Arthritis
IQela leKlinikhi eNgemva kweArthritis. I-arthritis sisifo esixhaphakileyo kodwa asiqondwa kakuhle. Igama elithi arthritis alibonisi isifo esinye kodwa libhekisela kwiintlungu zamalungu okanye izifo ezidibeneyo. I-100 iintlobo ezahlukeneyo ezikhoyo. Abantu bayo yonke iminyaka, isondo kunye neentlanga banokuhlakulela isifo samathambo. Ngoyena nobangela uphambili wokukhubazeka eMelika. Abantu abadala abangaphezu kwezigidi ezingama-50 kunye nabantwana be-300,000 banohlobo oluthile lwentlungu edibeneyo okanye isifo. Ixhaphakile phakathi kwabasetyhini kwaye iyenzeka ngakumbi njengoko abantu besiya bekhula. Iimpawu ziquka ukuvuvukala, intlungu, ukuqina, kunye nokunciphisa uluhlu lokunyakaza (ROM).
Iimpawu zinokuza kwaye zihambe, kwaye zinokuba buthathaka, ziphakathi, okanye ziqatha. Basenokuhlala befana iminyaka kodwa banokuba mandundu ngokuhamba kwexesha. Kwiimeko ezinzima, kunokubangela intlungu engapheliyo, ukungakwazi ukwenza imisebenzi yemihla ngemihla kunye nobunzima bokuhamba okanye ukunyuka izitebhisi. Inokubangela umonakalo odibeneyo osisigxina kunye notshintsho. Olu tshintsho lusenokubonakala, oko kukuthi, amalungu omnwe we-knobby, kodwa aqhele ukubonwa kuphela kwi-x-reyi. Ezinye iintlobo zesifo samathambo zichaphazela amehlo, intliziyo, izintso, imiphunga nolusu.
by UGqr Alex Jimenez Unyango lwe-Acupuncture , Arthritis
Kubantu abane-arthritis, ngaba ukudibanisa i-acupuncture kunye nolunye unyango kunceda ukulawula iintlungu kunye nezinye iimpawu?
I-acupuncture ye-Arthritis
I-acupuncture ikhona iminyaka engamawaka kwaye luhlobo lwamayeza emveli aseTshayina asebenzisa iinaliti ezifakwe kwiindawo ezahlukeneyo zomzimba ukukhulula intlungu kunye nokudumba. Uqheliselo lusekwe kumbono wamandla obomi aqukuqela kuwo wonke umzimba ecaleni kwendlela ebizwa ngokuba ziimeridians. Xa ukuhamba kwamandla kuphazamiseka, ukuvaleka, okanye ukulimala, intlungu okanye ukugula kunokubonakala. (I-Arthritis Foundation. ND .) Uphando olongezelelweyo luyafuneka ukuze kubonwe ukuba zisebenza njani iindlela zonyango lwe-acupuncture kunye nokusebenza ngokupheleleyo. Nangona kunjalo, kukho ubungqina obuvelayo obubonisa ukuba i-acupuncture inokubonelela ngokukhululeka kweempawu kubantu abaneentlungu ezidibeneyo, ngakumbi abo bane-osteoarthritis kunye ne-rheumatoid arthritis. (Pei-Chi Chou, Heng-Yi Chu. 2018 )
benefits
Eyona ndlela yokunciphisa intlungu kunye nokuvuvukala ayikacaci. Iithiyori ziquka ukuba iinaliti zicinezela iimpendulo ezivuthayo, ukuphucula ukuhamba kwegazi, kunye nokuphumla kwemisipha. Nangona i-acupuncture ingenako ukunyanga okanye ukubuyisela umva isifo samathambo, kunokuba luncedo ekulawuleni iintlungu kunye nokuncipha kweempawu ezinxulumeneyo, ngakumbi ngokudityaniswa nolunye unyango. (Pei-Chi Chou, Heng-Yi Chu. 2018 )
Irheumatoid arthritis
Uphononongo olucwangcisiweyo lwezifundo ezingama-43, kubandakanywa abantu kunye nezilwanyana ezine-rheumatoid arthritis, zibonise iziphumo ezahlukeneyo. Izifundo ezininzi zibonise ukuphucuka kweempawu kunye nokuncipha kweempawu zebhayoloji ze-rheumatoid arthritis kulandela iseshoni enye ukuya kwezintathu ze-acupuncture iiveki ezine okanye ngaphezulu. (USharon L. Kolasinski et al., 2020 Iziphumo eziluncedo ezilandela unyango lwe-acupuncture kwi-rheumatoid arthritis ziquka:
Iintlungu ezincitshisiweyo
Ukunciphisa ukuqina kwamalungu
Ukuphuculwa komsebenzi womzimba
Iziphumo zophando lwabantu kunye nezilwanyana zacebisa ukuba i-acupuncture inamandla okwenza lawula phantsi :
Amanqanaba e-interleukins
Amanqanaba e-tumor necrosis factor
Iiprotheyini ezithile zeseli / ii-cytokines ezibandakanyekayo kwimpendulo yokuvuvukala, eziye ziphakame kwiimeko ezizimeleyo ezifana ne-rheumatoid arthritis. (Pei-Chi Chou, Heng-Yi Chu. 2018 )
Uninzi lwezifundo zophononongo bezikwafumana ezinye iindlela zonyango, ngakumbi amayeza. Ngoko ke, kunzima ukugqiba ngendlela eluncedo ngayo i-acupuncture iyodwa okanye njengokongeza kolunye unyango lwezamayeza. (Pei-Chi Chou, Heng-Yi Chu. 2018 )
Osteoarthritis
I-acupuncture ye-osteoarthritis yesandla, i-hip, kunye nedolo iyacetyiswa, ngokutsho kwe-American College of Rheumatology kunye ne-Arthritis Foundation, oku kuthetha ukuba kunokufaneleka ukuzama, nangona uphando olungakumbi lufunekayo ukuqinisekisa ukusebenza kwayo. Nangona kunjalo, kuba umngcipheko umncinci, i-acupuncture ithathwa njengenye indlela yonyango ekhuselekileyo yokulawula iimpawu. (USharon L. Kolasinski et al., 2020 )
Ubuhlungu obungapheliyo
Njengoko ulingo lwezonyango lucebisa ukuba i-acupuncture inokusebenza ekunikeni isiqabu kwiintlungu, inokuba lukhetho olucetyiswayo kubantu abaphethwe ziintlungu ezingapheliyo. Uphononongo olucwangcisiweyo lwamva nje lwezigulane ze-20,827 kunye nezilingo ze-39 zagqiba ukuba i-acupuncture iyasebenza kunyango lwentlungu engapheliyo ye-musculoskeletal, intloko, kunye neentlungu ze-osteoarthritis. (Andrew J. Vickers et al., 2018 )
Ezinye izibonelelo ezinokubakho ziquka iziphumo ze-antioxidative: (Pei-Chi Chou, Heng-Yi Chu. 2018 )
Ukunciphisa uxinzelelo lwe-oxidative kunye nokuvuvukala
Ukuphucula i-metabolism yamandla
Ukuqala ukukhululwa kwe-endorphins / ihomoni ezinceda ukunciphisa intlungu.
Safety
I-acupuncture ithathwa njengenkqubo ekhuselekileyo yingcali enelayisensi kunye nesiqinisekiso.
Ukuziqhelanisa ne-acupuncture e-United States, i-acupuncture idinga ubuncinci isidanga se-master ukusuka kwinkqubo evunyiweyo yi-American Academy of Acupuncture kunye ne-Oriental Medicine kunye nelayisenisi kwilizwe apho bafumana unyango lwabo lwe-acupuncture.
Oogqirha abane-MD okanye i-DO degree abanelayisensi e-United States ukuba benze amayeza banokuvunyelwa yi-American Academy of Medical Acupuncture emva koqeqesho olongezelelweyo.
iingozi
Imingcipheko eyayanyaniswa ne-acupuncture kukopha kunye nokugruzuka, ngakumbi kubantu abanengxaki yokopha efana ne-hemophilia okanye amayeza okunciphisa igazi. Abantu ngabanye bayacetyiswa ukuba bathethe nomboneleli wabo wezempilo ukuze babone ukuba i-acupuncture yindlela ekhuselekileyo.
Imiphumela
Uninzi lwabantu alufumani ziphumo zingalindelekanga, nangona iimpendulo ezinokubakho zinokubandakanya: (Shifen Xu et al., 2013 )
Ukukhathazeka
Ukunyakaza
Scarring
Ukothuka ngenaliti: impendulo ye-vasovagal ebonakala njengokuziva utyhafile, izandla ezipholileyo, ukugodola, kunye nesicaphucaphu kancinci.
Iseshoni yeAcupuncture
Ngexesha lonyango lokuqala, abantu baya kuxoxa ngembali yabo yonyango kwaye ngawaphi amalungu kunye nemimandla yemizimba yabo ebonisa iimpawu.
Emva kovavanyo lomzimba, umntu uya kulala etafileni yonyango.
Abantu banokujongana phezulu okanye phantsi kuxhomekeke ekubeni zeziphi iindawo zomzimba i-acupuncturist ekufuneka ifikelele kuyo.
Kunconywa ukuba unxibe iimpahla ezivulekileyo ezinokugqithwa okanye zisuswe kwindlela yokufikelela kwiindawo ezahlukeneyo ngokulula.
