Mgwirizano wa bondo umakhudzidwa ndi nyamakazi nthawi zambiri kusiyana ndi ziwalo zina. Pamene odwala ali ndi nyamakazi , amagwiritsa ntchito fupa la fupa (tibia) ndi fupa lamatumbo (talus), lomwe limatchedwanso tibiotalar.
Zimayambitsa Matenda a Nyamakazi
Zomwe zimayambitsa matenda a nyamakazi ndi awa:
- Kuvulala kwapachimbuka kumbuyo: Mthempha ya nyamakazi imayamba chifukwa cha kuvulala koyambirira kwa khungu. Kwa odwala omwe amapitiriza kuvulaza monga kupweteka kwa mitsempha , khungu limatha kuwonongeka ndipo limapangitsa kuti nyamakazi ifulumire. Pamene bondo likavulazidwa, imakhalanso ndi vuto lotchedwa osteonecrosis. Pamene osteonecrosis imapezeka chifukwa cha kuvulala kwa minofu, gawo lina la fupa limawononga kupha magazi. Osteonecrosis imathandizanso kuti nyamakazi ikhale yamatumbo.
- Matenda a nyamakazi : Odwala omwe ali ndi matenda a chifuwa amatha kukhala ndi nyamakazi. Matenda a chifuwa chachikulu amachititsa kuti kutupa ndi kuwonongeka kwa karotila. M'kupita kwa nthawi, izi zingayambitse mavuto aakulu, osowa chithandizo.
- Kutenga: Matenda a mgwirizano angapangitse kuwonongeka kwa maselo a khungu. Chifukwa maselo a cartilage sangathe kubwerera, kuwonongeka kwa matendawa kumatha kukhala kosatha.
- Genetics: Zotsatira za ma genetics pa chitukuko cha nyamakazi sizikumveka bwino, koma tikudziwa kuti anthu ena ali ndi chizoloŵezi chokhala ndi mazira mofulumira kuposa ena.
- Kulemera kwa thupi: Odwala omwe ali olemera kwambiri amaika katundu wambiri m'mapuno mwawo, mawondo, mabowo, ndi mapazi. Odwalawa ali ndi chizoloŵezi chofuna kutupa nyamakazi, ndipo nthawi zambiri zimakhala zowonongeka mofulumira ku khungu la odwala .
Zizindikiro za Matenda a Nyamakazi
Matenda a nyamakazi amachititsa kuti ululu ukhale wozungulira, ndipo chifukwa chodziwika kwambiri cha odwala kuti apeze chithandizo ndi ululu wokhudzana ndi vutoli.
Zizindikiro zina zomwe zimapezeka m'magulu a nyamakazi zimakhala:
- Kufooka kwa bondo
- Kutupa pozungulira cholowa
- Matenda amafupa amachititsa kuti phokoso liwonekere
- Kusokonezeka kwa mgwirizano
- Kukhazikika, kapena kumverera kuti mgwirizano akhoza "kutaya"
Kawirikawiri, nyamakazi yamatumbo ingayambitse kukhumudwa kwa mitsempha yozungulira palimodzi yomwe imayambitsa kugwedeza ndi kufooka kumapazi ndi zala.
Matenda a nyamakazi amatha kupezeka mosavuta ndi kupenda ndi x-ray. Akadwala akapezeka, mankhwala osayenera ayenera kuyesedwa. Odwala ambiri amatha kupeza chithandizo kudzera mu masitepe kuphatikizapo kusinthidwa ndi kusintha kwa nsapato zawo.
Matenda a Nyamakazi
Kuchiza kwa nyamakazi ya khungu kumayamba nthawi zonse ndi zosavuta kuphatikizapo:
- Nsapato Zosintha: Njira imodzi yosavuta kutenga ndi kuyesa nsapato zina. Kusungidwa kumalo kungathandize kuchepetsa zizindikiro. Chinthu china chothandiza ndi kukhala ndi katswiri wa kukonza nsapato kuwonjezera 'rocker-bottom' pamunsi pa nsapato.
- Zosintha Zochitika: Kukonzekera kwa ntchito ndi gawo lofunika kwambiri la chithandizo, ndipo odwala safuna kusintha miyoyo yawo kawirikawiri sayenera kuganizira za mankhwala a nyamakazi. Odwala ayenera kuyesetsa kuchepetsa ntchito zomwe zikuphatikizapo kuyenda ndi kudumphira.
- Mitsempha: Chigoba chingapangidwe kuti chithandizire kugwirizanitsa kakhosi. Mitsempha iyi, yomwe imatchedwa malemba a mapazi a mapazi kapena AFOs, imathandizira mgwirizanowu ndikuletsa kuyenda mofulumira.
- Mankhwala Oletsa Kutentha: Mankhwala oletsa kutentha amakhala othandiza kwa odwala omwe ali ndi zizindikiro zochepa za nyamakazi. Odwala ayenera kugwiritsa ntchito mankhwala osokoneza bongo mosamala ngati pali zotheka , makamaka pogwiritsa ntchito nthawi yayitali.
- Cortisone Injections : Katemera wa Cortisone akhoza kuthandiza kwambiri pakuyang'anira nyamakazi yamagulu, makamaka phokoso lopweteka kwambiri. Ngakhale kuti majeremusi a cortisone sangathe kuchitika nthawi zonse , mphuno ya cortisone yowonjezereka imathandiza ambiri odwala nyamakazi.
Kuchiza Opaleshoni kwa Anki Nyamakazi
Ngati mankhwalawa sangathe kuchepetsa kupweteka kwa nyamakazi yamatumbo, ndiye kuti mankhwala ena opatsirana amatha kuganiziridwa. Njira zosakaniza zikuphatikizapo:
- Nyerere Yamakono : Kuchita opaleshoni yamakono kungathandize odwala omwe ali ndi nyamakazi yochepa, koma kawirikawiri sagwira ntchito ya nyamakazi yambiri. Nthano yamakono ya mchenga imathandiza kwambiri pamene tinthu tating'onoting'onoting'ono tazitsulo takhala tikuzungulira palimodzi komwe kumayambitsa "kulowetsa," kapena fupa la fupa likunyozedwa pamene bulu likupita mmwamba ndi pansi. Pa opaleshoni yamakono, fupa la fupa lingametezedwe kuti likhale lolimbikitsana.
Mwamwayi, ngati nyamakazi ya nyamakazi imakhala yochuluka kwambiri, opaleshoni yamakono ingakhale yopanda chifundo. Pamene chotupa chachikulu chikutha, mgwirizanowo sungapindule ndi ndondomeko yamakono.
Opaleshoni ya Ankle Fusion : Opaleshoni ya fusion ya ankle ndiyo mankhwala oyenera a nyamakazi yakutsogolo. Opaleshoniyi imachotsa mbali yowonjezereka ya mgwirizanowo, kenako imagwira mafupawo mwamphamvu.
- Kupanga Opaleshoni Yakale : Kuchitidwa opaleshoni kumakhala kovuta kwambiri kwa nyamakazi yamatumbo. Kupambana kwa opaleshoni ya fusion kumakhala kutsutsana, ndipo palibe chodziwitso chochulukirapo ndi opaleshoni yowonjezereka kwa nyamakazi yamatumbo. Zambiri mwa njirazi zikuchitidwa, kukonza mapulani akukulirakulira. Izi zikhoza kuyambitsa zotsatira zabwino.