Chilichonse Chimene Muyenera Kudziwa Ponena za Osteoarthritis

Zamkati

• Matenda a nyamakazi amachititsa
• Osteoarthritis ndi chichereŵechereŵe
• Zizindikiro za nyamakazi
• Matenda a osteoarthritis oopsa
• Osteoarthritis vs. nyamakazi
• Matenda a nyamakazi
• Chithandizo cha mafupa
• Chitani masewera olimbitsa thupi
• Kuchepetsa thupi
• Kugona mokwanira
• Kutentha ndi kuzizira mankhwala
• Zochita za nyamakazi
• Mankhwala a nyamakazi
• Osteoarthritis mankhwala achilengedwe
• Zakudya za nyamakazi
• Osteoarthritis m'manja mwanu
• Osteoarthritis m'chiuno mwanu
• Osteoarthritis mmaondo anu
• Osteoarthritis bondo kulimba
• Cervical osteoarthritis
• Matenda a msana
• Kupewa nyamakazi
• Maganizo a nyamakazi

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Kodi osteoarthritis ndi chiyani?

Osteoarthritis (OA) ndichikhalidwe chofala kwambiri (chokhalitsa) chophatikizana.

Chilumikizano ndipamene mafupa awiri amaphatikizana. Mapeto a mafupawo amakhala ndi minofu yoteteza. Ndi OA, chichereŵecherezi chimawonongeka, ndikupangitsa kuti mafupa olumikizanawo alumikizane. Izi zimatha kuyambitsa kupweteka, kuuma, ndi zizindikilo zina.

OA imachitika nthawi zambiri mwa okalamba, ngakhale imatha kuchitika kwa akulu amisinkhu iliyonse. OA amatchedwanso matenda ophatikizika olumikizana ndi mafupa, nyamakazi yofooka, komanso nyamakazi yovulala.

Chimene chimayambitsa kulumala, OA imakhudza kwambiri kuposa ku United States. Nazi zonse zomwe muyenera kudziwa za OA, kuyambira kuchipatala mpaka kupewa ndi zina zambiri.

Matenda a nyamakazi amachititsa

OA imayambitsidwa ndi kuwonongeka kwamagulu. Kuwonongeka uku kumatha kuchulukirachulukira pakapita nthawi, ndichifukwa chake ukalamba ndichimodzi mwazomwe zimayambitsa kuphatikizika komwe kumabweretsa matenda am'mimba. Okalamba ndinu, m'pamenenso kuvala ndi misozi mwakhala nawo pa malo anu.

Zina mwazomwe zimayambitsa kuwonongeka kwaphatikizidwe ndi monga kuvulala m'mbuyomu, monga:

• khungu losweka
• malo osokonekera
• kuvulala kwa mitsempha

Zimaphatikizaponso kuphatikizika kwamalumikizidwe, kunenepa kwambiri, komanso kukhazikika. Zina mwaziwopsezo, monga mbiri ya banja komanso jenda, zimawonjezera chiopsezo chanu cha mafupa. Onani zomwe zimayambitsa OA.

Osteoarthritis ndi chichereŵechereŵe

Cartilage ndi chinthu cholimba, chopanda mphira chomwe chimasinthasintha komanso chofewa kuposa fupa. Ntchito yake ndikuteteza malekezero a mafupa mkati molumikizana ndikuwalola kuti azisunthana mosavuta.

Cartilage ikayamba kuwonongeka, mafupawa amakula ndikukhala olimba. Izi zimatha kupweteketsa mgwirizanowu, komanso kukwiya m'magulu oyandikana nawo. Cartilage wowonongeka sangathe kudzikonza yekha. Izi ndichifukwa choti cartilage ilibe mitsempha iliyonse yamagazi.

Cartilage ikatha kwathunthu, chotchingira chomwe chimapereka chimatha, kulola kuti mafupa agwirizane. Izi zitha kupweteka kwambiri komanso zizindikilo zina zomwe zimakhudzana ndi OA. Nazi zina zomwe muyenera kudziwa zokhudzana ndi matenda a cartilage, mafupa, ndi mafupa.