Kuxhomekeka ekubeni yeyiphi na imimandla ekufuneka ifikelelwe, abantu banokucelwa ukuba batshintshe banxibe ilokhwe yezonyango.
I-acupuncturist iya kusebenzisa i-alcohol swabs ukukhupha iintsholongwane kwindawo ngaphambi kokufaka iinaliti.
Iinaliti zenziwe ngentsimbi engenasici kwaye zincinci kakhulu.
Abantu banokuziva bencitshiswe kancinci kwiindawo ezibuthathaka njengezandla neenyawo, kodwa inaliti yokufakwa kufuneka ikhululeke kwaye inyamezeleke ngaphandle kokungakhululeki.
Kwi-electroacupuncture, i-acupuncturist iya kudlula umbane omncinci kwiinaliti, ngokuqhelekileyo i-40 ukuya kwi-80 volts.
Iinaliti zihlala kwindawo yemizuzu engama-20 ukuya kwengama-30.
Emva kokuba unyango lugqityiwe, i-acupuncturist iya kususa iinaliti kwaye ilahle.
Ubuninzi
Ubuninzi beeseshoni ze-acupuncture ziya kuhluka ngokuxhomekeka kubunzima beempawu kunye nokuba ukutyelela kuvunyelwe kwaye kubuyiselwe yinkampani ye-inshurensi yezempilo.
Iindleko kunye ne-Inshurensi
Iindleko ze-acupuncture zinokuhluka kwi-$ 75 ukuya kwi-$ 200 ngeseshoni nganye.
Iseshoni yokuqala, ebandakanya uvavanyo lokuqala kunye novavanyo, ngokuqhelekileyo ixabisa ngaphezu kotyelelo olulandelayo.
Nokuba i-inshurensi yezempilo iya kuhlawulela ezinye okanye zonke iindleko zeseshini ye-acupuncture ixhomekeke kwinkampani yeinshorensi nganye kunye nemeko enyangwayo.
I-Medicare okwangoku ibandakanya iinkonzo ze-acupuncture ukuya kwii-12 ukutyelela phakathi kwexesha le-90-ixesha leentlungu ezingapheliyo ezisezantsi kuphela.
I-Medicare ayiyi kugubungela i-acupuncture kwezinye iimeko. (I-Medicare.gov. ND )
I-acupuncture ayilonyango lwe-arthritis, kodwa inokuba sisixhobo esiluncedo ekulawuleni iintlungu kunye nezinye iimpawu. Qinisekisa ukudibana nomboneleli wezempilo ukuba i-acupuncture kukhuselekile ukuzama ngokusekelwe kwimbali yonyango.
Isifo Samathambo Sicacisiwe
VIDEO
Ucaphulo
I-Arthritis Foundation. (ND). I-acupuncture ye-arthritis (Impilo kunye nokuba sempilweni, umba. www.arthritis.org/health-wellness/treatment/complementary-therapies/natural-therapies/acupuncture-for-arthritis
Chou, PC, & Chu, HY (2018). Ukusebenza kweKlinikhi ye-Acupuncture kwi-Rheumatoid Arthritis kunye neendlela eziManyeneyo: Ukuphononongwa kweNkqubo. Ubungqina obusekelwe kubungqina obuxhasayo kunye nolunye unyango : 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). I-2019 yeKholeji yaseMelika ye-Rheumatology / iSikhokelo seSiseko seArthritis soLawulo lwe-Osteoarthritis yesandla, i-Hip, ne-Knee. Ukunyamekela kunye nophando lwe-arthritis, i-72 (2), i-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 ye-Chronic Pain: Uhlaziyo lweNkcukacha ye-Meta yoMgulane ngamnye. Ijenali yeentlungu, i-19 (5), i-455-474. doi.org/10.1016/j.jpain.2017.11.005
Xu, S., Wang, L., Cooper, E., Zhang, M., Manheimer, E., Berman, B., Shen, X., & Lao, L. (2013). Iziganeko ezimbi ze-acupuncture: ukuphononongwa okucwangcisiweyo kweengxelo zamatyala. Ubungqina obusekelwe kubungqina obuxhasayo kunye neyeza elihlukile : eCAM, 2013, 581203. doi.org/10.1155/2013/581203
I-Medicare.gov. (ND). I-acupuncture. Ifunyenwe kwi www.medicare.gov/coverage/acupuncture
by UGqr Alex Jimenez Arthritis , Chiropractic , Ubuhlungu obungapheliyo , Unyango lokuthotywa koMnqonqo , Uncedo Lwezityalo , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abane-osteoarthritis banokubandakanya unyango lwe-spinal decompression ukubuyisela ukuhamba komgogodla kunye nomgangatho wobomi?
intshayelelo
Njengoko umzimba uguga, kunjalo nomgudu, njengoko i-spinal disc phakathi kwamalungu kunye namathambo aqala ukukhupha amanzi ngenxa yokunyanzeliswa rhoqo ngokuphindaphindiweyo. Izinto ezininzi zokusingqongileyo ezifaka isandla kule ngxaki ephazamisayo zinokuhluka ngaphakathi komntu kwaye zikhokelela kwiimeko ze-arthritic ngaphakathi kwinqanaba eliphezulu nangaphantsi. Olona hlobo luxhaphakileyo lwesifo samathambo sisifo samathambo, kwaye sinokuchaphazela abantu abaninzi kwihlabathi liphela. Ukujongana ne-osteoarthritis kumalungu abo kunokubangela iimpawu ezininzi ezinjengeentlungu ezihambelana nezinye iimeko zomzimba, ezibangela iintlungu ezigqithisiweyo. Nangona kunjalo, unyango oluninzi lunokunceda ukucothisa inkqubo ye-osteoarthritis kunye nokunciphisa umzimba kwiimpawu ezinjengeentlungu zamalungu. Inqaku lanamhlanje lijonga indlela i-osteoarthritis echaphazela ngayo ukuhamba komgudu kunye nendlela unyango olunokubuyisela ngayo ukuhamba komgudu kwimiphumo ye-osteoarthritis. Sithetha nababoneleli bezonyango abaqinisekisiweyo abasebenzisa ulwazi lwezigulane zethu ukubonelela ngeendlela ezahlukeneyo zonyango ukunciphisa impembelelo ye-osteoarthritis kumalungu. Sikwaxelela izigulane ukuba unyango oluninzi lunokunceda njani ukucothisa inkqubo ewohlokayo ye-osteoarthritis. Sikhuthaza izigulana zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo entsonkothileyo kunye nebalulekileyo malunga neempawu ezinjengeentlungu abazifumana kwi-osteoarthritis. UDkt Jimenez, D.C., udibanisa le ngcaciso njengenkonzo yezemfundo. isikhanyeli .
I-Osteoarthritis ichaphazela njani ukuHamba koMnqonqo?
Ngaba uye waqaphela ukuqina kwasekuseni emva kokulala kakuhle ebusuku? Ngaba uziva ukuthamba kumalungu akho emva koxinzelelo oluthile olulula? Okanye ngaba uziva ukushukuma okulinganiselweyo kumalungu akho, kubangele uluhlu oluthintelweyo lwentshukumo? Uninzi lwezi meko ezinjengeentlungu zinxulunyaniswa ne-osteoarthritis, ingxaki edibeneyo echaphazela abantu abaninzi, kubandakanya abantu abadala. Njengoko bekutshiwo ngaphambili, xa umzimba ukhula, kunjalo namalungu, amathambo kunye nomqolo. Ngokumalunga ne-osteoarthritis, amalungu aya kuncipha ngokunxiba kwendalo kunye nokukrazula kwi-cartilage. I-osteoarthritis ichaphazela amalungu amaninzi anjenge-hips kunye namadolo, awona axhaphakileyo, kunye nomqolo, kwaye kubangela ukungasebenzi kakuhle kweemotor. ( Yao et al., 2023 ) Xa i-cartilage ejikeleze amajoyina achaphazelekayo iqala ukuwohloka, i-pathogenesis ye-osteoarthritis ibangela ukuba ibhalansi ye-cytokine ephazamisekileyo ye-cytokines ye-proinflammatory iqalise umjikelezo onobuqhetseba obangela ukuba i-cartilage kunye nomonakalo wesakhiwo se-intra-articular ujikeleze umgudu. ( UMolnar et al., 2021 ) Yintoni le yenziwayo kukuba xa i-osteoarthritis iqala ukuchaphazela amalungu, inokukhokelela kwiimpawu ezininzi ezifana neentlungu.
Nangona kunjalo, nangona i-osteoarthritis inokuchaphazela amalungu, ngokwemvelo, izinto ezininzi zokusingqongileyo zidlala indima ekuphuhliseni i-osteoarthritis. Ukungasebenzi komzimba, ukutyeba kakhulu, ukukhubazeka kwamathambo, kunye nokulimala kwamalungu ezinye zezizathu ezinokuthi ziqhubele phambili inkqubo yokunciphisa. Iimpawu ezinxulumene nale miba yokusingqongileyo ziquka:
Ubuhlungu Ukuqina ngokudibeneyo ukuthantamisa Ukuvutha Ukuvuvukala Uvakalelo lwe grating I-Bone ihluma
Abantu abaninzi abajongana neempawu ezinjengeentlungu ezibangelwa yi-osteoarthritis baya kuchazela oogqirha babo abaphambili ukuba iintlungu ziyahluka ngexesha, ubunzulu, uhlobo lokwenzeka, impembelelo kunye nesigqi. Oku kungenxa yokuba iintlungu ezivela kwi-osteoarthritis ziyinkimbinkimbi kwaye zininzi. ( U-Wood et al., 2022 ) Nangona kunjalo, abantu abaninzi banokujonga uncedo abaludingayo ukunciphisa imiba efana neentlungu ezibangelwa sisifo samathambo ngonyango olunokuthi lucothise inkqubela-phambili ewohlokayo.
