Isifo Sokuqaqamba Kwamalunga
Ithimba Le-Back Clinic Arthritis. I-arthritis yisifo esisabalele kodwa esingaqondwa kahle. Igama elithi arthritis alibonisi isifo esisodwa kodwa kunalokho libhekisela ebuhlungu bamalunga noma isifo samalunga. 100 izinhlobo ezahlukene zikhona. Abantu babo bonke ubudala, ubulili, nezinhlanga bangaba nesifo samathambo. Yimbangela ehamba phambili yokukhubazeka eMelika. Abantu abadala abangaphezu kwezigidi ezingu-50 kanye nezingane ezingu-300,000 banohlobo oluthile lobuhlungu obuhlangene noma izifo. Kuvamile kwabesifazane futhi kwenzeka kakhulu njengoba abantu bekhula. Izimpawu zihlanganisa ukuvuvukala, ubuhlungu, ukuqina, nokuncipha kobubanzi bokunyakaza (ROM).
Izimpawu zingafika zidlule, futhi zingaba mnene, zilinganisele, noma zibe nzima. Zingahlala zinjalo iminyaka kodwa zingaba zimbi ngokuhamba kwesikhathi. Ezimweni ezimbi kakhulu, kungase kubangele ubuhlungu obungapheli, ukungakwazi ukwenza imisebenzi yansuku zonke nobunzima bokuhamba noma ukugibela izitebhisi. Kungabangela ukulimala okuhlangene unomphela kanye nezinguquko. Lezi zinguquko zingase zibonakale, okungukuthi, amalunga eminwe ye-knobby, kodwa ngokuvamile angabonakala kuphela kuma-x ray. Ezinye izinhlobo zesifo samathambo zithinta amehlo, inhliziyo, izinso, amaphaphu, nesikhumba.
by UDkt Alex Jimenez I-Acupuncture Therapy , Isifo Sokuqaqamba Kwamalunga
Kubantu abane-arthritis, ingabe ukuhlanganisa i-acupuncture nezinye izindlela zokwelapha kusiza ekulawuleni ubuhlungu nezinye izimpawu?
I-acupuncture Yesifo Samathambo
I-acupuncture isinezinkulungwane zeminyaka ikhona futhi iwuhlobo lomuthi wendabuko waseShayina osebenzisa izinaliti ezishuthekwa ezingxenyeni ezihlukahlukene zomzimba ukuze ukhulule ubuhlungu nokuvuvukala. Lo mkhuba usekelwe emcabangweni wamandla okuphila ageleza kuwo wonke umzimba emigwaqweni ebizwa ngokuthi ama-meridians. Lapho ukugeleza kwamandla kuphazamiseka, kuvaleka, noma ukulimala, ubuhlungu noma ukugula kungavela. (I-Arthritis Foundation. ND .) Ucwaningo olwengeziwe luyadingeka ukuze kutholwe ukuthi izindlela zokwelapha i-acupuncture zisebenza kanjani kanye nempumelelo iyonke. Kodwa-ke, kunobufakazi obuvelayo obuphakamisa ukuthi ukutshopa kunganikeza ukukhululeka kwezimpawu kubantu abanobuhlungu obuhlangene, ikakhulukazi labo abane-osteoarthritis kanye nesifo samathambo. (Pei-Chi Chou, Heng-Yi Chu. 2018 )
Izinzuzo
Indlela yangempela enciphisa ubuhlungu nokuvuvukala ayikacaci. Imibono ihlanganisa ukuthi izinaliti zicindezela izimpendulo ezivuthayo, zithuthukise ukugeleza kwegazi, futhi ziphumule imisipha. Nakuba i-acupuncture ingeke yelaphe noma ihlehlise isifo sokuqaqamba kwamalunga, ingase ibe usizo ekulawuleni ubuhlungu nokuncipha kwezimpawu ezihambisanayo, ikakhulukazi uma kuhlanganiswe nezinye izindlela zokwelapha. (Pei-Chi Chou, Heng-Yi Chu. 2018 )
rheumatoid arthritis
Ukubuyekezwa okuhlelekile kwezifundo ezingu-43, okuhlanganisa abantu nezilwane ezinesifo samathambo, kubonise imiphumela ehlukahlukene. Ucwaningo oluningana lubonise ukuthuthuka kwezimpawu kanye nezimpawu zebhayoloji ze-rheumatoid arthritis kulandela iseshini eyodwa kuya kwezintathu zokutshopa amasonto amane noma ngaphezulu. (U-Sharon L. Kolasinski et al., 2020 ) Imiphumela enenzuzo elandela ukwelashwa kwe-acupuncture ye-rheumatoid arthritis ihlanganisa:
Ubuhlungu obunciphile
Ukuqina kwamalunga okuncishisiwe
Ukusebenza komzimba okuthuthukisiwe
Imiphumela yocwaningo lwabantu nezilwane yaphakamisa ukuthi i-acupuncture inamandla okwenza lawula phansi :
Amazinga ama-interleukin
Amazinga we-tumor necrosis factor
Amaprotheni/ama-cytokines athile amaseli abandakanyeka ekuphenduleni kokuvuvukala, akhuphuka ezimeni ezizimele njenge-rheumatoid arthritis. (Pei-Chi Chou, Heng-Yi Chu. 2018 )
Iningi lezifundo zocwaningo nalo belithola ezinye izindlela zokwelapha, ikakhulukazi imithi. Ngakho-ke, kunzima ukuphetha ngokuthi i-acupuncture enenzuzo iyodwa kanjani noma njengesengezo esingeziwe kwezinye izindlela zokwelapha. (Pei-Chi Chou, Heng-Yi Chu. 2018 )
I-osteoarthritis
Kutuswa ukutshopa kwe-osteoarthritis yesandla, inqulu, nedolo, ngokusho kwe-American College of Rheumatology and Arthritis Foundation, okusho ukuthi kungase kudingeke uzame, nakuba ucwaningo olwengeziwe ludingeka ukuze kuqinisekiswe ukusebenza kwayo. Kodwa-ke, njengoba ubungozi buncane uma kuqhathaniswa, ukutshopa ngokuvamile kubhekwa njengendlela yokwelapha ehlukile ephephile yokulawula izimpawu. (U-Sharon L. Kolasinski et al., 2020 )
Ubuhlungu obungapheliyo
Njengoba izivivinyo zomtholampilo ziphakamisa ukuthi ukutshopa kungase kuphumelele ekunikezeni ukukhululeka kobuhlungu, kungase kube inketho enconywayo kubantu abahlukunyezwa ubuhlungu obungapheli. Ukubuyekezwa okuhlelekile kwakamuva kweziguli ze-20,827 kanye nokuhlolwa kwe-39 kuphethe ngokuthi i-acupuncture iyasebenza ekwelapheni ubuhlungu obungapheli be-musculoskeletal, ikhanda elibuhlungu, nobuhlungu be-osteoarthritis. (U-Andrew J. Vickers et al., 2018 )
Ezinye izinzuzo ezingaba khona zihlanganisa imiphumela ye-antioxidative: (Pei-Chi Chou, Heng-Yi Chu. 2018 )
Ukunciphisa ukucindezeleka kwe-oxidative nokuvuvukala
Ukuthuthukisa i-energy metabolism
Ukucupha ukukhululwa kwama-endorphin/amahomoni asiza ekunciphiseni ubuhlungu.
Ukuphepha
I-acupuncture ibhekwa njengenqubo ephephile ngochwepheshe onelayisense futhi oqinisekisiwe.
Ukuze azijwayeze ukutshopa e-United States, i-acupuncture idinga ubuncane beziqu ze-master kusukela ohlelweni olugunyazwe i-American Academy of Acupuncture and Oriental Medicine kanye nelayisense esifundazweni lapho bathole khona ukwelashwa kwabo ngokutshopa.
Odokotela abaneziqu ze-MD noma ze-DO abanelayisensi e-United States yokuqeqeshelwa ubudokotela bangaphinde banikezwe ilayisense yi-American Academy of Medical Acupuncture ngemva kokuqeqeshwa okwengeziwe.
Izingozi
Izingozi ezihlobene nokutshopa ziwukopha kanye nemihuzuko, ikakhulukazi kubantu abanenkinga yokopha njenge-hemophilia noma abaphuza imithi yokwehlisa igazi. Abantu ngabanye bayanconywa ukuthi bakhulume nomhlinzeki wabo wezempilo ukuze banqume ukuthi ukutshopa kuyinketho ephephile yini.
Okuqhamuka uma udla imishanguzo
Abantu abaningi abanayo imiphumela emibi, nakuba ukusabela okungase kube khona kungahlanganisa: (Shifen Xu et al., 2013 )
Ukukhathazeka
Ukuthuka
Ukwehla
Ukushaqeka kwenaliti: impendulo ye-vasovagal eveza njengokuzizwa uphelelwa amandla, izandla ezipholile, ukugodola, nokucanuzela kwenhliziyo okuncane.
Iseshini ye-Acupuncture
Ngesikhathi sokwelashwa kokuqala, abantu bazoxoxa ngomlando wabo wezokwelapha nokuthi yimaphi amalunga nezindawo zemizimba yabo eziveza izimpawu.
Ngemva kokuhlolwa ngokomzimba, umuntu uzolala etafuleni lokwelashwa.
Abantu ngabanye bangase babheke phezulu noma phansi kuye ngokuthi yiziphi izindawo zomzimba i-acupuncturist okufanele ifinyelele kuzo.
Kunconywa ukugqoka izingubo ezivulekile ezingagoqwa noma zisuswe endleleni ukuze ufinyelele ezindaweni ezahlukene kalula.
