Matenda a osteoarthritis ndi ofunika kwambiri komanso okhudzana ndi matendawa. Chifukwa chakuti carticlage ya articular ilibe magazi ndipo palibe mapeto a mitsempha yomwe imayambitsa ululu?
Ululu Wabwera Chifukwa cha Kusintha kwa Mgwirizano
Mavuto a mitsempha ya osteoarthritis amachokera ku ziwalo zina zomwe zimagwidwa ndi matendawa.
Ngakhale katemerawa sangakhale ndi mitsempha ya mitsempha, mazenerawo amatha. Kutaya khunyu, kukula kwa mafupa kumbali zonse za mgwirizano, ndi kutupa kwa synovitis kumapweteka m'mitsempha m'matumbo ndi minofu kuzungulira mgwirizano.
Mwachitsanzo, zimasintha ndi osteoarthritis zikuphatikizapo:
Thupi la subchondral - Ili ndi fupa la fupa lomwe lili pansipa. Pamene wina ali ndi matenda a osteoarthritis, kuwonjezeka kwa magazi kumayenda ndi kusintha kwina komwe kumachitika mu subchondral wosanjikiza. Izi zikuphatikizapo njirazi zomwe zingayambitse ululu wa osteoarthritis motsatizana.
- Subchondral sclerosis : ichi chikuwonjezeka kulemera kwa mafupa ndi kuphulika kwazomwezi. Zimapereka ma x-ray ngati fupa losadziwika bwino pamzere wowonjezera.
- Zitsulo zamagulu : izi ndizikwanira zamadzimadzi zomwe zimachokera kumodzi, zomwe zimapezeka m'mayambiriro a mitsempha ya osteoarthritis.
- Kuwonjezeka kwapakhosi mkati mwa fupa.
Mphindi umodzi - Pangakhale kuphulika kwa khungu kaphatikizidwe komanso kupanga mapuloteni omwe amachititsa ululu. Osteophytes amadziwika kuti bone spurs. Zimakhala zachilendo ku ziwalo zokalamba ndipo zingakhale zosagwirizana ndi ululu. Zimakula ngati thupi likuyesera kukonzanso karoti yowonongeka.
Capsule ndi synovium - Pakhoza kuwonjezeka makulidwe a synovium ndi kutupa pang'ono pa tsamba ili limene limayambitsa ululu.
Izi zimachepetsa mgwirizano ndi kuonjezera mavuto mkati mwa mgwirizano.
Tendons ndi bursa - Tendinitis ndi bursitis yomwe imachitika palimodzi imayambitsa kupweteka, kuchepa kwa kayendetsedwe kake , kutaya minofu, ndi kufooka kwa minofu.
Mu mgwirizano wamba, kasupe kamangotha mapeto a fupa lililonse. Ndi zovuta koma zosavuta ndipo zimapangidwa ndi collagen ya fibrous, mesh-like proteoglycans ndi maselo a chondrocyte omwe amachititsa ndi kusunga khungu. Khatetilage pamodzi ndi kuchuluka kwake kwa synovial madzi amasunganizitsa palimodzi ndikuyenda mosamala mkati mwa capsule wothandizira. Mitsempha, mitsempha, ndi minofu zomwe zimatsogolera mgwirizano zimatha kuchita popanda nswala.
Ndi mafupa a osteoarthritis, kanyumba kakang'ono kamakhala kokalamba m'madera ndipo mafupa amatha kukuphukira pamphepete mwa mgwirizano. Zowonjezera izi zimateteza ntchito yosalalayo. Katemera wothandizira mafupawo kuti awonongeke bwino ndi owonongeka kapena othawa ndipo sangathe kuchita ntchitoyi. Synovitis ikuyamba, kutupa kumapangitsa synovial madzi kuwonjezereka, kupanga kuphatikizana kumatupa ndi kolimba.
Powonongeka kwa karotila, kuphulika kwa malekezero a mafupa ndi synovium, mumakhala ndi fupa-fupa-fupa limene limayambitsa ululu kwambiri.
Njira yolimbana ndi matenda a osteoarthritis ndi yovuta. Ndikofunika kuchiza ululu wa osteoarthritis ndikupeza mpumulo mwamsanga ngati n'kotheka, koma ndifunikanso kumvetsetsa chomwe chimapweteka.
Zotsatira:
Osteoarthritis: Kudziwa. MerckMedicus. March 2001.
Zolemba Zolemba Zaumoyo: Osteoarthritis. National Institute of Arthritis ndi Musculoskeletal ndi Matenda a Khungu, National Institutes of Health. April, 2015.