Ukujongwa nzulu kwi-Spinal Decompression-Video
VIDEO
Xa kuziwa ekufuneni unyango lokunciphisa iziphumo ze-osteoarthritis, abantu abaninzi bafuna unyango olungabizi kakhulu kwaye lukhuselekile kubantu abadala. Unyango olungasebenzisi utyando lunokuba sisisombululo abantu abaninzi abafuna ukunciphisa inkqubela phambili ye-osteoarthritis. Xa abantu abafumana i-osteoarthritis besiya kunyango olungelulo utyando, bafumanisa ukuba iintlungu ziyancipha, uluhlu lwabo lokunyakaza luyanda, kwaye umsebenzi wabo womzimba uphuculwe. ( I-Alkhawajah kunye ne-Alshami, ngo-2019 ) Kwangaxeshanye, unyango olungasebenzisi utyando lunokudityaniswa nolunye unyango kwisicwangciso sonyango lomntu ngamnye. Unyango olungenalo utyando lunokuvela kukhathalelo lwe-chiropractic ukuya kwi-spinal decompression njengoko lusebenza ngokucokisekileyo ukulungelelanisa umqolo ngokutsalwa kunye nokunceda ukunciphisa iintlungu ezidibeneyo kunye nezihlunu. Le vidiyo ingasentla inika ujongo olunzulu malunga nokuthotywa komqolo kunye nendlela enokubanceda ngayo abantu abasentlungwini.
Ukunyanzeliswa koMnqonqo Ukubuyisela Ukuhamba koMnqongo ukusuka kwi-Osteoarthritis
Ekubeni i-spinal decompression luhlobo lonyango olungasebenzisi utyando, lunokunceda ukucotha inkqubo ye-osteoarthritis. Ukunyanzeliswa komgogodla kubandakanya ukutsalwa ukutsala ngobumnene kumqolo, ukuvumela iidiski kunye namalungu ukuba afakwe i-lubricated kwaye avumele inkqubo yokuphilisa yendalo ukuba yenzeke. Oku kungenxa yokuba izihlunu ezijikelezileyo ezikhusela amajoyina zolulelwa ngobumnene kwaye indawo yediski ye-vertebral iyanda ukuvumela ukuba i-disc ihlaziywe kwaye i-protrusion ibuyele kwindawo yayo yokuqala. ( UCyriax, ngo-1950 ) Ukunyanzeliswa komgogodla kunokunceda ukunciphisa inkqubo ephazamisayo ye-osteoarthritis, kwaye xa idibene nonyango lomzimba, imisipha ejikelezayo, izicubu kunye nemigqaliselo iyaqiniswa.
Ngokwahlukileyo, ukuhamba ngokubambisana kunye nomgogodla kunye nokuguquguquka kwanda. Ukunyanzeliswa komqolo kunokunceda abantu abaninzi banciphise amathuba abo otyando, njengoko iiseshoni ezilandelelanayo zinokunceda ukubonelela ngeentlungu kunye nokuphuculwa komsebenzi kumqolo. ( I-Choi et al., 2022 ) Xa abantu bephinda baphinde babuyele emizimbeni yabo ukusuka kwi-spinal decompression, banokwenza utshintsho oluncinci kwindlela yabo yemihla ngemihla ukuze banciphise inkqubo ephazamisayo ye-osteoarthritis.
Ucaphulo
Alkhawajah, H. A., & Alshami, A. M. (2019). Umphumo wokuhlanganisa kunye nokunyakaza kwiintlungu kunye nokusebenza kwizigulane ezine-knee osteoarthritis: isilingo esilawulwa ngokungahleliwe esiphindwe kabini. I-BMC Musculoskelet Disord , 20 (1), 452. doi.org/10.1186/s12891-019-2841-4
Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, PB (2022). Impembelelo ye-Nonsurgical Spinal Decompression kwi-Intensity of Pain kunye ne-Herniated Disc Volume kwi-Subacute Lumbar Herniated Disc. Ijenali yaMazwe ngaMazwe yoNyango lweKliniki , 2022 , 6343837. doi.org/10.1155/2022/6343837
Cyriax, J. (1950). Ukunyangwa kwezilonda zediski ye-lumbar. Br Med J , 2 (4694), 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). IiCytokines kunye neeChemokines ezibandakanyekayo kwi-Osteoarthritis Pathogenesis. Int J Mol Sci , 22 (17). doi.org/10.3390/ijms22179208
Wood, M. J., Miller, R. E., & Malfait, A. M. (2022). IGenesis yePain kwi-Osteoarthritis: Ukuvuvukala njengoMlamli we-Osteoarthritis Pain. Clin Geriatr Med , 38 (2), 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: iindlela zokubonisa i-pathogenic kunye neethagethi zonyango. Ukuhanjiswa kweSignali ekuJoliswe kuyo , 8 (1), 56. doi.org/10.1038/s41392-023-01330-w
isikhanyeli
by UGqr Alex Jimenez Arthritis , Ukulimala koluhlu
Njengoko umzimba uguga, abantu bafuna ukuhlala bekhuthele kwaye bagcine impilo esempilweni engenazintlungu. Ngaba iiseli zokuvuselela i-arthritis kunye nomonakalo we-cartilage ibe likamva leyeza le-neuromusculoskeletal kunye nokuphilisa ngokubambisana?
Iiseli ezihlaziyiweyo ze-Arthritis kunye nomonakalo weCartilage
Abantu bafuna ukuqhubeka nokwenza imisebenzi yomzimba abayithandayo, efuna amalungu aphilileyo. Izazinzulu zifunda ukusebenzisa ubuchule beeseli ezihlaziyayo ukuze ziphinde zikhule intlala eyonakeleyo neyonakeleyo. Unyango lwangoku lwe-stem cell yeengxaki ze-cartilage aluzange luboniswe ukuguqula imiphumo ye-arthritis kwaye ngelixa izifundo zibonisa ukuphuculwa kwekliniki, uphando olongezelelweyo luyimfuneko. (UBryan M. Saltzman, et al., 2016 )
ICartilage kunye nendlela eyonakaliswa ngayo
ICartilage luhlobo lwethishu edibeneyo. Kumalungu, kukho iindidi ezimbalwa ze-cartilage. Eyona nto ixhaphakileyo kubhekiselwa kuyo yintambo egudileyo eyaziwa ngokuba yi-articular okanye i-hyaline cartilage. Olu hlobo lwenza umaleko ogudileyo womqamelo ekupheleni kwethambo kwindawo edibeneyo. (Rocky S. Tuan, et al., 2013 )
Ithishu yomelele kakhulu kwaye inamandla okucinezela nokufunxa amandla.
Igudile kakhulu ivumela ilungu ukuba lityibilike ngaphandle komgudu kuluhlu lwentshukumo yelungu.
Xa i-cartilage edibeneyo ibonakaliswe, i-cushioning ingaphelelwa.
Kwiinzakalo ezibuhlungu, amandla ngokukhawuleza anokubangela ukuba i-cartilage iphule kunye / okanye ihlupheke umonakalo, obonisa ithambo elingaphantsi.
Kwi-osteoarthritis - i-arthritis ephazamisayo okanye egugileyo, i-layer egudileyo inokuguga kwaye iyancipha kwaye ingalingani.
Ekugqibeleni, i-cushion iyaphela, amalungu avutha kwaye adumbe kwaye iintshukumo ziba nzima kwaye zibuhlungu.
Kukho unyango lwe-arthritis kunye nomonakalo we-cartilage, kodwa olu nyango luhlala lujolise ekupheliseni iimpawu ngokulungisa i-cartilage eyonakeleyo okanye ukubuyisela indawo edibeneyo kunye nokufakelwa okwenziweyo, njengokutshintshwa kwedolo okanye utyando lokutshintshwa kwe-hip. (Robert F. LaPrade, et al., 2016 )
Iiseli ezivuselelayo
Iiseli ze-stem ezivuselelayo ziiseli ezikhethekileyo ezikwaziyo ukuphindaphinda kunye nokuphuhlisa kwiintlobo ezahlukeneyo zezicubu. Kwisetingi yotyando lwamathambo kwiingxaki ezidibeneyo, iiseli ze-stem zifumaneka kwimithombo ephambili yeseli ye-stem eyi-bone umongo kunye nezicubu ezinamafutha. Ezi seli zinamandla okuphuhlisa iiseli ze-cartilage, ezibizwa ngokuba yi-chondrocytes. (Rocky S. Tuan, et al., 2013 )
Zikwanceda ngokuvuselela umzimba ukuba unciphise ukudumba, ukuvuselela ukulungiswa kweeseli, nokuphucula ukuhamba kwegazi.
