Created at:1/16/2025
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I-Osteochondritis dissecans yisimo sejoyinti lapho ingxenye encane yethambo ne-cartilage ihlala ikhululekile noma ihlukaniswe ekupheleni kwethambo. Cabanga ngakho njengengxenye yephazili eqala ukuhlukana nezinye izingxenye zephazili.
Lesi simo sivame ukubathinta abantu abanesandla, kodwa singase futhi senzeke ehlombe, ezinzwini, noma ehlombe. Nakuba kungase kuzwakale kuyesabekayo, abantu abaningi abane-osteochondritis dissecans bayaphila kahle ngokwelashwa okufanele nokukhathalela.
I-Osteochondritis dissecans kwenzeka lapho ukugeleza kwegazi endaweni encane yethambo ngaphansi kwe-cartilage kuphazamiseka. Ngaphandle kokunikezwa kwegazi okufanele, leyo ngxenye yethambo iqala ukuwohloka futhi ingase ekugcineni iphule.
Lesi simo lidala lokho odokotela abakubiza ngokuthi “i-lesion” - ngokuyisisekelo indawo ebuthakathaka lapho ithambo ne-cartilage ngaphezulu kwayo ziqala ukuhlukana. Emacaleni alula, ingxenye ihlala inamathele kodwa iba yingxube. Emacaleni aqatha kakhulu, ingase iphule ngokuphelele futhi ihambe endaweni yakho yejoyinti.
Abadlali abasebasha abaneminyaka ephakathi kwengu-10 nengu-20 bathuthukisa lesi simo kakhulu, nakuba singase futhi sithinte abantu abadala. Izindaba ezinhle ukuthi abantu abasebasha bathambekele ekwelapheni kangcono ngoba amathambo abo asakhula futhi anamandla okuphulukisa kangcono.
Izimpawu zingase zihluke kakhulu kuye ngokuthi isimo sakho siqatha kangakanani nejoyinti ethintekayo. Abantu abaningi baphawula izimpawu kancane kancane kunokuba kube ngesikhathi sinye.
Nazi izimpawu ezivame kakhulu ongazihlangabezana nazo:
Emacaleni athuthukile, ungase ubone izimpawu ezengeziwe ezibonisa ukuthi isigamu lempunga sesikhululekile ngokuphelele:
Lezi zimpawu zikhula ngoba izingcezu ezikhululekile zingabanjwa phakathi kwamafomu ejoyinti, kufana nokuthi unegqabha elibanjelwe ecingweni lesango. Nakuba kunganelisi, khumbula ukuthi kukhona ukwelashwa okuphumelelayo okuzokusiza uzizwe kangcono.
Odokotela bahlukanisa i-osteochondritis dissecans ngezinhlobo ezimbili eziyinhloko ngokusekelwe ekuthuthukiseni kwayo nokuthi indawo ethintekile iqinile kangakanani. Ukuqonda ukuthi yiluphi uhlobo olulokhu kunceda ekutholeni indlela yokwelapha engcono kakhulu.
Uhlobo lokuqala yi-juvenile osteochondritis dissecans, evela kubantwana nabasakhulayo abamathambo abo asakhula. Leli fomu ngokuvamile linethuba elihle ngoba amathambo amancane aphulukana kahle futhi izigaxa zokukhula zisavulekile.
I-Osteochondritis dissecans yabantu abadala ithuthuka ngemuva kokuba izigaxa zokukhula zivaliwe, ngokuvamile ngemuva kweminyaka engama-20. Lo mkhuba uba nzima ukwelapha ngoba amathambo avuthiwe awaphuli njengamathambo akhulayo.
Odokotela futhi bahlukanisa isimo ngokusekelwe ekuzinziseni. Izilonda ezinzile zisho ukuthi isigamu sempunga nomthambo zisabambe ngokuqinile, ngisho noma zibuthakathaka. Izilonda ezingazinzi zibonisa ukuthi isigamu sikhululekile noma sihlukene ngokuphelele nempunga.
Imbangela eqondile ayicaci ngaso sonke isikhathi, kodwa izinto eziningi zingase zifake isandla ekuthuthukiseni leli simo. Imikhakha eminingi ivela ekuxubeni kokucindezela okuphindaphindwayo nokunciphisa igazi endaweni yempunga ethintekile.
