Ukulinganisa Ukuqhubeka Kwe-Osteoarthritis
Izithombe ze-X-ray zingathola indawo ehlangene yokunciphisa. Ezingxenyeni eziphilile, kukhona isikhala esivamile esikhala phakathi kwemikhakha yamathambo okwenza ukuhlanganyela. Ukuphela kwamathambo okuhlangene kuhlanganiswe i-articular cartilage. Kuhlangene okungenampilo okuthinteka yi-arthritis-kukhona ubufakazi bokungcwatshwa kwesikhala phakathi kwemikhakha yamathambo kuhlangene, umphumela wokulahleka kwe- cartilage .
I-cartilage yama-articular isebenza njenge-cushion kanye ne-absorber absorber ngaphakathi kwe-joint. Uma i-cartilage ihlehla noma igqoke, inhlanganiso ethintekile iba buhlungu, inzima, futhi ikhawulelwe ekuhambeni kwayo kokuhamba . Uma ukuhlanganiswa kunobungozi obukhulu futhi i-cartilage isiphelile ngokuphelele, umonakalo uvame ukubizwa ngokuthi ithambo-on-bone .
Isikhala Esivumelanayo Sendawo Isiqalo Sokuthola I-Arthritis
Ukuhlola i-arthritis ngokuvamile kuhilela ukulinganisa isikhala esihlangene nokwahlulela ukuthi ngabe sekuncane yini. I -x-ray ethwele isisindo ithathwa ukuze ibheke isikhala esivumelanisiwe esinciphisa ezinqulwini namadolo.
Esikhathini se- osteoarthritis , isikhala sokubambisana sivame ukulingana. Ihlukahluka emagumbini ahlukene amadolo asemadolweni kanye nezindawo ezihlangene ze-joint hip ethintekile. Kodwa-ke, kuvame ukulinganisa e-osteoarthritis yamalungu omunwe.
Ngenkathi isikhala esivumelanisiwe sivame ukuba uphawu lokuqala lwe-arthritis ukuhlonza, kuyisici nje.
Isikhala sokuhlanganyela sinomqondo ohlukile futhi sibonisa ngezikhathi ezehlukene ezinhlobonhlobo ze-arthritis. Ubudala besiguli nakho kubalulekile ekubalulekeni kwendawo ehlangene yokunciphisa.
Okunye okutholakala nge-radiographic, kanye nemiphumela yokuhlolwa ngokomzimba kanye nokuhlolwa kwegazi, kufanele futhi kuqashwe ngesikhathi senqubo yokuxilonga.
Isikhala sokuhlanganyela singase sibe nezimo ezihlukahlukene ze-rheumatic, kuhlanganise ne-osteoarthritis, i- rthumicid arthritis , i- arthritis evuthayo , i- osteoarthritis , i-gout, noma i- systic lupus erythematosus .
Isikhala Esivumelanayo Sendawo Esikhombisa Ukuqeda I-Osteoarthritis
Ukudabuka kwe-osteoarthritis kubonakala ukuwohloka okuhlangene nokulahlekelwa kwe- cartilage . Uma odokotela behlola ubunzima be-osteoarthritis, basebenzisa izifundo ze-imaging ukulinganisa umonakalo ohlangene ngokulinganisa isikhala esivela phakathi kwamathambo okuhlangene. Ukwehlisa isikhala sombuthano kubonisa ukulahleka kwe-cartilage nokwehla kwe-osteoarthritis.
Isikhala Esivumelanayo Esikhathini Esimnyama
Emadolweni, isikhala sokubambisana sihlanganiswe nokulahlekelwa kwe-articular cartilage. Kodwa-ke, ukulimala okungenasidingo nakho kunomthelela ekwakheni isikhala sokubambisana.
Kwesinye isifundo, i-MRI yamadolo abathintekayo abangu-264 abane-osteoarthritis ephawulekayo yathathwa ekuqaleni kokucwaninga, futhi emva kwezinyanga ezingu-15, futhi emva kwezinyanga ezingu-30. Abacwaningi baphetha ngokuthi ushintsho kumadoda (non-articular knee cartilage) lwaba nezinguquko ezenza ukuba isikhala sokubambisana sinciphise.
Abacwaningi bachaza ukuthi nge-osteoarthritis, i-carticlage ye-articular inonakaliswa futhi i-meniscus ingasuswa.
