Ukuhlangana kwe-ankle kuthinteka yi-arthritis kaningi kunamanye amalunga. Lapho iziguli zine- arthritis ye- ankle, ziye zagqoba ukuhlangana phakathi kwethambo le-shin (tibia) nelithambo lesifuba (talus), elibizwa ngokuthi i-tibiotalar.
Izimbangela ze-Ankle Arthritis
Izinto ezivame ukuholela e-ankle arthritis zihlanganisa:
- Ukulimala kwangaphambili kwesikhumba: I- Ankle arthritis ngokuvamile iwumphumela wokulimala kwangaphambili ekuhlanganyeleni kwe-ankle. Ezigulini ezisekela ukulimala okunjenge- fracture ye-ankle , i-cartilage ingalimala futhi iholele ekutheni i-arthritis ijubane. Lapho i-ankle ilimaze, ingabanjwa nokulimala okubizwa nge-osteonecrosis. Uma i-osteonecrosis ivela njengomphumela wokulimala kwe-ankle, ingxenye yamathambo inomonakalo ekugezeni kwegazi. I-Osteonecrosis ingadala futhi kuholele ekuguleni kwamathambo.
- Isifo samathambo : Iziguli ezinezifo zesifo sofuba zingaba ne-ankle arthritis. Isifo se-rheumatoid sibangela ukuvuvukala okuhlangene kanye nokulimala kwe-cartilage. Ngokuhamba kwesikhathi, lokhu kungaholela ezinkingeni ezibalulekile, ezidinga ukwelashwa.
- Ukwelashwa: Izifo zesibindi zingabangela umonakalo wamangqamuzana omzimba. Ngoba amangqamuzana we-cartilage awakwazi ukubuyela emuva, umonakalo ovela ekutheleleni ungagcina unomphela.
- Izakhi zofuzo: Umphumela wezakhi zofuzo ekuthuthukiseni i-arthritis akuqondakali kahle, kodwa siyazi ukuthi abanye abantu banomkhuba wokuthola ama-joints ngokushesha kunabanye.
- Isisindo somzimba: Iziguli ezithwala ngokweqile zibeka umthwalo omkhulu ezinqulwini, amadolo, izinyawo, nezinyawo. Lezi ziguli zinomkhuba wokuthuthukisa isifo samathambo, futhi zivame ukulimala okusheshayo ku- cartilage ehlangene .
Izimpawu ze-Ankle Arthritis
I-anthle arthritis ngokuvamile ibangela ubuhlungu emhlabeni wonke, futhi isizathu esivame kakhulu seziguli ukufuna ukwelashwa ubuhlungu obuhlobene nalesi simo.
Ezinye izibonakaliso ezivamile ze-ankle arthritis zihlanganisa:
- Ukugubha kwe-ankle
- Ukuvuvukala nxazonke
- I-bone iqhuma ibangela ukukhanya kubonakale kuhlangene
- Ukukhubazeka kokujoyina
- Ukukhubazeka, noma ukuzwa ukuthi ukuhlanganyela kungase "kuphelelwe yisikhathi"
Ngokuvamile, i-ankle arthritis ingabangela ukucasuka kwezinzwa ezungeze ukubambisana okubangelwa ukugubha nokunyakaza ezinyaweni nasezinzwaneni.
I-anthle arthritis ingasheshe ihlolwe ngokuhlolwa kanye ne-x ray. Uma iziguli zitholwa, ukwelashwa okungelapheki kufanele kusetshenziswe. Iningi leziguli zingathola ukusizwa ngezinyathelo ezihlanganisa ukuguqulwa komsebenzi kanye nezinguquko ezicathulweni zabo.
I-Ankle Arthritis Treatments
Ukuphathwa kwe-arthritis ye-ankle kufanele kuqale njalo ngezinyathelo ezilula kufaka:
- Izinguquko Zezingubo: Enye yezinyathelo ezilula ukuzithatha ukuzama ukushintsha izicathulo ezithile. Ukufakwa kwe-cushioned kungasiza ekunciphiseni izimpawu. Esinye isinyathelo esiwusizo ukuthi abe nesazi esikhwameni sokulungisa izicathulo sengeze 'i-rocker-bottom' kumuntu owodwa wesihlangu.
