A o faasolo ina matutua le tino, e manaʻo tagata taʻitoʻatasi e tumau le malosi ma tausia se olaga soifua maloloina e aunoa ma se tiga. E mafai e sela toe faʻafouina mo le faʻaleagaina o le gugu ma le cartilage le lumanaʻi o vailaʻau neuromusculoskeletal ma faʻamalolo sooga?
Mataupu
E manaʻo tagata taʻitoʻatasi e faʻaauau pea ona fai gaioiga faʻaletino latou te fiafia i ai, lea e manaʻomia ai soʻoga maloloina. O loʻo aʻoaʻoina e saienitisi le auala e faʻaogaina ai le gafatia o sela toe faʻafouina e toe faʻaleleia ma toe faʻatupuina le cartilage ua faaleagaina ma leaga. O le taimi nei e le'i fa'aalia ai le fa'afoligaina o a'afiaga o le gugu ma a'o fa'aalia e su'esu'ega le fa'aleleia atili o le falema'i, e mana'omia nisi su'esu'ega. (Bryan M. Saltzman, et al., 2016)
Cartilage o se ituaiga o mea faʻafesoʻotaʻi. I totonu o sooga, e i ai ni nai ituaiga o cartilage. O le mea e masani ona taʻua o le lamolemole lamolemole e taʻua o le articular poʻo le hyaline cartilage. O lenei ituaiga e fai ai se vaega lamolemole o le aluga i le pito o se ponaivi i le sooga. (Rocky S. Tuan, et al., 2013)
O loʻo i ai togafitiga mo le faʻaleagaina o le gaʻo ma le cartilage, ae o nei togafitiga e masani lava ona taulaʻi i le faʻamaloloina o faʻamaoniga e ala i le faʻamaluluina o le cartilage ua faʻaleagaina poʻo le suia o le sooga faʻatasi ma se mea faʻapipiʻi, e pei o le sui o tulivae poʻo taotoga suilapalapa. (Robert F. LaPrade, et al., 2016)
Regenerative stem cell o sela faʻapitoa ia e iai le malosi e faʻateleina ma tupu aʻe i ituaiga eseese o aano. I totonu o se taotoga faʻapitoa mo faʻafitauli faʻatasi, e maua mai sela fatu mai tagata matutua punaʻa fatu puna autu o gaʻo ponaivi ma gaʻo. O nei sela o loʻo i ai le malosi e atiaʻe ai i sela o le cartilage, e taʻua o chondrocytes. (Rocky S. Tuan, et al., 2013)
Cartilage o se mea faʻalavelave e faʻamatalaina o se fausaga faʻapipiʻi e aofia ai collagen, proteoglycans, vai, ma sela. (Rocky S. Tuan, et al., 2013)
Standard togafitiga e pei o cortisone shots po'o togafitiga fa'aletino e aoga ma maua ai fa'amanuiaga e mafai ona fa'aogaina fa'atasi ma sela toe fa'afo'isia mo le gugu ma le fa'aleagaina o le cartilage i se taimi lata mai. O fa'amaumauga e umi se taimi ma e fa'afefea ona a'afia ai le soifua maloloina umi o se so'o fa'atasi mana'omia su'esu'ega fa'aauau i tulaga fa'ainisinia o le tino ma le tu'uina atu o sela e fuafua ai le auala sili e fesoasoani ai i tagata ta'ito'atasi.
LaPrade, RF, Dragoo, JL, Koh, JL, Murray, IR, Geeslin, AG, & Chu, CR (2016). AAOS Research Symposium Updates and Consensus: Togafitiga Faʻaola o Manuʻa Tulaga. Le Journal of the 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). Stem Cells in Orthopedic: Ose Ta'iala Atoa mo le Fomai Fa'apitoa. American journal of orthopedics (Belle Mead, NJ), 45(5), 280–326.
Tuan, RS, Chen, AF, & Klatt, BA (2013). Toe fa'afouina o le cartilage. Le Journal of the American Academy of Orthopedic Surgeons, 21(5), 303–311. doi.org/10.5435/JAAOS-21-05-303
Faʻataʻitaʻiga Tomai o Faʻataʻitaʻiga
O faʻamatalaga o loʻo i luga "Fa'afouga Selula mo Ga'au: O Mea e Tatau Ona E Iloa"E le o fa'amoemoe e sui ai se mafutaga ta'ito'atasi ma se fa'apolofesa fa'alesoifua maloloina agava'a po'o se foma'i laiseneina ma e le o se fautuaga fa'afoma'i. Matou te fa'amalosia oe e fai fa'ai'uga fa'alesoifua maloloina e fa'atatau i au su'esu'ega ma faiga fa'apaaga ma se tagata tomai fa'apitoa tau soifua maloloina.
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O matou fa'amatalaga lautele e fa'atapula'a ile Chiropractic, musculoskeletal, vaila'au fa'aletino, soifua maloloina, fa'asoa etiological fa'alavelave viscerosomatic i totonu o fa'ata'ita'iga fa'apitoa, somatovisceral reflex fa'ata'ita'iga fa'amanino, fa'alavelave fa'aletonu, fa'afitauli ma'ale'ale o le soifua maloloina, ma/po'o tala fa'afoma'i aoga, autu, ma talanoaga.
Matou te tuuina atu ma tuuina atu felagolagomai falema'i faatasi ai ma tagata tomai faapitoa mai matata eseese. O fa'apitoa ta'ito'atasi e fa'atonutonuina e la latou fa'apolofesa lautele o fa'ata'ita'iga ma a latou pulega fa'atulafonoina. Matou te fa'aogaina tulafono fa'alesoifua maloloina ma le soifua manuia e togafitia ma lagolago ai le tausiga o manu'a po'o fa'aletonu o le musculoskeletal system.
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