Nyamakazi ya osteoarthritis imatha kukhala ndi zipinda zitatu
Osteoarthritis imakhudza bondo limodzi kuposa lirilonse lirilonse. Bondoli lili ndi mafupa anayi-femur, tibia, patella, ndi fibula-ndi zipinda zitatu. Osteoarthritis ikhoza kukhudza imodzi, ziwiri, kapena zipinda zonse zitatuzo. Zonsezi zikakhudzidwa, zimatchedwa kuti tricompartmental osteoarthritis.
Zipinda zitatu za Knee
Zipinda zitatuzi zimatchulidwa ndi mafupa awiri omwe amasonkhana pamodzi mkati.
Ali:
- Chipinda chamkati cha tizilombo (mkati mwa chipinda
- Chipinda cha femoro-tibial chotsatira (chipinda chapansi)
- Chipinda cha Patellofemoral (kneecap ndi femur)
Kufufuza Zogulitsa Knee
Kufufuza mwakuthupi kungapereke chizindikiro choyamba cha chipinda chomwe chikukhudzidwa. Dokotala wanu adzakufunsani kuti muime ndi kuyenda. Mukamaima, dokotala wanu adzakuonani chifukwa chosowa chithandizo chamtundu wina, monga valgus (kugogoda-kugwa) kapena varus (uta-legged-degged) . Pangakhalenso kusiyana koonekeratu kapena kosabisa mu kutalika kwa mwendo.
Mukapemphedwa kuti muyende, dokotala wanu adzawona zinthu zosaoneka bwino, monga kuthamanga, kusokoneza, kapena kusayenda. Dokotala wanu nayenso adzafufuza zizindikiro za mankhwala osakanikirana ndi kuwona kuyenda kwanu. Dokotala wanu nayenso adzayang'ana bondo kuti ayambe kugwiritsidwa ntchito limodzi , palpate bondo pamene ali ndi malo osinthasintha, komanso fufuzani zizindikiro za minofu ya atrophy ndi kusintha kwa khungu.
Zidzakhala zofunikira kuti zitsimikizidwe kuwonongeka kwa khunyu komanso kuwonongeka kwa mgwirizano wokhudzana ndi zovuta zomwe zimachitika panthawi yofufuza. Pa kujambula kwa x-ray, kupweteka kwa khungu kumasonyeza ngati malo ochepa kwambiri pakati pa mapeto a mafupa omwe amapanga mgwirizano. Izi zimatchulidwa ngati malo olowa pamodzi .
Kawirikawiri, kupingasa kwa malo ogwirizana kumapezeka mbali imodzi. Kupititsa patsogolo kwapakati kumachitika pakati pa anthu 75 pa 100 alionse amene ali ndi mafupa a bondo ndipo amatha kuyambitsa mitsempha. Kupyolera kochepa, komwe sikungowonjezereka kwa anthu omwe ali ndi mafupa a m'magazi, kumagwirizanitsidwa ndi kugogoda ndi kugwedezeka. Ofupi ndi theka la odwala onse odwala matenda a osteoarthritis amagwiritsa ntchito umboni wa kuwonongeka kwa patellofemoral pa x-ray.
Chithandizo Chodziletsa cha Tricompartmental Knee Osteoarthritis
Njira zothandizira odwala mafupa a bondo zimadalira kuwonongeka kwa mgwirizano, mgwirizano, ndi ntchito. Asanayambe kusankha opaleshoni, mankhwala osagwiritsa ntchito opaleshoni ayenera kuganiziridwa komanso kuyesedwa, kuphatikizapo:
- Mankhwala : Ichi ndi chithandizo chachikhalidwe, chomwe cholinga chake ndi kuchepetsa ululu ndi kuyang'anira zizindikiro zina za mitsempha ya osteoarthritis . Mankhwala osokoneza bongo amayamba kuchepa.
- Kuchita masewera olimbitsa thupi : Kuchita masewera olimbitsa thupi kumathandizira kusunga mphamvu ndi kuyenda kwa ziwalo zokhudzidwa.
- Kuthamanga kwa kulemera kwa thupi : Kutenga mapaundi owonjezerapo kumawonjezera mphamvu kumalo anu pamene mukuyenda. Icho ndi chimodzimodzi cholemetsa chimene inu muyenera kupewa ndi mafupa a mafupa a bondo.
- Zomwe zimapweteka pamutu : Zojambula zam'madzi, mazira, ndi mafuta opangira mafuta amapereka mpumulo wopweteka kwa anthu omwe asayankhidwe mokwanira kapena sangathe kulekerera mankhwala opatsirana.
- Zolembera zam'mbuyo : Insulate yapadera imapangidwa kuti athandize kuchepetsa kupweteka komwe kumagwiridwa ndi mafupa apakati a knee.
