Ambiri Ambiri Amtundu wa Arthritis
Nyamakazi yowonongeka ndi matenda osagwirizana ndi mankhwala amagwiritsidwe ntchito mosiyana ndi osteoarthritis . Nyamakazi yowonongeka, kapena mafupa a osteoarthritis, ndiyo mtundu wambiri wa nyamakazi. Ku United States, anthu pafupifupi 30 miliyoni ali ndi matenda a osteoarthritis, malinga ndi Centers for Disease Control and Prevention (CDC). Ngakhale kuti ndi matenda ambiri a nyamakazi pakati pa anthu akuluakulu oposa zaka 65, aliyense ali ndi zaka zingapo angathe kuyamba matendawa.
Kuopsa kwa matendawa kumakula ndi ukalamba. Kufala kwa matenda a osteoarthritis kumawonjezeka kwambiri pambuyo pa zaka 50 mwa amuna ndipo pambuyo pa zaka makumi anayi makumi anayi ndi makumi anai m'mayi. Komanso, si zachilendo kuti nyamakazi yowonongeka ikhale ndi zaka zambiri pambuyo povulazidwa (ie, post-traumatic osteoarthritis ).
Mankhusu omwe amakhudzidwa ndi nyamakazi yowonongeka amaphatikizapo mawondo , ziuno , zala zazikulu zala, zala, ndi msana . Katemera woteteza mafupa omwe ali nawo ophatikizidwa atha kuwonongeka kapena kuchepa. Izi zikachitika, thupi limayamba kupanga fupa latsopano (mwachitsanzo, mafupa a nyamakazi ) mwa kuyesayesa. Kutayika kwa cartilage ndi chitukuko cha osteophytes kumapangitsa kuvutika, chomwe chiri choyimira chachikulu chomwe chikugwirizana ndi nyamakazi yowonongeka.
Chifukwa cha Dermenerative Arthritis
Nyamakazi yowonongeka, kapena mafupa a osteoarthritis, amakula makamaka pamene kuyesayesa kwa thupi kulibe mphamvu yowonongeka.
Chomwe chimayambitsa kuwonongeka ndi kuyesayesa kotereku sikukumveka bwino. Pali zifukwa zambiri zomwe zimaphatikizidwapo, zomwe zimapangitsa kuti zikhale zovuta kwambiri kusiyana ndi kufotokozera mophweka zomwe zimaperekedwa-kukhala, kuvala ndi kugwedeza komwe kumaphatikizapo kukalamba .
Pali zinthu zakuthambo, zomangamanga komanso kusintha kwa thupi komwe kungayambe kugawanika.
Mankhwalawa amathandizanso. Ndipotu, matenda a nyamakazi amatha kugwiritsidwa ntchito palimodzi ndi kuwonongeka kwa kanyama kakang'ono kameneka, kutentha kwa mafupa pamphepete mwa mgwirizano wokhudzidwa, kusintha kwa membrane ya synovial (ie, mapaipi ophatikizana), subchondral bone sclerosis , mitsempha ndi minofu yambiri. Ndizovuta ndipo pali zambiri zoti zipezeke pamasom'manja.
ZOYENERA: Ngakhale kuti nyamakazi yofooka imakhudzidwa kwambiri ndi ukalamba, odwala omwe amapanga matenda a osteoarthritis ali aang'ono kapena osagwirizana, monga mapewa kapena bondo omwe alibe mbiri ya kuvulaza, ayenera kufufuzidwa chifukwa cha matenda osakanikirana a nyamakazi , avascular necrosis , kapena mafupa enaake Mkhalidwe, mwachitsanzo, hemochromatosis , chikhalidwe chodziwika ndi kusungunula chitsulo chochuluka kwambiri m'thupi.
Kuchiza kwa Matenda Opatsirana
Palibenso zambiri zomwe zingapewe kupititsa patsogolo matenda a osteoarthritis. Chithandizo tsopano chikugwiritsidwa ntchito poyang'anira zizindikiro, zomwe zimaphatikizapo kupweteka, kuuma, kuyenda kochepa, ndi crepitus . Kupumula, kukhala ndi zowoneka bwino, kugwiritsa ntchito zipangizo zothandizira, kutentha, zochita masewera olimbitsa thupi, acetaminophen kapena NSAIDs (mankhwala osagwiritsiridwa ntchito ndi anti-inflammatory).
Mankhwala osokoneza bongo satero. Intra-articular steroid jekeseni ingagwiritsidwe ntchito kuyesa zizindikiro za zizindikiro. Ndi nyamakazi yowonongeka kwambiri, pamene mankhwala osamalidwa bwino sali okwanira, opaleshoni angafunike. Zosankha za opaleshoni zimaphatikizapo kukangana kwazowonongeka, osteotomy , arthrodesis , ndi mgwirizano wonse wa arthroplasty (mwachitsanzo, mgwirizano wotsatizana ).
Mawu Ochokera
Matenda a nyamakazi ndi mtundu wa nyamakazi ambiri amalingalira kuti nyamakazi imatchulidwa. Kusanthula kwenikweni kumachokera ku zotsatira za kufufuza zojambula (mwachitsanzo, x-ray), kuyesa magazi, ndi kuunika kwa thupi.
Mayesero ena amachitidwa kuti athetse mitundu ina ya nyamakazi.
Kuwonjezera pa kulondola molondola ndi kuchiritsidwa koyenera, kukhalabe olimbitsa thupi kudzakuthandizani kuthetsa matenda odwala osteoarthritis. Kuti mukhale ndi moyo wabwino ndi matenda a mafupa a m'mimba, CDC imati, " Akatswiri amalangiza kuti akuluakulu azichita masewera 150 pamlungu pochita masewera olimbitsa thupi, kapena mphindi 30 pa tsiku kwa masiku asanu. Ntchito zochepetsera, zochepa zomwe zimaphatikizidwa zikuphatikizapo kuyenda, kusambira, kapena kukwera njinga. Kuchita masewera olimbitsa thupi kungathandizenso kuchepetsa matenda ena odwala monga matenda a mtima, matenda a sitiroko, ndi shuga. "CDC imatsindikanso kufunika kokhala wolemera ngati mukulemera kwambiri.
Zotsatira:
Matenda a Osteoarthritis - Matenda Ogwedezeka Ogwiritsidwa Ntchito. Merck Manual. Chakhumi ndichinayi.
Mapepala Owona Osteoarthritis. CDC. Idasinthidwa pa February 2, 2017.
Kelley's Textbook ya Rheumatology. Kusindikiza kwachisanu ndi chinayi. Elsevier. Pathogenesis wa Osteoarthritis. Mutu 98. Cesare et al.