Ukuhlukanisa i-osteoarthritis evela kwezinye izinhlobo ze-arthritis
Ukuxilongwa ngokwehlukana kwe- osteoarthritis kugxile ezimweni ezibeka eceleni kwezinye izinhlobo ze-arthritis . Ngenkathi abantu abaningi beyazi ukuthi i-osteoarthritis yilona uhlobo oluvame kakhulu lwe-arthritis, yini ehlukanisa yona nezinye izinhlobo?
Izimpawu Ezivamile, Izimpawu, Nezici Ze-Osteoarthritis
Izimpawu nezimpawu ze-osteoarthritis zibhekwa kuqala.
Izimpawu nezimpawu eziyinhloko zihlanganisa ubuhlungu obuhlangene , ukuqina okuhlangene , nokuhamba okukhawulelwe kokunyakaza kwamajoyina noma amathinteli abathintekayo. Nge-osteoarthritis, ngokuvamile, eyodwa ( monoarthritis ) noma amajoyina ambalwa athintekile. Iziguli eziningi ze-osteoarthritis ezanda kutholakala ziphakathi kweminyaka noma ngaphezulu. Ezinye izici ezivamile ezihlobene ne-osteoarthritis zifaka:
- Ubuhlungu be-osteoarthritis bubuhlungu kakhulu ngokusebenza noma ngokuhlanganyela, futhi kuthuthukiswa nokuphumula.
- Ngakho-ke, ubuhlungu be-osteoarthritis ngokuvamile bubi kakhulu ntambama noma kusihlwa. Kwamanye abantu, noma kunjalo, ukuqina nobuhlungu kungase kube kubi kakhulu ekuseni.
- I-osteoarthritis ejulile ingase ihlotshaniswe nobuhlungu obubusuku nokulala ukuphazamiseka.
- Ngokuvamile, ubuhlungu be-osteoarthritis bukhulu kakhulu ngaphezu kokuhlanganyela. Amajoyina amaningana, kanye nezilonda zesikhumba ezithambile ngezikhathi ezithile, zingabangela ubuhlungu kude nomugqa ohlangene. Lokho kusho ukuthi ububele phakathi komugqa ohlangene luyisici sezinkinga ezihlangene, kanti ukwehlukana okuvela emgqeni ohlangene kufana nokujwayelekile kwezifo zesisindo esithambile.
- Uhlobo oluthile lokuhamba olune-arthritis ngokuvamile luhlotshaniswa nokubunjwa kwe- osteophyte , ukuqina kwe-capsule ehlangene , ukuxuba okuhlangene , nokuqina kwe- synovial . Lokhu kuqondene nohlobo olulodwa olusebenzayo nolususayo lokunyakaza.
- Ukuvuvukala kwe-Bony kungase kwenzeke futhi kubonisa ukulungiswa kwamathambo ne-cartilage nganoma yiluphi uhlangothi lwahlangene oluhlangene.
- Ukukhubazeka okuhlangene kuyisibonakaliso se-osteoarthritis ephakeme.
- Ukungazinzi okuhlangene, njengokuvala, ukupha noma ukukhipha , kuyisibonakaliso esivamile se- knee osteoarthritis .
- Ukubandakanyeka ngokubambisana ngokuqondile kungase kubhekise ku-osteoarthritis. Amalungu aphethwe yi-osteoarthritis afaka amadolo, izintambo, amalunga e-interphalangeal of the hand, amakhemikhali okuqala e-carpometacarpal, amalunga okuqala we-metatarsophalangeal, kanye namajoyina omzimba wesibeletho esingaphansi nesiguli esincane. Amalungu angaphansi kakhulu abathintekayo yi-osteoarthritis afaka isigqoko, isibindi, ihlombe ne-ankle.
Ukuhlukanisa i-Osteoarthritis Eminye Imibandela
Nakuba siye saqokomisa izici ezivamile ze-osteoarthritis, kukhona ukugqama okusobala nezinye izinhlobo ze-arthritis. Ukuxilongwa okucacile kuxhomeke ekuhlukaniseni i-osteoarthritis evela kwezinye izinhlobo ze-arthritis. Amalungu athile abandakanyekile, kanye nokuba khona noma ukuntuleka kwamanye amasimiso ohlelweni ( ukukhathala , ukulahlekelwa isisindo, ukuntuleka kwesifiso, umkhuhlane, i- malaise ), ngokuyinhloko okubhekwa njengokuhlukanisa noma ukuhlukanisa i-osteoarthritis.
I-Osteoarthritis Versus Rheumatoid Arthritis
I-osteoarthritis ingahle idideke ngesifo se-rheumatoid , uma kukhona ukubandakanya isandla.
Amaphethini ahlukene kakhulu okubandakanyeka komunwe angahlukanisa phakathi kwezinhlobo ezimbili ze-arthritis kalula. I-osteoarthritis yesandla isithinta kakhulu ama-distal interphalangeal joints.
Ukuba khona kwama -node ka-Heberden nakho kuyisici se-osteoarthritis, kodwa hhayi ngesifo se-rheumatoid arthritis. Esikhundleni sokuphazamisa ukubandakanyeka kwe-interphalangeal, kunokubandakanya okubandakanyekayo kwe-interphalangeal ne-arthritis ye-rheumatoid. Ukuvuvukala kuhluke ngokulinganayo: i-bony futhi iqinile nge-osteoarthritis ngokubhebhethekisa futhi ithenda nge-rheumatoid arthritis. Ubunzima bubuye buhluke ngokuhlukile: ukuqina kwesimanje kuyisici esiyinhloko sesifo samathambo esiphambene nesibindi sokuhlwa okulandela usuku lomsebenzi owuphawu oluthe xaxa lwe-osteoarthritis.
