Kuyeza Kukula kwa Osteoarthritis
Zithunzi za X-ray zimatha kuona malo ophatikizirana akuchepa. Pamagulu abwino, pali malo ambiri pakati pa mapeto a mafupa omwe amapanga mgwirizano. Mapeto a mafupa ali ophatikizidwa ali ophimbidwa ndi articular cartilage. Mmodzi wathanzi yemwe ali ndi matenda a nyamakazi-pali umboni wa kuchepa kwa danga pakati pa malekezero a mafupa mu mgwirizano, chifukwa cha cartilage imfa .
Katemera wotchedwa articular cartilage amathandiza kuti azigwiritsira ntchito mankhwalawa. Pamene kadoti imatha kuwonongeka kapena kuvala, mgwirizano wokhudzidwa umakhala wopweteka, wolimba, ndi wochepa mu kuyenda kwake . Pamene mgwirizano uli wowonongeka kwambiri ndipo karotila imakhala yayitali kwambiri, chiwonongeko chimatchulidwa kuti fupa-pfupa .
Malo Ophatikizana Okhazikika Ndi Choyamba Chakumvetsa kwa Arthritis
Kuyesa nyamakazi nthawi zambiri kumaphatikizapo kuyesa malo ophatikizana ndi kuweruza ngati kuli kochepa. X-ray imatengedwera kukafuna malo ophatikizana omwe amakhala opachika m'chiuno ndi mawondo.
Mu mitsempha ya osteoarthritis , malo ophatikizira amakhala ochepa kwambiri. Zimasiyanasiyana m'magulu osiyanasiyana a mawondo a bondo lomwelo komanso pamtundu womwewo. Komabe, kawirikawiri zimakhala zosiyana mu osteoarthritis ya ziwalo zala.
Pamene malo ophatikizana amakhala ochepa nthawi zambiri amakhala chizindikiro choyamba cha matenda a nyamakazi.
Malo ophatikizana ali ndi tanthauzo losiyana ndipo amasonyeza nthawi zosiyanasiyana m'magulu osiyanasiyana a nyamakazi. Msinkhu wa wodwala ndizomwe zimapangitsa kuti mgwirizanowo ukhale wochepa.
Zotsatira zina za mafilimu, komanso zotsatira za kuyesa magazi ndi kuyesedwa kwa magazi, ziyeneranso kuganiziridwa panthawi yachithandizo.
Malo ophatikizana amatha kupezeka ndi matenda osiyanasiyana, kuphatikizapo osteoarthritis, nyamakazi ya nyamakazi , nyamakazi yotupa , nyamakazi yotchedwa osteoarthritis , gout, kapena systemic lupus erythematosus .
Malo Ophatikizana Osakanikirana Amasonyeza Kukula Kwambiri kwa Osteoarthritis
Matenda a osteoarthritis amadziwika ndi kuwonongeka kwa mgwirizano komanso kutayika kwa khungu . Madokotala akamayang'anitsitsa kukula kwa matenda a osteoarthritis, amagwiritsa ntchito zojambulajambula kuti awononge kuwonongeka kwa mgwirizano poyeza malo omwe alipo pakati pa mafupa a mgwirizano. Malo ophatikizira amodzi amasonyeza kupweteka kwa kagawo ndi kuwonjezereka kwa mafuta osteoarthritis.
Malo Ophatikizana Okhazikika M'mphepete
Pa bondo, malo ophatikizana amakhala ophatikizidwa ndi imfa ya articular cartilage. Komabe, kuwonongeka kwa mthupi kumapangitsanso kuti dera limodzi likhale lochepa.
Mu phunziro limodzi, MRI ya maondo a 264 omwe ali ndi zizindikiro zamagulu a osteoarthritis adatengedwa kumayambiriro kwa phunzirolo, kenaka atatha miyezi 15, komanso pambuyo pa miyezi 30. Akatswiri ofufuza anapeza kuti kusintha kwa meniscus (knee cartilage yosagwira ntchito) kunapanga kusintha komwe kunachititsa kuti malo olowa pamodzi azichepetsa.
