Proyecto Artrosis

 

VI\YFJCMN FKJCQNVCNDN OI QIDIXYIJN BCDC]_IVCK OIJ \KOIV \K\YJNV \NVN JN IOYMNMCÝD YDCQIV]C_NVCN YDCQIV]CONO OI JN MCIDMN OI JN ]NJYO @YGK VNANIJ M@NQIX AVCN] \VKGVNBN DNMCKDNJ OI AKVBNMCKD OI VI@NFCJC_NMCKD S AYDMCKDNBCID_K @YBNDK DYMJIK MNVKVN-IOK JNVN.

\VIQNJIDMCN OI JN NV_VK]C] S ]Y CB\NM_K OI MNBFCK ID IJ I]_CJK OI QCON OI JN] \IV]KDN] NAIM_NON] ID IJ ]IM_KV 6 OI JNHN] NXYJI]

Nutkris8 Ijcnddys Npkdti Ndn Bnrcn Gkbiz Ijcbng @irdndoiz Vnydi @irdndoiz _utkris8 Or. Vkssnry \îiz

 

VI\YFJCMN FKJCQNVCNDN OI QIDIXYIJN BCDC]_IVCK OIJ \KOIV \K\YJNV \NVN JN IOYMNMCÝD YDCQIV]C_NVCN YDCQIV]CONO OI JN MCIDMN OI JN ]NJYO @YGK VNANIJ M@NQIX AVCN] \VKGVNBN DNMCKDNJ OI AKVBNMCKD OI VI@NFCJC_NMCKD S AYDMCKDNBCID_K @YBNDK DYMJIK MNVKVN-IOK JNVN.

\VIQNJIDMCN OI JN NV_VK]C] S ]Y CB\NM_K OI MNBFCK ID IJ I]_CJK OI QCON OI JN] \IV]KDN] NAIM_NON] ID IJ ]IM_KV 6 OI JNHN] NXYJI]

 

CDOCMI Cdtrkoummcýd Mkdtixtk oi istuock Visiþn @cstýrcmn y oibkgrîacmn oi jn Mkbudcono Bcscýd Qcscýd Bntrcz AKON \jndtinbcidtk oij prkfjibn  Îrfkj oij \rkfjibn Kfhitcvks oij trnfnhk Hustcacmnmcýd oi jn cdvistcgnmcýd  Ndtimioidtis oi jn cdvistcgnmcýd _ãmdcmns i cdstrubidtks oi rimkjimmcýd oi ontks Visujtnoks oi jn cdvistcgnmcýd Mkdmjuscýd Viairidmcn fcfjckgrîacmn  

 

CD_VKOYMMCKD Jn Nrtrkscs is mntnjkgnon mkbk udn Nrtrkpntân dk cdajnbntkrcn mnrnmtircznon pkr jn oigidirnmcýd oigidir nmcýd oij mnrtâj mnrtâjngk ngk nrtcmujnr y pkr jn prisidm prisidmcn cn oi mnbfcks mnbfcks rinmt rinmtcvks, cvks, isti trnstkrdk nrtcmujnr suiji mkbidznr id ionois mkbpridocons idtri jks ?< y 9< nþks oi iono nudqui tnbfcãd puioi naimtnr n munjqucir nrtcmujnmcýd scdkvcnj. Id jn cdakrbnmcýd n prisidtnr, si nfkronrn jn jn Nrtrkscs id si jn mkbudcono oi Jnhns Nzujis , privnjimcidok jn privnjidmcn bcsbn id ijidsixk aibidcdk ivnjunrnd anmtkris qui cdtirvcidid id ij mcmjk oi nonptnmcýd oij pnmcidti y mkbk isti puioi gidirnr fnrrirns qui ocacmujtid k jcbctid su cdtigrnmcýd oidtrk oi jn skmciono pirturfndok su oisnrrkjjk id jn vcon mktcocndn.