Zizindikiro za nyamakazi

OA imatha kupezeka mgulu lililonse. Komabe, madera omwe amakhudzidwa kwambiri ndi thupi ndi awa:

• manja
• zala zam'manja
• mawondo
• mchiuno
• msana, makamaka pakhosi kapena kumbuyo

Zizindikiro zofala kwambiri za nyamakazi ndi izi:

• ululu
• kukoma mtima (kusapeza bwino mukamapanikizira ndi zala zanu)
• kuuma
• kutupa

Pamene OA ikupita patsogolo, ululu womwe umakhudzidwa nawo umatha kukulirakulira. Popita nthawi, kutupa palimodzi komanso malo oyandikana nawo kumathanso kuchitika. Kuzindikira zizindikiro zoyambirira za OA kungakuthandizeni kuthana ndi vutoli.

Matenda a osteoarthritis oopsa

OA imakhala yanthawi yayitali yokhala ndi magawo asanu, kuyambira 0 mpaka 4. Gawo loyamba (0) limaimira cholumikizira chabwinobwino. Gawo 4 likuyimira OA yovuta. Sikuti aliyense amene ali ndi OA adzapitilira mpaka gawo la 4. Vutoli limakhazikika nthawi yayitali asanafike pamlingo uwu.

Anthu omwe ali ndi OA kwambiri amakhala ndi kutayika kwakatundu kokwanira kapena kamodzi. Kusemphana kwa fupa-ndi-fupa komwe kumalumikizidwa ndi izi kumatha kuyambitsa zizindikilo zazikulu monga:

• Kuchuluka kwa kutupa ndi kutupa. Kuchuluka kwa madzi amadzimadzi mkati mwa olowa kumatha kuchuluka. Nthawi zambiri, madzimadzi amathandiza kuchepetsa kukangana poyenda. Komabe, zochulukirapo, zimatha kuyambitsa kutupa. Zidutswa za karotila wosweka amathanso kuyandama mkati mwa synovial fluid, kuwonjezeka kupweteka ndi kutupa.
• Kuchuluka ululu. Mutha kumva zowawa mukamagwira ntchito, komanso mukamapuma. Mungamve kuwonjezeka kwa msinkhu wanu wopweteka pamene tsiku likupita, kapena kutupa kwambiri m'magulu anu ngati mwawagwiritsa ntchito kwambiri tsiku lonse.
• Kuchepetsa mayendedwe osiyanasiyana. Simungathe kusunthanso, chifukwa cha kuuma kapena kupweteka kwamafundo anu. Izi zitha kupangitsa kuti kukhale kovuta kusangalala ndi zochitika za tsiku ndi tsiku zomwe zimabwera mosavuta.
• Kusakhazikika palimodzi. Malumikizidwe anu atha kukhala osakhazikika. Mwachitsanzo, ngati muli ndi OA yoopsa m'maondo anu, mutha kutseka (kusayenda mwadzidzidzi). Mwinanso mutha kukumana ndi bondo (bondo lanu likamalephera), lomwe lingayambitse kugwa ndi kuvulala.
• Zizindikiro zina. Chiwalo chimapitilira kuchepa, kufooka kwa minofu, kutuluka kwa mafupa, ndi kupunduka palimodzi kumathanso.

Zowonongeka zomwe zidachitika chifukwa cha OA yayikulu sizingasinthe, koma chithandizo chitha kuthandiza kuchepetsa zizindikilo. Phunzirani zonse zomwe mukufunikira kudziwa za osteoarthritis.

Osteoarthritis vs. nyamakazi

OA ndi nyamakazi (RA) amakhala ndi zizindikilo zomwezo koma ndizosiyana kwambiri. OA ndi vuto lotha kusintha, zomwe zikutanthauza kuti limakulirakulira pakapita nthawi. RA, mbali inayi, ndimatenda amthupi okha.

Anthu omwe ali ndi RA ali ndi chitetezo chamthupi chomwe chimalakwitsa zomata zofewa mozungulira ziwalo kuti ziwopseze thupi, ndikupangitsa kuti ziukire malowa. Chingwe chofewa ichi, chomwe chimaphatikizapo madzi amadzimadzi, amatchedwa synovium. Pamene chitetezo cha mthupi chimayambitsa chiwembu chake, kutuluka kwamadzimadzi mkati molumikizana kumachitika, kuyambitsa kuuma, kupweteka, kutupa, ndi kutupa.

