Izimpawu ze-Osteoarthritis
Nakuba i-osteoarthritis iyindlela ejwayelekile kakhulu ye- arthritis , abantu abaningi bacabanga ukuthi kuyisifo nje esihlobene nokukhula. Bacabanga ukuthi yiyona into nje uMama noGogo aba nayo noma bayoba nayo. Nakuba kuyiqiniso ukuthi izifo ze-osteoarthritis zanda ngokukhula, noma ubani angakwazi ukuthuthukisa lesi sifo. Ngokujwayelekile izimpawu zikhula ngemva kweminyaka engu-40.
> Ukulahleka kweqathambo kujwayelekile kwi-osteoarthritis.
I-osteoarthritis eyinhloko yilona uhlobo lwe-osteoarthritis oluvame ukutholakala-ukukhula njengomphumela wokulahleka kwe- cartilage , ukuguqulwa okuhlangene, futhi ngokujwayelekile nokukhula, kodwa hhayi okuhlobene nanoma iyiphi enye imbangela.
I-osteoarthritis yesibili ihlotshaniswa nesinye isizathu, njengokulimala okuhlangene, ukukhuluphala, noma esinye isimo esivumelanisiwe.
Ngaphambi kokuba sicabange izimpawu ezivamile ezihlobene ne-osteoarthritis, kuyathakazelisa ukuqaphela ukuthi abantu abanesifo se-osteoarthritis bangaba nomonakalo ohlangene obonakalayo obala x-ray ngenkathi bebona izimpawu ezimbalwa. Ngakolunye uhlangothi, kungenzeka ukuthi othile osteoarthritis abe nobuhlungu noma ezinye izimpawu ngenkathi engenawo ubufakazi be-x-ray yesifo.
-
I-osteoarthritis nokufa: Ingabe Kukhona Ingozi Ekhulayo?
-
Ukulimala Okuhlangene Okuqhubekayo Ingabe i-Hallmark ye-Arthritis
Izimpawu Ezivamile Ezihlobene Ne-Osteoarthritis
Ukuqala kwesifo ngokuvamile kuhamba ngokulahlekelwa kancane kancane kwe-cartilage kuhlangene okuthintekile. Izimpawu ze-osteoarthritis zihlanganisa:
Ubuhlungu obuhlangene - Ubuhlungu buyimpawu eziyinhloko ezihlotshaniswa ne-osteoarthritis futhi zihlobene nokukhubazeka okusebenzayo nokukhubazeka kubantu abanesifo. Ngokuvamile, ubuhlungu be-osteoarthritis buya kancane kancane. Nge-osteoarthritis emnene kuya ekulinganiseni, ubuhlungu buvame kakhulu ngokusetshenziswa kokuhlangene (okungukuthi, ngomsebenzi) futhi kuthuthukiswe nokuphumula. Njengoba lesi sifo siqhubeka, ubuhlungu ngokuvamile buqhubeka njalo futhi buhlala njalo futhi ngeke bukhululeke ngokuphumula noma ukuphulukiswa okulondoloziwe kwe-osteoarthritis.
Nakuba ubuhlungu ekuphumuleni kungaba uphawu lwezifo ezinzima kakhulu noma eziphambili, kungase kube uphawu lokuvuvukala okuhlanganyela endaweni.
Ubuhlungu obuhlobene ne-osteoarthritis abuveli ekulahlekeni kwe-cartilage ngqo. I-cartilage ine-aneural, okusho ukuthi ayikho izicubu zesisindo. Ubuhlungu cishe bunamathele ezakhiweni ezizungezile, njengokuthulula i-capsule ehlangene ngokukhuliswa kwebony , i- subchondral bone microfractures, synovitis , noma ezinye izinguquko zesakhiwo.
Ubunzima obuhlangene - Ubunzima bokusabalala buvame kakhulu nge-osteoarthritis, kodwa akuhlali isikhathi eside njengesici se-arthritis ye- rheumatoid . Ngokuvamile, ukuqina kwesimanje kubantu abane-osteoarthritis kuthatha amaminithi angu-30 noma ngaphansi. Ubunzima obuhlangene obuhlobene ne-osteoarthritis buvame ukuphindaphinda usuku lonke, ikakhulukazi izikhathi ezilandelayo zokungasebenzi. Uma kunzima ngemuva kokungasebenzi, kubizwa ngokuthi i-gelling. Abantu abane-osteoarthritis nabo bavame ukukhononda ngokuqina okuhlangene uma kunesimo esibi sezulu esondela (okungukuthi, izinguquko ekucindezelweni kwe-barometric).
Uthando oluhlangene - Nge-palpation (touch), kuvamile ukuba kube nobuhlungu noma ububele, ikakhulukazi emkhawulweni ohlangene. Izakhiwo zangasese (okungukuthi, izinhlaka ezizungezile okuhlangene) nazo zingabonisa ububele ngenxa ye- bursitis noma i- tendinitis eduze kwesibambisene .
Ukuhamba okuhambayo okulinganiselwe - Ukulahlekelwa kwezinto ezijwayelekile zokuhamba ezinxenyeni ezithinteka yi-osteoarthritis zingathuthuka ngenxa yobuhlungu, ukuvuvukala, izivumelwano zesikhumba, nokungajwayelekile okuhambisana nokulahleka kwe-cartilage, njengokungabonakali kokuhlanganiswa okuhlangene noma okuyimishini yokujoyina okuhlobene izidumbu ezivulekile.
Ukuvuvukala okuhlangene - i- Osteoarthritis kungabangela uhlobo lokuvuvukala okuthiwa yi-effusion. Ukuxuba okuhlangene ukuqoqwa kwamanzi abizayo ngokweqile.
