Mlembi: Roger Morrison
Tsiku La Chilengedwe: 23 Sepitembala 2021
Sinthani Tsiku: 15 Novembala 2024
Anonim
M'chiuno arthrosis: chimene icho chiri, zizindikiro ndi chithandizo - Thanzi
M'chiuno arthrosis: chimene icho chiri, zizindikiro ndi chithandizo - Thanzi

Zamkati

Hip arthrosis, yomwe imadziwikanso kuti osteoarthritis kapena coxarthrosis, ndi chovala palimodzi chomwe chimayambitsa zizindikilo monga kupweteka kwakanthawi m'chiuno, komwe kumachitika makamaka masana komanso poyenda kapena kukhala nthawi yayitali.

Matendawa amachititsa kuchepa kwa karoti, ndipo sizachilendo kupezeka m'chiuno, chifukwa ndi dera lomwe limathandizira gawo lalikulu la kulemera kwa thupi ndipo limayenda nthawi zonse ndipo limakonda kupezeka kwa anthu azaka zopitilira 45, koma zitha kuchitika kwa achinyamata, makamaka kwa othamanga omwe amagwiritsa ntchito cholumikizacho kwambiri.

Chithandizo chikuyenera kutsogozedwa ndi a orthopedist, ndipo chimakhala ndi mpumulo wazizindikiro pogwiritsa ntchito mankhwala ndi mankhwala. Opaleshoni imatha kuchitidwa ngati njira yomaliza, ngati sipangakhale kusintha kulikonse ndi chithandizo chazachipatala, chochitidwa pokhotakhota gawo lotupa kapena m'malo mwa khungwa ndi chiuno.

Zizindikiro zazikulu

Zizindikiro zofala kwambiri m'chiuno cha arthrosis ndi izi:


  • Kupweteka kwa m'chiuno, komwe kumawonjezeka poyenda, kukhala kwa nthawi yayitali kapena kugona chammbali pa cholumikizira;
  • Kuyenda wopunduka, kufuna ndodo kuti muthandizire kulemera kwa thupi;
  • Dzanzi kapena kumva kulasalasa m'miyendo;
  • Kupweteka kumatha kuchoka mchiuno mpaka bondo mkati mwa mwendo;
  • Kupweteka pamiyendo ya mbatata;
  • Zovuta kusuntha mwendo m'mawa;
  • Kumverera kwa mchenga posuntha cholumikizira.
  • Zovuta kuti mucheke zala zanu, kuvala masokosi, kumanga nsapato zanu kapena kudzuka pampando wotsika kwambiri, pabedi kapena pa sofa.

Matendawa amayamba chifukwa cha kufooka kwa cholumikizira mchiuno, nthawi zambiri mwa anthu obadwa nawo, zomwe zimachitika ndi ukalamba, koma ntchafu ya arthrosis imatha kuwonekeranso mwa achinyamata, chifukwa chovulala kwanuko komwe kumachitika chifukwa cha masewera, monga kuthamanga ndi kukweza zolemera. Mwachitsanzo.

Onani matenda ena omwe angayambitse kupweteka m'chiuno.


Kodi ntchafu ya arthrosis imapuma pantchito?

Kwa anthu ena, zizindikilozi zimatha kukhala zazikulu kwambiri kotero kuti zimatha kuletsa zochitika za tsiku ndi tsiku ndipo zimakhala chifukwa chopumira pantchito. Koma, kuti mupewe izi, ndikofunikira kutsatira mosamalitsa chithandizo chamankhwala ndi kuwunika kwa zamankhwala.

Momwe mungatsimikizire matendawa

Matenda a osteoarthritis m'chiuno amapangidwa ndi dokotala wa mafupa atawunika zizindikiro ndikuwona X-ray m'chiuno. Mawu ena omwe atha kulembedwa pa lipoti la X-ray, ndipo akuwonetsa kuti hip arthrosis ndi: kuchepa kwa malo olowa, subchondral sclerosis, ma osteophytes am'mbali, ma cyst kapena ma geode.

Mayesero ena omwe dotolo angayitanitse ndi a tomography, omwe amatha kudziwa ngati pali chotupa cha fupa, komanso kujambula kwa maginito, komwe kungagwiritsidwe ntchito kuwunika momwe mutu wa femur ulili.

Momwe mankhwalawa amachitikira

Njira zazikuluzikulu zochiritsira ndi izi:

1. Kusintha kwa zizolowezi

Zosintha zina zomwe zitha kukhala zothandiza pakuchepetsa ululu ndikuipiraipira kwa vutoli, zimachepetsa kuchuluka kapena kulimbitsa thupi komwe kumayambitsa matenda a osteoarthritis, kuchepetsa kulemera ndikugwiritsa ntchito ndodo, nthawi zonse kumathandizira kumbali ina pafupi ndi ululu kuti muchepetse kuchuluka kwa m'chiuno.


