I-osteoarthritis Eqhubeka Nokulimala
I-osteoarthritis ephazamisayo isho ukuthi i- osteoarthritis eyenza ukulandela ukulimala okuhlangene. Abaningi bethu bayazi ukuthi i-osteoarthritis yilona uhlobo oluvame kakhulu lwe-arthritis , oluthinta abantu abadala abayizigidi ezingu-27 e-US. I-osteoarthritis nayo iyimbangela eyinhloko yokukhubazeka ehlobene nokuhamba e-US.
Kubikwa ukuthi, amaphesenti angu-12 azo zonke izifo zesifo se-osteoarthritis, noma cishe abantu abayizigidi ezingu-5.6 abane-osteoarthritis engezansi e-US, banesifo se-osteoarthritis esilandelayo.
I-osteoarthritis ye-Symptomatic ichazwa ngokuthi ubukhona be-osteoarthritis ne-radiographic kanye nobuhlungu , ukuqina , nokunye okulinganiselwe kokuhlanganyela okuhlangene. I-osteoarthritis ye-Radiographic ibhekisela ku- osteoarthritis ebonakalayo kuma-x-ray , kodwa akusiyo njalo uphawu.
Ukulimala Okuhlangene Kuyinto Eyaziwayo Yengozi Ye-Osteoarthritis
Kunezici eziningana ezaziwayo eziphathelene ne-osteoarthritis , njengokuguga nokukhuluphala. Ukulimala okuhlangene kungenye yezici eziyingozi eziphathelene ne-osteoarthritis.
Ukulimala okuhlangene kungenzeka kunoma yikuphi ukujoyina okulandela ukuhlukumezeka, kodwa yimadolo nezinyawo ezithathwa njengezivame ukuhileleka. E-US, amaphesenti angu-11 azo zonke ukulimala kwezicubu ze- musculoskeletal zibandakanya ama-sprains nezinkinga emadolweni noma emlenzeni. Uhlobo lokulimala okuhlangene oluhlobene ne-osteoarthritis ngemuva kokudumala kungase kube ukulimala, umonakalo we-cartilage, i-ligament sprain sprain, noma ukungazinzile okungapheliyo.
Ukuqhathaniswa kwe-Osteoarthritis yangemva kokuthungatha
Kulinganiselwa ukuthi abantu abayizigidi ezingu-13 base-US, abaneminyaka engama-60 ubudala noma ngaphezulu, banama- knee osteoarthritis . Kulelo qembu, abantu abangaba yizigidi ezingu-4 bane-symptomatic knee osteoarthritis. Ngokusekelwe emiphumeleni yokutadisha, kuye kwaphakanyiswa ukuthi cishe amaphesenti angu-10 azo zonke izigameko ze-knee osteoarthritis, ikakhulukazi, i-osteoarthritis ehamba phambili.
Abantu abalimaza amadolo abo bangama-4.2 amathuba amaningi okuthuthukisa i-osteoarthritis kunabantu abangenalo ukulimala kwamadolo.
I-ankle osteoarthritis ingavamile kakhulu. Ngokombiko we-Journal of Athletic Training, inani elilodwa kuphela labantu bomhlaba linama-ankle osteoarthritis ahlobene nanoma yisiphi isizathu. Abantu bangama-10 amathuba amaningi okutholaka nge-knee osteoarthritis kune-ankle osteoarthritis. Ukulimala okuhlangene noma ukuhlukunyezwa ngokusobala kuyimbangela eyinhloko ye-ankle osteoarthritis, ngamaphesenti angu-20 kuya kuma-78 amaphesenti kuwo wonke amacala we-ankle osteoarthritis ngokuqondile axhumene ne-osteoarthritis ehamba phambili.
