Ukuhlukanisa i-Osteoarthritis evela kwezinye iintlobo zeArthritis
Ukuxilongwa ngokuhlukana kwe- osteoarthritis kugxininisa kwimimiselo eyayihlula kwezinye iintlobo zesifo samathambo . Ngelixa abaninzi abantu bayazi ukuba i-osteoarthritis yindlela eqhelekileyo ye-arthritis, yiyiphi eyahlula kwezinye iintlobo?
Iimpawu eziqhelekileyo, iimpawu, kunye neempawu ze-Osteoarthritis
Imiqondiso kunye neempawu ze-osteoarthritis ziqwalaselwa kuqala.
Impawu neempawu eziphambili ziquka intlungu edibeneyo, ukuqina okuhlanganyeneyo , kunye nenqanaba elithinteleyo lokunyuka kwamanyathelo okanye amajoyina athileyo. Nge-osteoarthritis, ngokuqhelekileyo, enye (i- monoarthritis ) okanye amajoyina ambalwa achaphazelekayo. Uninzi lwezigulane ze-osteoarthritis zandululwazi olusandul Ezinye iimpawu eziqhelekileyo ezinxulumene ne-osteoarthritis ziquka:
- Iintlungu ze-Osteoarthritis zibuhlungu kakhulu ngokusebenza okanye ngokubambisana, kunye nokuphucula.
- Ngako oko, intlungu ye-osteoarthritis idla ngokugqithiseleyo emva kwemini okanye kusihlwa. Kwabanye abantu, nangona kunjalo, ukuqina nentlungu kuya kuba nzima nakusasa.
- I-osteoarthritis enamandla idibene neentlungu zobusuku kunye nokuphazamiseka kokulala.
- Ngokuqhelekileyo, intlungu ye-osteoarthritis inamandla kakhulu ngaphezu kokubambisana. Amalungu athile, kunye nezilonda ezincinci zesoloko, zingabangela intlungu ngaphandle komgca odibeneyo. Oko kwathiwa, ububele buhambisana nomgca odibeneyo luphawu lwemiba edibaniseneyo, kanti ukunyamezela ngaphandle komgca odibeneyo kubonakala ngokuqhelekileyo kwezifo zesisombululo esincinci.
- Uluhlu oluthile lwezityholo ezinxulumene ne-arthritis ngokuqhelekileyo linxulumene nokubunjwa kwe- osteophyte , ukuxinwa kwe-capsule ehlangeneyo, ukuxhatshazwa okuhlangeneyo kunye ne- synovial thickening. Oku kukubhekiselele kwintlobo yesibini esisebenzayo neyengqamaniso.
- Ukuvuvukala kweBony kungenzeka kwaye kubonisa ithambo kunye ne-cartilage ukulungiswa kwicala elichaphazelekayo.
- Ukukhubazeka okuhlangeneyo ngumqondiso we-osteoarthritis ephambili.
- Ukungazinzi okuhlangeneyo, njengokuvala, ukupha okanye ukuxhoma, ngumqondiso oqhelekileyo we- knee osteoarthritis .
- Ukubandakanyeka ngokubambisana ngokukodwa kunokubhekisela kwi-osteoarthritis. Amalungu amaninzi afakelwe yi-osteoarthritis afaka amadolo, amaqatha, amanxube e-interphalangeal of hand, amacandelo okuqala e-carpometacarpal, ama-metatarsophalangeal joints, kunye namacandelo e-lower parental and lower lumbar spine . Amalungu angaphantsi kakhulu achaphazelekayo yi-osteoarthritis afaka i-elbow, isandla, ihlombe kunye ne-ankle.
Ukuhlukana kwe-Osteoarthritis Kwezinye iimeko
Ngelixa sikhankanya iimpawu eziqhelekileyo ze-osteoarthritis, kukho ukugqithwa ngokucacileyo kunye nezinye iintlobo zesifo se-arthritis. Ukuxilongwa ngokucacileyo kuxhomekeke ekuhlukaniseni i-osteoarthritis evela kwezinye iindidi zesifo samathambo. Amalungu athile achaphazelekayo, kunye nokuba khona okanye ukungabikho kwempawu ezithile zesistim ( ukukhathala , ukulahleka kwesisindo, ukungabikho kwesondlo, umkhuhlane, i- malaise ), ngokukodwa oko kubonwa ukuba ukwahlula okanye ukwahlula i-osteoarthritis.
I-Osteoarthritis Versus Rheumatoid Arthritis
I-Osteoarthritis ingahle idideke kwi- rheumatoid arthritis , ukuba kukho ukubandakanya isandla.
Amaphetheni ahlukileyo kakhulu okubandakanyeka komnxeba angahlula phakathi kwezi zimbini ze-arthritis ngokulula. I-osteoarthritis yesandla isithintela amanxinzana e-interphalangeal distal.
Ubuninzi bee- heberden's node bubonisa uphawu lwe-osteoarthritis, kodwa alukho i-rheumatoid arthritis. Esikhundleni sokuphazamiseka kokubandakanyeka kwe-interphalangeal, kukho ukubandakanyeka kwe-interphalangeal ngokubambisana ne-rheumatoid arthritis. Ukukhupha kubonakala ngokuhlukileyo: i-bony kwaye iqine nge-osteoarthritis ngokubhekiselele kwi-intanethi kwaye ithenda nge-rheumatoid arthritis. Ubunzima bunjalo ngokuhlukahlukileyo: ukuqina kwesantya kuyona nto iphambili ye-rheumatoid arthritis versus kusihlwa ngobunzima obulandelayo ngosuku lomsebenzi obaluleke kakhulu kwi-osteoarthritis.
