I- cartilage ehlanganisiwe noma engumuthi yilona uhlobo lwe-cartilage ejwayele iziguli ze-arthritis. Lolu hlobo lwe-cartilage luphinde lutholakale nasal nasal kanye ne-trachea (i-windpipe). E- osteoarthritis , ukulahleka kwe-cartilage kuyinto ebalulekile ebangela ukuqhubekela phambili kwezifo. Iyini ukulahleka kwe-cartilage? Yini ebikezela ukulahlekelwa kwe-cartilage ngokushesha? Ingabe kukhona okungawenziwe ukuyivimbela noma ukuthatha indawo ye-cartilage elahlekile?
Kungani Udinga I-Cartilage?
I-carticlage ye-articular isebenza njengenhlanzi ngaphakathi kokubambisana futhi njengengxube ye-shock. Uma isifo se-cartilage sengozini noma sidala, ukuhlanganyela okuthintekayo kuba nzima, kunzima, futhi kunomkhawulo ekuhambeni kwayo kokuhamba . Lezi izimpawu ezikuholela ekuboneni udokotela wakho ukuthola ukuthi yini engenziwa ngamalungu akho. Lokhu kuzovame ukuholela ekuhlolweni okuqhubekayo nokuxilongwa kwe-osteoarthritis.
Kwenzekani Nge-Cartilage Loss?
Ukulahleka kwe-cartilage kuchazwa ngokunciphisa inani le-cartilage ne-thickness. Kwenzeka ngemuva kokuba uqwanga uqothule noma luwohloka. Njengoba ukulahleka kwe-cartilage kwe-osteoarthritis enamandla, indawo ehlanganyelwe iyancipha futhi i-bone rubs emathanjeni emva kokulahleka kwe-cartilage kwenzeka (ngezinye izikhathi ibizwa ngokuthi ithambo-on-bone). Ngaleso sikhathi, kunomqhaqha omncane noma ongekho oshiywe ukwenza umsebenzi wawo njengokumangalisa. Endabeni yamadolo nasezintweni, ukuhlinzwa okunye esikhundleni kuyisisombululo.
Yiziphi Izinto Ezibikezela Ukulahlekelwa Kweqabunga Emzimbeni?
Abacwaningi bahlaziye ukulahleka kwe-cartilage emadolweni futhi bathola ukuthi izici ezintathu zibikezela ukuthi kube umonakalo ongasemhlabeni, umonakalo ongasemthethweni we-menus , kanye ne- varus malalignment (umnsalo womnsalo) wehlangothini lamadolo .
Olunye ucwaningo lwaluvumelana, oluveza ukuthi izici eziphezulu ezingcupheni eziholela ekulahlekelweni kwe-cartilage ngokushesha zihlanganisa ukulimala kwe-cartilage, i-meniscus izinyembezi, ezinye ukulimala kwamadoda, nezilonda ezinzima ezibonakalayo kwi-MRI. I-synovitis kanye nokuxubana okuhlangene nakho kwakuyizibikezelo zokulahleka kwe-cartilage. Ngokuthakazelisayo, isisindo esiningi sasiyisici esibalulekile futhi.
Kuwo wonke ukwanda kweyunithi e-body index index (BMI), ingozi yokulahleka kwe-cartilage ngokushesha yanda ngo-11%.
Ukunciphisa Ukulahleka Kwethuthi
Yini engenziwa ukuze unciphise noma avuse ukulahleka kwe-cartilage? Ukwelashwa okuqaphayo kuhilela izinyathelo zokunciphisa ubuhlungu nokuvuvukala nokunciphisa izingcindezi ezihlangene. Akukho bufakazi bokuthi lokhu kuholela ekutheni kube nokunye okunye okukhulayo, kodwa kunganciphisa ukulahlekelwa kwe-cartilage. Lezi ziqhinga zihlanganisa ukulahlekelwa kwesisindo, ukukhwabanisa, ukuvivinya umzimba, ama-NSAID , ama-hormone, izithako ezinjenge- glucosamine ne-chondroitin phosphate, umjovo we-steroid ekuhlanganyeleni kanye ne-synvisc ukufaka esikhundleni se-hyaluronic acid.
Ukubuyisa i-Articular Cartilage
Izindlela zokwelapha zokuzama ukuzama ukubuyisela u-cartilage esikhundleni sokufaka esikhundleni sokujoyina ngokuvamile ziyenziwa iziguli ezincane.
- Izinqubo ze-arthroscopic zibandakanya ukukhwabanisa, ukugaya kanye nokuqeda i-arthroplasty, konke okubangela izindawo ezincane zokulimala nokugqugquzela ukuphindaphinda kwe-cartilage.
- Izinqubo zokufakelwa kabusha zifaka amangqamuzana ama-cartilage amasha noma izingxenye ezigcwele ze-cartilage. Lezi zihlanganisa ukufakelwa kwe-chondrocyte ye-autologous, okuvuna amangqamuzana wakho we-cartilage ukuze afake lapho edingeka khona. Ukufakelwa kwe-osteochondral kuthatha ama-plugs noma ama-tissue ama-tissu ama-patient noma i-cadaver donor bese ewafakelwa ekuhlanganyeleni lapho kudingeka khona.
- Ucwaningo luqhubeka nokusebenzisa amangqamuzana e-stem, ukwelashwa kwezakhi zofuzo kanye nobunjiniyela bokuzibuyisela ukuze kubuyiselwe i-cartilage.
Imithombo:
Ubudlelwane Bokulimala Kwemvelo, Ukungaxhunywanga Kwemvelo, Ukusabalalisa, Nokuxoshwa Okuhlanganyelwe Ukulahlekelwa I-Cartilage Loss ku-Osteoarthritis Knees. Leena Sharma et al. I-Arthritis & Rheumatism, ngoJuni 2008.
http://www3.interscience.wiley.com/journal/119755354/abstract
Ukukhuluphala Kunomthelela Ekulahlekelweni Kwamathambo Okusheshayo. I-EurekAlert. Ngo-July 14, 2009.
http://www.eurekalert.org/pub_releases/2009-07/rson-oct070709.php
Ukubuyiselwa Kwe-Cartilage Articular, i-American Academy yezidokotela ze-Orthopedic, ngoFebruwari, 2009.
Mazen Falah, Gabreil Nierenberg, Michael Soudry, Morris Hayden, noGershon Volpin. "Ukwelashwa kwezilonda ze-articular cartilage emadolweni." Int Orthop. 2010 Jun; 34 (5): 621-630.