Uhlobo oluqhelekileyo lweArthritis
Isifo se-arthritis kunye nesifo esixhatshazelisayo sisifo sezonyango ezisetyenziselwa ngokungafaniyo ne- osteoarthritis . Isifo se-arthritis, okanye i-osteoarthritis, yinto eqhelekileyo ye-arthritis. E-United States, abantu abayizigidi ezingama-30 banesifo se-osteoarthritis, ngokwemiGangatho yokuLawula nokuVimbela (i-CDC). Nangona luhlobo oluqhelekileyo lwe-arthritis phakathi kwabantu abadala abangaphezu kweminyaka engama-65 ubudala, umntu nawuphi na umdala angaba nesifo.
Umngcipheko wokuphuhlisa eso sifo ukwanda ngokukhula. Ukukhula kwe-osteoarthritis kwanda kakhulu emva kweminyaka engama-50 kumadoda kwaye emva kweminyaka engama-40 kwabasetyhini. Kwakhona, akuqhelekanga ukuba i-arthritis egxekayo ukuphuhlisa iminyaka emva kokulimala (oko kukuthi, i -osteoarthritis engemva kwesifo ).
Amalungu amaninzi achaphazelekayo yi-arthritis egxekayo aquka amadolo , amaqatha , iinzwane ezinkulu, iminwe kunye nomgudu . I- cartilage ekhuselekileyo efihla amathambo kwiqela elichaphazelekayo lihla okanye lihla. Xa oko kwenzeka, umzimba uqala ukwenza ithambo elitsha (umz., I- osteophytes ) kwimizamo yokubuyisela. Ukulahleka kwe-cartilage kunye nophuhliso lwe-osteophytes lubangele intlungu, eyona nto impawu eziphambili ezinxulumene ne-arthritis eguguzayo.
Isisombululo seArthritis Degenerative
I-arthritis ye-Degenerative, okanye i-osteoarthritis, empeleni ikhula xa umzamo wokuzibuyisela umzimba ungakwazi ukuqhubeka nokuhamba kwesantya.
Yintoni eyenza ukutshabalalisa kunye nomzamo olandelelanayo wokuziphendulela awucaciswanga kakuhle. Kukho izinto ezininzi ezibandakanyekayo, okwenza kube nzima ngakumbi kunenkcazo engaphezulu-elula eyenziwa ngokuqhelekileyo-okokuba, ukugqoka kunye nokukhawula okuhamba kunye nokuguga .
Kukho utshintsho lwezinto eziphilayo, ezakhiweyo kunye nezixhobo ezinokuthi zenzeke kwi-cartilage.
I-Genetics nayo ibandakanyeka. Enyanisweni, i-arthritis egxekayo icinga ukuba ibandakanya isakhiwo esipheleleyo kunye nokuguguleka kwe-articular cartilage, i-hypertrophy yamathambo kwimida ye-joint joint, ishintsho kwi-membrane synovial (oko kukuthi, ilayini elihlangeneyo), i- subchondral bone sclerosis , kunye nokubandakanyeka iigaments and muscular times. Kunzima kwaye kukho okungakumbi ukufunyanwa kwinqanaba leselula.
QAPHELA: Nangona i-arthritis ephazamisayo ixhomekeke ekuguga, izigulana ezihlakulela i-osteoarthritis esemncinci okanye ezinxulumaneni ezingaqhelekanga, ezifana negxeni okanye i-ankle ezingenayo imbali yokulimala, kufuneka zihlolwe ngenxa ye- arthritis evuthayo , i- avascular necrosis , okanye i-genetic specific iimeko, umzekelo, i- hemochromatosis , imeko ebonakalayo ngokuqokelela insimbi eninzi emzimbeni.
Unyango lwe-Arthritis ye-Degenerative
Akukho nto inokufumaneka ukukhusela ukuqhubela phambili kwe-osteoarthritis. Ulwaphulo ngoku lujolise ekulawuleni iimpawu, ezibandakanya intlungu, ukuqina, ubuninzi bezityalo kunye ne- crepitus . Ukuphumla, ukugcina isisindo sakho esilungileyo, usebenzisa izixhobo zokuhamba, ukufudumala, uhambo lokunyakaza, i- acetaminophen okanye i- NSAID (izidakamizwa ezingekho komzimba).
Iimvumi zonyango ezidakisayo zisoloko zingadingeki. Injini ye-intra-articular steroid ingasetyenziselwa ukunqanda impawu zeempawu. Xa kunesifo samathambo esibi kakhulu, xa unyango olulondolozayo lungonelanelekanga, utyando lungafuneka. Izinketho zokuphanda zibandakanya ukudibanisa ngokubambisana, i- osteotomy , i- arthrodesis , kunye ne-arthroplasty ehlangeneyo (oko kukuthi, ukutshintshwa okuhlangeneyo ).
ILizwi
I-arthritis ye-Degenerative yintlobo yesifo se-arthritis abaninzi abantu bacinga xa i-arthritis ikhankanywe. Uxilongo luxhomeke kakhulu kwimiphumo yezifundo zokucinga (oko kukuthi, ii-ray-ray), iimvavanyo zegazi kunye nokuhlolwa komzimba.
Ezinye iimvavanyo zenziwa ukulawula ezinye iintlobo ze-arthritis.
Ukongeza kwi-diagnostic eyiyo kwaye unyango olufanelekileyo, ukuhlala emzimbeni kuya kukunceda ukulawula i-osteoarthritis. Ukuphucula umgangatho wobomi kunye ne-osteoarthritis, i-CDC ithi, " Iingcaphephe zincoma ukuba abantu abadala bahlanganyele kwimizuzu engama-150 ngeveki yomsebenzi wokulinganisela, okanye imizuzu engama-30 ngosuku iintsuku ezi-5. Imilinganiselo ephantsi, ephantsi yeempembelelo ezicetyiswayo ziquka ukuhamba, ukubhukuda okanye ukuhamba ngeebhayisikili. Ukusebenza rhoqo ngokomzimba kunokunciphisa ingozi yokuphuhlisa ezinye izifo ezingapheliyo ezifana nesifo senhliziyo, isifo sesifo, nesifo sikashukela. "I-CDC igxininisa ukubaluleka kokulahlekelwa ubunzima xa ukhuluphele.
Imithombo:
I-Osteoarthritis - Izifo ezidibeneyo zokuzibulala. Manual Merck. Ishumi elinesine.
I-Osteoarthritis Fact Sheet. CDC. Ukuhlaziywa ngoFebruwari 2, 2017.
I-Kelley's Bookbook yeRheumatology. I-ninth edition. Elsevier. I-Pathogenesis ye-Osteoarthritis. Isahluko 98. Cesare et al.