I-Osteoarthritis Eyaqhubeka Nokulimala
I-osteoarthritis ephazamisayo emva kokuphazamiseka ichazwa njenge- osteoarthritis eyenza ukulandela ukulimala ngokubambisana. Uninzi lwethu luyazi ukuba i-osteoarthritis yindlela eqhelekileyo ye-arthritis , echaphazela abantu abadala abangama-27 base-US. I-Osteoarthritis nayo yimbangela ebalulekileyo yokukhubazeka ehambelana nokuhamba e-US.
Ukuxelwa, iipesenti ezili-12 zazo zonke iimeko zesifo se-osteoarthritis, okanye malunga nabantu abayizigidi ezi-5.6 abane-osteoarthritis e-US ephezulu, banesifo se-osteoarthritis.
I-Symptomatic osteoarthritis ichazwa nje ngokuba nobukho be-osteoarthritis kunye neentlungu , ubunzima , kunye nenye imida yokusebenza yabasebenzi abachaphazelekayo. I-osteoarthritis i-Radiographic ibhekisela kwi- osteoarthritis ebonakalayo kwi-x-ray , kodwa ayisoloko impawu.
Ukulimala Okuhlangeneyo Ingozi Eyaziwayo Yengozi ye-Osteoarthritis
Kukho izinto ezinobungozi ezininzi ezibandakanya i-osteoarthritis , njengokuguga kunye nokukhuluphala. Ukulimala okuhlangeneyo kukuphakathi kwezinto eziziwayo zengozi ye-osteoarthritis.
Ukulimala okudibeneyo kunokwenzeka nakwephi na umxube olandela uluntu, kodwa ke amadolo kunye neenyawo ezibonakalayo zixhaphake ngokuqhelekileyo. E-US, iipesenti ezili-11 zazo zonke ukulimala kwe- musculoskelet zibandakanya i-sprains kunye noxinzelelo emadolweni nasemlenzeni. Uhlobo lokulimala okuhlanganyeneyo oluhambisana ne-post-traumatic osteoarthritis lungaba yintlukwano, umonakalo we-cartilage, i-ligament grain, okanye ukungazinzi okungapheliyo.
Ubuninzi be-Osteoarthritis ye-Post-Traumatic
Kuqikelelwa ukuba abantu abadala abangama-13 base-US, abaneminyaka engama-60 ubudala okanye ngaphezulu, banama- osteoarthritis . Kulo qela, malunga nabantu abayizigidi ezi-4 banama-knee osteoarthritis. Ngokusekelwe kwiziphumo zophando, kuye kwacetyiswa ukuba malunga nama-10 ekhulwini kuwo onke amatyala e-knee osteoarthritis, ngakumbi ngokukhethekileyo, i-osteoarthritis engapheliyo.
Abantu abalimaza amadolo abo banamaxesha angama-4.2 ukuba banokuphuhlisa i-osteoarthritis kunabantu abangenalo ukulimala kwamadolo.
I-ankle i-osteoarthritis inqabile kakhulu. Ngokutsho kweNcwadi ye-Athletic Training, ipesenti enye kuphela yehlabathi labantu inamafutha e-osteoarthritis anxulumene nasiphi na isizathu. Abantu banokuphindwa kathathu ukuba bafumane i-knee osteoarthritis kune-osteoarthritis. Ukulimala ngokubambisene okanye ukuxhatshazwa ngokucacileyo kubangelwa imbangela enkulu ye-osteoarthritis ye-ankle, kunye neepesenti ezingama-20 ukuya kuma-78 ekhulwini kuwo onke amatyala e-osteoarthritis angama-othooarthritis.
I-post-traumatic hip osteoarthritis i-akhawunti yecandelo le-2 nje yeepesenti ze- hip osteoarthritis . Nangona kunjalo, ukusabalalisa kwe-hip osteoarthritis iphakamileyo kakhulu emkhosini, mhlawumbi njengama-20 ekhulwini. Ubuninzi be-osteoarthritis ye-post-traumatic shoulder osteoarthritis liqikelelwa ukuba luvela kwiipesenti eziyi-8 ukuya kwi-20 ekhulwini phakathi kwabantu abacwangciselwe ukuhlinzwa ngenxa yokungazinzi kwe-glenohumeral yangaphakathi.