Nawa amanye amaphuzu aholela ku-osteochondritis dissecans:
Abagijimi abahlanganyela ekujikelezeni, ibhola yebhola, ithenisi, noma ibhasikithi babhekene nengozi enkulu ngoba le midlalo ihilela ukucindezeleka okuphindaphindayo kwesigxobo. Noma kunjalo, isimo singathuthuka nakwabantu abangasebenzi kakhulu.
Ngezinye izikhathi, ukulimala okuncane okuningi ngokuhamba kwesikhathi kungonakalisa indawo yethambo kancane kancane. Cabanga ngakho njengokubopha iphepha lokubopha emuva nangaphambili - ekugcineni, insimbi iyancipha futhi iphula ngisho noma akukho lutho olukhulu olukhulu olukhulu.
Kufanele ubheke udokotela uma unebuhlungu obuqhubekayo besigxobo obungaphuli ngokuphumula, ikakhulukazi uma buthinta imisebenzi yakho yansuku zonke. Ukuxilongwa kwasekuqaleni nokuphathwa kungavimbela isimo ukuba singabi sibi.
Hlela i-aphoyintimenti ngokushesha uma ubona noma yiziphi izimpawu zezexwayiso:
Funani usizo lwezokwelapha ngokushesha uma isigxobo sakho sivala ngokuphelele futhi awukwazi ukusihambisa, noma uma ubona ubuhlungu obukhulu obukhulu. Lezi zimpawu zingase zibonise ukuthi isigamu sethambo siqhekekile futhi siyaphazamisa umsebenzi wesigxobo.
Khumbula, ukubona udokotela ngokushesha akusho ukuthi kukhona okungalungile. Izinkinga eziningi zesigxobo, kufaka phakathi i-osteochondritis dissecans, ziphendula kangcono ekwelapheni uma zitholakala ngokushesha.
Izici eziningi zingakwandisa amathuba akho okukhula kuleli simo, nakuba ukuba nezici ezingozi akusho ukuthi uzokuthola i-osteochondritis dissecans. Ukuqonda lezi zici kungakusiza ukuthi uthathe izinyathelo zokuvikela uma kungenzeka.
Ubudala buwumsebenzi obalulekile ezingeni lakho lokuthola ingozi. Leli simo sivame ukubathinta abantwana nabasakhulayo abaneminyaka ephakathi kuka-10 no-20, ikakhulukazi phakathi nezikhathi zokukhula okusheshayo kwamathambo.
Izinga lakho lomsebenzi kanye nokuhlanganyela kwezemidlalo kuphinde kuthonye ingozi:
Ezinye izici ezingakwandisa ingozi yakho zihlanganisa:
Nakuba ungakwazi ukushintsha izici ezifana nobudala noma i-genetics, ungashintsha izingozi ezihlobene nomsebenzi ngezindlela zokuqeqesha ezifanele, ukuphumula okwanele, nokusebenzisa imishini yokulondoloza efanele. Ukusebenza nabaphathi noma abaqeqeshi abaqeqeshwe kahle kungakusiza ukugcina ifomu elihle futhi ugweme ukulimala okukhulu.
Abantu abaningi abane-osteochondritis dissecans bayaphila kahle ngokwelashwa okufanele, kepha izingozi zingakhula uma isimo singalashwa noma sibe sibi. Ukuqonda izingozi ezingaba khona kuqokomisa ukubaluleka kokufuna ukunakekelwa okufanele.
Ingozi evamile kakhulu iwukukhula kwe-arthritis ezinhlangothini ezihlaselekile. Uma ubuso obuthambile be-cartilage bulimazeka noma bungalingani, kungabangela ukugqwala nokuqhekeka ngokuhamba kwesikhathi.
Nawa ama-complications aphambili angaba khona:
Ezimweni ezingavamile, kungaqala ukukhula izinkinga ezinzima kakhulu:
Izindaba ezinhle ukuthi ukwelashwa kwasekuqaleni kunciphisa kakhulu ingozi yakho yokuthuthukisa lezi zinkinga. Abantu abaningi abamukela ukunakekelwa okufanele bagcina umsebenzi omuhle wejoyini futhi bangabuyela emisebenzini yabo evamile.
Nakuba ungakwazi ukuvimbela zonke izimo ze-osteochondritis dissecans, ungathatha izinyathelo zokunciphisa ingozi yakho, ikakhulu uma usebenza ngamandla ezemidlalo. Ukuvimbela kugxila ekuvikeleni amajoyini akho ekucindezelweni okukhulu nasekugcineni impilo enhle yomzimba jikelele.