Kuye ngokuthi yiziphi izindawo okudingeka kufinyelelwe kuzo, abantu bangacelwa ukuthi bashintshe bagqoke ingubo yezokwelapha.
I-acupuncturist izosebenzisa ama-alcohol swabs ukuze kubulawe amagciwane endaweni ngaphambi kokufaka izinaliti.
Izinaliti zenziwe ngensimbi engagqwali futhi zincane kakhulu.
Abantu bangazizwa bencinzwa kancane ezindaweni ezizwelayo njengezandla nezinyawo, kodwa ukufakwa inaliti kufanele kube ntofontofo futhi kubekezelelwe kahle ngaphandle kokuphatheka kabi okukhulu.
Nge-electroacupuncture, i-acupuncturist izodlula amandla kagesi athambile ezinalithini, ngokuvamile ama-volts angama-40 kuya kwangu-80.
Izinaliti zihlala endaweni imizuzu engama-20 kuya kwengama-30.
Ngemva kokuphela kokwelashwa, i-acupuncturist izosusa izinaliti futhi izilahle.
imvamisa
Ukuvama kwamaseshini okutshopa kuzohluka kuye ngobunzima bezimpawu kanye nokuthi ukuvakasha kugunyazwe yini futhi kubuyiselwa imali yinkampani yomshwalense wezempilo.
Izindleko Nomshuwalense
Izindleko zokutshopa zingahluka kusuka ku-$75 kuya ku-$200 iseshini ngayinye.
Iseshini yokuqala, ebandakanya ukuhlola nokuhlola kokuqala, ngokuvamile ibiza ngaphezu kokuvakasha kokulandelela.
Ukuthi umshwalense wezempilo uzokhokhela ezinye noma zonke izindleko zezikhathi zokutshopa kuncike enkampanini yomshwalense ngayinye kanye nesimo esilashwayo.
I-Medicare okwamanje ihlanganisa izinsizakalo zokutshopa kuze kufike ekuvakasheni kwe-12 phakathi nenkathi yezinsuku ezingu-90 ngenxa yobuhlungu obungapheli obuphansi emuva kuphela.
I-Medicare ngeke ifake i-acupuncture kwezinye izimo. (I-Medicare.gov. ND )
I-acupuncture ayilona ikhambi lokuqaqamba kwamalunga, kodwa kungase kube ithuluzi eliwusizo lokulawula izinhlungu nezinye izimpawu. Qiniseka ukuthi uthintana nomhlinzeki wezempilo uma ukutshopa kuphephile ukuzama ngokusekelwe emlandweni wezokwelapha.
Kuchazwa Isifo Samathambo
VIDEO
Okubhekwayo
I-Arthritis Foundation. (ND). I-acupuncture ye-arthritis (Impilo nempilo, Indaba. www.arthritis.org/health-wellness/treatment/complementary-therapies/natural-therapies/acupuncture-for-arthritis
I-Chou, i-PC, ne-Chu, HY (2018). Ukusebenza Komtholampilo Kwe-acupuncture ku-Rheumatoid Arthritis kanye Nezinqubo Ezihlangene: Ukubuyekezwa Okuhlelekile. Imithi ehambisanayo esekelwe ebufakazini nehlukile : eCAM, 2018, 8596918. doi.org/10.1155/2018/8596918
Kolasinski, SL, Neogi, T., Hochberg, MC, Oatis, C., Guyatt, G., Block, J., Callahan, L., Copenhaver, C., Dodge, C., Felson, D., Gellar, K., Harvey, WF, Hawker, G., Herzig, E., Kwoh, CK, Nelson, AE, Samuels, J., Scanzello, C., White, D., Wise, B., … Reston, J. (2020). 2019 American College of Rheumatology/Arthritis Foundation Guide for the Management of Osteoarthritis of the Hand, Hip, and Knee. Ukunakekelwa kwe-arthritis nocwaningo, 72(2), 149-162. doi.org/10.1002/acr.24131
Vickers, AJ, Vertosick, EA, Lewith, G., MacPherson, H., Foster, NE, Sherman, KJ, Irnich, D., Witt, CM, Linde, K., & Acupuncture Trialists' Collaboration (2018). I-acupuncture yobuhlungu obungapheli: Isibuyekezo se-Meta-Analysis Yedatha Yesiguli Ngasinye. Ijenali yobuhlungu, 19 (5), 455-474. doi.org/10.1016/j.jpain.2017.11.005
U-Xu, S., Wang, L., Cooper, E., Zhang, M., Manheimer, E., Berman, B., Shen, X., & Lao, L. (2013). Izehlakalo ezimbi ze-acupuncture: ukubuyekezwa okuhlelekile kwemibiko yamacala. Umuthi ohambisanayo osuselwe ebufakazini nohlukile : eCAM, 2013, 581203. doi.org/10.1155/2013/581203
I-Medicare.gov. (ND). I-acupuncture. Kubuyiswe kusuka www.medicare.gov/coverage/acupuncture
by UDkt Alex Jimenez Isifo Sokuqaqamba Kwamalunga , I-Chiropractic , Ubuhlungu obungapheliyo , Ukwelashwa Kokucindezeleka Komgogodla , Care Spine , Ukwelashwa , I-Viscerosomatic Reflex
Ingabe abantu abane-osteoarthritis bangahlanganisa ukwelashwa komgogodla ukuze babuyisele ukuhamba komgogodla kanye nekhwalithi yokuphila?
Isingeniso
Njengoba umzimba uguga, kanjalo nomgogodla, njengoba i-disc yomgogodla phakathi kwamalunga namathambo iqala ukukhipha amanzi ngenxa yokucindezela okuqhubekayo ngokusebenzisa ukunyakaza okuphindaphindiwe. Izici eziningi zemvelo ezibangela lesi sifo esiwohlokayo zingahluka ngaphakathi kumuntu futhi ziholele ezimweni ze-arthritic ngaphakathi kwemikhawulo ephezulu naphansi. Enye yezinhlobo ezivame kakhulu zesifo samathambo i-osteoarthritis, futhi singathinta abantu abaningi emhlabeni wonke. Ukubhekana ne-osteoarthritis emalungeni abo kungabangela izimpawu eziningi ezinjengezinhlungu ezihambisana nezinye izimo zomzimba, okubangela ubuhlungu obudluliselwe. Kodwa-ke, ukwelashwa okuningi kungasiza ekubambezeleni inqubo ye-osteoarthritis futhi kukhulule umzimba ezimpawu ezifana nobuhlungu bamalunga. Isihloko sanamuhla sibheka ukuthi i-osteoarthritis ithinta kanjani ukuhamba komgogodla nokuthi ukwelashwa kungabuyisela kanjani ukuhamba komgogodla emiphumeleni ye-osteoarthritis. Sikhuluma nabahlinzeki bezokwelapha abagunyaziwe abasebenzisa ulwazi lweziguli zethu ukuze banikeze ukwelashwa okuhlukahlukene ukunciphisa umthelela we-osteoarthritis emalungeni. Sazisa futhi iziguli ukuthi izindlela zokwelapha eziningi zingasiza kanjani ukubambezela inqubo ewohlokayo ye-osteoarthritis. Sikhuthaza iziguli zethu ukuthi zibuze abahlinzeki bazo bezokwelapha abahlobene nabo imibuzo eyinkimbinkimbi nebalulekile mayelana nezimpawu ezifana nobuhlungu ezibhekana nazo ngenxa ye-osteoarthritis. UDkt. Jimenez, D.C., uhlanganisa lolu lwazi njengenkonzo yezemfundo. Disclaimer .
I-Osteoarthritis Ikuthinta Kanjani Ukuhamba Komgogodla?
Uke wakubona ukuqina kwasekuseni ngemva kokuphumula okuhle ebusuku? Ingabe uzwa ukuthamba emalungeni akho ngemva kokucindezela okuncane? Noma ingabe uzwa ukunyakaza okulinganiselwe emalungeni akho, okubangela uhla olukhawulelwe lokunyakaza? Eziningi zalezi zimo ezinjengobuhlungu zihlotshaniswa ne-osteoarthritis, ukuphazamiseka kwamalunga okuwohlokayo okuye kwathinta abantu abaningi, kuhlanganise nabantu abadala. Njengoba kushiwo ngaphambili, lapho umzimba uguga, kanjalo namalunga, amathambo nomgogodla. Ngokuphathelene ne-osteoarthritis, amalunga azowohloka ngokuguga kwemvelo nokuklebhuka ku-cartilage. I-osteoarthritis ithinta amalunga amaningi njengezinqulu namadolo, okuyiwona avame kakhulu, nomgogodla, futhi abangele ukungasebenzi kahle kwezinzwa-motor. ( Yao et al., 2023 ) Lapho i-cartilage ezungeze amalunga athintekile iqala ukuwohloka, i-pathogenesis ye-osteoarthritis ibangela ibhalansi ye-cytokine ephazamisekile ye-cytokines ye-proinflammatory ukuze iqale umjikelezo ononya obangela i-cartilage kanye nokunye ukulimala kwesakhiwo se-intra-articular eduze kwesihlanganisi. ( UMolnar et al., 2021 ) Okwenziwa yilokhu ukuthi lapho i-osteoarthritis iqala ukuba nomthelela emalungeni, ingaholela ezimpawini eziningi ezifana nobuhlungu.
