Matenda a Paget: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro za matenda a Paget
• Momwe matendawa amapangidwira
• Chithandizo cha matenda a Paget
• 1. Physiotherapy
• 2. Chakudya
• 3. Zithandizo
• 4. Opaleshoni

Matenda a Paget, omwe amadziwikanso kuti deforming osteitis, ndi matenda am'mafupa, omwe amadziwika osadziwika omwe nthawi zambiri amakhudza dera lam'mimba, femur, tibia, spine vertebrae, clavicle ndi humerus. Matendawa amadziwika ndi kuwonongeka kwa mafupa, omwe amachira pambuyo pake koma opunduka. Fupa latsopano lomwe limapangidwa limakhala lokulirapo koma lofooka komanso lambiri.

Nthawi zambiri imawonekera atakwanitsa zaka 60, ngakhale kuyambira 40 pamakhala milandu yolembedwa kale. Ili ndi chiwonetsero chabwinobwino ndipo odwala ambiri alibe zizindikilo kwa nthawi yayitali, ndipo monga zimachitikira nthawi zambiri muukalamba, zizindikilo nthawi zambiri zimasokonezedwa ndi matenda ena monga nyamakazi kapena arthrosis yomwe imadza chifukwa cha ukalamba.

Zizindikiro za matenda a Paget

Anthu ambiri omwe ali ndi matenda a Paget samawonetsa zizindikiritso zosintha, kupeza matendawa poyesa kuyerekezera kuti afufuze vuto lina. Kumbali inayi, anthu ena amatha kukhala ndi zizindikilo, zomwe zimakhala zofala kwambiri m'mafupa usiku.

Matendawa amatha kudziwika kuyambira ali ndi zaka 40, amakhala ochulukirapo atakwanitsa zaka 60, ndipo zizindikilozo zimakhudzana kwambiri ndi zovuta zomwe zingachitike, zazikuluzikulu ndizo:

• Kupweteka m'mafupa, makamaka m'miyendo;
• Kupunduka ndi kupweteka pamfundo;
• Mapindikidwe mu miyendo, kuwasiya arched;
• Pafupipafupi fupa fractures;
• Kuchuluka kupindika msana, kusiya munthu "hunchback";
• Kufooka kwa mafupa;
• Arched miyendo;
• Kugontha komwe kumachitika chifukwa cha mafupa a zigaza.

Ngakhale zimayambitsa sizikudziwika bwino, zimadziwika kuti matenda a Paget atha kukhala okhudzana ndi kachilombo koyambitsa matendawa, chifukwa nthawi zina mavairasi amapezeka kale m'mafupa omwe akhudzidwa. Kuphatikiza apo, zimadziwikanso kuti matenda a Paget amathanso kukhala okhudzana ndi majini ndipo chifukwa chake, anthu am'banja lomweli amatha kutenga matendawa.

Momwe matendawa amapangidwira

Kuzindikira matenda a Paget kuyenera kupangidwa ndi a orthopedist koyambirira poyang'ana zizindikilo ndi zomwe munthuyo wapereka. Komabe, kuti mutsimikizire kuti ali ndi matendawa, m'pofunika kuyesa mayeso ena, monga ma X-ray ndi mapanga amafupa, kuphatikiza pakuyesa kwa labotale, monga muyeso wa calcium phosphorus ndi alkaline phosphatase m'magazi. Mu matenda a Paget, ndizotheka kuwona kuti calcium ndi potaziyamu ndizabwino ndipo zamchere phosphatase nthawi zambiri zimakhala zapamwamba.

Nthawi zina, adokotala amatha kuwonetsanso kugwiritsa ntchito maginito oyeserera, kuti azindikire kuthekera kwa sarcoma, chimphona chachikulu cha cell ndi metastasis, kapena tomography kuti awone kuthekera kwa kusweka.

Chithandizo cha matenda a Paget

Chithandizo cha matenda a Paget chiyenera kutsogozedwa ndi a orthopedist malinga ndi kuopsa kwa zizindikirazo, ndipo nthawi zina, kugwiritsa ntchito mankhwala opha ululu kapena oletsa kutupa kungatanthauzenso, kuphatikiza pakugwiritsa ntchito ma modulators amathanso kulimbikitsidwa Zochita za mafupa ngati matendawa akugwira ntchito kwambiri.

Kuphatikiza pa mankhwala, ndikofunikira kulandira chithandizo chamankhwala kuti muchepetse zizindikiritso ndikusintha moyo wa wodwalayo. Opaleshoni, kumbali inayo, ndiyo chithandizo choyenera kwambiri pakamapanikizika ndi mitsempha kapena m'malo mwa cholumikizira chowonongeka.

