Ukuvuvukala kuvame ukuhlotshaniswa ne- arthritis ye-rheumatoid , i- psoriatic arthritis , nezinye izinhlobo ze-arthritis evuthayo. Ngakolunye uhlangothi, i-osteoarthritis ivame ukuchazwa ngokuthi "ukugqoka nokubhuka" kwamathambo, okusho ukuthi kuhlobene nokuguga kanye nezinguquko ku- cartilage . Kodwa ingabe ihlanganiswe nokuvuvukala?
Ukuvuvukala Kungaba Nomsebenzi Omkhulu E-Osteoarthritis
Kuye kwaba nokuziphendukela kwemicabango ngokuthi ngabe ukuvuvukala yilokho okubangela i-osteoarthritis, kangangokuba manje sekucatshangwa ukuthi iyisifo sokuvuvukala.
Ukusebenza kwamagciwane kubonakala kumajoyini alandela umonakalo we-cartilage owuphawu oluphawulekayo lwe-osteoarthritis, ngokuvuvukala kwendwangu ehlangene, i-synovitis bese ikhula.
Kodwa lizoqhubeka lidideka njengoba lihlukaniswa njenge-arthritis elingenasifo, kuyilapho isifo samathambo nesifo samathambo kanti ezinye zihlukaniswa njenge-arthritis evuthayo.
Ukubuyekezwa okuhlelekile okushicilelwe ngo-Meyi 2015 kuchaza ngalokhu, "I-osteoarthritis yabantu iyisifo se-musculoskeletal system eshicilela ukusebenza kwamasosha omzimba angenasici futhi aguquguqukayo ahambisana nokuvuvukala okuboniswa ukukhiqizwa okuphakeme kwama- cytokines angenawo amandla, okudlala indima ebalulekile ekuqhubekeni kwe- izifo. " Baqhubeka nokuncoma uphenyo oluningi ngezidakamizwa ukuvimbela lezi cytokines ukuphula umjikelezo womonakalo osteoarthritis.
I-osteoarthritis , eyaziwa nangokuthi isifo esihlangene nesifo esibuhlungu, sibangelwa ukuwohloka kwe-articular cartilage - uhlobo lwe-cartilage ehlanganisa amaphesenti amathambo ngokuhlanganyela.
Ngokuhamba kwesikhathi, iningi labantu abadala lizokwenza uhlobo oluthile lwe-osteoarthritis (OA) ngokuhlanganyela noma ngaphezulu kokuhlanganyela okulodwa, njengamadolo, izinqulu, umgogodla, noma isandla. Nakuba ubuhlungu buvame kakhulu ku-OA, ukuvuvukala okusobala - ubomvu nokuvuvukala - ngokuvamile kubhekwa njengesifo esiyinhloko nezinye izinhlobo ze-arthritis.
Kodwa-ke, njengoba i-osteoarthritis iqhubeka, ukuvuvukala kungenzeka nxazonke ezihlangene. Kwacatshangwa ukuthi ukuvuvukala kubangelwa izingcezu ze-cartilage eziphula futhi zicasula i - synovium (ibhande elibushelelezi elihlangene). Kodwa-ke, i-MRIs ethathwe ngesikhathi sokuqala kwe-osteoarthritis ngezinye izikhathi ibona ukuthi i- synovitis ivuvukala noma ngabe i-cartilage ehlangene isabonakala evamile. Lokhu kubonisa ukuthi ezinye izakhiwo ezihlangene nazo zingabandakanyeka ekubangela ukuvuvukala.
Ngaphambi kokuba i-synovitis ibonakale noma ihlaselwa ngokuhlanganyela, amazinga omaka wokuvuvukala ekhuphuka egazini kanye negazi elihlangene. Lezi cytokines ezivuthayo zihlanganisa amaprotheni asebenzayo e-C (CRP) kanye ne-interleukin-6 e-synovial fluid. Icala liqinile ukuthi kukhona ukuvuvukala okwenzeka ekuqaleni kwe-osteoarthritis futhi lokhu kungaba imbangela yokuqhubeka kwezimpawu.
Kuye kwaba nezifundo zakamuva zokuvuvukala emthonjeni we-arthritis owakhulelwa emasontweni (amasayithi lapho izigulane noma amathoni axhumene nesithambo) njengendawo engaba khona yokuvuvukala okuhlangene ku-OA.
Kubonakala sengathi umbuzo ufana nalokho owafika kuqala, inkukhu noma iqanda? Ingabe ukulimala komshini ngenxa yokusebenzisa ngokweqile noma ukuhlukumezeka okuholela ekuvuvukala okungapheli kwesiguli, okwenza ukulahlekelwa kwe-cartilage okuholela ekulahlekelweni okuqhubekayo, ukuvuvukala okungaphezulu, i-synovitis, nokuguqulwa?
Ucwaningo oluthe xaxa lubheka kule mibuzo. Izimpendulo zingase ziholele ezidakamizweni ezingcono ezingaphula umjikelezo wokuvuvukala futhi zimise ukuqhubeka komonakalo kuhlangene.
Imithombo:
"Ukuguqulwa Kwakhe Kwemvelo kwi-'Synovio-Entheseal Complexes 'Ukuphakamisa Indlela Yobuningi Ye-Synovitis e-Osteoarthritis naseSpondylarthritis". UMichael Benjamin noDennis McGonagle. I-arthritis ne-Rheumatism. Novemba 2007.
UJeremy Sokolove noKristuin M. Lepus, "Umsebenzi wokuvuvukala kwi-pathogenesis ye-osteoarthritis: ukutholakala kwamuva nokuhumusha." Ther Adv Musculoskelet Dis . 2013 Apr; 5 (2): 77-94. i-doi: 10.1177 / 1759720X12467868
Malemud, CJ. "Isisekelo semvelo se-osteoarthritis: isimo sobufakazi." I-Curr Opin i-Rheumatol . 2015 Meyi; 27 (3): 289-94. i-doi: 10.1097 / BOR.0000000000000162.