I-cartilage enempilo ibalulekile kumsebenzi ohlangene
I-cartilage iyisici esibalulekile samalungu aphilile. E- osteoarthritis , u-cartilage wakho ubonakaliswe noma ugqoke.
Kuyini i-Cartilage?
Lesi sakhiwo esibalulekile somzimba wakho sinenjongo ewusizo.
Umzimba wakho uqukethe izinhlobo ezintathu ze-cartilage-hyaline, ezithambileyo nezifubhe. I-hayaline cartilage, ebizwa nangokuthi i-articular cartilage, yilona uhlobo olujwayele iziguli ze-arthritis.
I-hayaline cartilage ikhona emajoyini, nasal nasal, nase-tube yomoya. I-cartilage enesisindo itholakala endlebeni, ingxenye yempumlo, ne-tube emoyeni. I-cartilage ehlakaniphile itholakala kumadoda .
I-cartilage iyisisindo esinzima, kodwa siguquguqukayo esinamakhemikhali amabili: amanzi kanye ne-matrix. Cishe amaphesenti angama-85 we-cartilage ngamanzi, kodwa wehlisa cishe ngamaphesenti angaba ngu-70 kubantu abadala. I-matrix ihlanganisa ama-collagens, ama-proteoglycans, namaprotheni angenayo i-noncollagenous. Ngesikhathi i-cartilage isakhiwo esihlelekile kakhulu, izinhlobo ezahlukene ze-cartilage zinezici ezithile ezivumela imisebenzi ethile emzimbeni.
I-cartilage ayinayo igazi, izinzwa, nesistimu ye-lymphatic. I-Chondrocytes yiyo kuphela amaseli ajwayelekile atholakala ku-cartilage. Ama-Chondrocytes akhiqiza futhi alondoloze isisu se-cartilage.
I-hayaline noma i-carticlage ye-articular ibhebhethezi kakhulu futhi inamaphutha aphansi, okuvumela amathambo ngokubambisana ukuba agxile phezu kokunyakaza.
I-cartilage yama-articular isebenza njengesixuku ngaphakathi kokubambisana, futhi njengokwakheka okwesabisa. Uma isifo se-cartilage sengozini noma sidala, ukuhlanganyela okuthintekayo kuba nzima, kunzima, futhi kunomkhawulo ekuhambeni kwayo kokuhamba .
Kwenzekani Uma I-Cartilage Ihlehla?
I-cartilage ingahle ihlaziye ngokuhamba kwesikhathi uma ungaqapheli.
Ukulimala kwe-cartilage kwenzeka ngezizathu ezihlukahlukene.
Ukukhula noma ukulungiswa kwe-cartilage, noma kunjalo, kunamandla okulinganiselwe. Uma ukuhlanganiswa kubhekene nokulungiswa okungalungile, isisindo esiningi ngokweqile, umsebenzi owedlulele, ukuphuza ngokweqile, noma ukulimala, i-articular cartilage ingakwazi ukugqoka.
Ukuqhuma kwesifo se-cartilage kudala ubuhlungu nokuvuvukala. Njengoba i- osteoarthritis enamandla , i-carticlage ye-articular ingakwazi ukuguga ngokuphelele ukuze ingxenyana ethintekile ingabe isinezinhlanzi zayo futhi iqala ukugubha amathambo-on-bone . Ezimweni ezinjalo, kukhona ubuhlungu obuningi, ukulahlekelwa kokunyakaza, nokukhubazeka okusebenzayo okuhlobene nokuhlanganyela okuthintekile.
Ukulimala kwe-carticlage ye-articular kungabonakala ku-x-ray. Ku -ray ray , ukulimala kwe-cartilage kubonakala njengokunciphisa isikhala esihlangene phakathi kwamathambo okwenza ukuhlanganyela. Emadolweni , ukulahleka kwe-articular cartilage kuvame ukuhambisana nokulahlekelwa kwe-cartilage ye-meniscal.
Ukulahlekelwa kwe-cartilage ye-articular kudala ukucindezeleka okwengeziwe emaphethelweni wamathambo akha ifomu. Ukucindezeleka okwengeziwe emaphethelweni amathambo okuhlangene kungabangela ama- osteophyte , noma ama-bone spurs, ukwakha emaphethelweni ehlangene.
Amasu amasha azama ukubuyisela u-articular cartilage. Ukuhlanganiswa kwe-osteochondral, ukufakelwa kwe-chondrocyte ye-autologous, kanye ne-mesenchymal stem cell ukuvuselelwa ukuzama ukubuyisela isifuba se-articular.
Nge-grafting ye-osteochondral, ipulagi lesithambo kanye ne-cartilage enempilo livuna kusuka endaweni eyodwa bese lifakwe kwenye indawo. Njengamanje, le nqubo iphatha ukulimala kwamadolo .
Ukwakhiwa kwe-chondrocyte ye-Autologous kuhilela ukuvunwa kwamangqamuzana anempilo equliswayo bese ehlonywa endaweni yokulimala. Le nqubo iphinde isetshenziselwe ukulimala kwamadolo.
I-Mesenchymal stem cell ukuvuselelwa kabusha isacwaningo, kodwa kucatshangwa ukuthi i-MSCs ingasuswa emnothweni we-bone, ibekwe ematrix we-gel, futhi ifakwe esakhiweni lapho isifo somuthi esisha sizokhula khona.
Ukutholakala kokuqala nokwelashwa okusheshayo kwe-osteoarthritis kungasiza ekuvimbeleni ukulimala okunye kwe-cartilage.
Ithuba elihle kakhulu lokuvimbela noma ukunciphisa umonakalo we-cartilage livela ukwelashwa kwasekuqaleni. Imithi esetshenziselwa ukulawula i-osteoarthritis nezinye izinhlobo ze-arthritis, amasu okuvikelwa okuhlanganyelwe , kanye nama mechanical emihle yomzimba kusiza ukugcina uqweqwe olunempilo. Ngemuva kokuthi umonakalo ohlangene uba nzima futhi uphazamise impilo yokuphila kwansuku zonke, ukuhlinzwa okuhlanganyelwe okuhlangene kungaba yindlela engcono kakhulu yokubuyisela umsebenzi. Udokotela wakho uzokusiza ukuthi unqume ukuthi yini engcono kuwe.
Izwi elivela
Ukulahlekelwa kwe-cartilage kwelinye noma ngaphezulu kwamalungu kungaba buhlungu kakhulu futhi ekugcineni kuholele ekunciphiseni okusebenzayo noma mhlawumbe nokukhubazeka. Gcina i-cartilage ngokugcina amalunga akho aphilile .
Imithombo
- I-Carticlage Ebonakalayo. I-Joint Replacement Institute.
- Kuyini I-Cartilage? I-International Cartilage Repair Society.
- Ukubuyiswa kwe-Carticlage yase-Articular. I-American Academy Yabahlinzeki Bama-Orthopedic. Ibuyekezwe ngoFebhuwari 2009.