Kodi Ziphuphu Zosasunthika ndi Zosakhazikika Zimayambitsa Zotsatira Zake za Osteoarthritis?
Kuphatikizana kophatikizana kumatanthauzidwa kukhala looseness kapena kusakhazikika kwa mgwirizano. Kusakanikirana kotere kumagwirizanitsidwa ndi osteoarthritis , koma kodi ndi chifukwa cha osteoarthritis, kapena zotsatira za matendawa?
Kukhazikika Kwachiyanjano Kwachizolowezi ndi Kukhwima
Malinga ndi Internal Medicine News, kusiyana kwakukulu kwa mgwirizanowu kumasiyana pakati pa anthu osiyanasiyana ndi nthawi. Ndizoona kuti anthu ena amabadwa mosavuta kusiyana ndi ena, pamene ena amagwira ntchito molimbika pakuwonjezera zochitika zawo monga kuchita zoga kapena kuchita zolimbitsa thupi.
Tidziwa kuti kuyendayenda ndikofunika kwambiri kuposa akazi, ndipo ana amakhalanso osinthasintha, ngakhale kuti kusinthasintha kumachepa ndi zaka.
Zomwe Zimayambitsa Kuthamangitsidwa Kwadongosolo
Ma syndromes angapo omwe ali ndi mankhwala osakanizika osakanikirana amachititsa kuti chibadwa chiwonongeke. Zinthu zimenezi zimaphatikizapo matenda a Marfan, Stickler syndrome, ndi matenda a Ehlers-Danlos . Mavuto ena - mavuto oyenera a minofu - akhoza kukhala ogwirizana. Odwala ambiri omwe ali ndi vuto lokhalitsa la minofu yodzikongoletsera amakhala ndi ubweya wamatenda kapena malaya apamwamba. Zizindikiro zina, malingana ndi matendawa, zimaphatikizapo: khungu lofewa, kuphwanyidwa kosavuta, hernias, matenda oyambirira a mitsempha ya m'mimba, matumbo a m'mimba kapena matumbo, mitsempha ya m'mimba, ndi ma hypotension.
Odwala Marfan akukumana ndi mizu ya aortic. Odwala oteteza matendawa ali pangozi ya osteoarthritis ndi chigoba cha dysplasia. Zambiri zomwe zimagwa pansi pa matenda a Ehlers-Danlos zimagwirizana ndi khungu lofewa komanso khungu lofewa.
Kuthamangitsidwa mu Knee Osteoarthritis
Kusokonezeka m'mabondo a osteoarthritic sikunaphunzire kwambiri mwa anthu. Mu 1999, ofufuza anagwira ntchitoyi. Iwo anayezetsa vuto la varus-valgus komanso lachilendo m'mabanja 25 achinyamata omwe amaphunzira. Panalinso odwala 24 okalamba omwe alibe osteoarthritis, popanda radiographic osteoarthritis kapena kuvulala kwa bondo - ndi 164 ophunzira omwe ali ndi mafupa a m'mitsempha ndi mavupa .
Ochita kafukufuku anapeza kuti kuchuluka kwa mankhwala osokoneza bongo okhudzana ndi matenda a osteoarthritis kwenikweni kumayambitsa matendawa. Kutayika kwa karotila kumagwirizanitsidwa ndi vuto lalikulu la varus-valgus; N'zotheka kuti mankhwala a varus-valgus amachulukitsa chiopsezo cha mafupa a m'magazi komanso amathandizira kupititsa patsogolo mafupa a bondo.
Phunziro lina, lofalitsidwa mu 2005, linayanjanitsa mgwirizano pakati pa kusintha kwa mgwirizano, monga malo ophatikizira ochepa kapena osteophyte mapangidwe ndi osakanizika, ndi kuyanjana pamodzi ndi kunyalanyaza kwa anthu omwe ali ndi mafupa a m'magazi. Pambuyo pochita mayesero ena, ofufuza apeza kuti malo olowa pamodzi ndi ochepetsetsa ndi ofanana ndi kusokoneza mgwirizano.
Odwala omwe ali ndi chingwe chamadzulo, malingana ndi kuuma kwake, akhoza kulangizidwa kuti asatenge ntchito yaikulu kapena yopewera. Pazochitikazi, maphunziro ochepa otetezera amagwiritsidwa ntchito kuti athandize mgwirizano. Kukwapula ndi kuthandizira bondo kungakhale kopindulitsa.
Kuthamangitsidwa mu Ankle Osteoarthritis
Kawirikawiri, kupweteka kwa khungu kumayamba ndi kuvulaza mitsempha yomwe imakhala yosasunthika. X-rays ndi MRI zimathandiza kutsimikizira kuti matendawa amathyoka. Mankhwala opatsirana, kupopera, ayezi, kukwera, ndi mankhwala osakanikirana ndi mankhwala osagwiritsiridwa ntchito opweteka amagwiritsidwa ntchito pokonzanso mkondo.
Kusokonezeka mu Hip Osteoarthritis
Chimodzi mwa zinthu zoyamba zomwe zimagwiritsidwa ntchito ndi ubweya wa hip ndi Developmental Dysplasia ya Hip (DDH), kupangika kosavuta kwa mgwirizano wa mchiuno komwe mpira ndi zitsulo sizigwirizana bwino. Mu DDH, mitsempha ya mgwirizano wa m'chiuno ingakhale yosasunthika, ikuyambitsa kusokonezeka kapena kusakhazikika. Kwa ana ena, pakabereka, chifuwacho chimatuluka muzitsulo. Kwa ena, chifuwacho sichokwanira. Kusungulumwa kungawonongeke pamene mwana akukula ndikukhala wotanganidwa kwambiri. Matendawa, ngati osatengedwera, akhala akugwiritsidwa ntchito ndi chiopsezo chowonjezereka chokhala ndi mitsempha ya osteoarthritis.
Zotsatira:
Zotsatira Zachibadwa Zosokonezeka Mogwirizana. Internal Medicine News. Howard P. Levy. 04/01/08.
http://www.internalmedicinenews.com/views/genetics-in-your-practice/blog/genetic-causes-of-joint-laxity/99bd9877f4693693a35b3249aa9e91c9.html
Kutayika mu maondo abwino ndi osteoarthritic. Sharma L. et al. Arthritis & Rheumatism. 1999May; 42 (5): 861-70.
http://www.ncbi.nlm.nih.gov/pubmed/10323441
Kusintha kwamasinkhulidwe, kusamalidwa, ndi kutayika mu osteoarthritis wa bondo. van der Esch M. et al. Scandinavia Journal of Rheumatology. 2005 Jul-Aug; 34 (4): 298-301.
http://www.ncbi.nlm.nih.gov/pubmed/16195163
Ankle Laxity. Mikungudza-Sina. Zapezeka 1/29/13.
http://www.cedars-sinai.edu/Patients/Health-Conditions/Ankle-Laxity.aspx
Dispation Development (Dysplasia) ya Hip (DDH). OrthoInfo. Inapezeka pa 01/29/13.
http://orthoinfo.aaos.org/topic.cfm?topic=A00347