Mtembo Wathanzi Ndi Wofunikira Kwambiri Ntchito Yogwirizana
Cartilage ndi chigawo chofunikira cha ziwalo zathanzi. M'magazi a osteoarthritis , cartilage wanu amawonongeka kapena amavala.
Kodi Cartilage ndi chiyani?
Thupi lofunika kwambiri la thupi lanu limapindulitsa.
Thupi lanu liri ndi mitundu itatu ya cartilage-hyaline, zotupa, ndi fibrous. Hyaline cartilage, yomwe imatchedwanso kanyama kakang'ono, ndi mtundu umene umadziwika bwino ndi odwala nyamakazi.
Hyaline cartilage imapezeka m'magulu, nasal septum, ndi phukusi la mpweya. Chotupa chokhazikika chimapezeka m'makutu, mbali ya mphuno, ndi phukusi la mpweya. Chokongoletsera chokongola chimapezeka mu meniscus .
Cartilage ndi yovuta, koma minofu yosakaniza yomwe ili ndi zigawo ziwiri: madzi ndi matrix. Pafupifupi 85 peresenti ya cartilage ndi madzi, koma imachepetsa pafupifupi 70% mwa anthu okalamba. Matrix imaphatikizapo collagens, proteoglycans, ndi mapuloteni osapanga. Ngakhale kanyumba kakang'ono kamangidwe kameneka, mitundu yosiyanasiyana ya karotila imakhala ndi zosiyana ndi zina zomwe zimapereka ntchito zina m'thupi.
Cartilage alibe magazi, mitsempha, ndi ma lymphatic system. Chondrocytes ndiwo maselo okhawo omwe amapezeka mumatumbo. Chondrocytes imapanga ndi kusunga khalati yamatenda.
Hyaline kapena articular cartilage imakhala yosalala kwambiri ndipo imakhala yochepa kwambiri, yomwe imalola mafupawo kuti azigwirana pang'onopang'ono pamene akuyenda.
Katemera wotchedwa articular cartilage amakhala ngati chingwe mkati mwa mgwirizano, ndipo monga chodabwitsa. Pamene kadoti yowonongeka kapena yotayika, mgwirizano wokhudzidwa umakhala wopweteka, wolimba, ndi wochepa mu kuyenda kwake kosiyanasiyana .
Kodi Chimachitika N'chiyani Pamene Cartilage Amatha?
Cartilage akhoza kuwononga nthawi yambiri ngati simusamala.
Kuwonongeka kwa karoti kumachitika pa zifukwa zosiyanasiyana.
Kukula kapena kukonzanso kakotila, komabe, kulibe zochepa. Ngati mgwirizano uli wolemedwa ndi kusayenerera kolakwika, kulemera kwakukulu, ntchito yochulukirapo, kugwiritsira ntchito mopitirira muyeso, kapena kuvulala, khungu la articular lingathe kuvulaza.
Kukula kwa kanyumba kowonjezera kumapangitsa kupweteka ndi kutupa. Ndi mafupa amphamvu a osteoarthritis , kanyumba kameneka kamatha kutayika kwathunthu kuti mgwirizano wokhudzidwawo usakhalenso ndi chingwe chake ndipo umayamba kupundula mafupa-pfupa . Zikatero, pamakhala ululu waukulu, kutayika, komanso kulemala komwe kumagwirizanitsidwa.
Kuwonongeka kwa khungu la articular likhoza kuwonedwa pa x-ray. Pa x-ray , kupweteka kwa karoti kumawoneka ngati kupatula malo ophatikizana pakati pa mafupa omwe amapanga mgwirizano. Pa bondo , kutayika kwa cartilage yapamwamba kumagwirizanitsa ndi kutayika kwa meniscal cartilage.
Kutaya kanyama kotchedwa articular cartilage kumabweretsa mavuto ena pamapeto a mafupa omwe amapanga mgwirizano. Zowonjezereka pamapeto a mafupa omwe ali pamphatikizi amatha kuchititsa osteophytes , kapena fupa la fupa, kupanga pamphepete mwa mgwirizano.
Njira zatsopano zikuyesedwera kubwezeretsako kanyama kakang'ono. Osteochondral grafting, autologous chondrocyte implantation, ndi mesenchymal tsinde kusinthika maselo amayesera kubwezeretsa articular cartilage.
Ndi osteochondral grafting, phungulo la fupa ndi thanzi labwino limakololedwa kuchokera kumadera amodzi ndikukhazikitsidwa ku malo ena. Pakalipano, njirayi imapweteka maondo .
Kumangika kwachilombo cha ma chondrocyte kumaphatikizapo kukolola maselo opha tizilombo omwe amamera ndikumaikidwa pamalo ovulaza. Njira imeneyi imagwiritsidwanso ntchito pangozi ya maondo.
Matenda a Mesenchymal omwe amayamba kusinthika akuyesetsabe, koma amaganiza kuti MSCs imachokera ku fupa la mafupa, imayikidwa mu gel matrix, ndipo imaikidwa pamalo pomwe kadzidzi kakang'ono kamakhala kakukula.
Kuzindikira koyambirira ndi kuchiritsidwa koyambirira kwa matenda a mitsempha kumathandiza kuchepetsa kuwonongeka kwa kagawoti.
Njira yabwino yoteteza kapena kuchepetsa kupweteka kwa kakoti imabwera ndi mankhwala oyambirira. Mankhwala omwe amagwiritsidwa ntchito pofuna kuchepetsa matenda a mitsempha ndi magulu ena a nyamakazi, njira zothandizira palimodzi , ndi mawonekedwe abwino a thupi kumathandiza kuti asunge tizilombo todwalitsa. Pambuyo pa kuwonongeka kwa mgwirizano kumakhala koopsa ndipo kumasokoneza moyo wa tsiku ndi tsiku, opaleshoni yowonjezeredwayo ingakhale njira yabwino yobwezera ntchito. Dokotala wanu adzakuthandizani kusankha chomwe chili chabwino kwa inu.
Mawu Ochokera
Kutaya karoti m'mbali imodzi kapena zingapo kumakhala kowawa kwambiri ndipo pamapeto pake kumabweretsa zofooka zothandiza kapena mwina kulemala. Sungani katsamba posunga ziwalo zanu kukhala wathanzi .
Zotsatira
- Kasitomala Wodziwika. Joint Replacement Institute.
- Kodi Cartilage N'chiyani? International Cartilage Repair Society.
- Kubwezeretsa Kanyama Kasitomala. American Academy of Orthopedic Surgeons. Inayambiranso February 2009.