Ngati simukudziwa mtundu wamatenda omwe muli nawo, kubetcha kwanu ndikulankhula ndi dokotala. Koma mutha kupanganso kafukufuku wanu. Pezani kusiyana pakati pa RA ndi OA.

Matenda a nyamakazi

OA nthawi zambiri imadwala pang'onopang'ono yomwe imatha kukhala yovuta kuipeza mpaka itayamba kuyambitsa zowawa kapena zofooketsa. OA yoyambirira imapezeka pambuyo pangozi kapena chochitika china chomwe chimayambitsa kusweka komwe kumafuna X-ray.

Kuphatikiza pa ma X-ray, dokotala wanu atha kugwiritsa ntchito MRI scan kuti adziwe OA. Kuyesa kulingalira uku kumagwiritsa ntchito mawailesi ndi maginito kuti apange zithunzi za mafupa ndi minofu yofewa.

Mayesero ena opatsirana amaphatikizapo kuyesa magazi kuti athetse zina zomwe zimayambitsa kupweteka kwamagulu, monga RA. Kusanthula kwamadzimadzi palimodzi kungagwiritsidwenso ntchito kudziwa ngati gout kapena matenda ndi omwe amayambitsa kutupa. Onani mayeso ena omwe amagwiritsidwa ntchito kuthandizira kuzindikira matenda a nyamakazi.

Chithandizo cha mafupa

Chithandizo cha OA chimazikidwa pakuwongolera zizindikilo. Mtundu wa chithandizo chomwe chingakuthandizeni kwambiri chimadziwika makamaka ndi kuopsa kwa zizindikilo zanu komanso komwe zimapezeka. Nthawi zambiri, kusintha kwa moyo, mankhwala owonjezera (OTC), ndi zithandizo zapakhomo zimakhala zokwanira kukupatsani mpumulo ku zowawa, kuuma, ndi kutupa.

Njira zothandizira kunyumba komanso kusintha kwa moyo wa OA ndi izi:

Chitani masewera olimbitsa thupi

Kuchita masewera olimbitsa thupi kumalimbitsa minofu kuzungulira malo anu ndipo kumatha kuthandizira kuthetsa kuuma. Konzekerani kusuntha kwa mphindi 20 mpaka 30, osachepera tsiku lililonse. Sankhani zochitika zofatsa, zochepa, monga kuyenda kapena kusambira. Tai chi ndi yoga zitha kuthandizanso kusinthasintha kwamalumikizidwe ndikuthandizira kuwongolera ululu.

Gulani mateti a yoga.

Kuchepetsa thupi

Kukhala wonenepa kwambiri kumatha kuyika mavuto pamagulu anu ndikupweteketsani. Kutsanulira mapaundi owonjezera kumathandizira kuthana ndi izi komanso kumachepetsa kupweteka. Kulemera kwabwino kumathandizanso kuchepetsa mavuto ena azaumoyo, monga matenda ashuga ndi matenda amtima.

Kugona mokwanira

Kupumitsa minofu yanu kumatha kuchepetsa kutupa ndi kutupa. Dzikomereni mtima ndipo musapitirire. Kugona mokwanira usiku kumathandizanso kuti muchepetse ululu kwambiri.

Kutentha ndi kuzizira mankhwala

Mutha kuyesa kutentha kapena kuzizira kuti muchepetse kupweteka kwa minofu ndi kuuma. Ikani compress yozizira kapena yotentha kuzilonda zowawa kwa mphindi 15 mpaka 20 kangapo patsiku.

Izi zitha kuthandiza kuthana ndi zizindikilo zanu ndikukhalitsa moyo wabwino. Kuti muwone mndandanda wathunthu wazithandizo za OA, phunzirani zambiri apa.

Zochita za nyamakazi

Kuchita masewera olimbitsa thupi mofatsa kumatha kukhala kothandiza kwambiri kwa anthu omwe ali ndi OA, makamaka ngati mukuumitsa kapena kupweteka m'maondo, m'chiuno, kapena kumbuyo. Kutambasula kumatha kuthandizira kusintha mayendedwe komanso mayendedwe osiyanasiyana.

