Matenda a osteoarthritis angakhudze chiwalo chirichonse m'thupi, kuphatikizapo msana. Osteoarthritis wa msana umachitika pamene kuwonongeka kwa ma diski pakati pa vertebrae. Kufufuza ndi kuchipatala koyambirira kumathandiza anthu omwe ali ndi matenda a mitsempha ya msana akuyang'anira zizindikiro zawo.
Chifukwa cha Osteoarthritis Wachizungu
Kuwonongeka kwa ma diski pakati pa vertebrae wa msana kungayambitsidwe ndi:
- kupwetekedwa mobwerezabwereza kwa msana chifukwa cha ngozi, masewera a masewera, ntchito zapakhomo, kapena kutayika bwino
- Kukalamba kwa msana kumayambira pamene munthu ali ndi zaka 30
- kunenepa kwambiri kapena kunenepa kwambiri, komwe kumayika katundu wambiri pa ziwalo zolemera monga msana
- mbiri ya banja ya osteoarthritis, makamaka ya msana
- kusonkhana ndi matenda ena monga nyamakazi ya nyamakazi , gout, shuga , ndi matenda
Ali ndi matenda oyambitsa matenda a msana, chifukwa chake sichidziwika ndipo kawirikawiri amatchulidwa chifukwa cha ukalamba. Ngati vutoli lidziwika (mwachitsanzo, kuvulala, matenda ena, kunenepa kwambiri), amatchulidwa ngati kachilombo koyambitsa matenda a msana.
Kuzindikira Matenda Opaoarthritis
Wodwala aliyense amene ali ndi kupweteka kwapweteka komwe kumapitirira kwa milungu iwiri ayenera kufunsa dokotala. Kupezeka kwa matenda a osteoarthritis a msana kudzawatsatira:
- mbiri yachipatala
- kuyesa zizindikiro
- kufufuza mwakuthupi
- x-rays kapena maphunziro ena ojambula a msana
- mayesero ena (monga kuyezetsa magazi, fupa la mafupa, MRIs) akhoza kulamulidwa kuti athetse mavuto ena
X-rays okha sakupatsani chidziwitso chokwanira kuti ndicho chokha chogwiritsira ntchito chomwe chikugwiritsidwa ntchito. Anthu ambiri omwe ali ndi zaka zopitirira makumi asanu ndi limodzi (60) ali ndi kusintha kosasintha kwa msana wa osteoarthritis, koma oposa 80 peresenti ya iwo samamva ululu kapena kuuma kwa msana.
Njira yothandizira imakhala yofunika kwambiri pamene odwala ali ndi zizindikiro ndipo dokotala amatha kudziwa chifukwa chake zizindikirozo zimakhalapo. Kudziwa molondola ndikofunikira kuti chithandizo choyenera chithe kuyamba.
Zizindikiro za Mtsempha Wamtundu Wambiri
Kuwonongeka kwa ma diski pakati pa vertebrae wa msana kawirikawiri kumachitika pang'onopang'ono ndipo kumapangitsa kuti pakhale malo ochepa pakati pa maginito. Mitsempha imayambitsa kapena osteophyte imakula. Monga fupa limayamba kuphulika pang'onopang'ono, mafupa a mbali (omwe amadziwikanso kuti mapuloteni) amatha kutentha ndipo pali kuwonjezereka kopitirira. Pamwamba pa ziwalo za mbaliyi muli ndi katsamba kake. Zizindikiro zomwe zimabweretsa ndizo:
- ululu kumbuyo kapena msana
- kuuma kwa msana
- Kutaya kusinthasintha mu msana
Matenda a osteoarthritis amatha kuchitika m'kamwa (khosi), thoracic (kumbuyo), kapena kumtunda (m'munsi) m'mphepete mwa msana. Ndi kupwetekedwa kwa khosi kumakhala ndi paphewa kapena pansi pa manja. Osteophytes m'dera lachiberekero amatha kupangitsa kuti mitsempha yisale ndi kufooka m'manja. Mavuto a osteoarthritis m'dera lamtundu wa msana kawirikawiri amakwiya chifukwa cha kusunthira kutsogolo ndi kugwedezeka.
Mafupa osteoarthritis a m'dera lamtunda wa msana amakhala ndi kuuma kwa m'mawa (kwa mphindi makumi atatu) ndipo kawirikawiri kumaphatikizapo ma vertebrae oposa umodzi. Zizindikiro zikhoza kuipira pambuyo pochita masewera olimbitsa thupi, kuyenda mobwerezabwereza, ndi kukhala kwa nthawi yaitali. Kupweteka kumbuyo kungakhale vuto lobwerezabwereza.
Kuchiza kwa Nthendayi Yamtundu wa Osteoarthritis
Pali mankhwala opanda opaleshoni ndi opaleshoni kwa msana wamagazi:
- mankhwala monga NSAIDs , acetaminophen , ndi analgesics opioid
- mankhwala othandizira
- zolimbitsa thupi
- kulemera
- mankhwala otentha kapena ozizira
- mankhwala a madzi
- kusisita
- TENS
- kuphulika
Anthu ambiri okhala ndi vuto la disc discenerative safuna opaleshoni.
Odwala mmodzi yekha mwa atatuwa amafunika opaleshoni, pamene awiri mwa atatu amathandizidwa ndi mankhwala ochiritsira. Ngati zowonongeka zingalephereke pakapita nthawi, njira zopangira opaleshoni zimakhalapo kuphatikizapo laminectomy, discectomy ndi kusakanikirana kwa msana.
Zotsatira:
Kumvetsetsa Osteoarthritis wa Mthaka. Spine-health.com. 6/7/2005.
Spondylosis (Spinal Osteoarthritis). SpineUniverse. Inapezeka pa 9/8/2007.
Matenda Opatsirana a Lumbar. eOrthopod. Inapezeka pa 9/6/2007.