Le nkqubo ibangelwa izibonakaliso zeselula kunye nezinto zokukhula ukukhuthaza umzimba ukuba usebenze iinkqubo zokuphilisa.
Emva kokuba iiseli ze-stem zifunyenwe, kufuneka zihanjiswe kwindawo yomonakalo we-cartilage.
I-Cartilage yi-tissue eyinkimbinkimbi echazwa njengesakhiwo se-scaffold esiqulunqwe yi-collagen, i-proteoglycans, amanzi kunye neeseli. (Rocky S. Tuan, et al., 2013 )
Ukuvuselela i-cartilage, izicubu eziyinkimbinkimbi kufuneka kwakhona zakhiwe kwakhona.
Kukho izifundo kwiintlobo ze-scaffolds zezicubu ezenzelwe ukubuyisela uhlobo olufanayo lwesakhiwo se-cartilage.
Iiseli ze-stem zinokuthi zifakwe kwi-scaffold, ngethemba lokubuyisela uhlobo oluqhelekileyo lwe-cartilage.
Unyango lwe-Arthritis olungelulo Utyando
umgangatho unyango ezifana ne-cortisone shots okanye unyango lomzimba lusebenza ngokunjalo kwaye lubonelela ngeenzuzo ezinokuthi zisetyenziswe ngokudibanisa neeseli ezivuselelayo ze-arthritis kunye nomonakalo we-cartilage kwixesha elizayo elikufutshane. Idatha ithatha ixesha kwaye ngoko ke oku kuchaphazela njani impilo yexesha elide leemfuno ezidibeneyo eziqhubekayo uphando malunga nobunjineli bezicubu kunye nokuhanjiswa kweeseli ukumisela eyona ndlela yokunceda abantu.
Arthritis
VIDEO
Ucaphulo
LaPrade, RF, Dragoo, JL, Koh, JL, Murray, IR, Geeslin, AG, & Chu, CR (2016). I-AAOS yoPhando lwe-Symposium Updates and Consensus: Unyango lwe-Biologic ye-Orthopedic Injuries. Umbhalo we-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). Iiseli zeStem kwi-Orthopedics: IsiKhokelo esiBanzi seGqirha ye-Orthopedist. Ijenali yaseMelika yamathambo (Belle Mead, NJ), 45 (5), 280-326.
Tuan, RS, Chen, AF, & Klatt, BA (2013). Ukuhlaziywa kweCartilage. Ijenali ye-American Academy ye-Orthopedic Surgeons, i-21 (5), i-303-311. doi.org/10.5435/JAAOS-21-05-303
by UGqr Alex Jimenez Arthritis
Ukuguga kweArthritis: Indlela umzimba otshintsha ngayo njengoko iminyaka ihamba ixhomekeke kwindlela umntu atya ngayo, ukwenza umthambo/ukuzilolonga, ufuzo, amanqanaba oxinzelelo, indlela yokulala, kunye nokuzinyamekela. Njengoko umzimba uguga, ukuwohloka kwendalo ukusuka ekunxibeni kwansuku zonke kunye nokukrazula kuya kubakho. Ugxininiso kukuqonda indlela ukuwohloka okunxulumene neminyaka kunokuchaphazela ngayo umzimba kunye nokuba wenze ntoni ukukhusela kunye nokunyanga.
Ukuguga kweArthritis
I-arthritis ibhekisela kukuvuvukala kwamalungu kwaye ngoyena nobangela wezifo ezahlukeneyo ezibandakanya:
Osteoarthritis
Fibromyalgia
Isifo samathambo esosulelayo
IGout - isifo samathambo
Irheumatoid arthritis
Lupus
I-arthritis yabantwana
Ukudumba luphawu nje olunye oludla ngokukhatshwa kukudumba, iintlungu, ukuqina, ukungashukumi, nokungasebenzi kakuhle.
Osteoarthritis
Uhlobo oluqhelekileyo lwe-arthritis yi-osteoarthritis, apho i-cartilage ngaphakathi kwamalungu iqala ukuphuka, kwaye amathambo aqala ukubunjwa kwakhona.
Yaziwa ngokuba sisifo samathambo/ukunxiba kunye nokukrazuka kwamathambo.
Izandla, isinqe, kunye namadolo ngawona malungu achaphazeleka kakhulu.
Olu tshintsho luhlala lukhula kancinci kodwa lube mandundu xa lunganyangwa.
Iimpawu ziquka intlungu enzulu, ukuqina, kunye nokudumba.
Fibromyalgia
I-Fibromyalgia yimeko ebangela iintlungu kwiindawo ezahlukeneyo zomzimba, iingxaki zokulala kunye nokudinwa.
Abantu abane-fibromyalgia banokuvakalelwa ngakumbi kwiintlungu.
Unyango kunye nezicwangciso zokulawula ziyafumaneka ukunceda ukuthomalalisa iimpawu kunye nokubuyisela ukusebenza.
I-Arthritis Eyosulelayo
Isifo samathambo esosulelayo okanye isifo samathambo
Iintsholongwane ezisuka komnye ummandla womzimba zinokuhlasela ilungu okanye ulwelo olulijikelezileyo.
Iintsholongwane zinokungena emzimbeni ukusuka kumanxeba avulekileyo, iinaliti, okanye utyando.
Isifo samathambo esosulelayo sikholisa ukubakho kwindawo enye kuphela.
Staphylococcus aureus Intsholongwane okanye umngundo nazo zinokuvelisa iimpawu zokudumba kwe-arthritis.
Gout
I-Gout luhlobo oluqhelekileyo lwe-arthritis olubangela ukuvuvukala kunye neentlungu.
Idla ngokuchaphazela ilungu elinye kuphela, ubukhulu becala ubhontsi lwenzwane enkulu.
Iimpawu zinokuqina , yaziwa njenge I flares , kunye namanye amaxesha angenazo iimpawu, aziwa ngokuba uxolelo .Iziqendu eziphindaphindiweyo zegawuthi zinokuhla zibe isifo samathambo
Irheumatoid arthritis
I-Rheumatoid arthritis sisifo esizimelayo kunye nesokuvuvukala apho amajoni omzimba ahlasela iiseli eziphilileyo, ezibangela ukuvuvukala.
Isifo samathambo sihlasela amalungu amaninzi ngaxeshanye, ngakumbi ezandleni, ezihlahleni, nasemadolweni. I-Rheumatoid arthritis ibangela ukuba i-joint lining ivuthe kwaye iqalise ukonakalisa izicubu ezikufutshane.
Ukulimala kwezicubu ezinobunzima okanye ezingapheliyo ngokwaneleyo kunokubangela intlungu, iingxaki zokulinganisela, kunye nokukhubazeka okubonakalayo.
I-Rheumatoid arthritis inokuchaphazela amalungu, njengemiphunga, intliziyo kunye namehlo, ngokubangela ukuvuvukala.
Lupus
Lupus sisifo se-autoimmune esichaphazela iinkqubo ezahlukeneyo zomzimba.Isifo se-autoimmune kuxa amajoni omzimba enza iimpazamo kwizicubu zawo zebhaktiriya, intsholongwane, okanye ifungal intruders kwaye ihlasele.
Iimpawu ze-lupus zingacacanga, nto leyo eyenza kube nzima ukuxilonga isifo.
Esi sifo saziwa ngokuba ngumxelisi omkhulu kuba iimpawu zinokuxelisa ezinye izifo .
Iimpawu ziqala ukusuka komncinci ukuya kubeka ubomi esichengeni.
Ukubona a rheumatologist kucetyiswa, njengoko ziingcali ezinokuxilonga kwaye zinyange isifo samathambo, i-lupus, kunye nezinye izifo ezinxulumene namalungu.
I-Arthritis yabantwana
I-arthritis kubantwana yaziwa ngokuba Ulutsha okanye isifo samathambo .
I-Juvenile idiopathic arthritis/ i-juvenile rheumatoid arthritis yeyona ndlela ixhaphakileyo.Imeko inokubangela umonakalo odibeneyo wexesha elide onokukhokelela ekukhubazekeni.
Ukuguga kweArthritis kunye neChiropractic Care
Ukunyamekela kwe-Chiropractic kunconywa kunyango lwalo naluphi na uhlobo lwe-arthritis. Ukunyamekela kwe-Chiropractic kunokusebenza kunye nezinye iindlela zonyango zokunciphisa ukuvuvukala nokuvuvukala, ukunciphisa intlungu, nokuphucula ukuhamba kunye nokuguquguquka.
I-chiropractor iya kusebenzisa umfanekiso womzimba ngaphambi kokuqala unyango.
Ukucinga kunika ingqiqo kwimeko yamalungu, kwaye okubonakalayo, kudibaniswa nengxelo yokuzimela evela kumntu, ivumela i-chiropractor ukuba yenze isicwangciso sonyango lomntu. Nje ukuba i-chiropractor ichonge ukuba zeziphi iindlela umzimba onokuzisebenzisa, unyango luya kuqala olunokubandakanya:
Unyango lokunyanga
I-massage ye-Percussive
omoya
Unyango lwe-elektroniki
Unyango lwelaser olusezantsi olusezantsi
Ubushushu obungapheliyo
Injongo ye-Chiropractor kukulungelelanisa, ukulungelelanisa kunye nokomeleza umzimba, ukunciphisa uxinzelelo okanye uxinzelelo ekudibaneni kwamalungu, kunye nokukhawulezisa ukuphilisa kunye nokubuyisela.