Isikhala sokuhlanganyela sinciphisa imiphumela yenguquko kuzo zonke lezi zakhiwo.
Yeka ukuthi ukugwedla isikhala esihlangene kuHlelo futhi kuHlangelwe kanjani
Isibalo sombuthano ohlanganyelwe unciphisa sisebenzisa uhlelo olubizwa ngokuthi i-Kellgren-Lawrence scale scaling scale, eyayihlongozwa okokuqala ngo-1957. Ilinganisa ukuqhubekela phambili kwe-osteoarthritis kumajoyini esikalini samaphuzu amahlanu.
- 0 = Azikho izimpawu zenguquko
- 1 = "ushintsho" lokungabaza endaweni ehlangene yokunciphisa
- 2 = ushintsho oluncane olubhekiswe kakhulu kuma-osteophytes
- 3 = ushintsho olulinganiselwe nge-osteophyte amaningi kanye / noma isikhala sokubambisana esinqunyiwe
- 4 = ushintsho olunzulu ngesikhala esihlanganyelwe esibambiseneyo, ukuxhumeka kwe-bone-on-bone, nama-osteophyte avelele
Lolu hlelo luhlala lusetshenziselwa futhi lusekelwe kuma-x-rays angenayo isisindo. Isisindo esine-x-ray singasetshenziselwa ukulinganisa esimweni somtholampilo nokubikezela ukuqhubeka kwesifo. Abanye baye babiza ukuthi ukuhlolwa kwendawo ehlangene kunciphisa "isikhathi sokubambisana ngokuhlanganyela," kodwa lokho akucabangi ezinye izinto eziningi ezithatha isinqumo ngokuphathelene nokushintshwa ngokuhlanganyela.
Izwi elivela
Ayikho imithi ethinta ukuqhubekela phambili kwe-osteoarthritis ngalesi sikhathi. Ukuthuthukiswa kwezidakamizwa ze-DMOADS (izifo ezishintsha izifo ze-osteoarthritis) kuye kwadumaza, ukusho okungenani.
Ingxenye yenkinga, uma sikhetha ukuyibiza ngokuthi inkinga, ekuthuthukiseni izidakamizwa ezinganciphisa ukuqhubekela phambili komkhakha ohlanganyelwe ukwehlukanisa ukuthi imbangela ye-osteoarthritis yinkimbinkimbi kunokuba ukugqoka nokukhala okulula. Kukhona izici ezivuthayo nezidakamizwa ezibandakanyeka ekubhujisweni kwezicubu ezihlangene ezihlobene ne-osteoarthritis. Lokho kusho ukuthi, ngaphandle kokwelashwa okuphumelelayo ukunciphisa ukuqhubekela phambili kwe-osteoarthritis, ukubaluleka kokubamba kanye nokufaka isikhala sokubambisana isikhala kancane kunciphile.
Amaphilisi amaningi e- osteoarthritis ahlose ukulawula izimpawu , futhi yizona ezingcono kakhulu ezitholakalayo zokunciphisa ubuhlungu nokuthuthukisa izinga lakho lokuphila.
> Imithombo:
> Karsdal, MA et al. Ukwelashwa kwezifo ze-osteoarthritis (i-DMOAD) yamadolo nokuqhaqha: izifundo ezifundwe ekuhlulekeni namathuba esikhathini esizayo. I-osteoarthritis ne-Cartilage. Ngo-2016 Dec; 24 (12): 2013-2021.
> Emrani PS, et al. Ukuthuthukiswa Kwendawo Okuhlangene Nokunciphisa Kellgren-Lawrence ku-Knee Osteoarthritis. I-osteoarthritis. 2008; 16 (8); 873-882.
> Kellgren JH, Lawrence JS. Ukuhlolwa Kwemvelo ka-Osteo-Arthrosis . Ama-Annal of the Rheumatic Diseases. 1957; 16: 494-502.
> Jacobson JA, Girish G, Jiant Y, Sabb BJ. Ukuhlolwa Kwe-Radiographic of Arthritis: Izifo Eziguqukayo Nezifo Eziguqukayo. I-Radiology. 2008; 248 (3): 737-47.
> Loeser, uRichard F. MD. I-Pathogenesis ye-Osteoarthritis. Kusesikhathini. Kubuyekezwe ngo-Juni 21, 2016.