Mankhwala apadera angathe kugwira ntchito kuthandiza kuchepetsa kupweteka komwe kumagwirizanitsidwa ndi gawo la mkati ( knee osteoarthritis ). Mitundu yotchedwa insoles, yomwe imatchedwa insal-wedge insoles, imachepetsa ululu posintha makina a bondo.
Mzere wokhotakhota-wedge insole wavala mkati mwa nsapato. Ndi woonda kwambiri pa intep ndi wokhotakhota pamphepete mwa phazi. Dera la lateral-wedge insole lingasinthidwe kwa odwala.
Mmene Amachepetsa Kupweteka
Zolemba zam'mbuyo zamagetsi zimasintha mabedikomiki pa mawondo poyenda mwa kuchepetsa zomwe zimatchedwa varus torque. Vuto la Varus likupotoza bondo mkati. Kuwonjezera katundu pambali ya mawondo kumagwirizana ndi chitukuko cha mafupa a m'magazi. Ofufuza asonyeza kuti kusinthasintha bondo kungachepetse zizindikiro za mitsempha ya osteoarthritis ndi kuchepa kwa matenda m'thupi la osteoarthritis.
Mavuto aakulu a mawondo ndi umboni wochuluka wa x-ray wa knee osteoarthritis akhala akugwirizanitsa ndi kupititsa patsogolo kwa mawondo (kuthamangira pakatikati mwa thupi kapena mkati) pamene mukuyenda. Zolemba zothandizira zowonjezera zingathandize kuchepetsa kulongosola kwa varus.
Amene Angathandizidwe
Odwala omwe ali ndi osteoarthritis apakati amatha kuthandizidwa ndi insal-insge insoles. Mu osteoarthritis wamkati, mawonekedwe a bondo amakhala amakhala (opotoka mkati) ngati malo olowa pamodzi akuchepa . The lateral-wedge insole amathandizira pokonza zolakwika ndikusunthira katundu kutali ndi chigawo chapakati cha bondo.
Pafupifupi 67 peresenti ya odwala mafupa osteoarthritis a knee osteoarthritis, pamene 10 mpaka 16% ali ndi osteoarthritis. Ena onse akukhudzidwa kudera lakumbuyo kwa kneecap (patellofemoral dera).
Mphamvu
Kafukufuku wapanga zotsatira zosagwirizana pokhudzana ndi mphamvu ya insal-insge insoles.
Ngakhale kuti kafukufuku wina atulukira kuti insalinthine imapangitsa kuti matenda a osteoarthritis asamayende bwino, ena amavomereza kuti odwala ena omwe amagwiritsa ntchito mankhwala osokoneza bongo , amachepetsa kugwiritsa ntchito mankhwala osokoneza bongo (NSAIDs) komanso kuti kutsata kwakukulu kovala zovala.
Mafufuzidwe ambiri amafunika kuti azindikire mozama zenizeni za insal-insge insoles kwa anthu omwe ali ndi mafupa a mitsempha. Kugwiritsiridwa ntchito kwa insal-wedge insoles kumaonedwa ngati njira yothandizira odwala. Muyenera kukambirana za zoyenera zothandizidwa ndi dokotala wanu.
Zotsatira:
Kupweteka Kwambiri Kwambiri, Kukula kwa Knee Osteoarthritis. American Academy of Physical Medicine ndi Kukonzanso. Kerrigan et al. July 5, 2002.
Zotsatira za insoles zakusakanikirana kale pa zizindikiro ndi matenda opitilira mu matenda apakati a knee osteoarthritis. Bennell et al. Matenda a BMC Musculoskeletal. September 24, 2007.