Ukulimala Knee
Nazi ezinye iinombolo zokulimala kwamadolo ukubonisa ubungakanani beengxaki:
- Ibhokisi libandakanya kwi-15 ekhulwini yazo zonke izingozi zemidlalo ezikolweni eziphakamileyo.
- Malunga nama - 250,000 ayenzileyo ezixinzelelekayo (ACL) zenzeke ngonyaka ngamnye e-US.
- Kwama-250,000 anama-ACL okonzakala, i-175,000 inqatshelwe ukuvuselelwa kwe-ACL.
- Amaphesenti angama-75 eengxaki zokulimala kwe-ACL awonakalisa kumadoda .
- Zombini i-ACL kunye nokulimala kwamadoda kuthathwa njengengozi ephezulu ye-post-traumatic osteoarthritis.
Okuthakazelisayo, ukuphononongwa ngokuchanekileyo kubonakalise ukuba ukuxhaphaka kwe-osteoarthritis ehamba phambili emva kokuphazamiseka kwakuphezulu phakathi kwalabo babenokuhlinzwa ngokutsha kwe-ACL yabo eyonakaliswe ngokumalunga nalabo abangazange bavuselele kwakhona. "Ixesha ukususela kwingozi" kwakunjalo, nangona kunjalo. Kwaye kwagqitywa ukuba kwiminyaka engama-20 emva kokulimala, abantu abaye baphinde bahlaziywa babenomdla ophezulu we-osteoarthritis emva kokungabikho, njengoko kuchaziwe ngasentla-kodwa, kwishumi leminyaka yesithathu (okt, iminyaka engama-20 ukuya kwe-30 emva kokulimala), Abantu abangazange baphinde baqalise ukulungiswa kwe-ACL babeneepesenti ezingama-34 ezikhudlwanayo ze-osteoarthritis ezidlulayo emva kwezo zibuye zakhiwe kwakhona.
Nangona ukulimala kwamadoda kunye nokuhlinzwa kudibaniswa ne-post-traumatic osteoarthritis, kumanqaku emi-2 (emva kokulimala), akubonakali ukuba ngumbutho obalulekileyo. Ukugqitywa kwe-meniscal epheleleyo kubonakala kubandakanyeka nokuphuhliswa kwe-osteoarthritis engaphaya kwezinto ezihamba phambili emva kokulungiswa kwamadoda okanye i- meniscectomy .
Yintoni ebangela ukuba i-osteoarthritis emva kwe-post-traumatic i-post-traumatic emva kwe-ACL okanye ukulimala okungenasisigxina ayiqondi kakuhle. Izinto ezinokuthi zibandakanyeke ziquka ukunyuka kwamakhwala okuvuthayo, umonakalo wezicuba ukusuka kwingozi ezixhamla inkqubo yokuguga, ukuchithwa kwe- cartilage , kunye nokuguqulwa kokubambisana kunye nezinye iinguqu ze-biomechanical kwizigulane ezenzakalisiweyo kunye nezilungiso. Enye into ebalulekileyo inokuba yinto ebuthakathaka yobunzima obunzima obwenzeka emva kokulimala kwamadolo. Kwakhona, kunokuchaphazela ukulayishwa ngokuhlanganyela, kwaye ukulayisha okungavumelekanga kunokuchaphazela i-cartilage.
Injury Injury
Amanqaku okulimala kwe-Ankle abonisa ukuba, nokuba kunjalo, ukulimala okuqhelekileyo:
- Ukulimala kwe-Ankle yimbangela yeepesenti ezingama-20 zokuvakatyezelwa kwamagumbi okuphuthuma.
- I-ankle ibandakanyeke kuma-23 ekhulwini ekulimala kwezemidlalo eziphakamileyo.
