Kuchiza kwa Osteoarthritis ya Knee: Nchiyani Chimagwira?

Zamkati

• 1. Khalani ndi thupi labwino
• 2. Muzichita masewera olimbitsa thupi nthawi zonse
• 3. Mankhwala ochotsera ululu
• 4. Njira zochiritsira zosagwiritsidwa ntchito masiku onse
• 5. Steroids ojambulidwa
• 6. Opaleshoni
• Opaleshoni yojambulajambula
• Osteotomy
• Kusintha kwathunthu kwa bondo
• Zifukwa 5 Zoganizira Kuchita Opaleshoni ya Knee
• Chiyembekezo: Chimachitika nchiyani kenako?

Osteoarthritis (OA) ndi mtundu wofala kwambiri wamatenda am'mimba. OA ya bondo imachitika pamene chichereŵechereŵe - khushoni pakati pa mfundo za mawondo - chitawonongeka. Izi zitha kupweteka, kuuma, ndi kutupa.

Palibe mankhwala a OA a bondo, koma chithandizo chitha kuthandizira kuthetsa mavuto ndikuchepetsa kuwonongeka. Ikhoza kupititsanso moyo wanu ndikuthandizani kuti muzitha kuchita bwino ndi zomwe mumachita tsiku ndi tsiku.

Chithandizo chanu chimadalira zosowa zanu. Izi zikuphatikiza mbiri yanu yazachipatala, kuchuluka kwa ululu, komanso momwe OA imakhudzira moyo wanu watsiku ndi tsiku.

Chithandizochi nthawi zambiri chimaphatikizapo kuphatikiza mankhwala komanso njira zosankhira moyo. Akatswiri ochokera ku American College of Rheumatology ndi Arthritis Foundation (ACR / AF) amapereka malangizo pazomwe mungachite zomwe zingakuthandizeni - koma onetsetsani kuti mwalankhula ndi dokotala musanachite chilichonse, chachikulu kapena chaching'ono, kuchipatala.

1. Khalani ndi thupi labwino

Ngati mukulemera kwambiri, kutaya ngakhale mapaundi ochepa kumakuthandizani ndi OA. Kuchepetsa thupi kumatha kuchepetsa kupsinjika kwamafundo anu ndipo, potero, kumathandizira kuchepetsa zizindikilo.

Kuchepetsa thupi kungathandizenso kuchepetsa kutupa komanso kuopsa kwa zovuta zina, monga kuthamanga kwa magazi, mtundu wa 2 shuga, ndi matenda amtima.

Ngati muli ndi OA pa bondo ndipo mumaonedwa kuti ndinu onenepa kwambiri kapena onenepa kwambiri, zikuwoneka kuti dokotala wanu akupangitsani kuti mupange lingaliro lokuthandizani kuti muchepetse kunenepa.

Phunzirani zambiri za chifukwa chake kuyang'anira kunenepa ndikofunika komanso mtundu wanji wa zakudya zomwe zingakuthandizeni kuyendetsa bwino OA wa bondo.

2. Muzichita masewera olimbitsa thupi nthawi zonse

Kuchita masewera olimbitsa thupi ndikofunikira ngati muli ndi OA ya bondo. Itha kukuthandizani:

• sungani kulemera kwanu
• pangani mphamvu ya minofu kuthandizira bondo lanu
• khalani oyenda
• kuchepetsa nkhawa

Zochita zoyenera zimaphatikizapo zolimbitsa thupi zochepa, kuphatikizapo:

• kupalasa njinga
• kuyenda
• kusambira kapena ma aerobics ena am'madzi
• tai chi
• yoga
• kutambasula, kulimbikitsa, ndi kusinthanitsa masewera olimbitsa thupi

Kuyenda panjinga yoyimilira kumathandizanso kuti mukhale ndi mphamvu mu ma quadriceps ndikuphwanya minofu yamagulu osapanikizika ndi maondo anu. Mumagwiritsa ntchito minofu imeneyi, kutsogolo ndi kumbuyo kwa ntchafu zanu, mukayimirira kuchokera pomwe mwakhala. Amathandizanso kukhazikika pa bondo.

