Ingabe ama-Loose and Lost Unstable ayingumphumela noma umphumela we-Osteoarthritis?
Ukuxwabanisa okuhlangene kuchazwa njengokungabi nhlobo noma ukungazinzi kokuhlanganyela. Ukulahla okuhlangene kuye kwahlotshaniswa ne- osteoarthritis , kodwa ingabe imbangela ye-osteoarthritis, noma isifo sesifo?
Ukuzivumelanisa Okuhlangene Okujwayelekile Nokuxoshwa
Ngokusho kwe-Internal Medicine News, uhla olujwayelekile lokuxhuma okuhlangene luyahlukahluka phakathi kwabantu abahlukene nangesikhathi esiningi. Kuyiqiniso lokuthi abanye abantu bazalwa beguquguquka kakhulu kunabanye, kanti abanye kungenzeka basebenze ngokuphumelelayo ekukhuliseni ukuhamba kwabo ngokubandakanyeka emisebenzini efana ne-yoga noma yokuzivocavoca.
Siyazi ukuthi ukuhamba okuhlangene kunabesifazane kunamadoda, futhi izingane nazo ziguquguquka, nakuba ukuguquguquka kunciphisa iminyaka.
Izimo Ezibangela Ukuxoshwa Okuhlangene
Ama-syndromes amaningana ane-laxity engavamile ayiphakamise imbangela yezofuzo. Lezo zimo zihlanganisa i-Marfan syndrome, i-Stickler syndrome, ne- Ehlers-Danlos syndrome . Ezinye izimo - ukuphazamiseka okungahambi kahle kwezicubu ezixhumeneyo - kungase kufinyeleleke kuleli qembu. Iziguli eziningi ezinezinkinga ezizimele ezicubuzelayo zinezinyosi ezihlangene zinezinyosi zamazinyo noma i-palate ephakeme, emincane. Ezinye izici, kuye ngokuthi yi-syndrome, zibandakanya: isikhumba esithambile, ukulimala okulula, i-hernias, i-osteoarthritis yokuqala, isisu noma isithumba, i-postural orthostatic tachycardia, kanye ne-hypotension.
Iziguli zikaMarfan zibhekene nezimpande ze-aortic zokuhluma nokuphuka. Iziguli ze-Stickler syndrome zisengozini ye-osteoarthritis ne-squy dysplasia. Iningi lemibandela ewela ngaphansi kwe-Ehlers-Danlos syndrome isebenzelana nesikhumba sokuxhuma kanye nesithambile esifinyelele.
Ukuxoshwa Knee Osteoarthritis
Ukuxoshwa kwamadolo e- osteoarthritic akuzange kufundwe kabanzi kubantu. Ngo-1999, abacwaningi bathatha umsebenzi. Bahlolisise i- varus-valgus kanye ne-anteroposterior laxity ku-25 abahlanganyeli abatadisha abasha. Kwakukhona nabahlanganyeli abadala abangu-24 ngaphandle kwe-osteoarthritis yomtholampilo, ngaphandle kwe- radiographic osteoarthritis noma ukulimala kwangaphambili kwamadolo - kanye nabahlanganyeli abangu-164 abane-knee osteoarthritis nama- osteophytes .
Abacwaningi baphetha ngokuthi uketshezi okwenyuka okuhlobene ne-osteoarthritis kungase kutholakale ngaphambi kwalesi sifo. Ukulahlekelwa kwe-cartilage kuhlotshaniswa nokugqwala okukhulu kwe-varus-valgus; Kungenzeka ukuthi uketshezi lwe-varus-valgus kwandisa ingozi ye-knee osteoarthritis futhi futhi kunomthelela ekwenzeni ngcono kwe-knee osteoarthritis.
Esinye isifundo, eshicilelwe ngo-2005, sihlolisise ubudlelwane phakathi kwezinguquko ezakhiweni ezihlangene, njengendawo ehlangene yokunciphisa noma yokwakheka kwe-osteophyte nokuxwabanisa, nokuhlanganiswa okuhlangene nokuxoshwa kubantu abane-osteoarthritis yamadolo. Ngemva kokwenza ukuhlolwa okuthile, abacwaningi baphetha ngokuthi kokubili isikhala sokubambisana nokunciphisa okuhlangene kuhlobene nokuxoshwa okuhlangene.
Iziguli ezinezinyosi zamadolo, kuye ngokuthi kunzima kangakanani, zingacelwa ukuba zigweme umsebenzi omkhulu wethonya noma ukuqeqeshwa ukumelana. Kulezi zimo, ukuqeqeshwa okunamandla ukusetshenziselwa ukusiza ukuqinisa ukujoyina. Ukweqa nokusekela amadolo kungase kuzuze futhi.
Ukuxoshwa ku-Ankle Osteoarthritis
Ngokujwayelekile, ukubola kwesigqoko sezinyosi kuqala ngokulimala emigogodleni egcina isiguli esiphezulu se-ankle. I-X-ray kanye ne-MRI isiza ukuqinisekisa ukuxilongwa kwe-ankle ye-ankle. Ukwelashwa ngokomzimba, ukuqhuma, iqhwa, ukuphakama, nezidakamizwa ezingezona ukuvuvukala ziyasetshenziselwa ukuvuselela isikhumba.
Ukuxoshwa ku-Hip Osteoarthritis
Esinye sezimo eziyinhloko ezihlobene nokuqothulwa kwe-hip yi-Developmental Dysplasia ye-Hip (DDH), ukubunjwa okungavamile kokuhlanganiswa kwe-hip lapho ibhola kanye nesokhethi kungahambisani kahle. Ku-DDH, izigxobo zomjoqo we-hip zingase zibe zikhululekile, ezibangela ukukhipha noma ukungazinzi. Kwezinye izingane, lapho zizalwa, isikhumba sekhanda sivulekile esikhaleni. Kwabanye, isikhumba sekhanda siphume ngokuphelele. Ukukhululeka kungadala njengoba ingane ikhula futhi isebenza ngokwengeziwe. Isimo, uma singelashwa, siye sahlotshaniswa nengozi eyengeziwe yokuthuthukisa i-osteoarthritis.
Imithombo:
Izifo Zamafuzo Okuxoshwa Okuhlangene. I-Internal Medicine News. Howard P. Levy. 04/01/08.
http://www.internalmedicinenews.com/views/genetics-in-your-practice/blog/genetic-causes-of-joint-laxity/99bd9877f4693693a35b3249aa9e91c9.html
Ukuxoshwa kwamadolo enempilo kanye ne-osteoarthritic. Sharma L. et al. I-arthritis ne-Rheumatism. 1999May; 42 (5): 861-70.
http://www.ncbi.nlm.nih.gov/pubmed/10323441
Izinguquko ezihlanganisiwe zesakhiwo, ukulahlwa, nokuxoshwa kwe-osteoarthritis emadolweni. van der Esch M. et al. I-Scandinavia Journal of Rheumatology. 2005 Jul-Aug; 34 (4): 298-301.
http://www.ncbi.nlm.nih.gov/pubmed/16195163
I-Ankle Laxity. Imisedari-iSinayi. Ifinyelele ngo-1/29/13.
http://www.cedars-sinai.edu/Patients/Health-Conditions/Ankle-Laxity.aspx
Ukususwa Kwentuthuko (Dysplasia) ye-Hip (DDH). I-OrthoInfo. Ifinyelele ngo 01/29/13.
http://orthoinfo.aaos.org/topic.cfm?topic=A00347