Kuchiza kwa Osteoarthritis

Zamkati

• Njira zochiritsira osteoarthritis
• Chitani masewera olimbitsa thupi
• Zakudya
• Pumulani
• Kuzizira ndi kutentha
• Mankhwala owonjezera a anti-osteoarthritis
• Acetaminophen
• Mankhwala osagwiritsidwa ntchito poletsa kutupa
• Mankhwala apakhungu
• Mankhwala akuchipatala a osteoarthritis
• Corticosteroids
• NSAID zamankhwala
• Mankhwala osokoneza bongo
• Mankhwala ena a osteoarthritis
• Thandizo lakuthupi
• Kuchita opaleshoni ya osteoarthritis
• Olowa m'malo
• Kusintha kwamfupa
• Kusakanikirana kwa mafupa
• Opaleshoni yojambulajambula
• Kutenga

Mankhwala a osteoarthritis

Osteoarthritis (OA) amayamba chifukwa cha kuwonongeka kwa karoti. Izi zimabweretsa zizindikilo monga:

• ululu
• kutupa
• kuuma

Chithandizo chabwino kwambiri cha OA chimadalira zizindikiro zanu. Zidzadaliranso zosowa zanu komanso kuuma kwa OA kwanu panthawi yomwe mukudziwa.

Madokotala ambiri amayamba chithandizo cha OA pogwiritsa ntchito njira zosavuta, zomwe sizingachitike. "Noninvasive" amatanthauza kuti mankhwalawa sangaphatikizepo kulowetsa chilichonse m'thupi

Komabe, mungafunike chithandizo chokwanira ngati zizindikiro zanu sizingatheke ndi kusintha kwa moyo ndi mankhwala. Kwa anthu ena, opaleshoni (mankhwala osokoneza bongo) ikhoza kukhala njira yabwino yothetsera zizindikiro za OA.

Njira zochiritsira osteoarthritis

Anthu ambiri amatha kuthandiza kuwongolera zizindikiritso zawo za OA ndikusintha kakhalidwe kamoyo. Lankhulani ndi dokotala wanu ngati zosankhazi zingakhale zabwino kwa inu.

Chitani masewera olimbitsa thupi

Kuchita masewera olimbitsa thupi kumatha kutengapo gawo lalikulu pochepetsa kupweteka komwe kumadza ndi OA. Moyo wokangalika ungakuthandizeni:

• khalani ndi ziwalo zathanzi
• kuthetsa kuuma
• kuchepetsa ululu ndi kutopa
• onjezerani minofu ndi mafupa
• sintha moyenera kuti muteteze kugwa

Anthu omwe ali ndi OA ayenera kumamatira zolimbitsa thupi, zochepa zolimbitsa thupi. Ndikofunika kusiya kuchita masewera olimbitsa thupi ngati mutayamba kumva kupweteka kwatsopano. Kupweteka kulikonse komwe kumatenga maola opitilira ochepa mutamaliza kuchita masewera olimbitsa thupi kumatanthauza kuti mwina mwachita zambiri.

Mwachitsanzo, mungaganizire zolimbitsa thupi zam'madzi, zomwe zimawoneka ngati zabwino kwa anthu omwe ali ndi OA. Ndizochepa kulemera, choncho ndizofatsa pamagulu anu. Komanso, kuchita masewera olimbitsa thupi m'madzi ofunda kumawonjezera magazi kumalumikizidwe anu, omwe amabweretsa michere ndi mapuloteni ofunikira pakukonza minofu yowonongeka.

Pankhani ya OA, kuchita masewera olimbitsa thupi sikungokhala kokometsa mpweya. Muyeneranso kugwira ntchito yolimba komanso yotambasula kuti muthandizire malo anu komanso kuti mukhale osinthasintha.

Zakudya

Kukhala wathanzi kumatha kuchepetsa kupsinjika kwamafundo. Ngati mukulemera kwambiri kapena onenepa kwambiri, lankhulani ndi dokotala wanu momwe mungachepetsere thupi bwinobwino. Kuchepetsa thupi kumatha kuthandizira kupweteka kwa OA, makamaka kwa OA bondo. Ikhozanso kuchepetsa kutupa m'thupi.

Chakudya chopatsa thanzi chingakuthandizeninso kupeza michere yofunikira yomwe ingachepetse kutupa komanso ichepetse nyamakazi.

Pumulani

Ngati mfundo zanu zatupa komanso kupweteka, apatseni nthawi yopuma. Yesetsani kupewa kugwiritsa ntchito cholumikizira chotupa kwa maola 12 mpaka 24 kuti kutupa kuthe. Ndibwinonso kugona mokwanira. Kutopa kumatha kukulitsa malingaliro anu akumva kupweteka.

Kuzizira ndi kutentha

Kuzizira komanso kutentha kumatha kuthandizira kuthana ndi zizindikiro za OA. Kuyika ayezi kumalo opweteka kwa mphindi 20 kumathandiza kuletsa mitsempha yamagazi. Izi zimachepetsa madzimadzi mu minofu ndikuchepetsa kutupa ndi kupweteka. Mutha kubwereza chithandizo kawiri kapena katatu patsiku.