Dokotala kapena wothandizira akhoza kukuthandizani kukonzekera pulogalamu yoyenera.

Akatswiri amati mugwire ntchito ndi wophunzitsa kapena kuchita masewera olimbitsa thupi ndi anthu ena kuti akuthandizeni kukhala olimbikitsidwa. Kungakhale kosavuta monga kuitanira mnzanu, woyandikana naye nyumba, kapena wachibale wanu kuti adzayende nanu tsiku lililonse. Izi zipangitsa kuti masewera olimbitsa thupi azisangalala komanso kulimbitsa thupi.

3. Mankhwala ochotsera ululu

Pamwamba pa kauntala (OTC) ndi mankhwala akuchipatala atha kuthana ndi ululu ndi zizindikilo zina zomwe zimakhudzana ndi OA ya bondo.

Zosankha zina za OTC zomwe zingakuthandizeni kuthana ndi ululu wofatsa komanso kusapeza bwino ndi monga:

• mankhwala osokoneza bongo (NSAIDs), monga ibuprofen (Advil kapena Motrin)
• acetaminophen (Tylenol), ngati simungathe kulekerera ma NSAID
• Kukonzekera kwapadera komwe kumakhala ndi NSAID kapena capsaicin

Ngati mankhwala a OTC sagwira ntchito, dokotala akhoza kukupatsani:

• duloxetine (Cymbalta)
• magwire

Tramadol ndi mankhwala opioid. ACR / AF samalimbikitsa kugwiritsa ntchito mankhwala opioid, popeza pali chiopsezo chokhala ndi kudalira. Komabe, ngati mankhwala ena sakugwira ntchito, dokotala amatha kupereka mankhwala opioid.

4. Njira zochiritsira zosagwiritsidwa ntchito masiku onse

Kuphatikiza pa masewera olimbitsa thupi komanso mankhwala, mankhwala ena omwe si azachipatala atha kukuthandizani kuyang'anira OA wa bondo. Izi zikuphatikiza:

• ntchito zowongolera kupsinjika, monga yoga ndi tai chi
• kutema mphini
• kutentha ndi mapaketi ozizira ochepetsa ululu ndi kutupa
• chithandizo chantchito, chomwe chingaphunzitse njira zatsopano zoyendetsera zochitika za tsiku ndi tsiku
• chithandizo chamakhalidwe abwino, chomwe chingakuthandizeni kuthana ndi zowawa, zovuta, komanso kupsinjika kokhala ndi matenda

ACR / AF samalimbikitsa kutikita minofu, mankhwala othandizira, kapena kugwiritsa ntchito njira zamagetsi zamagetsi zamagetsi (TENS) za OA za bondo. Kafukufuku sanawonetse kuti njira zochiritsira zosankhazi ndizothandiza. Izi zati, kutikita minofu kumatha kukhala ndi maubwino opitilira omwe amakhudzana ndimavuto a OA, kuphatikiza kuchepetsa nkhawa zanu.

Anthu ena amagwiritsa ntchito colchicine, mafuta a nsomba, kapena vitamini D pa OA, koma akatswiri samalimbikitsa izi, popeza sizinapindulepo pamaphunziro asayansi. Kuphatikiza apo, colchicine imatha kukhala ndi zovuta zina monga kutsegula m'mimba ndi kusanza.

ACR / AF imalangiza anthu kuti apewe mankhwala monga glucosamine, chondroitin sulphate, hydroxychloroquine, jakisoni wa Botox, ndi jakisoni wa hyaluronic acid, popeza palibe umboni wokwanira wosonyeza kuti ali otetezeka kapena othandiza.

