Osteoarthritis: Kufotokozedwa ndi Zithunzi

Osteoarthritis ndi imodzi mwa mitundu yoposa 100 ya nyamakazi ndi matenda ofanana . Matenda a osteoarthritis ndiwo amagawidwe ambiri a nyamakazi. Ku United States, anthu pafupifupi 27 miliyoni amakhala ndi matendawa. Osteoarthritis amapezeka kwambiri pakati pa anthu akuluakulu oposa zaka 65 koma anthu a msinkhu uliwonse angathe kuyamba matendawa. Kukula kumawonjezeka kwambiri pambuyo pa zaka 50 mwa amuna komanso pambuyo pa zaka 40 muzimayi. Malingana ndi American College of Rheumatology, 70 peresenti ya anthu oposa zaka 70 ali ndi umboni wa x-ray wa osteoarthritis .

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Kuwonongeka kwa kanyumba ka Katee Osteoarthritis
SMC Images / Getty Images

Mtundu wa osteoarthritis ndi mtundu wambiri wa osteoarthritis. Anthu oposa 10 miliyoni a ku America ali ndi mafupa a bondo. Chimodzimodzinso ndi chifukwa chofala kwambiri cha ulema ku United States.

Kuwonongeka kwa khungu (joint) kadotila ndi vuto lalikulu lomwe limagwirizanitsidwa ndi mafupa a mitsempha. Chikhalidwe chingayambidwe ndi:

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Hip Osteoarthritis Imayambitsa Kuwonongeka Kowonongeka
Chithunzi ndi Pamela Burley (iStockphoto)

Mankhwala a osteoarthritis ndi amodzi omwe amapezeka m'magazi a osteoarthritis. Popeza mchiuno ndi cholemetsa, osteoarthritis ingayambitse mavuto aakulu. Pafupifupi 1 mwa anayi Achimereka akhoza kuyembekezera kukula kwa mimba m'chiuno.

Mafupa a mphuno amawopsa chifukwa cha kuwonongeka kwa kagawo kake (joint joint) ndi kanyumba kake . Pali zifukwa zingapo izi zingakhalepo:

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Malo atatu Omwe Amagwiritsira Ntchito Mankhwala Ogwiritsira Ntchito Mankhwala Ogwira Mtima
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Matenda a osteoarthritis angakhudze chiwalo chirichonse m'thupi, kuphatikizapo dzanja. Osteoarthritis ya dzanja nthawi zambiri imakhala pamalo atatu pa dzanja - pamunsi pa chala chachikulu, pamphatikizana pafupi ndi phazilo, ndi pakati pa chala.

Mankhwala amavala-ndi-misozi kapena kuvulala kungayambitse osteoarthritis. Ngati chovulaza chisintha kusintha kwa mgwirizano, chikhoza kufulumira kuwonongeka kwa kadzidzi. Zowonongeka kaŵirikaŵiri zimawoneka m'manja ndi ziwalo zofutukuka ndi zala zopotoka. Nkhono za Bony ndizofala zomwe zimaoneka ndi dzanja la osteoarthritis. Mitsempha yaing'ono ndi mitsempha yomwe imayandikira pafupi pakati pa zala zimatchedwa node za Bouchard. Pamene mitsemphayi ili pampando, imatchedwa node za Heberden.

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Zaka ndi Zowopsa Kwambiri kwa Nyerere ya Osteoarthritis
BURGER / PHANIE / Getty Images

Matenda a mitsempha, omwe amadziwikanso kuti cervical spondylosis, ndi otsika kwambiri a vertebrae m'dera lachiberekero cha msana, komanso ma discs pakati pa vertebrae. Nthenda yamagazi imakhudza amuna ndi akazi kupitirira 40 ndipo imafalikira pang'onopang'ono ndi msinkhu. Kufala kwa khosi la osteoarthritis ndi chimodzimodzi kwa amuna ndi akazi, koma amuna amayamba kukhala ndi vuto laling'ono kuposa akazi.