Thumba lamasamba achisanu limapanga paketi yayikulu kwambiri. Onetsetsani kuti mukukulunga phukusi lililonse lomwe mumagwiritsa ntchito T-sheti kapena thaulo. Kupanda kutero, kuzizira kumatha kukupweteketsani kapena kuwononga khungu lanu.

Mutha kupanga chithandizo chofananira cha mphindi 20 ndi botolo lamadzi otentha kapena malo otenthetsera. Zonsezi zitha kupezeka kumalo ogulitsa mankhwala kwanuko. Kutentha kumatsegula mitsempha yamagazi ndikuwonjezera kufalikira, komwe kumathandizira monga tanenera kale pokonza minofu yowonongeka. Kutentha ndibwino kuthandizanso kuuma.

Mutha kupeza mpumulo ndi kuzizira komanso kutentha. Yesetsani kuti muwone zomwe zikukuyenderani bwino. Komabe, lembetsani kugwiritsa ntchito kwanu kupitilira mphindi 20 nthawi imodzi. Kenako perekani thupi lanu pang'ono.

Mankhwala owonjezera a anti-osteoarthritis

Mitundu ingapo yamankhwala ochepetsera (OTC) ingathandize kuthana ndi zizindikilo za OA. Komabe, mitundu yosiyanasiyana ya mankhwala imakhala ndi zotsatirapo zosiyanasiyana. Ndikofunika kusankha mankhwala oyenera kuthandiza ndi zizindikilo zanu.

Acetaminophen

Acetaminophen (Tylenol) ndi mankhwala othetsa ululu a OTC. Amachepetsa kupweteka, koma osati kutupa. Kutenga kwambiri kumatha kuwononga chiwindi.

Mankhwala osagwiritsidwa ntchito poletsa kutupa

Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) amatha kuthana ndi zizindikilo zingapo za OA. Malinga ndi dzina lawo, amachepetsa kutupa. Amathandizanso ndi zowawa. Ma NSAID a OTC ndi awa:

• aspirin (Bufferin)
• ibuprofen (Advil, Motrin, Nuprin)
• naproxen (Aleve, Naprosyn)

Ndikofunika kuzindikira kuti ma NSAID atha kuyambitsa mavuto ena pakapita nthawi. Izi zingaphatikizepo:

• mavuto am'mimba
• matenda amtima
• kulira m'makutu
• kuwonongeka kwa chiwindi
• kuwonongeka kwa impso
• Kutaya magazi

Kugwiritsira ntchito mutu wa NSAID (womwe umagwiritsidwa ntchito pakhungu lanu) kumachepetsa chiopsezo cha zotsatirazi, popeza mankhwala ochepa amayenda mthupi.

Mankhwala apakhungu

Pali mitundu ingapo ya mafuta ndi ma gels omwe angathandize kuthetsa ululu wa OA. Izi zitha kukhala ndi zowonjezera monga menthol (Bengay, Stopain) kapena capsaicin (Capzasin, Zostrix). Capsaicin ndi chinthu chomwe chimapangitsa tsabola wotentha "kutentha."

Diclofenac, NSAID, imabwera mu mawonekedwe a gel (Voltaren gel) kapena yankho (Pennsaid), lomwe limafuna mankhwala.

Mankhwala akuchipatala a osteoarthritis

Kwa anthu ena omwe ali ndi OA, othetsa ululu a OTC sali othandiza mokwanira. Mungafunike mankhwala akuchipatala ngati zizindikiro zikuyamba kukhudza moyo wanu. Kuthetsa ululu ndi kutupa kungakuthandizeni kugwira ntchito zanthawi zonse.

Corticosteroids

Corticosteroids amachepetsa kutupa, komwe kumachepetsa kutupa ndi kupweteka kwamafundo. Kwa OA, ma corticosteroids nthawi zambiri amaperekedwa ndi jakisoni, chifukwa chake amayenera kuperekera kuchipatala chokhacho ndipo amagwiritsa ntchito mochenjera kupewa zovuta ndi zovuta zina.

Majekeseni a Corticosteroid angafunike kamodzi kuti mupindule. Komabe, amatha kupatsidwa katatu kapena kanayi pachaka ngati kuli kofunikira.

Pakadali pano, triamcinolone acetonide (Zilretta) ndiye corticosteroid yovomerezeka ndi FDA yokhayo yothetsera nyamakazi ya bondo. Mankhwalawa ndi okwera mtengo kwambiri kuposa generic triamcinolone acetonide, yomwe imapezeka mitundu ina ya OA.

NSAID zamankhwala

NSAID zamankhwala zimachitanso chimodzimodzi ndi ma OSA NSAID. Komabe, amapezeka pamlingo wamphamvu womwe umagwira ntchito kwakanthawi. NSAID za mankhwala zikuphatikizapo:

• alirazamalik (Alirazamalik)
• piroxicam (Feldene)
• mankhwala-mphamvu ibuprofen ndi naproxen
• diclofenac

Mankhwala a NSAID nthawi zina amatha kuyambitsa zovuta zina. Lankhulani ndi dokotala wanu za momwe mungachepetse chiopsezo chanu.

