Njira 18 Yopangira Opaleshoni Yopangidwanso
Osteoarthritis wa bondo amatha kukufikitsani, kwenikweni ndi mophiphiritsira. Sikuti kokha kupweteka ndi kuuma kumapangitsa kuti zikhale zovuta kuyenda bwino, koma kusankha pa chithandizo cha mafupa a mitsempha kungakhale kosokoneza. Pali njira zambiri zothetsera vutoli. Ena amaonedwa kuti ali otetezeka ndi ogwira mtima ndi American Academy of Orthopedic Surgeons (AAOS), ndipo zina siziri choncho, zingakhale zothandiza kudziwa momwe mankhwala akulimbikitsidwira ndipo si monga momwe inu ndi adokotala mumasankhira kudzera mwazotheka .
Izi ndi zomwe American Academy of Orthopedic Surgeons (AAOS) imanena za mankhwala 18 osagwirizana ndi mafupa a mafupa , motengera umboni wosiyanasiyana. Iwo amalephera kusiya kuphatikizapo mawondo koma kumbukirani kuti mwina angakhale njira yabwino yoperekera kwa inu. Musanawerenge, onani kuti malangizo a AAOS akukhudzana ndi anthu omwe ali ndi zizindikiro za mafupa a m'magazi, monga kupweteka pamodzi ndi kuuma . Iwo sali kutanthauza kuti akulimbikitsidwa kwa iwo omwe agwadira ma X-ray omwe amasonyeza umboni wa kufanana kwa mgwirizano koma omwe alibe zizindikiro zirizonse.
Kupatsidwa Chithandizo cha Knee Osteoarthritis
1. Ntchito zowonzetsa, maphunziro, ndi ukhondo. Izi zimaphatikizapo kutenga nawo mbali pulogalamu yoyendetsera zosamalidwa ndikupanga kusintha pa ntchito ngati n'kotheka kuteteza ziwalo zanu (mwachitsanzo, kuyenda kapena kusambira m'malo moyendetsa masewera olimbitsa thupi).
2. Kupweteka kwapweteka. Mankhwala osokoneza bongo komanso osakanikirana ( anti-inflammatory drugs) (NSAIDs) amalimbikitsidwa kwambiri kuti athetse ululu ndi kutupa.
Mankhwala otchedwa opioid narcotic tramadol amapezeranso ndalama zambiri kuchokera ku AAOS pofuna kuchiza ululu kuchokera ku mafupa a m'magazi.
3. Kulemera kwa thupi. Ngati mukulemera kwambiri , kutanthauza kukhala ndi thupi lolemera thupi (BMI) lalikulu kuposa 25, mudzapindula kwambiri kutaya 5 peresenti ya kulemera kwa thupi lanu ndikukhala ndi zolemera zochepa kupyolera mu zakudya ndi masewera olimbitsa thupi.
4. Chitsulo chotsatira. Awa ndi insoles omwe amakweza kunja kwa m'munsi mwa phazi kuti asinthe momwe mawondo amagwirira ntchito. AAOS ikugogomezera kuti sizimalimbikitsa zidendene zachitsulo kwa anthu omwe ali ndi mawonekedwe a bondo wamagazi.
5. Chisochi chimasamba. Ichi ndi chizolowezi chotsuka olowa. AAOS sakulangiza motsutsana nazo koma amati madokotala ayenera kuyang'ana kafukufuku watsopano. Phunziro limodzi lapamwamba silinapeze phindu lokhalitsa.
6. Tibial osteotomy. Ngakhale kuti maphunzirowa akuthandizira njirayi, yomwe mbali imodzi ya tibia (imodzi mwa mafupa awiri a m'munsimu umene umakhala pansi pa bondo) imachotsedwa, ndi yotsika mtengo, AAOS siipereka umboni wotsutsa.
Kuchiza ndi Umboni Wosavomerezeka
7. Mankhwala, kuphatikizapo electrotherapeutic modalities. Izi zikuphatikizapo kutulutsa mphamvu zamagetsi (TENS); chotsalira; chosatha; ntchito yothandizira masewera olimbitsa magetsi (TAMMEF); ndi ultrasound. Mwa izi, ultrasound ili ndi umboni wochuluka wosonyeza kuti ikhoza kukhala wogwira mtima, koma mwachidule pali kafukufuku wowonjezereka kwambiri kuti aweruze bwinobwino mankhwalawa, malinga ndi malangizo a AAOS.