Ukukhuliswa okuhlangene - Ukukhuliswa okuhlangene kuyisici se-osteoarthritis futhi kungase kuhlotshaniswe nokukhuliswa kwebony noma ukuxuba okuhlangene. Ukukhuliswa okuhlangene kuvamile kakhulu nge- osteoarthritis yesandla , ikakhulukazi i-DIP (ama-interphalangeal joints joint) kanye ne-PIP (ama-interphalangeal joint joints) wesandla.
Ukwakhiwa kwama- osteophyte (ama-bony outgrowths noma bone spurs), okungazizwa ngaphansi kwesikhumba endaweni yanoma yikuphi ukujoyina, kungase kube nomthelela ekwandeni noma ngokukhulisa okuhlangene. Izinga likaHeberden kanye namanothi kaBourdrd ayingxenye ye-osteoarthritis. Ama-effusions ahlobene ne-osteoarthritis ajwayelekile engekho ukuvuvukala futhi awahlobene nokubomvu noma ukufudumala.
I-Crepitus - Ukunyakaza okusebenzayo noma okunamandla kwanoma yikuphi okuhlangene okuthinteka yi-osteoarthritis kungabangela izinzwa zokuqhaqhazela noma ukugaya. Ukuzwa kungase kuzwakale noma kuzwakala. Ukuzwa kubangelwa ukungahlali okungajwayelekile noma okunamandla kwezinto ezihlangene ezivame ukuba zibushelelezi-noma ezivela emanzini angaphakathi.
Ukukhubazeka okuhlangene noma ukuhlukumeza - Ukulahleka okukhulu kwe-cartilage ekuhlanganyeleni okuhlangene kungabangela ukulahlwa noma ukukhubazeka. Ukuhlukunyezwa kuvame ukubonakala nge- knee osteoarthritis . Ibhande elinokuvumelanisa okujwayelekile liphethe i-axis ephethe imithwalo emgqeni owela phakathi komlenze. Uma idolo lihlushwa, lingaba i- varus noma i-valgus (imilenze emilenze noma iguqe, ngokulandelana).
-
Ungayigodli Lezi Izimpawu Zokuxwayisa Ze-Osteoarthritis
-
Ingabe i-Subchondral Bone Cyst enzima kakhulu?
Ukuguqulwa kwama-Varus kuvame kakhulu nge-kneearthritis yamadolo amakhulu, kodwa futhi kungase kwenzeke ngesifo esincane ukuya esimweni esifanayo, futhi. Kanti futhi, i-kneal chamber ye-knee osteoarthritis ivame ukuhlotshaniswa ne-varus ukulalila, kuyilapho i-lateral compartment knee osteoarthritis ngokuvamile ihlotshaniswa nokusabalalisa kwe-valgus.
Ukungazinzile okuhlangene - Amalungu angakhawuleki angabangwa ubuhlungu obuhlangene, ukuqina okuhlangene, noma ukukhubazeka okuhlangene. Ukungaqiniseki kungase kubangele uzizwe sengathi ukuhlanganiswa kwesigxobo kuzoduma noma kuphelelwe yisikhathi . Kungabangela ukuhlanganiswa ukukhiya , ikakhulukazi emadolweni, nakho okuyokwenza kuthinte ukuzinza.
Ukuvuvukala kwendawo - i- Osteoarthritis akuyona isifo sokuvuvukala kwesistimu . Nakuba kungenzeka kube nokuvuvukala kwezicubu noma ukuqhuma, ukuvuvukala kutholakala endaweni ye-osteoarthritis futhi kunomthelela ophansi uma kuqhathaniswa nezinhlobo zokuvuvukala kwamathambo .
Izwi elivela
Ngokuvamile, i-osteoarthritis ithinta amadolo, izandla, izinyawo , iziqhwa , nomgogodla . Ukuhlanganiswa kungase kube uphawu noma kungase kube nobufakazi be-x-ray kuphela besifo. Ngokuvamile, kukhona kokubili. Abantu abangaphezu kwezigidi ezingu-27 base-US bane-osteoarthritis. Abantu abadala abayizigidi eziyisishiyagalolunye e-US bathinteka nge-symptomatic knee osteoarthritis, futhi abadala abangaphezu kwezigidi ezingu-13 e-US banesifo se-osteoarthritis esinesifo. Ngaphandle kokungabaza, kubalulekile ukuba unake izimpawu zokuqala bese uthintana nodokotela wakho ukuze ahlolwe futhi aphathwe. Umgomo ukuphatha ubuhlungu, ukunciphisa ukulinganiselwa okusebenzayo, nokuvimbela ukukhubazeka. inikeza ngolwazi oludingayo ukuze usize ukunciphisa ukungena kwe-osteoarthritis nokukuqondisa kahle.
Imithombo:
Ukubonakaliswa Kwemitholampilo nokuxilongwa kwe-Osteoarthritis. Doherty no-Abhishek. Kusesikhathini. Kubuyekezwe u-Agasti 1, 2016.
I-osteoarthritis: Imibukiso yemitholampilo. Isahluko 7. Hooper noMoskowitz. I-Osteoarthritis edition lesine. LWW.
I-osteoarthritis - Izici zezokwelapha. Isahluko 11. UPaul Dieppe MD. I-Primer kuma-Rheumatic Diseases. I-Arthritis Foundation. Edition 12.
Ukwaziswa kwesineke: I-Osteoarthritis Izimpawu nokuxilongwa (Ngaphandle Kwezinto Eziyisisekelo). Kusesikhathini. UKenneth C. Kalunian, MD. Kubuyekezwe i-Julayi 20, 2015.