Cartilage e kopantsoeng kapa ea majoe ke mofuta oa lefufuru le tloaelehileng ho bakuli ba ramatiki. Lekhoba lena le boetse le fumanoa ka nasal septum le trachea (windpipe). Botheong ba lefu la masapo , lefu la lefuba ke ntho ea bohlokoa e etsang hore mafu a hatele pele. Chefo ea cartilage ke eng? Ke eng e bolelang esale pele tahlehelo ea khase e potlakileng? Na ho na le ntho e ka etsoang ho e thibela kapa ho nka sebaka sa lefuba le lahlehileng?
Ke Hobane'ng ha U Hloka Sethoathoa?
Lehlabula la majoe le sebelisoa e le mokokotlo ka hare ho letsoho ebile e le ntho e tšosang. Ha lefufuru le senyehile kapa le senyehile, motsoako o amehileng o ba o utloisang bohloko, o thata ebile o lekanyelitsoe ho tsamaea ha oona . Tsena ke matšoao ao ka mor'a moo a u lebisang ho bona ngaka ea hau ho fumana hore na ho ka etsoa eng manonyeletso. Hangata seo se tla lebisa tlhokomelo e eketsehileng le ho fumanoa ka lefu la osteoarthritis.
Ho Etsahala'ng ka Lefu la Cartilage?
Ho lahleheloa ha sethoathoa ho hlalosoa ke ho fokotseha ha lefuba le boholo le botenya. E etsahala ka mor'a lefufuru le tloha kapa le senyeha. Le lefu la lefuba le felloa ke matla a masapo a masapo a mabeli, karolo e kopanetsoeng e fokotseha 'me lesapo le phunyeletsa masapo ka mor'a lefu la lefu la khase (ka linako tse ling le bitsoa bone-on-bone). Nakong eo, ho na le khaseti e nyenyane kapa e se nang letho e tlohetsoeng ho etsa mosebetsi oa eona e le ntho e tšosang. Tabeng ea mangole le letheka, opereishene e ncha ke tharollo.
Ke Lintho Life Tse Bolelang ho Lahleheloa ke Litšoene Knee?
Bafuputsi ba 'nile ba hlahloba tahlehelo ea lefuba ka maoto' me ba fumana hore lintho tse tharo li bolela esale pele-e leng tšenyo e mpe ea meniscal, tšenyo e mpe ea meniscal, le varus malalignment (bow-legged) ea lengole.
Phuputso e 'ngoe e lumellana, e senola hore lisosa tse kholo tse bakang lefu la khase ka potlako li akarelletsa tšenyo ea lefuba, meniscus meokho, likotsi tse ling ho meniscus, le liso tse matla tse hlakileng MRI. Synovitis le ts'ebetso e kopanetsoeng hape e ne e le li-predictors tsa lefu la khase. Ho thahasellisang ke hore boima bo feteletseng e ne e le ntlha ea bohlokoa hape.
Bakeng sa phaello e 'ngoe le e' ngoe ea litekanyetso tsa boima ba 'mele (BMI), kotsi ea ho senyeha ha masapo ka potlako e eketsehile ka 11%.
Ho fokotsa tahlehelo ea methapola
Ke eng e ka etsoang ho fokotsa kapa ho lokisa lefu la khase? Kalafo e tsitsitseng e akarelletsa mehato ea ho fokotsa bohloko le ho ruruha le ho fokotsa khatello ea monoana. Ha ho na bopaki ba hore sena se lebisa ho lekhahla le lengata le eketsehang, empa le ka liehisa tahlehelo ea lefuba. Maqheka ana a kenyeletsa ho lahleheloa ke boima, ho robala, ho ikoetlisa, litlhare tsa meriana, li-hormone, li-supplements tse kang glucosamine le chondroitin phosphate, lenyolo la steroid ka letsoho le Synvisc ho nkela acid e hyaluronic sebaka.
Ho tsosolosa Cartilage ea Articular
Mekhoa ea ts'ebetso ea ho leka ho tsosolosa lefuba ho e-na le hore e nkele sebaka se kopane hangata e etsoa ho bakuli ba banyenyane.
- Mekhoa e mengata ea likokoana-hloko e kenyeletsa ho fokola, ho koahela le ho fokotsa li-arthroplasty, tseo kaofela li bakang libaka tse nyenyane tsa tšenyo le ho khothalletsa ho ruruha ha lefuba.
- Mekhoa ea ho rema lifate e kenya lisele tse ncha tsa methapola kapa likarolo tse feletseng tsa lefuba. Tsena li kenyeletsa ho kenngoa ha li-chondrocyte tsa autologous, e leng ho kotula lisele tsa hau tsa lefuba ho kenya moo li hlokang teng. Ho kenngoa ha li-osteochondral ho nka li-plug kapa lihlopha tsa mahlaseli ho tloha ho mokuli kapa mofani oa li-cadaver ebe o li kenyelletsa mokotong moo li hlokahalang.
- Lipatlisiso li ntse li tsoelapele ho sebelisa lisele tsa stem, phekolo ea liphatsa tsa lefutso le boenjiniere ba maiketsetso ho tsosolosa lefuba.
Lisebelisoa:
Kamano ea Litlokotsi tsa Bokhopo, Tloaeleho ea ho Fokotseha, Tlhokomelo, le Boikarabello bo Kopanetsoeng ba ho Lahleheloa ke Mahlakuli a Mahlaseli a Osteoarthritis. Leena Sharma et al. Ramatiki le Rheumatism, ka June 2008.
http://www3.interscience.wiley.com/journal/119755354/abstract
Botenya bo Hlahisa Bohlokoa ba ho Lahleheloa ke Lekhoba. EurekAlert. La 14 July, 2009.
http://www.eurekalert.org/pub_releases/2009-07/rson-oct070709.php
Keletso ea Cartilage ea Articular, American Academy of Orthopedic Surgery, February, 2009.
Mahal Falah, Gabreil Nierenberg, Michael Soudry, Morris Hayden le Gershon Volpin. "Kalafo ea lisebelisoa tsa articular cartilage tsa lengole." Int Orthop. 2010 Jun; 34 (5): 621-630.