Kudziwa Zolondola za Matenda Osteoarthritis Kumatsimikizira Matenda Oyenera
Kuzindikira kwa matenda a osteoarthritis kumakhudza zolinga zazikulu ziwiri. Mukapeza kuti matenda a osteoarthritis, dokotala ayenera poyamba kusiyanitsa mafuta a m'magazi ochokera ku mitundu ina ya nyamakazi. Ndikofunika kudziwa ngati wodwala ali ndi matenda odwala matenda a m'mimba kapena njira yachiwiri ya osteoarthritis yogwirizana ndi matenda ena.
Kumayambiriro, kumvetsa bwino matenda a osteoarthritis n'kofunikira kotero kuti njira zoyenera zochizira zingaganizidwe.
Kuti mupeze matenda osteoarthritis, dokotala wanu apanga mayeso pogwiritsa ntchito:
Mbiri yachipatala
Mbiri yanu ya zachipatala idzaphatikizapo zambiri zokhudza matenda a m'mbuyomu, matenda, matenda, komanso opaleshoni komanso zochitika zamankhwala zamakono. Kawirikawiri, pa nthawi yoyamba ndi dokotala wanu, mudzafunsidwa kuti mudzaze mafunso ambiri okhudza mbiri yanu yachipatala. Mudzafunsidwa za zizindikiro zomwe mukukumana nazo, kuphatikizapo zomwe zimachitika nthawi zambiri komanso zomwe zimachititsa kuti zizindikirozo zikhale zovuta kapena zabwino.
Kufufuza mwakuthupi
Panthawi yoyezetsa magazi, dokotala wanu amadziwa zizindikiro ndi zizindikiro zomwe zimagwirizanitsidwa ndi osteoarthritis. Dokotala adzayang'ana:
- Kutupa kofanana
- Chikondi chogwirizana
- Kuchuluka kwa kayendetsedwe kolowera m'magulu
- Zowonongeka zowonongeka (ie, kukula kwa bony)
- Crepitus
- Chitsanzo cha ziwalo zakhudzidwa
Maphunziro ojambula
X-ray imagwiritsidwa ntchito pofuna kutsimikizira kuti matenda a osteoarthritis amapezeka.
X-rays amatha kuwulula mavupusti pamphepete mwazitali, malo ophatikizana, ndi subchondral bone sclerosis. Fupa lachitsulo ndilopa fupa lomwe lili pansi pa khungu . Ngakhale kuti MRI (magnetic resonance imaging) ndi njira yowonongeka kwambiri, imagwiritsidwa ntchito mocheperapo kusiyana ndi x-ray chifukwa cha mtengo ndi kupezeka.
MRI imawoneka mchere, mafupa, ndi mitsempha.
Mayeso a Laboratory
Kawirikawiri mayesero a ma laboratory amakhala ochiritsira kotero kuti ubwino wawo uli pakulamulira mitundu ina ya nyamakazi, makamaka kutupa kwa nyamakazi, kapena kukhazikitsa maziko oyang'anira chithandizo. Kusanthula kwa madzi a Synovial kumathandizanso kuthetsa zina.
Kalasi ya American of Rheumatology Criteria
American College of Rheumatology yakhazikitsa njira zoyenera zogwiritsira ntchito matenda oyamba asayansi a m'manja, m'chiuno, ndi mawondo:
Osteoarthritis of the Hand
- Kumva ululu, kupweteka, kapena kuuma;
- Kukula kwa minofu yolimba ya zigawo ziwiri kapena khumi mwa khumi ndi zisanu ndi ziwiri;
- Mankhwala ochepa oposa atatu otulutsa MCP (metacarpophalangeal) ndi;
- Kuwonjezereka kwa minofu yolimba ya ziwalo ziwiri kapena zingapo za DIP (distal interphalangeal) kapena kuwonongeka kwa zigawo ziwiri kapena zingapo za osankhidwa khumi
Mapepala 10 osankhidwa ndi awa:
- DIP yachiwiri ndi yachitatu ya ziwalo za manja onse awiri
- Gawo lachiŵiri ndi lachitatu la PIP (mapiritsi ofunika kwambiri a interphalangeal) a manja onse awiri
- Choyamba CMC (carpometacarpal) ziwalo za manja onse awiri
Osteoarthritis wa Hip
- Kupweteka kwa Hip ;
- Amuna ndi / kapena acetabular osteophytes amawoneka pa x-ray kapena sedimentation mlingo wochepera kapena wofanana ndi 20 mm / ora;
- Dera lophatikizana limakhala loyera pa x-ray
Kusinthasintha kwapakati mkati kapena kofanana ndi madigiri 15, kupweteka kwa m'mawa m'chuuno kosachepera kapena olingana ndi ola limodzi, ndi zaka zapakati pa 50 kapena kuposera ndizo zina zomwe zingathandize kuti mupeze matenda a mitsempha ya m'chiuno.
Osteoarthritis wa Knee
- Kupweteka kwapakati ndi;
- Zosachepera zitatu mwazifukwa zisanu ndi zitatu zotsatirazi: Zaka 50 kapena kupitirira, kuuma kwa nthawi yosachepera mphindi makumi atatu, crepitus, chifundo chachikulu, kutsegulidwa kwa bony, kutentha kulikonse
Zomwe zimachitika pafupipafupi zomwe zimathandiza pofufuza mazira a bongo zimaphatikizapo kuchepa kwa mphindi zosachepera 40 mm / ora, chifuwa chachikulu chotchedwa rhumatoid zosachepera 1:40, komanso kuyima kwa synovial zamadzimadzi kusonyeza bwino, mchere wamadzimadzi ndi maselo oyera a magazi osachepera 2,000 / mm3.
Ndi ntchito ya dokotala kuti akhale katswiri wa matendawa koma ndizomveka ngati wodwalayo akumvetsa chifukwa chake ziyeso zikuchitika komanso zomwe zotsatirazo zikutanthauza.
Ngati wodwala akumvetsa njirayi kuchokera ku zizindikiro zoyambirira kuti adziwe kuti ali ndi chithandizo chamankhwala, wodwalayo angakhale ovomerezeka kwambiri ndipo zotsatira zake za mankhwala zikhoza kukhala zopambana.
Zotsatira:
Osteoarthritis. Kusiyanitsa kusiyana. Choyamba pa Rheumatic Diseases. Kopezera 12. Lofalitsidwa ndi Arthritis Foundation.
Kalasi ya American College of Rheumatology Zowonjezereka kwa Kulemba ndi Kulemba kwa Osteoarthritis ya Dzanja. 1990.
Kalasi ya American College of Rheumatology Criteria for Classification ndi Reporting ya Osteoarthritis ya Hip. 1991. http://www.rheumatology.org/publications/classification/oa-hip/1991_classification_oa_hip.asp
Zolinga Zosankha za Idiopathic Osteoarthritis (OA) ya Knee. 1986.