Knee Osteoarthritis:
The American Academy of Orthopedic Surgeons, bungwe loyamba la madokotala opaleshoni ya mafupa ku United States, linakhazikitsa komiti kuti ione njira zosiyanasiyana zochiritsira zomwe zilipo kwa odwala omwe ali ndi mafupa a knee . Komitiyi inafufuza kafukufuku wa mankhwalawa ndikuyang'ana ubwino wa kafukufuku ndi zotsatira za maphunzirowa.
Komitiyi, yomwe idapangidwa ndi madokotala opaleshoni ya mafupa, madokotala oyang'anira chisamaliro , madokotala , ndi ochita kafukufuku, anafotokoza zomwe anapeza kwa madokotala kuti azitsogolera kuchipatala cha m'magazi.
Zotsatira zonse zingapezeke pa webusaiti ya AAOS. Pano pali chidule.
Mankhwala Othandizidwa Ndi Umboni Wabwino wa Zamankhwala:
Njira ziwiri zochiritsira kwambiri zothandizira mafupa a bondo ndi kulemera kwa thupi komanso kuchita masewera olimbitsa thupi . Odwala omwe ali olemera kwambiri (BMI apamwamba kuposa 25) amayenera kutaya zosachepera 5% za kulemera kwa thupi lawo. Kuonjezerapo, kuchita masewera olimbitsa thupi, kuyambitsa matenda oyenera kumayambitsa odwala onse omwe ali ndi mitsempha ya m'magazi .
Kuchiza ndi Umboni Wokwanira wa Zamagetsi Kugwiritsa Ntchito:
Mankhwalawa anali ndi umboni wogwiritsira ntchito, koma mwina maphunzirowa anali ofanana kwambiri kapena zotsatira zina zinali zotsutsana. Njira iliyonse, pali umboni wakuti mankhwala otsatirawa angakhale othandiza kwa odwala osteoarthritis:
- Tylenol (Acetaminophen)
- Mankhwala osagwiritsidwa ntchito poletsa kupweteka (NSAIDs)
- Mankhwala a Cortisone
Mankhwala Amene Umboni Wosakwanira Kapena Wosagwiritsidwa Ntchito:
Pali mankhwala ambiri kumene kufufuza komwe kulipo kunalibe kokwanira kuti pakhale malangizowo kapena otsutsana ndi kugwiritsa ntchito mankhwalawa.
Odwala omwe ali ndi mafupa a m'magazi ayenera kukhala akuyesera mankhwala omwe tatchulawa asanayese mankhwalawa:
- Zingwe zamakolo
- Viscosupplementation Injections ( intra-articular hyaluronic acid , mwachitsanzo, Synvisc, Orthovisc, ndi Hyalgan)
- Kupangidwanso
Mankhwala Osatchulidwa Kanyonga Osteoarthritis:
Lipotili limalimbikitsa kuti mankhwala ochiritsira otsatirawa asagwiritsidwe ntchito, chifukwa awonetsedwa kuti sagwira bwino mufukufuku wamankhwala wokonzedwa bwino komanso wochitidwa bwino:
- Mankhwala amtundu wa nsapato
- Glucosamine ndi / kapena chondroitin
- Majekeseni a saline ( singano osasuka ) a mawondo a bondo
Lipotili likupeza kuti mankhwalawa asonyezedwa mu maphunziro angapo, apamwamba kwambiri kuti asakhale othandizira kuthandizidwa kwa zizindikiro za mafupa a mitsempha.
Chidule cha Malangizo:
Zotsatira izi mosakayikira zimasokoneza anthu ambiri omwe apeza mpumulo ku ululu wa osteoarthritis ndi mankhwala omwe sanapepetse bwino mu lipoti ili. Zotsatira izi sizikutanthauza kuwakwiyitsa anthu awa, koma kupereka kupereka zokhudzana ndi zomwe mankhwala akhala akupezeka kuti nthawi zambiri amapambana pochizira mafupa a bondo.
Muyenera kukambirana zachipatalachi ndi dokotala wanu, ndipo muonetsetse kuti akutenga njira zonse zomwe zingathandize kuthetsa ululu wanu wamagulu.
Zotsatira:
Richmond, JC, et al. "Malangizo onena za Chithandizo cha Osteoarthritis (OA) cha Knee" American Academy of Orthopedic Surgeons. Feb 2008.