Ingabe bewazi ukuthi amadolo ahlukumezekile aphakamisa ingozi yokuthuthukisa i- osteoarthritis emadolweni akho ?
Ibhande elihlanganiswe ngokuphelele linemikhakha ephethe imithwalo emgqeni owela phansi phakathi komlenze, nge-hip, knee, ne-ankle. Ngesikhathi idolo lingavumelani ngokuphelele, okunye okubizwa ngokuthi i-malaligned, kuchazwe ngokuthi:
- I-Varus (i-bowlegged)
- U-Valgus (oguqa ngamadolo)
Ukushaywa ngamadolo kubonakala kaningi ezincane, futhi ngenhlanhla, imilenze iyoqondiswa lapho ingane ikhula futhi ikhula. Ngokuvamile, ukuguqulwa kwamadolo kubangelwa isimo sesisu sokuzalwa njenge-Blount's disease noma ama-Rickets (okuvela ku-vitamin D).
Kubantu abadala, ukuguqulwa kwamadolo kungabangelwa ukuhlukunyezwa kwamadolo, noma isifo samathambo, ikakhulukazi isifo samathambo.
I-Varus Ukuvumelanisa Knee: Izigqoko Zomnsalo Emnsalo
Uma unamadolo ezinamahlombe, unengozi eyengeziwe yokuguqa i-osteoarthritis. Ngaphezu kwalokho, uma i-knee osteoarthritis iqala, cishe kungenzeka ukuthi iqhubekele phambili (ifinyeleleke) uma une-alignment ye-varus.
Lokhu kungenxa yokuthi ukulungiswa kwe-varus kubangela ukuthi i-axis ethwala imithwalo yomlenze ifinyelele ngaphakathi, kubangele ukucindezeleka nokuphoqa ekamelweni elingaphakathi (emaphakathi) emadolweni.
Ngenkathi usengozini yokuguqa i-osteoarthritis nge-varus ukuqondanisa, kungakhathaliseki ukuthi isisindo sakho, uma ukhuluphele kakhulu noma ukhuluphele, ingozi yakho iphezulu kakhulu kunesilinganiso.
Eqinisweni, ukulungiswa kwe-varus kwandisa ingozi ye-knee osteoarthritis ezinhlanu ezigulini ezinamandla kakhulu.
Ngalokho, uma udokotela wakho ethi une-alignment yamadolo, kungase kube nento ongayenza ngakho. Ngamanye amazwi, uma ukhuluphele ngokweqile noma ukhuluphele futhi ulahlekelwa isisindo, unganciphisa ingozi yokuthuthukisa i-osteoarthritis yamadolo.
Ngaphandle kwesisindo, esinye isici esandisa ingozi ye-knee osteoarthritis yisilinganiso sokulinganisa kwakho kwe-varus. I-degree ephakeme (noma ukuhlukumeza okubi nakakhulu) kusho amathuba amaningi okuthola i-osteoarthritis emadolweni akho.
Ukulungiswa kwe-Valgus kwe-Knee: Ama-Knock-Kneed Legs
Ukungqongqoza kuyinkinga ehlukile yokwenza umnsalo, kodwa kungase kubangele ukuqhubekela phambili noma ukuqhuma kwe-knee osteoarthritis uma iqala. Lokhu kungenxa yokuthi ukulungiswa kwe-valgus kushintshela i-axis ethwele imithwalo ngaphandle, okwenza kube nokucindezeleka okweqile emgodini wangaphandle (wangaphandle) wedolo.
Konke, ukulungiswa kwe-valgus (ukugwedwa) akubhekwa njengokungathi kuyonakalisa njengokulungiswa kwe-varus. Noma kunjalo, zombili izimo zicindezela idolo, ikakhulukazi i-articular cartilage .
Kubalulekile ukuqaphela ukuthi ngaphezu kokulimaza i-cartilage futhi kubangele isikhala sokubambisana, ukuguqulwa kwamadolo kuthiwa kuthinta imithanguzo-kanye nokulimala okungokwemvelo kuyakholelwa ukuthi kuyisici esiyingozi ekuthuthukiseni i-osteoarthritis.
