I-osteoarthritis ingathinta amalunga kunoma iyiphi ingxenye yomzimba, kuhlanganise ne-ankle. Amathambo amathathu enza ihlangane le-ankle: ukuphela okuphansi kwe-tibia (isibini), i-fibula (ithambo elincane lomlenze ophansi), kanye nethalus (ithambo elithwala isisindo elifakwe esikhwameni esakhiwe yi-tibia ne-fibula) .
Ukuxilongwa kokuqala kanye nokwelashwa kusiza abantu abane-osteoarthritis yama-ankle baphathe izimpawu zabo.
Isizathu se-Ankle Osteoarthritis
I-osteoarthritis yisifo esihlangene esinesifo esibi. Ngalolu hlobo lwe-arthritis, i- cartilage - izicubu ezinzima, kodwa eziguquguqukayo ezihlanganisa imikhawulo yamathambo akha ihlangene - igqoke kancane kancane.
Amacala amaningi we-ankle osteoarthritis ahlobene nokulimala kwangaphambili kwesikhumba. Ukulimala kungenzeka kwenzeka eminyakeni eminingi ngaphambi kokuba kube nobufakazi be-osteoarthritis emagqumeni. Ukulimala kungalimaza i-cartilage ngqo, noma kungashintsha umshini wokuhlanganiswa kwe-ankle (ukuthi usebenza kanjani).
Ngaphandle kokulimala, kunezinye izici ezingozini ezingabangela ekuthuthukiseni i-osteoarthritis. Ukweqisa ngokweqile kuye kwahlotshaniswa ne-osteoarthritis, futhi kungabangela isisindo sokuthinta amalunga, kufaka hlangana ne-ankle. I-Genetics nayo ingadlala indima. Isibonelo, ukuhamba ngezinyawo kungathinta indlela ohamba ngayo futhi wengeze ukucindezeleka ekuhlanganyeleni kwe-ankle.
Ukuxilongwa kwe-Ankle Osteoarthritis
Ukuxilongwa kwe-ankle osteoarthritis ngokuvamile kuqala ngomlando wezokwelapha.
Isiguli kufanele senze udokotela wakhe azi ukuthi ukulimala kwesikhumba esidlule kwenzeke. Umlando womndeni we-osteoarthritis kubalulekile ukuqaphela.
Ukuhlola okungokomzimba kungabonisa ukuhamba okungavamile kokuhlanganiswa kwe -ankle, kanye nobuhlungu, ukuvuvukala, noma isisa ezungeze ukuhlanganiswa kwe-ankle. I-crepitus (umsindo wokugaya njengoba ukuhlanganiswa kushukunyiswa) ukhombisa ukuthi ukuphela kwamathambo okwenza okuhlanganyelwe ukuxubana komunye nomunye.
Phakathi nokuhlolwa komzimba, ukuhlolisiswa kwamathambo ukuqondanisa ngenkathi kuhamba (ukuhlaziywa kwezinto) kungenziwa. Ukuhlaziywa nakho kulinganisa umjikelezo wesiguli futhi kuvivinya amandla wezinyawo nezinyawo.
Ama-X-ray asiza ukucacisa ubukhulu bokulimala kwe-ankle futhi angasiza odokotela ukuba balinganise inani le-cartilage ehlala. I-X ray noma ezinye izifundo ze-imaging zingabuye zithole indawo ehlangene yokunciphisa nokuxhuma amajoyina. Ukuhlola kwe-CT noma i-MRIs isetshenziselwa ukuhlola umonakalo ohlangene we-ankle, futhi.
Izimpawu ze-Ankle Osteoarthritis
Uphawu oluyinhloko oluhlotshaniswa ne-osteoarthritis ekuhlanganyeleni kwe-ankle ubuhlungu. Ekuqaleni, ubuhlungu bukhona ngokunyakaza noma umsebenzi (ukuhamba, ukugibela izitebhisi, njll.) Njengoba i-osteoarthritis iqhubeka, ubuhlungu bukhona ngisho nangesikhathi ukungasebenzi noma ukuphumula.
Ezinye izimpawu ze-ankle osteoarthritis zihlanganisa:
- ukuqina okuhlangene
- ukuvuvukala okuhlangene
- ilahlekelwe ukuguquguquka
- ukunciphisa ukuhamba kokuhamba
- kunzima ukuhamba
- ubunzima bokuthwala isisindo, okungase kubangele ngisho nokunyakaza nokuwa
Ukwelashwa kwe-Ankle Osteoarthritis
Izinketho zokwelapha ze-ankle osteoarthritis ngokuvamile zihlose ukulawula ubuhlungu nokunyakaza okukhawulayo okubangela ubuhlungu. Izindlela zokwelapha ezingenasidingo ziyahlolwa kuqala. Uma kungaphumeleli, izinketho zokuhlinzwa zibhekwa.
Izinketho zokwelashwa ezingenasidingo zihlanganisa:
- imishanguzo (izidakamizwa ezingavimba ukuvuvukala)
- izicathulo ezenziwe ngeziko zenziwe ngezifiso
- I-AFO (i-orthosis yamazinyawo ezinyawo noma i-ankle brace)
- ukwelashwa ngokomzimba
- Izithako zokudla (i- glucosamine ne-chondroitin)
- umjovo we-steroid ekuhlanganyeleni
Izinketho zokuhlinzwa ze-ankle osteoarthritis zihlanganisa:
- ukuhlinzeka nge-arthroscopic
- i-ankle arthrodesis (i-fusion)
- ukufaka esikhundleni se-ankle
Imithombo:
> Umhlahlandlela Weziguli Osteoarthritis We-Ankle. eOrthopod.
I-arthritis ye-Foot ne-Ankle. I-American Academy Yabahlinzeki Bama-Orthopedic. Julayi 2007.