Amakhono afanele okuqeqesha akha isisekelo sokuvimbela. Ukufunda ifomu elifanele nokukhulisa kancane amandla omsebenzi kusiza amajoyini akho ukuba azilungiselele ngaphandle kokudlula.
Nawa amasu abalulekile okuvimbela:
Kubadlali abasebancane, ukucabangela okwengeziwe kuhlanganisa:
Khumbula ukuthi ukuvimbela akuwona ukugwema umsebenzi ngokuphelele. Ukuzivocavoca njalo kubalulekile empilweni yamajoyinti. Ikhona ukufumana ibhalansi efanele phakathi kokuhlala usebenzayo nokungaqedi amandla amajoyinti akho.
Ukuhlola i-osteochondritis dissecans kuhilela ukuxoxa ngezimpawu zakho, ukuhlolwa komzimba, kanye nezivivinyo ze-imaging. Udokotela wakho uzofuna ukuqonda ukuthi izimpawu zakho zaqala nini nokuthi yimiphi imisebenzi eyenza zibe ngcono noma zimbi.
Phakathi nokuhlolwa komzimba, udokotela wakho uzohlola ukukhuluphala, ubuhlungu, kanye nokujikeleza kwejoyinti elimele. Bangase futhi benze izivivinyo ezithile ukuze babone ukuthi ijoyinti yakho izizwa ingaqinile noma uma ukuhamba okuthile kubangela ubuhlungu.
Izivivinyo ze-imaging zinikeza ukuxilongwa okuqinisekile kakhulu:
Udokotela wakho angaqala nge-X-rays njengoba zitholakala kalula futhi zingabonisa amacala amaningi e-osteochondritis dissecans. Noma kunjalo, i-MRI ivame ukudingeka ukuhlola ngokuphelele isimo, ikakhulukazi ukuze ubone ukuthi isigamu samathambo siqine noma asiqinile.
Inqubo yokuxilonga iyasiza udokotela wakho ukuthi angaboni nje kuphela ukuthi une-osteochondritis dissecans, kodwa futhi nokuthi ibinde kangakanani nokuthi iyiphi indlela yokwelapha ezosebenza kangcono esimweni sakho.
Ukwelashwa kwe-osteochondritis dissecans kuncike ezintweni eziningi, kufaka phakathi iminyaka yakho, ukuthi isimo sibubi kangakanani, kanye nomthambo othonyeke. Umgomo ukukhulula ubuhlungu, ukubuyisela umsebenzi womthambo, nokuvimbela izinkinga zesikhathi eside.
Kubalimi abakhulu, ikakhulu kubantu abasebancane, ukwelashwa okungeyona i-surgical kuvame ukusebenza kahle. Le ndlela igxile ekunciphiseni ukucindezeleka komthambo ngenkathi ivumela ukululama kwemvelo ukwenzeka.
Ukuphathwa okungeyona i-surgical kufaka phakathi:
Ukuhlinzwa kungadingeka uma ukwelashwa okungeyona i-surgical kungasebenzi noma uma ingxenye yethambo ihlala. Izinketho zokwelapha zihluka kuye ngesimo sakho esithile:
Udokotela wakho uzohlangana nawe ukuze unqume uhlelo lokwelapha oluhle kakhulu olusekelwe ezimweni zakho. Abantu abaningi benza kahle kakhulu ngokwelashwa okuqaphayo, kanti abanye banzuza ngokungenelela kwe-surgical ukuze babuyele ezingeni labo lomsebenzi abalifisayo.
Ukuphathwa ekhaya kudlala indima ebalulekile ekulawuleni i-osteochondritis dissecans, ikakhulu phakathi kwesigaba sokululama sokuqala. Udokotela wakho uzonikeza imiyalelo ekhethekile, kepha amasu ambalwa avamile angakusiza uzizwe ukhululekile ngenkathi usekela inqubo yokululama.
Ukuphumula kuyinye yezinto ezibaluleke kakhulu ekunakekelweni kwasekhaya. Lokhu akusho ukuthi ungenzi lutho nhlobo, kodwa kunokuba ugweme imisebenzi ecindezela ijoyinti elilimale ngenkathi ugcina unomthelela oluthambile ukuvimbela ukukhuluphala.