- Unobungozi obuninzi beenyawo bubangelwa yimivumba ye-ankle.
- Kuqikelelwa ukuba ama-25,000 ama-ankle sprains ayenzeka ngosuku ngalunye e-US
- Nangona inani leentlobo, iipesenti ezingama-37 zee-post-traumatic ze-osteoarthritis zeziganeko ziyiphumo.
Unyango lwe-post-Traumatic Osteoarthritis
Inkqubo yokonyango ye-osteoarthritis elandela emva kokuphazamiseka ngokubanzi ilandelayo ilandelayo ye-osteoarthritis. Kukho iindlela ezinganyangekiyo zokunyanga , kuquka ukulahlekelwa kwesisindo, i -insal wedge insoles , i-braces / support , kunye nokusetyenziswa. Kukho imishanguzo, ngokuyinhloko i- analgesics kunye ne- nonsteroidal anti-inflammatory drugs (i-NSAID) , kwakunye neenjini ze- hyaluronic acid okanye i- corticosteroids . Utyando oluthile lokubuyisela olunye uhlobo lonyango, kodwa ubudala bomguli kufuneka buqwalaselwe. Ugqirha awuncinci kakhulu kwizigulane ezincinci kuba zikwazi ukugqithisa i-prosthesis yazo, zidinga ukulungiswa komnye okanye ngaphezulu kokupheka kwindlela.
Ngaphantsi
Ukulimala kwedwa kunokuthi kungabangela ukuba i-osteoarthritis yokuthungatha i-post-traumatic inokuphuhliswa kwintsebenziswano echaphazelekayo. Enyanisweni, kunokubakho iimeko zokuzalwa ezibandakanyekayo. Izifo ze-Genetic ezibonakala njengegalelo kwi-osteoarthritis nazo zinokufaka isandla kwisifo se-osteoarthritis. Yinkqubo eyinkimbinkimbi, kodwa siyazi ukuba ukulimala okubambiseneyo kubangela inkqubo yokulungiswa okungapheliyo kwi-cartilage kunye nezinye izicubu ezidibeneyo. Utshintsho oludibeneyo olubangelwa kwinkqubo yokulungisa lungakhokelela kwi-osteoarthritis, emva ngakumbi kubantu abafakwe kwizityalo.
Ixesha elithathayo ukufumana ukulimala ngokubambisana kwi-osteoarthritis engapheliyo ingaphantsi konyaka kubantu abanesifo esiqhekezayo okanye ngokukhawuleza iminyaka elishumi, ukuba kungenjalo, kubantu abanokulimala okanye ukulimala kwamadoda. Kwakhona, abantu abadala (okt, abangaphezu kweminyaka engama-50 ubudala) kunye nokuphuka kunokwenzeka ukuba bathuthuke i-osteoarthritis kunabo abaselula.
> Imithombo:
> Lotz, MK. Uphuhliso olutsha kwi-osteoarthritis: I-posttraumatic osteoarthritis: i-pathogenesis kunye nokhetho lwezokwelapha. Uphando lweArthritis kunye noTyhulwa. NgoJuni 28, 2010.
> Schumacher Jr, HR, et al. Isahluko 13 - I-Osteoarthritis yesiSekondari. I-Osteoarthritis Emva kokulimala okuhlangeneyo (i-Post-Traumatic Osteoarthritis). I-Osteoarthritis: Uxilongo kunye noLawulo lwezoNyango / loPhando. Umqulu wesine. ULippincott Williams noWilkins.
> Stiebel, M et al. I-post-traumatic knee osteoarthritis kwisigulane esisisigxina: izidalwa zonyango kunye nobuchwepheshe obukhulayo. I-Journal ye-Access Access ye-Medicine yeMidlalo. 2014; 5: 73-79.
> UTomas, AC, no-al. I-Epidemiology ye-Posttraumatic Osteoarthritis. Umbhalo woQeqesho lwezemidlalo. Umqulu 51. Nombolo 5. uMeyi 2016.