Mtundu wa osteoarthritis ndi mtundu wambiri wa osteoarthritis . Anthu oposa 10 miliyoni a ku America ali ndi mafupa a bondo. Chimodzimodzinso ndi chifukwa chofala kwambiri cha ulema ku United States. Matenda oyambirira ndi chithandizo amathandiza kuchepetsa zizindikiro za m'magazi. Kufotokozera mwachidule mafupa a m'magazi kudzakuthandizani kumvetsa zizindikiro, matenda, komanso njira zamankhwala.
Zimayambitsa
Kuwonongeka kwa kanyama kotchedwa cartilage ndi vuto lalikulu lomwe limagwirizanitsidwa ndi mafupa a mitsempha. Funso ndiye ndiye lomwe likupangitsa kuwonongeka uku? Chikhalidwe chingayambidwe ndi:
- kuvulaza kwa bondo lapitalo
- Kusinthasintha mobwerezabwereza pa bondo
- kupweteka, mitsempha yolema , ndi kuvulaza kwadzidzidzi komwe kungakhudze kugwirizana kwa bondo ndi mwendo ndikulimbikitsanso kuvulaza
- mafupa, omwe amachititsa anthu ena kukhala ndi mitsempha ya m'magazi
- kunenepa kwambiri - kukhala woposa kunenepa kwambiri kapena kunenepa kwambiri kumadzetsa chiopsezo cha mafupa a m'magazi
- mavuto ndi subchondral bone (fupa lapafupi pansi pa karoti pambali)
Kudziwa
Kuti adziwe matenda a mitsempha ndi mawonekedwe ena, dokotala wanu adzalandire mbiri yanu yachipatala, kufufuza mwakuthupi, ndikukonzekera X-ray ya bondo. Izi X-rays ndi njira yofunika yothandizira osteoarthritis, kuti dokotala awone umboni wa malo ophatikizana ndikuchepetsa zifukwa zina za ululu wamondo.
Ngati chithunzi chofunika kwambiri, MRI ikhoza kulamulidwa ndikuchitidwa kuti chiwoneke bwino. Kuchita opaleshoni ya mawondo ndi njira ina yowonekeratu.
Zizindikiro
Matenda a osteoarthritis amayamba pang'onopang'ono kwa zaka zambiri. Zizindikiro zazikulu zokhudzana ndi mafupa a m'magazi ndi awa:
- ululu pa bondo, lomwe lingakhale lofatsa, laling'ono, kapena lolimba
- kuuma kwa bondo limodzi
- Kulimbana kochepa pa bondo, simungakhoze kuigwedeza mpaka momwemo
- kutupa kwa bondo komweko
Kupweteka kwa khunyu kwa osteoarthritis kumakhala koyipa kwambiri potsatira ntchitoyi, makamaka kugwiritsira ntchito bondo lomwe lasokonezedwa. Kukhumudwa kungakhale kovuta pambuyo pokhala nthawi yaitali. Pamene mafupa a osteoarthritis akupita, zizindikiro zimakhala zovuta kwambiri. Ululu ukhoza kukhala wopitirira osati pokhapokha polemera.
Chithandizo
Matenda a osteoarthritis sangathe kuchiritsidwa koma pali mankhwala omwe angathandize kuthana ndi zizindikiro. Mankhwala, kuyambira ndi acetaminophen, amatha kuthana ndi kuchepetsa ululu. Odwala ena amapeza mpumulo wopweteka kwambiri pogwiritsa ntchito NSAID (mankhwala osakanikirana ndi mankhwala osagwiritsidwa ntchito) kapena Celebrex, otsala omwe ali otsala a COX-2. Pali mankhwala a opioid analgesic omwe amapezeka kwa odwala omwe amafunika kupumula kwambiri.
Kuwonjezera pa mankhwala, mankhwala ena ndi awa:
- ma intjectarticular injections ya steroids kapena viscosupplements
- zolimbitsa thupi / mankhwala opatsirana
- kulemera kwa thupi ngati mukulemera kwambiri
- mapepala apamwamba kuti athandize kupweteka
- mawondo a mawondo kapena chithandizo
- njira zotetezera pamodzi
- kutentha ndi kuzizira
- glucosamine ndi chondroitin sulphate (ngakhale kuti sakuvomerezedwa ndi American Academy of Orthopedic Surgeons)
- opaleshoni ngati njira yomaliza
Kupeza ndi kuchiritsidwa pamene bondo la osteoarthritis lidali lopindulitsa kwambiri. Ngati atachiritsidwa msanga, anthu ambiri amatha kusamalira bwino mafupa otupa.
Zotsatira:
Osteoarthritis wa Knee. JAMA. February 26, 2003 - Vol. 289. No.8.
Buku Lopereka Matenda a Osteoarthritis a Knee. Pulogalamu ya Orthopedics ndi Surgery ya Hip ndi Knee. 7/29/2007.