Ngaba wayesazi ukuba ukuguqa ngamadolo kuphakamisa umngcipheko wokuphuhlisa i- osteoarthritis emadolweni ?
Ibhokisi elihambelaniswe ngokugqibeleleyo linomxhasi walo ophethe umthwalo kumgca owela emkhatsini womlenze, ngokusebenzisa umlenze, idolo kunye neenyawo. Xa idolo lingahambelani ngokuthe ngqo, mhlawumbi lwaziwa njenge-malaligned, lichazwe njengalokhu:
- I-Varus (inqabile)
- UValgus (unqabile)
Ukutshatyalaliswa kwamadolo kudlalwa rhoqo kwiintsana, kwaye ngelanga, imilenze iya kulungiswa njengoko umntwana ekhula kwaye ekhula. Ngokungaqhelekanga, ukuguqa ngamadolo kubangelwa isimo sokuzalwa esinjengesifo se-Blount okanye ingxaki yesondlo (i-vitamin D).
Kubantu abadala, i-knee malalignment ingabangelwa ukuxhatshazwa kwamadolo, okanye i-arthritis, ngakumbi i-rheumatoid arthritis.
I-Varus Ukulungelelaniswa kwe-Knee: Izigubhu ezinamabhokhwe
Ukuba unamadolo aguqa ngamadolo, unomngcipheko ophezulu wodolo osteoarthritis. Ukongeza, emva kokuba i-knee osteoarthritis ikhula, kunokwenzeka ukuba iqhube phambili (iya kuba nzima) ukuba unokulungelelaniswa kwe-varus.
Oku kungenxa yokuba ulungelelaniso lwe-varus lubangela i-axis yokuthwala imithwalo yomlenze ukuba ishintshe ngaphakathi, kubangela ukunyanzeliswa nokunyanzela kwigumbi elingaphakathi (ngaphakathi) emadolweni.
Nangona usemngciphekweni we-knee osteoarthritis kunye nokulungelelaniswa kwe-varus, kungakhathaliseki ubunzima bakho, ukuba unomzimba ogqithiseleyo okanye ogqithiseleyo, umngcipheko wakho uphakeme kakhulu kunomyinge.
Enyanisweni, ukulungelelanisa kwe-varus kwandisa ingozi ye-knee osteoarthritis ngokuphindwe ezintlanu kwizigulane ezigqithiseleyo.
Ngaloo nto, ukuba ugqirha wakho uthi ulungelelaniso lwamadolo, kunokukho into onokuyenza malunga nayo. Ngamanye amazwi, ukuba ukhuluphele okanye ukhuluphele kwaye unciphise umzimba, unokunciphisa umngcipheko wokuphucula i-osteoarthritis.
Ngaphandle kwesisindo, enye into eyenza umngcipheko we-knee osteoarthritis ungangomlinganiselo we-varus alignment. Iqondo eliphakamileyo (okanye ukugqithisa okungaphezulu) lithetha umgangatho ophezulu wokufumana i-osteoarthritis emadolweni.
Ulungelelaniso lweValgus lwe-Knee: Imivimbo ye-Knock-Kneed Legs
Ukuqhaqhazela ngeengxaki kuyinto ephikisanayo yokuguqa imilenze, kodwa kusenokubangela ukuqhubela phambili okanye ukunyuka kwama knee osteoarthritis xa iqala. Oku kungenxa yokuba ukulungelelaniswa kwe-valgus kushintshela i-axis yokuthwala imithwalo ngaphandle, kubangele ukwanda kwengcinezelo kwinqanaba elingaphandle (langaphandle) kwigumbi.
Konke kuzo zonke, ukulungelelaniswa kwe-valgus (ukudibanisa) akuthathwa njengento ewonakalisayo njengelungelelaniso lwe-varus. Sekunjalo, zombini iimeko zixinzezela idolo, ingakumbi i- carticlage ye- articular.
