Dhaawacyada Nudaha Jilicsan ee Caadiga ah ee ay keento Dhaawaca

Sida laga soo xigtay Akademiyada Maraykanka ee Qalliinka Orthopedic �Idaha jilicsan ee ugu caansan ee dhaawacmay waa murqaha, seedaha, iyo seedaha.

Dhaawacyada ba'an waxaa keena jug degdeg ah, sida dhicis, qalloocin, ama dharbaaxo jidhka ku dhaca. Tusaalooyinka dhaawaca degdega ah waxaa ka mid ah murgacashada, murqaha, iyo miyir-beelka.��orthoinfo.aaos.org/topic.cfm?mawduuc=A00111) Waa inaan sidoo kale iloobin inay jiraan unugyo kale oo jilicsan oo dhaawacmi kara iyo qeexida dhabta ah ee jilicsan, taas oo ah wax aan lafo ahayn waa unug jilicsan.

Tan waxaa ku jira maskaxda, sambabada, wadnaha iyo xubin kasta oo kale oo jirka ah. Si kastaba ha ahaatee, daawaynta dhaawacyada unugyada jilicsan ayaa caadi ahaan loo yaqaan inay ku xaddidan yihiin muruqyada, seedaha iyo seedaha.

Kala-saarista Dhaawaca Nudaha Jilicsan

Marka aynu nahay u fiirso nooca dhismooyinka ay muruqyada, seedaha iyo seedaha ka kooban yihiin, waxaan ogaan doonaa inay yihiin unug isku xiran. Sida laga soo xigtay Machadka Qaranka ee Caafimaadka �Unugyada isku xidhan waa walxaha jidhkaaga ku jira ee taageera qaybo badan oo ka mid ah. Waa "koolada gacanta" oo siisa unugyadaada qaabkooda oo ka caawiya inay sii xoogaystaan. Waxa kale oo ay ka caawisaa qaar ka mid ah unugyadaada inay shaqadooda qabsadaan (www.nlm.nih.gov/medlineplus/connectivetissuedisorders.html). Si ka duwan dayactirka jabka halka lafta la beddelo oo sida caadiga ah si habboon u bogsata haddii la siman yahay oo la nasto, cilladaha unugyada isku xidha waxay maraan nooc ka duwan hagaajinta dhaawaca kaas oo leh beddelka nudaha qallafsan ee ku xiga dhaawaca jidhka oo leh shaqo aan caadi ahayn oo joogto ah.

Haddii aan diiradda saarno murgacashada ama dhaawacyada seedaha, sida laga soo xigtay Akademiyada Maraykanka ee Qalliinka Lafaha waxaa jira saddex nooc oo murgacashada ah:

Muraca waxaa lagu kala saaraa darnaan:₁

• Fasalka 1 murgacashada (fudud):�Islala bax yar iyo dhaawac soo gaadhay fiilooyinka (fibrillada) ee seediga.
• Fasalka 2 murgacashada (dhexdhexaad): � Qayb jeexjeexa seedaha Waxaa jira dabacsanaan aan caadi ahayn (dabacsanaan) ee wadajirka marka siyaabo gaar ah loo dhaqaajiyo.
• Fasalka 3 murgacashada (daran):�Illidda seediga oo dhammaystiran. Tani waxay sababtaa xasillooni darro weyn waxayna ka dhigaysaa wadajirka mid aan shaqaynayn.

Iyadoo aan loo eegin darnaanta murgacashada, waxaa jira dhaawac unug ama dhaawac jireed, tallaabada xigta waa in la go'aamiyo haddii uu jiro bogsasho ama dhaawac. Sida laga soo xigtay Woo, Hildebrand, Watanabe, Fenwick, Papageorgiou iyo Wang (1999) �Natiijadu waxay tahay in isku darka daawaynta unugga oo leh daawaynta factor factor koritaanka laga yaabo inay bixiso wadooyin cusub oo lagu hagaajinayo bogsashada seedaha iyo seedaha. Dabcan, talooyinka gaarka ah ee ku saabsan xulashada qodobka koritaanka, iyo wakhtiga iyo habka codsiga lama samayn karo wakhtigan.

Isku dayadii hore ee lagu go'aamiyay qiyaasaha ugu wanaagsan ee arrimaha koritaanka ayaa bixiyay natiijooyin iska soo horjeeda. Inkasta oo daawaynta wax-soo-saarka korriinka lagu muujiyay inay hagaajinayso sifooyinka bogsashada seedaha iyo seedaha, guryahani ma gaaraan heerka nudaha aan dhaawacan.� (b. s320)

�Ma jirto wax daawayn ah oo hadda jira si loo soo celiyo seedaha dhaawacan ama seedaha xaaladdeeda caadiga ah., ayay yiraahdeen Dozer and Dupree (2005). ( bogga 231).