Kodwa-ke, nakuba i-osteoarthritis ingathinta amalunga, ngokwemvelo, izici eziningi zemvelo zidlala indima ekuthuthukiseni i-osteoarthritis. Ukungasebenzi komzimba, ukukhuluphala, ukukhubazeka kwamathambo, nokulimala kwamalunga ngezinye zezimbangela ezingaqhubekisela phambili inqubo yokuwohloka. Izimpawu ezihambisana nalezi zici zemvelo zihlanganisa:
Ubuhlungu Ukuqina okuhlangene ngesisa Ukuvuvukala Ukuvuvuka Umuzwa wokugaya I-Bone spurs
Abantu abaningi ababhekene nezimpawu ezinjengobuhlungu ezibangelwa i-osteoarthritis bazochazela odokotela babo abayinhloko ukuthi ubuhlungu buyahlukahluka ngesikhathi, ukujula, uhlobo lwesigameko, umthelela, nesigqi. Lokhu kungenxa yokuthi ubuhlungu obuvela ku-osteoarthritis yinkimbinkimbi futhi i-multifactorial. ( I-Wood et al., I-2022 ) Kodwa-ke, abantu abaningi bangabheka usizo abaludingayo ukuze banciphise izinkinga ezifana nobuhlungu ezibangelwa i-osteoarthritis ngokwelashwa okungabambezela ukuqhubeka okuwohlokayo.
Ukubheka Okujulile Ngevidiyo Yokuwohloka Komgogodla
VIDEO
Uma kuziwa ekufuneni ukwelashwa ukuze kuncishiswe imiphumela ye-osteoarthritis, abantu abaningi bafuna izindlela zokwelapha ezingabizi futhi eziphephile kubantu asebekhulile. Ukwelashwa okungahlinzeki kungaba yisixazululo abantu abaningi abafuna ukunciphisa ukuqhubeka kwe-osteoarthritis. Lapho abantu abaphethwe i-osteoarthritis beya ekwelapheni okungezona ukuhlinzwa, bathola ukuthi ubuhlungu buyancipha, ukunyakaza kwabo kuyanda, futhi umsebenzi wabo womzimba uthuthukile. ( I-Alkhawajah ne-Alshami, 2019 ) Ngesikhathi esifanayo, ukwelapha okungezona ukuhlinzwa kungahlanganiswa nezinye izindlela zokwelapha ohlelweni lomuntu siqu lokwelapha. Ukwelashwa okungekho okuhlinzwa kungase kusuke ekunakekelweni kwe-chiropractic kuya ekucindezelweni komgogodla njengoba besebenza ekulungiseni kahle umgogodla ngokudonsa futhi kusize ekunciphiseni ubuhlungu obuhlangene nemisipha. Ividiyo engenhla inikeza ukubukeka okujulile kokuwohloka komgogodla nokuthi kungabazuzisa kanjani abantu abasezinhlungwini.
Ukucindezeleka Komgogodla Ukubuyisela Ukuhamba Komgogodla Kusuka Ku-Osteoarthritis
Njengoba ukuwohloka komgogodla kuwuhlobo lokwelashwa okungahlinzeki, kungasiza ukubambezela inqubo ye-osteoarthritis. I-Decompression yomgogodla ihlanganisa ukudonsa ukuze udonse kancane emgogodleni, okuvumela ama-discs namalunga ukuba agcotshwe futhi avumele inqubo yokuphulukisa yemvelo ukuba yenzeke. Lokhu kungenxa yokuthi izicubu ezizungezile ezivikela amalunga zinwetshwa ngobumnene futhi isikhala sediski ye-vertebral siyandiswa ukuze kuvunyelwe i-disc ukuthi ibuyiselwe futhi i-protrusion ibuyele emuva endaweni yayo yasekuqaleni. ( UCyriax, ngo-1950 ) Ukunciphisa umgogodla kungasiza ekunciphiseni inqubo ewohlokayo ye-osteoarthritis, futhi uma kuhlangene nokwelapha ngokomzimba, imisipha ezungezile, izicubu, nemigqa iyaqiniswa.
Ngokuphambene, ukuhamba okuhlangene nomgogodla kanye nokuguquguquka kwanda. Ukunciphisa umgogodla kungasiza futhi abantu abaningi ukunciphisa amathuba abo okuhlinzwa, njengoba izikhathi ezilandelanayo zingasiza ekuhlinzekeni ukukhululeka kobuhlungu kanye nokuthuthukiswa kokusebenza komgogodla. ( I-Choi et al., 2022 ) Lapho abantu bephinde bathole ukuhamba komgogodla emizimbeni yabo kusukela ekuwohlokeni komgogodla, bangenza izinguquko ezincane esimisweni sabo sansuku zonke ukuze babambezele inqubo ewohlokayo ye-osteoarthritis.
Okubhekwayo
Alkhawajah, H. A., & Alshami, A. M. (2019). Umphumela wokugqugquzela ngokunyakaza ebuhlungu kanye nokusebenza ezigulini ezine-knee osteoarthritis: isilingo esilawulwa ngokungahleliwe esingaboni kahle. I-BMC Musculoskelet Disord , 20 (1), i-452. doi.org/10.1186/s12891-019-2841-4
U-Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, PB (2022). Umphumela we-Nonsurgical Spinal Decompression on Intensity of Pain kanye ne-Herniated Disc Volume ku-Subacute Lumbar Herniated Disc. Ijenali Yamazwe Ngamazwe Yokuzilolonga Komtholampilo , 2022 , 6343837. doi.org/10.1155/2022/6343837
Cyriax, J. (1950). Ukwelashwa kwezilonda ze-lumbar disk. I-Br Med J , 2 (4694), i-1434-1438. doi.org/10.1136/bmj.2.4694.1434
Molnar, V., Matisic, V., Kodvanj, I., Bjelica, R., Jelec, Z., Hudetz, D., Rod, E., Cukelj, F., Vrdoljak, T., Vidovic, D., Staresinic, M., Sabalic, S., Dobricic, B., Petrovic, T., Anticevic, D., Boric, I., Kosir, R., Zmrzljak, U. P., & Primorac, D. (2021). Ama-Cytokines nama-Chemokines Ahileleke Ku-Osteoarthritis Pathogenesis. Int J Mol Sci , 22 (17). doi.org/10.3390/ijms22179208
Wood, M. J., Miller, R. E., & Malfait, A. M. (2022). UGenesise Wobuhlungu ku-Osteoarthritis: Ukuvuvukala Njengomlamuleli we-Osteoarthritis Pain. Clin Geriatr Med , 38 (2), i-221-238. doi.org/10.1016/j.cger.2021.11.013
Yao, Q., Wu, X., Tao, C., Gong, W., Chen, M., Qu, M., Zhong, Y., He, T., Chen, S., & Xiao, G. (2023). I-Osteoarthritis: izindlela zokubonisa izimpawu ze-pathogenic kanye nezinhloso zokwelapha. I-Signal Transduct Target Ther , 8 (1), i-56. doi.org/10.1038/s41392-023-01330-w
Disclaimer
by UDkt Alex Jimenez Isifo Sokuqaqamba Kwamalunga , Ukulimala okunzima
Njengoba umzimba uguga, abantu bafuna ukuhlala bekhuthele futhi balondoloze impilo enempilo engenabuhlungu. Ingabe amaseli avuselelayo okulimala kwamathambo noqwanga angaba ikusasa lomuthi we-neuromusculoskeletal kanye nokuphulukiswa kwamalunga?
Amaseli Avuselelayo Okulimala Kwe-Arthritis NoCartilage
Abantu bafuna ukuqhubeka nokwenza imisebenzi yomzimba abayithandayo, edinga amalunga anempilo. Ososayensi bafunda ukusebenzisa amakhono amangqamuzana avuselelayo ukuze alungise futhi akhule kabusha uqwanga olonakele nowonakele. Ukwelashwa kwamanje kwe-stem cell yezinkinga ze-cartilage akuzange kuboniswe ukuguqula imiphumela ye-arthritis futhi ngenkathi izifundo zibonisa ukuthuthukiswa komtholampilo, ucwaningo olwengeziwe luyadingeka. (UBryan M. Saltzman, et al., 2016 )
I-Cartilage nokuthi Ilimala Kanjani
Uqwanga wuhlobo lwezicubu ezixhumeneyo. Emajoyini, kunezinhlobo ezimbalwa ze-cartilage. Okuvame ukubhekiselwa kukho ulwelwesi olubushelelezi olubizwa ngokuthi i-articular noma i-hyaline cartilage. Lolu hlobo lwakha ungqimba olubushelelezi lwe-cushion ekugcineni kwethambo endaweni ehlangene. (Rocky S. Tuan, et al., 2013 )
Ithishu inamandla kakhulu futhi inamandla okucindezela nokumunca amandla.
Ibushelelezi kakhulu ivumela ilunga ukuthi lishibilike kalula phakathi kwebanga lokunyakaza kwelungu.
Lapho i-cartilage ehlangene ilimele, i-cushioning ingaguga.
Ekulimaleni okubuhlungu, amandla angazelelwe angabangela uqwanga ukuba lunqamuke futhi/noma lube nomonakalo, okuveza ithambo elingaphansi.
Ku-osteoarthritis - isifo samathambo esiwohlokayo noma esigugayo, ungqimba olubushelelezi lungaguga lube mncane futhi lungalingani.
Ekugcineni, umcamelo uyaguga, amalunga avuvukale futhi avuvuke futhi ukunyakaza kuba nzima futhi kube buhlungu.