Unyango lweLaser LLT
VIDEO
Ucaphulo
I-Abyad, A, kunye ne-JT Boyer. "I-arthritis kunye nokuguga." Uluvo lwangoku kwi-rheumatology vol. 4,2 (1992): 153-9. doi:10.1097/00002281-199204000-00004
UChalan, uPaulina, kunye nabanye. "I-Rheumatoid Arthritis, Immunosenescence kunye neempawu zokuguga." Inzululwazi yokuguga yangoku vol. 8,2 (2015): 131-46. doi:10.2174/1874609808666150727110744
UGoronzy, uJorg J et al. "Ukuguga komzimba, kunye nesifo samathambo." Iikliniki zezifo zeRheumatic zaseMntla Melika vol. 36,2 (2010): 297-310. doi:10.1016/j.rdc.2010.03.001
Greene, MA, kunye neRF Loeser. "Ukuvuvukala okunxulumene nokuguga kwi-osteoarthritis." I-Osteoarthritis kunye ne-cartilage vol. 23,11 (2015): 1966-71. doi:10.1016/j.joca.2015.01.008
Sacitharan, Pradeep Kumar. "Ukuguga kunye ne-Osteoarthritis." I-sub-cellular biochemistry vol. 91 (2019): 123-159. doi:10.1007/978-981-13-3681-2_6
by UGqr Alex Jimenez Arthritis , Chiropractic , LweMpilo , impilo , Unyango , I-Viscerosomatic Reflex , Ukuphila
intshayelelo
Umzimba unempendulo yokuzikhusela eyaziwa ngokuba yi-immune system eza kuhlangula xa iziganeko ezibuhlungu okanye ukulimala kuchaphazela iindawo ezithile zomzimba. I inkqubo yomzimba ikhupha ii-cytokines ezivuthayo kwindawo echaphazelekayo kwaye iqala inkqubo yokuphilisa ukulungisa umonakalo ngelixa ikhupha abangeneleli bangaphandle emzimbeni. Ukuvutha inokuba luncedo kwaye ibe yingozi emzimbeni, kuxhomekeke kwindlela ukwenzakala okunokuthi kube nefuthe ngayo kwindawo. Xa ukuvuvukala kuqala kubangela impembelelo kwimisipha ejikelezileyo, iigaments, kunye namalungu, kunokukhokelela kwimiba engapheliyo ehambelana nentlungu. Ukuza kuthi ga ngoku, kubangela ukuba umzimba ungasebenzi kakuhle ngelixa ulingisa ezinye iimpawu. Inqaku lanamhlanje liphonononga indlela iimpendulo ezingapheliyo zokudumba ezichaphazela amalungu, iimpawu ezihambelana nazo, kunye nendlela yokulawula ukudumba okudibeneyo okungapheliyo. Sithumela izigulana kubaboneleli abaqinisekisiweyo abakhethekileyo kunyango oluchasene nokudumba ukunceda abantu abaninzi abajongene nokudumba okungapheliyo kwamalungu. Sikwakhokela izigulana zethu ngokubhekisa kubaboneleli bethu bezonyango abanxulumeneyo ngokusekelwe kuvavanyo lwabo xa kufanelekile. Sifumanisa ukuba imfundo sisisombululo sokubuza ababoneleli bethu imibuzo ecacileyo. UDkt Alex Jimenez DC unikezela ngolu lwazi njengenkonzo yemfundo kuphela. isikhanyeli
Ingaba impendulo engapheliyo yokudumba ichaphazela njani amalungu?
Ngaba ukhe waziva iintlungu kwiindawo ezithile zomzimba wakho? Kuthekani ngokuba nokuthantamisa kwezihlunu zakho? Ngaba amalungu akho abuhlungu xa usenza imisebenzi yemihla ngemihla? Ukuba ubukhe wajongana nale miba, inokuba kungenxa yeempendulo ezingapheliyo zokudumba ezichaphazela amalungu akho e-musculoskeletal. Njengoko bekutshiwo ngaphambili, ukudumba kunokuba luncedo kwaye kube yingozi emzimbeni, kuxhomekeke kubunzima befuthe elithathwe ngumzimba. Kwimo yayo enenzuzo, umzimba wenza kusebenze amajoni omzimba kwaye asuse iintsholongwane kwiibhaktheriya, iintsholongwane, kunye nezinye izinto ezibangela ukusingqongileyo ukukhuthaza ukuphilisa kunye nokulungiswa kwezicubu. Oku kunokwenza indawo echaphazelekayo ibe bomvu kwaye ivuthe, ngaloo ndlela ilungisa iiseli ezonakalisiweyo.
Nangona kunjalo, kwimo yayo eyingozi, izifundo zityhila ukuba iimpendulo ezivuthayo ezingapheliyo ziyakwazi ukuphula ukunyamezela komzimba, kubangela ukuguqulwa okuphawulekayo kuzo zonke izicubu, izitho kunye namalungu. Ukuza kuthi ga ngelo xesha, iziphumo ezishiyekileyo zokudumba okuphezulu kunokubangela ingozi kumalungu kunye ne-cartilage, okwenza ukuba babandakanyeke kwintlungu kunye nokukhubazeka ngexesha. Amalungu anceda ukugcina umzimba uhamba, ujikelezwe ngamathambo adibanisayo anceda ukuzinzisa umzimba; xa iimpendulo ezivuthayo ezingapheliyo ziqala ukuchaphazela amalunga, zinokuba ngumlamli wentlungu kunye nokungahambi kakuhle ngelixa zibangela ukuphazamiseka kwe-musculoskeletal. Uphando lutyhila ukuba ukuvuvukala kwamalungu kunokubangela umonakalo kwi-cartilage kwaye kubangele utshintsho olubi emzimbeni. Oku kubandakanya ukulahleka komsebenzi, ukungazinzi kwamalungu, kunye nezinye iimpawu ezinxulumene nokuvuvukala okungapheliyo.
Iimpawu eziNxulunyaniswe noKudumba okuManyeneyo okungapheliyo
Xa kuziwa ekudumbeni okungapheliyo kwamalungu, kunokulinganisa ezinye iimeko ezingapheliyo ezibonisa ukungazinzi kwamalungu ngelixa zigubungela izifo ezingapheliyo. Oku kwenza ukuxilongwa kube nzima, ngakumbi ukuba umntu ujongene nokudumba kwelinye icala lomzimba wakhe, kodwa kuchaphazela elinye ilungu. Oku kwaziwa ngokuba iintlungu ezibhekisiweyo , yaye izifundo zityhila ukuba ezininzi iifom ezivuthayo ezichaphazela amalungu ngamanye amaxesha zine-arthritis kwaye zineempawu zenkqubo ezinokuthi zenzeke kwiindawo ezahlukeneyo zomzimba. Ezinye ze iimpawu ezinxulumene kunye nokudumba kwamalungu okungapheliyo kunokubandakanya:
Ukuvuvukala Ubunzima Izandi zokusila Ukuhamba nzima Ubungqina Ukudibana kwesiphene
Umahluko phakathi kwaMajoyinti aphilileyo kunye neZidibaniselwano ezivuthayo-Ividiyo
VIDEO
Ngaba ujongene neentlungu zamalungu ubomi bakho bonke? Ngaba uziva ukuqina kwemisipha kwiindawo ezithile xa uhamba? Okanye ngaba uziva uthambile izihlunu kwiindawo ezithile? Uninzi lwezi mpawu zinxulunyaniswa nokudumba okudibeneyo, okunokuthi kugqitywe ngeentlungu ze-musculoskeletal. Ividiyo engentla ichaza umahluko phakathi kwamalungu aphilileyo kunye namalungu avuthayo. Amalungu aphilileyo asetyenziswa xa izihlunu ezijikelezileyo zomelele kwaye zisebenza ngelixa kungekho ntlungu ifakwe emzimbeni. Amalungu avuthayo asenokubangelwa zizinto ezininzi ezifana neendlela zokuphila, ukungasebenzi komzimba, okanye iimeko zangaphambili ezinxulumene neentlungu ezidibeneyo ezivuthayo. Uphando lutyhila ukuba i-cytokines evuthayo inokuthi ikhulise ukungahambi kakuhle kwe-musculoskeletal echaphazela izicubu ze-musculoskeletal ezijikeleze amalunga. Ukuza kuthi ga ngelo xesha, ukudumba kwenkqubo ye-musculoskeletal kunokudibana neentlungu ezidibeneyo, ngaloo ndlela kuchaphazele ngokuthe ngqo umgangatho wobomi bomntu. Ngethamsanqa, kukho iindlela zokulawula ukudumba okudibeneyo okungapheliyo kunye nokubuyisela impilo kunye nokuphila komntu.