I-osteoarthritis ye-hip emva kokuthungatha i-akhawunti i-akhawunti yamaphesenti angu-2 kuphela kuwo wonke amacala we-hip osteoarthritis . Kodwa-ke, ukusabalalisa kwesifo se-hip osteoarthritis esiphuthumayo siphezulu kakhulu phakathi kwezempi, mhlawumbe sekuphakeme ngamaphesenti angu-20. Ukusabalalisa kwesifo se-osteoarthritis se-post-traumatic esilinganisweni kubalwa kusuka kumaphesenti angu-8 kuya kuma-20 emaphesenti kubantu abahlelwe ukuthi bahlinzekwe ukungazinzi kwe-glenohumeral yangaphakathi.
Ukulimala Knee
Nazi ezinye izibalo zokulimala kwamadolo ukukhombisa ubukhulu benkinga:
- Ibhande libandakanya amaphesenti angu-15 azo zonke izingozi zemidlalo esikoleni esiphakeme.
- Ukulimala okungaba ngu-250,000 okuphambene ne-stroate ligament (ACL) kwenzeka ngonyaka ngamunye e-US.
- Kubangu-250,000 abanokulimala kwe-ACL, abangu-175 000 baye bahlinzwa ngokuvuselelwa kwe-ACL.
- Amaphesenti angaba ngu-75 wamacala okulimala kwe-ACL nawo anomonakalo kumadoda we- meniscus .
- Kokubili i-ACL kanye nokulimala okungenasimo kubhekwa njengengozi enkulu ye-osteoarthritis emva kokudabuka.
Ngokuthakazelisayo, ukubuyekezwa okuhlelekile kwembulani ukuthi ukusabalalisa kwe-osteoarthritis ngemuva kokudabuka kwakungaphezulu kwalabo ababenokuhlinzwa kabusha nge-ACL yabo ewonakele uma kuqhathaniswa nalabo abangazange bavuselele kabusha. "Isikhathi kusukela ukulimala" kwakuyisici, noma kunjalo. Kwaqunywa ukuthi eminyakeni engama-20 emva kokulimala, abantu abakha kabusha babenezibalo eziphakeme kakhulu ze-osteoarthritis emva kokungabikho, njengoba kushiwo ngenhla-kodwa, eminyakeni eyishumi (okungukuthi, eminyakeni engama-20 kuya kwengu-30 emva kokulimala), abantu abangazange baphinde bavuselele ukulungiswa kwe-ACL banamaphesenti angama-34 okukhudlwana kwesifo se-osteoarthritis esilandelayo ngemva kwalabo abavuselelwa kabusha.
Nakuba ukulimala nokuhlinzwa okwemvelo kuhlanganiswa ne-osteoarthritis ehamba ngemva kokulimaza, emakethe oneminyaka emibili (ngemuva kokulimala), akubonakali njengenhlangano ebalulekile. Ukuqedela okuphelele kwezinto ezibonakalayo kubonakala sengathi kuhlotshaniswa nokuthuthukiswa kwe-osteoarthritis emva kokukhwabanisa noma kwe- meniscectomy eyingxenye.
Okubangela ngokuyinhloko i-osteoarthritis emva kokulimala ngemuva kwe-ACL noma ukulimala okungenasidingo akuqondi kahle. Izinto ezifakazelayo kungenzeka zibandakanya izimpawu ezikhulayo zokuvuvukala, ukulimala kwezicubu ngokulimala okugxuma inqubo yokuguga, ukubola kwe- cartilage , nokuguqulwa okuhlanganisiwe noma ezinye izinguquko ze-biomechanical kokubili iziguli ezilimazekile nezivuselelwe. Esinye isici esiyinhloko singase sibe ubuthakathaka obunzima bomzimba obuthile obwenzeka ngemva kokulimala kwamadolo. Lokhu, futhi, kungathinta ukulayisha okuhlangene, nokulayishwa okungavamile kungathinta i-cartilage.
Ukulimala Kwe-Ankle
Izibalo zokulimala kwe-Ankle zisitshengisa ukuthi nakho ukulimala okuvamile:
- Ukulimala kwe-Ankle yiyona imbangela yamaphesenti angu-20 okuvakashelwa kwamagumbi okuphuthumayo.
- I-ankle ihileleke emaphesenti angu-23 okulimala kwezemidlalo esikoleni esiphakeme.