1. Physiotherapy

Physiotherapy iyenera kutsogozedwa ndi physiotherapist ndipo iyenera kukhala payekha chifukwa munthu aliyense ayenera kulandira chithandizo choyenera malinga ndi zosowa zake, ndipo zolimbitsa ndikulimbitsa minofu zitha kuwonetsedwa, zomwe zitha kuchitika pogwiritsa ntchito zida monga mafunde ochepa, infrared, ultrasound ndi TENS. Chifukwa chake, kudzera muzochita izi ndizotheka kupewa kugwa kapena kuphwanya komwe kungachitike, popeza kulimbikitsanso kumalimbikitsidwa.

Kuphatikiza apo, physiotherapist amathanso kuwonetsa magwiridwe antchito azolimbitsa thupi, kuwonjezera pamankhwala olimbitsa thupi, komanso kugwiritsa ntchito ndodo kapena oyenda poyenda kuti athe kuyenda ndikuchepetsa chiopsezo chakugwa, nthawi zina.

Makamaka, magawo amayenera kuchitika tsiku lililonse kapena kangapo katatu pasabata kuti akhale olimba pamtima, kulimbikitsa kudziyimira pawokha komanso kukonza moyo wabwino. Ngakhale mankhwalawa sangathe kuchiza matenda a Paget, ndikofunikira kuti muchepetse zovuta zamagalimoto zomwe zimayambitsidwa ndi matendawa.

2. Chakudya

Katswiri wa zamankhwala amalimbikitsa kuti azidya zakudya zokhala ndi calcium ndi vitamini D wambiri kuti akhale ndi thanzi lamafupa, monga mkaka, tchizi, yogurt, nsomba, mazira ndi nsomba. Zakudya izi ziyenera kudyedwa tsiku lililonse, makamaka mkaka wosakanizidwa, kuti mupewe mafuta owonjezera pazakudya.

Kuchulukitsa kutulutsa kwa vitamini D mthupi ndikofunikira kutentha dzuwa osachepera mphindi 20 tsiku lililonse, osagwiritsa ntchito zoteteza khungu, chifukwa vitamini iyi imapangidwa pakhungu. Kuphatikiza apo, kuchita masewera olimbitsa thupi nthawi zonse kumathandizira kukulitsa kuyamwa kwa calcium m'matumbo ndikukhazikika m'mafupa, ndikuthandizira kulimbana ndi matendawa.

Onani kanemayu pansipa kuti mumve zambiri zokuthandizani kulimbitsa mafupa anu ndikupewa zizindikilo za matenda a Paget:

3. Zithandizo

Zithandizazo zikuyenera kuwonetsedwa ndi adotolo ndipo amatha kumwa tsiku lililonse kapena nthawi zina pachaka, ngati pakufunika kutero. Ena akuwonetsa kuti ndi bisphosphonates mu piritsi kapena jakisoni monga alendronate, pamidronate, risedronate kapena zoledronic acid, kapena mankhwala monga calcitonin, kuphatikiza mapiritsi a calcium carbonate omwe amapezeka ndi cholecalciferol.

Anthu okhudzidwa nthawi zambiri amatsatiridwa pakatha miyezi itatu iliyonse kuti dokotala awone ngati mankhwalawa akugwira ntchito kapena ngati akufuna kusintha. Munthuyo akakhala wodekha, kumutsatira kumatha kuchitika miyezi isanu ndi umodzi kapena chaka chilichonse ndipo kuyenera kusamalidwa kwa moyo wonse chifukwa matendawa alibe mankhwala ndipo amatha kupunduka.

4. Opaleshoni

Nthawi zambiri, chithandizo chamankhwala chokhazikika pa thupi chimatha kubweretsanso zabwino zambiri kwa munthuyo, kuchedwetsa kapena kupewa opaleshoni, komabe, ndikofunikira kuti chithandizocho chikutsatiridwa.

Kuchita opaleshoni kungakhale kosankha ngati physiotherapy siyokwanira kuthana ndi zizindikiritso ndi zolakwika, pakakhala kupsinjika kwa mitsempha kapena munthuyo akafunika kulowetsa cholumikizira ndipo ngati pali kuwonongeka kwakukulu komwe kumayambitsa kupweteka kwambiri komanso kutsekeka kwa mayendedwe.

Orthopedist atha kusintha cholumikizira ndipo pambuyo pa njirayi, ndikofunikira kubwerera ku physiotherapy kuti tipewe zovuta ndikuwongolera matalikidwe ndi kulimba kwa mayendedwe amthupi, motero kumathandizira moyo watsiku ndi tsiku wamunthuyo.