Ocsiþk Bitkokjýgcmk Ij istuock oisnrrkjjnok is oi tcpk bcxtk, id ij munj si prkmiocý n rinjcznr ud istuock oi cdtirvidmcýd mkbudctnrck pnrn ivnjunr ij mkdkmcbcidtk qui pksiid jns pirskdns mkd ocsmnpnmcono.

]i idmuidtrn ufcmnok8  Nj ]YV8 Oi jn urfndcznmcýd Arndmcsmk _krris.  Nj DKV_I8 Jcbctnok mkd ]ndtn Vctn. Vctn.  Nj I]_I8 Mkd ]nd Ngustâd.  Nj KI]_I8 Mkd ]nd Qcmidti.

Mnrnmtirâstcmns 

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 Nguns fjndmns y nguns digrns. Juz.  Nsik. Mnfji.

@cstkrcn Gikgrîacmn Jn mkbudcono ]imtkr Jnhns Nzujis, aui audonon id ij nþk >316, ij siþkr Dkrfirtk ^uirnjis mkdkmcok anbcjcnrbidti mkbk ‚\npn Fitk‒, muidtn qui ij nþk >316, jjigk n istks tirridk y `nmcidok bibkrcn rimuiron qui su `chk Jucs tidân km`k ( anbcjcns, scgui scidok ud simtkr mkd pjndc pjndcacmnmc acmnmcýd ýd urfndâstcmn urfndâstcmn,, mnrimi mnrim i oi vc vctn tnjcjcono ono,, tr trnd ndspk spkrt rti, i, cd cdst stctctum umck ckdi diss ioumn ioumntctcvn vns, s, bi bihk hkrn rnbc bcidt idtk k oi oijj njubfrnok.

 

BC]CKD  N trnvãs oi vcsunjcznr jks kfhitcvks gidirnjis y ispimâacmks si mkdjjivn n cbpjibidtnrjks id ij idtkrdk oi mnon udk oi jks pnmcidtis, pnrn bihkrnr su mnjcono oi vcon pirbctcidok qui rinjcmid oi jn bihkr akrbn pkscfji sus jnfkris mktcocndns, oi istns akrbns ijcbcdndok fnrrirns qui jcbctnd su cdmjuscýd id ij idtkrdk skmcnj, pnrn qui nsâ oisnrrkjjid jk bns sntcsanmtkrcn pkscfji sus `nfcjconois bktkrns, oi rnzkdnbcidtks y prkmisnbcidtks. QC]CKD ]i pritidoi oi bndirn nmtcvn y pksctcvn jjignr n mkdkmir mnon udk oi jks mnsks id pnrtcmujnr, y oi istn bndirn sir bîs iaimtcvk y bihkrnr nquijjks nspimtks qui cdmcoid id jn idairbiono y id jks pikris mnsks ivctnr bns mkbpjcmnmckdis n auturk.

 

BN_VCX AKON Akrtnjizn. 

Muidtnd mkd ud mkdsujtkrck pkpujnr n su njmndmi.

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Yd bãocmk cdtigrnj mkbudctnrck qui pirbcti jn vnjkrnmcýd, m`iquik y mkdtrkj oi jks ocsmnpnmctnoks.

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_cidid ud Mkdsihk Mkbudnj qui jjivn ud midsk nmtunjcznok oi jns pirskdns ocsmnpnmctnons.

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Mirmndân n su ]imtkr udn ]njn oi Vi`nfcjctnmcýd Cdtigrnj.

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Ij ]VC muidtn mkd ud Biocmk acscntrn y jcmidmcnok id ij îrin oi jn acscntrân pnrn su ntidmcýd y trntnbcidtk.

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Ij ]VC pksii jks iqucpks dimisnrcks pnrn jn prkdtn rimupirnmcýd oij pnmcidti.

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Kpkrtudconois. Ij biocmk cdtigrnj mkbk njtk prkaisckdnj puioi skjvidtnr cdakrbnmcýd skfri jn ocsmnpnmcono y su trntnbcidtk.

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Jn bnykrân oi jks ocsmnpnmctnoks muidtnd mkd cdstrubidtks (Fnstýd,  Ndonoirns k scjjns oi ruion) qui pirbcti su trnsjnok.

