Mary Allen
Kurovedza muviri kuduku, uriri hunotsvedza, zvokudya zvakanyanyiswa, uye kukura kunofadza ndiko kuparara kwemabhiza mazhinji. Izvi zvinokuvadza majoini.
Gore rega rega mhuka dzinopfuura 20,000 dzinoberekwa muEurope dzinoita osteochondrosis (OC). Kana vane rombo rakanaka, chirwere ichi chekubatana hachizokanganisa zvakanyanya kushanda kwavo mune ramangwana. Kana vaita rombo rakanaka, zvinoreva magumo avo. "Inenge gumi muzana yemabhiza andinoona akakanganiswa," anofungidzira Hansjakob Leuenberger, chiremba mukuru wemhuka paTierklinik 24 muStaffelbach, Aargau. MuSwitzerland, vana vanosvika zana nemakumi mashanu vanorwara neOC gore rega rega. Izvi zvinotungamirira kukuchinja kwefupa-cartilage layer mujoini (ona bhokisi).
Muna 1947, chiremba wemhuka weSweden akatanga kutsanangura dambudziko. “Asi hapana akataura nezvazvo kusvika kuma1960. Izvi zvaisava nekuti chirwere chacho hachina kukwanisa kuonekwa. Izvo hazvina kungouya, "anodaro René van Weeren, chiremba wemhuka uye muongorori paYunivhesiti yeUtrecht kuNetherlands. Iye inyanzvi yepasi rose ine mukurumbira we osteochondrosis. “Chirwere ichi chakakonzerwa nevanhu,” anodaro. "Tinofanira kushandura zvimwe zvinhu mukurerwa kwemabhiza."
Osteochondrosis (OC)
Mu "embryo", skeleton ine cartilage iyo inoputika zvishoma nezvishoma. Iyi ossification maitiro haina kukwana muOC. Zvichienderana nekudzidza, pakati pe6 ne68 muzana yemabhiza anobatwa. Chimiro chinoitika kamwe kamwe kuzvimba kwemajoini mumwana wegore (kazhinji pasina kukamhina). OC inogona kuitika munenge chero majoini, asi inowanzoitika mumakumbo. Mativi ose ari maviri anowanzobatwa.
Kuongororwa kunoitwa neX-ray kana ultrasound. Kangani OC inoonekwa zvakare zvinoenderana nekuti majoini mangani anoongororwa - kunyangwe zvirema zvakakura zvinoonekwa paX-ray zvinogona kunyangarika zvega nezera remwedzi gumi nembiri.
Sei vakawanda vakangoerekana vatambura nazvo - kunyanya mhuka dzine ropa rinodziya - yakatsvakurudzwa kwenguva yakareba. Muchidzidzo chechangobva kuitika, vatsvakurudzi veDutch vakaona mhuka dzemapurazi mashanu. Ainyanya kufarira kuti mhuka dzaitsvedza here kana dzamira. Zvichienderana nemamiriro evhu, izvi hazvina kuitika zvachose papurazi nhamba 1, asi papurazi nhamba 3 zvakazviita muzvikamu zvinopfuura makumi matatu kubva muzana. Pamwedzi gumi nembiri, isingasviki gumi muzana yemboro paPurazi 30 yaive neosteochondrosis, pakati peavo paFarm 10 nhamba yacho yaive ingangoita gumi neshanu muzana. Izvi zvinogona kuitika - kana kuratidza mamiriro anobatsira kuOC.
“Pane zvinhu zvakawanda zviri kukonzera chirwere ichi,” anodaro Leuenberger. Imwe inzvimbo. “Kana mhuru dzacho dzikamhan’ara dzichidzika panzvimbo isina kuenzana, zvichida ine matombo dzobva dzamira kamwe kamwe pafenzi, izvo zvinoita kuti shwashwa riome. Chinhu chakadaro chinofarira micro-kukuvara. "
Kurovedza muviri kushoma kwakafanana kunokuvadza. Papurazi rechitatu, mapere aingopihwa diki diki kweawa imwe kusvika maviri pazuva, uye imwe neimwe yaive nemamita masere enzvimbo mudanga. Pachivanze 3, mhuka dzaigona kugara dzichitenderera mumafuro kana munzvimbo ye1 square metres.
