Umsindo wokuhlambalaza kanye nokuzwela kwamajoyina
I-Crepitus ichazwa njengomuzwa wokuqhaqhazela noma we-grating noma umsindo ngaphansi kwesikhumba, ngokuvamile ehlangene noma ephazamise amaphaphu. Ngokweqiniso, kuyisindo esihambisana nenzwa. Igama elithi "crepitus" lisuselwa kwisiLatini, okusho ukuthi "ukugwedla noma ukukhwabanisa."
Izimo Ezihlangene
Ezingxenyeni ezithambile, i-crepitus ngokuvamile ivela ngenxa yegesi, ngokuvamile evame ukungena emoyeni, engena ngendlela engavamile futhi ingena ngaphakathi endaweni.
I-palpable (okungukuthi, ukubonwa kalula, ukuzwa, noma ukuzwa) ukuzwakala kwe-crunching noma i-grating, lapho ikhona, ivela ngokunyakaza noma ukunyakaza. Ukudalwa kwemvelo kungase kwenzeke lapho kuqhutshwa ama-articular (okuhlangene) okuhlanganisiwe noma okunye okunye okungahlanganiswa (okungekho okuhlangene) kuxubaniswa ndawonye ngokuhamba okusebenzayo noma okungahambi kahle. Kungase kube nobuhlungu noma ukunganaki okuhambisana ne-crepitus, kodwa lokho akusiyo njalo - i-crepitus ingenzeka ngaphandle kobuhlungu.
Kuhlangene okuthintekile, i-crepitus ingabonisa ukuthi i- cartilage igqoka. Isibonelo, uma i-crepitus itholakele emaphoyiseni we-patellofemoral, we-tibial, noma wesifazane ezungeze amadolo, izinguquko ezishintshayo zivame ukubonakala zi-arthroscopically. I-crepitus nayo ingenzeka ngezinhlobo ezingapheli zokuvuvukala kwe-arthritis . Ezimweni ezinjalo, kukhona ukuguqulwa kwezingxenyana eziphikisanayo zomzimba ngenxa yokuguguleka komhlabathi kanye nokutholakala kwamathambo. I-crepitus nayo isifo esivame ukuhlotshaniswa nezinyembezi ze-rotator .
Uma isifo sezinyosi ngaphakathi kwe-erod ephelele noma sigqotshiwe, umphumela uyithambo-on-bone . Umsindo we-crepitus ohlotshaniswa nokuhlanganiswa kwamathambo-on-bone ngokuvamile yi-squeak ephezulu, ezwakalayo, ezwakalayo.
I-Crepitus kumele ihlukaniswe emisindweni yokuqhaqhazela nokuphambanisa okungase ihlotshaniswe nokuguqulwa kwemigqa kanye nama-tendon phezu kwamathambo lapho kuhamba khona.
Ukuguqulwa kwemigqa kanye namathenda phezu kwethambo akuhlobene neze ne-arthritis. Kwenzeka ngokunyakaza okujwayelekile kokujoyina okuvamile, futhi. Esinye isici esibalulekile okufanele siyikhulume - nge- scleroderma , kukhona i-crepitus ehlukile, ekhulayo, ezwakalayo enokuzwakalayo futhi ezwakalayo phezu kwamagundane we-tendon ekuhambeni.
I-Temporomandibular Joint Disorders (TMJ)
Isimo esivumelanisiwe esivumelanisiwe esihlotshaniswa nemisindo yobuciko nokuzwa kuthiwa yi- TMJ, noma izifo ezihlangene ze-temporomandibular . I-TMJ ihlotshaniswa nezimo ezihlukahlukene ze-intraarticular, njenge-arthritis, i-ankylosis, i-dislocation, i-meniscus disorders, nama-tumor. Ngezinhlobo ezithile ze-arthritis, kufaka phakathi isifo esixubileyo , isifo samathambo , i-gout, ne- septic arthritis , i-TMJ yodwa ingenzeka noma isimo esenziwe ngokubanzi singase sikhule. Ngokuhamba kwe-mandible, i-crepitus ivame ukuzwakala noma ihlolwe kuhlangene. Kufika kuma-5 amaphesenti abantu abane-arthritis kwenye indawo emzimbeni athuthukisa i-TMJ.
Izimo zokulondoloza
I-Crepitus nayo isetshenziselwa ukuchaza imisindo eyenziwe ngamaphaphu ezimweni ezithile, njenge- interstitial lung disease . Ezimweni ezinjalo, i-crepitus ingahle izwakale ngokuzwakalayo ngezindlebe zomuntu. Ngezinye izikhathi, kuyadingeka ukuthi i-stethoscope izwe i-crepitus ehambisana nezimo zamaphaphu.
Izwi elivela
Manje siyaqonda ukuthi yi-crepitus, kodwa, ngaphakathi kwenqubo yokuxilonga, kuyisici esisodwa kuphela (hhayi okuhlukile kakhulu) kwezinye izimo ezingenzeka. Lokho kusho ukuthi izifo eziningana zingase zihlotshaniswe ne-crepitus. Umshuwalense wakho kumele abheke ngokujulile - esebenzisa ukucabangela nokuhlolwa kwelabhoratori - ukukhomba noma yiziphi izinkinga eziyinhloko.
> Imithombo:
> Armstrong, April D., MD Rotator Cuff Izinyembezi. OrthoInfo.org. I-AAOS. Meyi 2011.
> Crepitus. I-Online Etymology Dictionary.
> Davis, Moder, noHunder. I-Kelley's Bookbook of Rheumatology. Umagazini wesishiyagalolunye. Elsevier. Isahluko 40 - Umlando kanye Nokuhlolwa Kwemvelo kohlelo lweMisculoskeletal.
> Hooper noMoskowitz. Isahluko 7 - I-Osteoarthritis: Imibukiso yemitholampilo. I-Osteoarthritis: Ukuxilongwa Nokuphathwa Kwezokwelapha / Okuhlinzekwayo. Uhlelo lwesine. I-Wolters Kluwer | ULippincott Williams & Wilkins. 2007.
> Meyer, Roger A. Clinical Izindlela: Umlando, Physical, kanye Laboratory Ukuhlolwa. Edition 3. Isahluko 163. Ukuhlolwa Okuhlangene Kwesikhashana.