Njira Zina Zopangira Opaleshoni ya Knee

Zamkati

• Chidule
• Kuchepetsa thupi komanso kuchita masewera olimbitsa thupi
• Thandizo lakuthupi
• Hyaluronic acid jakisoni
• Mankhwala ndi kuwombera kwa steroid
• Zosankha zamankhwala
• Jakisoni Corticosteroid
• Kutema mphini
• Prolotherapy
• Opaleshoni yojambulajambula
• Mankhwala opangira tsinde
• Majakisoni olemera a plasma
• Mphuno osteotomy
• Zothandizira kuyenda ndi chithandizo
• Zosankha zomwe sizikuthandizani
• Ganizirani zomwe mungasankhe

Chidule

Kuchita maondo m'malo mwa opaleshoni nthawi zambiri si njira yoyamba yothanirana ndi maondo. Njira zina zochiritsira zosagwiritsidwa ntchito masiku onse zitha kuthandiza.

Ngati mukumva kupweteka kwa bondo, funsani dokotala wanu za njira zochepa zothanirana ndi vutoli. Nawa malingaliro.

Kuchepetsa thupi komanso kuchita masewera olimbitsa thupi

Akatswiri amalimbikitsa kwambiri anthu onenepa kwambiri kapena onenepa kwambiri kuti achepetse thupi komanso kuchita masewera olimbitsa thupi. Pamodzi, izi zitha kuthandiza kuchepa kwamagulu ndikuchepetsa kupweteka.

Kafukufuku akuwonetsa kuti mapaundi 10 aliwonse owonjezera amawonjezera mwayi wokhala ndi nyamakazi ya mawondo mwa. Nthawi yomweyo, kutaya mapaundi 10 kungatanthauze kuti mulibe mphamvu yokakamiza kugwada.

Ntchito zoyenera ndi monga:

• kuyenda
• kupalasa njinga
• zolimbitsa zolimbitsa thupi
• maphunziro a neuromuscular
• masewera olimbitsa thupi
• yoga
• tai chi

Akatswiri amadziwa kuti kuchita masewera olimbitsa thupi ndi gulu kapena othandizira thupi kumatha kukhala kothandiza kuposa kuchita masewera olimbitsa thupi. Amalimbikitsanso kusankha ntchito yomwe mumakonda komanso yomwe mungakwanitse.

Katswiri wa zamankhwala amatha kulangiza machitidwe oyenera.

Thandizo lakuthupi

Wothandizira thupi amatha kupanga njira yochepetsera kupweteka ndikulimbitsa minofu yayikulu yomwe imakhudza maondo anu. Atha kugwiranso ntchito nanu kuti muwonetsetse kuti mukuchita zolimbitsa thupi molondola.

Amatha kuthira ayezi ndi kutentha kuti achepetse kupweteka komanso kutupa.

Hyaluronic acid jakisoni

Ma jekeseni amtundu wa hyaluronic acid amaganiza kuti apaka bondo limodzi.Izi zitha kuthandiza kuyamwa, kuchepetsa ululu, komanso kukonza kuyenda kwa bondo.

Akatswiri samalimbikitsa pakali pano kugwiritsa ntchito majakisoni awa, komabe, popeza palibe umboni wokwanira woti atsimikiziridwa kuti agwira ntchito.

Mankhwala ndi kuwombera kwa steroid

Mankhwala owonjezera pa-counter (OTC) atha kuthandiza kuthana ndi kupweteka kwamondo.

Zosankha ndizo:

• mankhwala ochepetsa ululu, monga acetaminophen
• ma anti-inflammatories (NSAIDs) am'mutu komanso amlomo.
• mafuta odzola omwe ali ndi capsaicin

Zosankha zamankhwala

Ngati mankhwala a OTC sakugwira ntchito, dokotala wanu akhoza kukupatsani mankhwala amphamvu, monga duloxetine kapena tramadol.

Tramadol ndi opioid, ndipo ma opioid amatha kukhala osokoneza bongo. Akatswiri amangolangiza kugwiritsa ntchito tramadol ngati simungagwiritse ntchito mankhwala ena, ndipo samalimbikitsa mtundu wina wa opioid.

Jakisoni Corticosteroid

Njira ina ndikhale ndi jekeseni wa steroid m'deralo. Izi zitha kuchepetsa kupweteka ndi kutupa pabondo lanu. Kupweteka kumachepetsa m'masiku ochepa, ndipo kupumula kumatha milungu ingapo.

Ena amakayikira kugwiritsa ntchito ma steroid kwakanthawi. Kafukufuku wina adapeza kuti, patadutsa zaka ziwiri, anthu omwe adalandira jakisoni wa steroid anali ndi khungu locheperako ndipo samasintha pakumva bondo.

Komabe, malangizo omwe amafalitsidwa mu 2019 amathandizira kugwiritsa ntchito kwawo.

Kutema mphini

Kutema mphini ndi njira yakale yaku China yomwe ingathandize kuthetsa ululu. Amagwiritsa ntchito singano zakuthwa, zopyapyala kuti zisinthe kayendedwe ka mphamvu mthupi.

ikuwonetsa kuti kutema mphini kumatha kuthandizira kuthana ndi kupweteka kwa bondo kwakanthawi kochepa.

Malangizo apano amathandizira kugwiritsa ntchito kutema mphini pochiza kupweteka kwa bondo, koma zindikirani kuti maubwino ake sali omveka bwino. Kuopsa kwa kutema mphini ndikotsika, chifukwa chake kutema mphini kungakhale koyenera kuyeserera.