- Viscosupplementation : Majekeseni angapo a mawondo ndi gel-monga mankhwala (hyaluronates) amagwiritsidwa ntchito poonjezerapo zinthu za synovial madzi m'madondo omwe amachititsidwa ndi osteoarthritis.
- Mitsempha ya intra-articular steroid : Mankhwala opatsirana pogwiritsa ntchito bondo ndi mankhwala a corticosteroid amachitidwa pofuna kuchepetsa kutupa ndi ululu.
- Zakudya zowonjezera : Zowonjezera zambiri zimagulidwa kuti azikhala ndi thanzi labwino. Ngakhale kuti nthawi zambiri amawoneka otetezeka, mphamvu zawo sizinatsimikizidwe.
- ZINTHU ZOTHANDIZA MITU YA NKHANI : Ichi ndi chipangizo chochepa chomwe chimayendetsa magetsi amphamvu ku mitsempha kapena kuzungulira malo opweteka.
- Kujambulapo : Njira zosiyanasiyana zomwe zimagwiritsidwa ntchito popanga mfundo zapadera za thupi. Kupuma kwachisoni ndi cholinga kwa anthu omwe ali ndi nyamakazi.
Kugwiritsa Ntchito Opaleshoni Yotsalira Kanyumba Zokhudza Opaleshoni
Pamene mankhwala osamalidwa amathandiza kupeza zotsatira zochepa, sitepe yotsatira ingakhale opaleshoni. Kusiyana kwa nyenyezi kapena osteotomy kungatengedwe kuti ndi koyenerera nthawi zina, musanayambe kusinthanitsa mawondo onse .
Ngati pali bwalo limodzi lokha la mawondo, dokotala wanu ndi dokotala wa opaleshoni amatha kupatsirana m'malo mwa mawondo osankhidwa kapena mawondo osapangidwanso, osati m'malo ozungulira mawondo. Ngakhale kuti chisankho chokhala ndi mawonekedwe osankhidwa a mawondo angaoneke kuti n'cholondola ndi cholunjika, pali zifukwa zomwe muyenera kuziganizira.
Zingakhale nkhani chabe nthawi yomwe zipinda zina zisamalidwe ndipo opaleshoni yowonjezera ikufunika. Kodi zingakhale bwino kukhala m'malo mwa mawondo m'malo mwa mawondo osakanikirana ndikukumana ndi opaleshoni yodalirika mtsogolomu? Dokotala wanu adzafufuza kuopsa kwa chikhalidwe chanu ndikupatseni njira yabwino kwambiri payekha.
Kuphatikizidwa m'malo mwa mawondo osayendetsa magalimoto kapena mawondo athunthu, palinso mawonekedwe a mawondo a bicompartmental. Kusintha kwa mawondo a bicompartmental ndi mwayi kwa anthu omwe ali ndi mavoti a m'magazi a zipinda zamkati ndi za patellofemoral. Poyerekeza ndi mawondo a mawondo, mawotchi osamalumikiza mawonekedwe komanso mawotchi amathandiza kuti mafupa azikhala osasunthika.
Mawu Ochokera
Anthu ambiri omwe ali ndi mafupa a mitsempha a knee amachita nawo mofanana mazipinda atatu a mawondo. Njira zochiritsira, makamaka njira zopaleshoni, zimadalira ngati muli ndi nyumba yosungirako zipinda zam'madzi, bicompartmental, kapena tricompartmental knee osteoarthritis.
Kumva kupweteka kumakhala kudandaula kwachipatala komwe kumatengera anthu ku dokotala wawo woyamba kuti ayambe kufufuza. Kufufuza molondola ndi kofunikira kuti muyambe kugwiritsira ntchito matenda a mitsempha ya knee. Mankhwala oyenera amatsatira matendawa. Katswiri wa mafupa angathe kumaliza kukonza dongosolo la mankhwala. Pali mankhwala ambiri othandizira kuti ayesetse. Ngati ili nthawi yoti muone opaleshoni, pezani opaleshoni yabwino kwambiri ya opaleshoni.
> Zotsatira:
> Beutler, Anthony, MD ndi al. Kufufuza Kwambiri kwa Knee. Zaposachedwa. Kusinthidwa pa April 13, 2017.
> Deveza, Leticia Alle, MD, ndi al. Kusamalira Knee Osteoarthritis. Zaposachedwa. Idasinthidwa pa 17 April, 2017.
> Lane, Nancy E. ndi Wallace, Daniel J. Zonse za Osteoarthritis. Thupi Lalikulu. Masamba 102-105. Oxford University Press. 2002.
> Sabatini, Luigi et al. Bicompartmental Knee Arthroplasty. Annals of Translational Medicine. 2016 Jan; 4 (1): 5.