Ukufunyanwa kwe-X-ray ye-osteoarthritis kuyahluke njengoko kukho indawo edibeneyo ekunciphiseni ukulahleka kwe-cartilage kunye nokuqulunqwa kwe-osteophyte eqhelekileyo. Ngokumalunga nokuhlolwa kwegazi, uvavanyo olubonakalayo lwe- rheumatoid , iqondo eliphakamileyo , kunye nobukho be- anti-CCP bonke buza kubhekisela kwi-arthritis ye-rheumatoid ne-osteoarthritis.
I-Osteoarthritis I-Psoriatic Arthritis
Bobabini i-osteoarthritis kunye ne- psoriatic arthritis zidla ngokubandakanya ama-interallangeal joints of hand. Into ehlukileyo kukuba, kunye ne-psoriatic arthritis echaphazela la malungu, ngokuqhelekileyo kukho ukungaqhelekanga komnxeba (umz., Imigodi, iinqonga). Kwakhona, nge-psoriatic arthritis, kukho i-dactylitis (ukubukeka kwesosaji yeminwe echaphazelekayo).
I-Osteoarthritis Ngokumelene noGout okanye iPseudogout
Njengesifo se-osteoarthritis, i-gout okanye i- pseudogout ingaqala njenge-monoarthritis kwaye ithuthuke ibe yintlupheko ye- polyarticular arthritis . Isici esahlukileyo sogulane okanye i-pseudogout iziqwenga zokuqhaqha okukhulu kunye nentlungu yelinye iqela okanye ambalwa. Ubukho beekristal kwidibeneyo bukwahlula umbane okanye ukuhlambalaza. Akukho zikhuni ezidibene ne-osteoarthritis. I-Gout ihambelana ngokukodwa kunye ne- uric acid crystals, ngelixa i-pseudogout idibene ne- calcium pyrophosphate crystals.
I-Osteoarthritis Versus Hemochromatosis
Ekuqaleni, iintlungu ezidibeneyo ezibangelwa yintsimbi yokulahla zingaphoswa nge-osteoarthritis. I-Hemochromatosis kakhulu ithinta ama-metacarpophalangeal joints and wrists, nangona kunjalo. Iziphumo ze-x-ray ezicacileyo nazo ziyimpawu ze-hemochromatosis, ekuncedeni ukwahlula iimeko ezimbini.
I-Osteoarthritis Versus Infectious Arthritis
Ukuba ukuqala kokuqala kwe-osteoarthritis kunjengeqhekeza elibuhlungu lento ye- synovitis kwintsebenziswano enye, kunokuba kuqalwe ngokuqhelekileyo okungekho ukuvuvukala, kungenziwa ngokungafanelekanga ngenxa yentsholongwane. Iimvavanyo ezahlukeneyo zelabhu ziza kusetyenziswa ukuchonga okanye ukulawula ukhuseleko.
I-Osteoarthritis Iintlobo ezahlukeneyo zezifo zeSoft Tissue
Kukho iintlobo ezahlukeneyo zesisu ezinokuthi zingakhula ngokubambisana kunye, kwaye kuba okokuqala kubonakala kuhambelana nokudibanisa omnye, i-osteoarthritis inokumangalisa. Oku kunokubandakanya i- tendonitis , i- bursitis , i- enthesitis , i-muscle strain, okanye i-syndromes eyahlukeneyo. Ukucinga nge-MRI kungasetyenziselwa ukuchonga umthombo wenkcazo.
ILizwi
Ngokutsho kwamaziko okuLawula nokuLawula (CDC), abantu abangaphezu kwezigidi ezingama-30 abantu base-US bane-osteoarthritis. Nangona uhlobo oluqhelekileyo lwe-arthritis, i-osteoarthritis maxa wambi idideka kunye nezinye iintlobo ze-arthritis-ngokukodwa ekuqaleni kwaye ngokukodwa iintlobo ezichaphazela ukudibanisa enye (i-monoarthritis) okanye amaqela ambalwa. Kubaluleke kakhulu ukuba oogqirha benze ukuxilongwa ngokuhlukileyo kunye nokuchonga ngokuchanekileyo esi sifo. Utyando olululo luxhomekeke kwi-diagnostic echanekileyo. Yiyo loo nto ibangela ukuba ukuxilongwa ngokungafaniyo kubalulekile kwaye kutheni kufuneka ufune ukuba uluphi uhlobo lwe-arthritis onayo .
> Imithombo:
> Doherty, uMichael et al. Ukubonakaliswa kwezonyango kunye nokuxilongwa kwe-Osteoarthritis. Isemgangathweno. Ukuhlaziywa kweJanuwari 31, 2017.
> Hooper, uMichele M. noMoskowitz, uRoland. I-Osteoarthritis: Iinkcazo zeKliniki. Page 144 - Ulwahlulo lweNtsholongwane. Osteoarthritis. IQinisekiso yesine. ULippincott Williams noWilkins.
> I-Osteoarthritis Fact Sheet. CDC. Ukuhlaziywa ngoFebruwari 2, 2017.