Njira Yowawa ndi Yodziwika Kwambiri ya Osteoarthritis
Osteoarthritis ikhoza kukhudza ziwalo mu gawo lirilonse la thupi, kuphatikizapo zala. Matenda a mitsempha ndi amodzi omwe amapezeka pakati pa amayi amantha.
Nthawi zambiri timatenga zala ndi manja athu mopepuka. Patsiku lachidziwitso, onani momwe ntchito ikudalira ndikuyenda. Zindikirani zovuta za kayendetsedwe kalikonse ndi momwe ntchito zolimbitsa thupi zikhoza kukhalira kwa anthu omwe ali ndi matenda a mano.
Anatomy ya zala Zanu
Manatoma amtundu ndi ovuta. Kuti mumvetsetse momwe osteoarthritis imakhudza zala zanu, ndibwino kudziwa zambiri za mafupa ndi ziwalo zomwe zingakhudzidwe. Izi zingakuthandizeninso kuyankhula ndi dokotala wanu za zizindikiro zanu ndi mankhwala.
Mafupa omwe ali pachikhatho cha manja amatchedwa mafupa a metacarpal. Mmodzi wa metacarpal umagwirizanitsa ndi chala chirichonse ndi chala chachikulu. Chala chirichonse chimapangidwa ndi timiso ting'onoting'ono ta mafupa, otchedwa phalanges. Zolumikizidwe zapamwamba zomwe zili pafupi ndi mkono (metacarpophalangeal kapena MCP) zimapangidwa ndi kugwirizana kwa phalanges kwa ma metacarpals. Mgwirizano wa MCP umagwira ntchito ngati chingwe ngati zala zikuwongolera kapena kuwongoledwa.
Mitundu itatu ya phalanges mulake iliyonse imasiyanitsidwa ndi ziwalo ziwiri, zotchedwa interphalangeal kapena ziwalo za IP. Yoyandikira kwambiri kwa MCP imatchedwa kuti interphalangeal kapena PIP pamodzi. Mgwirizano pafupi ndi mapeto a chala umatchedwa interallangeal distal kapena DIP pamodzi.
Mphindi za IP zimagwiranso ntchito ngati ziwalo zomangira.
Zomwe Zimayambitsa Mafinya Osteoarthritis
Matenda a osteoarthritis ndi matenda osokoneza bongo . Ndi matenda a nyamakazi, nyamakazi - ndi minofu yolimba, koma yokhazikika yomwe imakhudza mapeto a mafupa omwe amapanga mgwirizano - amavala pang'onopang'ono.
Kuvulala kwa chophatikizana monga kupuma kapena kupweteka kungawononge khungu.
Ngakhale ngati kuvulala sikungachititse kuti khunyu kuwonongeke, izo zingakhudze momwe mgwirizano umagwirira ntchito. Amagulu angasokonezedwe atachiritsidwa kuvulala. Zoperewera zoterezi zingathe kupanikizira mgwirizano, womwe ukhoza kuwononga khalala.
Kodi Mbalame Yotchedwa Osteoarthritis Imapezeka Bwanji?
Matendawa amayamba ndi mbiri yachipatala yomwe idzaphatikizapo kuvulala kulikonse komwe kungayambitse vutoli.
Kuyezetsa thupi kumapangitsa dokotala kufufuza kayendetsedwe ka kayendetsedwe kake m'magulu okhudzidwa ndi chala ndi zomwe zimayambitsa ululu. Maonekedwe a zizindikiro (Bouchard's kapena heberden's nodes) zingathandizenso ndi matenda a mitsempha ya osteoarthritis.
Nthawi zambiri ma X-rays amalamulidwa kuti dokotala akhoze kuona zithunzi za kuwonongeka pamodzi. Izi zimawathandiza kuti adziwe momwe khungu limapitiririra kapena ngati mgwirizano uli ndi fupa pang'onopang'ono ngati katsamba kakatha.
Zizindikiro za Mankhwala Othandizira Amtenda
Zizindikiro zogwiritsidwa ntchito ndi mafuta a mano zimapweteka, kuuma, ndi kutupa. Kuwonjezera apo, kukula kwa mfundo zingathe kuzindikirika ndipo mwina mukukhala ndi zochepa zochepa kapena zocheperapo mphamvu.
Kawirikawiri, kupweteka kwa osteoarthritis kumamveka kumayambiriro kwa ntchito, ndiye kumachepetsanso pamene ntchitoyo ikupita.
Pambuyo pa ntchitoyi itatha ndipo panthawi yopumula, ululu ndi kuuma kumabwereranso. Ndi matenda osteoarthritis, ululu ukhoza kumveka ngakhale kupumula.
Zokambirana Zowonongeka
Ululu kawirikawiri ndi chizindikiro chimene chimayambitsa odwala kuti apeze chithandizo . Kuchiza koyambirira kungathandize kuthana ndi matenda a mitsempha, choncho ndibwino kuona dokotala mwamsanga.
Njira zoyenera zothandizira odwala zimayesedwa poyamba ndipo izi zikuphatikizapo zotsatirazi:
- Mankhwala otsutsa-kutupa monga aspirin kapena NSAID
- Kuchepetsa zochitika za ntchito
- Kusintha zochita kapena ntchito zomwe zimafuna kubwereza chala chala
- Katemera wa Cortisone mu olowa
- Thandizo la thupi lomwe limaphatikizapo zochitika zolimbitsa thupi ndi zolimbikitsa
- Thandizo la ntchito
- Kutaya
- Zosakaniza
- Ntchito yotentha
Pamene mankhwala osamalidwa amalephera kupereka mpumulo wokhutiritsa, opaleshoni ikhoza kukhala njira yomaliza yoperekera. Opaleshoni imasonyezedwa kwa odwala omwe samamva ululu wosagwira ntchito zomwe zimakhudza dzanja labwino. Njira zopangira opaleshoni zapachiphuphu zimaphatikizapo arthrodesis (fusion) kapena yowonjezera mmalo mwake , malingana ndi ophatikizidwawo.
> Chitsime:
> Hochberg MC, ndi al. American College of Rheumatology 2012 Malangizo Ogwiritsiridwa ntchito kwa Nonpharmacologic ndi Pharmacologic Therapies mu Osteoarthritis ya Dzanja, Hip, ndi Knee. Matenda a Nyamakazi ndi Kafukufuku (Hoboken). 2012; 64 (4): 465-74.
> Osteras N, et al. Kuchita Masewera Othandizira Mankhwala Osakaniza Manja. Dongosolo la Cochrane la Zosintha Zogwirizana. > 2017; 1: CD010388.
> Vansteenkiste S, Reneman MF, van der Eerden PJ, Soer R, Dijkstra PU, van der Sluis CK. Mphamvu zapamwamba zogwira ntchito Mphamvu za Ogwira Ntchito Odwala ndi Osteoarthritis a Manja: Phunziro Lopanda Pakati. Journal of Hand Therapy. 2017; pii: S0894-1130 (17) 30007-8.