Kukhona zokwelapha ukulimala kwe-arthritis kanye noqwanga, kodwa lezi zindlela zokwelapha ngokuvamile zigxile ekudambiseni izimpawu ngokushelela uqwanga olonakele noma ngokushintsha indawo ehlangene ngokufakelwa okwenziwayo, njengokuhlinza amadolo noma ukushintshwa kwe-hip. (Robert F. LaPrade, et al., 2016 )
Amaseli Avuselelayo
Amaseli e-stem avuselelayo angamaseli akhethekile anamandla okuphindaphinda futhi athuthuke abe izinhlobo ezahlukene zezicubu. Esimeni sokuhlinza amathambo ngezinkinga ezihlangene, ama-stem cells atholakala emithonjeni eyinhloko ye-stem cell okungumnkantsha kanye nezicubu ezinamafutha. Lawa maseli anamandla okuthuthuka abe amangqamuzana oqwanga, abizwa ngokuthi ama-chondrocyte. (Rocky S. Tuan, et al., 2013 )
Zibuye zisize ngokushukumisa umzimba ukuba wehlise ukuvuvukala, zikhuthaze ukulungiswa kwamangqamuzana, futhi zithuthukise ukujikeleza kwegazi.
Le nqubo ibangelwa amasignali amaselula kanye nezici zokukhula ukuze kukhuthazwe umzimba ukuze wenze kusebenze izinqubo zokuphulukisa.
Uma ama-stem cell esetholakele, adinga ukulethwa endaweni yokulimala kwe-cartilage.
I-cartilage iyizicubu eziyinkimbinkimbi ezichazwa njengesakhiwo se-scaffold esakhiwe i-collagen, i-proteoglycans, amanzi, namaseli. (Rocky S. Tuan, et al., 2013 )
Ukuze kuvuselelwe uqwanga, izicubu eziyinkimbinkimbi kufanele zakhiwe kabusha.
Kukhona ucwaningo ngezinhlobo zezikafula zezicubu ezakhelwe ukuphinda zidale uhlobo olufanayo lwesakhiwo soqwanga.
Khona-ke ama-stem cells angajovwa esikafulani, ngethemba lokubuyisela uhlobo oluvamile loqwanga.
Ukwelashwa Kwesifo Samathambo Okungahlinzeki
Standard zokwelapha njengokudutshulwa kwe-cortisone noma ukwelapha ngokomzimba kusebenza futhi futhi kunikeze izinzuzo ezingasetshenziswa ngokuhambisana namaseli avuselelayo e-arthritis kanye nokulimala koqwanga esikhathini esizayo esiseduze. Idatha ithatha isikhathi ngakho-ke lokhu kuyithinta kanjani impilo yesikhathi eside yezidingo ezihlanganyelwe ukuqhubeka nocwaningo mayelana nobunjiniyela bezicubu kanye nokulethwa kwamaseli ukuze kutholwe indlela engcono kakhulu yokusiza abantu ngabanye.
Isifo Sokuqaqamba Kwamalunga
VIDEO
Okubhekwayo
I-LaPrade, RF, Dragoo, JL, Koh, JL, Murray, IR, Geeslin, AG, & Chu, CR (2016). I-AAOS Research Symposium Updates and Consensus: Ukwelashwa Kwe-Biologic Yokulimala Kwamathambo. Ijenali ye-American Academy of Orthopedic Surgeons, 24(7), e62–e78. doi.org/10.5435/JAAOS-D-16-00086
Saltzman, BM, Kuhns, BD, Weber, AE, Yanke, A., & Nho, SJ (2016). Amaseli Esiqu ku-Orthopedics: Umhlahlandlela Ophelele we-General Orthopedist. Ijenali yaseMelika yezamathambo (Belle Mead, NJ), 45(5), 280–326.
Tuan, RS, Chen, AF, & Klatt, BA (2013). Ukuvuselelwa kwe-cartilage. I-Journal ye-American Academy of Orthopedic Surgeons, 21 (5), 303-311. doi.org/10.5435/JAAOS-21-05-303
by UDkt Alex Jimenez Isifo Sokuqaqamba Kwamalunga
I-Arthritis Yokuguga: Ukuthi umzimba ushintsha kanjani njengoba iminyaka ihamba kunqunywa ukudla komuntu ngamunye, ukuvivinya umzimba/ukuzivocavoca umzimba, ufuzo, amazinga okucindezeleka, indlela yokulala, nokuzinakekela. Njengoba umzimba uguga, kuzovela ukuwohloka kwemvelo okuvela ekugqokeni nasekudabukeni kwansuku zonke. Okugxilwe ekuqondeni ukuthi ukuwohloka okuhlobene neminyaka kungawuthinta kanjani umzimba nokuthi yini okufanele yenziwe ukukunqanda nokwelapha.
Ukuguga I-Arthritis
I-arthritis ibhekisela ekuvuvukeni kwamalunga futhi iyimbangela eyinhloko yezinkinga ezihlukahlukene ezihlanganisa:
I-osteoarthritis
fibromyalgia
Isifo samathambo esithathelwanayo
I-Gout - isifo samathambo
rheumatoid arthritis
Lupus
Isifo samathambo ezingane
Ukuvuvukala kuwuphawu olulodwa nje oluvame ukuhambisana nokuvuvukala, ubuhlungu, ukuqina, ukungakwazi ukuhamba, nokulahlekelwa ukusebenza.
I-osteoarthritis
Uhlobo oluvame kakhulu lwe-arthritis i-osteoarthritis, lapho uqwanga olungaphakathi kwamalunga luqala ukuphuka, futhi amathambo aqala ukubunjwa kabusha.
Kuyaziwa njengesifo samalunga esiwohlozayo/i-wear and tear arthritis.
Izandla, izinqulu, namadolo yiwona amalunga athinteka kakhulu.
Lezi zinguquko zivame ukukhula kancane kodwa zibe zimbi kakhulu uma zingelashwa.
Izimpawu zihlanganisa ubuhlungu obukhulu, ukuqina, nokuvuvukala.
fibromyalgia
I-Fibromyalgia yisimo esibangela ubuhlungu ezindaweni ezihlukahlukene zomzimba, izinkinga zokulala nokukhathala.
Abantu abane-fibromyalgia bangazwela kakhulu emizweni yobuhlungu.
Ukwelashwa nezinhlelo zokuphatha ziyatholakala ukusiza ukudambisa izimpawu nokubuyisela ukusebenza.
I-Arthritis Ethathelwanayo
Isifo samathambo esithathelwanayo noma isifo sokuqaqamba kwamalunga
Amagciwane asuka kwenye indawo yomzimba angahlasela ilunga noma uketshezi olulizungezile.
Amagciwane angangena emzimbeni esuka enxebeni elivulekile, imijovo, noma ukuhlinzwa.
Isifo samathambo esithathelwanayo ngokuvamile sitholakala ejoyintini elilodwa.
I-staphylococcus aureus Igciwane noma ukhunta nakho kungadala izimpawu zokuvuvukala kwe-arthritic.
sifo
I-Gout uhlobo oluvamile lwe-arthritis olubangela ukuvuvukala nobuhlungu.
Ngokuvamile kuthinta ilunga elilodwa kuphela, ngokuvamile ilunga lozwane olukhulu.
Izimpawu zingaba namandla , waziwa ngo amafulegi , nezinye izikhathi ezingenazo izimpawu, ezaziwa ngokuthi ukuxolelwa .Iziqephu ze-gout eziqhubekayo zingawohloka zibe isifo samathambo
rheumatoid arthritis
I-Rheumatoid arthritis yisifo esizimele nesivuvukalayo lapho amasosha omzimba ehlasela amangqamuzana anempilo, okubangela ukuvuvukala.
I-Rheumatoid arthritis ihlasela amalunga amaningi ngesikhathi esisodwa, ikakhulukazi ezandleni, ezihlakaleni, nasemadolweni. I-Rheumatoid arthritis yenza ukuthi ulwelwesi oluhlangene luvuvuke futhi luqale ukulimaza izicubu eziseduze.
Ukulimala kwezicubu ezinzima noma ezingapheli ngokwanele kungabangela ubuhlungu, izinkinga zokulinganisela, nokukhubazeka okubonakalayo.
I-arthritis ye-rheumatoid nayo ingathinta izitho, njengamaphaphu, inhliziyo, namehlo, ngokubangela ukuvuvukala.
Lupus
Lupus yisifo se-autoimmune esithinta izinhlelo ezahlukahlukene zomzimba.Isifo se-autoimmune yilapho isimiso somzimba sokuzivikela ezifweni siphuthaza izicubu zaso ngenxa yamagciwane, igciwane, noma isikhunta futhi lizihlasela.
Izimpawu ze-lupus zingase zingacacile, okwenza kube nzima ukuxilonga lesi sifo.
Lesi sifo saziwa njengomlingisi omkhulu ngoba izimpawu zingalingisa ezinye izifo .
Izimpawu zisukela kokuncane kuye kokubeka impilo engcupheni.
Ukubona i- i-rheumatologist kunconywa, njengoba bengochwepheshe abakwazi ukuxilonga futhi belaphe isifo samathambo, i-lupus, nezinye izifo ezihlobene namalunga.
I-Arthritis Yezingane
I-arthritis ezinganeni yaziwa ngokuthi i-arthritis yentsha noma yobuntwana .
I-Juvenile idiopathic arthritis/ I-juvenile rheumatoid arthritis iyindlela evamile kakhulu.Lesi simo singabangela ukulimala okuhlangene kwesikhathi eside okungaholela ekukhubazekeni.
Ukuguga I-Arthritis Nokunakekelwa Kwe-Chiropractic
Ukunakekelwa kwe-Chiropractic kunconywa ekwelapheni kwanoma yiluphi uhlobo lwe-arthritis. Ukunakekelwa kwe-Chiropractic kungasebenza nezinye izindlela zokwelapha ukunciphisa ukuvuvukala nokuvuvukala, ukunciphisa ubuhlungu, nokuthuthukisa ukuhamba nokuguquguquka.
