X'inhuma l-kawżi ta 'l-osteoartrite ta' l-irkoppa?

X'inhuma l-kawżi tal-osteoartrite tal-irkoppa?

L-osteoartrite ta 'l-irkoppa hija kundizzjoni anormali tal-qarquċa, li prinċipalment tikkawża uġigħ u skumdità fl-irkoppa. L-irkoppa hija l-parti tat-tagħbija li ġġorr il-piż kollu tal-ġisem. Hija parti partikolarment fraġli tal-ġisem minħabba li ħafna drabi ġġorr it-tagħbija ta 'attivitajiet ta' kuljum, bħall-wieqfa, mixi, u squatting. Il-qarquċa fil-ġog ta 'l-irkoppa jżommha stabbli, u għandha rwol importanti fl-assorbiment ta' xokkijiet esterni u l-illixxar tal-moviment tal-ġogi. Hemm ħafna raġunijiet għal din il-parti ta 'anormalitajiet tal-qarquċa.

It may be related to past medical history. If you suspect that you have knee osteoarthritis, your doctor will ask you questions such as "Have your knee been injured?" or "Which disease do you have?" This is because there may be a history of the etiology of knee osteoarthritis. Specific examples include injuries such as anterior cruciate ligament and meniscus injuries, as well as diseases such as rheumatoid arthritis and pseudogout. If you have no experience of injury or illness, please refer to the reasons related to the inevitable.

Obviously, knee injury is the main cause of knee osteoarthritis. The injury of the anterior cruciate ligament and the meniscus is a particularly important hazard. According to researchers, "even if the damaged ACL is reconstructed, the risk of knee osteoarthritis is still about 3.62 times." In addition, there are data comparing the risk of knee osteoarthritis in the case of an ACL injury alone and a meniscus and articular cartilage injury. People with damaged meniscus and cartilage face more than three times the risk than those with damaged ACL alone. As mentioned at the beginning of the article, you can see that cartilage abnormalities can cause knee osteoarthritis. Past diseases can also cause knee osteoarthritis. For example, rheumatoid arthritis, which is one of autoimmune diseases, develops due to abnormalities in the body's immune system. It is a disease in which healthy cells and tissues in the joints of the whole body are also treated as foreign bodies and attacked. Inflammation occurs in the joints, and at the same time, inflammatory cytokines (substances that act on cartilage destruction) are secreted. When cartilage degenerates, it has the property of destroying the surrounding environment, so the mechanism is that cartilage is further destroyed and develops into knee osteoarthritis. In addition to rheumatoid arthritis, knee osteoarthritis may be caused by crystalline arthritis, including septic arthritis and pseudogout.

Of course, in addition to the past medical history, it is also related to the inevitable. Inevitable factors such as aging and innate (congenital) factors such as gender and heredity can be considered as the main reasons. Regarding age and gender, the elderly have a high prevalence rate and gender differences. In addition, it is already obvious that genetic influences also exist. "The cartilage wears down with age" is a phrase we often hear. When patients report their knee pain in the hospital, I think many people are told that it is caused by aging. Regardless of whether this explanation is appropriate or not, there is no doubt that aging is related to the development of knee osteoarthritis. In fact, the articular cartilage of the elderly tends to naturally degenerate and degenerate, and the accumulated load makes it vulnerable to damage. For example, if the soles of shoes worn for a long time wear out, the same thing happens to the knee joints. The prevalence of knee osteoarthritis increases steadily with age. Statistics show that almost half of people in their 70s and above suffer from this disease. From around 40 years old, the degeneration of cartilage has gradually developed, and the pain has become stronger and stronger.

