Ukuchongwa ngokuchanekileyo kwe-Osteoarthritis Kuqinisekisa unyango olufanelekileyo
Ukuxilongwa kwe- osteoarthritis kugxile kwiinjongo ezimbini ezibalulekileyo. Xa ufumanisa i-osteoarthritis, ugqirha kufuneka aqale ahlule i-osteoarthritis evela kwezinye iintlobo ze-arthritis. Kwakhona kubalulekile ukunquma ukuba isiguli sinesifo sokuqala se-osteoarthritis okanye ifom ye-osteoarthritis ehambelana nesinye isifo okanye imeko.
Ekuqaleni, ukuxilongwa ngokuchanekileyo kwe-osteoarthritis kuyimfuneko ukwenzela ukuba ukhetho olufanelekileyo lunokuqwalaselwa .
Ukufumanisa i-osteoarthritis, ugqirha wakho uya kwenza uvavanyo ngokusebenzisa:
Imbali yonyango
Imbali yakho yezobugqirha iya kubandakanya ulwazi malunga neemeko zonyango ezidlulileyo, ukhathala, unyango, kunye neenkqubo zokugqirha kunye neengxaki zonyango zamanje. Ngokuqhelekileyo, ekuqeshweni kokuqala kunye nogqirha wakho, uya kucelwa ukuba uzalise i-questionnaire ebanzi malunga nembali yakho yonyango. Uyakucelwa kwakhona malunga neempawu ozifumanayo kubandakanywa xa zivela rhoqo kwaye oko kwenza ukuba iimpawu zibe zibi ngakumbi okanye zingcono.
Uhlolo loqobo
Ngethuba loviwo loqobo, ugqirha uya kugcina nayiphi na impawu kunye neempawu ezixhomekeke kwi-osteoarthritis. Ugqirha uya kukhangela:
- Ukuvuvukala okuhlangeneyo
- Uthando oluhlangeneyo
- Uluhlu oluninzi lokunyuka kwamajoyina
- Umonakalo ohlangeneyo (okt, ukukhula kwebony)
- Crepitus
- Umzekelo wamajoyina axhatshaziweyo
Izifundo zokucinga
I-ray-ray iyasetyenziswa ngokubanzi ukuqinisekisa ukuxilongwa kwe-osteoarthritis.
I-ray-ray ingabonisa i- osteophytes kwiimida ezidibeneyo, indawo edibeneyo kunye ne-subchondral bone sclerosis. Isithambo se-subchondral sisitye lesithambo esingaphantsi kwe- cartilage . Nangona i-MRI (i-imagination magnetic resonance) yindlela yokujonga i-imaging, iyasetyenziswa kangangoko kunama-x-ray ngenxa yeendleko nokufumaneka.
I-MRI ihlola i-cartilage, ithambo, kunye ne-ligaments.
Iimvavanyo zeLebhu
Uvavanyo oluqhelekileyo lwama-laboratory luqhelekile ngoko ke ixabiso lawo lilawula ezinye iintlobo zesifo se-arthritis, ngokukodwa iintlobo zesifo se-arthritis, okanye ukuseka isiseko sokujonga unyango. Uhlalutyo lwe-Synovial lwamanzi lukunceda kwakhona ukulawula ezinye iimeko.
Ikholeji yaseMelika yeRheumatology Criteria
I-American College yeRheumatology iye yasungula iikhrayitheriya zekliniki zokuxilonga i-osteoarthritis ephambili yesandla, iinqumlo, namadolo:
I-Osteoarthritis yesandla
- Ukubuhlungu kwesandla , ukugula, okanye ukuqina;
- Ukwandiswa kwezicubu ezinzima ezimbini okanye ngaphezulu kwezi-10 ezikhethiweyo kunye;
- Ngaphantsi kwamaqela amathathu e-SKP (metacarpophalangeal) kunye kunye;
- Ukwandiswa kwezicubu ezinzima ezimbini okanye ngaphezulu ze-DIP (interallangeal) amajoyina okanye ukubola kwesibini okanye ngaphezulu kwezi-10 ezikhethiweyo
Amalungu angama-10 akhethiweyo aquka:
- Isilathiso sesibini nesithathu sesandla sezandla zombini
- I-PIP yesibini neyesithathu (i-interphalangeal proximal interphalangeal)
- Iimpawu zokuqala ze-CMC (carpometacarpal) zezandla zombini
I-osteoarthritis ye-Hip
- Intlungu ye- Hip kunye;
- Ama-osteophyte kunye ne / okanye i-acetabular osteophytes ibonakala kwi-x-ray okanye kwisantya sokunqandwa kwamanzi ngaphantsi okanye ukulingana no-20 mm / iyure kunye;
- Indawo edibeneyo idityaniswe kwi-x-ray
Ukujikeleza kwangaphakathi kwe-hip engaphantsi okanye elingana nama-degrees ama-15, ukuqina kokusa kwintsimbi ehleliyo ngaphantsi okanye elingana neyure enye, kunye neminyaka engama-50 okanye ngaphezulu kunemilinganiselo eyongeziweyo eyiluncedo ekufumaneni i-osteoarthritis ye-hip.
I-Osteoarthritis ye-Knee
- Iintlungu zesisu kunye;
- Ubuncinane kwezinto ezi-6 ezilandelayo: iminyaka engama-50 ubudala okanye ngaphezulu, ubunzima obungapheli kwemizuzu engama-30, i-crepitus, i-bony tenderness, ukwandiswa kwebony, akukho mfudumalo kwibala
Iziphumo zeLebhu ezisebenzisekayo ekuhloleni i-knee osteoarthritis ziquka i- sedimentation rate ezingaphantsi kwe-40 mm / iyure, i- rhumatoid factor less than 1:40, kunye novavanyo lwe-synovial fluid lubonisa ngokucacileyo, umthamo we-viscous nge-white cell cell count less than 2,000 / mm3.
Umsebenzi wonyango ukuba ube ngu-diagnostician kodwa ngokucacileyo kunceda ukuba isigulane siqonde ukuba kutheni iimvavanyo zenziwa kwaye zeziphumo zithini.
Ukuba isigulane siyayiqonda inkqubo ukusuka kwiimpawu zokuqala ukuxilongwa kwiplani yokonyango, isigulane siya kuthotyelwa ngakumbi kwaye umphumo wonyango uya kuphumelela.
Imithombo:
Osteoarthritis. Ukuxilongwa ngokungafani. I-Primer kwi-Rheumatic Diseases. Ukushicilelwa 12. Kushicilelwe yi-Arthritis Foundation.
I-American College ye-Rheumatology Imigaqo yokuHlanywa kunye nokuBika kwe-Osteoarthritis yesandla. 1990.
I-American College ye-Rheumatology Iimpawu zokuBaluleka kunye nokuNgena kwe-Osteoarthritis ye-Hip. 1991. http://www.rheumatology.org/publications/classification/oa-hip/1991_classification_oa_hip.asp
Iimpawu zokuHlulwa kwe-Idiopathic Osteoarthritis (OA) ye-Knee. 1986.