I-facet Joint Osteoarthritis Yisho Ukuhlunguphaza Nokunciphisa Ukunyakaza Kwempuphu
Ngokuvamile, uzwa i- hip osteoarthritis noma i- knee osteoarthritis . Nokho, amanye amalunga amasayithi avamile we-osteoarthritis. Isibonelo, i-facet joint osteoarthritis ibangela ubuhlungu, ukuqina, nokulahlekelwa emuva ngemuva. Ziyini izimbangela nezimpawu ze-facet osteoarthritis ehlangene, futhi isithola kanjani futhi iphathwe kanjani?
Uphi Amalungu Ezingxenye Zakho?
Amalungu e- facet akhona ngemuva komgogodla.
Kunezinhlanganisela ezimbili ezinhlangothini phakathi kwe-pair pair of vertebrae, enezici ezihlangene zombili ezihlangothini ngalunye zomgogodla. Isihlanganisi sezinhlamvu sinamabhobho amabili. Lapho ama-knob ehlangana khona, axhuma ama-vertebrae akho amabili. Ukuphakama kwezingxenye zezinhlangothi kuhlanganiswe i-articular cartilage .
Yini Ebangela Ubunzima be-Osteoarthritis Joint?
I-facet joint osteoarthritis ibangelwa ukuwa kwe-carticlage ye-articular ye-facet joint. Ukuhlukumeza kanye nokulimala kwangaphambilini kungabangela i-facet joint osteoarthritis kamuva ekuphileni, kodwa imbangela eyinhloko ukuguqulwa komgogodla, okwenzeka kancane kancane ngokuhamba kwesikhathi.
Iziphi Izimpawu Ezihlobene Ne-Facet Joint Osteoarthritis?
Ubuhlungu yilona uphawu oluyinhloko oluhlotshaniswa ne-facet joint osteoarthritis. Izimpawu zokucindezeleka kwemizwa ngokuvamile aziveli nge-facet joint osteoarthritis. Kodwa-ke, lapho i- bone spur iqala emaphethelweni ehlangene, iyakwazi ukugcoba emanzini futhi ibangele ukungafihli, ukuxubha, nokubuthakathaka komzimba.
I-Osteoarthritis Ehlangene Ihlangene Kanjani?
Njengoba kunezimo eziningi ze-arthritic, i-facet joint osteoarthritis itholakala ukuthi ilandela ukuhlolwa ngokomzimba , umlando wezokwelapha, kanye nama-X-ray noma ezinye izifundo ze-imaging. Izithombe ze-X-ray zizobonisa ukuwohloka kwezinhlanganisela zomgogodla nezicathulo, kanye nethambo eliphambene nomuntu ohlangene.
Udokotela wakho angenza futhi umjovo wokuxilonga usebenzisa idayisi ekhethekile kanye ne- fluoroscope ukuthola ngqo lapho ubuhlungu obuvela khona. Ezimweni ezinjalo, uzoba nemithi ephazamisayo ejojelwe ehlangothini lwezinhlamvu noma le nerve eya ehlangothini lwezinhlangothi.
I-Osteoarthritis Ehlangene Ihlangene Kanjani?
Umgomo wokwelapha i-osteoarthritis ehlangene ukunciphisa ubuhlungu nokuvuvukala. Izikhathi ezincane zokuphumula ziyasiza. Izidakamizwa eziphikisayo ezingezona ukuvuvukala (ama-NSAID), iziphumuli ze-muscle , ngisho nama-tapering amanani we-steroids asetshenziselwa ukulawula izimpawu.
Ukuzivocavoca okunye kanye nezikhundla zomzimba kungathatha ingcindezi ezihlanganisweni zezinhlangothi. Uchwepheshe wezokwelapha angakusiza ufunde izikhundla kanye nezenzo zokuzivocavoca ezinikeza usizo.
Ama-injection ehlangene we-facet we-anesthetic noma i-steroid imithi kungenzeka uma ungatholi usizo ngezinye izindlela zokwelapha. Zisetshenziselwa ukwelapha intamo, emaphakathi emuva noma ubuhlungu obuphansi emuva. Ngesinye isikhathi baqala ukujova umuthi wokubulala umzimba ukuze babone uma kukhulula ubuhlungu. Uma kuyenzeka, khona-ke kungalandelwa i-steroid ukunikeza ukuphumula okuhlala isikhathi eside.
Ukuhlinzwa akudingeki kakhulu, kodwa kunezinqubo ezimbili ezisetshenziswa uma kudingeka. I-facet rhizotomy yindlela yokuhlinza ehilela ukuhlukanisa isisindo esincane esivumelana nesici.
I-Fusion ingenziwa ukuze ijoyine ama-vertebrae amabili ngenhloso yokuyeka ukunyakaza kwe-facet ehlangene - kepha ukuxuba okuxubile kuningi akunconywanga.
Imithombo:
I-Facet Joint Arthritis. I-Orthogate. NgoJulayi 28, 2006.
Izilonda Zomgogodla, i-American Academy of Surgery Orthopedic, Disemba, 2013