Mushonga unobatanidza kana huri mhando ndeye rudzi rwekateti inowanzozivikanwa nevarwere vechirwere. Mhando iyi yekatekete inowanikwawo mumapapiro emvura uye chechechea (windpipe). Mu osteoarthritis , martilage kurashikirwa chinhu chikuru chinoita kuti zvirwere zvifambire mberi. Chii chinonzi kurasikirwa kwekatetilage? Ndezvipi zvinofanirwa kupera nokukurumidza kurasikirwa kwekatetiji? Pane chinhu chingaitwa here kuti chidzivirire kana kuti kutsiva katetilage yakarasika?
Nei Unoda Cartilage?
Chikafu chinoputika chinoshanda sechikwata mukati memubatanidzwa uye sechisimba chinotyisa. Kana karotika yakakonzerwa kana yakasakara, sangano rakabatwa rinova rinorwadza, rakaoma, uye rakagadzikana muhuwandu hwekufamba . Izvi ndizvo zviratidzo zvinokutungamirira kuti uone chiremba wako kuti aone kuti chii chingaitwa kune manotsi ako. Izvozvo zvinowanzoita kuti uwedzere kuedzwa uye kuongororwa kweasteoarthritis.
Chii Chinoitika Nokushungurudzika kweCartilage?
Cartilage kurashikirwa kunotsanangurwa nekuderera kwehutikiti kuwanda uye kuwanda. Icho chinoitika mushure mekushaya karotika inenge ichienda kure kana kuora. Nechiritilage kurasikirwa kwehasteoarthritis yakaoma, iyo yakabatana nzvimbo inoputika uye pfupa rinoputika pfupa mushure mekushaya kurasikirwa kunowanikwa (dzimwe nguva kunonzi bone-on-bone). Panguva iyoyo, pane zvishoma kana pasina gorotika yakasara kuita basa rayo sechisimba. Munyaya yemabvi uye chiuno, kuvhiya kunoshandiswa ndiyo mhinduro.
Ndezvipi Zviitiko Zvinofanotaura Kurasikirwa Kwekatekete muKnee?
Vatsvakurudzi vatsvakurudza marashila kurasikirwa mumabvi akabatanidzwa uye vakaona kuti zvinhu zvitatu zvinofanotaura izvi - kuparadza kwemazuva ekupedzisira, kusarudzwa kwevanhu, uye varus malalignment (bow-legged) yemabvi akabatanidzwa.
Imwe yedzidzo yakabvumirana, ichiratidza kuti njodzi dzinokonzerwa nehutachiona hunokurumidza kukura dzinosanganisira kuora kwechikafu, meniscus misodzi, zvimwe zvinokuvadza ku meniscus, uye zvipembenene zvakanyanya zvinowanikwa muMRI. Synovitis uye kuwedzera kwekubatanidza zvakare kwaive maitiro ekufungidzira kwekurasikirwa kwekatekete. Zvinofadza, kuwedzera kuwanda kwaive chinhu chakakoshawo zvakare.
Pamusana pekuwedzera kwechikamu chekutanga-miviri yemuviri (BMI), njodzi yekurasikirwa kwekusimudzirwa kwekukurumidza yakawedzera ne11%.
Kuchera Katetilage Kurasikirwa
Ndezvipi zvinogona kuitwa kuti kuderedze kana kugadzirisa kurasikirwa kwekatetilage? Kurapa kunochengetedza kunosanganisira matanho ekugadzirisa marwadzo nekuputika uye kuderedza kushungurudzika kwekubatana. Hapana humwe uchapupu hwokuti izvi zvinotungamirira kune kukura kwechikafu chinowedzera, asi kunogona kuderedza kurasikirwa kwekatekiti. Aya mazano anosanganisira kuora muviri, kuputika, maitiro ekurapa maitiro, NSAIDs , mahomoni, zvinowedzera zvakadai seglucosamine uye chondroitin phosphate, injini ye steroid mubatanidzwa uye Synvisc kutora hyaluronic acid.
Kudzorera Kushongedzwa Kwemaziso
Kurapa kwekushanda kuedza kudzorera martila panzvimbo pokutsiva majoka ndiwo anowanzoitwa kuvarwere vaduku.
- Arthroscopic nzira dzinosanganisira microfracture, drilling and abrasion arthroplasty, izvo zvose zvinokonzera nzvimbo shoma dzekukuvara nekukurudzira regrowth of cartilage.
- Kunyoresa maitiro kunobatanidza mutsva mutsara kana zvikamu zvose zvetikiti. Izvi zvinosanganisira autologous chondrocyte implantation, iyo inokohwa mazamu ako emagetsi kuti aise panzvimbo yavanoda. Osteochondral transplantation inotora majekkiti kana matombo ematumbu zvichibva kumurwere kana kuti cadaver mupiro uye anozviisa muchibatanidzwa uko pavanenge vachida.
- Kutsvakurudza kuri kuenderera mberi mukushandisa masero emadziro, gene therapy uye tissue engineering kuburitsa karotilage.
Sources:
Ukama hweHumaniscal Damage, Meniscal Extrusion, Malalignment, uye Joint Laxity Kuendesa Kutevedzwa kweCartilage muOsteoarthritis Knees. Leena Sharma et al. Arthritis & Rheumatism, June 2008.
http://www3.interscience.wiley.com/journal/119755354/abstract
Kurema Kunokonzera Kukurumidza Kurasika Kwetikariti. EurekAlert. July 14, 2009.
http://www.eurekalert.org/pub_releases/2009-07/rson-oct070709.php
Articular Cartilage Restoration, American Academy of Orthopedic Surgeons, February, 2009.
Mazen Falah, Gabreil Nierenberg, Michael Soudry, Morris Hayden, naGershon Volpin. "Kurapa kwechirwere chetiketeti chemabvi." Int Orthop. 2010 Jun; 34 (5): 621-630.