Izingane zithinteka kakhulu ezinye izinhlobo ze-arthritis
Kuyinto engafani isikhathi eside sokuthi i-osteoarthritis iwukuphela kokuguga futhi ithinta kuphela abantu asebekhulile. I-osteoarthritis ayiyona nje kuphela kubantu bethu asebekhulile. Abantu abasha nabo bangahlakulela i-osteoarthritis, kodwa lokho kuhlanganisa nezingane? Ingabe izingane zingahlakulela i-osteoarthritis?
Ingabe i-Osteoarthritis Ehlobene Nesikhathi?
Nakuba kunjalo, ngeshwa, kuyiqiniso ukuthi izinhlobo ezithile ze-arthritis zithinta izingane, i-osteoarthritis eyinhloko ayikho phakathi kwabo.
Izingane ezine-arthritis ngokuvamile zinezingane ezincane ze-idiopathic arthritis , i- spondylitis yezingane, i-lupus, isifo sikaKawasaki , noma isifo sika-Still , kodwa hhayi i-osteoarthritis eyinhloko. I-osteoarthritis "eyinhloko" ibizwa kanjalo ngenxa yokuthi ayikho imbangela yesifo esingaphansi noma esinqunyiwe. Ukunye okungajwayelekile kokuzalwa komzimba noma amathambo okungavamile okwenzeka ngesikhathi sokukhula kungandisa ingozi yengane yokuthuthukisa i-osteoarthritis kamuva ekuphileni.
I-osteoarthritis ibhekwa njengesimo esihlobene nobudala ngoba ukukhula kwanda ngokukhula. Ngokusho kwe-Primer kwi-Rheumatic Diseases, i-osteoarthritis ingavamile ngaphambi kweminyaka engu-40, kuyilapho iningi labantu abaneminyaka engaphezu kwengu-70 linobufakazi be- radiographic yesifo, ngisho noma bengenayo izimpawu.
Yikuphi Izimo Ezikhethekile Ezibangela I-Osteoarthritis Yasekuseni?
Izinkinga eziningi ezenza i-osteoarthritis ngaphambi kwesikhathi noma zakuqala ziyimvelo, futhi ngokuvamile zibandakanya i-hip.
Lapho izibonakaliso nezimpawu zenzeka zingabonakala. Uma kulungiswa ngaphambi kweminyaka engu-6, ukuxoshwa kwe-congenital hip akuhlobene nokuphethwe kwe-osteoarthritis. Esinye isimo, esaziwa ngokuthi i-Legg-Calve-Perthes isifo, esithinta izingane ezineminyaka engama-4 nesishiyagalolunye nesishiyagalolunye ubudala sibonakala ngethambo elifile elisenyakatho, elifana ne-necrosis ye-avascular, okwenza kube ne-limp.
Ukuhlinzwa kumelwe kwenziwe kulezi ziguli ezincane ukuvimbela ukuthuthukiswa kwe-osteoarthritis eminyakeni yabo esemdala.
I-trauma iyisinye isizathu sokuqala kwe-osteoarthritis. Izingane, ezibhekana nokuhlukunyezwa kwengcindezi phakathi nemisebenzi ehambisana nokuzivocavoca okunzima, okufana ne-ballet, ukuvocavoca, ukushayela, ibhola lezinyawo, i-cheerleading, nomdanso kungahlukanisa i-epiphysis (i-plate growth plate). I-epiphysis ehlukaniswe ingase ihlotshaniswe ne-osteoarthritis ngaphambi kwesikhathi. Kunezinye izimo ezibuhlungu eziholela ku-necrosis ye-avascular futhi ekugcineni isifo se-osteoarthritis esasanda kuqala kuhlanganise nesifo sikaKohler, isifo sikaFreiberg , isifo sikaSuermermann nesifo se- Osgood-Schlatter.
Ukushintsha okuthile kwezakhi zofuzo kuye kwaxhunyaniswa ne-osteoarthritis ekuqaleni. Isibonelo, ukuguqulwa kwezakhi zofuzo ezihambisana nokukhiqizwa kwe-Type II collagen kuye kwabonakala emindenini. I-articular cartilage ngokuvamile iqukethe uhlobo oluthile lwe-Type II collagen. Lokhu okungajwayelekile kubangela i-osteoarthritis, ngokuvamile ekukhuleni futhi ngokuvamile ihilela izingxube ezithwala isisindo (isib. Amadolo nezinkalo). Ngesikhathi abacwaningi beqaphela ukuthi ukuguqulwa kwezakhi zofuzo kungabangela ukuba kube khona i-osteoarthritis, ukukhomba lezo zinguquko akuyona into encane.
Kuyaziwa ukuthi ukuthuthuka okungavamile kwesikhala sokukhula kwamathambo kungabangela amathambo ahlakazekile nokuthuthukiswa ngaphambi kwesikhathi kwe-osteoarthritis. Izibonelo zibandakanya abantu abazalwa ngeziqhwa ezihlukanisiwe, ezincane, noma okungahambi kahle noma izifo ezinama-hyperelasticity ezifana no- Ehlers-Danlos , i-osteogenesis imperfecta, ne-Marfan's syndrome.
Yini Abazali Ongayenza?
Odokotela banxusa abazali ukuba banganaki izinhlungu zabantwana babo ngokuthi "izinhlungu ezikhulayo". Abazali kumele banakekele imininingwane, ikakhulukazi ngoba izingane zingase zibe mncane kakhulu ukuze ziveze ngokunembile uhlobo lobuhlungu ababuzwayo uma luqala uma luhlala lukhona uma lufika futhi luya.
Abazali kufanele bacebise izingane zabo zanoma yikuphi ukukhubazeka okuphawulekayo ukuze ukuhlolwa okufanele kwenziwe ngudokotela. Ukuqwashisa inkinga, ukuxilongwa kwangaphambi kwesikhathi, nokwelapha okuqala kungavimbela ingane ekuhluphekeni konke ngenxa ye-osteoarthritis kamuva ekuphileni.
Imithombo:
I-Primer kuma-Rheumatic Diseases. Umshicileli weshumi nantathu. Klippel J. MD et al. Ishicilelwe yi-Arthritis Foundation.
Akukona nje Ukukhula Okubuhlungu. UThomas JA Lehman, MD. I-Oxford University Press. I-copyright 2004.
Konke Nge-Osteoarthritis. UNancy E. Lane, MD noDaniel J. Wallace, MD. I-Oxford University Press. I-Copyright 2002.