Kubalulekile ukuphawula ukuba ngaphezu kokulimaza i-cartilage kwaye kubangele indawo edibeneyo, ukuguqulwa kwamadolo kugqithiswa ukuba kuthintela i-menisci-kunye nomonakalo ongathandabuzekiyo kukholelwa ukuba yinto engozini yokwenza i-osteoarthritis.
Ukucacisa nje, kwi-valgus malalignment, i-meniscus yangaphantsi ichaphazelekayo kodwa, kwi-varus malalignment, i-meniscus ephakathi ichaphazelekayo.
Ukuthetha Nogqirha Wakho Ngokuphathelele Knee Malalignment
Unokubukeka kwisibuko uze unqume ukuba unama-bowlegs okanye ama-kneck-knees.
Khumbula ke, ugqirha unokwenza umlinganiselo ojoliswe ngakumbi kunokuqhathaniswa nokuqhelekileyo.
Unokuphinde ulandele i-x-ray yamadolo akho kunye ne-MRI ukuze unqume izinga lokukhubazeka (ukuba kukho) kwaye nokuba akukho ndawo edibaniseneyo, uphawu lwe-osteoarthritis. Ngaloo nto, qiniseka ukuba uthethe ugqirha wakho wokunakekela oyintloko ekuhlolweni kwakho okulandelayo.
Kwakhona, ungamangaliswa ukuba ugqirha wakho wokunyamekela ugqirha uthetha kwi-expert specialist ebizwa ngokuthi ugqirha wamazinyo ukuba uyayikrokra. Ukulahlekelwa kwesisindo kunokuba yinto ekhethekileyo yokukhusela amajoyina akho, kodwa kwezinye iimeko, ukutyunjwa okutshintshwayo kunye nokulungelelanisa ukulungelelanisa i-valgus okanye i-varus deformities.
ILizwi
Isishwankathelo, unakho ukuhlakulela i-knee osteoarthritis okanye uqhubeke nokuqhubela phambili kwe-knee osteoarthritis ukuba unokwanda okwandayo kwe-varus okanye ulungelelaniso lwe-valgus, ingakumbi ukuba ukhuluphele okanye ukhuluphele.
Nangona ungeke uyenze nantoni na malunga nokuguqulwa kwamadolo akho, unokwenza usebenze ngokulahlekelwa ubunzima xa ukhuluphele okanye ukhuluphele.
Kubalulekile ukuba kubalulekile ukuba uqaphele ukuba ngaphandle kobunzima kunye nokuguqulwa kwamadolo, kukho ezinye izinto ezandisa ingozi yokuhlamba i-knee osteoarthritis njengeDNA yakho (jonga imbali yakho yentsapho) , ukwandisa ubudala, imbali yokulimala kwamadolo kunye nokusetyenziswa kakubi, kunye imeko ezithile zempilo ezinjenge-iron overload (ebizwa ngokuthi i- hemochromatosis ).
Ukuba ufumene ukuba unomzimba we-knee osteoarthritis, unyango lunokubandakanya imithi, ukuzivocavoca rhoqo, unyango lomzimba, ukufudumala kunye nokuphathwa kwemithwalo. Ngenxa yokudibana kwamadolo awonakele, unogqirha wezilonda unokwenza utyando oluthile lokubuyisela.
Imithombo:
I-American Academy ye-Orthopedic Surgeons.
Arthritis Foundation. (nd). Osteoarthritis.
Felson DT et al. I-Valgus ukumlalisa yinto ebangela ingozi ye-kneal osteoarthritis iziganeko kunye nokuqhubela phambili: iziphumo ezivela kwi-Multicenter Osteoarthritis Study kunye ne-Osteoarthritis Initiative. Arthritis Rheum . 2013 Feb; 65 (2): 355-62.
Flouzat-Lachaniette CH1. Iimeko zengozi ye-knee osteoarthritis. U Prat . NgoMeyi ka-2012; 62 (5): 630-4.
> Sharma L et al. Ukulungelelaniswa kweVarus kunye ne-valgus kunye nesiganeko kunye ne-knee osteoarthritis. Ann Rheum Dis. NgoNovemba 2010; 69 (11): 1940-5.