Mankhwala osokoneza bongo

Mankhwala othetsa ululu amphamvu amatha kupereka mpumulo ku zowawa zazikulu, koma ziyenera kudziwika kuti nawonso ali ndi kuthekera koyambitsa kusuta, ndipo sanalimbikitsidwe pochiza OA. Izi zikuphatikiza:

• codeine
• meperidine (Demerol)
• morphine
• oxycodone (OxyContin)
• mankhwala (Darvon)
• tramadol (Ultram)

Mankhwala ena a osteoarthritis

Kuphatikiza pa mankhwala ndi opaleshoni, mankhwala ena a OA alipo. Mankhwalawa cholinga chake ndikubwezeretsa magwiridwe antchito anu.

Thandizo lakuthupi

Thandizo lakuthupi lingakhale lothandiza kwa anthu ena omwe ali ndi OA. Itha kuthandiza:

• kusintha mphamvu ya minofu
• onjezerani mayendedwe amitundu yolimba
• kuchepetsa ululu
• kusintha mayendedwe ndi kusamala

Katswiri wazachipatala atha kukuthandizani kuti mupange masewera olimbitsa thupi oyenerana ndi zosowa zanu. Othandizira athanzi amathanso kukuthandizani ndi zida zothandizira monga:

• ziboda
• kulimba

Izi zitha kupereka chithandizo pamagulu ofooka. Amathanso kuchotsa mafupa ovulala ndikuchepetsa ululu.

Kuphatikiza apo, wodwala amatha kuwonetsa momwe angagwiritsire ntchito ndodo kapena oyenda. Angayesenso kugwedeza mbali za bondo, monga patella, kuti achepetse kupweteka kwa mawondo kwa anthu ena.

Kuchita opaleshoni ya osteoarthritis

Matenda owopsa a OA angafunike kuchitidwa opareshoni kuti akonzenso kapena kukonzanso ziwalo zomwe zawonongeka. Pali mitundu ingapo ya maopareshoni ndi mitundu ya implants yomwe imagwiritsidwa ntchito mu OA.

Olowa m'malo

Ngati pakufunika kuchitidwa opaleshoni ya OA, kusinthanitsa olowa m'malo ndiye njira yabwino kwambiri. Izi ndizowona makamaka kwa anthu omwe ndi achikulire, chifukwa sangayesedwe m'malo ena achiwiri.

Opaleshoni yowonjezeranso imadziwikanso kuti arthroplasty. Njirayi imachotsa malo olumikizana ndi thupi ndikuikapo ma prosthetics opangidwa ndi pulasitiki kapena chitsulo. Kulowetsa m'chiuno ndi maondo ndi mitundu yofala kwambiri yolumikizana. Komabe, zimfundo zina zimatha kusinthidwa, kuphatikiza mapewa, zigongono, zala, ndi akakolo.

Malo olumikizirana amatha kukhala zaka makumi awiri kapena kupitilira apo. Komabe, kutalika kwa nthawi yolumikizira cholumikizira kumadalira momwe cholumikizacho chimagwiritsidwira ntchito komanso mphamvu zamatenda omwe akhalapo atha kupitilira nthawi.

Kusintha kwamfupa

Osteotomy ndi mtundu wa opaleshoni yomwe imagwiritsidwa ntchito pokonzanso mafupa owonongeka ndi nyamakazi. Izi zimachepetsa kupsinjika kwa gawo lowonongeka la fupa kapena cholumikizira. Osteotomy nthawi zambiri imachitika kokha kwa achichepere omwe ali ndi OA, omwe kusinthana nawo limodzi sikungakhale koyenera.

Kusakanikirana kwa mafupa

Mafupa olumikizana amatha kusakanikirana mpaka kalekale kukulitsa bata limodzi ndikuchepetsa ululu.

Kuchita opaleshoniyi nthawi zambiri kumapangitsa kuyenda kocheperako kapena kusayenda pang'ono palimodzi. Komabe, pazochitika zazikulu za OA, ikhoza kukhala njira yabwino kwambiri yopewera zopweteka zopweteka, zofooketsa.

Kuphatikizika kwa mafupa kumatchedwanso arthrodesis.

Opaleshoni yojambulajambula

Pochita izi, dotolo wa opaleshoni amathyola khunyu yong'ambika ndi cholumikizira. Izi zimachitika pogwiritsa ntchito arthroscope. Arthroscope ndi kamera yaying'ono kumapeto kwa chubu. Amalola madotolo kuti aziwona bondo limodzi akamachita njira yolumikizira. Arthroscopy itha kugwiritsidwanso ntchito kuchotsa mafupa.

M'mbuyomu, iyi inali opaleshoni yotchuka yochiza nyamakazi ya bondo. Komabe, kafukufuku wasonyeza kuti arthroscopy siyothandiza kuthana ndi ululu wa nthawi yayitali kuposa mankhwala kapena mankhwala.

Kutenga

Zosankha zambiri zimapezeka pochiza osteoarthritis. Ngati muli ndi OA, gwirani ntchito ndi dokotala kuti akupezereni mankhwala oyenera.