Mlembi: Charles Brown
Tsiku La Chilengedwe: 7 Febuluwale 2021
Sinthani Tsiku: 21 Novembala 2024
Anonim
Kodi Gonarthrosis ndi Momwe Mungachiritse - Thanzi
Kodi Gonarthrosis ndi Momwe Mungachiritse - Thanzi

Zamkati

Gonarthrosis ndi bondo arthrosis, lofala mwa anthu azaka zopitilira 65, ngakhale omwe amakhudzidwa kwambiri ndi azimayi panthawi yomwe akusamba, omwe nthawi zambiri amayamba chifukwa cha zowawa zachindunji, monga kugwa komwe munthu amagwa pansi, mwachitsanzo .

Gonarthrosis imatha kudziwika ngati:

  • Ogwirizana - ikakhudza bondo limodzi lokha
  • Mgwirizano - ikakhudza maondo awiri
  • Choyambirira - pomwe chifukwa chake sichingadziwike
  • Sekondale - ikayamba chifukwa chonenepa kwambiri, kusokonezeka mwachindunji, kusokonezeka kapena kusweka, mwachitsanzo.
  • Ndi mafupa - pamene mabokosi ang'onoang'ono amapezeka pang'onopang'ono
  • Ndi malo ochepetsedwa amkati, zomwe zimapangitsa kuti chikazi ndi tibia zikhudze, ndikupweteka kwambiri;
  • Ndi subchondral sclerosis, ndipamene pamakhala kuwonongeka kapena kuwonongeka kwa nsonga ya chikazi kapena tibia, mkati mwa bondo.

Gonarthrosis siyichiritsidwa nthawi zonse, koma ndizotheka kuchepetsa kupweteka, kuwonjezera kuyenda, kusintha moyo ndi thanzi la wodwalayo ndi chithandizo chomwe chitha kuchitidwa ndi mankhwala a analgesic ndi anti-inflammatory komanso ndimagawo tsiku lililonse physiotherapy, yomwe iyenera kuyambitsidwa posachedwa. Nthawi yamankhwala imasiyanasiyana malinga ndi munthu wina, koma siyikhala yochepera miyezi iwiri.


Mankhwala abwino a gonarthrosis

Madigiri a gonarthrosis, malinga ndi gulu la Kellgreen ndi Lawrenc, ali motere:

 Makhalidwe a gonarthrosis omwe amawoneka pa X-rayChithandizo chabwino kwambiri
Gulu 1Malo ocheperako okayikira, okhala ndi mafupa otsogola m'mphepeteKuchepetsa thupi + madzi othamangitsa kapena kuphunzitsa kulemera + mafuta odzoza kuti agwiritsidwe ntchito patsamba lowawa
Gulu 2Kutheka kotheka kwa malo olumikizana komanso kupezeka kwa mafupa am'mimbaPhysiotherapy + mankhwala oletsa kutupa ndi analgesic
Kalasi 3Kutsimikizika kophatikizana, ma osteophyte angapo, subchondral sclerosis ndi kufooka kwa mafupaPhysiotherapy + mankhwala + Corticosteroid amalowerera mu bondo
Kalasi 4Kuphatikizika kwakukulu, subchondral sclerosis, kufooka kwa mafupa ndi mafupa akuluakulu angapoKuchita opaleshoni kuyika ziwalo pa bondo

Kodi Physiotherapy ya Gonarthrosis ndi yotani

Mankhwala ochiritsira a gonarthrosis ayenera kuchitidwa payekhapayekha, chifukwa zomwe zikuwonetsedwa kwa wodwala m'modzi sizikhala zoyenera kwa wina nthawi zonse. Koma zina mwazinthu zomwe zingagwiritsidwe ntchito ndi TENS, ultrasound ndi infrared, kuphatikiza matumba amadzi ofunda kapena ozizira komanso machitidwe omwe akuwonetsedwa ndi physiotherapist.


