Xaalad la xiriirta Osteoarthritis ama Dhaawaca Lafta
Bararka neefta lafaha ayaa ah erey loo isticmaalo qeexidda dhajinta dareeraha (edema) ee dhuuxa lafta. Inkastoo ereyga marar badan loo isticmaalo kiliinikada, waxaa badanaa loo yaqaanaa sida maanta loo yaqaan lafdhabarta lafta.
Kaadi-bararka lafaha ayaa ah xaalad lagu ogaan karo ultrasound ama magnetic resonance imaging (MRI) scan waxaana badanaa lala xiriiriyaa osteoarthritis , jab, ama dhaawac wadar ah.
Lafaha dhuuxa lafaha ee Osteoarthritis
Horumarinta dheecaanka lafaha ee lafdhabarta osteoarthritis badanaa waxay muujinaysaa xaalad sii xumaaneysa.
Marka lagu daro dheecaanka raasumaalka, fiixda subchondral waxaa badanaa lagu arki karaa MRI. Tani waa marka dhibaatada lagu sameeyo kilyaha uu bilaabmayo inay adkaato oo ay sameeyaan qoryaha dareeraha leh (cysts) ee wadajir ah. Tani waxay keenaysaa meesha wadajirka ah ee ciriiriga ah iyo garaacista si ay u sii dheeraato, loona keeno lafo si ay u lumiso lafta .
Maadaama jirradu sii badato iyo in ka badanba, lafdhabarta hoose ee dareemayaasha ayaa soo noqnoqda, taasoo horseedaysa xanuunka iyo sii kordhaya sii socodka dhaqdhaqaaqa. Tani waxay si gaar ah u hubineysaa kiisaska osteoarthritis jilibka . Xakamaynta jilitaanka jirka oo kaliya ayaa ka sii dareysa xaalada, isaga oo ku daraya walbahaarka dhirta ee horay loo kala qaaday.
Bararka lafaha ee lafaha ee dadka qaba osteoarthritis waxay la xiriirtaa natiijooyinka saboolka ah. Marka la barbardhigo dadka aan lahayn edema, kuwa bararka leh waxay u badan tahay inay arkaan xaaladdooda si deg deg ah u sii xumaato, inta badan muddada u dhaxaysa 15 illaa 30 bilood.
Dhaawaca Marrka Lafaha ee Dhaawaca
Bararka dheecaanka laf dhabarka ayaa badanaa lagu arkaa jabka iyo dhaawacyada kale ee lafaha ama wadajirka ah, gaar ahaan kuwa ku lug leh lafdhabarta, sinta, jilibka, ama canqowga. Xaaladda dhaawaca ah, ereygu waa mid aan qaas u ahayn waxaana laga yaabaa inuu tilmaamo dheecaan ama dhiig ama dheecaan ka sameysma oo ka timaadda fibrosis (unugyada maqaarka) ama necrosis (dhimasho unug).
Qaar ka mid ah sababaha ugu badan ee keena bararka lafaha miskaha waxaa ka mid ah:
- Cadaadiska jabka ee lugta, sinta, canqowga, ama jilibka taasoo saameyn ku celisa meelaha cidhiidhiga ah ee aan ciriiri lahayn ee wadajirka culeyska culus
- Isku-darka ilmagaleenka (ACL) , oo caadi ahaan kakooban halkii uu ka fududaan lahaa, kaas oo ka muuqda nabar iyo synovitis ("biyaha jilibka")
- Cillad faafidda jilibka , oo inta badan la xiriirta da 'da' sare, halka lafaha lafdhabarku bilaabaan inay burburaan oo burburaan
- Burooyinka lafaha ee ku urursan dareeraha ayaa kaa caawin kara burburinta sharafta qaabdhismeedka lafaha iyo kordhinta halista jabka
- Kala saarista sinta oo ay hoos u dhigtay dhiigga lafaha waxay sababi kartaa osteonecrosis (dhimashada lafta)
In kastoo qaar ka mid ah noocyada lafaha lafaha miskaha ay adag tahay in la daweeyo, kuwa la xiriira dhaawaca maskaxda ah ama dhaqdhaqaaqa soo noqnoqda ayaa badanaa lagu xallin karaa nasashada, xanuunka qaaxada iyo daaweynta jireed. Kiisaska daran waxaa laga yaabaa inay u baahdaan irbado ama qalitaan.
Bararka lafaha miskaha wuxuu noqon karaa xaalad jahwareer ah, oo saameynaysa dadka qaarkood si ka duwan sida kuwa kale. In kastoo ay u muuqato in lagu xalliyo afar illaa 12 bilood ka dib dhaawac, ilaa 15 boqolkiiba kiisaska waxay ku sii jiri doonaan laba sano ama ka badan, xitaa kuwa ka mid ah kuwa kale oo caafimaad ah.
> Ilo:
> Eriksen, E. "Daaweynta lafaha lafta (lafdhabarta lafaha)." Bonekey Rep . 2015; 4: 755. DOI: 10.1038 / bonekey.2015.124.
> Kothari, A .; Guermazi, A .; Chmiel, S. et al. 'Xidhiidhka hooseeya ee u dhaxeeya dhaawacyada lafaha iyo lafdhabarka dambe ee jilibka osteoarthritis. " Arthritis Care Res. 2010; 62 (2): 1988-203 DOI: 10.1002 / acr.20068.