Tifo letibangwa emalungeni: ukuqina kwamathishu subchondral, njengoba omunye izimpawu osteoarthritis

Akungabazeki ukuthi abantu abaningi okungenani kanye ezimpilweni zabo wazibonela ngokuphazamisa nokuphatheka kabi kubangelwa ubuhlungu emuva futhi amalunga omzimba. Yiqiniso, kahle, uma iDemo ngenxa umsebenzi kuyinto engasho lutho, kodwa kuthiwani uma iyisifo okungathí sina okudinga iqhaza ochwepheshe?

Ukushintsha uqwanga noma ukuqina kwamathishu subchondral yimbangela ejwayelekile kakhulu futhi izimpawu radiographic ezingemnandi izifo ezifana efana osteoarthritis noma ukhwaliti ubuhlungu emuva. Kufanele kuqashelwe ukuthi igama elithi "i-osteoarthritis" ihlanganisa hhayi elilodwa lonke iqembu izifo nge morphology efanayo, begazi futhi izici zokwelapha. Kulokhu, le nqubo kukhishwa khona lonke ilunga, kuhlanganise subchondral ithambo, capsule, nemisipha, imisipha periarticular futhi synovium. Phakathi izimpawu eziyinhloko emitholampilo osteartroza zihlanganisa uhlobo nobuhlungu emalungeni, okuholela kamuva yokuntula ukusebenza. Lena abantu yokuguga kuyiqiniso ngokukhethekile.

Ngokuvamile, i-osteoarthritis kungokwalabo iqembu ezivamile izifo amalunga omzimba. Izizathu ukuthuthukiswa yayo kungaba hhayi kuphela mechanical (nemivimbo, ukulimala, njll), kodwa futhi izici zokwakheka komuntu (kokunikezwa kwe-izinqubo kumiswa amangqamuzana amasha wethambo subchondral (subchondral sclerosis) kanye articular uqwanga). Futhi okubaluleke kakhulu e uphethwe osteoarthritis kuba phambi nezifo ngenxa yezakhi zofuzo.

Ingabe i-osteoarthritis zamabanga aphansi naphezulu. Isizathu sokuqala, njengoba umthetho, ayikwazi ukufakwa. Ibizwa ngokuthi idiopathic, okungukuthi, ezikhethekile noma eyinqaba. Ngokungafani osteoarthrosis yesibili kudala sobala - ke umonakalo mechanical kuya emalungeni umsuka ezahlukene (iziyaluyalu umzimba (umzimba) izifo endocrine, izinqubo ukuvuvukala kwamalunga, ukulimala, njll).

Ukukhomba kusetshenziswa ngempumelelo-X-ray uphethwe osteoarthritis. Likhomba eziningi izimpawu ezibonisa ushintsho esihlasela amathambo futhi articular uqwanga, kuhlanganise sclerosis subchondral. uphawu Radiographic kusaqalwa osteoarthritis kukhona osteophyte - neziqu bony egama-okuyinto ziboniswa ekuqaleni ebusweni imimese ka emaphethelweni ngokuhlanganyela (evele ngokuhlanganyela subchondral sclerosis) bese, ezikhulayo kancane kancane, siguqulelwa omkhulu ithambo izindebe kanye spikes. Ukuba khona izinguquko eziphawulekayo uqwanga articular kuqinisekisa ngezinga ezahlukene ngokuhlanganyela isikhala ukuvaleka. Ngaphezu kwalokho, igebe kungenziwa ayisesemikhulu ngakolunye uhlangothi futhi ngesikhathi esifanayo ukuze sandise ngakolunye, nakho kubonisa nokuntengantenga we ngokuhlanganyela.

Ngaphezu kwalokho, zama-X ray ukuhlola kwembula sclerosis subchondral amapuleti sekupheleni. ukujiya yabo futhi ebonisa nokuntengantenga we ngokuhlanganyela, futhi kukhona ngokuvamile ngenxa ukuhlukumezeka mechanical noma ngenxa yezinguquko ezihlobene nokukhula amalunga omzimba kwasebekhulile.

Osteoarthritis ngokuvamile kunomthelela ekulahlekelweni ukwehla umsebenzi uqwanga ekuvikeleni ithambo kusukela ukucindezeleka okungokomzimba lokukhanda. Uhlawula isici kuleli cala le ukuqina kwamathishu subchondral, isb isigaxa noma ukuqina ithambo subchondral ithambo cancellous.

Evamile eRussia, yakhelwe Kosinskaya NS ngezigaba radiographic osteoarthritis ngokuvumelana komqondo nezinga lokukhula kwengane. Ngokwesibonelo, esigabeni sokuqala isifo libhekene khona encane ngokuhlanganyela isikhala ukuvaleka, futhi neziqu bony umngcele. Elivela kuzo syndrome subchondral futhi ukuvaleka elikhethiwe isikhala ngokuhlanganyela kubonisa esigabeni osteoarthritis yesibili. Futhi ekugcineni, esigabeni sesithathu - ukuvaleka okungazelelwe futhi okuphawulekayo we-gap, ephelezelwa zokwakheka cystoid futhi aba kobuso amalunga omzimba.

Ngokuvamile, ukwelashwa osteoarthritis - inqubo kunalokho eside futhi kukhathaza. Izimiso zalo eziyisisekelo zihlanganisa, ngokuyinhloko, umkhawulo olunyakazisa umzimba, Physiotherapy, amathambo ukuhambisana umbuso, njll