Matani Enhaka Akaoma
Chechipiri chakakosha chezvakatipoteredza chinhu chikafu. "Chikafu chinogayiwa nyore nyore chinosimudzira kukura kweosteochondrosis," anodaro van Weeren. Makabhohaidhiretsi mairi anoita kuti hormone insulin isimuke zvakanyanya. Izvi zvine mhedzisiro yakaipa pakukura kwekashwa.
Mabhiza anokurawo nekukurumidza nekudya kwesimba guru. Mabhiza makuru anonyanya kukanganiswa neOC. Maponi nemabhiza emusango, ayo akareba pakusvava asingambo pfuure 1.60 metres, haana kumbokanganiswa. Zvose kukura uye kukura nokukurumidza, saka, zvinokurudzira kukuvadzwa kwekashwa.
Izvi zvinounza matambudziko, nekuti "kukura kunofadza" kunodiwa inbreeding. Uye majini anogarwa nhaka anobatsira zvikuru kune izvi. Apa vapfuyo vanopikiswa. “Zvizhinji zvakaitika muSwitzerland munhau iyi,” anodaro Leuenberger. “Varimi vemabhiza vakaona dambudziko iri. Tiri kuona vana vashoma vane osteochondrosis nhasi kupfuura zvataiita makore 25 apfuura. "
Zvichienderana nerudzi, OC inogarwa nhaka kune yakakura kana zvishoma. Paavhareji, majini anokonzera chinenge chikamu chimwe muzvitatu chechirwere, maererano naVan Weeren, zvikamu zviviri kubva muzvitatu zvinokonzerwa nemamiriro ekunze. Haafunge kuti ipfungwa yakanaka kuramba uchibvisa mhuka dzinenge dzabatwa pakubereka: “Kune mabhiza mazhinji, chirwere hachizi nyaya hombe nekuti hachikonzeri kurasikirwa mukuita. Kuasiya pakupfuya kunoreva kurasikirwa nezvakawanda zvinokosha zvemavara okugara nhaka.”
Ikoko hakuzombofi kwakave neOC genetic test. Nekuti majini akabatwa akagoverwa pa24 ye33 machromosomes - akawandisa kuti akwanise kuapedza ese nekusarudza anopikisa van Weeren uye anopa mubatanidzwa wekuberekesa weDutch warmbloods semuenzaniso. Kubva 1984 hapana madhora ane OC muhoki akapihwa rezinesi ipapo, uye kubva 1992 hapana ane OC mumabvi zvakare. "Zvisinei, kuwanda kweOCs hakuna kuderera zvakanyanya kusvika pakati pe2015."
Kuporeswa Kwepachivande kana Kuvhiya
Haaizowanzopa zano pamusoro pekutenga bhiza neOC. “Chekutanga, zvinoenderana nekuti ijoini ripi rinokanganiswa uye kuti rakaipa sei. Chechipiri, kukuvadza kwakawanda kwakabatana kunopera neOC. " Nekudaro, iyo "poindi yekusadzoka" inowanzosvikwa neinenge mwedzi gumi nembiri: majoini akaremara ayo asina kuzvigadzirisa pachawo asara.
Kuporeswa kwechipo chimwe chikonzero nei mhuka diki kana dziya dzine kukuvara kudiki kwemajoini dzichirapwa ne anti-inflammatory painkillers uye kuzorora. Panyaya yekuremara kwakakura kwemajoini, chete nzira yeArthroscopic inogona kubatsira. Mukana wekuti bhiza rigozoshandiswa mumutambo kazhinji uri pakati pe60 ne85 muzana.
Pashure pokuvhiyiwa kunobudirira, bhiza haricharangarirwi zviri pamutemo “rakaremara,” anodaro Leuenberger. "Bhiza rakakwana risina chinhu harisipo zvakadaro."