Diseases o te hononga iho: sclerosis subchondral, rite tetahi o nga tohu o te osteoarthritis

Pono, ite te nuinga o te iwi i te iti rawa kotahi i roto i to ratou oraraa i te rarua me hūhi meinga e te mamae i roto i te hoki me hononga. O te akoranga, puna, ki te he poto rite ki te hua o te mahi mama ratou, engari he aha te mea e te mea he mate nui e titau te whai wāhitanga o ngaio?

Te huri i te wheua ngohe sclerosis subchondral ranei ko te take tino noa, me te radiographic tohu kino taua mate rite osteoarthritis iti mamae hoki ranei. Me kï reira e hopoi mai tahi kore te wā "osteoarthritis" kotahi engari he rōpū katoa o mate ki Morphology rite, koiora me ngā āhuatanga haumanu. I roto i tenei take, whai wāhi te tukanga i te tahi katoa, tae atu ki te wheua, capsule, mea tuhonohono e, uaua periarticular subchondral me synovium. I roto i te tohu haumanu matua osteartroza ngā te riaka, me te mamae o te hononga, ārahi muri ki te kore o te taumahinga. Ko te iwi rawa pono o tau matatau tenei.

I roto i te whānui, no osteoarthritis ki te rōpū o te tino noa mate o te hononga iho. Ko te take mo tona whanaketanga taea e kore anake mīhini (karawarawa, injuries, etc), engari ano hoki ngā āhuatanga koiora (takahi o nga tukanga o te hanganga o ngā pūtau hou o te wheua subchondral (sclerosis subchondral) me articular wheua ngohe). Hoki o te faufaa rahi i roto i te tātaritanga o osteoarthritis ko te aroaro o mate ira.

He osteoarthritis tuatahi, me te tuarua. Ko te take tuatahi, rite ki te tikanga, e taea e kore te tāuta. Kei te karanga a te reira i idiopathic, arā, motuhake ranei i rawe ki. Haunga te osteoarthrosis tuarua ai reira kitea - reira mīhini kino ki te hononga o te take rerekē (disorders pūkoro (pūkoro) endocrine mate, ngā tukanga inflammatory i roto i te hononga, injuries, me ētahi atu).

Ki te tautuhi i pai tono tātaritanga X-ray o osteoarthritis. tohu te reira i ki te maha o nga tohu e whakaatu he huringa i roto i te wheua, me te articular ngohe, tae atu ki sclerosis subchondral. tohumate Radiographic i roto i te tīmatanga o te osteoarthritis he osteophytes - growths a Ihakara i runga i nga taha o nei e whakaaturia i Sharpening mata tuatahi o ngā tapa o te tahi (papa tahi sclerosis subchondral) me ka, āta tipu, puta ngutu wheua nui me titaha ki. Ko te aroaro o rerekētanga nui i roto i te wheua ngohe articular fakapapau'i te tohu rerekē o te whāiti wāhi tahi. Ano, e taea te whāiti te āputa i runga i te ringa kotahi, me i te wa taua ki te whakawhānui i te tahi atu, e tohu hoki te tapepe o te tahi.

I tua atu, tātaritanga X-ray heheu sclerosis subchondral o te mau papaa parau mutunga. tohu ratou matotoru hoki te tapepe o te tahi, a reira ko te tikanga he hua o te whētuki aunoa ranei no o huringa e pā ana-tau o te hononga iho i roto i te paari.

maha whai wāhi osteoarthritis ki te mate o te hekenga uara mahi o wheua ngohe tiaki te wheua i te ahotea tinana, me te hangarau e. Paremata take i roto i tenei take ko te sclerosis subchondral, i.e. puranga thickening o te wheua subchondral ranei wheua cancellous.

Ko te tino noa i roto i Russia, hangaia te Kosinskaya NS whakarōpū radiographic o osteoarthritis rite ki te wāhanga o te whanaketanga. Hei tauira, he wāhanga tuatahi o te mate āhuatanga e te aroaro o te whāiti wāhi tahi iti, a rohe growths Ihakara. Takanga o te syndrome subchondral me te whāiti motuhake o te wāhi tahi tohu te wāhanga tuarua o te osteoarthritis. Na rawa, te toru o nga atamira - he whāiti ohorere, me te nui o te āputa, tahi e ngā cystoid me flattening te mata o te hononga iho.

Ko te tikanga, ko te maimoatanga o te osteoarthritis - he tukanga kaua roa, me te mahi a. ngā ona mau parau tumu taketake, matua, te herenga o te mahi tinana, i tua, orthopedic tikanga tautukunga, me ētahi atu