In addition, by comparing and observing the prevalence of knee osteoarthritis, the prevalence of knee osteoarthritis is very different between men and women, and the incidence of women is almost four times that of men. 70 percent to 80 percent of women in their 80s suffer from this disease, and many women can also be found to suffer from knee osteoarthritis in daily life. So why is it more likely to happen to women? There are several reasons for this. For example, female hormones are also related to the characteristics of the pelvis that is easily twisted and the bones are easily fragile. Coupled with the weight gain before and after childbirth, and lifestyles such as unstable shoes such as high heels, it is easy to put a heavy burden on the knees. It is the muscles around the knee that absorb and reduce the load on the knee. As discussed in the section on muscle weakness, if the intensity is high, the load on the knee can be reduced. However, women have very little testosterone, which is a hormone needed to build muscle. It is said that the level of testosterone in the blood is less than one-twentieth that of men, and it can be said that women's bodies are in a state where it is difficult to prepare to absorb the load on the knees. The load on the cartilage accumulates, which makes knee osteoarthritis more likely to occur.

F'dawn l-aħħar snin, ġiet proposta r-relazzjoni bejn l-osteoartrite ta 'l-irkoppa u l-ġeni, u saru ħafna studji biex jiċċaraw. Fl-2010, ir-riċerkaturi rrappurtaw li t-tipi tal-ġeni SNP huma relatati mal-iżvilupp tal-osteoartrite tal-irkoppa. Ġie konkluż li n-nies b'din il-marda huma 1.3 darbiet aktar probabbli li jieħdu din il-marda minn nies mingħajrha.

Barra minn hekk, huwa relatat mill-qrib mal-istil tal-ħajja, u jista 'jissejjaħ ukoll fattur li jippromwovi l-iżvilupp tal-osteoartrite tal-irkoppa. Fatturi tipiċi huma l-obeżità u n-nuqqas ta 'saħħa tal-muskoli. Barra minn hekk, l-istorja tal-eżerċizzju u x-xogħol jistgħu jżidu r-riskju tal-osteoartrite tal-irkoppa, skont kif tintuża l-irkoppa.

Għal kull kilogramma ta 'żieda fil-piż, it-tagħbija fuq il-ġog ta' l-irkoppa meta tkun bilwieqfa se tiżdied b'2 sa 3 kilogrammi. Agħmel xi moviment, it-tagħbija fuq l-irkoppa tkompli tiżdied, u tiżdied b'aktar minn 3.2 darbiet meta titla' u tinżel it-taraġ. Fi kliem ieħor, iktar ma tkun xaħam, akbar tkun it-tagħbija fuq il-ġogi tal-irkoppa tiegħek u akbar tkun il-ħsara lill-qarquċa tiegħek. Iżid ukoll ir-riskju ta 'osteoartrite ta' l-irkoppa. Studji wrew li għal kull 5 kilogrammi ta 'żieda fil-piż, ir-riskju ta' osteoartrite ta 'l-irkoppa jiżdied b'36 fil-mija.

Għalkemm hija relatata ma 'fatturi inevitabbli bħall-età u s-sess, saħħa tal-muskoli insuffiċjenti hija wkoll waħda mill-kawżi ewlenin tal-osteoartrite tal-irkoppa. Hemm diversi muskoli madwar l-irkoppa, iżda ċ-ċentru huwa l-quadriceps fuq quddiem tal-koxxa. Għandu rwol importanti fl-assorbiment tat-tagħbija tal-ġog tal-irkoppa. Fi kliem ieħor, jekk il-muskoli madwar l-irkoppa, inkluż il-quadriceps, ikunu mdgħajfa, se tikkawża tagħbija direttament fuq l-irkoppa, li tikkawża aktar ħsara lill-qarquċa u twassal għall-iżvilupp ta 'osteoartrite ta' l-irkoppa. Jista 'jingħad li r-raġuni għaliex l-anzjani u n-nisa huma partikolarment suxxettibbli għall-osteoartrite ta' l-irkoppa hija li huma suxxettibbli għal dgħjufija fil-muskoli.

