Haɗin gwiwa ko gwanintattun faya-fayen shine nau'in ƙwayar wucin gadi wanda ya fi dacewa da marasa lafiya na arthritis. Wannan nau'i na guringuntsi yana samuwa a cikin ƙananan rufi da kuma trachea (windpipe). A cikin osteoarthritis , guringuntsi asarar wani muhimmiyar factor da ke taimakawa wajen ci gaban ci gaba. Mene ne asarar guringuntsi? Mene ne yake nuna asarar mota? Za a iya yin wani abu don hana shi ko kuma maye gurbin kayan gwal manya?
Me ya sa kake buƙatar gwanintar?
Turare na kayan aiki yana aiki a matsayin matashi a cikin haɗin gwiwa kuma a matsayin haɗari. Lokacin da tilastawa ya lalace ko kuma bacewa, haɗin da ya shafi abin ya shafa ya zama mai zafi, mai ƙarfi, kuma iyakance a tafkin motsi . Waɗannan su ne bayyanar cututtuka da suka sa ku ga likitan ku don gano abin da za a iya yi don gidajenku. Wannan zai haifar da ƙarin gwaji da ganewar asali na osteoarthritis.
Menene Yake faruwa Da Rashin Gwaji?
Damarar gwargwadon ƙwayar yana ƙayyade tawurin ragewa a ƙwanƙun ƙwayar mota da kauri. Yana faruwa bayan guringuntsi yana cire ko deteriorates. Tare da asarar ƙwayar mota mai tsanani na osteoarthritis, mahaɗin haɗin wuri ya raguwa da kasusuwa a kasusuwa bayan asarar cartilage (wani lokacin ana kiransa bone-on-bone). A wannan lokaci, akwai ƙananan ko babu abin da ke iya barin aikin aiki a matsayin mai haɗari. A cikin yanayin gwiwoyi da hips, wani tiyata maye gurbin shi ne mafita.
Wadanne hanyoyi ne suke tsammani gawar tiyata a cikin takalma?
Masu bincike sun bincikar asarar tsuntsaye a cikin haɗin gwiwar gwiwa kuma sun gano cewa abubuwa uku suna hango shi - lalacewa ta jiki, lalacewar lalacewa, da kuma laushi (bow-legged) na gwiwa gwiwa.
Wani binciken kuma ya yi daidai, yana nuna cewa abubuwan da ke tattare da yaduwar mota sun hada da lalacewar sigari, meniscus hawaye, wasu raunuka ga meniscus, da kuma cututtuka masu tsanani da ake gani a kan MRI. Har ila yau, synovitis da haɗin gwiwa sun kasance masu hango gangamin hasara. Abin sha'awa, ƙananan nauyi shine muhimmiyar mahimmanci.
Don kowane haɓaka 1 a ma'auni na jiki (BMI), haɗarin haɗarin mota mai yawa ya karu da 11%.
Rage Gwaran Gwaji
Menene za a iya yi don jinkirin ko gyara gyaran kifi? Wannan magani na ra'ayin mazan jiya yana dauke da matakai don rage zafi da ƙumburi kuma rage matsalolin haɗin gwiwa. Babu tabbacin cewa wadannan sa'idojin sunada karuwa sosai, amma yana iya rage hasara na guringuntsi. Wadannan hanyoyi sun hada da asarar nauyi, gyare-gyaren gyare-gyaren gyare-gyare, aikin motsa jiki, NSAIDs , hormones, kari kamar glucosamine da chondroitin phosphate, maganin steroid a cikin haɗin gwiwa da Synvisc don maye gurbin hyaluronic acid.
Gyaran gyaran gyare-gyare
Hanyoyin magani don ƙoƙarin mayar da sigari maimakon maye gurbin haɗin gwiwa an yi su ne mafi yawan marasa lafiya.
- Ka'idodi na Arthroscopic sun haɗa da microfracture, hawan hauka da kuma abthsion arthroplasty, duk wanda ya haifar da kananan yankuna na lalacewa da kuma ƙarfafa ƙwayar kayan tiyata.
- Tsarin gwaninta yana haifar da sababbin suturar sel ko sassa duka na guringuntsi. Wadannan sun haɗa da gwanin gwaninta na gwanin kafa, wanda ya girbe jikinku na sigati don shigarwa inda ake bukata. Osteochondral transplantation daukan matosai ko tubalan na kyallen takalma ko dai daga mai haƙuri ko mai ba da gudummawa ba da kyauta kuma janye su a cikin haɗin gwiwa inda ake bukata.
- Bincike yana gudana cikin amfani da kwayoyin sutura, tsarin farfadowa da kuma kayan jiki don mayar da kayan tiyata.
Sources:
Hulɗa da lalacewa na Mutiscal, Extrusion na Maniscal, Malalignment, da Laxity na Haɗin gwiwa zuwa Kwayoyin Jingina ta Tsayawa a Osteoarthritis Knees. Leena Sharma et al. Arthritis & Rheumatism, Yuni 2008.
http://www3.interscience.wiley.com/journal/119755354/abstract
Kiba ya ba da gudummawa ga lalacewa. EurekAlert. Yuli 14, 2009.
http://www.eurekalert.org/pub_releases/2009-07/rson-oct070709.php
Kayan Gwajiyar Kayan Gwaji, Cibiyar Nazarin Ƙwararrun Orthopedic American, Fabrairu, 2009.
Mazen Falah, Gabreil Nierenberg, Michael Soudry, Morris Hayden, da Gershon Volpin. "Gudanar da zubar da ƙwayoyin magunguna na gwiwoyi." Int Orthop. 2010 Jun; 34 (5): 621-630.