Kuyera Kuwedzera kweOsteoarthritis
X-ray mifananidzo inogona kuona nzvimbo inobatanidza. Munhengo dzakanaka, kune nzvimbo yakakwana yepakati pakati pemigumo yemapfupa iyo inogadzira kubatana. Mhedziso yemapfupa ari mubatanidzwa yakafukidzwa nehatictic cartilage. Muchikamu chisina kunaka-chinokonzerwa neArthritis-kune uchapupu hwekuputika kwepakati pakati pemigumo yemapfupa mubatanidzwa, chigumisiro chekatetilasi kurasikirwa .
Goroti inoshandiswa inoshandiswa sechikwata uye inoshungurudza kunyanya mukati memubatanidzwa. Apo katetilage inoderera kana kupfeka, sangano rinopindira rinova rinorwadza, rakaoma, uye rakakosha muhuwandu hwekufamba . Kana chibatanidziro chichikuvadza zvakanyanya uye cartilage yakasakara zvachosa, mungozi inowanzonzi sefu-on-bone .
Joint Space Narrowing Ndicho Chirongwa Chekuongorora Arthritis
Kuongorora arthritis kunowanzobatanidza kuenzanisa nzvimbo yekubatana uye kutonga kana yakaderera. A x-ray inorema inotorwa kunotsvaka nzvimbo yakabatana inopinza muhudyu nemabvi.
Mu osteoarthritis , kubatana kwepakati nzvimbo yakaderera inowanzosisa. Rinosiyana mumakamuri akasiyana emabvi emabvi akafanana nepamusoro pekubatanidzwa kwechiuno chakakanganiswa. Zvisinei, inowanzoenzaniswa mu osteoarthritis yemakumbo emunwe.
Nepo nhengo yekubatanidza kuderedza inowanzova chiratidzo chekutanga chechirwere chekuongorora chirwere, iyo inongova chiratidzo.
Zvose nzvimbo yakaderera ine tsanangudzo yakasiyana uye inoratidzika panguva dzakasiyana mumarudzi akasiyana-siyana eArthritis. Zera remurwere zvinosanganisirawo zvakakosha zvekubatana kwenzvimbo kuderedza.
Zvimwe zviwanikwa zvemashoko, pamwe nemigumisiro yekuongorora kwemuviri uye kuongororwa kweropa, inofanirawo kuongororwa panguva yekuongorora chirongwa.
Zvose zvinoputika zvinogona kuitika nemhando dzakasiyana-siyana dzedheumatic, kusanganisira osteoarthritis, rheumatoid arthritis , kuputika arthritis , kukonzera osteoarthritis , gout, kana systemic lupus erythematosus .
Joint Space Yakakonzera Chiratidzo Chekuwedzera Kwakawanda Osteoarthritis
Kuora uye kubvaruka kweasteoarthritis kunoratidzirwa nekunyanya kuwirirana uye kurasikirwa kwetikartila . Apo vanachiremba vanoongorora kuoma kweosteoarthritis, vanoshandisa zvidzidzo zvekufungidzira kuti vaenzanise kukuvadzwa kwekubatana nekuyera nzvimbo iripo pakati pemapfupa ejoka. Nzvimbo yakanyanyisa yakabatana inoratidza kukanganisa kwechikafu uye kuwedzera kwehutachiona.
Joint Space Inotarisa muKnee
Mumabvi, kubatanidza nzvimbo yakaderera yakabatanidzwa nekurasikirwa kwemaziso eti articular. Zvisinei, kusarudzwa kwevanhu kunokonzerawo kubatana kwepakati kuderedza.
Mune rumwe ruzivo, MRI yemabvi makumi maviri nevatori vechikamu vane chirwere chechirwere chechirwere chetachiona chakatorwa pakutanga kwechidzidzo, zvakare zvakare mushure memwedzi gumi nemashanu, uyezve shure kwemwedzi makumi matatu. Vatsvakurudzi vakagumisa kuti kuchinja kwemazinesi (non-articular knee cartilage) kwakave nokuchinja kwakaguma munzvimbo yekubatana yakaderedza.