Nazi izindlela zokwelapha zasekhaya eziphumelelayo:
Ukuguqula umsebenzi kubalulekile ngesikhathi sokuphulukisa. Kuzodingeka ugweme imisebenzi enomthelela omkhulu ngenkathi ubuyela kancane kancane ekunyukeni njengoba izimpawu zakho ziphulukana. Lalela umzimba wakho futhi ungaphuli ubuhlungu obukhulu.
Ukugcina ukudla okuhle kusekela ukululama kwamathambo. Qinisekisa ukuthi uthola i-calcium ne-vitamin D eyanele, futhi cabanga ukuxoxa ngezincedisi nodokotela wakho uma ukudla kwakho kungakunikeli ngezondlo ezanele.
Gcina ulandelela izimpawu zakho nokuqhubeka kwakho. Qaphela ukuthi yimiphi imisebenzi ebangela ubuhlungu futhi yimiphi ezwakala ilula, njengoba lolu lwazi lusiza udokotela wakho ukulungisa uhlelo lwakho lokwelapha ngesikhathi sokuvakasha okulandelayo.
Ukulungiselela ukuya kudoctor kusiza uqinisekise ukuthi uthola okuningi kakhulu ekuhambeleni kwakho futhi uthole ukunakekelwa okuhle kakhulu. Ukuthatha isikhathi sokulungiselela imicabango yakho nolwazi ngaphambi kwesikhathi kungenza ukuhlangana kube nomphumela.
Qala ngokubhala izimpawu zakho, kufaka phakathi ukuthi zaqala nini nokuthi yini eyenza zibe ngcono noma zimbi. Chaza ngokucacile uhlobo lobuhlungu obuhlangenwe nakho nokuthi luthinta kanjani imisebenzi yakho yansuku zonke.
Letha ulwazi olulandelayo ekuhambeleni kwakho:
Cabanga ukuthi ulethe ilungu lomndeni noma umngani, ikakhulu uma unesizungu ngokuya endaweni yokwelapha. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi banikeze ukwesekwa ngokomzwelo.
Lungiselela imibuzo kusengaphambili. Ungase ufune ukubuza ngezinketho zokwelapha, isikhathi esilindelekile sokuphulukisa, ukulinganiselwa kwemisebenzi, nokuthi ungabuya nini ezemidlalo noma emisebenzini evamile.
Gqoka izingubo ezanelisayo ezivumela ukufinyelela okulula ejoyini elimele ukuhlolwa. Uma usebenzisa ama-brace noma izesekeli, zilethe ukuze uzibonise udokotela wakho.
I-Osteochondritis dissecans iyisimo esilawuleka kahle esiphendula kahle ekwelapheni okufanele, ikakhulu uma kutholakala ngokushesha. Nakuba kungase kube ukukhathazeka ukwazi ukuthi uneinkinga yejoyini, khumbula ukuthi abantu abaningi baphila kahle futhi babuyela emisebenzini yabo evamile.
Into ebaluleke kakhulu okumele uyiqonde ukuthi ukungenelela kwangoko kwenza umehluko omkhulu eziphumeleni. Uma uhlushwa ubuhlungu obungapheli bejoyini, ukukhula, noma ukukhuluphala, ungalindi ukufuna ukunakekelwa kwezokwelapha.
Ubudala bakho lapho utholakala khona udlala indima ebalulekile ekuphulukiseni. Abantu abasebancane ngokuvamile baba namandla okuphulukisa kangcono, kodwa abantu abadala bangaphumelela kahle ngokwelashwa okufanele nokubekezela.
Impumelelo yokwelapha ixhomeke kakhulu ekulandeleni izimiso zikadokotela wakho, kungakhathaliseki ukuthi kuhilela ukuphumula, ukuqeqeshwa komzimba, noma ukuhlinzwa. Ukulandela izinhlelo zokwelapha nokuguqulwa kwemisebenzi kukunika ithuba elihle kakhulu lokuphulukisa ngokuphelele.
Khumbula ukuthi ukuphulukisa kuvame ukuba inqubo eyenzeka kancane kancane. Nakuba kuyinto evamile ukufuna ukubuyela emisebenzini ejwayelekile ngokushesha, ukuvumela isikhathi esanele sokuphulukisa kuvimba ukuphulukiswa okungapheli kahle nezinhlungu zesikhathi eside. Hlala uqinile, landela uhlelo lwakho lokwelashwa, futhi ugcine ukuxhumana okuvulekile neqembu lakho lokunakekelwa kwezempilo kulo lonke uhambo lwakho lokuphulukisa.