Habka Soo kabashada Unug Jilicsan

Sida laga soo xigtay Hauser, Dolan, Phillips, Newlin, Moore iyo Woldin (2013) qaabdhismeedka seedaha dhaawacan waxaa lagu bedelay unug si guud, taariikh ahaan, biochemically iyo biomechanically la mid ah unug nabarrada. Unugyada nabarrada oo si buuxda loo habeeyey ayaa ah kuwo si weyn, mikroskoob ahaan iyo shaqayn ahaanba ka duwan unugyada caadiga ah� (bogga 6) �Cilladaha aan caadiga ahayn ee ku jira shaxanka seedaha ee dib loo habeeyay waxa ay saamayn qotodheer ku yeelan karaan biomechanics-ka wadajirka ah, taas oo ku xidhan baahida shaqaynaysa ee la saaray nudaha.

Maaddaama dib-u-habeeynta unugyada ligamenti ay yihiin qaab-dhismeedka iyo farsamada ka hooseeya unugyada caadiga ah ee ligamentiga, natiijooyinka caajisnimada ligamentiga, taas oo keenaysa naafanimada shaqeynta ee kala-goysyada ay saameeyeen iyo soo jeedinta unugyada kale ee jilicsan ee gudaha iyo hareeraha kala-goysyada waxyeello dheeraad ah. (p.7) si joogto ah ayaa loo muujiyay in seedaha qaarkood aysan si madax-banaan u bogsanin dillaaca ka dib, iyo kuwa aan dareemin, waxay sameeyaan sifo ka kooban sifo hoose oo hooseeya marka loo eego nudaha caadiga ah. Maaha wax aan caadi ahayn in wax ka badan hal seedo ay dhaawacmaan hal dhacdo oo dhaawac ah.�(p.8)

Dhaqan ahaan, pathophysiology ee osteoarthritis waxaa loo maleynayay inay sabab u tahay gabowga iyo xirashada iyo jeexjeexa wadajirka, laakiin daraasado dhawaanahan ayaa muujiyay in seedaha ay door muhiim ah ka ciyaaraan horumarinta osteoarthritis. Osteoarthritis-ku wuxuu bilaabmaa marka mid ama in ka badan oo seedaha ah ay noqdaan kuwo aan xasilloonayn ama caajis ah, lafahana waxay bilaabeen inay si khaldan u socdaan oo ay cadaadis saaraan meelo kala duwan, taas oo keentay in lafaha ku xoqo carjawda. Tani waxay sababtaa burburka carjawda waxayna ugu dambeyntii keentaa xumaansho, taas oo wadajirku ay hoos ugu dhigto lafaha lafaha, dhibaatada makaanikada ee wadajirka taasoo keenta cillad aan caadi ahayn ee makaanikada kala-goysyada. Hypomobility iyo laxity ligament waxay noqdeen arrimo cad oo halis u ah fiditaanka osteoarthritis.� (p.9)

Marka la eego cilmi-baarista caalamiga ah ee 16-kii sano ee la soo dhaafay, 1999-kii waxaa lagu soo gabagabeeyey in daawaynta ugu badan ee lagu hagaajinayo ama lagu bogsiinayo seedaha dhaawacan aysan gaarin heerka nudaha dhaawacan. Sannadkii 2005tii waxa la soo gabagabeeyey in aanay jirin wax daawayn ah oo hadda lagu soo celinayo seedaha ama seedaha dhaawacan xaaladdoodii caadiga ahayd. Intaa waxaa dheer, heerka hadda jira ee cilmi-baarista seedaha ee 2013 ayaa lagu soo gabagabeeyey in seedaha aysan dareemin madax-bannaani, laakiin seedaha dhaawaca ayaa sabab toos ah u ah osteoarthritis iyo cillad-biomechanical (aan caadi ahayn ee makaanikada wadajirka ah). Cilmi-baaristii ugu dambeysay waxay sidoo kale soo gabagabeysay in dhaawaca seedaha ama murgacashada ay tahay cunsur muhiim ah osteoarthritis-ka oo aan si fudud gabow ama jeexjeexin wadajirka.