Vatsvakurudzi vakatsanangura kuti ne osteoarthritis, martilage inowedzera inokuvadza uye meniscus inogona kusununguka.
Zvose nzvimbo yakanyanyisa ndiyo migumisiro yekuchinja kune yese yezvivako.
Iyo Joint Space Narrowing inotorwa uye yakasungwa sei
Chiyero chekubatanidza nzvimbo yakaderera chinoshandiswa uchishandisa chirongwa chinonzi Kellgren-Lawrence kuwedzera, iyo yakatanga kurongerwa muna 1957. Inotarisa kufambira mberi kweasteoarthritis muzvibatanidze pamatanho mashanu.
- 0 = Hapana zviratidzo zvekuchinja
- 1 = "kusava nechokwadi" shanduko munzvimbo yakabatana
- 2 = Zvishoma zvishoma zvinoshandiswa zvakanyanya neasteophytes
- 3 = kushanduka kwemazuva akawanda neavoophytes akawanda uye / kana kugadzirisa kwekubatana nzvimbo kunopera
- 4 = Kuchinja kwakanyanya nechingano chikuru chekubatanidza, kupfupa-pfupa-pfupa, uye maosteophyte anokosha
Izvi zvinoramba zvichiri kushandiswa uye zvakavakirwa pane kusina kurerutsa x-rays. Kurema kunobata x-rays kunogona kushandiswa kuongororwa mumamiriro ekurapa uye kufanotaura nezvekuwedzera kwechirwere. Vamwe vakadana kuti kuongorora kwekubatana kwemukati kunotsvedzana se "nguva yekubatanidzwa pamwe chete," asi izvozvo hazvifungi nezvezvimwe zvinhu zvakawanda zvinopinda musarudzo maererano nekubatanidzwa kwekugoverana.
Shoko Rinobva
Hapana mishonga inokonzera hutachiona hwehutachiona panguva ino. Kubudirira kweDMOADS (chirwere-kuchinja osteoarthritis zvinodhaka) kwave kuchiodza mwoyo, kutaura zvishoma.
Chikamu chechinetso, kana tikasarudza kuitumidza dambudziko, mukudzidzira mishonga inogona kuderedza kufambira mberi kwekubatana kwepakati nzvimbo yakaderera ndeyokuti chinokonzera osteoarthritis chiri chakaoma kudarika kusasara kupfeka uye kubvarura. Pane zvinonzi proinflammatory factors uye proteases inobatanidzwa mukubatana kwemashuga akabatanidzwa anowanikwa ne osteoarthritis. Izvozvo zvakati, pasina kunyatsoshanda kurapwa kunonoka kugovera osteoarthritis kufambira mberi, kukosha kwekuisa uye kuisa nzvimbo pamwe chete kuderedza kunenge kwishoma.
Mishonga yakawanda yeasteoarthritis inotarisirwa kugadzirisa zviratidzo , uye ndiyo ndiyo nzira yakanakisisa inowanikwa yekuderedza marwadzo uye kuwedzera hupenyu hwako.
> Sources:
> Karsdal, MA et al. Zvirwere-zvinogadzirisa zvirwere zvewasteoarthritis (DMOADs) emabvi uye chiuno: zvidzidzo zvakadzidziswa pakundikana nemikana yenguva yemberi. Osteoarthritis uye Cartilage. 2016 Dec; 24 (12): 2013-2021.
> Emrani PS, et al. Joint Space Narrowing uye Kellgren-Lawrence Kubudirira muKnee Osteoarthritis. Osteoarthritis Cartilage. 2008; 16 (8); 873-882.
> Kellgren JH, Lawrence JS. Kuongorora Kwemhepo yeOsteo-Arthrosis . Annals weRheumatic Diseases. 1957; 16: 494-502.
> Jacobson JA, Girish G, Jiant Y, Sabb BJ. Kuongorora Radiographic Arthritis: Degenerative Joint Disease uye Kusiyana. Radiology. 2008; 248 (3): 737-47.
> Loeser, Richard F. MD. Pathogenesis yeOsteoarthritis. Kusvika pari zvino. Yakaperedzwa June 21, 2016.