Abantu abaningi bangabuyela ezemidlalo ngemuva kokwelashwa okuphumelelayo, nakuba isikhathi sihluka kuye ngokubaluleka komcimbi wakho nokuthi iyiphi ingxenye yomzimba ethintekile. Abagijimi abasebasha abanezilonda ezinzima bavame ukubuyela emisebenzini egcwele phakathi nezinyanga ezingu-3-6 ngokwelashwa okuqondene.
Udokotela wakho uzokukhokhela inqubo yokubuyela ezemidlalo kancane kancane, uqale ngemisebenzi engathinti kakhulu bese ukhulisa amandla kancane kancane. Abanye abantu bangase badinge ukushintsha indlela yabo yokuzilolonga noma basebenzise imishini yokukhuselwa, kodwa ukumisa ngokuphelele umsebenzi akunakwenzeka isikhathi eside.
Cha, i-osteochondritis dissecans ne-arthritis ziyimibandela ehlukene, nakuba i-osteochondritis dissecans engaphathwe ingabangela i-arthritis ngokuhamba kwesikhathi. I-Osteochondritis dissecans ihilela indawo ethile yethambo ne-cartilage eba yiyona ephumile, kuyilapho i-arthritis iwukuvuvukala okubanzi kwamalunga nokubhidlika kwe-cartilage.
Kodwa-ke, uma ubuso obubushelelezi bomalunga bulimazeka unomphela yi-osteochondritis dissecans, kungadala izindawo ezingalingani eziholela ekunciphekiseni okwandayo ekugcineni kube yi-arthritis. Kungakho ukwelashwa kwasekuqaleni kubaluleke kangaka.
Isikhathi sokuphulukisa sihlukahluka kakhulu ngokususelwa ebudaleni bakho, indawo nobukhulu besilonda, kanye nokuthi udinga ukuhlinzwa yini. Abafana abancane abanesilonda esiqinile bangase babone ukuthuthuka ezinyangeni eziyi-6-12 ngokwelashwa okuqondile, kuyilapho ukuphulukisa okuphelele kungathatha izinyanga eziyi-3-6.
Abantu abadala ngokuvamile badinga isikhathi eside sokuphulukisa, ngokuvamile izinyanga eziyi-6-12 noma ngaphezulu. Uma kukhona ukulungiswa okudingekayo, ukuphulukisa kungathatha izinyanga eziyi-6-18 kuye ngokulungiswa. Udokotela wakho uzolandelela intuthuko yakho futhi alungise izilinganiso ngokususelwa endleleni obuyisabela ngayo ekwelapheni.
Ukuphindaphinda kungenzeka kodwa akuvamile uma isimo silashwe kahle futhi ulandela imiyalelo yokuguqula umsebenzi. Ingozi yokuphindaphinda iphakeme uma ubuyela emisebenzini ephakeme kakhulu noma awuqedi uhlelo lwakho lokuvuselela.
Ukulandela izincomo zikadokotela wakho zokuthuthukisa umsebenzi kancane kancane nokugcina impilo enhle yamalunga ngokulungiswa okuhle kunciphisa kakhulu ingozi yesimo esiphindaphindayo. Izivivinyo zokulandelela njalo zisiza ekutholeni noma yiziphi izinkinga ekuqaleni.
Nakuba kuvamile ukukhathazeka, i-osteochondritis dissecans kubantwana nabasakhulayo ngokuvamile inethemba elihle ngokwelashwa okufanele. Amathambo amancane anamandla okuphulukisa amangalisayo, futhi abantwana abaningi bayaphulile ngokuphelele ngokwelashwa okuqondile.
Ukuqakatheka kukusebenzisana eduze neqembu lokunakekelwa kwezempilo lengane yakho, ukuqinisekisa ukuthi balandela imikhawulo yemisebenzi, nokugcina ithemba eliqondile ngesikhathi sokuphulukisa. Abaningi abadlali abancane bangabuyela emidlalweni yabo futhi bagcine impilo esebenzayo ekuphileni kwabo ngokunakekelwa okuhle.