I- cartilage edibeneyo okanye engummangaliso yintlobo ye-cartilage eyaziwayo kwizigulane ze-arthritis. Olu hlobo lwe-cartilage lufumaneka kwi-septum nasal kunye ne-trachea (i-windpipe). Kwi- osteoarthritis , ukulahleka kwe-cartilage yinto ebalulekileyo ebangela ukunyuka kwesifo. Iyintoni ukulahleka kwe-cartilage? Yiyiphi inqabileyo yokulahlekelwa kwelahleka ngokukhawuleza? Ngaba nantoni na enokuyenza ukukhusela okanye ukutshintsha i-cartilage elahlekileyo?
Kutheni Ufuna I-Cartilage?
I-carticlage ye-Articular isebenza njengomkhumbi ngaphakathi kunye kunye nokuxakeka. Xa i-cartilage ibonakaliswe okanye igugile, iqhagamshelwano elichaphazelekayo liyaba buhlungu, lukhuni, kwaye lukhawulelwe kwisantya sazo . Ezi ziimpawu eziza kukukhokelela ukuba ubone ugqirha wakho ukuba afune ukuba yintoni enokwenziwa ngamalungu akho. Oku kuya kubakhokelela ekuqhubekeni kokuvavanya nokuxilongwa kwe-osteoarthritis.
Yintoni eyenzekayo ngeCartilage Loss?
Ukulahleka kwe-cartilage ichazwa ngokunciphisa umthamo we-cartilage kunye nobukhulu. Kwenzeka emva kokuba i-cartilage igqithe okanye ihla. Nge-cartilage yokulahlekelwa kwe-osteoarthritis enamandla, indawo edibeneyo iyancipha kunye ne-bone rubs kwithambo emva kokulahleka kwe-cartilage ilahleka (ngezinye izihlandlo ibizwa ngokuba ithambo-ithambo). Ngelo xesha, akukho ncinane okanye ayikho i-cartilage eyashiywe ukwenza umsebenzi wayo njengento yokuphazamiseka. Kwimeko yamadolo kunye nezintlu, ukuhlinzwa ngokutsha kuyisisombululo.
Ziziphi Izinto Ezibikezela Ukulahleka Kwempahla Yesiqhelo Kwi-Knee?
Abaphandi baye bahlaziya i-cartilage loss in the knee joint and found that three factors predict it - menical damage, medial damage, and varus malalignment (bow-legged) of knee joint.
Olunye uphando oluvunyelweneyo, olubonisa ukuba izinto ezinobungozi obuphezulu ezithintekayo ekulahlekeni kwe-cartilage ukulahleka ziquka umonakalo we-cartilage, iindoda zezinyembezi, ezinye iingozi kumadoda, kunye nezilonda ezinzima ezibonakalayo kwi-MRI. I-Synovitis kunye ne- effusion ehlangeneyo nayo yayiyizinto eziphambili zokulahleka kwe-cartilage. Okuthakazelisayo, ubunzima obunzima beyona nto ibalulekileyo.
Ukunyuka kweyunithi nganye ye-1 kwi-index mass mass (i-BMI), umngcipheko wokulahleka kwe-cartilage ukunyuka kwama-11%.
Ukunciphisa Ukulahleka kweCartilage
Yintoni enokuyenza ukuze nciphise okanye ilungise ukulahleka komzimba? Unyango olulondolozayo lubandakanya iindlela zokunciphisa intlungu kunye nokuvuvukala nokunciphisa uxinzelelo kwi-joint. Akukho bubungqina bokuba ezi zinto zikhokelela ekukhuleni komzimba, kodwa kunokunciphisa ukulahleka kwe-cartilage. La maqhinga afaka ukulahlekelwa kwesisindo, ukukhwabanisa, ukunyanga okunyanga, ii-NSAID , i-hormone, izongezo ezifana ne- glucosamine kunye ne-chondroitin phosphate, injoyi ye-steroid kwi-joint kunye ne-Synvisc ukuze ithathe indawo ye-hyaluronic acid.
Ukubuyisela i-Articular Cartilage
Izonyango zokusebenza ukuzama ukubuyisela i-cartilage kunokuba ithathe indawo yokubambisana ngokuqhelekileyo zenzelwe izigulane ezincinci.
- Iinkqubo ze-arthroscopic ziquka ukuchithwa kwe-microfracture, ukubola kunye ne-abrasion arthroplasty, yonke into eyenza imimandla encinci yomonakalo kwaye ikhuthaze i-regrowth ye-cartilage.
- Iinkqubo zokuqhafaza zifakela iiseli ezintsha ze-cartilage okanye iindawo ezipheleleyo ze-cartilage. Ezi ziquka ukufakelwa kwe-chondrocyte e-autologous, evunayo iiselitile zee-cartilage ukuze zifake apho zifuneka khona. Ukutshintshwa kwe-Osteochondral kuthatha iiplagi okanye iibhloko zeetyhuse zisuka kwisigulane okanye umniki-mgcini-mali kwaye uzifakelise ekudibaneni apho zifuneka khona.
- Uphando luqhubekeka kusetyenziswa iistim ze-stem, unyango lwemizimba kunye nobunjineli beetyhuse ukubuyisela i-cartilage.
Imithombo:
Ulwalamano lweMeniscal Damage, i-Meniscal Extrusion, i-Malalignment, kunye ne-Laxity ehlangeneyo kwi-Cartilage Loss ku-Osteoarthritis Knees. Leena Sharma et al. Arthritis & Rheumatism, ngoJuni 2008.
http://www3.interscience.wiley.com/journal/119755354/abstract
Ukunyanya ubukhulu kunomdla kwi-Rapid Cartilage Loss. EurekAlert. Julayi 14, 2009.
http://www.eurekalert.org/pub_releases/2009-07/rson-oct070709.php
I-Articular Restoration, i-American Academy ye-Orthopedic Surgeons, ngoFebhuwari, 2009.
Mazen Falah, uGabreil Nierenberg, uMichael Soudry, uMorris Hayden kunye noGershon Volpin. "Unyango lwezilonda ze-articular cartilage zamadolo." Int Orthop. 2010 Juni; 34 (5): 621-630.