I-osteoarthritis: Ichazwa Ngezithombe

by UCarol Uustice

I-osteoarthritis ingenye yezinhlobo ezingaphezu kwekhulu ze-arthritis nezifo ezihlobene . I-osteoarthritis yilona uhlobo oluvame kakhulu lwe-arthritis. E-United States, abantu abayizigidi ezingu-27 bahlala nesifo. I-osteoarthritis ivame kakhulu kubantu abadala abaneminyaka engaphezu kwengu-65 ubudala kodwa abantu banoma iyiphi indala bangakwazi ukuthuthukisa lesi sifo. Ukukhula kuphakama kakhulu emva kweminyaka yobudala engama-50 emadodeni nasemuva kweminyaka engama-40 kwabesifazane. Ngokwe-American College of Rheumatology, amaphesenti angu-70 abantu abangaphezu kweminyaka engu-70 anesibindi se-x-ray se-osteoarthritis .

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I-Cartilage Damage From Knee Osteoarthritis

SMC Izithombe / Getty Izithombe

I-osteoarthritis ye-knee yiyona ndlela ejwayelekile kakhulu ye-osteoarthritis. Abantu abangaphezu kwezigidi ezingu-10 baseMelika banama-knee osteoarthritis. Yona futhi imbangela evame kakhulu yokukhubazeka e-United States.

Ukuwohloka kwe-articular (joint joint) isifo esiyinhloko esithinta i-knee osteoarthritis. Isimo singabangelwa ngu:

ukulimala kwangaphambili kwamadolo
ukuphindaphindiwe emadolweni
ama-fractures, i-ligament izinyembezi, nokulimala okungenasidingo okungathinta ukulungiswa nokugqugquzela ukugqoka nokuphumula
izakhi zofuzo ezenza abanye abantu bakwazi ukuthuthukisa i-osteoarthritis yamadolo
ukukhuluphala okufaka ukucindezeleka emajoyini wokulinganisa
izinkinga nge-bone subchondral (ungqimba wesithambo ngaphansi kwe-cartilage)

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I-osteoarthritis ye-Hip ebangelwa ukuwohloka okuhlangene

Isithombe nguPamela Burley (iStockphoto)

I-osteoarthritis yama-Hip iyindlela ejwayelekile ye-osteoarthritis. Njengoba i-hip isisindo esithinta umzimba, i-osteoarthritis ingabangela izinkinga ezibalulekile. Abangu-1 kwabangu-4 baseMelika bangalindela ukuthuthukisa i-osteoarthritis ye-hip ngesikhathi sokuphila kwabo.

I-osteoarthritis ye-Hip ibangelwa ukuwohloka kwe-articular (joint joint) ne- cartilage nokugqoka nokudiliza kokuhlanganiswa kwe-hip. Kunezizathu eziningana lokhu okungahlakulela:

ukulimala kwangaphambilini kwe-hip
ukwephulwa kwangaphambilini, okushintsha ukulungiswa kwe-hip
izakhi zofuzo
isifo sofuba sokuzala nesifo sokukhula
i-subchondral bone elithambile kakhulu noma elinzima kakhulu

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Amasayithi amathathu avamile we-Osteoarthritis yesandla

IBURGER / PHANIE / Getty Izithombe

I-osteoarthritis ingathinta noma yikuphi ukujoyina emzimbeni, kufaka isandla. I-osteoarthritis yesandla ngokuvamile ivela ezindaweni ezintathu esandleni - phansi kwesithupha, kuhlangene eduze komunwe, kanye nokuhlangana okuphakathi komunwe.

Ukugqoka noma ukulimaza noma ukulimala kwemishini kungabangela ukuba i-osteoarthritis ithuthuke. Uma ukulimala kushintsha ukulungiswa kwesibambisene, kungashesha ukulimala kwe-cartilage. Umonakalo uvame ukubonakala ezandleni ngezandla ezikhulisiwe neminwe ekhohlisiwe. Ama-nodules e-Bony yizici ezivamile ezibonakalayo ne-osteoarthritis yesandla. Ama-nodules amancane kanye nokuvuvukala okuba khona eduze kombuthano ophakathi kweminwe kuthiwa yizigcawu zikaBourdrd. Uma ama-nodules atholakale esifundeni sezintambo, abizwa ngokuthi amaNode kaHeberden.

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Ubudala buyinhloko enkulu engozini ye-neck osteoarthritis

IBURGER / PHANIE / Getty Izithombe

I-osteoarthritis yamazinyo, eyaziwa nangokuthi i-spondylosis yomlomo wesibeletho, isifo esibi esingapheli se-vertebrae esifundeni somlomo wesibeletho, kanye nama-discs phakathi kwama-vertebrae. Umzimba we-osteoarthritis ngokuvamile uthinta amadoda nabesifazane abangaphezu kuka-40 futhi ukhula kancane ngokukhula. Ukusabalalisa kwe-neck osteoarthritis kuyafana nabesilisa nabesifazane, kodwa amadoda athambekele ekuhlakuleleni isimo esincane kunabesifazane.