I-chiropractor izosebenzisa isithombe somzimba ngaphambi kokuqala ukwelashwa.
Ukufanekisa kunikeza ukuqonda ngesimo samalunga, futhi okubonakalayo, kuhlanganiswe nombiko wokuziphendulela ovela kumuntu ngamunye, kuvumela i-chiropractor ukuthi yenze uhlelo lokwelapha lomuntu siqu. Uma udokotela we-chiropractor esehlonze ukuthi yiziphi izindlela umzimba ongazisebenzisa, ukwelashwa kuzoqala okungabandakanya:
Ukuzivocavoca okwelapha
I-Percussive massage
ultrasound
I-Electrotherapy
I-low-level laser therapy ebandayo
Ukushisa kwe-infrared
Inhloso ye-chiropractor ukulinganisa kabusha, ukulungisa kabusha nokuqinisa umzimba, ukukhulula ingcindezi noma ingcindezi lapho kuhlangana khona amalunga, nokusheshisa ukuphulukiswa nokuvuselelwa.
I-LLT Laser Therapy
VIDEO
Okubhekwayo
I-Abyad, A, kanye ne-JT Boyer. "I-arthritis nokuguga." Umbono wamanje ku-rheumatology vol. 4,2 (1992): 153-9. doi:10.1097/00002281-199204000-00004
Chalan, Paulina, et al. "I-Rheumatoid Arthritis, Immunosenescence kanye Nezimpawu Zokuguga." Isayensi yokuguga yamanje vol. 8,2 (2015): 131-46. doi:10.2174/1874609808666150727110744
Goronzy, Jorg J et al. "Ukuguga kwamasosha omzimba, kanye ne-rheumatoid arthritis." Imitholampilo yezifo zeRheumatic yaseNyakatho Melika vol. 36,2 (2010): 297-310. doi:10.1016/j.rdc.2010.03.001
Greene, MA, kanye noRF Loeser. "Ukuvuvukala okuhlobene nokuguga ku-osteoarthritis." I-Osteoarthritis kanye ne-cartilage vol. 23,11 (2015): 1966-71. doi:10.1016/j.joca.2015.01.008
Sacitharan, Pradeep Kumar. "Ukuguga kanye ne-Osteoarthritis." I-sub-cellular biochemistry vol. 91 (2019): 123-159. doi:10.1007/978-981-13-3681-2_6
by UDkt Alex Jimenez Isifo Sokuqaqamba Kwamalunga , I-Chiropractic , Umuthi Osebenzayo , Impilo , Ukwelashwa , I-Viscerosomatic Reflex , Ubuhle
Isingeniso
Umzimba unempendulo yokuzivikela eyaziwa ngokuthi amasosha omzimba asiza lapho izenzakalo ezibuhlungu noma ukulimala kuthinta izindawo ezithile zomzimba. I izivikeli mzimba ikhipha ama-cytokines avuvukalayo endaweni ethintekile futhi iqala inqubo yokuphulukisa ukulungisa umonakalo ngenkathi iphinde ikhiphe abangenele bangaphandle emzimbeni. Ukuvuvukala ingaba namandla futhi ibe yingozi emzimbeni, kuye ngokuthi ukulimala kube nomthelela ongakanani endaweni. Lapho ukuvuvukala kuqala ukudala umthelela emisipha ezungezile, imigqa, namalunga, kungaholela ezindabeni ezingapheli ezihlobene nobuhlungu. Kulelo qophelo, kubangela ukuthi umzimba ungasebenzi ngenkathi ulingisa ezinye izimpawu. Isihloko sanamuhla sihlola ukuthi ukusabela okungapheli kokuvuvukala kuthinta kanjani amalunga, izimpawu zawo ezihambisana nawo, nendlela yokuphatha ukuvuvukala kwamalunga okungamahlalakhona. Sidlulisela iziguli kubahlinzeki abaqinisekisiwe abasebenza ngokukhethekile ekwelashweni okulwa nokuvuvukala ukuze sisize abantu abaningi ababhekene nokuvuvukala okungapheli kwamalunga. Futhi siqondisa iziguli zethu ngokubhekisela kubahlinzeki bethu bezokwelapha abahlobene ngokusekelwe ekuhloleni kwabo uma kufaneleka. Sithola ukuthi imfundo iyisixazululo sokubuza abahlinzeki bethu imibuzo enokuqonda. UDkt. Alex Jimenez DC unikeza lolu lwazi njengensizakalo yezemfundo kuphela. Disclaimer
I-Chronic Inflammatory Response Iwathinta Kanjani Amalunga?
Ingabe ubulokhu uzwa ubuhlungu kwezinye izifunda zomzimba wakho? Kuthiwani ngokuzwela emisipha yakho? Ingabe amalunga akho abuhlungu uma wenza imisebenzi yansuku zonke? Uma ngabe ubhekene nalezi zinkinga, kungase kube ngenxa yempendulo yokuvuvukala okungapheli okuthinta amalunga akho e-musculoskeletal. Njengoba kushiwo ngaphambili, ukuvuvukala kungaba kokubili okuzuzisayo futhi kube yingozi emzimbeni, kuye ngobunzima bomthelela umzimba owuthathile. Ngesimo sawo esizuzisayo, umzimba wenza amasosha omzimba asebenze futhi asuse amagciwane avela kubhaktheriya, amagciwane, nezinye izinto ezibangela imvelo ukukhuthaza ukuphulukiswa nokulungiswa kwezicubu. Lokhu kungase kwenze indawo ethintekile ibe bomvu futhi ivuvuke, ngaleyo ndlela kulungiswe amaseli alimele.
Nokho, ngendlela yayo eyingozi, izifundo ziveza ukuthi izimpendulo ezivuthayo ezingapheli zingabhidliza ukubekezelelana komzimba, okubangela ukuguqulwa okuphawulekayo kuzo zonke izicubu, izitho, namalunga. Kulelo phuzu, imiphumela eyinsalela yokuvuvukala okuphezulu ingabangela ukulimala kwamalunga kanye noqwanga, okubenze bahileleke ebuhlungu futhi mhlawumbe nokukhubazeka ngokuhamba kwesikhathi. Amalunga asiza ukugcina umzimba uhamba, uzungezwe izicubu ezixhumene nezicubu ezisiza ukuzinzisa umzimba; lapho izimpendulo zokuvuvukala okungapheli ziqala ukuthinta amalunga, zingaba umlamuleli wezinhlungu nokungakhululeki ngenkathi ziqala ukuphazamiseka kwe-musculoskeletal. Ucwaningo lwembula ukuthi ukuvuvukala emalungeni kungabangela umonakalo ku-cartilage futhi kubangele izinguquko eziwohlokayo emzimbeni. Lokhu kuhlanganisa ukulahlekelwa ukusebenza, ukungazinzi kwamalunga, nezinye izimpawu ezihlobene nokuvuvukala kwamalunga okungapheli.
Izimpawu Ezihambisana Nokuvuvukala Kwamalunga Okungapheli
Uma kukhulunywa ngokuvuvukala kwamalunga okungamahlalakhona, kungalingisa ezinye izimo ezingalapheki eziveza ukungaqini kahle kwamalunga ngenkathi kudlulela izifo ezingelapheki ezihlukahlukene. Lokhu kwenza ukuxilonga kube nzima, ikakhulukazi uma umuntu ebhekene nokuvuvukala ohlangothini olulodwa lomzimba wakhe, kodwa kuthinta enye ingxenye. Lokhu kwaziwa ngokuthi ubuhlungu obudluliselwe , Futhi izifundo ziveza ukuthi amafomu amaningi okuvuvukala athinta amalunga ngezinye izikhathi ane-arthritic futhi anezimpawu zesistimu ezingase zenzeke ezindaweni ezihlukahlukene zomzimba. Ezinye ze izimpawu ezihlobene ngokuvuvukala kwamalunga okungamahlalakhona kungabandakanya:
Ukuvuvuka Ukugubha Imisindo yokugaya Ukuhamba okunzima Ubumbulu Ukulimala okuhlanganayo
Umehluko Phakathi Kwamalunga Anempilo Namalunga Avuvukele-Ividiyo
VIDEO
Ingabe ubulokhu ubhekene nobuhlungu bamalunga ukuphila kwakho konke? Ingabe uzwa ukuqina kwemisipha ezindaweni ezithile lapho uhambahamba? Noma ingabe uzwa ukuthamba kwemisipha ezindaweni ezithile? Eziningi zalezi zimpawu zihlotshaniswa nokuvuvukala kwamalunga, okungase kudlulele nobuhlungu bemisipha. Ividiyo engenhla ichaza umehluko phakathi kwamalunga anempilo namalunga avuvukele. Amalunga anempilo asetshenziswa lapho imisipha ezungezile iqinile futhi isebenza kuyilapho kungekho buhlungu obuzwayo emzimbeni. Amalunga avuvukele angase abangwe izici eziningi ezifana nendlela yokuphila, ukungawuvivinyi umzimba, noma izimo zangaphambilini ezihlobene nobuhlungu bamalunga obuvuvukele. Ucwaningo lwembula ukuthi ama-cytokines avuthayo angase akhulise ukungakhululeki kwe-musculoskeletal okuthinta izicubu ze-musculoskeletal ezizungeze amalunga. Kulelo qophelo, ukuvuvukala kwesistimu ye-musculoskeletal kungase kuhambisane nobuhlungu obuhlangene, ngaleyo ndlela kube nomthelela ngokuqondile izinga lempilo yomuntu. Ngenhlanhla, kunezindlela zokuphatha ukuvuvukala kwamalunga okungapheli nokubuyisela impilo nempilo yomuntu.
