Kodi Osteonecrosis ndi chiyani?

Zamkati

• Zizindikiro zazikulu
• Zomwe zimayambitsa
• Momwe mankhwalawa amachitikira
• Physiotherapy ya Osteonecrosis

Osteonecrosis, yotchedwanso avascular necrosis kapena aseptic necrosis, ndiimfa ya dera la fupa pomwe magazi ake asokonekera, ndikutupa kwamfupa, komwe kumayambitsa kupweteka, kugwa kwa mafupa ndipo kumatha kuyambitsa arthrosis yayikulu.

Ngakhale imatha kuwoneka mufupa lililonse m'thupi, osteonecrosis imachitika pafupipafupi m'chiuno, zomwe zimakhudza dera lamutu wachikazi, komanso mawondo, mapewa, akakolo, maloko kapena nsagwada.

Mankhwalawa amachitidwa ndi a orthopedist, ndipo amaphatikizapo kugwiritsa ntchito mankhwala ochepetsa zizindikilo, ndi anti-inflammatories, kuphatikiza kupumula ndi physiotherapy, komabe, kuchitidwa opaleshoni kukonzanso kusintha kapena kusintha cholumikizira kungathenso kuwonetsedwa. ziwalo.

Zizindikiro zazikulu

Poyamba, osteonecrosis imatha kukhala yopanda zisonyezo ndipo imatha kuwonedwa pamayeso ojambula. Koma pamene kayendedwe ka magazi kamawonjezeka ndikukhala ndi gawo lochulukirapo la fupa, zizindikilo monga kupweteka kwa olowa omwe akukhudzidwa zitha kuwoneka, zomwe zimayambitsa zovuta pakuyenda kapena kuchita ntchito za tsiku ndi tsiku.

Fupa limodzi kapena angapo atha kutenga nawo gawo pa matendawa, ndipo mu osteonecrosis ya m'chiuno, mbali imodzi kapena mbali zonse ziwiri zimatha kukhudzidwa. Komanso, phunzirani kuzindikira zina zomwe zimayambitsa kupweteka m'chiuno.

Pambuyo pokayikira za osteonecrosis ya m'chiuno, a orthopedist atha kuyesa ndikuwunika mayeso monga radiography kapena MRI ya dera lomwe lakhudzidwa, lomwe lingasonyeze zizindikilo za mafupa necrosis, komanso kusintha kwa mafupa komwe kungachitike, monga arthrosis.

Zomwe zimayambitsa

Zomwe zimayambitsa osteonecrosis ndizovulala m'mafupa zomwe zimachitika chifukwa chakupwetekedwa mtima, monga momwe zimasokonekera kapena kusokonezeka. Komabe, zomwe sizimayambitsa zoopsa ndi izi:

• Kugwiritsa ntchito mankhwala a corticosteroid, pamene mumamwa kwambiri komanso kwa nthawi yayitali. Onani zotsatira zoyipa za corticosteroids;
• Kuledzera;
• Matenda omwe amachititsa kusintha kwa magazi, monga sickle cell anemia, kufooka kwa chiwindi, khansa kapena matenda a rheumatological;
• Kugwiritsa ntchito mankhwala am'makalasi a Bisphosphonate, monga zoledronic acid, yogwiritsidwa ntchito pochiza kufooka kwa mafupa komanso matenda ena a khansa, imakhudzana ndi chiopsezo chowonjezeka cha kufooka kwa mafupa a nsagwada.

Anthu omwe amasuta amathanso kukhala ndi matenda a osteonecrosis, chifukwa kusuta kumabweretsa mavuto m'magazi m'thupi.

Kuphatikiza apo, pali milandu yomwe sizotheka kudziwa zomwe zimayambitsa matendawa, ndipo milanduyi amatchedwa idiopathic osteonecrosis.

Momwe mankhwalawa amachitikira

Chithandizo cha osteonecrosis chimatsogoleredwa ndi orthopedist (kapena maxillofacial surgeon wa osteonecrosis wa nsagwada), komanso kuphatikiza kugwiritsa ntchito mankhwala a analgesic ndi anti-yotupa kuti athetse zizindikilo, olumikizana onse omwe akhudzidwa, chithandizo chamankhwala, kuphatikiza pa kuchotsa chifukwa chomwe chingayambitse magazi kukhala osakwanira.

Komabe, chithandizo chachikulu chomwe chimabweretsa zotsatira zabwino kwambiri zochiritsira osteonecrosis ndi opareshoni, yomwe imakhudza kuponderezana kwa mafupa, kuyika mafupa kapena, m'malo ovuta kwambiri, m'malo mwa olowa.

Physiotherapy ya Osteonecrosis

Physiotherapy ndiyofunikira kwambiri kuthandiza wodwalayo kuti achire, ndipo imatha kusiyanasiyana kutengera mtundu ndi kuuma kwake. Pamene fupa limakhudzidwa kwambiri ndi vuto lakuthirira magazi, zimakhala zachilendo kukhala ndi kuchepa kwa danga mkati molumikizana ndi kutupa, ndichifukwa chake kukula kwa nyamakazi ndi nyamakazi ndizofala.

Mu physiotherapy, zolimbitsa thupi zolimbitsa thupi, kulumikizana molumikizana ndi kutambasula zitha kuchitidwa kuti muchepetse zovuta zomwe zingachitike mdera lomwe lakhudzidwa, monga kusweka, komanso kupewa kuyika ziwalo. Zipangizozi zimathandizanso kuchepetsa ululu komanso kulimbitsa minofu.

Onani momwe chithandizochi chitha kuchitikira mutayika chiuno.