Ochita kafukufuku anafotokoza kuti ndi mafupa a osteoarthritis, kanyumba kakang'ono kamene kamakhala koonongeka ndipo meniscus ikhoza kuthawa.
Malo osakanikirana ndi zotsatira za kusintha kwa zonsezi.
Momwe Mgwirizano Wosakanikirana Womwe Umagwiritsira Ntchito Umagwirira Ntchito ndi Kulipira
Kuchuluka kwa malo olowa pamodzi kumaphatikizidwa pogwiritsa ntchito njira yotchedwa Kellgren-Lawrence grading scale, yomwe inakonzedwa koyamba mu 1957. Imayesa kukula kwa osteoarthritis m'magulu pamlingo wa zisanu.
- 0 = Palibe zizindikiro za kusintha
- 1 = Kusintha "kukayika" muzowonongeka kudutsa
- 2 = Kusintha kwakukulu komwe kumakhala kosavuta kwambiri ndi osteophytes
- 3 = kusintha kosasinthasintha ndi mafinya ambiri komanso / kapena malo osamalitsa omwe ali ochepa
- 4 = Kusintha kwakukulu ndi malo ophatikizira ochepa, kukhudzana ndi mafupa, ndi osteophytes ofunika kwambiri
Njirayi ikugwiritsabe ntchito ndipo imachokera ku zosalemetsa x-ray. Kunenepa kokhala ndi x-rays kungagwiritsidwe ntchito kuti muwerenge m "malo azachipatala komanso kufotokozera za matenda. Ena adanena kuti kuunika kwa malo olowa pamodzi kumakhala "nthawi yowonjezerapo," koma izi sizikuganiziranso zina zambiri zomwe zimapanga chisankho chokhudza kubwezeretsa.
Mawu Ochokera
Palibe mankhwala omwe amachititsa kuti matenda a osteoarthritis apitirire panthawiyi. Kukula kwa DMOADS (mankhwala osokoneza matenda a osteoarthritis) wakhala akukhumudwitsa, kunena pang'ono.
Chimodzi mwa vutoli, ngati titasankha kuti likhale vuto, pakupanga mankhwala omwe angachepetse kupititsa patsogolo kwa malo olowa pamodzi ndikuti chifukwa cha osteoarthritis ndi chovuta kwambiri kusiyana ndi kuvala mophweka. Pali zowonjezereka ndi zinthu zomwe zimagwiritsidwa ntchito mthupi lophatikizana lomwe limagwirizanitsidwa ndi osteoarthritis. Izi zinati, popanda mankhwala oyenera kuchepetsa kupuma kwa mafupa aumphawi, kufunika kokhala ndi kuyika malo ophatikizana kumakhala kochepa.
Mankhwala ambiri odwala matenda a mitsempha amafunika kuti athetse zizindikiro , ndipo ndiwo njira zabwino zopezera kupweteka komanso kukulitsa umoyo wanu.
> Zotsatira:
> Karsdal, MA ndi al. Mankhwala ochiritsira matenda a osteoarthritis (DMOADs) a bondo ndi chiuno: maphunziro omwe aphunziridwa ndi zolephera ndi mwayi wamtsogolo. Osteoarthritis ndi Cartilage. Dec 2016; 24 (12): 2013-2021.
> Emrani PS, ndi al. Malo Ophatikizana Osakanikirana ndi Kellgren-Lawrence Kupititsa patsogolo Knee Osteoarthritis. Matenda a Osteoarthritis. 2008; 16 (8); 873-882.
> Kellgren JH, Lawrence JS. Kufufuza kwa Radiological ya Osteo-Arthrosis . Annals wa Rheumatic Diseases. 1957; 16: 494-502.
> Jacobson JA, Girish G, Jiant Y, Sabb BJ. Kufufuza kwa Ma Radiographic ya Matenda a Nyamakazi: Matenda Okhazikika Omwe Amagwiritsidwa Ntchito. Zamankhwala. 2008; 248 (3): 737-47.
> Loeser, Richard F. MD. Pathogenesis wa Osteoarthritis. Zaposachedwa. Idasinthidwa pa June 21, 2016.