Monga momwe mungapangire masewera olimbitsa thupi, funsani dokotala musanayambe, kuti mutsimikizire kuti ndi njira yoyenera kwa inu. Ngati masewera olimbitsa thupi akutenga kuwala kobiriwira, yesani machitidwe anayi a nyamakazi.

Mankhwala a nyamakazi

Pali mitundu ingapo yamankhwala amtundu wa OA omwe angathandize kutonthoza ululu kapena kutupa. Zikuphatikizapo:

• Ma analgesics apakamwa. Tylenol (acetaminophen) ndi zina zothetsa ululu zimachepetsa kupweteka koma osati kutupa.
• Ma analgesics apakati. Izi zogulitsa za OTC zimapezeka ngati mafuta, ma gels, ndi zigamba. Amathandizira kusalaza malo olumikizirana ndipo amatha kupatsa ululu, makamaka kupweteka kwaminyewa.
• NSAIDs (nonsteroidal anti-inflammatory drugs). NSAID monga Advil (ibuprofen) ndi Aleve (naproxen) amachepetsa kutupa komanso kupweteka.
• Cymbalta. Dokotala wanu angakupatseni mankhwala osokoneza bongo a Cymbalta (duloxetine) kuti musachotse chizindikiro kuti muthandizire kupumula kwa OA.
• Corticosteroids. Mankhwalawa amapezekanso pakamwa. Angaperekedwenso ndi jakisoni mwachindunji.

Dokotala wanu angakulimbikitseni kuyesa mayankho a OTC ngati njira yoyamba yodzitetezera. Phunzirani zambiri za OTC ndi njira zomwe mungapezere osteoarthritis.

Osteoarthritis mankhwala achilengedwe

Njira zochiritsira ndi zowonjezera zimatha kuthandizira kuthetsa zizindikilo monga kutupa ndi kupweteka kwamalumikizidwe. Zina zowonjezera kapena zitsamba zomwe zingathandize ndi izi:

• mafuta a nsomba
• tiyi wobiriwira
• ginger

Gulani mafuta a nsomba.

Gulani tiyi wobiriwira.

Njira zina zochiritsira ndizo:

• kutema mphini
• chithandizo chamankhwala
• mankhwala kutikita

Zithandizo zina zimatha kuyambira pakusamba kwa Epsom mchere pogwiritsa ntchito ma compress otentha kapena ozizira.

Muyenera kukambirana ndi dokotala wanu zitsamba zilizonse zomwe mumaganizira musanagwiritse ntchito. Izi zithandizira kuti akhale otetezeka komanso ogwira ntchito, ndipo sizisokoneza mankhwala ena omwe mukumwa. Mukufuna kudziwa njira zochiritsira zachilengedwe za OA? Nazi zomwe zimagwira ntchito.

Zakudya za nyamakazi

Palibe cholakwika ndi kudya wathanzi, koma ngati muli ndi OA, zakudya ndi zakudya ndizofunikira kwambiri.

Choyamba, mudzafuna kuti muchepetse kulemera kwanu kuti muchepetse kupanikizika kosafunikira pamafundo anu.

Palinso malingaliro akuti mitundu ina ya OA, monga osteoarthritis ya bondo, imayankha moyenera ku chakudya chambiri cha flavonoids, chomwe ndi michere yomwe imapezeka mu zipatso ndi ndiwo zamasamba. Komanso, ma antioxidants omwe amapezeka zipatso ndi ndiwo zamasamba ambiri amathanso kuthandizira kuthana ndi zopitilira muyeso zaulere zomwe zimapangidwa ndi kutupa. Ma radicals aulere ndi mamolekyulu omwe amatha kuwononga maselo.

Zakudya zabwino kwambiri zitha kuthandizira kupumula kuzizindikiro za OA pochepetsa kutupa ndi kutupa. Kudya zakudya zokhala ndi zotsatirazi kungakhale kopindulitsa kwambiri:

• vitamini C
• vitamini D
• beta-carotene
• omega-3 mafuta acids

Kuonjezera kudya kwanu ndi zotsutsana ndi zotupa kumathandizanso. Onani zifukwa zina ndi njira zodyera bwino mukamakhala ndi OA.