Njira zophatikizira olumikizirana komanso kuwongolera zikuwonetsedwanso chifukwa zimakulitsa kupanga kwa synovial fluid yomwe imathirira mgwirizanowu mkati ndikuchepetsa kupweteka kosatha. Munthuyo akasintha monga kusalinganika, kusakhazikika bwino komanso kusunthika kwa bondo mkati kapena kunja, machitidwe omwe amalimbitsa kukhazikika ndikukonza zolakwika izi atha kugwiritsidwa ntchito, monga maphunziro apadziko lonse lapansi, mwachitsanzo.

Zochita zomwe zawonetsedwa kwambiri ndizolimbitsa minofu ndi matepi otanuka kapena zolemera zomwe zimatha kuyambira 0,5 mpaka 5 kg, kutengera mphamvu yomwe munthuyo ali nayo. Kuchepetsa kuchepa ndi kubwereza kwakukulu ndikofunikira pakuchepetsa kuuma kwa minofu ndipo kumatha kuchitidwa kuti kulimbikitse kutsogolo, kumbuyo ndi mbali za ntchafu. Pomaliza, kutambasula kwa ntchafu kumatha kuchitidwa. Onani zitsanzo zina za masewera olimbitsa thupi a bondo arthrosis.

Kuti muthandize munthu kuyenda ndikuyenda mozungulira nyumbayo, ndodo kapena ndodo zingalimbikitsidwe kuti zizigawira bwino kulemera kwa thupi, kuchepetsa kupsinjika kwamaondo.


Kodi gonarthrosis imayambitsa kulumala?

Anthu omwe ali ndi giredi 3 kapena 4 gonarthrosis angavutike kugwira ntchito chifukwa cha kupweteka kosalekeza komanso kusatheka kuyimirira ndikulemera, chifukwa chake chithandizo cha physiotherapy, mankhwala ndi opaleshoni sizokwanira kubwezeretsa moyo wabwino ndikuthandizira ntchito yomwe munthuyo atachita kale, munthuyo amatha kuonedwa ngati wopanda ntchito ndikupuma pantchito. Koma nthawi zambiri madigiri a gonarthrosis amapezeka mwa anthu azaka zopitilira 65, pomwe adapuma pantchito.

Ndani ali pachiwopsezo chachikulu chotenga

Amayi nthawi zambiri amakhudzidwa atakwanitsa zaka 45 komanso amuna atakwanitsa zaka 50, koma pafupifupi anthu onse okalamba opitilira 75 amadwala arthrosis yamaondo. Amakhulupirira kuti arthrosis mu bondo amatha kuwonekera koyambirira, asanakwanitse zaka 65 pazotsatira izi:

  • Amayi azimayi otha msinkhu;
  • Anthu omwe ali ndi kufooka kwa mafupa;
  • Ngati kusowa kwa vitamini C ndi D;
  • Anthu onenepa kwambiri;
  • Anthu omwe ali ndi matenda a shuga kapena cholesterol;
  • Anthu omwe ali ndi minofu ya ntchafu yofooka kwambiri;
  • Pakaduka chotupa cham'mimba cham'mbuyo kapena kutuluka kwa meniscus pa bondo;
  • Zosintha monga genovaro kapena genovalgo, ndipamene mawondo amatembenukira mkati kapena kunja.

Zizindikiro za kupweteka kwa bondo ndi ming'alu zimatha kuchitika kugwa ndi bondo pansi, mwachitsanzo. Ululu umakhala ukamachitika khama kapena kuchita masewera olimbitsa thupi, koma m'malo opitilira muyeso amatha kukhala pafupifupi tsiku lonse.

Mwa anthu azaka zopitilira 65, kupezeka kwa ma osteophyte ang'onoang'ono, omwe amatha kuwoneka pa X-ray ya bondo, kumatha kuwonetsa kuopsa kwakukulu kwa zizindikilo ndikusowa kwa chithandizo chamankhwala abwinobwino, komanso pochita opareshoni yayikulu kuti apange bondo likhoza kuwonetsedwa.

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