Izifundo ze-osteoarthritis ngokuvamile zibhekisela kwi-osteoarthritis noma i-ostoarthritis ye-radiographic. Yisho ukuthini le migomo yezokwelapha? Ungaba nomunye ngaphandle komunye?
Iyini i-Osteoarthritis ye-Symptomatic?
I-osteoarthritis ye-Symptomatic isho ukuthi umuntu osteoarthritis uthola izimpawu, njengokubuhlungu okuhlanganyelwe , ukucindezeleka nokuqina . Izimpawu zakho cishe ukuthi yini eyenza udokotela wakho kuqala noma ukuchaza izimpawu zakho ngesikhathi sokuhlola noma ukuhlolwa kwesinye isikhalazo.
Uma udokotela wakho ezwa lezi zimpawu, uzosolwa nge-osteoarthritis futhi aqhubeke nokuhlolwa, ukuvivinywa futhi mhlawumbe i-x-ray ukuze ahlolwe.
Uphawu oluyinhloko lwe-osteoarthritis lubuhlungu obuhlangene obunzima phakathi nomsebenzi futhi buye ngcono ngokuphumula.
Ezinye izimpawu ezivamile ze-osteoarthritis zihlanganisa:
- Ukungazinzi okuhlangene, ikakhulukazi kwamadolo kanye namalungu okuqala we-carpometacarpal
- Ekuseni ekuseni ubunzima obuhlala njalo ngaphansi kwemizuzu engama-30
- Ukugubha okulandelayo ngezikhathi zokungasebenzi
Ukuhlola okungokwenyama kungase kubone ukukhukhumeza, ukukhubazeka, ukukhuliswa kwamabhonasi noma ukuvuthwa okufana namaNode ka-Heberden namakhadi akwaBouchard , ama- crepitus , nokuhamba okulinganiselwe kokunyakaza . Izinkinga ze-muscle kanye ne-tendon izivumelwano ezinye zitholakala emtholampilo.
Iyini i-Osteoarthritis ye-Radiographic?
Ukuxilongwa kwe-radiographic oyinhloko ye-osteoarthritis kuhilela lokhu okulandelayo okubhekwe kwi-x-ray:
- Ukulahlekelwa kwendawo okuhlangene okungafani
- Ukwakhiwa kwe-osteophyte
- Ukwakhiwa kwe-Cyst
- I-subchondral sclerosis
Ama-x-rays asekuqaleni angabonisa indawo encane engavumelanisiwe. Njengoba i-osteoarthritis iqhubekela phambili, ukuxhunyaniswa (ukuhlukaniswa okuncane kwesithambo) kungase kwenzeke, ama-cychs angaphansi kakhudlwana angakhula, futhi ama- osteophyte angakha.
I-Subchondral sclerosis noma i-subchondral bone formation kwenzeka njengoba ukulahleka kwe-cartilage kwanda.
Esigabeni esiphezulu sesifo, ama-x-ray angabonisa isimo se- bones-on-bone kanye nokuwa kwe-joint kungahle kwenzeke.
Lokhu kungase kutholakale okutholakala uma kwenzeka u-x-rayed ngenxa yezizathu ezihlukile, njengokungathi uvele uphule ithambo. Noma, bangatholakala uma une-x ray ye-joint yakho ngemva kokulethela udokotela wakho izimpawu ze-osteoarthritis.
Ukubaluleka
Kungenzeka ukuba ne-osteoarthritis yesifo ngaphandle kwe-radiographic osteoarthritis - futhi ngokuphambene nalokho. Isibonelo, abantu abangafika ku-60% abanama-kneal osteoarthritis bangase bangakhononda ubuhlungu. Ukuntuleka kwezimpawu kungase kuhambisane nokutholakala kwe-radiographic, okusho ukuthi ukuthola okuncane kakhulu kwe-radiographic kubonakala kuhlotshaniswa nezimpawu ezinzima kakhulu.
Kodwa-ke, labo abane-osteoarthritis yama-radiographic knee abangenabuhlungu njalo noma obukhulu bangase babe nobuthakathaka bemisipha yabo kanye nenkinga yokwenza imisebenzi yokuphila kwansuku zonke. Lokhu kusikisela ukuthi i-osteoarthritis ye-radiographic ngaphandle kobuhlungu ingaqhubeka ingathinta kakhulu umsebenzi ohlangene.
Okubalulekile
Nge-osteoarthritis, kungaba khona ukungafani phakathi kwezimpawu kanye nokulimala okuhlanganyelwe okubonwe kuma-x-ray. Ungaba nezimpawu ngaphandle komonakalo ohlangene oboniswe x-ray.
Kodwa ungase ube nokutholakala kwe-x-ray ye-osteoarthritis ngaphandle kwezimpawu ezinkulu. Lokhu kungaba isimanga uma uthola i-x ray ngenxa yezizathu ezingezona ezihlobene. Kodwa-ke, kuyiqiniso nokuthi izimpawu ezinzima zivame ukuhlotshaniswa nokutholwa kwe-radiographic ethuthukile. Uma isimo sakho sibi kakhulu, kungenzeka ukuthi sibi ezindaweni zombili.
Imithombo:
Izincazelo ze-Osteoarthritis. Isahluko 162. Consult Consult. I-rheumatology. I-Hochberg MC et al.
Ukuhlolwa kwe-Radiographic of Osteoarthritis. I-American Family Physician. I-Swagerty DL MD et al. Ngo-July 15, 2001.