I-Osteochondritis ntshutshiso, ebizwa ngokuba ngu-OCD imfutshane, ngumqathango obangela ukukhululeka kwe-cartilage kunye nethambo layo elisekelayo. I-OCD idla ngokuphindaphindiweyo emadolweni, nangona ingaba khona kwezinye iimbutho ezibandakanya i-ankle kunye ne-elbow.
Isizathu se-OCD asiqondwa kakuhle. Kwenzeka ntoni kwizigulane ezine-OCD, ukuhamba kwegazi kwithambo elijikeleze umgangatho ohlanganyelweyo uyaba yinto engavamile.
Abaphandi abaninzi baye bacacisa ngesizathu sokuphazamiseka kokuphuma kwegazi, kwaye kucatshangelwa ukuba kuhlobene nokuxinezeleka kokuphindaphinda okanye ukulimala kweso. Njengoko ukuphuma kwegazi kwithambo kuncitshiswa, i-cartilage eqhotyoshelweyo ingahlukana naso kwithambo.
I-Cartilage ehlangeneyo
I-cartilage edibeneyo eqhelekileyo ibalulekile ukuba ne-joint egoba kakuhle kwaye ingenabuhlungu. Xa i-cartilage yonakaliswe, kukho iingxaki ezininzi. Kwinqanaba eliqhelekileyo lamadolo, uhla lwe-cartilage elineemithamitha eziliqela ezigubungelayo zambatho zembatho. I-cartilage eqhelekileyo ihamba kakuhle kwaye idibeneyo kwaye ixhamle ngokuthe tye kwi-bone yangaphakathi.
Izigulane ezine-OCD zihlakulela ukuhamba kwegazi okungavumelekanga kwithambo ejikeleze idibeneyo. Ukungabikho kokuhamba kwegazi okuqhelekileyo kwonakalisa ithambo elisekela uhla lwe-cartilage. Oku kunokubangela ukuba ithambo libe liqhekeza kunye ne-cartilage ukuze ihluke kwi-attachment yayo eqinile.
I-OCD leonon ('lesilonda' yi-cartilage kunye naliphi na ithambo elixhamle kwiqhekeza le-cartilage) linokukhenkcela kwaye lisuke kummandla ohlangeneyo. Iimpawu ezinzima ngakumbi ezinokuthi zenzeke xa kukho iqhekeza le-cartilage elijikelezayo ngokubambisana.
Iimpawu ze-OCD ye-Knee
Iimpawu ze-OCD ziquka:
- Ukuvala umtya
- Ukukhubazeka kokubambisana
Unyango lwe-OCD ye-Knee
Kukho iinkalo ezininzi ekufuneka ziqwalaselwe xa zifumana unyango olungcono kwi-OCD.
Umonde wesigulane: Into ebalulekileyo yokuqikelela isithuba somguli. Izigulane ezineeplati zokukhula ezivulekileyo (abantwana nabantwana abaselula) zineziphumo ezingcono zokuphulukisa i-OCD kunye nonyango oluphangaleleyo kunye nolungapheliyo.
Ubukhulu kunye nendawo: Iziqhezu ezinkulu kunye neziqhezu kwiindawo eziphambili kakhulu ezidibeneyo ziphathwa ngokugqithiseleyo ngokukhetha ukhetho.
ISigqeba soTyhulwa / iCetchment: iinqununu ze-OCD zihlelwa njengokuba zizinzile okanye zizinzileyo, kuxhomekeke kubukho beli qhekeza elihlukana naso. Iziqhekeza ezingenakunqandeka ezinokuthi zithinteke kuloluhlu lohlula zivame ukulungiswa. Iziqabana ezizinzileyo ziyakwazi ukuphilisa ngononophelo oluncinci.
Ngokuxhomekeke ekuhlanganiseni kweemeko, ugqirha wakho wezilonda unokwenza isincomo kunyango. Xa iqela le-OCD liyakwazi ukuphilisa, unyango olungaphantsi luya kusebenza. Nangona ugqirha wakho angancoma i- ice , anti-inflammatory medication , kunye nezinye izifo zonyango, inxalenye ebalulekileyo yonyango olungagqirha ukuphumla ukudibanisa ukuvumela ukuphilisa.
Oku kuthetha ukuthintela umsebenzi kwaye usenokuthetha ukusetyenziswa kwemigqomo ukuze unciphise ubunzima kwidibeneyo.
Injongo yokunyangwa ngonyango kukuphela kwesigxina se-cartilage ebambini. Ukuba kucatshangelwa ukuba le ngqungqwana inokuphilisa, ugqirha wakho uya kuzama ukulungisa i-lesion ye-OCD, ngokuqhelekileyo ngokusebenzisa izikhonkwane okanye izikhonkwane zokubamba iqhekeza. Iziko kunye nezikhonkwane zanamhla zenziwe ngezinto ezibonakalayo (kunokuba zenziwe ngetsimbi) ukuze zingabangela iingxaki zexesha elizayo kwi-cartilage.
Ukuba amathuba okuphulukiswa aphantsi, i-cartilage evulekile iya kususwa emadolweni, kwaye unyango luya kugxila ekukhuthazeni ukukhula kwe-cartilage kwintsimi ebusweni.
Kukho iindlela eziliqela zokuzama ukukhuthaza ukukhula kwe-cartilage entsha, kwaye ngamnye unesiqhelo kunye neengxaki:
I-Microfracture : Utyando oluthile luqhutyelwa ukukhuthaza ukuhamba kwegazi kummandla wonakalo, okuvumele ukuba i-cartilage iphilise. Olu hlobo lusetyenziswa ngokuqhelekileyo kwi-OCD yolutsha kuba alupheli ixesha.
I-OATS / i-Cartilage Transfer : Inkqubo yokudlulisa i-cartilage ihambisa i-cartilage kunye namathambo kwiindawo ezidibeneyo ezingenayo i-cartilage kwindawo yomonakalo.
I-Autologous Chondrocyte Implantation (ACI) : I-ACI yinkqubo ekhula ngamaseli e-cartilage ebhodini, kwaye ifaka i-cartilage esanda kukhula kwimimonakalo.
> Imithombo:
> IiChambers HG, et al. "Ukuxilongwa kunye nokunyangwa kwe-Osteochondritis Dissecans" J Am Acad Orthop Surg Meyi 2011 vol. 19 no. 5 297-306.
> Crawford DC kunye ne-Safran MR. "Osteochondritis Dissecans of the Knee" J Am Acad Orthop Surg uFebruwari 2006 vol. 14 akukho. 2 90-100