8. Mankhwala othandizira. Izi zimaphatikizapo mankhwala achiropractic, kumasulidwa kwa myofascial, ndi kusisita kwa Swedish. AAOS sichifukwa cha mankhwalawa kapena ayi.
9. Knee brace. Chitsanzo cha mawondo a mawondo ndichokutulutsa katundu wamkati, chomwe chimapangidwira kupanikizika kwa bondo lamkati mwa munthu amene osteoarthritis akuyang'ana pamenepo. Zofufuza za mphamvu za mawondo sizionetsa ngati zili zothandiza kapena ayi.
10. Acetaminophen, opioids, ndi zopweteka zopweteka. Ngakhale pali umboni wakuti NSAID ndi othandiza kuthana ndi matenda a mafupa, bwalo lamilandu lidalibebe pa NSAID (kupatulapo tramadol).
11. Mujected corticosteroids. Intra-articular corticosteroids ali jekeseni mu gulu lokhudzidwa. Sindikudziwa momwe chithandizochi chingathandizire osteoarthritis wa bondo.
12. Majakisoni a biologic: Osagwiritsa ntchito majekeseni kapena kukula kwa plasma.
13. Zolemba zapakati pazirombo : Ngati muli ndi zizindikiro za meniscus kapena thupi lotayirira, sangathe kulangiza kapena kutsutsana ndi njirayi.
Mankhwala Osakondedwa
14. Glucosamine ndi chondroitin. Ngakhale kuti glucosamine ndi chondroitin zonsezi zimakhala zochitika mwachibadwa, aAOS amatichenjeza kwambiri kuti asamawatenge ngati mawonekedwe a zakudya zowonjezereka kuti azichiza osteoarthritis wa bondo.
15. Kugwiritsa ntchito malamulo. Mankhwalawa amatenga jekeseni wa hyaluronic acid, yomwe ndi gawo lofunika kwambiri la synovial madzi omwe amachititsa kuti mafupa azigwiritsidwa ntchito. AAOS sikuti amalimbikitsa odwala hyaluronic injection ma knee osteoarthritis.
16. Kugwiritsanso ntchito : Pali umboni wamphamvu wokhala ndi umboni wosatsimikizirika umene umapangitsa kuti musamve ululu wokhudzana ndi mafupa a mitsempha.
17. Kupenda nyamakazi pogwiritsira ntchito mankhwala kapena kupukuta . Iyi ndiyo njira yomwe minofu yowonongeka imachotsedwa pakati pa ziwalo zosagwirizana.
18. Unispacer. Ichi ndi chipangizo chosasunthika chaulere chomwe chimapereka khalala yotayika, yomwe AAOS ikunena kuti sayenera kukhazikitsidwa mwa munthu yemwe ali ndi matenda osokoneza bongo omwe alibe chizindikiro.
Zotsatira:
American Academy of Orthopedic Surgeons. " Kuchiza kwa Osteoarthritis ya Knee: Malangizo Ochokera ku Umboni, Kachiwiri ." May 18, 2013.
> Batumiki E, et al. "Mphamvu ndi Chitetezo cha Masamba Opanga Mavitamini Opangidwa ndi Mafilimu (TAMMEF) Odwala Odwala Odwala Osteoarthritis." Chipatala cha Exp Rheumatol . 2004 Sep-Oct; 22 (5): 568-72.
> Duivenvoorden T, ndi al. "Mitsempha ndi Othandizira Potengera Osteoarthritis a Knee." Cochrane Database Rev Rev 2015 2015 Mar 16; (3): CD004020. lembani: 10.1002 / 14651858.CD004020.pub3.
> MedLine Plus. "Mankhwala osokoneza bongo, zitsamba, ndi zowonjezera: Tramadol." Apr 2017.
> Ma Institutes of Health. "Glucosamine ndi Chondroitin kwa Osteoarthritis." Nov 2014.