Ukulawula Ukuvuvukala Kwamalunga Okungapheli
Njengoba ukuvuvukala kunenzuzo futhi kuyingozi emzimbeni, kunezindlela ezahlukene zokuphatha izimpawu ezingapheli zokuvuvukala okubangela ubuhlungu obuhlangene. Abantu abaningi abafuna ukwehlisa ukuvuvukala emalungeni abo bazoqala ukufaka izindlela zemvelo zokunciphisa izinhlungu. Ukudla ukudla okune-fiber ephezulu kungase kusize ukunciphisa izimpawu zokuvuvukala, okuhlanganisa imisebenzi yomzimba ukuthuthukisa ukuqina kwemisipha nokuqina kwamalunga nokusebenzisa ukunakekelwa kwe-chiropractic. Ucwaningo lwembula ukuthi ukuvuvukala kwamalunga okungapheli okuhambisana nobuhlungu kuyalithinta ikhono lomuntu lokulala nempilo engokomzwelo. Kulelo qophelo, ukuhlanganisa imithi yokwelapha ukuze kulawuleke imiphumela evuvukalayo kungase kuthuthukise ukusebenza kahle komuntu. Manje ukunakekelwa kwe-chiropractic kusiza kanjani ukuphatha ukuvuvukala okuhlangene okungapheli? Ukunakekelwa kwe-Chiropractic kuhlanganisa amasu okunciphisa ukuvuvukala asiza ukukhulula imisipha eqinile ezungeze amalunga avuvukele. Ukuvuvukala kwamalunga kungase kube ngenxa ukuhlukunyezwa (ukungahambi kahle komgogodla) okuhambisana nezici zemvelo. Ukusebenzisa ukunakekelwa kwe-chiropractic akugcini nje ukunciphisa izimpawu ezibangelwa ukuvuvukala okuhlangene kodwa kungase kunciphise imbangela yokuvuvukala. Uma umuntu eseqedile ukwelashwa kwakhe kokunakekelwa kwe-chiropractic, angabuyela emisebenzini evamile ngaphandle kwengozi yokulimala kabusha nokuvuvukala kabusha.
Isiphetho
Ukuvuvukala emzimbeni kungaba yinzuzo futhi kube yingozi kuye ngendawo ethintekile. Umzimba ukhipha ama-cytokine avuthayo lapho kwenzeka isigameko esibuhlungu noma ukulimala ezindaweni ezithile zomzimba. Lokhu kungenxa yokuthi amasosha omzimba asabela ngokwemvelo kumangqamuzana alimele, ngaleyo ndlela enze indawo ibe bomvu, ishise, futhi ivuvukele ukuze kuthuthukiswe ukuphulukiswa. Kulelo phuzu, ukuvuvukala kungathinta imisipha ezungezile, imigqa, namalunga, okungaholela ezindabeni ezingapheli ezihlobene nobuhlungu. Ukuvuvukala okuhlangene okungapheli kuyizinsalela eziphezulu zokuvuvukala okubangela ukulimala ku-cartilage nezakhiwo ezihlangene, ngaleyo ndlela kubenze bahileleke ebuhlungu kanye nokukhubazeka okungenzeka. Ngenhlanhla, ukwelashwa okufana ne-fiber ephezulu nokudla okulwa nokuvuvukala, ukuvivinya umzimba okwanele, nokunakekelwa kwe-chiropractic kungasiza ukuphatha ukuvuvukala kwamalunga okungapheli kanye nezimpawu zobuhlungu obuhambisana nazo. Ngale ndlela, abantu abaningi bangakwazi ukuqhubeka nemisebenzi yabo evamile.
Okubhekwayo
Furman, David, et al. "Ukuvuvukala Okungapheli ku-Etiology yezifo kuyo yonke i-Life Span." Umuthi Wemvelo , I-US National Library of Medicine, Dec. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC7147972/ .
Kim, Yeesuk, et al. "Ukuxilongwa Nokwelashwa Kwezifo Ezihlangene Ezivuthayo." I-Hip & Pelvis , Korean Hip Society, Disemba 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5729162/ .
U-Lee, u-Yvonne C. “Umphumela Nokwelashwa Kobuhlungu Obungamahlalakhona ku-Arthritis Evuvukalayo.” Imibiko Yamanje Ye-Rheumatology , I-US National Library of Medicine, Jan. 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC3552517/ .
Poudel, Pooja, et al. "I-Arthritis Evuthayo - Statpearls - Ishalofu Lezincwadi le-NCBI." Ku: StatPearls [I-inthanethi]. I-Treasure Island (FL) , StatPearls Publishing, 21 Apr. 2022, www.ncbi.nlm.nih.gov/books/NBK507704/ .
Puntillo, Filomena, et al. "I-Pathophysiology ye-Musculoskeletal Pain: Ukubuyekezwa Okulandisayo." Intuthuko Yokwelapha Ezifweni Ze-Musculoskeletal , SAGE Publications, 26 Feb. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC7934019/ .
Disclaimer
by UDkt Alex Jimenez Isifo Sokuqaqamba Kwamalunga , I-Chiropractic , Ubuhlungu obungapheliyo , Umuthi Osebenzayo , I-Hip Pain & Ukuphazamiseka , Ukwelashwa , I-Viscerosomatic Reflex , Ubuhle
Isingeniso
Izinqulu ezisezindaweni ezingezansi zomzimba zisiza ukuzinzisa isisindo sengxenye engenhla ngenkathi zinikeza ukunyakaza engxenyeni engezansi. I izinyathelo futhi vumela umzimba ukusonteka, ukuphenduka, nokugobela emuva naphambili. Amajoyinti e-hip axhumeka ngaphakathi kwethambo le-pelvic, kuyilapho ithambo le-pelvic lixhunywe ku-joint sacroiliac, ehlangene nomgogodla. Nini ukuguga kwemvelo kuthinta amalunga njengoba ukukhula komzimba, izinkinga ezifana nobuhlungu be-hip kanye ne-osteoarthritis ehambisana nayo ukhwaliti ubuhlungu emuva kwenzeka, okubangela ukuba kuvele izimpawu ezihlukahlukene emzimbeni. Isihloko sanamuhla sibheka i-osteoarthritis, ukuthi ithinta kanjani okhalweni, nendlela yokuphatha i-hip osteoarthritis. Sithumela iziguli kubahlinzeki abaqinisekisiwe abasebenza ngokukhethekile ekwelashweni kwemisipha namathambo ukuze sisize labo abanobuhlungu be-hip kanye ne-osteoarthritis. Futhi siqondisa iziguli zethu ngokubhekisela kubahlinzeki bethu bezokwelapha abahlobene ngokusekelwe ekuhloleni kwabo uma kufaneleka. Sithola ukuthi imfundo iyisixazululo sokubuza abahlinzeki bethu imibuzo enokuqonda. UDkt. Alex Jimenez DC unikeza lolu lwazi njengensizakalo yezemfundo kuphela. Disclaimer
Iyini I-Osteoarthritis?
Ingabe ubulokhu uzwa ubuhlungu ezinqulwini noma ezingezansi? Kuthiwani ngokuqina kwemisipha eduze kwe-groin? Ingabe izimpawu ezihambisana ne-sciatica zibonakala zivutha eduze kwezinqe zakho nangemuva komlenze wakho? Eziningi zalezi zimpawu ziyizimpawu zokuthi ungaba sengozini yokuthola i-osteoarthritis eduze kwezinqulu zakho. Nakuba isifo sokuqaqamba kwamalunga sibhekisela ekuvuvukeni kwamalunga omzimba, i-osteoarthritis iwuhlobo lwesifo samathambo esibangela ukuwohloka koqwanga oluhlangene, okubangela ubuhlungu obuhlangene nokulahlekelwa ukusebenza. Nakuba kunezinhlobo ezingamakhulu amaningana ze-arthritis, osteoarthritis ingenye yezinhlobo ezivame kakhulu abantu abaningi, ikakhulukazi abantu abadala, abathintekayo. Njengoba umzimba ukhula ngokwemvelo phakathi neminyaka yobudala, ukulungiswa kokulimala kuqala ukuhamba kancane, futhi uqwanga (izicubu ezixhumene ezivikela amathambo komunye nomunye) zizoqala ukuncipha, kubangele ukuxubhana kwamathambo ndawonye, okubangela ukuvuvukala kwenzeke, ama-bone spurs, nobuhlungu obungenakugwemeka. I-osteoarthritis ivame ukuhlotshaniswa nokuguga futhi kunjalo izinto eziningi njengoba izici ezingandisa ingozi yokuthuthukisa i-osteoarthritis zihlanganisa:
Sex Ubudala Ukukhuluphala Ukulimala kwamalunga Ufuzo I-Bone deformities
Iwathinta Kanjani Ama-Hips?
Njengoba i-osteoarthritis ithinta amalunga, idala kanjani umthelela ezinqulwini? Uma izinkinga zezempilo zithinta umzimba, kungabangela izimpawu ezibuhlungu ukuba ziqhubeke kancane kancane futhi zibe yingozi yokuthuthukisa ubuhlungu be-hip. Ucwaningo lwembula ukuthi ubuhlungu be-hip buvamile kubo bonke abantu abadala kanye namazinga omsebenzi ezindaweni zangaphambili, ezingemuva, noma ezingemuva eduze kwezinqunu.
