Matenda a osteoarthritis angakhudze chiwalo chirichonse m'thupi, kuphatikizapo mapewa . Osteoarthritis wa mapewa amatha kukhudza ziwalo ziwiri m'magulu a mapewa-mgwirizano wa acromioclavicular ndi glenohumeral joint. Kuyezetsa ndi kuchipatala koyambirira kumathandiza anthu omwe ali ndi mafupa a m'magazi omwe amathetsa zizindikiro zawo.
Zimayambitsa
Mapewa amatengedwa kuti ndi othandizira kwambiri m'thupi, koma chifukwa cha kuyenda kwake , mapewa amakhala osasunthika kusiyana ndi ziwalo zina.
Paphewa ndi malo omwe anthu amavulazidwa. Mpira wa mkono wapamwamba uli waukulu kuposa mthunzi wa phewa umene umagwira. Kuti akhalebe olimba, mapewa amathandizidwa ndi minofu, tendon, ndi ligaments.
Njira yowonongeka yogwirizanitsidwa ndi matenda a osteoarthritis ikhoza kumakhudza mapewa, ngakhale kuti ndi ocheperapo kusiyana ndi ziwalo zina. Pamene mafupa a osteoarthritis amayamba m'gulu la glenohumeral, kawirikawiri zimakhala chifukwa cha kuvulazidwa koyambirira. Osteoarthritis mu mgwirizano wa acromioclavicular ukhoza kukhala wopweteka ndipo umayambitsa mavuto pogwiritsa ntchito mgwirizano wa ntchito za tsiku ndi tsiku.
Kudziwa
Kuti apeze matenda a osteoarthritis a pamapewa, mbiri yachipatala ya wodwalayo, kuunika kwa thupi, ndi x-ray zimaganiziridwa. Dokotala adzayang'ana zizindikiro ndi zizindikiro zina panthawi yoyezetsa thupi kuphatikizapo:
- minofu yofooka kapena atrophy
- Chikondi ndi kukhudza ndi kupweteka pamene kupanikizidwa kumagwiritsidwa ntchito pamodzi
- maulendo ambiri, othandizidwa ndi kudziwongolera
- Zizindikiro za kuvulaza minofu, matope, mitsempha pambali pake
- umboni wa kuvulala koyambirira
- phokoso lamakono , phokoso la kugwedeza pa kusuntha kwa mapewa
- Umboni wa x-ray umene ukuwulula kuchepa kwa malo olowa, kusintha kwa fupa, kukhalapo kwa mafinya
Zizindikiro
Ululu ndi chizindikiro chofala kwambiri chokhudzana ndi matenda a mitsempha.
Paphewa lomwe limakhudzidwa ndi osteoarthritis likukulira ndi ntchito ndipo ululu ukupitirirabe pang'onopang'ono. Ndizosangalatsa kuzindikira kuti:
- ngati mapuloteni a glenohumal akhudzidwa, kupweteka kumakhala kumbuyo kwa phewa, ndipo kusintha kwa nyengo kungapangitse kupweteka kwambiri
- ngati mgwirizano wa acromioclavicular wakhudzidwa, kupweteka kumayambira kutsogolo kwa phewa
Kuyenda kochepa chabe ndi chizindikiro china chachikulu cha matenda a mafupa a m'magazi. Zingakhale zovuta kufika pa alumali kapena kukweza dzanja lanu kuti muzitsuka tsitsi lanu komanso ntchito zina zomwe zikukuthandizani kuti mutenge. Chombo chotchedwa Crepitus chimamveka ndipo chimamveka panthawi ya mapewa. Pamene mapepa a m'magazi amapitirira, kupweteka kumakhala kosalekeza ndi gulu lililonse. Ululu udzachitika usiku womwewo, kupangitsa kugona kukhala kovuta.
Chithandizo
Mankhwala osamaliridwa amayesedwa asanamangidwe opaleshoni amayamba kugwiritsidwa ntchito kuti akhale osteoarthritis. Njira zothandizira ndizo:
- mupumuleni phewa
- kusintha kapena kusintha zochitika zowathandiza kuchepetsa ululu
- kutentha kwaubweya kumapweteka kupweteka
- mankhwala monga NSAIDs kapena jekeseni ya steroid kuti achepetse kutupa
- dzira likhale la mphindi 20 kapena 30, kawiri kapena katatu patsiku kuti muchepetse kupweteka ndi kutupa
Pali njira zopangira opaleshoni ngati njira yomaliza pamene mankhwala ena onse alephera.
Katundu wa glenohumeral angapangitse gulu lonse la arthroplasty. Ngati mutu wa pamwambapa fupa ndilo gawo lokhalo lololedwa, njirayi imatchedwa hemiarthroplasty. Chifukwa chogwiritsira ntchito mankhwala osokoneza bongo, njira yodzipangira opaleshoni ndi resection arthroplasty (kuchotsa mphindi imodzi yomaliza).
Kufufuza molondola komanso kuchipatala kumathandiza kuchepetsa ululu ndi kusintha ntchito ya m'magazi a m'magazi. Kusintha kwabwino kwa mankhwala kungapangidwe monga mapewa a mitsempha amayamba.
> Zotsatira:
> Nyamakazi ya M'mphepete. Chiyanjano chanu cha Orthopedic. American Academy of Orthopedic Surgeons. July 2007.
> Wotsogolera Wodwala wa Osteoarthritis wa Acromioclavicular Joint. eOrthopod.
> Osteoarthritis. ADAM Healthcare Center.