Abantwana bahlonyelwa ezinye iintlobo zesifo se-arthritis
Kuyixesha elide elingaziqondi kakuhle lokuba i-osteoarthritis yodwa ngenxa yokuguga kwaye ichaphazela abantu abadala kuphela. I-Osteoarthritis ayikho kuphela kubantu bethu asebekhulile. Abantu abancinci nabo bangahlakulela i-osteoarthritis, kodwa ngaba kubandakanya abantwana? Ngaba abantwana bangahlakulela i-osteoarthritis?
Ngaba i-Osteoarthritis yobudala?
Nangona kunjalo, ngelanga, inyaniso ukuba ezinye iintlobo ze-arthritis zichaphazela abantwana, i-osteoarthritis ephambili ayikho phakathi kwabo.
Abantwana abane-arthritis banesifo se-arthritis ye-idiopathic , i-youth spondylitis , i-lupus, isifo sikaKawasaki , okanye isifo sika-Still , kodwa asiyi-osteoarthritis ephambili. I-"Primary" ye-osteoarthritis yabizwa ngokuba kungenanto ebangela ukuba isifo sifumaneke. Eminye imizimba engafanelekanga okanye isifo esingaqhelekanga esikhula ngexesha lokukhula kunokunyusa umngcipheko womntwana wokuphucula i-osteoarthritis kamva, nangona kunjalo.
I-Osteoarthritis ithathwa njengemeko enxulumene neminyaka ngenxa yokuba ukukhula kwanda ngokukhula. Ngokwe-Primer kwi-Rheumatic Diseases, i-osteoarthritis ayinqabile ngaphambi kweminyaka engama-40, ngelixa abaninzi abantu abangaphezu kweminyaka engama-70 banobungqina bemibala yesifo, nangona bengenayo impawu.
Ziziphi iimeko ezizodwa ezibangela i-Osteoarthritis yokuqala?
Uninzi lweengxaki ezibangelwa imvula ngaphambi kwexesha okanye ekuqaleni kwe-osteoarthritis ziyimpawu zendalo, kwaye kaninzi zibandakanya umlenze.
Xa izibonakaliso neempawu ezibonakalayo zinokubaluleka. Ukuba ulungiswe ngaphambi kweminyaka eyi-6, ukuchithwa kwe-hip congenital akuhambisani ne-osteoarthritis. Enye imeko, eyaziwa ngokuba yi-Legg-Calve-Perthes isifo, esichaphazela abantwana abaneminyaka engama-4 ne-9 ubudala, ibonakala ngethambo elifile e-hip, efana ne-avascular necrosis, ebangela ukuba i-avascular nemprosis.
Ugqirha kufuneka lwenziwe kulezi zigulane ezincinane ukukhusela ukuphuhliswa kwe-osteoarthritis kwiminyaka yabo yabantu abadala.
I-Trauma yinye enye imbangela yokuqala kwe-osteoarthritis. Abantwana, abanobuchopho bokuxinwa kwemisebenzi ngexesha lezinto ezinxulumene nokuzilolonga okunzima, ezifana ne-ballet, i-gymnastics, i-diving, ibhola yebhola, i-cheerleading, kunye nomdaniso unokuhlula i-epiphysis (i-epiphysis plate). I-epiphysis ehlukeneyo inokudibaniswa ne-osteoarthritis engaphambi kwexesha. Kukho ezinye iimeko eziphazamisayo ezikhokelela kwi-avascular necrosis kwaye ekugqibeleni i-osteoarthritis iqala ukuqala, kuquka isifo sikaKoehl, isifo sikaFeberg , isifo sikaSuermermann nesifo se- Osgood-Schlatter.
Iinguqu ezithile zezakhi zofuzo ziye zadibaniswa nokuqala kwe-osteoarthritis. Ngokomzekelo, ukuguqulwa kwemizimba ehambelana nokuveliswa kwe-Type II collagen kuye kwafunyanwa kwiintsapho. Ngokuqhelekileyo i- cartilage ye- Articular iqukethe inani elikhulu le-collagen ye-Type II. Okungaqhelekanga kuletha i-osteoarthritis, ngokuqhelekileyo ebusheni kwaye ngokuqhelekileyo ibandakanye amanxeba athathaka (umzekelo, amadolo kunye namaqatha). Nangona abaphandi beqaphela ukuba ukuguqulwa kwezinto eziphilayo kungabangela ukuba kubekho i-osteoarthritis, ukuchonga ezo zintshintsho akuyona into encinci.
Kwakhona kwaziwa ukuba uphuhliso olungavamile lwesipilisi sokukhula kwethambo lunokubangela ukuba amathambo aphuculwe kunye nophuhliso lwangaphambi kwesikhathi lwe-osteoarthritis. Imizekelo ibandakanya abantu abazalelwe ngokugqithwa, ukutshatyalaliswa, okanye ukuxhatshazwa kwezinto ezifana ne- Ehlers-Danlos , i-osteogenesis imperfecta kunye ne-Marfan's syndrome.
Yintoni Abazali Bangayenza?
Oogqirha bacebisa abazali ukuba bangayinaki intlungu yomntwana "njengentlungu ekhulayo". Abazali mabaqwalasele iinkcukacha, ingakumbi kuba abantwana banokuba bancinci ukuba bachaze ngokuchanekileyo uhlobo lobuhlungu ababufumanayo xa luqala ukuba luhlala luhlala luba luya kwenzeka xa luya kwaye luya.
Abazali bafanele bacebise isifo sezingane zabo naziphi na izinto ezingaqhelekanga ukwenzela ukuba uvavanyo olufanelekileyo lunokwenziwa ngugqirha. Ukuqwashisa ingxaki, ukuxilongwa kwangaphambili, kunye nokonyango kwangaphambili kunokuthintela umntwana kwixesha elizeleyo lokubandezeleka ngenxa ye-osteoarthritis kamva ebomini.
Imithombo:
I-Primer kwi-Rheumatic Diseases. Uluhlu lweSithathu. Klippel J. MD et al. Ipapashwe ngu-Arthritis Foundation.
Akukuphela nje Ukukhula Kwintlungu. UThomas JA Lehman, MD. I-Oxford University Press. Copyright 2004.
Yonke Nge-Osteoarthritis. UNancy E. Lane, MD kunye noDaniel J. Wallace, MD. I-Oxford University Press. Copyright 2002.