Chilichonse Chimene Muyenera Kudziwa Zokhudza Matenda Osteoarthritis

Zamkati

• Mfundo zazikuluzikulu
• Chidule
• Zizindikiro zake ndi ziti?
• Zowopsa
• Matendawa
• Njira zothandizira
• Kuwongolera kunenepa ndi masewera olimbitsa thupi
• Zipangizo zamankhwala
• Zithandizo zapakhomo
• Mankhwala osokoneza bongo
• Opaleshoni
• Kusamalira moyo
• Chiwonetsero

Mfundo zazikuluzikulu

• Matenda a osteoarthritis ndi mtundu wamatenda a osteoarthritis omwe amakhudza bondo lonse.
• Nthawi zambiri mumatha kuthana ndi mavuto kunyumba, koma anthu ena angafunike kuchitidwa opaleshoni.
• Kuchita masewera olimbitsa thupi moperewera komanso kuchepa thupi kumatha kuchepetsa kukula kwa vutoli.

Chidule

Matenda a mitsempha yamatenda amtundu wamtundu wamtundu wamtundu wa mawondo (OA) omwe amakhudza zipinda zonse zitatu za mawondo.

Izi ndi:

• chipinda chamkati chachikazi-tibial, mkati mwa bondo
• chipinda cha patellofemoral, chopangidwa ndi femur ndi kneecap
• chipinda chotsatira chachikazi-tibial, kunja kwa bondo

OA imatha kukhudza chilichonse mwamagawo awa. Ikachitika mwa onse atatu, iyi ndi tricompartmental osteoarthritis. Zotsatirazi zitha kukhala zovuta kwambiri ngati OA ikukhudza zipinda zitatu osati imodzi.

Zizindikiro zake ndi ziti?

Zizindikiro zanyumba yaying'ono OA ndizofanana ndi za OA yopanda chipinda, koma zimakhudza magawo onse atatu a mawondo.

Zizindikiro zimaphatikizapo:

• kutupa ndi kuuma kwa bondo
• zovuta kupindika ndikuwongola bondo
• kutupa, makamaka pambuyo pa ntchito
• kupweteka ndi kutupa komwe kumawonjezeka pogona kapena m'mawa
• kupweteka komwe kumawonjezeka mutakhala kapena kupumula
• kulira, kuwonekera, kumenyetsa, kapena kugaya phokoso kuchokera pa bondo
• kufooka kapena kugwedezeka pa bondo
• Kulephera kuyenda (kuyenda), nthawi zambiri kumawerama kapena kugogoda
• zotupa pafupa
• kutseka kolumikizana, chifukwa cha zidutswa za mafupa ndi mapindikidwe
• zovuta kuyenda popanda thandizo

X-ray imatha kuwulula zidutswa za mafupa ndi kuwonongeka kwa karoti ndi fupa.

Zowopsa

Zinthu zingapo zimawonjezera chiopsezo chanu chokhala ndi OA, kuphatikiza OA.

Iwo:

Kunenepa kwambiri. Kulemera kwina kwa thupi kumayika kupsinjika pamalumikizidwe olimbitsa thupi, monga mawondo. Akatswiri amalangiza anthu omwe ali ndi OA ndi kunenepa kwambiri kuti agwire ntchito ndi adotolo kuti akhazikitse cholemera choyenera ndikukhazikitsa njira yokwaniritsira cholingachi.

Ukalamba. Mukamakula, ziwalo zanu zophatikizika zimatha pang'onopang'ono. Kuchita masewera olimbitsa thupi nthawi zonse ndikutambasula kumathandizira kuchepetsa izi. OA sichimangokhala gawo lokalamba, koma mwayi woti zichitike umakulirakulira.

Kugonana. Amayi amatha kutenga OA kuposa amuna, makamaka atakwanitsa zaka 50.

Kuvulala kwa olowa. Ngati mudavulala bondo m'mbuyomu, mumakhala ndi OA.

Zochita zina. Popita nthawi, mitundu ina yazolimbitsa thupi imatha kupanikiza mafupa. Zitsanzo zimaphatikizapo kukweza ndikusunthira zinthu zolemetsa, kuchita masewera ena, ndikukwera masitepe angapo tsiku lililonse.

Chibadwa. Ngati muli ndi wachibale wapafupi, monga kholo, ndi OA, muli ndi mwayi waukulu wokuliranso.

Kupunduka kwa mafupa ndi zofewa. Anthu ena amabadwa ali ndi mafupa ndi mawondo omwe amatha kukhala ndi OA.

Matendawa

Dokotala wanu adzafunsa za matenda anu.

Njira yodziwira OA ya bondo imaphatikizapo kupweteka kwa bondo ndi zina mwazizindikiro izi:

• Kuuma m'mawa mpaka mphindi 30
• kung'ambika kapena kumva kwakumaso kwa bondo, kotchedwa crepitus
• kukulitsa gawo la mafupa a bondo
• kukoma kwa mafupa a mawondo
• kutentha pang'ono palimodzi

Dokotala angafunenso kuyesa mayeso ojambula, monga X-ray.

Zotsatira zimatha kuwonetsa tsatanetsatane wa danga pakati pa mafupa a bondo. Kupendekeka kwa malo olumikizirana kumawonetsa matenda oopsa kwambiri, kuphatikizapo kukokomeza kwa karoti.