Prolotherapy

Mu prolotherapy, katswiri wa zamankhwala amalowetsa njira yothetsera vuto mu ligament kapena tendon kuonjezera kuthamanga kwa magazi ndikupereka michere. Mankhwalawa cholinga chake ndikulimbikitsa machiritso pokhumudwitsa minofu.

Njira yothetsera dextrose, yomwe imasakanikirana ndi shuga, imagwiritsidwa ntchito nthawi zambiri.

Mmodzi, anthu omwe ali ndi mafupa a m'mabondo amalandira jakisoni asanu masabata anayi kutalikirana. Adanenanso kuti kupweteka kwawo kudasintha masabata a 26 pambuyo pa jakisoni woyamba. Patadutsa chaka, adakumbukirabe zakusinthaku.

ati njirayi ndiyotetezeka ndipo ikuwoneka kuti ikuthandizira kuthetsa ululu, komabe akuyitanitsa kafukufuku wina.

Malangizo apano samalimbikitsa kugwiritsa ntchito prolotherapy.

Opaleshoni yojambulajambula

Dokotala wa opaleshoni anganene kuti opaleshoni ya arthroscopic kuchotsa zidutswa za mafupa, zidutswa za meniscus zong'ambika, kapena khunyu yowonongeka, komanso kukonza mitsempha.

Arthroscope ndi mtundu wa kamera. Amalola dokotalayo kuti aone mkati mwa cholowa chanu pang'onopang'ono. Akapanga mbali ziwiri kapena zinayi, dokotalayo amagwiritsa ntchito arthroscope kuti azigwira ntchito mkati mwa bondo lanu.

Njirayi ndi yovuta kwambiri kuposa opaleshoni yachikhalidwe. Anthu ambiri amatha kupita kwawo tsiku lomwelo. Kubwezeretsa, nawonso, kuyenera kuchitidwa mwachangu.

Komabe, sizingathandize pamitundu yonse yamatenda am'maondo.

Mankhwala opangira tsinde

Chithandizo choyeserachi chimagwiritsa ntchito maselo am'mafupa amchiuno mchiuno kuti athandizenso kukonzanso minofu yamafupa pa bondo.

awonetsa kuti mankhwala amtundu wa tsinde angathandize kuchepetsa kupweteka kwa bondo ndikuwongolera magwiridwe antchito, koma sizikuwoneka kuti zimayambitsa katsabola kakang'ono.

Chithandizo chama cell cha ovulala olowa sichikhala gawo la zamankhwala. Akatswiri samalimbikitsa kuti pakadali pano jakisoni wama cell a osteoarthritis (OA), popeza palibe njira yovomerezeka yothandizira pakadali pano.

Majakisoni olemera a plasma

Chithandizo china choyesera chimaphatikizapo kubaya bondo la osteoarthritic ndi protein yokhala ndi plasma (PRP) m'njira zitatu.

1. Wopereka chithandizo chamankhwala amatenga magazi kuchokera kwa munthu amene akufuna chithandizo.
2. Pogwiritsa ntchito centrifuge, amasiyanitsa mapulateleti omwe amakhala ndi zinthu zokula m'magazi.
3. Kenako, amalowetsa ma platelet m'mabondo.

Maupangiri apano amalangiza anthu kuti asagwiritse ntchito mankhwalawa, chifukwa pali kusowa kwamakhalidwe pokonzekera ndikuwapatsa jakisoni. Izi zikutanthauza kuti sikutheka kudziwa zomwe kukonzekera kumaphatikizapo.

Mphuno osteotomy

Anthu omwe ali ndi vuto la mawondo kapena kuwonongeka mbali imodzi yokha ya bondo amatha kupindula ndi osteotomy.

Njirayi imasunthira katundu wolemetsa kutali ndi malo owonongeka a bondo.

Komabe, mafupa osteotomy siabwino kwa aliyense. Kawirikawiri amagwiritsidwa ntchito kwa achinyamata omwe alibe mawondo ochepa.

Zothandizira kuyenda ndi chithandizo

Zipangizo zomwe zingathandize ndi izi:

• ndodo yoyenda, yomwe imatha kuthandizira moyenera
• kulimbitsa bondo, kuthandizira bondo

Tepi ya Kineseo ndi njira yothandizira yomwe imalimbikitsa thupi kuti lizichiritsa mwachilengedwe powonjezera magazi kuzungulira minofu. Imathandizanso kuphatikizira kwinaku ikulola kuti iziyenda momasuka. Ikhoza kuchepetsa ululu ndipo itha kuthandiza kupewa OA kukula kapena kukulira.

Malangizo apano salimbikitsa kugwiritsa ntchito nsapato zosinthidwa kapena ma insoles ofananira pakati komanso apakatikati.

Zosankha zomwe sizikuthandizani

Malangizo apano amalangiza anthu kuti asagwiritse ntchito:

• kukondoweza kwamagetsi kwamagetsi (TENS)
• glucosamine ndi chondroitin sulphate zowonjezera
• ziphuphu
• hydroxychloroquine
• methotrexate
• zamoyo

Ganizirani zomwe mungasankhe

Musanasankhe opareshoni ya mawondo, ndikofunikira kuganizira zomwe mungasankhe.

Komabe, ngati mukumva kuti mwayesa chilichonse kapena dokotala wanu akuwonetsa kuti angasinthe kwathunthu kapena pang'ono, itha kukhala nthawi yoti muganizire zochitidwa opaleshoni.