Ukuze kucacise ukuthi, ukuhlukunyezwa kwe-valgus, i-menalizedus lateral ishintshile kanti, ngokuhlukunyezwa kwe-varus, i-meniscus yangaphakathi iyathinteka.
Ukukhuluma nodokotela wakho ngokuphathelene nokwahlukana komzimba
Ungase ubuke esibukweni bese unquma ukuthi unamaphelegi noma amadoloza.
Khumbula-ke, udokotela angenza isilinganiso somgomo ngokulingana nalokho okujwayelekile.
Angakwazi futhi ukuhleleka ama-x-ray emadolo akho futhi angase abe i-MRI ukuze anqume izinga lokukhubazeka (uma ekhona) nokuthi noma ngabe kukhona indawo ehlangene yokunciphisa, uphawu lwe-osteoarthritis. Ngalokho, qiniseka ukuthi ukhuluma nodokotela wakho wokunakekela oyinhloko ekuhloleni kwakho okulandelayo.
Futhi, ungamangali uma udokotela wakho wokunakekelwa oyinhloko ekhuluma nawe ochwepheshe wezinthambo okuthiwa unogqirha wamazinyo uma esolwa ngokulahlwa. Ukulahleka kwesisindo kungase kube yindlela yokuvikela amalunga akho, kodwa kwezinye izimo, ukuhlinzwa okuhlanganyelwe okufanayo kungalungisa i-valgus noma i-varus deformities.
Izwi elivela
Ngokufingqa, kungenzeka ukuthi uthuthukise i-osteoarthritis yamadolo noma ube nokuqhubeka okuqhubekayo kwe-knee osteoarthritis uma unezinga elikhulayo le-varus noma ukulungiswa kwe-valgus, ikakhulukazi uma ukhuluphele noma ukhuluphele kakhulu.
Ngenkathi ungeke ukwazi ukwenza noma yikuphi ukuguqa kwamadolo akho, ungase usebenze ngokulahlekelwa isisindo uma ukhuluphele noma ukhuluphele.
Yiqiniso, kubalulekile ukuthi uqaphele ukuthi ngaphandle kwesisindo nokuguqulwa kwamadolo, kunezinye izici ezandisa ingozi yokuthuthukisa i-knee osteoarthritis efana ne- DNA yakho (buka umlando wakho womndeni) , iminyaka ekhulayo, umlando wokulimala kwamadolo kanye nokusebenzisa ngokweqile, futhi izimo ezithile zempilo ezinjenge-iron overload (okuthiwa i- hemochromatosis ).
Uma uthola ukuthi unama-knee osteoarthritis, ukwelashwa kungafaka imithi, ukuvivinya umzimba njalo, ukwelashwa ngokomzimba, ukushisa nemithi yokwelashwa, nokuphathwa kwesisindo. Ukuze kuhlangane kabi ngamadolo, i-orthopedic chirurgic ingenza ukuhlinzwa okuhlanganyelwe kokujoyina.
Imithombo:
I-American Academy Yabahlinzeki Bama-Orthopedic.
I-Arthritis Foundation. (nd). I-osteoarthritis.
Felson DT et al. Ukuphazamiseka kukaValgus kuyisici esiyingozi engxenyeni ye-kneal osteoarthritis yangasese kanye nokuqhubekayo: okufundwa yi-Multicenter Osteoarthritis Study kanye ne-Osteoarthritis Initiative. I-Arthritis Rheum . 2013 Feb; 65 (2): 355-62.
I-Flouzat-Lachaniette CH1. Izimo ezisengozini ye-knee osteoarthritis. Rev Prat . 2012 Meyi; 62 (5): 630-4.
> Sharma L et al. Ukulungiswa kwe-Varus ne-valgus nesigameko kanye ne-knee osteoarthritis eqhubekayo. I-Ann Rheum Dis. 2010 Nov; 69 (11): 1940-5.