Barra minn hekk, waħda mill-aktar affarijiet importanti li jaffettwaw l-osteoartrite ta 'l-irkoppa hija inattività, dgħjufija fil-muskoli, u żieda fl-uġigħ, li twassal għal ċiklu negattiv ta' inkapaċità li ċaqlaq il-ġisem. Għalhekk, eżerċizzju moderat huwa rakkomandat meta tittratta l-osteoartrite ta 'l-irkoppa.

Kif issemma qabel, ħsara lill-ligament kruċjat anterjuri u l-menisku jistgħu jżidu r-riskju ta 'osteoartrite ta' l-irkoppa fil-futur. Madankollu, anke dawk li qatt ma sofrew minn dawn il-korrimenti jistgħu jsofru minn osteoartrite ta 'l-irkoppa jekk ikomplu jidħlu f'eżerċizzji qawwija ta' l-irkoppa. Ir-raġuni hija li l-istruttura tal-ġog ta 'l-irkoppa mhix reżistenti ħafna għall-moviment laterali. Ġogi ta 'l-irkoppa u xi qarquċa ħafna drabi jġorru tagħbija akbar fl-isports b'aktar movimenti bħal brim tal-ġogi ta' l-irkoppa. L-akkumulazzjoni ta 'din it-tagħbija se żżid il-ħsara fil-qarquċa, li se twassal għal osteoartrite ta' l-irkoppa maż-żmien. Per eżempju, ħafna pazjenti huma entużjasti dwar table tennis, volleyball, badminton, aerobics, żfin u sports oħra li jeħtieġu ħafna rotazzjoni. Dawn l-isports li jeħtieġu rotazzjoni jew rotazzjoni madwar sieq waħda jistgħu faċilment iwasslu għal osteoartrite ta 'l-irkoppa.

L-okkupazzjoni hija wkoll waħda mill-fatturi li jaffettwaw l-osteoartrite ta 'l-irkoppa.

Għal nies li kienu involuti f'xogħol fiżiku tqil bħall-inġinerija ċivili u l-agrikoltura, il-ġog ta 'l-irkoppa huwa mgħobbi żżejjed, li jista' jwassal għall-iżvilupp ta 'osteoartrite ta' l-irkoppa. Kif imsemmi hawn fuq, it-tagħbija fuq l-irkoppa hija madwar 2.5 darbiet dik tal-wieqfa. Meta l-piż tal-bagalji bħal makkinarju tqil u għodda jiżdied miegħu, it-tagħbija fuq l-irkopptejn issir akbar.

Minbarra t-tixjiħ, hemm diversi raġunijiet possibbli għall-osteoartrite tal-irkoppa. Għalhekk, it-tobba jeħtieġ li jiddeterminaw jekk huwiex biżżejjed li tintuża biss it-tixjiħ bħala bażi għat-trattament. Jekk taħseb li hija relatata mal-obeżità, trid tieħu miżuri xierqa biex titlef il-piż. Jekk is-saħħa tal-muskoli tiegħek mhix biżżejjed, għandek bżonn tieħu miżuri xierqa biex telimina kemm jista 'jkun kawżi. Imbagħad, jekk il-fatturi li jirriżultaw ma jistgħux jiġu eliminati, bħax-xjuħija jew il-korrimenti tal-passat, m'hemm l-ebda mod biex issolvihom. L-aħjar trattament biex inaqqas il-progress huwa li twettaq taħriġ ta 'saħħa madwar l-irkoppa, inkluż il-quadriceps. , Dan huwa estremament importanti. L-osteoartrite ta 'l-irkoppa hija marda li ma tistax twaqqaf kompletament id-deterjorazzjoni tagħha, iżda tista' tnaqqas il-progressjoni tagħha. Issa li ġie żviluppat, dak huwa fejn għandna nagħtu l-aktar attenzjoni. Naturalment, it-trattament li għandu jsir minn issa 'l quddiem huwa inevitabbli, iżda huwa importanti li l-ewwel tkun taf il-kawża tal-marda. Biss billi tiġi ċċarata l-kawża jistgħu jittieħdu l-miżuri korretti u l-effett tat-trattament jista 'jiġi massimizzat.