Uhlobo Oluvame kakhulu Lwe-Arthritis
I-arthritis ehlukumezayo kanye nesifo esixubileyo esivumelanayo yizindlela zezokwelapha ezisetshenziswa ngokungafani ne- osteoarthritis . I-arthritis eguqukayo, noma i-osteoarthritis, uhlobo oluvame kakhulu lwe-arthritis. E-United States, abantu abangaba yizigidi ezingu-30 banesifo se-osteoarthritis, ngokwe-Centers for Disease Control and Prevention (CDC). Yize kunjalo uhlobo oluvame kakhulu lwe-arthritis phakathi kwabantu abadala abangaphezu kweminyaka engama-65 ubudala, noma ubani kunanoma iyiphi indala angahlakulela lesi sifo.
Ingozi yokuthuthukisa lesi sifo ikhula ngokukhula. Ukukhula kwe-osteoarthritis kwanda kakhulu emva kweminyaka yobudala engama-50 emadodeni nasemuva kweminyaka engama-40 kwabesifazane. Futhi, kuyinto engavamile ku-arthritis eguqukayo ukuthuthukisa iminyaka ngemva kokulimala (okungukuthi, i -osteoarthritis ehamba phambili ).
Amalunga aphethwe yi-arthritis ehlaziyayo afaka amadolo , izinqulu , izinzwane ezinkulu, iminwe, nomgogodla . I- cartilage evikelayo ehlanganisa amathambo esakhiweni esithintekile ihla kakhulu noma iyancipha. Uma lokho kwenzeka, umzimba uqala ukwakha amathambo amasha (isib. Ama- osteophyte ) emzamweni wokubuyisela. Ukulahlekelwa kwe-cartilage kanye nokuthuthukiswa kwama-osteophyte kunomthelela ebuhlungu, okuyisici esiyinhloko esithinta isifo samathambo esibulalayo.
Isizathu se-Arthritis Degenerative
I-arthritis eguqukayo, noma i-osteoarthritis, empeleni iqala lapho umzamo wokubuyisela umzimba ungakwazi ukuhambisana nesantya sokuguga.
Yini eqala ukuwohloka kanye nomzamo olandelayo wokubuyisela akuqondwanga kahle. Kunezici eziningi ezihilelekile, okwenze kube nzima kakhulu kunenkcazelo engaphezu kwe-simplified eyenziwe ngokujwayelekile-ukuthi, ukugqoka nokudiliza okuhambisana nokuguga .
Kunemishanguzo yezinto eziphilayo, ezakhiweni kanye nezimo eziguquguqukayo ezingase zenzeke ku-joint cartilage.
Izakhi zofuzo nazo zibandakanyeka. Eqinisweni, i-arthritis esebenzayo isicatshangelwa ukuthi ihlanganisa sonke isakhiwo esihlangene nokukhushulwa kwe-articular cartilage, ukuxubana kwamathambo emaphethelweni okuhlangene okuthintekile, kushintshaniswa kumlenze we-synovial (okungukuthi, ilayini elihlangene), i- subchondral bone sclerosis , nokubandakanyeka imigqa kanye nemisipha yesikhathi esisodwa. Kuyinkimbinkimbi futhi kukhona okuningi okumele kutholakale ezingeni leselula.
QAPHELA: Nakuba i-arthritis enesifo esivame ukuxhunyaniswa nokuguga, iziguli ezakha i-osteoarthritis esemncane noma ezingxenyeni ezingavamile, ezifana nehlombe noma isikhumba esingenalo umlando wokulimala, kufanele zihlolwe ngenxa ye- arthritis yokuvuvukala , i- necrosis ye-avascular , noma i- neticrosis ethile izimo, isibonelo, i- hemochromatosis , isimo esibonakala ngokuqoqwa kwensimbi eningi emzimbeni.
Ukunakekelwa kwe-Arthritis Esondayo
Akukho okuningi okukhona okuvimbela ukuqhubeka kwe-osteoarthritis. Ukwelashwa okwamanje kuhloswe ekulawuleni izimpawu, ezihlanganisa ubuhlungu, ukuqina, ukuhamba okulinganiselwe kokuhamba, kanye ne- crepitus . Ukuphumula, ukugcina isisindo sakho esihle, usebenzisa izinsiza zokuhamba, ukushisa, ukuhamba kwemishini yokuhamba, i- acetaminophen noma i- NSAID (izidakamizwa ezingavimba ukuvuvukala) yizinqubo ezijwayelekile zokwelapha ezisiza ukuphatha izimpawu.
Imithi yokuhlunguphaza i-narcotic ngokuvamile ayidingi. Ama-injection ye-steroid e-intra-articular ingasetshenziselwa ukukhipha isifo sezimpawu. Njengoba kunesifo samathambo esibi kakhulu, uma ukwelashwa okunamandla kungenele, kungenzeka ukuthi ukuhlinzwa kungadingeka. Izinketho zokuhlinza zifaka ukuxilongwa okuhlangene, i- osteotomy , i- arthrodesis , ne-total arthroplasty ehlangene (okungukuthi, ukushintshwa okuhlangene ).
Izwi elivela
I-arthritis ehlukumezayo yilona uhlobo lwe-arthritis iningi labantu licabanga ukuthi i-arthritis ishiwo nini. Ukuxilonga kuncike ekutheni imiphumela yezifundo ze-imaging (okungukuthi, ama-x-ray), ukuhlolwa kwegazi kanye nokuhlolwa kwangokwenyama.
Ezinye izivivinyo zenziwa ukulawula ezinye izinhlobo ze-arthritis.
Ngaphezu kokuxilongwa okunembile nokwelashwa okufanele, ukuhlala ngokomzimba kuzokusiza ukuphatha i-osteoarthritis ephuzayo. Ukuze uthuthukise izinga lakho lokuphila nge-osteoarthritis, i- CDC ithi, " Ochwepheshe batusa ukuthi abantu abadala bahlanganyele emaminithini angu-150 ngeviki lokusebenza okulinganiselayo, noma imizuzu engama-30 ngosuku ngezinsuku ezingu-5. Imisebenti yesikhashana esincane, ephansi yanconywa ihlanganisa ukuhamba, ukubhukuda noma ukuhamba ngebhayisikili. Ukuzivocavoca njalo kunganciphisa ingozi yokuthuthukisa ezinye izifo ezingapheli ezifana nesifo senhliziyo, isifo sohlangothi, nesifo sikashukela. "I-CDC iphinde igcizelele ukubaluleka kokulahlekelwa isisindo uma ukhuluphele kakhulu.
Imithombo:
I-osteoarthritis - Izifo Ezihlangene Ezixubileyo. I-Merck Manual. Uhlelo lweshumi nesine.
I-Osteoarthritis Fact Sheet. I-CDC. Kubuyekezwe ngomhla ka-2 Februwari, 2017.
I-Kelley's Bookbook of Rheumatology. Umagazini wesishiyagalolunye. Elsevier. I-Pathogenesis ye-Osteoarthritis. Isahluko 98. Cesare et al.