneyo ze-rheumatic, kubandakanya i-osteoarthritis, i- rheumatoid arthritis , i- arthritis evuthayo , i- osteoarthritis , i-gout, okanye i- systemic lupus erythematosus .
Isibambiso sokuHlala esibambiseneyo esibonakaliswayo se-Osteoarthritis
Ukugqithisa kunye nokugqabhuka kwe-osteoarthritis kubonakala ngokutshabalalisa kunye kunye nokulahleka kwe- cartilage . Xa oogqirha bahlola ubunzima be-osteoarthritis, basebenzisa izifundo zengqondo ukulinganisa umonakalo odibeneyo ngokulinganisa isikhala esilapho phakathi kwamathambo edibeneyo. Indawo edibeneyo edibeneyo ibonisa ukulahleka kwe-cartilage nokunyuka kwe-osteoarthritis.
Isikhala sokudibanisa esihlangeneyo kwi-Knee
Kulo dolo, indawo edibeneyo yokunciphisa idibaniswe nokulahlekelwa kwe-carticlage ye-articular. Nangona kunjalo, umonakalo ongaphantsi kwamanye amazwe unika negalelo kwiindawo ezidibeneyo.
Kwisifundo esinye, i-MRI yamadolo angama-264 abathathi-nxaxheba abane-symptomatic osteoarthritis ithathwe ekuqaleni kwesi sifundo, emva koko emva kweenyanga ezili-15, kwakhona emva kweenyanga ezingama-30. Abaphengululi baphetha ukuba utshintsho kwi-meniscus (engekho i-articular knee cartilage) lubangele utshintsho olubangele indawo edibeneyo.
Abaphengululi bachaza ukuba nge-osteoarthritis, i-carticlage ye-articular ibonakaliswe kwaye i-meniscus ingasuswa.
Indawo yokudibanisa isiphumo sitshintsho kuzo zonke ezi zakhiwo.
Indlela yokuHlala kweZithuba eziHlangeneyo kunye neGraded
Isixa sendawo esibandakanyekileyo sinqabile kusetyenziswa inkqubo ebizwa ngokuba yi-Kellgren-Lawrence, ephakanyiswa okokuqala ngo-1957. Inokulinganisa ukuqhubela phambili kwe-osteoarthritis kwizihlanganisi kwizinga elihlanu.
- 0 = Akukho zibonakaliso zenguqu
- 1 = "inguqu" inguquko kwindawo edibeneyo
- 2 = Utshintsho oluthile olubhekiselele kwi-osteophytes
- 3 = utshintsho olulinganayo kunye nama-osteophyte amaninzi kunye / okanye indawo edibeneyo yokudibanisa
- 4 = Utshintsho olunzulu ngendawo edibeneyo yokubambisana, ukuxhamla amathambo-on-bone, kunye ne-osteophytes ephawulekayo
Le nkqubo ihlala isetyenziswe kwaye isekelwe kwimilinganiselo ye-x-rays. Ubunzima obunemizila ye-x-ray bungasetyenziselwa ukufaka ibakala kwisimo seklinikhi nokuxela ukuqhubeka kwesifo. Abanye baye bathi ukuhlaziywa kweendawo ezidibeneyo njengento "yokuthatha indawo yokubambisana," kodwa loo nto ayiqwalasele ezinye izinto eziya kwisigqibo malunga nokutshintshwa ngokubambisana.
ILizwi
Akukho zonyango ezichaphazela ukuqhubela phambili kwe-osteoarthritis ngeli xesha. Ukuphuhliswa kwe-DMOADS (izifo eziguqula izifo ze-osteoarthritis) kuye kwadanisa, ukuthetha okungenani.
Ingxenye yengxaki, ukuba sikhetha ukuyibiza ingxaki, ekuphuhliseni iziyobisi eziza kunciphisa ukuqhubela phambili kwendawo yokudibanisa yinto yokuba imbangela ye-osteoarthritis yinkimbinkimbi kunokugqithisa okulula kunye nokulila. Kukho izinto ezinokuqhaqhaqhaqhaqho kunye neeproteases ezibandakanyekileyo ekutshatyalalisweni kweethambo ezinxulumene ne-osteoarthritis. Oko kwathiwa, ngaphandle kokonyango olusebenzayo ukunyusa intuthuko ye-osteoarthritis, ukubaluleka kokubamba kunye nokufaka indawo yokubambisana ngokuncinci kuncipha.
Uninzi lwezokwelapha lwe-osteoarthritis lujoliswe ekulawuleni iimpawu , kwaye ziyizona ndlela ezifanelekileyo zokunciphisa intlungu kunye nokuphucula umgangatho wobomi.
> Imithombo:
> Karsdal, MA et al. Izifo eziguqula izifo ze-osteoarthritis (i-DMOAD) zamadolo kunye nokuqhwala: izifundo ezifunyenwe kwiintsilelo kunye namathuba kwixesha elizayo. I-Osteoarthritis kunye neKartilage. Ngo-2016 Dec; 24 (12): 2013-2021.
> Emrani PS, et al. Indawo yokuHlala kunye noKellgren-Lawrence Inkqubela kwi-Knee Osteoarthritis. I-Osteoarthritis Cartilage. 2008; 16 (8); 873-882.
> Kellgren JH, Lawrence JS. Uvavanyo lwe-Radiological of Osteo-Arthrosis . Iziganeko zeeRheumatic Diseases. 1957; 16: 494-502.
> Jacobson JA, Girish G, Jiant Y, Sabb BJ. UkuVavanyo kwe-Radiographic yeArthritis: Izifo ezidibeneyo kunye neziNguquko. Radiology. 2008; 248 (3): 737-47.
> Loeser, uRichard F. MD. I-Pathogenesis ye-Osteoarthritis. Isemgangathweno. Ukuhlaziywa ngoJuni 21, 2016.