Ukulawula uKudumba okuManyeneyo okuNgapheliyo
Ekubeni ukuvuvukala kunenzuzo kwaye kuyingozi kumzimba, kukho iindlela ezahlukeneyo zokulawula iimpawu ezivuthayo ezingapheliyo ezibangela intlungu edibeneyo. Abantu abaninzi abafuna ukunciphisa ukudumba kumalungu abo baya kuqala ukufaka iindlela zendalo zokunciphisa iintlungu. Ukutya ukutya okuphezulu kwi-fiber kunokunceda ukunciphisa iimpawu zokuvuvukala, kubandakanywa nemisebenzi yomzimba yokuphucula i-musculoskeletal kunye nokuzinza ngokubambisana kunye nokusebenzisa ukhathalelo lwe-chiropractic. Uphando lutyhila ukuba ukudumba joint ezingapheliyo ezinxulumene neentlungu kuchaphazela ukukwazi komntu ukulala kunye nempilo ngokweemvakalelo. Ukuza kuthi ga ngoku, ukubandakanya unyango lokulawula iziphumo zokudumba kunokuphucula ukusebenza kakuhle komntu. Ngoku ukunakekelwa kwe-chiropractic kunceda njani ukulawula ukuvuvukala okuhlangeneyo okungapheliyo? Ukhathalelo lweChiropractic ibandakanya iindlela zokunciphisa ukudumba ezinceda ukukhulula izihlunu eziqinileyo ezijikeleze amalunga adumbileyo. Ukudumba okudibeneyo kusenokuba ngenxa ukuchukumisa (ukungahambi kakuhle komqolo) ezinxulumene nemiba yokusingqongileyo. Ukusebenzisa ukunakekelwa kwe-chiropractic akugcini nje ukunciphisa iimpawu ezibangelwa ukuvuvukala okuhlangeneyo kodwa kunokunciphisa unobangela wokuvuvukala. Xa umntu sele egqibile unyango lwakhe lwe-chiropractic, banokubuyela kwimisebenzi eqhelekileyo ngaphandle komngcipheko wokulimala kunye nokuvuvukala kwakhona.
isiphelo
Ukuvuvukala emzimbeni kunokuba luncedo kwaye kube yingozi kuxhomekeke kwindawo echaphazelekayo. Umzimba ukhulula i-cytokines evuthayo xa isiganeko esibuhlungu okanye ukulimala senzeke kwiindawo ezithile zomzimba. Oku kubangelwa ukuba amajoni omzimba aphendule ngokwemvelo kwiiseli ezonakalisiweyo, ngaloo ndlela ebangela ukuba indawo ibe bomvu, ishushu, kwaye idumbe ukukhuthaza ukuphilisa. Ukuza kuthi ga ngoku, ukuvuvukala kunokuchaphazela izihlunu ezijikelezileyo, iigaments, kunye namalungu, ezinokukhokelela kwimicimbi engapheliyo ehambelana nentlungu. Ukuvuvukala okuhlangeneyo okungapheliyo yimiphumo eseleyo yokuvuvukala ephezulu eyenza umonakalo kwi-cartilage kunye nezakhiwo ezidibeneyo, ngaloo ndlela zibenza babandakanyeke kwiintlungu kunye nokukhubazeka okunokwenzeka. Ngethamsanqa, unyango olufana ne-fiber ephezulu kunye nokutya okuchasayo, ukufumana umthambo owaneleyo, kunye nokunyamekela kwe-chiropractic kunokunceda ukulawula ukuvuvukala okungapheliyo kunye neempawu zentlungu ezinxulumene nazo. Ngale ndlela, abantu abaninzi banokuphinda baqalise imisebenzi yabo eqhelekileyo.
Ucaphulo
UFurman, uDavid, et al. "Ukudumba okungapheliyo kwi-Etiology yeSifo kulo lonke ixesha loBomi." Nature Medicine , ILayibrari yeSizwe yezeMithi yase-US, ngoDisemba 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC7147972/ .
UKim, Yeesuk, et al. "Uxilongo kunye noNyango lweZifo eziManyeneyo eziKhulekayo." Ihip kunye nePelvis , Korean Hip Society, Dec. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5729162/ .
Lee, uYvonne C. "Isiphumo kunye noNyango lweeNzululwazi eziNgapheliyo kwi-Arthritis eKhulayo." Iingxelo zangoku zeRheumatology , ILayibrari yeSizwe yezeMithi yase-US, uJanuwari 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC3552517/ .
Poudel, Pooja, et al. "I-Arthritis evuthayo-i-Statpearls-ithala leencwadi le-NCBI." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL) , iStatPearls Publishing, 21 Epreli 2022, www.ncbi.nlm.nih.gov/books/NBK507704/ .
Puntillo, Filomena, et al. "I-Pathophysiology ye-Musculoskeletal Pain: Uphononongo oluBalisayo." Inkqubela phambili yoNyango kwiSifo se-Musculoskeletal , SAGE Publications, 26 Feb. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC7934019/ .
isikhanyeli
by UGqr Alex Jimenez Arthritis , Chiropractic , Ubuhlungu obungapheliyo , LweMpilo , I-Hip Pain kunye nokuphazamiseka , Unyango , I-Viscerosomatic Reflex , Ukuphila
intshayelelo
Izinqe ezisezantsi zomzimba zinceda ukuzinzisa ubunzima besiqingatha esiphezulu ngelixa unikezela ukunyakaza kwisiqingatha esisezantsi. I ikhefu kwakhona vumela umzimba ukuba ujije, ujike, kwaye ugobe umva naphambili. Amalungu e-hip adibanisa ngaphakathi kwithambo le-pelvic, ngelixa ithambo le-pelvic lidibene ne-sacroiliac joint, edibanisa nomqolo. Nini ukonakala kwendalo ichaphazela amalungu njengoko ubudala bomzimba, imiba efana neentlungu ze-hip kunye ne-osteoarthritis ehambelana nayo low iqolo kwenzeka, kubangela ukuba kuvele iimpawu ezahlukeneyo emzimbeni. Inqaku lanamhlanje lijonga i-osteoarthritis, indlela eyichaphazela ngayo isinqe, kunye nendlela yokulawula i-hip osteoarthritis. Sithumela izigulane kubaboneleli abaqinisekisiweyo abakhethekileyo kunyango lwe-musculoskeletal ukuze bancede abo banentlungu ye-hip kunye ne-osteoarthritis. Sikwakhokela izigulana zethu ngokubhekisa kubaboneleli bethu bezonyango abanxulumeneyo ngokusekelwe kuvavanyo lwabo xa kufanelekile. Sifumanisa ukuba imfundo sisisombululo sokubuza ababoneleli bethu imibuzo ecacileyo. UDkt Alex Jimenez DC unikezela ngolu lwazi njengenkonzo yemfundo kuphela. isikhanyeli
Yintoni iOsteoarthritis?
Ngaba ukhe wafumana iintlungu ezinqeni okanye ezantsi kumqolo? Kuthekani ngokuqina kwezihlunu kufutshane negroin? Ngaba iimpawu ezinxulumene ne-sciatica zibonakala zivutha kufuphi nezinqe zakho kunye nomva womlenze wakho? Uninzi lwezi mpawu luphawu lokuba unokuba semngciphekweni wokuphuhlisa i-osteoarthritis kufuphi nesinqe sakho. Ngelixa i-arthritis ibhekiselele ekudumbeni kwamalungu omzimba, i-osteoarthritis luhlobo lwe-arthritis olubangela ukuwohloka kwe-cartilage edibeneyo, ibangele intlungu kunye nokulahleka komsebenzi. Nangona kukho amakhulu amaninzi eentlobo ze-arthritis, osteoarthritis yenye yezona ntlobo zixhaphakileyo abantu abaninzi, ingakumbi abadala abadala, abachatshazelwayo. Njengoko umzimba ukhula ngokwemvelo ngeminyaka yobudala, ukulungiswa kokulimala kuqala ukucotha, kwaye i-cartilage (izicubu ezixhamlayo ezikhusela amathambo omnye komnye) ziya kuqala ukuncipha, zibangele ukuxubha amathambo kunye, kubangela ukuvuvukala kwenzeke, i-bone spurs, kunye neentlungu ezingenakuthintelwa. I-osteoarthritis idla ngokudityaniswa nobudala kwaye kunjalo izinto ezininzi njengezinto ezinokonyusa umngcipheko wokuphuhlisa i-osteoarthritis ziquka:
Ngesondo ubudala ukutyeba Ukulimala kwamalungu Genetics Ukukhubazeka kwamathambo
Izichaphazela Njani Iinyonga?
Ekubeni i-osteoarthritis ichaphazela amalungu, ingaba yintoni impembelelo kwi-hips? Xa imiba yezempilo ichaphazela umzimba, inokubangela ukuba iimpawu ezibuhlungu zibe nzima ngakumbi kwaye zibe ngumngcipheko wokuphuhlisa intlungu ye-hip. Uphando lutyhila ukuba intlungu ye-hip ixhaphake kubo bonke abantu abadala kunye namanqanaba omsebenzi kwiindawo zangaphambili, ezisecaleni, okanye ezisemva kufuphi ne-hip.
Intlungu ye-hip yangaphambili : Oonobangela iintlungu ezibhekisiweyo (intlungu eviwayo kwindawo enye yomzimba kodwa eneneni ikwindawo eyahlukileyo) enxulumene neenkqubo zangaphakathi zamalungu.Intlungu ye-hip ecaleni : Ibangela intlungu yokugqoka kunye nokukrazula kwizicubu ezithambileyo zemisipha emacaleni ezinqeni.Intlungu ye-hip yangasemva : Oonobangela iintlungu ezibhekisiweyo ezinxulumene ne-lumbar spinal pathology njenge-sciatic nerve entrapment ehambelana nesifo esinzulu se-gluteal syndrome.
