Arthrosis m'manja ndi zala: zizindikiro, zoyambitsa ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Zomwe zingayambitse
• Momwe mankhwalawa amachitikira
• 1. Kugwiritsa ntchito mankhwala
• 2. Physiotherapy
• 3. Kulowerera m'malo olumikizirana mafupa
• 4. Opaleshoni

Arthrosis m'manja ndi zala, zomwe zimatchedwanso osteoarthritis kapena osteoarthritis, zimachitika chifukwa chovala ndikung'amba pa mafupa a mafupa, kukulitsa mkangano pakati pa mafupa a manja ndi zala, zomwe zimabweretsa zizindikilo zowawa komanso kuwuma, zomwe zimapangitsa kuti zikhale zovuta Chitani zinthu zosavuta komanso zochitika tsiku ndi tsiku. M'milandu yotsogola kwambiri, tinthu tating'onoting'ono tomwe timakhala timfundo tating'onoting'ono tomwe timagwirizana timatha kupanga.

Kuphatikiza apo, arthrosis yamanja ndi zala imatha kubweretsa kusintha m'mafupa ndi minyewa yozungulira yolumikizira yomwe imagwirizira cholumikizira ndikugwirizira minofu mpaka fupa, zomwe zimayambitsa kutupa ndi kupweteka.

Vutoli limatha kukhala locheperako, makamaka ngati limakhudza manja onse awiri, chifukwa chake, popereka zizindikiro zilizonse, akatswiri a mafupa kapena a rheumatologist ayenera kufunsidwa kuti athe kupeza chithandizo ndi chithandizo choyenera kwambiri.

Zizindikiro zazikulu

Zizindikiro za arthrosis m'manja ndi zala nthawi zambiri zimayamba pang'onopang'ono ndikuipiraipira pakapita nthawi, ndipo zimaphatikizapo:

• Kupweteka mdzanja kapena zala, zomwe zimakhala zolimba kwambiri pakadzuka ndikuchepetsa tsiku lonse, komabe ndikukula kwa matendawa, kupweteka kumatha kuchitika tsiku lonse;
• Kuuma kwa mafupa a manja ndi zala, amawonekera kwambiri podzuka kapena mutakhala wautali kwambiri osasuntha manja kapena zala;
• Kuchulukitsa chidwi chamalumikizidwe amanja ndi zala, zomwe zimatha kuzindikira ngati kuthamanga kukugwiritsidwa ntchito pafupi kapena pafupi;
• Kutaya kusinthasintha, zomwe zimapangitsa kuti zikhale zovuta kuchita mayendedwe osavuta, monga kunyamula chinthu kapena kulemba, mwachitsanzo;
• Kutupa zala chifukwa cha kutupa kuzungulira cholumikizira;
• Kuyika m'manja kapena zala, ngakhale popuma.

Kuphatikiza apo, kupangika kwamatenda am'malo olumikizirana mafupa, monga a Heberden's nodule, omwe amapangidwa mgulu lomaliza la zala, ndi mutu wa Bouchard, womwe umapangidwa pakati pa zala, zitha kutsimikiziridwa.

Kuzindikira kwa arthrosis m'manja kuyenera kupangidwa ndi a orthopedist kapena rheumatologist potengera kafukufuku wamankhwala momwe ziwonetsero za munthuyo zimawunikiridwa, ndikuwunika mbiri yaumwini komanso banja.

Nthawi zambiri adotolo amalimbikitsa kuti mayeso owonjezera achitike, monga ma X-ray, momwe amasinthira mafupa, ma tomography ndi kulingalira kwa maginito, kuti awone kuchepa kwa cholumikizira, motero, atsimikizire kuti ali ndi matendawa ndikuwonetsa zabwino kwambiri chithandizo.

Zomwe zingayambitse

Arthrosis m'manja ndi zala zimayambitsidwa makamaka chifukwa chobwerezabwereza zoyesayesa, kukhala wofala mwa anthu omwe amagwiritsa ntchito malo awo kwambiri, monga omanga, osoka zovala, anthu omwe amagwira ntchito zapakhomo kapena othamanga omwe amasewera masewera omwe amafunikira kuyesetsa kwa manja.