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Ij ]VC is ud sirvcmck pøfjcmk tidcidok ud `krnrck oi trnfnhk oi 0nb n =pb. Oifcjconois.

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Ij dk nsanjtnok oi jns mnjjis ocacmujtn ij trnsjnok oi jns pirskdns ocsmnpnmctnons, yn sin pnrn ij cdgrisk oi sus `kgnris k snjcons.

 

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Ixcstid ocsmnpnmctnoks qui dk muidtnd mkd jks iqucpks k cdstrubidtks dimisnrcks pnrn su oisnrrkjjk `nfctunj.

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 Jns mkdocmckdis oi cdsnjufris oi sus `kgnris naimtnd ij idtkrdk oij pnmcidti krcgcdndok ktrns idairbionois.  Nbidnzn.

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Ij biocmk cdtigrnj mkbudctnrck dk rinjczn vcsctns okbcmcjcnrcns gidirndok cgdkrndmcns skfri ij grnok oi naimmckdis y sus pkscfjis mkbpjcmnmckdis oi jns ocsmnpnmconois.

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\kr jn anjtn oi vcsctn okbcmcjcnrcn y ¿prkfjibns pnrn su trnsjnok, jns pirskdns ocsmnpnmctnons dk suijid tidir ud mkdtrkj bãocmk mkdstndti pkr jk qui dk mubpjid mkd su trntnbcidtk.

 

\JND_INBCID_K OIJ \VKFJIBN Jn nrtrkscs is ud trnstkrdk mrýdcmk nskmcnok n njtirnmckdis id ij mnrtâjngk y jks tihcoks mcrmudondtis, y si mnrnmtirczn pkr okjkr, rcgcoiz y pãrocon oi jn audmcýd.

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Jn nrtrctcs mnusnon pkr jn naimtnmcýd oij mnrtâjngk nrtcmujnr y jks tihcoks mcrmudondtis si vuijvi buy arimuidti mkd ij idvihimcbcidtk. ]kd `nfctunjis ij okjkr, jn `cdm`nzýd y ij ixmiscvk mrimcbcidtk ýsik, nsâ mkbk rcgcoiz nj oispirtnrsi k trns ud pirckok oi cdnmtcvcono, qui oisnpnrimi nj mnfk oi =< bcdutks, skfri tkok sc si buivi jn nrtcmujnmcýd.

Is ij trnstkrdk nrtcmujnr bîs arimuidti, suiji mkbidznr n ionois mkbpridocons idtri jks ?< y jks 9< nþks y naimtn id njgød grnok n mnsc tkons jns pirskdns n pnrtcr oi jks 0< nþks oi iono. Ndtis oi jks ?< nþks, jks vnrkdis prisidtnd nrtrkscs mkd bîs arimuidmcn qui jns buhiris, n biduok n mkdsimuidmcn oi trnubntcsbks. Bum`ns pirskdns prisidtnd njgød scgdk oi nrtrkscs id jns rnockgrnaâns (mkd arimuidmcn yn n jn iono oi ?< nþks), nudqui skjk jn bctno oi ijjns tcidid sâdtkbns. Idtri jks ?< y jks 7< nþks oi iono, jns buhiris prisidtnd isti trnstkrdk mkd udn arimuidmcn supirckr n jn oi jks vnrkdis. Oispuãs oi jks 7< nþks, ij trnstkrdk si oisnrrkjjn id nbfks sixks pkr cgunj. Jn nrtrkscs si mjnscacmn id8 

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\rcbnrcn ]imudonrcn

Jn nrtrkscs si mjnscacmn mkbk prcbnrcn  (k cockpîtcmn) mundok jn mnusn is oismkdkmcon (mkbk sumioi id jn grnd bnykrân oi jks mnsks). Jn nrtrkscs prcbnrcn puioi naimtnr skjk n mcirtns nrtcmujnmckdis, mkbk jn rkocjjn, k n bum`ns oi ijjns. Id jn nrtrkscs simudonrcn jn mnusn is ktrn idairbiono k pntkjkgân, mkbk Ydn cdaimmcýd Ydn ndkbnjân nrtcmujnr mkdgãdctn 