Osteoarthritis m'manja mwanu

Osteoarthritis imatha kukhudza gawo limodzi kapena angapo m'manja mwanu. Maderawa nthawi zambiri amaphatikizapo nsonga zala, cholumikizira pakati pa chala chilichonse, cholumikizira cholumikizira chala chachikulu ndi dzanja, komanso dzanja lenilenilo. Malumikizidwe omwe amakhudzidwa makamaka amadziwika ndi zomwe zimachitika. Zizindikirozi nthawi zambiri zimaphatikizapo:

• kuuma
• ululu
• kutupa
• kufiira
• kufooka
• vuto kusuntha zala zanu
• Kuchepetsa mayendedwe osiyanasiyana
• phokoso losokosera mukasuntha zala zanu
• vuto kugwira kapena kugwira zinthu

Azimayi amakonda OA m'manja kuposa amuna, ndipo nthawi zambiri amachipeza ali aang'ono. Hand OA ingakhudze kwambiri luso lanu logwira ntchito zogwirizana ndi moyo watsiku ndi tsiku. Komabe, chithandizo chamankhwala kuyambira kusintha kwa moyo mpaka opaleshoni chingathandize. Werengani zambiri za OA m'manja ndi momwe mungachiritsire.

Osteoarthritis m'chiuno mwanu

OA imatha kuchitika m'chiuno chimodzi kapena ziwiri. Mwanjira imeneyi amasiyana ndi RA, omwe nthawi zambiri amapezeka m'chiuno chonse nthawi imodzi.

Hip OA imachepa pang'onopang'ono. Anthu ambiri amawona kuti amatha kuthana ndi zizindikilo zawo kwazaka zambiri pogwiritsa ntchito mankhwala, masewera olimbitsa thupi, komanso kuwalimbikitsa. Zothandizira, monga ndodo, zingathandizenso.

Vutoli likakulirakulira, jakisoni wa steroid, mankhwala ena, kapena opaleshoni angathandize kupereka mpumulo. Njira zochiritsira zina zitha kuthandizanso, ndipo matekinoloje atsopano ali pafupi. Izi ndizomwe muyenera kudziwa pazithandizo zamankhwala ambiri m'chiuno OA.

Osteoarthritis mmaondo anu

Monga mchiuno OA, bondo OA limatha kuchitika limodzi kapena mawondo onse. Zaka, chibadwa, ndi kuvulala kwamabondo zonse zimatha kugwira ntchito pa OA ya mawondo.

Ochita masewera olimbitsa thupi omwe amangoganizira zamasewera amodzi omwe amapangitsa kuyenda mobwerezabwereza, monga kuthamanga kapena tenisi, atha kukhala pachiwopsezo chachikulu cha OA. Momwemonso, ngati mumachita mtundu umodzi wokha wa masewera olimbitsa thupi, izi zitha kugwiritsira ntchito minofu yambiri ndikugwiritsanso ntchito ina, kupangitsa kufooka komanso kusakhazikika pamadolo. Kusinthasintha zochita zanu kumathandizira kugwira ntchito yamagulu osiyanasiyana, kulola minofu yonse mozungulira bondo lanu kulimbikitsidwa.

Chithandizo cha OA cha bondo chimadalira gawo la vutoli. Phunzirani za magawo a OA mu bondo ndi momwe aliyense amathandizidwira.

Osteoarthritis bondo kulimba

Kuvala zolimba pakhosi panu kungakhale njira yabwino kwambiri yopewera maondo a OA. Mabokosi amatha kuchepetsa kutupa ndi kukakamiza. Amathanso kuwonjezera kukhazikika pa bondo lanu posunthira kulemera kwanu kuchokera mbali yomwe yawonongeka pa bondo lanu. Izi zimalola kuyenda kwakukulu.

Pali mitundu ingapo yama bondo yoluka. Zina zitha kukhala zokukonzerani, ndipo zina zilipo OTC. Dokotala wanu angakulimbikitseni kuti muyesere mitundu yosiyanasiyana yolimba pazinthu zosiyanasiyana. Dziwani mtundu wabwino wa brace wa OA wanu.

Cervical osteoarthritis

Cervical OA imadziwikanso kuti khosi OA kapena khomo lachiberekero spondylosis. Ndimkhalidwe wokhudzana ndi msinkhu womwe umakhudza anthu opitilira 85 pa anthu azaka zopitilira 60. Umachitika mwa amuna ndi akazi.