Ubuhlungu be-hip yangaphambili : Izimbangela ubuhlungu obudluliselwe (ubuhlungu obuzwakala engxenyeni eyodwa yomzimba kodwa empeleni busendaweni ehlukile) obuhambisana nezinhlelo zesitho sangaphakathi.Ubuhlungu be-hip lateral : Ibangela ubuhlungu obugugayo nezinyembezi ezicutshini ezithambile ezisemaceleni ezinqulwini.Ubuhlungu be-hip yangemuva : Izimbangela ubuhlungu obudluliselwe okuhlotshaniswa ne-lumbar spinal pathology efana ne-sciatic nerve entrapment ehambisana nesifo esijulile se-gluteal.
Zonke lezi zinkinga ezithinta u-hips zihambisana nezinkinga ezihlukahlukene ezihlobene ne-osteoarthritis. Uma ubuhlungu be-hip busuka ku-osteoarthritis, izici ezifana nokuvivinya umzimba okuncane noma ukunyakaza kancane ngenkathi uphumule embhedeni zingaba zimbi kakhulu ngenxa yokuthi amalunga e-hip anokunyakaza okulinganiselwe noma okukhawulelwe. Ucwaningo lwembula ukuthi ubuhlungu be-hip buhlotshaniswa nokukhubazeka okulula kokunyakaza okwenza kube nzima ukuxilonga ngenxa yobuhlungu obuzwayo obuvela emgogodleni, amadolo, noma ngisho nendawo ye-groin.
I-hip osteoarthritis ihlobana kanjani nobuhlungu be-groin? Ucwaningo lwembula ukuthi lapho umuntu ebhekene ne-hip osteoarthritis, ubuhlungu be-groin nesinqe buvame kakhulu. I-hip joint ingemuva komsipha we-groin, yingakho ubuhlungu be-groin budlula ubuhlungu be-hip njengempande. Ubuhlungu be-hip ne-groin bungase buhileleke nobuhlungu obukhiphayo bubheke emadolweni emzimbeni.
Ukuzivocavoca Kwe-Hip Osteoarthritis- Ividiyo
VIDEO
Ingabe unenkinga yesinye? Kuthiwani ngokuqina eduze noma eduze kwezinqulu zakho nendawo ye-groin? Ingabe izinkinga ezifana nobuhlungu obuphansi kanye ne-sciatica? Ukubhekana nalezi zinkinga kungaba izimpawu ze-hip osteoarthritis ezithinta umzimba wakho ophansi. Ucwaningo lwembula ukuthi i-hip osteoarthritis ingumthombo obalulekile wokugula, ubuhlungu, ukungahambi kahle, kanye nokukhubazeka okusebenzayo okungase kuhileleke kwezinye izinkinga. Ngenhlanhla, kunezindlela zokuphatha i-hip osteoarthritis, njengoba ividiyo engenhla ibonisa izivivinyo eziyisishiyagalombili ezinhle ze-hip osteoarthritis. Ukunyakaza okuthile kokuzivocavoca kubantu abane-hip osteoarthritis bangasiza ukuqinisa imisipha ezungezile ezungeze amalunga ngenkathi ukwandisa ukuhamba kwamalunga ukuze kuncishiswe ubuhlungu nokuqina. Ukuzivocavoca kungaba yinzuzo kumuntu ngamunye njengoba kunganikeza:
Khulisa ukujikeleza kwegazi Gcina isisindo Inikeza amandla amandla Kuthuthukisa ukulala Ikhuthaza ukukhuthazela kwemisipha
Ezinye izindlela zokwelapha ezitholakalayo zisiza ukuphatha i-hip osteoarthritis ngenkathi kunciphisa izimpawu ezihambisanayo ezithinta umzimba.
Ukuphatha I-Hip Osteoarthritis Pain
Abantu abaningi abaphethwe i-hip osteoarthritis bazama ukuthola izindlela zokuqeda izinhlungu. Nakuba bengakwazi ukwenza lutho ukuvimbela ukuguga nokudabuka emalungeni ngokuphelele, kunezindlela zokunciphisa inqubo nokulawula i-hip osteoarthritis emzimbeni. Izinguquko ezincane ezinjengokufaka ukudla zingadambisa imiphumela yokuvuvukala emalungeni kuyilapho kunikeza izakhi zomzimba emzimbeni. Umbuso wokuzivocavoca ungasiza ukuqinisa imisipha ebuthakathaka esekela amalunga ngenkathi ikhulisa ukuhamba nobubanzi bokunyakaza. Ukwelashwa okufana nokudonsa komgogodla kanye nokunakekelwa kwe-chiropractic kukhulula ubuhlungu nokuqina okuvela ezifweni ezihlangene njenge-osteoarthritis. Ukunakekelwa kwe-Chiropractic kunikeza ukuxhaphazwa komgogodla ngemuva namalunga ukuze alungiswe. Ngenkathi ukudonsa komgogodla kusiza ama-disc acindezelwe ukuthi abeke ingcindezi emithanjeni ezungezile ehambisana nobuhlungu be-hip. Ukufaka noma yikuphi kwalokhu kungasiza ekubambezeleni ukuqhubeka kwe-hip osteoarthritis futhi kubuyisele ukuhamba ezinqulwini.
Isiphetho
Izinqulu zinikeza ukuzinza ezingxenyeni ezingenhla nezingezansi zomzimba. Ngenkathi isekela isisindo sengxenye engenhla kanye nokunyakaza kuya engxenyeni engezansi, ama-hips anganqotshwa ukuguga nokudabuka emzimbeni. Lapho amalunga e-hip eqala ukuguga futhi eklebhuka kancane, kungaholela ekuqhubekeleni phambili kwe-hip osteoarthritis, lapho uqwanga lwamalunga luqala ukubangela ukuba amathambo agudle omunye nomunye, okubangela ukuvuvukala. I-Hip osteoarthritis yenza ukuxilonga kube nzima ngoba ubuhlungu obudluliselwe emgogodleni, emadolweni, noma endaweni ye-groin budlula izimpawu. Konke akulahlekile, njengoba kunemithi yokwelapha etholakalayo yokuphatha i-hip osteoarthritis engasiza ekubambezeleni ukuqhubeka kwalesi sifo futhi ibuyise ukuhamba kwengxenye engezansi yomzimba.
Okubhekwayo
Ahuja, Vanita, et al. "Ubuhlungu Be-Hip Obungapheli Kubantu Abadala: Ulwazi Lwamanje Nekusasa Elizayo." Ijenali ye-Anaesthesiology, Clinical Pharmacology , Wolters Kluwer – Medknow, 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC8022067/ .
Chamberlain, Rachel. "Ubuhlungu Be-Hip Kubantu Abadala: Ukuhlola kanye Nokuxilongwa Okuhlukile." I-American Family Physician , 15 Jan. 2021, www.aafp.org/pubs/afp/issues/2021/0115/p81.html .
Khan, AM, et al. "I-Hip Osteoarthritis: Buphi Ubuhlungu?" Annals weRoyal College of Surgeons yaseNgilandi , I-US National Library of Medicine, Mashi. 2004, pubmed.ncbi.nlm.nih.gov/15005931/ .
Kim, Chan, et al. "Ukuhlotshaniswa Kwezinhlungu Ze-Hip Nobufakazi Be-Radiographic Be-Hip Osteoarthritis: Isifundo Sokuhlola Ukuxilonga." I-BMJ (I-Clinical Research Ed.) , BMJ Publishing Group Ltd., 2 Dec. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4667842/ .
Sen, Rouhin, noJohn A Hurley. "I-Osteoarthritis - Statpearls - Ishalofu Lezincwadi le-NCBI." Ku: StatPearls [I-inthanethi]. I-Treasure Island (FL) , StatPearls Publishing, 1 May 2022, www.ncbi.nlm.nih.gov/books/NBK482326/ .
Disclaimer
by UDkt Alex Jimenez Isifo Sokuqaqamba Kwamalunga , I-Chiropractic , Ubuhlungu obungapheliyo , Umuthi Osebenzayo , Impilo , Ukwelashwa , I-Viscerosomatic Reflex , Ubuhle
Isingeniso
Abantu abaningi baye babhekana nezinkinga ezithinta ukuphila kwabo ngandlela-thile noma ngendlela ethile. Abantu abane izifo ezizimele kumele bafunde ukuphatha izivikeli mzimba kusukela ekuhlaseleni njalo imizimba yabo ukuze isebenze ngendlela evamile. Umsebenzi oyinhloko wamasosha omzimba ukuhlasela izici zemvelo ezilimaza amangqamuzana, izicubu nezitho zomzimba. Uma umuntu enesifo sokuzivikela komzimba, kungaba umlando womndeni wakhe noma izici zemvelo, amasosha omzimba aqala ukuhlasela amangqamuzana avamile omzimba ngoba ecabanga ukuthi yisihlaseli sangaphandle emzimbeni. Ezinye izifo ezivamile ze-autoimmune abantu abaningi abanazo zihlanganisa i-lupus, i-spondylitis e-ankylosing , kanye nesifo samathambo. Iningi lalezi zifo ezijwayelekile ze-autoimmune zihlotshaniswa nezimpawu ezijwayelekile ezengeza kwezinye izindaba ezithinta umzimba. Isihloko sanamuhla sibheka isifo samathambo, izimpawu zaso, ukuthi sihlobana kanjani nokukhathala, nokuthi zikhona kanjani izindlela zokwelapha ezitholakalayo zokulawula isifo samathambo kanye nokukhathala. Sidlulisela iziguli kubahlinzeki abaqinisekisiwe abasebenza ngokukhethekile ekwelashweni kwemisipha namathambo ukuze sisize labo abaphethwe isifo samathambo nokukhathala. Futhi siqondisa iziguli zethu ngokubhekisela kubahlinzeki bethu bezokwelapha abahlobene ngokusekelwe ekuhloleni kwabo uma kufaneleka. Sithola ukuthi imfundo iyisixazululo sokubuza abahlinzeki bethu imibuzo enokuqonda. UDkt. Alex Jimenez DC unikeza lolu lwazi njengensizakalo yezemfundo kuphela. Disclaimer
Iyini I-Rheumatoid Arthritis?