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Ydn jiscýd

 

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Yd trnstkrdk bitnfýjcmk, pkr ihibpjk, ij ixmisk oi `cirrk id ij krgndcsbk (`ibkmrkbntkscs  `ibkmrkbntkscs ) k ij ixmisk oi mkfri id ij `âgnok (idairbiono ( idairbiono oi Wcjskd  ) Wcjskd Yd trnstkrdk qui `n jisckdnok ij mnrtâjngk nrtcmujnr, pkr ihibpjk, ihibpjk, jn nrtrctcs riubntkcoi   k jn gktn riubntkcoi

]us mnusns dkrbnjbidti, jns nrtcmujnmckdis tcidid ud grnok oi arcmmcýd tnd fnhk qui istîd prktigcons oij oisgnsti cdmjusk oispuãs oi nþks oi usk `nfctunj, oi skfriutcjcznmcýd k oi trnubntcsbk. Jn nrtrkscs si prkoumi mkd bnykr arimuidmcn pkr ud onþk tcsujnr. Id ud cdtidtk oij krgndcsbk pkr ripnrnr udn nrtcmujnmcýd onþnon, si nmubujnd sustndmcns quâbcmns id jn nrtcmujnmcýd y nubidtn jn prkoummcýd oi jks mkbpkdidtis oij mnrtâjngk, mkbk ij mkjîgidk (udn prktiâdn riscstidti y acfrksn oij tihcok mkdhudtcvk) y jks prktikgjcmndks (sustndmcns qui prkpkrmckdnd ijnstcmcono). N mkdtcdunmcýd, ij mnrtâjngk si `cdm`n oifcok n jn ritidmcýd oi jâqucok, mkd jk qui si nfjndon y si prkoumid grcitns id su supiracmci. ]i akrbnd piquiþns mnvconois id ij `uisk sctunok oifnhk oij mnrtâjngk, oifcjctîdokjk. ]us sâdtkbns, ij okjkr, mkd arimuidmcn oismrctk mkbk cdtidsk y prkaudok, is ij prcbir sâdtkbn y, mundok si prisidtn id jns nrtcmujnmckdis oi mnrgn, suiji ibpikrnr mkd jns nmtcvconois qui cbpjcmnd skpkrtnr ij pisk mkrpkrnj (mkbk pirbndimir oi pci). Id njgudns pirskdns, jn nrtcmujnmcýd puioi istnr râgcon oispuãs oi okrbcr k oi munjqucir ktrk pirckok oi cdnmtcvcono, nudqui jn rcgcoiz suiji oisnpnrimir pnsnoks =< bcdutks, ispimcnjbidti ispimcnjbidti sc jn nrtcmujnmcýd si bkvcjczn.  N biocon qui q ui ij trns trnstkrdk tkrdk vn mnusndok bîs sâdtkb sâdtkbns, ns, jn nr nrtcmujnmcýd tcmujnmcýd pciroi bkvcjcono y acdnjbidti pciroi jn mnpnmcono oi istcrnrsi y okfjnrsi pkr mkbpjitk.

 

KFHI_CQK OI JN CDQI]_CGNMCKD Kfhitcvk Gidirnj 

Oitirbcdnr jn privnjidmcn oi jns Nrtrkscs y su cbpnmtk oi mnbfck id ij istcjk oi jn vcon oi jns pirskdns naimtnons id ij ]imtkr 6 oi Jnhns Nzujis. Kfhitcvk Ispimâacmks

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Istnfjimir jn privnjidmcn sigød su gãdirk. Oitirbcdnr ij sixk id ij munj priokbcdk ij ttrnstkrdk rnstkrdk Nrtrkscs. Coidtcacmnr jks anmtkris qui krcgcdnd ocacmujtno id ij idtkrdk mktcocndk oi jn pirskdn naimtnon. Istn Is tnfj fjim imir ir ij mnbp mnbpk k kmup kmupnm nmck ckdn dnjj oi jns jns pi pirs rskd kdns ns mkd mkd Nr Nrtr trks kscs cs qui qui oisnrrkjjnd ud mcmjk nonptcvk k cdnonptnok.

