Kumvetsetsa Cartilage, Joints, ndi Njira Yokalamba

Zamkati

• Kapangidwe ka cholumikizira
• Thupi lokalamba
• Zowopsa za OA
• Kulemera
• Mbiri ya banja
• Kugonana
• Ntchito
• Chithandizo
• Mankhwala
• Majekeseni
• Opaleshoni
• Njira zamoyo komanso zothandizira kunyumba
• Chitani masewera olimbitsa thupi
• Mankhwala otentha / ozizira
• Zida zothandizira
• Pumulani
• Kuchepetsa thupi
• Chiwonetsero

Kodi osteoarthritis ndi chiyani?

Kuyenda, kuchita masewera olimbitsa thupi, komanso kusunthira pamoyo wanu kumatha kuwononga khungu lanu - minofu yosalala, yolumikizira mphira yomwe imakuta kumapeto kwa mafupa. Kutha kwa karotila kumatha kuyambitsa kutupa kosatha m'malumikizidwe, ndipo kumatha kubweretsa nyamakazi.

Osteoarthritis (OA) ndimatenda ofala kwambiri a nyamakazi. OA imadziwikanso kuti matenda ophatikizika olumikizana. Malinga ndi, pafupifupi 30 miliyoni achikulire ku United States ali ndi OA. Izi zimapangitsa OA kukhala chimodzi mwazomwe zimayambitsa kulumala kwa akulu.

Kapangidwe ka cholumikizira

Cartilage imalumikiza ziwalo ndikuwathandiza kuyenda bwino komanso mosavuta. Kakhungu kotchedwa synovium kamatulutsa timadzi tambiri tomwe timathandiza kuti chicherewacho chikhale ndi thanzi. Synovium imatha kutenthedwa ndikulimba ngati kuvala kwa karoti kumachitika. Izi zitha kubweretsa kutupa, komwe kumatulutsa madzi owonjezera mkati mwa olumikizana, zomwe zimapangitsa kutupa-ndipo mwina kukula kwa OA.

Malumikizidwe omwe amakhudzidwa kwambiri ndi OA ndi awa:

• manja
• mapazi
• msana
• mchiuno
• mawondo

Matendawa akamakulirakulirabe, mafupa oyandikana nawo sangakhale ndi mafuta okwanira kuchokera ku synovial madzimadzi komanso kutsekemera kuchokera ku cartilage. Mafupa akalumikizana mwachindunji, zimadzetsa ululu wowonjezera ndi kutupa kumatenda oyandikana nawo.

Mafupa akamapindika pamodzi, amatha kulimba ndikuyamba kukula mafupa, kapena mafupa.

Thupi lokalamba

Mukakalamba, ndizofala kwambiri kumva kuwawa pang'ono kapena kupweteka mukaimirira, kukwera masitepe, kapena kuchita masewera olimbitsa thupi. Thupi silichira msanga monga momwe lidachitira m'zaka zazing'ono.

Komanso, khungu limachepa, zomwe zimatha kuyambitsa zilonda. Minofu yosalala yomwe imalumikiza ndikulumikiza imatha mosavuta ndikakalamba. Zomenyera thupi zachilengedwe zikutha. Chifukwa chake mumayamba kumva kupweteka kwambiri mthupi lanu.

Mumakhalanso ndi mphamvu yolimbitsa thupi komanso mafupa mukamakula. Izi zitha kupangitsa kuti ntchito zolemetsa zikhale zovuta kwambiri komanso zokhometsa thupi.

Zowopsa za OA

Zomwe zimayambitsa chiopsezo cha OA ndi zaka. Anthu ambiri omwe ali ndi OA ali ndi zaka zopitilira 55. Zinthu zina zimawonjezera mwayi wamunthu wopeza matendawa. Izi zikuphatikiza:

Kulemera

Kulemera kwambiri kumawonjezera nkhawa pamafundo, mafupa, ndi mafupa, makamaka m'maondo ndi m'chiuno. Zimatanthauzanso kuti simukhala olimba. Kuchita masewera olimbitsa thupi nthawi zonse, monga kuyenda tsiku ndi tsiku, kumachepetsa kwambiri mwayi wokhala ndi OA.

Mbiri ya banja

Chibadwa chingapangitse kuti munthu akhale ndi mwayi wokhala ndi OA. Ngati muli ndi abale anu omwe ali ndi matendawa, mutha kukhala pachiwopsezo chachikulu chotenga OA.

Kugonana

Asanakwanitse zaka 45, amuna amatha kukhala ndi OA. Pambuyo 50, azimayi ndi omwe amakhala ndi OA kuposa amuna. Kuthekera kwakukula kwa OA mwa amuna ndi akazi kumatha kukhala pafupifupi zaka pafupifupi 80.

Ntchito

Ntchito zina zimawonjezera chiopsezo cha munthu kukhala ndi OA, monga:

• zomangamanga
• ulimi
• kuyeretsa
• ritelo

Anthu pantchitozi amagwiritsa ntchito matupi awo mwamphamvu ngati gawo la ntchito yawo. Izi zikutanthauza kutha ndi kuphatika pamagulu awo, ndikupangitsa kutupa kwambiri.

Achinyamata, achangu kwambiri amathanso kupanga OA. Komabe, nthawi zambiri zimakhala zotsatira za zoopsa, monga kuvulala kwamasewera kapena ngozi. Mbiri yakuvulala kwakuthupi kapena ngozi zitha kuwonjezera mwayi wamunthu woti adzakhale ndi OA pambuyo pake.

