I-osteoarthritis eyingozi ibhekwa njengento engavamile futhi eyingqayizivele yesandla se-osteoarthritis (OA). Kuyingqayizivele ngoba kukhona ukuvuvukala okuhlangene okuhilelekile okuholela ekutholeni okutholakala kwe-x-ray, kanye nobuhlungu obuningi obuhlangene nokuqina.
Ngokuthola ulwazi ngalesi sifo, ungathemba ukuthi kungani kungakhubaza ngaphezu kwe-OA yesandla.
Izimpawu nezibonakaliso
I-osteoarthritis ehle kakhulu iqala ngokuqala okungazelelwe kobubele obukhulu ezinhlanganisweni eziningi zomunwe kanye nezinombolo ezihlukahlukene zokubomvu, ukuqina, ukufudumala nokuvuvukala. Ukuqala okusheshayo kwezimpawu ezitholakala kwi-osteoarthritis ehlukumezayo kuhluke ekuqaliseni kancane kancane ekuboneni kwesifo se-osteoarthritis.
Ama-X-ray wezandla zomuntu onesifo se-osteoarthritis esivela emkhatsini wembula amaphuzu emaphakathi, aphuka emathanjeni phakathi nendawo yokuhlangana (nge-x ray, ubona "izindawo ezingenalutho" noma izindawo lapho kufanele khona ithambo kepha khona ayiyona).
E-osteoarthritis enamandla, ezinye izinguquko ze-x-ray ezingabonakala zifaka:
- Ama-osteophytes (ukukhula kwebony )
- Ama-cysts ama-subchondral (ama-cysts esitheni ngaphansi kwe-cartilage)
- Ukunciphisa (ukuhlukaniswa okuncane)
- Ama-Ankyloses (ukuqina kohlangene kusuka kwe-bone fusion)
Abesifazane Bathinteka Kakhulu Kunabantu
Ukuqhathaniswa kwe-osteoarthritis ephezulu kunamaphesenti angaba ngu-3 abantu abaningi, futhi abesifazane bathinteka ngaphezu kwamadoda.
Noma kunjalo, la maphesenti aphikisana yizazi, ngokwengxenye ngoba ezinye izifundo eziye zahlola ukuqhutshwa kombiko ovamile we-osteoarthritis ukuthi inombolo ephezulu yabantu (amaphesenti angaba ngu-40) empeleni kubonisa "izinguquko ezishintshayo."
Lokhu kusikisela ukuthi iningi labantu abane-"osteoarthritis yesandla" lingase libe "nesifo se-osteoarthritis." Lokhu kuvuselele impikiswano ngokuthi ngabe i-osteoarthritis ekhulayo iyisifo sayo noma isigaba se-osteoarthritis.
Ukuxilongwa
Ukuxilongwa kwe-osteoarthritis eqhubekayo kuseyinkimbinkimbi, njengoba okwamanje ayikho isethi emigomo yamatshe. Noma kunjalo, odokotela basebenzisa inhlanganisela yezinkomba zokwelapha kanye nama-x-ray ukuze ekugcineni enze ukuxilongwa.
Umlando Wezokwelapha: Ukuze ahlolisise i-osteoarthritis, i-dokotela izoqala ukwenza umlando wezokwelapha nokuhlolwa ngokomzimba. Ngokuphathelene nomlando wezokwelapha, udokotela wakho uzobuza imibuzo ngomlando wakho owedlule noma womndeni we-arthritis, ikakhulukazi isifo samathambo esiyisifo sofuba (isimo sezokwelapha cishe esifana kakhulu nesifo se-osteoarthritis).
Uyophinde abuze ukuthi ngabe unayo yini izimpawu zomzimba wonke noma awunayo imfiva ephansi, ukukhathala noma isisindo sokulahlekelwa. Lokhu akufanele kube khona e-osteoarthritis kodwa kungase kwenzeke nge-arthritis ye-rheumatoid noma ezinye izinhlobo ze-arthritis evuthayo (isibonelo, i-psoriatic arthritis).
Ukuhlolwa Kwemvelo: Uma uhlola izandla zakho, udokotela wakho angacindezela ngobumnene umunwe womuntu ngamunye ukuze afinyelele ukuvuvukala, isisa, ukufudumala nokubomvu. Uzohlola futhi ukuhamba kweminwe yakho namandla.
Khumbula, ku-osteoarthritis enamandla, kukhona inqubo yokuvuvukala okuqhubekayo (njengoba kuboniswe ukuqhutshwa okuphakathi kwe-x-ray), ukunyakaza okuhlangene, ukuqina komsebenzi, nokusebenza okulinganiselwe kunzima kakhulu kune-OA yesandla esivamile.
Udokotela wakho uzohlola amanye amalunga emzimbeni wakho, ngaphandle kwezandla zakho, njengama-wrists and elbows, okuvame ukuthinteka ku-arthritis ye-rheumatoid kodwa hhayi e-osteoarthritis e-oerooarthritis.