Msana wamtundu wa chiberekero uli m'khosi ndipo uli ndi ziwalo zamagulu. Malowa amathandizira kukhalabe osinthasintha msana, kulola kuyenda kwathunthu. Cartilage ikayamba kufota, khomo lachiberekero la OA limayamba.

Chiberekero OA sichimayambitsa zizindikiro nthawi zonse. Ngati zitero, zizindikilo zimatha kukhala zofewa mpaka zazikulu ndipo zimaphatikizapo:

• kupweteka pamapewa anu, pansi mkono wanu, kapena zala zanu
• kufooka kwa minofu
• kuuma m'khosi mwako
• mutu, makamaka kumbuyo kwa mutu wanu
• kumva kulasalasa kapena kufooka mikono kapena miyendo yanu

Nthawi zina, zizindikiro zowopsa zimatha kuchitika, monga kutayika kwa chikhodzodzo kapena matumbo, kapena kuchepa. Onani zomwe zingayambitse zoopsa ndi njira zochiritsira khomo lachiberekero la OA.

Matenda a msana

Ngati muli ndi ululu wammbuyo, mutha kukhala ndi nyamakazi ya msana. Vutoli limakhudza magawo am'munsi ndi matako. Ukalamba ndi vuto la msana ndizotheka kuthekera mu msana OA. Amayi amakhala othekera kwambiri kuposa amuna kupeza izi. Anthu omwe ali onenepa kwambiri, kapena omwe ntchito zawo zimafuna kukhala mosakhazikika ndikukhala pansi, atha kukhala pachiwopsezo chachikulu.

Zizindikiro za msana OA zimatha kusiyanasiyana. Zikuphatikizapo:

• kuuma kapena kufatsa m'malo anu kumbuyo kwanu
• kufooka, dzanzi, kapena kumva kulasalasa m'manja kapena miyendo
• Kuchepetsa mayendedwe osiyanasiyana

Ndikofunika kumvetsera izi. Ngati sanalandire chithandizo, msana OA ukhoza kukulira, ndikupangitsa zizindikilo zowopsa komanso kulumala. Werengani zambiri za OA za msana.

Kupewa nyamakazi

Mutha kukhala ndi zifukwa zoopsa za OA zomwe simungathe kuzilamulira, monga chibadwa, zaka, komanso jenda. Koma zovuta zina zitha kuwongoleredwa, ndipo kuwongolera kungathandize kuchepetsa chiopsezo cha OA.

Malangizo otsatirawa angakuthandizeni kuthana ndi zoopsa zomwe mukuziyang'anira:

• Thandizani thupi lanu. Ngati ndinu wothamanga kapena wokonda kuchita masewera olimbitsa thupi, onetsetsani kuti mumasamalira thupi lanu. Valani zida zothamanga ndi nsapato zomwe zimachepetsa maondo anu. Onetsetsani kuti mumasiyana masewera anu, kuti minofu yanu yonse izichita masewera olimbitsa thupi, osati minofu yomweyo nthawi zonse.
• Onetsetsani kulemera kwanu. Sungani cholozera cha thupi lanu (BMI) pamiyeso yoyenera kutalika kwanu ndi jenda.
• Khalani ndi chakudya chopatsa thanzi. Idyani zakudya zosiyanasiyana zopatsa thanzi, ndikuyang'ana zamasamba ndi zipatso.
• Muzipuma mokwanira. Patsani thupi lanu mipata yokwanira yopuma ndi kugona.

Ngati muli ndi matenda ashuga, kuchepetsa shuga m'magazi anu kumathandizanso kuthana ndi chiopsezo cha OA. Onani momwe mungathetsere chiopsezo chanu ndikuthandizira kupewa OA.

Maganizo a nyamakazi

OA ndi matenda osachiritsika, koma ndi chithandizo, mawonekedwe ake amakhala abwino. Osanyalanyaza zizindikiro zakumva kupweteka kophatikizana komanso kuuma. Mukangolankhula ndi dokotala, posachedwa mutha kulandira chithandizo, kuyamba kulandira chithandizo, ndikukhalitsa moyo wabwino. Ichi ndichifukwa chake mungafunikire kukawona rheumatologist.