Natiijadu waxay tahay hadda way caddahay iyadoo lagu saleynayo caddaynta sayniska in dhaawaca unugyada jilicsan uu yahay cillad unugyada isku-xidhka ah oo leh cilad taban oo joogto ah waana sababta keenta arthritis-ka mustaqbalka. Tani hadda maaha arrin laga doodi karo iyo kuwa ku jira golaha sharciga caafimaadka ee weli ku doodaya � dhaawacyada unugyada jilicsan ee ku meel gaadhka ah ayaa si fudud u soo jeedinaya hadallo jaahilnimo ah iyo ujeedo qarsoon oo suurtagal ah sababtoo ah xaqiiqadu waxay si cad u qeexaysaa taxanaha taban ee ku salaysan tobanaan sano oo cilmi-baaris ah. gunaanad.

Digniinta dooddan ayaa ah in kasta oo uu jiro dhaawac jidheed oo aan la dafiri karin oo leh cilad joogto ah oo cad, miyay sidoo kale sababaysaa khasaare joogto ah xaalad kasta? Kuwani waa laba arrimood oo kala duwan oo ay sabab u tahay shaqada seedaha, taas oo ah in lagu xiro lafaha lafaha garsooraha caadiga ah vs. shaqada aan caadiga ahayn waa dhaqdhaqaaqyo kala duwan oo wadajir ah. Taas waxaa lagu fulin karaa mid ka mid ah laba-geesood oo mitir ah oo lafdhabarta ah, kaas oo sida uu qabo Ururka Caafimaadka Maraykanka Tilmaamaha Qiimaynta Naafanimada Joogtada ah, 5^th Daabacaada (p. 400) waa halbeega (walina waa heerka caafimaadka sida 6^th Daabacaadku waxa ay tilmaamaysaa 5^th ee kala duwanaanshaha dhaqdhaqaaqa).

Caddaynta kale ee lagu ogaan karo ogaanshaha si loo soo gabagabeeyo shaqada aberrant waa in lagu soo gabagabeeyo caajisnimada seedaha iyada oo loo marayo raajada digitizing. Labada qalab ee ogaanshaha waxay xaqiijinayaan si muuqata luminta shaqada kala-goysyada laf dhabarta. ��

Baaxadda macluumaadkayadu waxay ku xaddidan tahay xanuunka loo yaqaan 'chiropractic' iyo dhaawacyada laf dhabarta iyo xaaladaha. Si aad ugala hadasho ikhtiyaarada ku saabsan mawduuca, fadlan xor u noqo inaad weydiiso Dr. Jimenez ama nala soo xiriir 915-850-0900 .�
 

Tixraacyo:

1. Murgacashada, Muruqyada iyo Dhaawacyada Unug Jilicsan (2015) Akademiyada Maraykanka ee Qalliinka Lafaha, oo laga soo celiyay: orthoinfo.aaos.org/topic.cfm?mawduuc=A00111
2. Xanuunada Unugyada Isku Xidha (2015) Machadka Qaranka ee Caafimaadka, laga soo qaatay: www.nlm.nih.gov/medlineplus/connectivetissuedisorders.html
3. Woo S, Hildebrand K., Watanabe N., Fenwick J., Papageorgiou C., Wang J. (1999) Tissue Engineering ee ligament iyo Bogsiinta Tendon, Lafaha Clinical iyo Cilmi-baarista La Xiriira 367S pgs. S312-S323
4. Tozer S., Duprez D. (2005) Tendon iyo ligament: Horumarinta, Dayactirka iyo Cudurada, Cilmi-baarista cilladaha Dhalmada (qayb C) 75: 226-236
5. Hauser R., Dolan E., Phillips H., Newlin A., Moore R. iyo B. Woldin (2013) 6
6. Cocchiarella L., Anderson G., (2001) Hagaha Qiimaynta Naafanimada Joogtada ah, Daabacaadda 5aad, Chicago IL, AMA Press

 

Mawduucyo Dheeraad ah: Ka Hortagga Burburka Laf-dhabarta

Burburinta laf dhabarta waxay u dhici kartaa si dabiici ah waqti ka dib natiijada da'da iyo xirashada joogtada ah ee lafdhabarta iyo qaababka kale ee adag ee lafdhabarta, guud ahaan waxay ku koraan dadka ka weyn da'da 40. Mararka qaarkood, laf-dhabarka laf dhabarta ayaa sidoo kale dhici karta sababtoo ah dhaawac ama dhaawac laf dhabarta, taas oo keeni karta dhibaatooyin kale haddii aan la daweyn. Daryeelka lafdhabarta ayaa kaa caawin kara xoojinta qaababka lafdhabarta, ka caawinta ka hortagga laf-dhabarka laf-dhabarka.

 

MAWDUUCA DHAQAN: DHEERAAD AH: Riix cusub 24/7�? Xarunta Jimicsiga