Enye insizakalo odokotela ukuthi umuntu angase abe ne-osteoarthritis enamandla amakhemikhali akhethekile ahilelekile. E-osteoarthritis e-oeroo, amajoyina asondelene nakakhulu (okubizwa ngokuthi ama-distal interphalangeal joints) wesandla ahlale ehilelekile, alandelwa amalunga eduze kwe-knuckles (abizwa ngokuthi ama-interphalangeal joints).
Amathanga esandla (okuthiwa ama-metacarpal-phalangeal joints) avame ukungathinteki, futhi ukuhlanganiswa kwesithupha kubuye kusindiswe nge-osteoarthritis.
Izivivinyo zegazi: Udokotela wakho cishe uzohlehlisa ukuhlolwa kwegazi, okungaphezulu ukulawula ezinye izifo kunokulawula i-osteoarthritis. Lezi zivivinyo zegazi ngokuvamile zihlanganisa:
- Isilinganiso sedimentation ye-Erythrocyte (ESR)
- Iprotheyini esebenzayo ye-C (CP)
- Isici se-rheumatoid
- Anti-cyclic citrullinated peptide antibody
Lezi zivivinyo zingase zihle (noma ziphakanyiswe) ku-arthritis ye-rheumatoid kodwa kufanele zibe ngaphansi kobubanzi obujwayelekile e-osteoarthritis.
Izivivinyo zokucabangela: Ubufakazi be-X-ray bokuziphendulela okuphakathi kwezandla kufaka inani elikhulu lapho kutholakala ukuthi i-osteoarthritis isifo. Lokhu kuqhathaniswa nokuhlukunyezwa okuncane (izindawo ezingenalutho ezinhlangothini) ezitholakala ku-rheumatoid noma i-psoriatic arthritis.
Ukwelapha
Isizathu esiqondile se-osteoarthritis esaziwayo asiziwa, ngakho-ke ukwelashwa kuseyinselele. Okwamanje, ukwelashwa kwesifo se-osteoarthritis esiphezulu sigxile ngokuyinhloko ekwelapheni komzimba kanye nezidakamizwa ezingavimba ukuvuvukala . Njengoba ucwaningo luqhubeka, izindlela zokwelapha ezintsha zivela, nakuba ubufakazi obusekelwe kusasa kakhulu. Ngokwesibonelo, i-adalimumab (i-tumor necrosis factor inhibitor) ingaba ukwelashwa okuphumelelayo kwe-osteoarthritis enamandla.
Okokugcina, ngenxa yokukhathazeka kwesandla sokukhubazeka kwesandla nokukhubazeka kwesifo se-osteoarthritis, ukwelashwa okuqala kungcono kakhulu. Noma kunjalo, kuhle ukuphawula ukuthi, ngokungafani nesifo samathambo, ukuvuvukala kwesifo se-osteoarthritis singagcina sigxile.
Izwi elivela
Isithombe esikhulu lapha ukuthi ngenkathi ukuxilongwa okucacile nokwehlukaniswa kwe-osteoarthritis ephikisanayo kuqhutshwenyekisiwe phakathi kochwepheshe, ubukhulu (uma kuqhathaniswa ne-osteoarthritis yesandla esivamile) kanye nokutholakala kwe-x ray (ukuguquka okuphakathi) kubonisa izici.
Uma wena noma othandekayo une-osteoarthritis enamandla, qiniseka ukuthi ufuna ukunakekelwa udokotela obhekene namalunga (okubizwa ngokuthi i-rheumatologist). Ngecebo elihle lokwelapha elibandakanya imithi kanye nokwelashwa ngokomzimba, ungakwazi ukwandisa impilo yakho ehlangene.
> Imithombo:
> Anandarajah A. (2010). Ukuthola Imithi: I-Osteoarthritis Eyingozi.
> Doherty M, Abhishek A. Ukubonakaliswa kwemitholampilo, nokuxilongwa kwe-osteoarthritis. U-Hunter D, u-ed. Kusesikhathini. Waltham, MA: UpToDate Inc.
> Gazeley DJ, Yeturi S, Patel PJ, Rosenthal AK. I-osteoarthritis eyingozi: Ukuhlaziywa okuhlelekile kwezincazelo ezisetshenziselwa izincwadi. I-Semin Arthritis Rheum . 2017 Feb; 46 (4): 395-403.
> Kwok WY, Kloppenburg M, Rosendaal FR, van Meurs JB, Hofman A, Bierma-Zeinstra SM. I-osteoarthritis yesandla esithintekayo: isandulela sayo kanye nomthelela omtholampilo kubantu abaningi kanye nesifo se-osteoarthritis yesifo. I-Ann Rheum Dis . 2011 Jul; 70 (7): 1238-42.
> Verbruggen G, Wittoek R, Vander Cruyssen B, Elewaut D. I-tumor necrosis factor blockade yokuphathwa kwe-osteoarthritis ye-interphalangeal ingxenyana yomunwe: ukuhlolwa okuphindwe kabili, okungahleliwe kokuhlelwa kwesakhiwo. I-Ann Rheum Dis . 2012 Jun 1; 71 (6): 891-98.