Chithandizo

OA ilibe mankhwala. M'malo mwake, cholinga cha chithandizo ndikuthana ndi ululu, ndikuchepetsa zomwe zimayambitsa zomwe zimapangitsa zizindikiro za OA kukulirakulira. Njira yoyamba yothandizira OA ndikuchepetsa kupweteka. Izi nthawi zambiri zimachitika ndi kuphatikiza mankhwala, masewera olimbitsa thupi, komanso chithandizo chamankhwala.

Chithandizo cha OA nthawi zambiri chimagwirizana ndi moyo wamunthu komanso zomwe zimapweteka komanso kupweteka. Njira zingapo zochiritsira zilipo. Izi zikuphatikiza:

Mankhwala

Othandiza ochepetsa ululu (OTC) nthawi zambiri amakhala anthu onse omwe ali ndi OA amafunika kupweteka. Zitsanzo ndi mankhwala osagwiritsa ntchito zotupa (NSAIDs) - monga aspirin (Bufferin) ndi ibuprofen (Advil, Motrin IB) - kapena acetaminophen (Tylenol).

Komabe, ngati ululu ukuwonjezeka kapena mankhwala a OTC sagwira ntchito, mankhwala opweteka kwambiri angafunike.

Majekeseni

Hyaluronic acid ndi jakisoni wa corticosteroid amatha kuthandizira kuchepetsa kupweteka kwamagulu okhudzidwa. Komabe, jakisoni wa steroid nthawi zambiri sagwiritsidwa ntchito mobwerezabwereza chifukwa amatha kuwononga zolumikizana zina pakapita nthawi.

Majakisoni a Hyaluronic acid ndi corticosteroid triamcinolone acetonide (Zilretta) amangovomereza bondo. Majakisoni ena monga PRP (mapuloteni olemera m'madzi a m'magazi) ndi jakisoni wama cell amagwiritsidwa ntchito poyesa.

Opaleshoni

Opaleshoni nthawi zambiri imasungidwa kwa anthu omwe ali ndi OA owopsa komanso ofooketsa.

Osteotomy ndi njira yochotsera yomwe imatha kuchepetsa kukula kwa mafupa ngati ikusokoneza mayendedwe olumikizana. Osteotomy ndichinthu chochepa kwambiri kwa anthu omwe akufuna kupewa opareshoni yolowa m'malo.

Ngati kufooka kwa mafupa sikungakhale kosankha kapena sikugwira ntchito, dokotala wanu atha kulangiza maphatikizidwe a mafupa (arthrodesis) kuti athetse mafupa omwe awonongeka kwambiri. Matenda a mchiuno kapena bondo samachitikanso, koma amatha kuchitidwa pamagulu ena monga zala kapena manja.

Kwa mafupa a mchiuno ndi bondo, njira yomaliza ndiyophatikizira kwathunthu (arthroplasty).

Njira zamoyo komanso zothandizira kunyumba

Pofuna kuthandizira kuthetsa ululu wanu ndikuchepetsa zizindikilo zanu, mungafune kuyesa kusintha zina ndi zina pamoyo wanu kuti zinthu zizikhala zosavuta pamagulu ndi mafupa anu. Zosinthazi zitha kusintha magwiridwe antchito komanso moyo wanu wabwino. Zosankha ndizo:

Chitani masewera olimbitsa thupi

Kuchita masewera olimbitsa thupi ochepera kumathandizira kulimbitsa minofu ndikulimbitsa mafupa. Kuchita masewera olimbitsa thupi kumathandizanso kuyenda limodzi.

Pewani masewera olimbitsa thupi, monga tenisi ndi baseball, ndikuyamba kuchita masewera olimbitsa thupi ochepa. Gofu, kusambira, yoga, ndi njinga zonse ndizosavuta pamalumikizidwe.

Mankhwala otentha / ozizira

Ikani ma compress ofunda kapena mapaketi ozizira polumikizira pamene ali owawa kapena opweteka. Izi zitha kuthandiza kuthetsa ululu ndikuchepetsa kutupa.

Zida zothandizira

Kugwiritsa ntchito zida monga zingwe, zibangili, ndi ndodo zitha kuthandizira thupi lanu kuthandizira mafupa ofooka.

Pumulani

Kupatsa ziwalo zopweteka, zopweteka kumatha kupumula kumatha kuchepetsa ululu ndikuchepetsa kutupa.

Kuchepetsa thupi

Kutaya makilogalamu ochepa kungathandize kuchepetsa zizindikilo za OA, makamaka pamalumikizidwe akulu ngati chiuno ndi mawondo.

Chiwonetsero

Ndi zachilendo kuti mukamakalamba mudzakhala ndi zowawa m'malo anu - makamaka mukayimirira, kukwera masitepe, kapena kuchita masewera olimbitsa thupi. Ndipo ndizotheka kuti pakapita nthawi, kuchepa kwa cartilage kumatha kubweretsa kutupa ndi OA.

Komabe, pali chithandizo chamankhwala komanso kusintha kwa moyo komwe mungachite kuti muchepetse ululu ndikuwongolera zina. Ngati muli ndi OA, lankhulani ndi dokotala kuti mufufuze zomwe mungachite.