Ingabe ubulokhu uzwa ukuqina nokuvuvukala emalungeni akho? uke wabhekana nezinkinga zamathumbu ezithinta impilo yakho? Noma ingabe izinkinga zokuqwasha noma ukukhathala zibonakala zithinta izinga lakho lokuphila? Eziningi zalezi zimpawu zihlotshaniswa ne-rheumatoid arthritis. I-Rheumatoid arthritis yisifo esizimele esibangela ukuvuvukala nokuvuvukala emalungeni. Ividiyo engenhla ichaza indlela yokuphatha isifo samathambo kanye nezimpawu ezihambisana nayo. Ukukhathala kungenye yezimpawu ezihambisana nesifo samathambo njengoba ama-cytokines avuvukalayo angaba ukugula okuhambisanayo ekuguquleni ukusebenza kobuchopho okungaholela ekudluleleni kobuhlungu nokukhathala emzimbeni, njengoba izifundo ziveza . Nakuba lingazange libe khona ikhambi le-rheumatoid arthritis, izindlela zokwelapha ezihlukahlukene zingasiza abantu ukuphatha izimpawu ze-rheumatoid arthritis.
Izimpawu
Ezinye zezimpawu ezivame kakhulu ze-rheumatoid arthritis emzimbeni zihlanganisa ubuhlungu, ukuvuvukala nokuvuvukala kwamalunga, ukukhubazeka kwamalunga, nokuqina. Ngokungafani nokulimala kokuguga okuvela ezinhlotsheni ezihlukene zezinkinga ezivamile zokuvuvukala, izimpawu ze-rheumatoid arthritis zingase zifike futhi zidlule ezingasukela kokuthambile, okulingene, noma zibe zimbi nakakhulu. Uma lokhu kwenzeka, i-rheumatoid arthritis ingase ibe umphumela wokwenza kube nzima ukwenza imisebenzi elula futhi kubangele izinguquko ezihlangene. Ucwaningo lubonisa ukuthi isifo samathambo esihambisana nokuvuvukala singalimaza izingxenye ezahlukene zomzimba ezifana namathumbu. Izinkinga zamathumbu afana namathumbu avuzayo, i-IBS, noma i-SIBO zingadala ukuqubuka kubantu abane-arthritis ye-rheumatoid. Lokhu kwaziwa ngokuthi i-somato-visceral ubuhlungu, lapho imisipha ithinta izitho ezibalulekile, okubangela izinkinga emzimbeni.
Ukukhathala Kuhlobana Kanjani Ne-RA?
Abantu abane-arthritis ye-rheumatoid bahlushwa izimpawu ezihlukahlukene ezihlobene nezinkinga zokuvuvukala. Lapho ukuvuvukala kuqala ukuba nomthelela emzimbeni, kungadlula amaphrofayili wokukhathala kanye nezinga lempilo elimpofu kumuntu ngamunye. Ngakho-ke ukukhathala kuhlobana kanjani ne-rheumatoid arthritis? Ucwaningo lwembula ukuthi ukukhathala kubhekwa njengenye yezimpawu ezibucayi ze-rheumatoid arthritis ebeka umthwalo kubantu ngabanye, ngaleyo ndlela ihlotshaniswa nokunciphisa impilo nempilo yabo. Ukukhathala kunezilinganiso eziningi ezithinta abantu abaningi. Abanye abantu bazochaza kodokotela babo abayinhloko ukuthi bahlala bekhathele, besebenza ngokweqile, futhi becindezelekile ngokuphindaphindiwe kusukela ekuphileni kwansuku zonke noma ukuphazamiseka okuthinta imizimba yabo. Kubantu abane-arthritis ye-rheumatoid, izifundo ziveza ukuthi izici eziphakeme zokuvuvukala ezihlobene nokukhathala zingase zibangele ukuba bazizwe bekhathele. Lokhu kuhlobene nabantu abanokuqwasha okuvela kwezinye izimo.
Ukuphatha I-Rheumatoid Arthritis-Ividiyo
VIDEO
Ingabe ubulokhu uzwa ukuqina nokuvuvukala emalungeni akho? uke wabhekana nezinkinga zamathumbu ezithinta impilo yakho? Noma ingabe izinkinga zokuqwasha noma ukukhathala zibonakala zithinta izinga lakho lokuphila? Eziningi zalezi zimpawu zihlotshaniswa ne-rheumatoid arthritis. I-Rheumatoid arthritis yisifo esingamahlalakhona sokuzivikela komzimba esidala ukuvuvukala nokuvuvukala emalungeni. Ividiyo engenhla ichaza indlela yokuphatha isifo samathambo kanye nezimpawu ezihambisana nayo. Ukukhathala kungenye yezimpawu ezihambisana nesifo samathambo njengoba ama-cytokines avuvukalayo angaba ukugula okuhambisanayo ekuguquleni ukusebenza kobuchopho okungaholela ekudluleleni kobuhlungu nokukhathala emzimbeni, njengoba izifundo ziveza . Nakuba lingazange libe khona ikhambi le-rheumatoid arthritis, izindlela zokwelapha ezihlukahlukene zingasiza abantu ukuphatha izimpawu ze-rheumatoid arthritis.
Ukwelashwa Kwe-RA & Ukukhathala
Nakuba lingazange libe khona ikhambi le-rheumatoid arthritis, kunezindlela zokuphatha izimpawu ezihambisanayo ze-rheumatoid arthritis. Ukudla ukudla okunothe eqeda ukuvuvukala kungase kwehlise umphumela wokuvuvukala emalungeni. Enye indlela ngenkathi ukuzivocavoca kungasiza ukukhulula amalunga aqinile futhi kubuyise amandla emisipha, ngaleyo ndlela kubuyisele ukunyakaza kwamalunga. Ukwelashwa okufana nokunakekelwa kwe-chiropractic nakho kunganikeza ukukhululeka kobuhlungu kanye nokuphathwa kwabantu ababhekene ne-rheumatoid arthritis. Ukunakekelwa kweChiropractic kuhlanganisa izindlela zokwelapha ezingenzi lutho futhi ezisebenzayo ze-rheumatoid arthritis nokukhathala. Ama-Chiropractors asebenzisa ukulungiswa komgogodla kanye nokuxhaphaza ngesandla ukuze kuncishiswe ukungahambi kahle noma ukuxutshwa komgogodla. Ukunakekelwa kweChiropractic kungasiza futhi ngezimpawu eziningi njengokukhathala okuhambisana nesifo samathambo ngaphandle kokwelashwa okuhlaselayo noma imithi. Ukunakekelwa kwe-Chiropractic kungase kuthuthukise ukusebenza kwamathambo, amalunga, ngisho nesimiso sezinzwa emzimbeni.
Isiphetho
I-Rheumatoid arthritis yisifo esingapheli sokuvuvukala esibangela ukuqina kwamalunga nokuvuvukala. Izimbangela zalesi sifo se-autoimmune azaziwa. Noma kunjalo, izici ezifana nengcindezi, izinkinga zamathumbu, kanye nokukhuluphala zihlotshaniswa nezimpawu ezinjengokukhathala, ukuvuza amathumbu, ukuqina kwemisipha, kanye nezinga lempilo elimpofu kungase kuhileleke nesifo samathambo. Ukwelashwa okunjengokudla ukudla okuvimbela ukuvuvukala, ukuvivinya umzimba, nokunakekelwa kwe-chiropractic kungasiza ekulawuleni izinkinga ezivuvukalayo ezivusa isifo samathambo futhi kungahle kunciphise imiphumela yokukhathala emzimbeni, ngaleyo ndlela kwehlise ijubane futhi kubuyisele izinga lempilo yomuntu.
Okubhekwayo
Chauhan, Krati, et al. "I-Rheumatoid Arthritis - Statpearls - Ishalofu Lezincwadi le-NCBI." Ku: StatPearls [I-inthanethi]. I-Treasure Island (FL) , StatPearls Publishing, 30 Apr. 2022, www.ncbi.nlm.nih.gov/books/NBK441999/ .
Korte, S Mechiel, kanye noRainer H Straub. "Ukukhathala Ku-Inflammatory Rheumatic Disorders: Izindlela Ze-Pathophysiological." I-Rheumatology (Oxford, England) , Oxford University Press, 1 Nov. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6827268/ .
UPapa, uJanet E. “Ukulawulwa Kokukhathala Ku-Rheumatoid Arthritis.” Vula i-RMD , BMJ Publishing Group, May 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7299512/ .
Santos, Eduardo JF, et al. "Umthelela Wokukhathala Ku-Rheumatoid Arthritis kanye Nezinselele Zokuhlola Kwaso." I-Rheumatology (Oxford, England) , Oxford University Press, 1 Nov. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6827262/ .
Abasebenzi, iMayo Clinic. "I-Rheumatoid Arthritis." I-Mayo Clinic , I-Mayo Foundation for Medical Education and Research, 18 May 2021, www.mayoclinic.org/diseases-conditions/rheumatoid-arthritis/symptoms-causes/syc-20353648 .
Disclaimer