Ukutholakala kwe-X-ray ye-osteoarthritis kuyahlukile njengoba kunendawo ehlangene yokunciphisa ekulahlekeni kwe-cartilage nokubunjwa kwama-osteophyte okuvamile. Ngokuqondene nokuhlolwa kwegazi, ukuhlolwa kwesimo esihle se-rheumatoid , izinga lokuphakama eliphakeme , nokutholakala kwe- anti-CCP konke kungabhekisela ku-arthritis ye-rheumatoid ngokumelene ne-osteoarthritis.
I-osteoarthritis ne-Psoriatic Arthritis
Kokubili i-osteoarthritis ne- arthritis ye-psoriatic ngokuvamile ihlanganisa ama-distal interphalangeal joints esandleni. Isici esihlukanisayo siwukuthi, nge-arthritis ye-psoriatic ethinta la majoyina, ngokuvamile kuvame ukungabi nabuthakathaka (isb., Izigodi, izintambo). Futhi, nge-arthritis ye-psoriatic, kune-dactylitis (ukubukeka okunjenge-sausage yeminwe ethintekile).
I-Osteoarthritis Versus Gout noma i-Pseudogout
Njenga-osteoarthritis, i-gout noma i- pseudogout ingase iqale njenge-monoarthritis futhi ikhule ibe yimbungu ye- polyarticular . Isici esihlukanisayo se-gout noma i-pseudogout yiziqephu zokuvuvukala okukhulu nobuhlungu bezinhlanganisela ezilodwa noma ezimbalwa. Ukuba khona kwama-crystals ekuhlanganyeleni kufane nokuhlukanisa umuthi noma ukusekela. Awekho amakristalu ahlobene ne-osteoarthritis. I-Gout ihlotshaniswa ngokuqondile nama-crystals e- uric acid , kuyilapho i-pseudogout ihlotshaniswa nama-crystals e- calcium pyrophosphate .
I-osteoarthritis Versus Hemochromatosis
Ekuqaleni, ubuhlungu obuhlanganyelwe obubangelwa yinqwaba yensimbi kungenziwa iphutha nge-osteoarthritis. I-Hemochromatosis kakhulu ithinta ama-metacarpophalangeal amalunga nama-wrists, noma kunjalo. Okutholakala kakhulu kwe-x-rays nakho kuyisici se-hemochromatosis, esiza ukuhlukanisa izimo ezimbili.
I-osteoarthritis Versus Arthritis Esithathelwanayo
Uma ukuqala kokuqala kwe-osteoarthritis kufana nesichungechunge esibuhlungu se- synovitis esisodwa, kunokuba siqale ukuqala kokungavumeli ukuvuvukala, kungase kushiwo ngephutha ukuthi kune-infection. Izivivinyo ezahlukene ze-laboratory zizosetshenziselwa ukukhomba noma ukulawula ukutheleleka.
I-osteoarthritis ne-Various Soft Tissue Ills
Kunezinhlobonhlobo ezihlukahlukene ezithambile zomzimba ezingathuthuka ezihlangene ndawonye, futhi ngoba ekuqaleni zibonakala zihlobene nokuhlanganiswa okukodwa, i-osteoarthritis ingase ibe umsolwa. Lokhu kungabandakanya i- tendonitis , i- bursitis , i- enthesitis , i-muscle strain, noma ama-syndromes ahlobene ahlukahlukene. Ukucabanga nge-MRI kungasetshenziswa ukukhomba umthombo wangempela wale nkinga.
Izwi elivela
Ngokusho kwamaCenters for Disease Control and Prevention (CDC), abantu abadala abangaphezu kuka-30 base-US bane-osteoarthritis. Yize kunjalo uhlobo oluvame kakhulu lwe-arthritis, i-osteoarthritis ngezinye izikhathi idideka nezinye izinhlobo ze-arthritis-ikakhulukazi ekuqaleni kakhulu futhi ikakhulukazi izinhlobo ezichaphazela ukujoyina okulodwa (monoarthritis) noma amajoyinzana ambalwa. Kubaluleke kakhulu odokotela ukuba bahlaziye ngokuhlukile futhi bahlolisise kahle lesi sifo. Ukwelashwa okufanele kuncike ekuhloleni okuqondile. Yingakho ukuhlonza ukuhlukana okuhlukile kubalulekile nokuthi kungani udinga ukwazi ukuthi uluphi uhlobo lwe-arthritis onalo .
> Imithombo:
> Doherty, Michael et al. Ukubonakaliswa Kwemitholampilo nokuxilongwa kwe-Osteoarthritis. Kusesikhathini. Kubuyekezwe ngoJanuwari 31, 2017.
> Hooper, Michele M. noMoskowitz, uRoland. I-osteoarthritis: Imibukiso yemitholampilo. Page 144 - Ukutholakala Kokuhlukana Kwemitholampilo. I-osteoarthritis. Edition Fourth. ULippincott Williams & Wilkins.
> I-Osteoarthritis Fact Sheets. I-CDC. Kubuyekezwe ngomhla ka-2 Februwari, 2017.