Kuchiza kwa Osteoarthritis

Chithandizo cha osteoarthritis chiyenera kukhala payekha

Matenda a osteoarthritis ndi matenda opweteka omwe angasokoneze mphamvu ya wodwala kuchita zinthu zowonongeka tsiku ndi tsiku , malinga ndi zomwe zimakhudza. Kuyezetsa magazi koyambirira ndi kofunika kwambiri. Zolinga za mankhwala a osteoarthritis ndi:

• Pemphani ululu ndi zizindikiro zina za m'mimba
• Sungani kapena kusintha ntchito yogwirizana
• Kuchepetsa kufooka kwa thupi

American College of Rheumatology (ACR) imapereka malangizo othandizira kuchiza matenda a osteoarthritis, ngakhale kuti ikugogomezera kuti zosankha zachipatala zimakhala ndi dokotala ndi wodwala. Zotsatira za ACR zikuphatikizapo osagwiritsa ntchito mankhwala osokoneza bongo komanso mankhwala osokoneza bongo (mwachitsanzo, mankhwala) ochizira matenda a osteoarthritis.

Osati Pharmacologic Chithandizo cha Osteoarthritis Odwala

Njira zothandizira, zosagwiritsa ntchito mankhwala ziyenera kuonedwa poyamba. Ngati mpumulo wokhutiritsa ukhoza kupindula pogwiritsa ntchito njira zosagwiritsira ntchito mankhwala, chiopsezo choyambitsidwa ndi mankhwala amapewa. Njira zopanda chithandizo cha mankhwala ndizo:

• Maphunziro oleza mtima ndi mapulogalamu oyang'anira okha
• Kulemera kwa msinkhu ngati wodwala ali wolemera kwambiri
• Mankhwala othandizira kuchita masewera olimbitsa thupi, kulimbitsa thupi, kuthamanga kwa minofu
• Zida zothandizira
• Kupopera ndi kuphulika
• Mitundu yowonjezera-yowonjezera
• Thandizo la ntchito kuti zitha kutetezedwa pamodzi, kuteteza mphamvu

Mankhwala a Osteoarthritis

Mankhwala ayenera kuonedwa kuti amachiza osteoarthritis kuwonjezera pa zosankha zamankhwala osagwiritsa ntchito mankhwala.

Mankhwala amagwiritsidwa ntchito pokonza ululu. Kusankha mankhwala kumadalira kuvutika kwa ululu, chiopsezo cha zotsatirapo kwa wodwala, komanso mgwirizano womwe umakhudzidwa nawo.

Mankhwala ovomerezeka

• Acetaminophen
• Mankhwala otchedwa opioid analgesics (mwachitsanzo Ultram kapena ambiri opioid mankhwala)
• NSAIDs (mwachitsanzo, ibuprofen, naproxen, dicofenac, meloxicam)

• COX-2 inhibitor (mwachitsanzo, Celebrex)
• Salicylate yopanda malire

Majekesiti apamtunda (intraarticular)

• Malungo a Corticosteroid
• Viscosupplementation (ie, majakisoni a hyaluronan )

Mitundu yamakono ndi ma gels

• Capsaicin kirimu
• Methylsalicylate kirimu

Opaleshoni ya Osteoarthritis

Kuchita opaleshoni kumatengedwa ngati njira yomaliza yopangira chithandizo chamankhwala. Opaleshoni yothandizira ilimbikitsidwa kwa odwala omwe akuvutika kwambiri kapena kuperewera kwa ntchito zopitirirabe omwe alephera kuyankha njira zina zothandizira.

Kuchita opaleshoni kungachepetse ululu, kuyanjanitsa mgwirizano, ndikubwezeretsanso kayendetsedwe kake ndi kugwira ntchito. Mitundu yowonjezereka ya opaleshoni yogwiritsidwa ntchito pochizira osteoarthritis ikuphatikizapo:

• Opaleshoni yamakono
• Osteotomy

Njira Zochiritsira Zochiritsira kwa Osteoarthritis

Njira zina zamankhwala zakhala zikudziwika pazaka zingapo zapitazo. Glucosamine ndi chondroitin sulphate akhala akulimbikitsidwa kuti athetse matenda a osteoarthritis. Kafukufuku wina, komabe, adakayikira momwe zowonjezeramo zimathandizira komanso momwe zimagulitsidwa.

Mavitamini, makamaka antioxidants , amanenedwa kuti amachepetsa osteoarthritis ndipo akhoza kuteteza matendawa. Vitamini C yakhala ikugwirizanitsa ndi kupweteka komanso kupitirira kwa matenda a osteoarthritis. Mavitamini D ndi E adagwirizananso ndi mpumulo wa osteoarthritis.

Chirasiyiti yachitanso kuti ikhale yopindulitsa kwa osteoarthritis. Kugwiritsidwa ntchito, ndi katswiri wochizira matenda odwala matenda a nyamakazi, kungathandize kuchepetsa ululu wa osteoarthritis kwa odwala ena.

_{Zotsatira:
Matenda a Osteoarthritis. Choyamba pa Rheumatic Diseases. Kopezera 12. Lofalitsidwa ndi Arthritis Foundation.
Osteoarthritis Treatment Options. Arthritis Foundation. 7/23/2007.
Malangizo a Medical Management of Osteoarthritis a Hip ndi Knee. American College of Rheumatology. September 2000.}