- Ukuguqulwa komsebenzi: Ukuguqulwa komsebenzi yingxenye ebalulekile yokwelapha, kanti iziguli ezingathandi ukushintsha indlela yokuphila ngokuvamile akufanele zibheke ukwelashwa kwe-ankle arthritis. Iziguli kufanele zizame ukunciphisa imisebenzi yethonya kubandakanya ukugijima nokugxuma.
- Ama-Brace: I-brace ingahle yenziwe ukuze ibambe iqhaza elihlangene. Lezi zinsimbi, ezibizwa ngama-ankle-foot-orthoses noma ama-AFOs, zizosekela ukujoyina futhi zivimbele ukunyakaza okuningi.
- Imithi Yokuvimbela Ukuvutha: Imithi yokulwa nokuvuvukala ingaba usizo ezigulini ezinezimpawu ezilinganiselayo ze-arthritis ye-ankle. Iziguli kufanele zisebenzise ngokucophelela imithi elwa nokuvuvukala njengoba kunemiphumela emibi , ikakhulukazi nokusetshenziswa kwesikhathi eside.
- Ama- injection ye-Cortisone : Izijovo ze-Cortisone zingaba usizo kakhulu ekulawulweni kwe-arthritis yama-ankle, ikakhulukazi ekubuyeni okukhulu kobuhlungu. Nakuba izilonda ze-cortisone zingenakwenziwa njalo , ukudubula kwe-cortisone ngezikhathi ezithile kuyasiza kuziguli eziningi ezine-arthritis yama-ankle.
Ukwelashwa Okuhlinzekwa I-Ankle Arthritis
Uma lezi zokwelapha azikwazi ukunciphisa ubuhlungu be-arthritis ye-ankle, khona-ke ezinye zokwelapha ezingavamile zingacatshangelwa. Izinketho zokuhlinzwa zihlanganisa:
- I-Ankle Arthroscopy : Ukuhlinzwa kwe-arthroscopic kungaba usizo kuziguli ezine-arthritis esinqunyiwe, kodwa ngokuvamile ayinamandla ekwengeziwe kwamathambo e-ankle. I-ankle arthroscopy iyasiza kakhulu lapho ama-spurs amancane asetshenziselwe ukuzungeze ukubambisana okubangela "ukungena," noma i -bone spur ifakwe lapho i-ankle isuka phezulu iphansi. Phakathi nokuhlinzwa kwe-arthroscopic, i-spur bone ingahlungwa ukuze ikhuthaze ukunyakaza kokujoyina.
Ngeshwa, uma i-arthritis ye-ankle isanda kakhulu, ukuhlinzeka nge-arthroscopic cishe ngeke kube mnandi. Uma inani elikhulu le-cartilage seligugile, ukujoyina ngeke kuzuze inqubo ye-arthroscopic.
Ukuhlinzwa Kwe-Ankle Fusion : Ukuhlinzwa kwe- Ankle fusion yindlela yokwelapha ejwayelekile ye-arthritis ye-ankle. Lokhu kuhlinza kususa ingxenye engapheli yesibambisene, bese ubamba amathambo ngokugcwele.
- Ukufakelwa Kwama-Ankle Alternative : Ukuhlinzwa okuqhubekayo kuyinkinga engaphezu kwengxabano ye-ankle arthritis. Ukuphumelela kokuhlinzekwa kwe- fusion kungaphansi kwengxabano, futhi akukho okuhlangenwe nakho okuningi kakhulu ngokuhlinzwa okuqhubekayo kwe-arthritis yama-ankle. Njengoba kunezinqubo eziningi ezenziwa, umklamo wokufakelwa uphuthukiswa. Lokhu kuzoholela emiphumeleni engcono.