- Iningi lokulimala kwe-ankle libangelwa ama-ankle sprains.
- Kulinganiselwa ukuthi ama-25,000 ama-ankle sprains ayenzeka ngosuku ngalunye e-US
- Naphezu kwenani le-sprains, amaphesenti angu-37 amacala e-post-traumatic ankle ama-osteoarthritis angumphumela wezinhlanzi.
Ukwelashwa kwe-Osteoarthritis Yokuthunyelwa Kwangemva Kwesifo
Inkambo yokwelapha i-osteoarthritis ngemuva kokudabuka ngokuvamile ilandela lokho kwe-osteoarthritis. Kukhona izinketho zokwelapha okungezona ukwelashwa , okufaka ukulahlekelwa kwesisindo, insoles engxenyeni ye-lateral , amabhande / asekela , nokuzivocavoca. Kukhona imithi, ikakhulukazi i- analgesics ne- nonsteroidal anti-inflammatory drugs (NSAID) , kanye namajojo we- hyaluronic acid noma ama- corticosteroids . Ukuhlinzwa okuhlanganyelwe okunye okunye ukukhetha ukwelashwa, kodwa iminyaka yesiguli kumele icatshangelwe. Ukwelashwa akusizi kangcono iziguli ezincane ngoba zingase ziphumelele kakhulu, zidinga ukubuyekezwa okukodwa noma ngaphezulu endleleni.
Okubalulekile
Ukulimala yedwa kungase kungabangeli i-osteoarthritis yokuthungatha ukuthuthukisa ekuhlanganyeleni okuhlangene. Eqinisweni, kungenzeka ukuthi kunezici zofuzo ezihilelekile. Izakhi zofuzo ezibonakala sengathi zinegalelo ku-osteoarthritis zingase zenze nokuba nesifo se-osteoarthritis esithuthumayo. Yinkambinkimbi eyinkimbinkimbi, kodwa siyazi ukuthi ukulimala okuhlangene kubangela inqubo yokulungiswa okungapheli kwesikhumba kanye nezinye izicubu ezihlangene. Izinguquko ekuhlanganyeleni okubangelwa inqubo yokulungisa kungabangela i-osteoarthritis engemva kokuthungatha, ikakhulukazi kubantu abafake izidakamizwa kuzo.
Isikhathi esithathayo sokuthola ukulimala okuhlangene nesifo se-osteoarthritis esithuthumayo singaba ngaphansi konyaka kubantu abanokuhlukumeza okukhulu noma uma nje iminyaka eyishumi, uma kungenjalo, kubantu abanokulimala okulinganiselwe noma okungekho emthethweni. Futhi, abantu asebekhulile (okungukuthi, abangaphezu kweminyaka engama-50 ubudala) ngokuphuka cishe banokuthuthukisa i-osteoarthritis kunelabo abancane.
> Imithombo:
> Lotz, MK. Ukuthuthukiswa okusha kwe-osteoarthritis: I-osteoarthritis ye-Posttraumatic: i-pathogenesis kanye nokwelashwa kwemithi yokwelapha. I-Arthritis Research and Therapy. Juni 28, 2010.
> Schumacher Jr, HR, et al. Isahluko 13 - I-Osteoarthritis yesibili. I-osteoarthritis Ngemva kokulimala okuhlangene (i-Post-Traumatic Osteoarthritis). I-Osteoarthritis: Ukuxilongwa Nokuphathwa Kwezokwelapha / Okuhlinzekwayo. Uhlelo lwesine. ULippincott Williams & Wilkins.
> Stiebel, M et al. I-post-traumatic knee osteoarthritis kwisiguli esincane: izinkinga zokwelapha kanye nobuchwepheshe obuvelayo. I-Open Access Journal Yezemithi Yezemidlalo. 2014; 5: 73-79.
> Thomas, AC, et al. I-epidemiology ye-Osteoarthritis ye-Posttraumatic. Journal of Training Athletic. Umqulu 51. No. 5. Meyi 2016.