Tlhahlobo e Nepahetseng ea Osteoarthritis e Tiisa Tlhokomelo e Loketseng
Tlhahlobo ea lefu la osteoarthritis e lebisa tlhokomelo lipakaneng tse peli tse kholo. Ha ho hlahlojoa lefu la osteoarthritis, ngaka e tlameha ho qala ho khetholla lefu la masapo le mafu a mang a nang le ramatiki. Hape ke habohlokoa ho fumana hore na mokuli o na le lefu la pele la masapo kapa mofuta o mong oa osteoarthritis o amanang le lefu le leng kapa boemo bo bong.
Tlhahlobo e nepahetseng ea lefu la osteoarthritis ke ea pele, e le hore mefuta e nepahetseng ea phekolo e ka nkoa.
E le hore u fumane lefu la osteoarthritis, ngaka ea hau e tla etsa lipatlisiso e sebelisa:
Histori ea bongaka
Histori ea hau ea bongaka e tla kenyelletsa tlhahisoleseding mabapi le maemo a bophelo a nakong e fetileng, ho kula, ho phekoloa, le mekhoa ea ho buoa hammoho le mathata a hona joale a bongaka. Ka tloaelo, ha u khethoa ka lekhetlo la pele le ngaka ea hau, u tla botsoa hore u tlatse lipatlisiso tse ngata mabapi le histori ea bongaka. U tla boela u botsoe ka matšoao ao u nang le 'ona ho kenyeletsa le ha a atisa ho etsahala le hore na ke eng e etsang hore matšoao ao a mpe le ho feta kapa a ntlafatsoe.
Tlhahlobo ea 'mele
Nakong ea tlhahlobo ea 'mele, ngaka ea hau e tla hlokomeloa bakeng sa matšoao le matšoao ao hangata a amanang le lefu la osteoarthritis. Ngaka e tla batla:
- Ho ruruha ho kopane
- Bonngoe bo kopanetsoeng
- Ho tsamaea ho fokotseha ha marang- rang
- Ho senyeha ha motsoako o bonahalang (ie, bony growths)
- Crepitus
- Mohlala oa manonyeletso a amehileng
Ho nahana ka lithuto
Hangata li -X-ray li sebelisoa ho netefatsa hore na lefu la osteoarthritis le fumanoa joang.
Li-X-ray li ka senola li- osteophyte mahlakoreng a kopaneng, sebaka se kopantsoeng le sephahla sa masapo a masapo. Lesapo la masapo ke lesapo la lesapo le ka tlaase ho marulelo . Ha MRI (imaging ea resonance ea magnetic) e le mokhoa o feteletseng oa ho nahana, o sebelisoa hangata ho feta x-ray ka lebaka la theko le ho fumaneha.
MRI e hlahloba ho bontša lefuba, bone le li-ligaments.
Liteko tsa laboratori
Hangata liteko tsa laboratori li tloaelehile kahoo boleng ba tsona bo ho laola mefuta e meng ea ramatiki, haholo-holo ho ruruha ha ramatiki, kapa ho theha motheo oa ho hlahloba phekolo. Tlhahlobo ea metsi ea Synovial e boetse e thusa ho laola maemo a mang.
Koleji ea Amerika ea Litsela tsa Rheumatology
American College of Rheumatology e thehile mekhoa ea tlhokomelo ea bongaka bakeng sa ho hlahloba lefu la pele la masapo a letsoho, letheka le mangole:
Osteoarthritis ea Letsoho
- Ho opeloa ke matsoho , ho opeloa, kapa ho tiea le;
- Ho eketsa lisele tse thata ho tse peli kapa tse fetang tse 10 tse khethiloeng le;
- Tse seng kae ho feta tse tharo tse ruruhileng MCP (metacarpophalangeal) manonyeletso le;
- Ho eketsoa ha lisele tse thata ho tse peli kapa tse fetang tse ling tsa DIP (distal interphalangeal) kapa ho fokola ha lihlopha tse peli kapa tse fetang tse 10 tse khethiloeng
Lihlopha tse 10 tse khethiloeng li kenyeletsa:
- Lihlopha tsa bobeli le tsa boraro tsa li-DIP tsa matsoho ka bobeli
- PIP ea bobeli le ea boraro (li-interphalangeal) tsa matsoho ka bobeli
- Likarolo tsa pele tsa CMC (carpometacarpal) lihlopha tsa matsoho ka bobeli
Osteoarthritis ea Hip
- Mahlaba a Hip le;
- Basali le / kapa li-osteophyte tsa acetabular li bonahala ka lebelo la x-radi kapa sedimentation tlase kapa e lekanang le 20 mm / hora le;
- Sebaka se kopaneng se totobetseng ka x-ray
Ho potoloha ha lehare ho ka tlaase ho kapa ho lekana le likhato tse 15, ho thatafala ha hoseng ka letheka le fokolang ho feta kapa ho lekanang le hora e le 'ngoe, le lilemo tse 50 kapa ho feta ke litekanyetso tse eketsehileng tse ka thusang ho hlahloba osteoarthritis ea hip.
Osteoarthritis ea Knee
- Mathata a bohloko le;
- Bonyane tse tharo tse latelang: 6: lilemo tse 50 kapa ho feta, boima bo fokotsa nako e ka tlase ho metsotso e 30, crepitus, bonolo bo bobebe, ho eketsa bony, ha ho mofuthu ho ama
Liphuputso tsa lipatlisiso tse thusang ho hlahloba maqeba a lefu la lengole li kenyelletsa tekanyo ea sedimentation e ka tlaase ho 40 mm / hora, sesebelisoa sa rumatoid ka tlaase ho 1:40, le tlhahlobo ea lipilisi ea synovial e hlakileng, e nang le metsi a hloekileng a nang le sele e tšoeu ea mali e ka tlaase ho 2,000 / mm3.
Ke mosebetsi oa ngaka ho ba ngaka ea mafu empa ho hlakile hore hoa thusa haeba mokuli a utloisisa hore na ke hobane'ng ha liteko li etsoa le hore na liphello li bolela eng.
Haeba mokuli a utloisisa mokhoa ona ho tloha matšoao a matšoao ho ea hlahlojoa ka morero oa phekolo, mokuli o tla be a lumellana le ho feta 'me liphello tsa phekolo li tla atleha haholoanyane.
Lisebelisoa:
Osteoarthritis. Ho khetholla ho fapana. Primer ka Rheumatic Diseases. Khatiso 12. E hatisitsoeng ke Arthritis Foundation.
Sekolo sa American College of Rheumatology Lits'ebetso tsa Khakanyo le Tlaleho ea Osteoarthritis ea Letsoho. 1990.
Sekolo sa American College of Rheumatology Mekhoa ea ho khetholla le ho tlaleha ha Osteoarthritis ea Hip. 1991. http://www.rheumatology.org/publications/classification/oa-hip/1991_classification_oa_hip.asp
Mehato ea ho Khetholla Osteoarthritis ea Idiopathic (OA) ea Knee. 1986.