Q & A Katswiri: Chithandizo cha Osteoarthritis ya Knee

Zamkati

• Andipeza ndi OA ya bondo. Kodi ndingatani kuti ndichedwetse opaleshoni? Kodi ndi njira ziti zopanda chithandizo zomwe zimagwira ntchito?
• Kodi jakisoni wa cortisone ndiwothandiza, ndipo ndimalandira kangati?
• Kodi kuchita masewera olimbitsa thupi komanso kuchiritsa kumathandiza kuthana ndi OA wa bondo?
• Kodi ndiyenera kuyamba liti kulingalira za mtundu wina wa opareshoni ya mawondo?
• Kodi zaka zimakhudzanso kusintha kwa bondo?
• Ndi ntchito ziti zomwe ndingakwanitse kuchita ndikasintha bondo? Kodi ndidzamvanso ululu ndikabwerera kumagulu azomwe ndimachita?
• Kodi ndingasankhe bwanji dokotalayo?
• Ndamva za kuchitidwa maondo pang'ono. Kodi ndine woyenera kuchita izi?
• Nanga bwanji za opaleshoni ya mawondo yam'mawonekedwe, komwe amayeretsa cholumikizacho? Kodi ndiyambe kaye?

Healthline anafunsa dokotala wa opaleshoni ya mafupa Dr. bondo. Dr. Finn, yemwe amagwira ntchito yopanga ziwalo zonse m'malo ophatikizana komanso kupulumutsa ziwalo zovuta kwambiri, watsogolera maopaleshoni oposa 10,000. Nazi zomwe amayenera kunena.

Andipeza ndi OA ya bondo. Kodi ndingatani kuti ndichedwetse opaleshoni? Kodi ndi njira ziti zopanda chithandizo zomwe zimagwira ntchito?

“Ndikulangiza kuti ndiyesere kulumikizana ndi nyamakazi kuti ndithandizire pa bondo kapena / kapena chidendene chomwe chimaloza gulu lankhondo la nyamakazi pang'ono. Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) monga ibuprofen (Motrin, Advil) amatha kuthandiza ngati m'mimba mwanu mungawalekerere. ”

Kodi jakisoni wa cortisone ndiwothandiza, ndipo ndimalandira kangati?

“Cortisone wokhala ndi steroid yayitali komanso yayifupi amatha kugula mpumulo miyezi iwiri kapena itatu. Ndi nthano kuti mutha kukhala ndi chaka chimodzi kapena chimodzi m'moyo wanu wonse. Bondo likadwala nyamakazi kwambiri, palibe vuto lililonse ndi cortisone. Majakisoni amenewa samangokhudza thupi kwenikweni. ”

Kodi kuchita masewera olimbitsa thupi komanso kuchiritsa kumathandiza kuthana ndi OA wa bondo?

“Kuchita masewera olimbitsa thupi mosapweteka kumathandiza kuti thupi likhale ndi matenda otchedwa endorphin ndipo lingathandize kuti thupi lizigwira bwino ntchito pakapita nthawi. Kuchita masewera olimbitsa thupi kulibe phindu asanachite opareshoni. Kusambira ndi ntchito yabwino kwambiri. Ngati mupita kokachita masewera olimbitsa thupi, gwiritsani ntchito makina a elliptical. Koma kumbukirani kuti nyamakazi ya mafupa ndi matenda osachiritsika, chifukwa chake pamapeto pake mudzafunika kuti mulowe m'malo mwake. ”

Kodi ndiyenera kuyamba liti kulingalira za mtundu wina wa opareshoni ya mawondo?

“Lamulo ndilo [kulingalira za kuchita opareshoni] pamene kupweteka kumangopitilira, sikukugwirizana ndi njira zina zodziletsa, ndipo kumasokoneza kwambiri moyo watsiku ndi tsiku komanso moyo wanu. Ngati mukumva kuwawa popuma kapena kupweteka usiku, ndicho umboni wamphamvu kuti ndi nthawi yoti musinthe. Simungathe kungopita ndi X-ray, komabe. Ma X-ray a anthu ena amaoneka owopsa, koma kupweteka kwawo komanso momwe amagwirira ntchito ndikokwanira. ”

Kodi zaka zimakhudzanso kusintha kwa bondo?

“Chodabwitsa ndichakuti, ukadali wachichepere komanso wolimbikira ntchito, sizingakhutiritse bondo. Odwala achichepere amayembekezera zambiri. Mwambiri, achikulire samakhudzidwa ndi kusewera tenisi. Amangofuna kupumula ndikumatha kuyendayenda. Zimakhala zosavuta kwa okalamba m'njira zinanso. Okalamba samva kuwawa kwambiri kuchira. Komanso, mukamakalamba, bondo lanu limakhala nthawi yayitali pamoyo wanu. Wachinyamata wazaka 40 wokangalika angafunikirenso womasinthira wina pamapeto pake. ”

Ndi ntchito ziti zomwe ndingakwanitse kuchita ndikasintha bondo? Kodi ndidzamvanso ululu ndikabwerera kumagulu azomwe ndimachita?

“Mutha kuyenda momwe mukufunira, gofu, kusewera masewera ngati tennis osachita zachiwawa - {textend} koma osadumphira pansi pamiyendo kapena kuthamanga kubwalo lonselo. Ndimalimbikitsa masewera othamanga omwe amapotoza kapena kutembenuka, monga kutsetsereka kapena basketball. Mlimi wolimbikira amakhala ndi nthawi yovuta chifukwa ndizovuta kugwada ndikubwezeretsa bondo. Kumbukirani kuti kuchepa kwa nkhawa komwe mumagwiritsa ntchito pabondo lanu, kudzakuthandizani kuti muzikhala ndi nthawi yayitali. ”

Kodi ndingasankhe bwanji dokotalayo?

“Funsani dokotalayo kuti amachita mawondo angati pachaka. Iye ayenera kuchita mazana angapo. Matenda ake ayenera kukhala ochepera theka. Funsani za zotsatira zake zonse, komanso ngati akutsatira kapena ayi, kuphatikiza mayendedwe osiyanasiyana ndi kuchuluka kwake. Zonena ngati 'odwala athu amachita bwino' sizokwanira. ”

Ndamva za kuchitidwa maondo pang'ono. Kodi ndine woyenera kuchita izi?

“Zowononga pang'ono ndizolakwika. Ngakhale utakhadzula pang'ono motani, uyenerabe kuboola ndikudula fupa. Palibe mwayi pakung'amba pang'ono, koma pali zovuta. Zimatenga nthawi yayitali, ndipo pamakhala chiopsezo chowonjezeka ku mafupa kapena mitsempha. Kukhazikika kwa chipangizocho kwatsika chifukwa simungayikemo, ndipo simungagwiritse ntchito zida zomwe zili ndizinthu zazitali. Komanso, zitha kuchitika ndi anthu ochepa thupi. Palibe kusiyana pakuchuluka kwa magazi kapena nthawi yochira. Ngakhale inchiyo ndi yayifupi kwambiri inchi. Sizothandiza kwenikweni. ”

Nanga bwanji za opaleshoni ya mawondo yam'mawonekedwe, komwe amayeretsa cholumikizacho? Kodi ndiyambe kaye?

"The Journal of the American Medical Association posachedwapa inafalitsa nkhani yonena kuti palibe phindu lililonse. Bwinobwino kuposa jakisoni wa cortisone, ndipo ndiwowopsa kwambiri. ”