Vutoli limapezeka pafupipafupi kwa anthu omwe ali ndi achibale m'banja omwe ali ndi nyamakazi, okalamba komanso azimayi otha msinkhu, chifukwa cha ukalamba wa khungu.

Kuphatikiza apo, matenda otupa kapena odziyimira pawokha, monga systemic lupus erythematosus ndi nyamakazi, kuwonjezera pa matenda amadzimadzi monga hemochromatosis, amatha kuthandizira kulumikizana kwamanja, komwe kumayambitsa osteoarthritis. Dziwani zina zomwe zimayambitsa matenda a osteoarthritis.

Momwe mankhwalawa amachitikira

Chithandizo cha osteoarthritis m'manja ndi zala chimachitika molingana ndi zizindikilo zomwe zimaperekedwa ndipo cholinga chake ndi kuthetsa ululu, kuwongolera kuuma ndikuthandizira kuyendetsa.

Mankhwalawa ayenera kuwonetsedwa ndi dokotala ndipo atha kuchitidwa ndi:

1. Kugwiritsa ntchito mankhwala

Mankhwala ochizira arthrosis m'manja ndi zala amaphatikizira kupewetsa ululu monga paracetamol kapena mankhwala odana ndi zotupa monga ibuprofen kapena naproxen, chifukwa amathandiza kuchepetsa kupweteka pamfundo ndi kutupa.

Mankhwala ena omwe dokotala angakuwonetseni ndi duloxetine, mankhwala opatsirana pogonana, omwe amawonetsedwanso pochiza ululu wopweteka chifukwa cha arthrosis ya manja ndi zala. Onani njira zambiri zamankhwala a osteoarthritis.

2. Physiotherapy

Physiotherapy ya nyamakazi ya m'manja ndi zala zimathandiza kulimbitsa minofu kuzungulira cholumikizira, kuwonjezera kusinthasintha komanso kuchepetsa kupweteka. Mankhwalawa ayenera kutsogoleredwa ndi physiotherapist yemwe angawonetse machitidwe oyenera kwambiri malinga ndi gawo la osteoarthritis komanso payekhapayekha. Katswiri wa physiotherapist amathanso kupititsa masewera olimbitsa thupi kunyumba kuti akwaniritse chithandizo cha physiotherapy, kuphatikiza pakulimbikitsa kugwiritsa ntchito ayezi kapena kutentha kuderalo kuti athetse matenda a arthrosis.

Onerani vidiyoyi ndi a physiotherapist a Marcelle Pinheiro omwe ali ndi masewera olimbitsa thupi a osteoarthritis:

3. Kulowerera m'malo olumikizirana mafupa

Kulowetsa m'malo olumikizana ndi manja kapena zala kumatha kuchitika ndi jakisoni wa mankhwala a corticosteroid kapena hyaluronic acid, munthawi zosankhidwa, ndipo ziyenera kuwonetsedwa ndikuchitidwa ndi dokotala yemwe amayang'anira munthuyo.

Majekeseni a Corticosteroid m'malo amathandizira kukonza ululu ndipo amatha kuchita jakisoni 3 mpaka 4 pachaka. Kuti abaye corticosteroid, adokotala amaletsa kuzungulira ziwalo zamanja kapena zala kenako ndikujambulira corticoid.

Jekeseni wa hyaluronic acid, womwe ndi chinthu chofanana ndi chinthu chomwe chimapezeka m'malumikizidwe omwe amachita ngati chosakanizira, chimathandiza kupaka mafupa opweteka am'manja kapena zala, motero, kumathandiza kuthetsa ululu.

4. Opaleshoni

Kuchita opaleshoni ya arthrosis m'manja kapena zala kumangowonetsedwa pamilandu yochepa pomwe mankhwalawa sanali othandiza kapena pomwe chimodzi mwa malumikizowo chawonongeka kwambiri. Komabe, palibe chitsimikizo kuti opaleshoniyi idzathetsa zizindikirazo ndipo munthuyo akhoza kupitirizabe kumva kupweteka komanso kuuma m'manja kapena zala.