Yonke le miba echaphazela i-hips ihamba kunye nemiba eyahlukeneyo ehambelana ne-osteoarthritis. Xa iintlungu ze-hip zisuka kwi-osteoarthritis, izinto ezinjengomsebenzi omncinci womzimba okanye ukunyakaza okuncinci ngelixa uphumle ebhedini kunokuba mandundu ngenxa yokuba amalungu e-hip anentshukumo encinci okanye ethintelweyo. Uphando lutyhila ukuba iintlungu ze-hip zihambelana nokukhubazeka okuhamba okulula okwenza kube nzima ukuxilonga ngenxa yeentlungu ezigqithisiweyo ezivela kumqolo, amadolo, okanye nakwindawo ye-groin.
I-hip osteoarthritis idibana njani neentlungu ze-groin? Uphando lutyhila ukuba xa umntu ejongene ne-hip osteoarthritis, iintlungu ze-groin kunye neempundu zixhaphake kakhulu. Umdibaniso we-hip usemva kwe-groin muscle, yiyo loo nto intlungu ye-groin idlula kunye neentlungu ze-hip njengengcambu. Iintlungu ze-Hip kunye ne-groin zinokubandakanyeka kunye neentlungu eziphumayo eziya emadolweni emzimbeni.
Ukuzivocavoca kwi-Hip Osteoarthritis- Ividiyo
VIDEO
Ngaba unengxaki yesinyi? Kuthekani ngokuqina kufutshane okanye malunga nesinqe sakho kunye nendawo ye-groin? Ngaba imiba efana neentlungu ezisezantsi kunye ne-sciatica? Ukuhlangabezana nale miba kunokuba yimiqondiso ye-hip osteoarthritis echaphazela umzimba wakho ophantsi. Uphando lutyhila ukuba i-hip osteoarthritis ingumthombo obalulekileyo wokugula, intlungu, ukungahambi kakuhle, kunye nokukhubazeka okusebenzayo okunokuthi kubandakanyeke neminye imiba. Ngethamsanqa, kukho iindlela zokulawula i-hip osteoarthritis, njengoko le vidiyo ingasentla ibonisa imithambo esibhozo ye-hip osteoarthritis. Imithambo ethile iyashukuma kubantu abane-hip osteoarthritis banokunceda ukuqinisa imisipha ejikelezayo ejikeleze amalunga ngelixa ukwandisa ukuhamba kwamalungu ukunciphisa intlungu kunye nokuqina. Ukuzilolonga kunokuba luncedo kumntu ngamnye njengoko kunokubonelela:
Ukwandisa ukuhamba kwegazi Gcina ubunzima Ibonelela ngamandla amandla Ukuphucula ukulala Ikhuthaza ukunyamezela kwemisipha
Olunye unyango olukhoyo lunceda ukulawula i-hip osteoarthritis ngelixa unciphisa iimpawu ezichaphazela umzimba.
Ukulawula Intlungu ye-Hip Osteoarthritis
Abantu abaninzi abane-hip osteoarthritis bazama ukufumana iindlela zokuthomalalisa iintlungu. Nangona bengenakwenza nantoni na ukuthintela ukunxiba kunye nokukrazula kumalungu ngokupheleleyo, kukho iindlela zokunciphisa inkqubo kunye nokulawula i-hip osteoarthritis emzimbeni. Utshintsho oluncinci olufana nokubandakanya ukutya lunokunciphisa iziphumo ezivuthayo kumalungu ngelixa ubonelela ngezondlo emzimbeni. Ulawulo lokuzivocavoca lunokunceda ukuqinisa izihlunu ezibuthathaka ezixhasa amajoyina ngelixa ukwandisa ukuhamba kunye noluhlu lokuhamba. Unyango olufana ne-spinal traction kunye nokhathalelo lwe-chiropractic kuphelisa iintlungu kunye nokuqina kokuphazamiseka kwamalungu afana ne-osteoarthritis. Ukhathalelo lweChiropractic lubonelela ngokuguqulwa komqolo kumqolo kunye namalungu ukuze ahlengahlengiswe. Ngelixa i-spinal traction inceda ii-discs ezicinezelekileyo zibeka uxinzelelo kwiimbilini ezijikelezayo ezinxulumene neentlungu ze-hip. Ukudibanisa nayiphi na kwezi kunokunceda ukucotha ukuqhubela phambili kwe-hip osteoarthritis kunye nokubuyisela ukuhamba kwi-hip.
isiphelo
Izinqe zibonelela ngokuzinza kwiindawo eziphezulu nezisezantsi zomzimba. Ngelixa uxhasa ubunzima besiqingatha esingaphezulu kunye nokunyakaza ukuya kwisiqingatha esisezantsi, izinqe ziyakwazi ukugoba ukunxiba kunye nokukrazula emzimbeni. Xa amalunga e-hip aqala ukugqoka kunye nokukrazula ngokukhawuleza, kunokukhokelela ekuqhubeni kwe-hip osteoarthritis, apho i-cartilage yamalungu iqala ukubangela ukuba amathambo adibanise omnye nomnye, abangele ukuvuvukala. I-Hip osteoarthritis yenza ukuxilongwa kube nzima ngenxa yokuba iintlungu ezigqithisiweyo ezivela kumnqonqo, amadolo, okanye indawo ye-groin zidlula iimpawu. Yonke into ayilahlekanga, njengoko kukho unyango olukhoyo lokulawula i-hip osteoarthritis enokunceda ukucothisa inkqubela phambili yesi sifo kunye nokubuyisela ukuhamba kwesiqingatha esisezantsi somzimba.
Ucaphulo
Ahuja, Vanita, et al. "Intlungu engapheliyo ye-Hip kubantu abadala: ulwazi lwangoku kunye nekamva elilindelekileyo." Ijenali ye-Anaesthesiology, iClinical Pharmacology , Wolters Kluwer-Medknow, 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC8022067/ .
Chamberlain, uRakeli. "Intlungu ye-Hip kubantu abadala: uVavanyo kunye nokuxilongwa okwahlukileyo." Ugqirha wezeMerika waseMerika Ngomhla woku-15 kaJanuwari 2021, www.aafp.org/pubs/afp/issues/2021/0115/p81.html .
Khan, AM, et al. "I-Hip Osteoarthritis: Iphi Intlungu?" Iingxelo zeRoyal College of Surgeons yaseNgilani , ILayibrari yeSizwe yaseMelika yoNyango, Mar. 2004, yentshutshiso.ncbi.nlm.nih.gov/15005931/ .
UKim, uChan, et al. "Ukudityaniswa kweentlungu ze-Hip kunye nobungqina beRadiographic ye-Hip Osteoarthritis: iSifundo soVavanyo lokuxilonga." I-BMJ (uPhando lwezonyango u-Ed.) , BMJ Publishing Group Ltd., 2 Dec. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4667842/ .
USen, uRouhin, kunye noJohn A Hurley. "I-Osteoarthritis-Statpearls-i-NCBI Bookshelf." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL) , iStatPearls Publishing, 1 May 2022, www.ncbi.nlm.nih.gov/books/NBK482326/ .
isikhanyeli
by UGqr Alex Jimenez Arthritis , Chiropractic , Ubuhlungu obungapheliyo , LweMpilo , impilo , Unyango , I-Viscerosomatic Reflex , Ukuphila
intshayelelo
Abantu abaninzi baye bajongana nemiba echaphazela ubomi babo ngandlel’ ithile okanye ngendlela ethile. Abantu abane izifo kufuneka bafunde ukuphatha inkqubo yomzimba ukusuka rhoqo ukuhlasela imizimba yabo ukuze isebenze ngokuqhelekileyo. Umsebenzi ophambili wamajoni omzimba kukuhlasela izinto ezisingqongileyo ezonakalisa iiseli, izihlunu kunye namalungu. Xa umntu enesifo se-autoimmune, nokuba sisuka kwimbali yosapho lwakhe okanye imeko yokusingqongileyo, amajoni akhe omzimba aya kuqala ukuhlasela iiseli eziqhelekileyo zomzimba kuba ecinga ukuba ngumhlaseli wangaphandle emzimbeni. Ezinye iingxaki eziqhelekileyo ze-autoimmune abantu abaninzi abanazo ziquka i-lupus, i-ankylosing spondylitis , kunye nesifo samathambo. Uninzi lwezi ngxaki ziqhelekileyo ze-autoimmune zihambelana neempawu eziqhelekileyo ezongeza kweminye imiba echaphazela umzimba. Inqaku lanamhlanje lijonga isifo samathambo, iimpawu zayo, indlela esidibana ngayo nokudinwa, kunye nokuba lukhona njani unyango olukhoyo lokulawula isifo samathambo kunye nokudinwa. Sithumela izigulane kubaboneleli abaqinisekisiweyo abakhethekileyo kunyango lwe-musculoskeletal ukuze bancede abo baphethwe yi-rheumatoid arthritis kunye nokukhathala. Sikwakhokela izigulana zethu ngokubhekisa kubaboneleli bethu bezonyango abanxulumeneyo ngokusekelwe kuvavanyo lwabo xa kufanelekile. Sifumanisa ukuba imfundo sisisombululo sokubuza ababoneleli bethu imibuzo ecacileyo. UDkt Alex Jimenez DC unikezela ngolu lwazi njengenkonzo yemfundo kuphela. isikhanyeli
Yintoni i-Rheumatoid Arthritis?
