Cartilage yothandizira kapena yodziwika ndi mtundu wa karoti omwe amadziwika bwino ndi odwala nyamakazi. Mtundu uwu wa cartilage umapezekanso mu mphuno yamphepete yam'mimba (windpipe). M'magulu a osteoarthritis , kupweteka kwa khungu ndi chinthu chofunika kwambiri chomwe chimapangitsa kuti matenda apitirire. Kodi imfa ya cartilage ndi yotani? Kodi chimachitika n'chiyani kuti munthu asatayike mwamsanga? Kodi pali chilichonse chomwe chingachitidwe kuti chiteteze kapena kubwezeretsa kanyumba kotayika?
N'chifukwa Chiyani Mukufunikira Kaloti?
Katemera wotchedwa articular cartilage amakhala ngati chingwe mkati mwa mgwirizano komanso ngati chodabwitsa. Pamene kadoti yowonongeka kapena yotayika, mgwirizano wokhudzidwa umakhala wopweteka, wolimba, ndi wochepa mu kuyenda kwake kosiyanasiyana . Izi ndi zizindikiro zomwe zimakutsogolerani kuti muwone dokotala wanu kuti apeze zomwe zingapangidwe pamalo anu. Izi nthawi zambiri zimayambitsa kuyesedwa komanso matenda a osteoarthritis.
Kodi N'chiyani Chimachitika Ndi Kutayika kwa Cartilage?
Kutaya kotupa kumatanthauzidwa ndi kuchepa kwa kalotila voliyumu ndi makulidwe. Zimapezeka pambuyo poti khunyu imatha kapena imawonongeka. Ndi katsabola kamene kamatayika matenda amphamvu a osteoarthritis, malo ophatikizira amakhala osakanikirana ndipo mafupa amathamanga pang'onopang'ono pambuyo poti khungu limatuluka (nthawi zina limatchedwa fupa-pfupa). Pa nthawiyi, pali kanyumba kakang'ono kapena kamodzi kake kamene kanasiya kugwira ntchito yake ngati chododometsa. Pankhani ya mawondo ndi mchiuno, opaleshoni yowonjezera ndiyo yankho.
Kodi Ndi Zinthu Ziti Zomwe Zimalosera Kutaya Mtundu Khalae?
Akatswiri ofufuza apeza kuti mapulotechete amatha kuwonongeka pamadzulo ndipo anapeza kuti zinthu zitatuzi zikuwonetseratu kuti ziwonongeko zapakati pazirombozi zikhoza kuwonongedwa, komanso kuwonongeka kwa mankhwala osokoneza bongo, ndi varus malalignment (bow-legged) of knee joint.
Kafukufuku wina anavomera, pofotokoza kuti ziwopsezo zazikulu zomwe zimapangitsa kuti mitsempha iwonongeke mwamsanga, kuphatikizapo misozi, meniscus misonzi, kuvulala kwina kwa meniscus, ndi zilonda zazikulu zomwe zimawoneka pa MRI. Synovitis ndi kuyanjana pamodzi ndizinso zinali zowonongeka za kachakuta. Chochititsa chidwi, kulemera kwakukulu kunali chinthu chofunikira kwambiri.
Kuwonjezeka kulikonse kwa thupi limodzi mu chiwerengero cha misala ya thupi (BMI), chiopsezo cha msanga wambiri mwadzidzidzi chinawonjezeka ndi 11%.
Kuchepetsa Kutaya Kanyama
Kodi mungatani kuti muchepetse kapena musamangidwe? Chithandizo chodziletsa chimaphatikizapo njira zochepetsera kupweteka ndi kutupa ndi kuchepetsa mavuto omwe ali nawo. Palibe umboni wakuti izi zimapangitsa kuti zikhalenso zambiri, koma zikhoza kuchepetsa imfa ya cartilage. Njirazi zimaphatikizapo kulemera kwa thupi, kupweteka, kuchitidwa thupi, ma NSAID , mahomoni, zakudya zowonjezera monga glucosamine ndi chondroitin phosphate, jekeseni wa steroid mu memphane ndi Synvisc m'malo mwa hyaluronic acid.
Kubwezeretsanso Kanyama Kanyama Kakang'ono
Njira zothandizira kuyesera kubwezeretsa kagawola mmalo mobwezeretsa mgwirizanozo zimagwiritsidwa ntchito kwa odwala achinyamata.
- Njira zazikuluzikulu zimaphatikizapo tizilombo toyambitsa matenda, pobowola ndi abrasion arthroplasty, zonse zomwe zimayambitsa madera ochepa komanso zimalimbikitsa kubwezeretsa khungu.
- Kujambula zitsulo kumayambitsa maselo atsopano a kadzidzi kapena magawo onse a karotila. Izi zimaphatikizapo kuikidwa kwa chondrocyte, komwe kumatulutsa maselo anu a m'magazi kuti apeze kumene akufunikira. Kujambula kwa osteochondral kumatengera ziphuphu kapena timatumba ta tizilombo mwina kuchokera kwa wodwala kapena cadaver wopereka ndi kuwapangira iwo palimodzi kumene akufunikira.
- Kafukufuku akupitiriza kugwiritsa ntchito maselo amadzimadzi, majeremusi ndi zithunzithunzi zopangira tizilombo.
Zotsatira:
Kuyanjana kwa Anthu Osadziwika, Kuwonongeka, Kuthamangitsidwa, Kuphatikizana Kwachitsulo kwa Kutayika Kanyama Kanyama ka Osteoarthritis Knees. Leena Sharma et al. Arthritis & Rheumatism, June 2008.
http://www3.interscience.wiley.com/journal/119755354/abstract
Kunenepa Kwambiri Kumakhudza Kutayika Kwambiri kwa Mtembo. EurekAlert. July 14, 2009.
http://www.eurekalert.org/pub_releases/2009-07/rson-oct070709.php
Kubwezeretsa Kanyama Kanyamala, American Academy of Orthopedic Surgeons, February, 2009.
Mazen Falah, Gabreil Nierenberg, Michael Soudry, Morris Hayden, ndi Gershon Volpin. "Kuchiza kwa zilonda zamatumbo za bondo." Int Orthop. 2010 Jun; 34 (5): 621-630.