Hustcacmnmcýd Jn nrtrkscs is ud trnstkrdk mrýdcmk nskmcnok n njtirnmckdis id ij mnrtâjngk .Id ij ]imtkr Oks (6) oi Jnhns Nzujis id Mnrkrn Budcmcpck _krris Istnok Jnrn, muidtn mkd udn pkfjnmcýd oi 31< `nfctndtis, idtri jks munjis 19 pirskdns pksiid ocsmnpnmconois, oi istks >7 skd krcgcdnons pkr jn nrtrkscs, pnrn jn kftidmcýd oi istks pnrîbitrks si tuvk id muidtn, ionois oi jns pirskdns midsnons, sc jks bcsbks mkdtnfnd k dk mkd cdstrubidtks (fnstýd, ndonoirn k scjjn oi ruion) qui anvkrimid anvkri mid n su trnsjnok, si ivnjunrn sus `nfcj `nfcjconois conois y mkbk istns oisnrrkjjnd oisnrrkjjnd ud mcmj mcmjk k no nonp nptctcvk vk id ij munj munj jn pirs pirskd kdn n cdti cdtirn rnmt mtøn øn mkd mkd su id idtk tkrd rdk k k ud mcmj mcmjk k cdnonptnok id ij munj si fjkquin y dk si rijnmckdn mkd dnoci. Ourndti Ourndt i jn rinjcz rinjcznmcýd nmcýd oij midsk si prkscgucý n vcsctnr n mnon udk oi jks `kgnris, pnrn `nmir mkdstnr oi jn mnjcono oi vcon oi jks `nfctndtis qui suarid oi nrtrkscs.

 

 \nrn ij oisnrrkjjk oi isti trnfnhk dks bktcvý ij acd oi nubidtnr jn cdtigrnmcýd oi jns pirskdns mkd nrtrkscs oidtrk oi jn skmciono, ijcbcdndok oij tkok jns fnrrirns aâscmns, nbfcidtnjis k pscmkjýgcmns, qui kfstruynd udn rijnmcýd sndn y pksctcvn, pirbctcidok qui istns pirskdns si `nd pnrti oi udn bcsbn skmciono. \nrn ij mubpjcbcidtk mubpjcb cidtk oiiacmnmcn ist istks ks kfhitcvks, si pritidoi cbpjibidtnr udnvnd ocrcgcons `irrnbcidtn oi bum`n jn Vi`nfcjctnmcýd , muyns cdtirnmmckdis nj nutkmuconok y jn nutknyuon gidirndok udn ntidmc ntidmcýd, ýd, prividmcýd y prkbkmcýd noimunon oi jn snjuo, rimkrondok n jn pirskdn, jk anvkrnfji oi udn cdtirvidmcýd bãocmn id su vcon, jn munj frcdon `irrnbcidtns qui nyuond n bihkrnr isns oiacmcidmcnsivctndok mkbpjcmnmckdis n mkrtk, biocndk y jnrgk pjnzk, `nmcãdokjk supirnr id sus bnykris mnpnmconois.

 ND_IMIOID_I] OI JN CDQI]CGNMCÝD CDQI]CGNMCÝD *Vkdqucjjk \cdtn \nujcdn Qirýdcmn ‚Midtrk oi Ispimcnjconois Bãocmns Mjuf oi Jikdis‒ ndnjczn skfri ij ‚_rntnbcidtk biocndti jn npjcmnmcýd oi ihirmcmcks ecdiscktirnpiutcmks id pnmcidtis mkd nrtrkscs oi rkocjjn oi 9< n 1< nþks ntidocoks id ij midtrk oi ispimcnjconois bãocmns Mjuf oi Jikdis Nbfntk pirckok Bnrzk Ngkstk 6