2. Zithandizo

Mankhwala a analgesic, operekedwa ndi dokotala monga dipyrone kapena paracetamol, atha kugwiritsidwa ntchito mpaka kanayi patsiku, kuti athetse vutoli. Zizindikiro zikakhala zazikulu kwambiri, kugwiritsa ntchito zopweteka kwambiri, monga tramadol, codeine ndi morphine, kuphatikiza jakisoni wa corticosteroids molunjika mchiuno.

Mankhwala odana ndi zotupa, monga diclofenac ndi ketoprofen, kapena corticosteroids, monga prednisone amawonetsedwa kokha munthawi yazizindikiro zoyipa, ndipo sayenera kutengedwa pafupipafupi, chifukwa chowopsa cha kuwonongeka kwa impso ndi zilonda zam'mimba.

Ndikothekanso kugwiritsa ntchito zowonjezera mavitamini monga hydrolyzed collagen, glucosamine kapena chondroitin, yomwe imagwira ntchito yothandizira kukonzanso katsamba ndikuwongolera arthrosis mwa anthu ena.

3. Physiotherapy

Chithandizo cha physiotherapeutic chitha kuchitika pogwiritsa ntchito zida zomwe zimachepetsa kupweteka, kugwiritsa ntchito matumba otenthetsera mafuta, kutikita minofu, kutambasula ndikuchita masewera olimbitsa thupi, kukonza matalikidwe, mafuta ndi magwiridwe antchito olowa, ndipo ziyenera kuchitika tsiku lililonse kapena katatu pa sabata .

4. Zochita zolimbitsa thupi

Kuchita masewera olimbitsa thupi monga madzi othamangitsira madzi, ma Pilates, kupalasa njinga kapena zina zomwe sizimapangitsa kupweteka kukukulirakulira ndikofunikira kulimbitsa minofu ndikuteteza mafupa a thupi. Chifukwa chake, tikulimbikitsidwa kulimbikitsa minofu ya ntchafu, ndikutambasula, magwiridwe antchito.

Zochitazo zitha kuyambika ndi magulu otanuka, koma ndikofunikira kuwonjezera kuchuluka kwa zovuta pogwiritsa ntchito zolemera zomwe zimatha mpaka 5 kg pa mwendo uliwonse. Onani machitidwe ena omwe akuwonetsedwanso mu chiuno cha arthrosis mu kanemayu:

5. Opaleshoni

Kuchita opaleshoni ya Arthrosis kuyenera kuchitidwa ngati mankhwala ena sali okwanira kuti athetse ululu. Amakhala pochotsa khungu lomwe lawonongeka pang'ono pang'ono kapena kwathunthu, ndipo, nthawi zina, pamafunika kulikonza ndi chiuno chopangira chiuno.

Pambuyo pa ndondomekoyi, m'pofunika kupumula kwa masiku khumi, omwe amasiyanasiyana malinga ndi zosowa za munthu aliyense. Pomwe ziwalozo zimayikidwa m'chiuno, kuchira kumatenga nthawi yayitali, ndipo ndikofunikira kupitiriza ndi chithandizo chamankhwala kwa chaka chimodzi kapena kupitilira apo, kuti mayendedwe abwezeretsedwe mwanjira yabwino kwambiri. Onani zomwe mungachite kuti muchepetse kuchira mukadzasintha.

Zomwe zingayambitse ntchafu ya arthrosis

Hip arthrosis imachitika chifukwa cha kuchepa kwa chilengedwe, chifukwa cha msinkhu, kapena chifukwa chovulala pafupipafupi, monga kuthamanga mtunda wautali, mwachitsanzo. Zikatero, mutu wa chikazi womwe umakwanira bwino mchiuno mwa acetabulum sukhalanso mokwanira. Malo olumikiziranawo amakhala osakhazikika komanso amwano, ndipo amatulutsa ma osteophytes, omwe amayambitsa kupweteka komanso kuchepa kwa kusuntha.

Zina mwazomwe zimakondweletsa kuyamba kwa minyewa yamatenda a m'chiuno ndi:

  • Matenda a nyamakazi,
  • Ankylosing spondylitis;
  • Matenda ashuga;
  • Matenda a nyamakazi;
  • M'chiuno dysplasia;
  • Zovuta zakomweko kapena zoopsa zobwereza (kuthamanga).

Chifukwa chake, ndikofunikira kuti izi ziziyang'aniridwa kuti athetse ululu ndikupewa kupitilira kwa arthrosis.

Ndizofala kwambiri kuti munthu akhale ndi arthrosis pamalo amodzi, kuti akhale ndi ena, monga mawondo kapena mapewa, mwachitsanzo. Pezani, mwatsatanetsatane, zomwe zimayambitsa komanso zoyenera kuchita ngati muli osteoarthritis.

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