Ngaba ubuziva ukuqina kunye nokudumba malunga namalungu akho? Ngaba ukhe wahlangabezana nemiba yamathumbu echaphazela ubomi bakho? Okanye ngaba iingxaki zokungalali okanye ukudinwa zibonakala ziwuchaphazela umgangatho wobomi bakho? Uninzi lwezi mpawu zidibene ne-rheumatoid arthritis. I-Rheumatoid arthritis sisifo esizimelayo esibangela ukuvuvukala kunye nokudumba kumalungu. Ividiyo engentla ichaza indlela yokulawula i-rheumatoid arthritis kunye neempawu ezinxulumene nayo. Ukukhathala yenye yeempawu ezinxulumene ne-rheumatoid arthritis njengoko i-cytokines evuthayo inokuba yi-co-morbidity ekuguquleni ukusebenza kwengqondo okunokukhokelela ekugqithiseni intlungu kunye nokudinwa emzimbeni, njengoko izifundo zityhila . Nangona akuzange kubekho unyango lwe-rheumatoid arthritis, iindlela ezahlukeneyo zonyango zinokunceda abantu balawule iimpawu ze-rheumatoid arthritis.
Iimpawu
Ezinye zezona mpawu zixhaphakileyo ze-rheumatoid arthritis ezenza emzimbeni ziquka intlungu, ukudumba kunye nokudumba kwamalungu, ukukhubazeka kwamalungu, kunye nokuqina. Ngokungafaniyo nomonakalo owenziweyo ovela kwiindidi ezahlukeneyo zemiba eqhelekileyo yokuvuvukala, iimpawu ze-rheumatoid arthritis zinokuza kwaye zihambe ezinokusuka kwizinto ezithambileyo, eziphakathi, okanye ezinzima. Xa oku kusenzeka, i-rheumatoid arthritis ingaba ngumphumo wokwenza kube nzima ukwenza imisebenzi elula kwaye ibangele ukuguqulwa kwamalungu. Uphando lubonisa ukuba i-rheumatoid arthritis ehambelana nokudumba inokonakalisa amalungu ahlukeneyo omzimba njengethumbu. Iingxaki zesisu esifana nokuvuza kwamathumbu, i-IBS, okanye i-SIBO zinokubangela ukugqabhuka kwabantu abane-rheumatoid arthritis. Oku kwaziwa ngokuba i-somato-visceral intlungu, apho izihlunu zichaphazela izitho ezibalulekileyo, ezibangela iingxaki kumzimba.
Ukudinwa kunxulumana njani neRA?
Abantu abane-rheumatoid arthritis baphathwa ziimpawu ezahlukeneyo ezinxulumene nemiba yokuvuvukala. Xa ukuvuvukala kuqala ukuchaphazela umzimba, kunokugqithisa iiprofayili zokukhathala kunye nomgangatho ophantsi wobomi kumntu ngamnye. Ke ukukhathala kuhambelana njani ne-rheumatoid arthritis? Uphando lutyhila ukuba ukudinwa kuthathwa njengenye yeempawu ezibukhali ze-rheumatoid arthritis ebeka umthwalo kubantu ngabanye, ngaloo ndlela inxulunyaniswa nokunciphisa impilo kunye nempilo yabo. Ukudinwa kunemilinganiselo emininzi echaphazela abantu abaninzi. Abanye abantu baya kucacisa koogqirha babo abaphambili ukuba bahlala bediniwe, besebenza kakhulu, kwaye becinezelekile ngokuphindaphindiweyo kubomi bemihla ngemihla okanye ukuphazamiseka okuchaphazela imizimba yabo. Kubantu abanesifo samathambo, izifundo zityhila ukuba izinto eziphezulu zokudumba ezinxulumene nokudinwa zinokubenza bazive bediniwe. Oku kunxulumene nabantu abanengxaki yokuphuthelwa kwezinye iimeko.
Ukulawula I-Rheumatoid Arthritis-Ividiyo
VIDEO
Ngaba ubuziva ukuqina kunye nokudumba malunga namalungu akho? Ngaba ukhe wahlangabezana nemiba yamathumbu echaphazela ubomi bakho? Okanye ngaba iingxaki zokungalali okanye ukudinwa zibonakala ziwuchaphazela umgangatho wobomi bakho? Uninzi lwezi mpawu zidibene ne-rheumatoid arthritis. I-arthritis ye-Rheumatoid sisifo esingapheliyo somzimba esibangela ukuvuvukala kunye nokudumba kumalungu. Ividiyo engentla ichaza indlela yokulawula i-rheumatoid arthritis kunye neempawu ezinxulumene nayo. Ukukhathala yenye yeempawu ezinxulumene ne-rheumatoid arthritis njengoko i-cytokines evuthayo inokuba yi-co-morbidity ekuguquleni ukusebenza kwengqondo okunokukhokelela ekugqithiseni intlungu kunye nokudinwa emzimbeni, njengoko izifundo zityhila . Nangona akuzange kubekho unyango lwe-rheumatoid arthritis, iindlela ezahlukeneyo zonyango zinokunceda abantu balawule iimpawu ze-rheumatoid arthritis.
Unyango Kuba RA & Ukudinwa
Nangona akuzange kubekho unyango lwe-rheumatoid arthritis, kukho iindlela zokulawula iimpawu ezinxulumene ne-rheumatoid arthritis. Ukutya ukutya okutyebileyo okuchasene nokudumba kunokuthoba isiphumo sokudumba kumalungu. Enye indlela ngelixa umthambo unokunceda ukukhulula amalungu aqinileyo kwaye ubuyisele amandla emisipha, ngaloo ndlela ubuyisela ukunyakaza kwamalungu. Unyango olufana nokhathalelo lwe-chiropractic lunokubonelela ngesiqabu kwiintlungu kunye nolawulo kubantu abajongana ne-rheumatoid arthritis. Ukhathalelo lweChiropractic lubandakanya iindlela zonyango ezingasebenziyo kunye nezisebenzayo kwi-rheumatoid arthritis kunye nokukhathala. I-Chiropractors isebenzisa uhlengahlengiso lomqolo kunye nokunyanzeliswa ngesandla ukuze kuncitshiswe ukungahambi kakuhle okanye ukunyanzeliswa komgudu. Ukhathalelo lweChiropractic lunokunceda ngeempawu ezininzi ezinjengokukhathala okuhambelana ne-rheumatoid arthritis ngaphandle konyango oluhlaselayo okanye amayeza. Ukhathalelo lweChiropractic lunokuphucula ukusebenza kwamathambo, amalungu, kunye nenkqubo yemithambo-luvo emzimbeni.
isiphelo
I-Rheumatoid arthritis sisifo esingapheliyo sokuvuvukala okubangela ukuqina kwamalungu kunye nokuvuvukala. Unobangela wesi sifo esizimelayo asaziwa. Nangona kunjalo, izinto ezinjengoxinzelelo, imiba yamathumbu, kunye nokutyeba kakhulu zinxulunyaniswa neempawu ezinjengokukhathala, ukuvuza amathumbu, ukuqina kwemisipha, kunye nomgangatho wobomi obuhlwempuzekileyo kunokubandakanyeka kwi-rheumatoid arthritis. Unyango olufana nokutya ukutya okuchasene nokudumba, ukwenza umthambo, kunye nokhathalelo lwe-chiropractic lunokunceda ukulawula imiba yokukrala ebangela isifo samathambo kwaye inokunciphisa iziphumo zokudinwa emzimbeni, ngaloo ndlela icothisa ukuqhubeka kunye nokubuyisela umgangatho wobomi bomntu.
Ucaphulo
Chauhan, Krati, et al. "I-Rheumatoid Arthritis-Statpearls-ithala leencwadi leNCBI." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL) , iStatPearls Publishing, 30 Epreli 2022, www.ncbi.nlm.nih.gov/books/NBK441999/ .
Korte, S Mechiel, kunye noRainer H Straub. "Ukukhathala kwi-Inflammatory Rheumatic Disorders: Iindlela zePathophysiological." IRheumatology (eOxford, eNgilani) , Oxford University Press, 1 Nov. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6827268/ .
Pope, uJanet E. “Ulawulo lokudinwa kwiRheumatoid Arthritis.” Vula i-RMD , IQela loPapasho leBMJ, ngoMeyi 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7299512/ .
Santos, Eduardo JF, et al. "Impembelelo yokukhathala kwi-Rheumatoid Arthritis kunye neMingeni yoVavanyo lwayo." IRheumatology (eOxford, eNgilani) , Oxford University Press, 1 Nov. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6827262/ .
Abasebenzi, iKliniki yaseMayo. "Irheumatoid arthritis." Clinical Mayo , Isiseko seMayo seMfundo yezoNyango noPhando, nge-18 kaMeyi 2021, www.mayoclinic.org/diseases-conditions/rheumatoid-arthritis/symptoms-causes/syc-20353648 .
isikhanyeli
