Ukuxilongwa Ngokuqondile kwe-Osteoarthritis Kuqinisekisa Ukwelashwa Okufanele
Ukuxilongwa kwe- osteoarthritis kugxile emigomweni emibili emikhulu. Uma uthola i-osteoarthritis, udokotela kumele aqale ahlukanise i-osteoarthritis evela kwezinye izinhlobo ze-arthritis. Kubalulekile ukunquma ukuthi isiguli sine-primary osteoarthritis noma ifomu lesibili le-osteoarthritis elihlobene nesinye isifo noma isimo.
Ukutholwa kokutholwa kwe-osteoarthritis kuyadingeka kusenesikhathi, ukuze izinketho zokwelashwa ezifanele zingacatshangwa.
Ukuze uhlolisise i-osteoarthritis, udokotela wakho uzokwenza ukuhlolwa esebenzisa:
Umlando wezokwelapha
Umlando wakho wezokwelapha uzofaka ulwazi mayelana nemibandela yezokwelapha esedlule, ukwelashwa kwemithi, ukwelashwa, nezinqubo zokuhlinzeka kanye nezinkinga zokwelashwa zamanje. Ngokujwayelekile, ekuqokweni kokuqala nodokotela wakho, uzocelwa ukuba ugcwalise uhlu lwemibuzo eminingi mayelana nomlando wakho wezokwelapha. Uzobuzwa futhi mayelana nezimpawu ozizwayo zifaka phakathi lapho zivame ukuvela nokuthi yini eyenza izimpawu zibe zibi noma ngcono.
Ukuhlolwa komzimba
Ngesikhathi uhlolwa, udokotela wakho uzobona noma yiziphi izimpawu nezimpawu ezivame ukuhlotshaniswa ne-osteoarthritis. Udokotela uzobheka:
- Ukuvuvukala okuhlangene
- Uthando oluhlangene
- Ukunciphisa ukuhamba kwezingxenyana kumalungu
- Umonakalo ohlangene ohlangene (okungukuthi, ukukhula kwebony)
- Crepitus
- Iphethini lamajoyina abathintekayo
Ucwaningo lokucwaninga
Ama-X-ray ajwayele ukusetshenziselwa ukuqinisekisa ukuxilongwa kwe-osteoarthritis.
I-X-rays ingabonisa ama- osteophyte emagqeni ahlangene, isikhala sokubambisana, kanye ne-subchondral bone sclerosis. I-subchondral bone iyinhlamba yethambo elingaphansi kwe- cartilage . Ngenkathi i-MRI (i-imagination magnontic resonance) iyindlela yokucabangela ezwela kakhulu, isetshenziswa kaningi kangcono kune-x-ray ngenxa yezindleko nokutholakala.
Ukuhlolwa kwe-MRI kubonisa u-cartilage, amathambo, nemigudu.
Ukuhlolwa kwelabhulali
Ukuhlolwa kwama-laboratory ngokuvamile kuvamile ngakho ukubaluleka kwabo kuwukulawula ezinye izinhlobo ze-arthritis, ikakhulukazi izinhlobo zokuphefumula ze-arthritis, noma ukubeka isisekelo sokuqapha ukwelashwa. Ukuhlaziywa kwamanzi kagesi nakho kusiza ukulawula ezinye izimo.
I-American College of Rheumatology Imigomo
I-American College of Rheumatology isungulwe izindlela zokwelapha zokuthola i-osteoarthritis eyinhloko yesandla, izintambo namadolo:
I-osteoarthritis yesandla
- Ubuhlungu besandla, ukucindezela, noma ukuqina futhi;
- Ukwandiswa kwezicubu ezinzima zamalungu amabili akhethiwe noma ngaphezulu;
- Amancani angaphansi kwezingu-3 ze-MCP (metacarpophalangeal) amajoyina;
- Ukwandiswa kwezicubu ezinzima zamajoyini amabili noma ngaphezulu e-DIP (interallangeal distal) noma ukubola kwamalungu amabili akhethiwe noma ngaphezulu kwama-10 akhethiwe
Amalunga angama-10 akhethiwe ahlanganisa:
- Amalungu e-DIP wesibili nowesithathu ezandleni zombili izandla
- I-PIP yesibili neyesithathu (ama-interphalangeal proximal interphalangeal) ezandleni zombili izandla
- Amalungu okuqala we-CMC (i-carpometacarpal) ezandla zombili
I-osteoarthritis ye-Hip
- Ubuhlungu be- Hip kanye;
- Ama-osteophyte ama-femoral kanye / noma ama-acetabular avela kwi-x-ray noma izinga lokushisa phansi ngaphansi noma elilingana no-20 mm / ihora;
- Isikhala esivumelwaneni senzeke ngokucacile kwi-x-ray
Ukujikeleza kwangaphakathi kwe-hip okungaphansi kuka-15 noma okulingana no-15 degrees, ukuqina kosuku olusesikhathini esiphansi kwesilinganiso esingaphansi noma elilingana nehora elilodwa, kanti iminyaka engama-50 noma ngaphezulu kunezinqubo ezengeziwe eziwusizo ekuhloleni i-osteoarthritis ye-hip.
I-osteoarthritis ye-Knee
- Ubuhlungu obukhulu futhi;
- Okungenani kwezintathu ezilandelayo eziyisi-6: iminyaka engu-50 noma ngaphezulu, ubunzima obuhlala njalo ngaphansi kwemizuzu engama-30, i-crepitus, i-bony tenderness, ukukhuliswa kwebony, akukho ukufudumala kumthinta
Ukutholakala kwe-laboratory okuwusizo ekuhloleni i-osteoarthritis yamadolo kuhlanganisa isilinganiso se-sedimentation esingaphansi kuka-40 mm / ihora, isifo se-rheumatoid esingaphansi kuka-1:40, nokuhlolwa kwe-synovial fluid okubonisa ukukhanya okucacile, okune-viscous nge-white cell count count less than 2,000 / mm3.
Umsebenzi wudokotela wokuba u-diagnostician kodwa ngokucacile kuyasiza uma isiguli siqonda ukuthi kungani kwenziwa ukuhlolwa nokuthi yini imiphumela.
Uma isiguli siqonda inqubo kusuka ezinkombeni zokuqala ukuxilongwa ohlelweni lwezokwelapha, isiguli cishe siyobe sithobela ngokwengeziwe futhi umphumela wezokwelapha uzoba ngempumelelo kakhulu.
Imithombo:
I-osteoarthritis. Ukuhlonza okuhlukile. I-Primer kuma-Rheumatic Diseases. Edition 12. Ishicilelwe yi-Arthritis Foundation.
I-American College of Rheumatology Criteria for the Classification and Reporting of Osteoarthritis of the Hand. 1990.
I-American College of Rheumatology Criteria for the Classification and Reporting of Osteoarthritis of the Hip. 1991. http://www.rheumatology.org/publications/classification/oa-hip/1991_classification_oa_hip.asp
Imigomo Yokuhlukaniswa Kwe-Osteoarthritis Idiopathic (OA) ye-Knee. 1986.