5. Steroids ojambulidwa

Chifukwa cha kupweteka kwambiri ndi kutupa, adokotala amatha jakisoni glucocorticoids kapena corticosteroids mwachindunji.

Izi zitha kupereka chithandizo kwakanthawi, koma sizipereka chithandizo. Majakisoni obwerezabwereza a steroid amathanso kubweretsa zovuta, chifukwa chake dokotala amaletsa izi.

6. Opaleshoni

Ngati kupweteka kwamalumikizidwe kumakhala kovuta, ndipo njira zina zothandizira sizithandizira, dokotala atha kunena kuti achite opaleshoni. Pali njira zingapo zochizira OA bondo.

Opaleshoni yojambulajambula

Iyi ndi njira yovuta kwambiri yomwe dokotalayo amagwiritsa ntchito arthroscope, mtundu wa kamera, kuti ayang'ane mkati mwa bondo.

Pomwe amatero, amathanso kukonza chovulala kapena kuyeretsa zinyalala, monga zidutswa za mafupa, kuchokera pachilumikizo kuti zisunge bwino ziwalo zolumikizana.

Izi zitha kuthandiza kuthetsa zizindikilo, ndipo ndizowopsa kuposa opaleshoni yonse yamabondo. Komabe, ngati muli ndi OA ya bondo, mutha kupezabe kuti mudzafunika kugwiritsanso ntchito bondo mtsogolo.

Osteotomy

Malinga ndi American Academy of Orthopedic Surgeons (AAOS), osteotomy itha kuthandizira ngati muli ndi gawo loyambirira la OA la bondo lomwe limakhudza fupa mbali imodzi yokha.

Pochita izi, dokotalayo amadula ndikukhazikitsanso fupa. Izi zimachotsa gawo lovulala ndikukonza kuwongola kwa mafupa.

Itha kukhala yoyenera ngati:

• ali achangu, ochepera zaka 60, ndipo alibe kunenepa kwambiri
• ndikumva kuwawa mbali imodzi yokha ya bondo
• khalani ndi OA makamaka chifukwa chantchito kapena kuyimirira kwa nthawi yayitali

Kuchita opaleshoni kotereku kungathandize kuyimitsa kapena kuchepetsa kupita patsogolo kwa kuwonongeka kwamagulu.

Kusintha kwathunthu kwa bondo

Pogwiritsa ntchito bondo lonse, dokotalayo amachotsa minofu ndi mafupa omwe awonongeka ndipo amalowetsa bondo limodzi ndi chophatikizira.

Atha kuchita izi kudzera mu opaleshoni yotseguka kapena yocheperako. Zinthu monga kuchuluka kwa ntchito komanso thanzi la munthu aliyense zimathandiza madotolo kudziwa ngati iyi ndiyo njira yabwino kwambiri yochitira opaleshoni.

Zifukwa 5 Zoganizira Kuchita Opaleshoni ya Knee

Chiyembekezo: Chimachitika nchiyani kenako?

Ngati OA ikuyambitsa kupweteka komanso kuuma pamaondo anu, chinthu choyamba ndikufunsani dokotala kuti akuthandizeni kupeza njira yodziyimira payokha. Kulowererapo koyambirira ndiyo njira yabwino kwambiri yothetsera kuwonongeka kwa ziwalo kuti ziwonjezeke - komanso zopweteka - pakapita nthawi.

Funsani dokotala wanu za njira zabwino zolimbitsa thupi komanso mankhwala. Ndizofunikanso kukambirana ngati pulogalamu yolemetsa ndiyabwino kwa inu. Izi, komanso kusintha kwamachitidwe ena, nthawi zambiri kumatha kuchedwetsa kufunikira kochita opaleshoni kwa zaka zingapo.

Ndi chithandizo choyenera, mutha kupeza mpumulo womwe mukufunika kuti muwongolere matenda anu ndikukhalabe achangu.