Kusintha kumene kunayambitsidwa chifukwa cha kuchepa kwa dera lachiberekero kumatha kuchepetsa miyendo yambiri ya mitsempha. Kupsinjika kwa mitsempha sikungangowonjezera ululu m'khosi, komanso ululu, kufooka, kusowa, ndi kukwapula m'manja. Ngakhale kupweteka kwapakhosi kumbuyo kungapangitse kumutu kwa mafupa a mitsempha patapita zaka, ukalamba ndilo vuto lalikulu kapena chifukwa cha khosi la osteoarthritis. Azimayi makumi asanu ndi awiri pa 100 alionse ndi amuna 85% ali ndi umboni wa x-ray wa khosi la osteoarthritis ali ndi zaka 60.

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Kodi Kusiyanasiyana kwa Pakati pa Osteoarthritis ndi Matenda a Chifuwa?
BruceBlaus / Wikimedia Commons / CC-BY-SA-4.0

Matenda a osteoarthritis ndiwo amthenga ambiri a nyamakazi. Komabe, nyamakazi ya nyamakazi imadziwika ngati mtundu wodwala kwambiri kapena wodwala wa nyamakazi. Matenda a osteoarthritis (omwe amanenedwa kuti ndi matenda ophwanyidwa omwe amatha kuwonongeka kapena nyamakazi) amayamba chifukwa cha kuwonongeka kwa khungu. Cartilage amakhala ngati chingwe pakati pa mafupa omwe amapanga mgwirizano. Kutupa kwa khungu kungachititse kuti mafupa asakanike pfupa palimodzi - vuto lomwe liri lowawa kwambiri. Kawirikawiri, osteoarthritis imayamba mu umodzi umodzi.

Matenda a nyamakazi ndi matenda aakulu a nyamakazi. Amatchulidwanso ngati matenda omwe amadzimadzimadzimodzi (mwachitsanzo, maselo a chitetezo cha thupi amateteza thupi lanu labwino). The synovium (chigoba cha mgwirizano) imakhudzidwa makamaka ndi nyamakazi, koma ziwalo zingakhudzidwe. Ambiri amagwiritsidwa ntchito ndi nyamakazi ya nyamakazi.

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Kanyumba Kumeneko Ndi Njira Yotsiriza Yopangirako Zamakono
33karen33 / Getty Images

Kawirikawiri, odwala matenda a nyamakazi amagwiritsa ntchito mankhwala ochizira pofuna kuthana ndi ululu wa bondo ndikuyesa kuchepetsa kupweteka. Ngati mankhwala opatsirana ( mankhwala , jekeseni , braces , mankhwala , kutentha ) sizothandiza ndipo samapereka yankho lokhutiritsa, odwala ambiri amaganiza kuti mawondo ndiwo malo awo otsiriza.

Ma knee m'malo odzola amakhala ndi zigawo zitatu: chachikazi (zitsulo), tibial (pulasitiki mu tray), ndi patellar (pulasitiki). Ma prosthesis amaloŵa m'malo anu ophwanyika aondo.

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Hip Kubwezeretsa Kubwezeretsa Ntchito ndi Kuyenda
Monty Rakusen / Getty Images

Chaka chilichonse ku United States kokha, malo opitirira mairi 285,000 amachotsedwa, ndipo chiwerengerochi chiyenera kuwirikiza kawiri kufika pa 573,000 chaka cha 2030. Chizoloŵezi chanu chotsitsimula, chomwe chimalowetsa chophatika chanu chophwanyika, chili ndi magawo atatu:

Palinso njira zowonjezeramo zitsulo za ceramic ndi njira zina zowonjezera kumbuyo . Mwachitsanzo, Birmingham Hip Resurfacing System .

Zotsatira:

Matenda a Osteoarthritis on Health. NIAMS. 7/07/07. http://awww.niams.hin.gov/hi/topics/arthritis/oahandout.htm

Total Hip Replacement. American Academy of Orthopedic Surgeons. August 2007.
http://orthoinfo.aaos.org/topic.cfm?topic=A00377

Osteoarthritis wa Knee. JAMA. February 26, 2003 - Vol. 289. No.8. Buku Lopereka Matenda a Osteoarthritis a Knee. Pulogalamu ya Orthopedics ndi Surgery ya Hip ndi Knee. http://www.eorthopod.com/public/patient_education/6516/osteoarthritis_of_the_knee.html