Unugyada Dib-u-cusbooneysiinta ee Arthritis-ka: Waxa ay tahay inaad ogaato

Maaddaama jirku da'diisu tahay, shakhsiyaadku waxay rabaan inay firfircoonaadaan oo ay sii wadaan qaab-nololeed aan xanuun lahayn oo caafimaad leh. Unugyada dib-u-cusboonaysiinta ee arthritis-ka iyo dhaawaca carjawda ma noqon karaan mustaqbalka daawada neuromusculoskeletal iyo bogsashada wadajirka ah?

Unugyada Dib-u-soo-noqoshada ee Arthritis-ka iyo Burburka Carjawda

Shakhsiyaadka waxay rabaan inay sii wadaan inay sameeyaan dhaqdhaqaaqyada jireed ee ay jecel yihiin, kuwaas oo u baahan kala-goysyada caafimaad qaba. Saynis yahanadu waxay baranayaan sida looga faa'iidaysto awooda unugyada dib u soo kicinta si ay u hagaajiyaan oo ay dib ugu koraan carjawda dhaawacan iyo xumaatay. Daaweynta unugyada tarma ee hadda ee dhibaatooyinka carjawda looma muujin inay dib u soo celiso saameynta arthritis-ka iyo halka daraasaduhu ay muujinayaan horumarinta bukaan-socodka, cilmi-baaris dheeraad ah ayaa lagama maarmaan ah. (Bryan M. Saltzman, iyo al., 2016)

Carjawda iyo sida uu u dhaawacmo

Carjawda waa nooc ka mid ah unugyo isku xiran. Kala goysyada, waxaa jira dhowr nooc oo carjawda ah. Inta badan waxaa loo tixraacaa xuubka siman ee loo yaqaan carjawda articular ama hyaline. Noocani wuxuu sameeyaa lakab siman oo barkin ah oo ku yaal dhamaadka lafta ee kala-goysyada. (Rocky S. Tuan, iyo al., 2013)

• Nudaha waa mid aad u xoogan oo awood u leh inuu isku cadaadiyo oo uu nuugo tamarta.
• Aad bay u siman tahay oo u oggolaanaysa kala-goysyadu inay si dadaal la'aan ah ugu dul-boodaan dhaqdhaqaaqa kala duwan ee addimada.
• Marka carjawda wadajirka ah ay dhaawacmaan, barkinta ayaa hoos u dhici karta.
• Dhaawacyada naxdinta leh, xoog lama filaan ah ayaa sababi kara in carjawda jabto iyo/ama ay soo gaarto dhaawac, taasoo soo bandhigta lafta hoose.
• Lafo-jileecu - xummad ama jeex-iyo-jeexjeexa arthritis-ka, lakabka siman wuxuu u gashan karaa dhuuban oo aan sinnayn.
• Ugu dambayntii, barkintii way dabaraysaa, kala-goysyadu way bararaan oo bararaan, dhaqdhaqaaquna way adkaadaan oo xanuunayaan.

Waxaa jira daawayn loogu talagalay arthritis-ka iyo dhaawaca carjawda, laakiin daawayntan ayaa inta badan diiradda lagu saarayaa yaraynta calaamadaha iyada oo la simaynayo carjawda dhaawacan ama lagu beddelo dusha wadajirka ah maqaar macmal ah, sida beddelka jilibka ama qalliinka beddelka misigta. (Robert F. LaPrade, iyo al., 2016)

Unugyada cusboonaysiinta

Unugyada stem dib-u-cusboonaysiinta waa unugyo gaar ah oo awood u leh inay tarmaan oo u koraan noocyo kala duwan oo unugyo ah. Goobta qalliinka lafaha ee dhibaatooyinka wadajirka ah, unugyada asliga ah waxaa laga helaa ilaha aasaasiga ah ee unugyada asliga ah ee qaangaarka ah kuwaas oo ah dhuuxa lafta iyo nudaha dufanka leh. Unugyadani waxay awood u leeyihiin inay u koraan unugyo carjawda, oo loo yaqaan chondrocytes. (Rocky S. Tuan, iyo al., 2013)

• Waxay kaloo caawiyaan kicinta jidhka si loo yareeyo bararka, kicinta hagaajinta unugyada, iyo hagaajinta wareegga dhiigga.
• Nidaamkan waxaa keena calaamadaha gacanta iyo arrimaha koritaanka si ay u kiciyaan jirka si uu u dhaqaajiyo hababka bogsashada.
• Marka unugyada asliga ah la helo, waxay u baahan yihiin in la geeyo aagga burburka carjawda.

Carjawgu waa unug kakan oo lagu sifeeyo qaab dhismeed ka samaysan kolajka, proteoglycans, biyo, iyo unugyo. (Rocky S. Tuan, iyo al., 2013)

• Si loo soo nooleeyo carjawda, unugyada isku dhafan waa in sidoo kale dib loo dhisaa.
• Waxaa jira daraasado ku saabsan noocyada qolofyada unugyada loo farsameeyay si ay dib ugu abuuraan nooc la mid ah qaab-dhismeedka carjawda.
• Unugyada asliga ah ayaa markaa lagu duri karaa qashinka, iyadoo la rajeynayo in la soo celiyo nooca caadiga ah ee carjawda.

Daaweynta Arthritis-ka ee aan Qalliinka ahayn

Standard daawaynta sida cirbadaha cortisone ama daawaynta jireed ayaa sidoo kale shaqeeya waxayna bixiyaan faa'iidooyin laga faa'iidaysan karo marka lagu daro unugyada dib u soo kabashada ee arthritis-ka iyo dhaawaca carjawda mustaqbalka dhow. Xogtu waxay qaadataa wakhti iyo sidaas darteed sida tani u saamayso caafimaadka mustaqbalka fog ee baahida wadajirka ah ee joogtada ah ee cilmi-baarista ee injineernimada unugyada iyo bixinta unugyada si loo go'aamiyo habka ugu wanaagsan ee lagu caawinayo shakhsiyaadka.

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Arthritis

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tixraacyada

LaPrade, RF, Dragoo, JL, Koh, JL, Murray, IR, Geeslin, AG, & Chu, CR (2016). Cusboonaysiinta Dood-cilmiyeedka Cilmi-baarista AAOS iyo Is-afgarad: Daaweynta Bayoolojiga ee Dhaawacyada Lafaha. Joornaalka Akademiyada Maraykanka ee Dhakhaatiirta Lafaha, 24(7), e62-e78. doi.org/10.5435/JAAOS-D-16-00086

Saltzman, BM, Kuhns, BD, Weber, AE, Yanke, A., & Nho, SJ (2016). Unugyada stem ee Lafaha: Hagaha Guud ee Lafaha Guud. Joornaalka Maraykanka ee lafaha (Belle Mead, NJ), 45(5), 280-326.

Tuan, RS, Chen, AF, & Klatt, BA (2013). Dib u soo kabashada carjawda. Joornaalka Akademiyada Maraykanka ee Dhakhaatiirta Lafaha, 21(5), 303-311. doi.org/10.5435/JAAOS-21-05-303