Dokotala wanu adzafunanso mapangidwe amakulidwe a mafupa otchedwa osteophytes. Osteophytes ndi zotsatira za mafupa akusisirana.

Kumayambiriro kwa OA, kusintha kumeneku sikuwoneka pama X-ray. Komabe, tricompartmental OA imakhala yovuta kwambiri, ndipo izi zimawoneka bwino.

Kufufuza kwina kungaphatikizepo:

• labu amayesa kuti athetse matenda ena
• MRI, yomwe imatha kuwulula kuwonongeka kwa minofu yofewa, monga cartilage ndi mitsempha

Njira zothandizira

Palibe mankhwala a tricompartmental kapena mitundu ina ya OA, chifukwa sizingatheke m'malo mwa chichereŵechereŵe chomwe chawonongeka kale.

M'malo mwake, chithandizo chimayang'ana pakuwongolera zizindikilo ndikuchepetsa kukula kwa OA.

Kuwongolera kunenepa ndi masewera olimbitsa thupi

Kulemera kwa thupi ndi kuchita masewera olimbitsa thupi kumathandiza kwambiri pakuyang'anira OA.

Kuchepetsa thupi kumathandizira kuchepetsa kupsinjika kwa bondo. Kuchita masewera olimbitsa thupi kumathandiza kuti minofu ya bondo ikhale yolimba komanso imathandiza kuthandizira bondo.

Dokotala kapena wochita masewera olimbitsa thupi angalimbikitse kuti musinthe masewera olimbitsa thupi - monga kuthamanga - kupita kuzinthu zochepa, monga kusambira ndi madzi othamangitsa.

Zosankha zina zabwino ndi monga tai chi, kuyenda, kupalasa njinga, komanso kuchita masewera olimbitsa thupi. Funsani dokotala wanu za zomwe mungachite.

Pezani maupangiri pano pazinthu zosafunikira kwenikweni kwa anthu omwe ali ndi OA.

Zipangizo zamankhwala

Zitsanzo ndi izi:

• ndodo yoyendera kapena woyenda
• cholimba kapena chopindika
• kinesiotape, mtundu wa kavalidwe kamene kamagwirizira cholumikizira polilola kuti lisunthe

Akatswiri samalimbikitsa pakadali pano kugwiritsa ntchito nsapato zosinthidwa, popeza palibe kafukufuku wokwanira wosonyeza mtundu wamasinthidwe woyenera.

Zithandizo zapakhomo

Mankhwala apanyumba ndi awa:

• ayezi ndi mapaketi otentha
• pa anti-steroidal anti-inflammatory drugs (NSAIDs)
• Mafuta apakhungu okhala ndi capsaicin kapena ma NSAID

Mankhwala osokoneza bongo

Ngati OTC ndi zithandizo zapakhomo sizikuthandizani, kapena ngati zizindikiritso zimakhudza moyo wanu watsiku ndi tsiku komanso kuyenda, dokotala wanu akhoza kukupatsani mankhwala akumwa kapena obaya.

Zikuphatikizapo:

• tramadol pofuna kuchepetsa ululu
• duloxetine
• jakisoni corticosteroids

Opaleshoni

Ngati mankhwalawa sakugwira ntchito kapena asiya kugwira ntchito, dokotala wanu angakulimbikitseni kuchitidwa opaleshoni.

Opaleshoni imatha kuthandiza anthu omwe akukumana ndi izi:

• kupweteka kwambiri
• zovuta ndi kuyenda
• kuchepetsa moyo wabwino

Dokotala wanu angakulimbikitseni kuchitidwa maondo onse ngati maondo OA amakhudza luso lanu logwira ntchito tsiku ndi tsiku.

Dotoloyu amachotsa fupa ndi karoti yemwe wawonongeka ndikuikapo cholumikizira chopangidwa ndi chitsulo kapena pulasitiki.

Anthu 90 pa 100 aliwonse omwe amasintha bondo lawo akuti amachepetsa kupweteka ndipo amachulukitsa kuyenda, malinga ndi American Academy of Orthopedic Surgeons.

Komabe, zimatha kutenga miyezi ingapo kuti ayambe kuchira. Kuwunikira kumaphatikizira mankhwala ndi kuyendera dokotala wa mafupa.

Kusamalira moyo

Ngati muli ndi tricompartmental OA, kudziyang'anira nokha ndikuthandizira kuti isapitirire.

Nazi njira zina zochitira izi:

• pewani kusuta
• kutsatira zakudya zopatsa thanzi
• pezani malire oyenera pakati pa zochitika ndi kupumula
• khalani ndi magonedwe anthawi zonse
• phunzirani momwe mungathetsere kupsinjika

Ndi zakudya ziti zomwe muyenera kutsatira ndi OA? Dziwani apa.

Chiwonetsero

Maondo OA amakhudza anthu ambiri, makamaka akamakalamba. Tricompartmental OA imakhudza zigawo zonse za bondo.

Njira zodziwikiratu zopweteketsa komanso kuyenda zimaphatikizapo zolimbitsa thupi, ndipo zovuta kwambiri, opaleshoni.

Dokotala wanu akhoza kukuthandizani kuti mupange dongosolo loyenera lokhalira ndi moyo wabwino ndi OA.