Kuziva Zvakarurama Osteoarthritis Inoita Kuti Utano Hwakanaka
Kuongororwa kweasteoarthritis inotarisa pane zvinangwa zviviri zvikuru. Kana uchitarisa osteoarthritis, chiremba anofanira kutanga atsiyanisa osteoarthritis kubva kune mamwe marudzi arthritis. Zvakakoshawo kuziva kana murwere ane chetatu osteoarthritis kana kuti yechipiri yehutaoarthritis inosangana nedzimwe chirwere kana chirwere.
Pakutanga, kuongororwa kwakarurama kweasteoarthritis kunokosha kuitira kuti nzira dzakakodzera dzokurapa dzingarangarirwe.
Kuti uongorore osteoarthritis, chiremba wako achaita zvidzidzo achishandisa:
Nhoroondo yezvokurapa
Nhoroondo yako yezvechirwere ichabatanidza ruzivo pamusoro pemamiriro ekurapa akapfuura, marwadzo, marapirwo, uye chirongwa chekuvhiya pamwe chete nehutano hwezvehutano. Kazhinji, pakusangana kwokutanga nachiremba wako, uchakumbirwa kuzadza tsvakurudzo yakawanda pamusoro pezvakaitika kare zvechiremba. Iwe uchazobvunzwawo pamusoro pezviratidzo zvauri kuona kusanganisira pazvinowanzoitika uye izvo zvinoita kuti zviratidzo zviwedzere kana zviri nani.
Kuongorora kwepanyama
Panguva yekuongororwa kwepanyama, chiremba wako achacherechedza chero zviratidzo uye zviratidzo zvinowanzobatanidzwa ne osteoarthritis. Chiremba achatsvaka:
- Joint kuzvimba
- Joint tenderness
- Yakaderera huwandu hwekufamba mumasangano
- Visible joint damage (kureva, bony kukura)
- Crepitus
- Muenzaniso wezvikamu zvakakanganiswa
Kufungidzira zvidzidzo
X-ray inowanzoshandiswa kusimbisa kuongororwa kweasteoarthritis.
X-rays inogona kuratidza maosteophytes pamabatanidzwa emakona, kubatana kwepakati kuderedza, uye subchondral bone sclerosis. Subchondral bone ndiyo yakatsetseka yemafupa ari pasi pecheti . Kunyange zvazvo MRI (magnetic resonance imaging) inzira inonyanya kufungidzira, iyo inoshandiswa zvishoma kudarika x-ray nemhaka yemari uye kuwanikwa.
MRI inoratidzira kuratidza mutsara, bone, uye mitsipa.
Kuongororwa kwebazi
Routine laboratory tests inowanzova yakakwana saka kukosha kwavo kuri kutonga kunze kwemamwe marudzi eArthritis, kunyanya kuvhiringidza mararamiro eArthritis, kana kusimbisa nheyo yepamusoro yekuona kurapwa. Synovial kuongorora mvura inobatsirawo kutonga kunze kweimwe mamiriro ezvinhu.
American College yeRheumatology Criteria
IAmerican College yeRheumatology yakagadzirisa zvinotarisirwa kuti zviongorore hutachiona hukuru hwemaoko, mahudyu, nemabvi:
Osteoarthritis of the Hand
- Kunorwadza , kupera, kana kuoma uye;
- Dhiyabhorosi yakakura kuwedzera kwemaviri kana kupfuura ezvimwe gumi zvakasarudzwa uye;
- Zvishomanana kupfuura zvitatu zvakatsvuka MCP (metacarpophalangeal) joints uye;
- Dhiyabhorosi kuwedzera kuwedzera kwemaviri kana kupfuura DIP (distal interphalangeal) joints kana kuparara kwemaviri kana kupfuura kwezvimwe gumi zvakasarudzwa
Masangano gumi akasanangurwa anosanganisira:
- Yechipiri uye yechitatu DIP joints of both hands
- Yechipiri uye yechitatu PIP (mapurisa anonzi interphalangeal) mazvikamu emaoko ose
- Kutanga CMC (carpometacarpal) masangano emaoko ose maviri
Osteoarthritis ye Hip
- Huru kurwadziwa;
- Mukadzi uye / kana acetabular osteophytes inoratidzika pane x-ray kana kuti sedimentation iri pasi kana kuti yakaenzana ne 20 mm / awa uye;
- Nzvimbo yakazara inopenya yakajeka pa x-ray
Mukati yehup rotation zvishoma kana zvakaenzana ne15 degrees, kuoma kwemangwanani mumucheka unogara usingapfuuri kana kuenzana neawa imwe, uye makore makumi mashanu kana kupfuura ndevamwe nzira dzinobatsira pakutsvaga osteoarthritis yehudyu.
Osteoarthritis yeKnee
- Knee pain and;
- Zvinotatu zvitatu zvinotevera zvinotevera: makore makumi mashanu kana kupfuura, kuoma kunogara kwenguva isingapfuuri nemaminitsi makumi matatu, crepitus, bony tsitsi, kuwedzera kwebony, kusasviba kune
Zvitsva zvinowanikwa pakubatare zvinobatsira pakuongorora mabheti osteoarthritis zvinosanganisira sedimentation rate pasi pe40 mm / awa, rhumamuid inoderera pasi pe1:40, uye test synovial fluid inoratidza zvakajeka, mvura inonzi viscous nemuchena weropa dema iri pasi pe2,000 / mm3.
Iro basa rechiremba kuti rive chiongorori asi rinonyatsobatsira kana murwere anonzwisisa kuti sei kuedza kuri kuitwa uye kuti zvinorevei zvinoreva.
Kana murwere anonzwisisa nzira kubva pane zviratidzo zvokutanga kuti aongorore kurongwa kwehutano, murwere angangodaro anowirirana uye mugumisiro wemishonga uchave wakabudirira.
Sources:
Osteoarthritis. Kusiyanisa Kuziva. Primer paRheumatic Diseases. Mharidzo 12. Yakabudiswa neArthritis Foundation.
IAmerican College yeRheumatology Zvirongwa zveKutsanangurwa uye Kubika kweOsteoarthritis yeHoko. 1990.
IAmerican College yeRheumatology Zvinokonzerwa neKutsanangurwa uye Kubika kweOsteoarthritis yeHur. 1991. http://www.rheumatology.org/publications/classification/oa-hip/1991_classification_oa_hip.asp
Zvinokonzerwa Nokugadzirwa kweIdiopathic Osteoarthritis (OA) yeKnee. 1986.