Izinguquko ezibangelwa ukuwohloka kwesifunda somgogodla womlomo wesibeletho zinganciphisa eyodwa noma ngaphezulu izimpande zesisindo. Ukucindezeleka kwemizwa akukwazi nje ukubangela ubuhlungu entanyeni, kodwa ubuhlungu, ubuthakathaka, ukuphazamiseka, nokugubha ngengalo. Nakuba ukulimala kwentamo eyedlule kungaholela eminyakeni ye-osteoarthritis entanyeni kamuva, ukuguga kuyinhloko enkulu engozini noma imbangela yentamo ye-osteoarthritis. Amaphesenti angu-70 abesifazane kanye namadoda angu-85% anesibindi se-x-ray yentamo ye-osteoarthritis eneminyaka engu-60.

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Uyini umehluko phakathi kwe-Osteoarthritis ne-Rheumatoid Arthritis?

I-BruceBlaus / Wikimedia Commons / CC-BY-SA-4.0

I-osteoarthritis yilona uhlobo oluvame kakhulu lwe-arthritis. Ngakolunye uhlangothi, i-arthritis ye-rheumatoid ibhekwa njengelona uhlobo olunzima kakhulu lokukhubazeka noma olukhubaza i-arthritis. I-osteoarthritis (ebizwa nangokuthi isifo esihambisana nesifo esibuhlungu noma isifo samathambo) sibangelwa ukuwohloka kwe-cartilage ehlangene. I-cartilage yenza njengendlela yokuhlangana phakathi kwamathambo akha inhlanganisela. Ukulahleka kwe-cartilage kungabangela ukuba amathambo agubhe ithambo emhlanganisweni - isimo esibuhlungu kakhulu. Ngokuvamile, i-osteoarthritis iqala ngokuhlanganyela okukodwa.

I-arthritis ye-rheumatoid iyimithi engapheli, evuthayo yamathambo. Iphinde ihlukaniswe njengesifo sokuzimela (ie, amasosha omzimba ahlasele izicubu zomzimba eziphilile). I-synovium (ibhande lehlangene) ihloselwe ikakhulukazi isifo samathambo, kodwa izitho nazo zingathinteka. Amalungu amaningi avame ukubandakanyeka nge-rheumatoid arthritis.

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I-Replacement Knee iyona Option Last Treatment Resort

33karen33 / Getty Izithombe

Ngokuvamile, iziguli zakwa-arthritis ziqala ukuzama ukwelashwa kokuqala ukuze zilawule ubuhlungu begciwane futhi zizame futhi ziphumele umonakalo ohlangene. Uma ukwelashwa okulindelekile ( imithi , ukujola , ubhontshisi , ukwelashwa ngokomzimba , ukushisa ) akuphumelelanga futhi awukwenzi ukuphendula okwanelisayo, iziguli eziningi zibhekisela esikhundleni sokuguqa njengendlela yokugcina yokwelapha.

I-knee esikhundleni se-prosthesis iqukethe izingxenye ezintathu: i-femoral (metal), i-tibial (ipulasitiki e-tray metal), ne-patellar (ipulasitiki). I-prosthesis ithatha indawo yakho ehlanganisiwe yedolo.

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I-Hip Replacement ibuyisela ukusebenza nokuhamba

Izithombe zikaMonty Rakusen / Getty Images

Unyaka ngamunye e-United States yedwa, kunqunywe indawo engaphezu kwezingu-285,000, futhi inani kulindeleke ukuba liphindwe kabili libe ngu-573,000 ngonyaka ka-2030. I-prosthesis yokuguqula indawo ejwayelekile, efaka isandla sakho se-hip ewonakele, iqukethe izingxenye ezintathu:

indebe yepulasitiki ethatha indawo yakho ye-acetabulum (isikhwama somlenze)
ibhola lensimbi elifaka inhloko yesifazane
i-stem yensimbi ehlanganiswe ne-shaft ye-femur

Kukhona futhi ukufakwa esikhundleni se-ceramic hip kanye nezinye izindlela zokwenza esikhundleni se-hip esikhundleni - isibonelo, uhlelo lwe- Birmingham Hip Resurfacing System .

Ingqikithi ye-Hip Replacement - Okudingeka Ukwazi

_Imithombo:

_{I-Osteoarthritis Handout on Health.} _I-NIAMS. _7/07/07. _{http://awww.niams.hin.gov/hi/topics/arthritis/oahandout.htm}

_{Ingqikithi ye-Hip Replacement.} _{I-American Academy Yabahlinzeki Bama-Orthopedic.} _{Agasti 2007.} _{http://orthoinfo.aaos.org/topic.cfm?topic=A00377}

_{I-osteoarthritis ye-Knee.} _I-JAMA. _{Februwari 26, 2003 - Umq.} _{289. No.8.} _{Umhlahlandlela wePilitiki ku-Osteoarthritis we-Knee.} _{Isikhungo se-Orthopedics ne-Hip and Knee Surgery.} _{http://www.eorthopod.com/public/patient_education/6516/osteoarthritis_of_the_knee.html}

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