Chifukwa chake chikhalidwe ichi ndi magwero a mavuto aakulu
Mankhwala a osteoarthritis ndi amodzi omwe amapezeka m'magazi a osteoarthritis . Popeza mchiuno ndi cholemetsa, osteoarthritis ingayambitse mavuto aakulu. Pafupifupi 1 pa anayi Achimerika akhoza kuyembekezera kukula kwa mimba m'chiuno, malinga ndi American College of Rheumatology.
Matenda oyambirira ndi chithandizo amathandiza kuchepetsa zizindikiro za matenda a mitsempha .
Ndichidule cha chikhalidwechi, mumvetse bwino zizindikiro, matenda, komanso njira zamankhwala.
Zifukwa za Hip Osteoarthritis
Mafupa a mphutsi amawopsa chifukwa cha kuwonongeka kwa kagawo kakang'ono kake komanso kumangirira ndi kugwedeza kwa palimodzi. Izi zimachitika pa zifukwa zingapo, monga:
- Kuvulala kwapachiyambi koyambirira
- Kutha kwapambuyo kwapita, komwe kumasinthasintha chiuno
- Genetics
- Matenda osakanikirana ndi othandizira
- Thupi la subchondral lomwe liri lofewa kwambiri kapena lolimba kwambiri
- Avascular necrosis
Kuzindikira kwa Hip Osteoarthritis
Dokotala wanu adzawona mbiri yanu yokhudza zachipatala, zotsatira za kufufuza kwanu, ndi ma X-ray kuti mudziwe kuchuluka kwa mgwirizano wothandizana nawo ndi kupanga chidziwitso cha chiuno cha mthempha. Ngati pali zambiri zofunika, chithunzi cha MRI (magnetic resonance imaging) chikhoza kulamulidwa ndi dokotala wanu. Mayeso a magazi angagwiritsidwe ntchito ngati kuli koyenera kutulutsa mitundu ina ya nyamakazi .
Malingana ndi American College of Rheumatology ofunikira njira ya mafupa a mitsempha ya m'chiuno, payenera kukhala kupweteka kwa m'chiuno ndipo ziwiri mwazifukwa zitatu izi:
- Mlingo wa erythrocyte wa sedimentation <20 mm / hr
- Amuna kapena acetabular osteophytes amawoneka pa X-ray
- Danga lophatikizana likuwoneka pa X-ray
Zizindikiro za Hip Osteoarthritis
Odwala omwe ali ndi hip osteoarthritis amamva kupweteka kumalo komwe kumakhala kumtunda komanso kutsogolo kapena mbali ya ntchafu. Kuuma kwa m'mawa , ngakhale kwa nthawi yayifupi yomwe imapezeka ndi nyamakazi ya nyamakazi , imakhalanso ndi chifuwa chachikulu cha mthempha.
Chofunika koposa, pali kuyenda kochepa kwa chiuno ndi ululu panthawi yoyenda. Zizindikiro zikhoza kuipa kwambiri mpaka kuvutika kumene kumakhalapo nthawi zonse.
Kuchiza kwa Hip Osteoarthritis
Mafupa a mphuno sangathe kuchiritsidwa, koma pali mankhwala omwe angathandize kuthana ndi zizindikiro. Ndondomeko za chithandizo ziyenera kukhala zaumwini kwa wodwala aliyense, malinga ndi American College of Rheumatology, ndi zina zomwe ziyenera kuganiziridwa.
Mankhwala ndi njira imodzi yothandizira opaoarthritis. Kwa maulonda ochepa, acetaminophen kawirikawiri amayesedwa. NSAIDs (antisteroidal anti-inflammatory) ndi ma analgesics a opioid amagwiritsidwa ntchito poyerekeza kwambiri ndi chifuwa chachikulu cha mthempha.
Palinso mankhwala opanda mankhwala omwe angathandize, monga kulemera kwake. Ngakhale kuti anthu olemera kwambiri amakhala ndi chiopsezo cha 20, chiwerengero cha anthu olemera kwambiri ndi oposa 25 peresenti, ndipo anthu olemera kwambiri amakhala ndi chiopsezo cha 39 peresenti. Mapulogalamu olimbitsa madzi, mankhwala opatsirana (kuyendayenda ndi zochita zolimbikitsana), ndi chithandizo cha ntchito (zothandizira, chitetezo chogwirizana ) zatsimikiziranso zothandiza. Maphunziro oleza mtima amathandizanso.
Kuchita opaleshoni kumatengedwa ngati njira yomaliza yopangira chithandizo chamankhwala. Opaleshoni ndi yoyenera kwa odwala omwe ali ndi hip osteoarthritis omwe alephera njira zina zothandizira mankhwala.
Njira zothandizira ndizo:
- Arthroscopy - arthroscope imayang'anitsitsa chikhalidwe cha kanyama kakang'ono
- Osteotomy - amadzimangirira mchiuno
- Zomwe zimagwiritsidwa ntchito m'malo amodzi - zigawo zikuluzikulu zamagetsi ndi zachikazi zimayikidwa
Kupeza molondola komanso kulandira chithandizo cham'mbuyomu kumachepetsa kupweteka komanso kumathandiza kuti wodwalayo azidwala matendawa. Pamene chikhalidwe chikupita patsogolo, kusintha kwabwino kwa mankhwala kungapangidwe.
Zotsatira:
Chithandizo cha Odwala kwa Osteoarthritis ya Hip. eOrthopod. Inapezeka pa 7/29/2007.
http://www.eorthopod.com/public/patient_education/6501/osteoarthritis_of_the_hip.html
Malangizo a Medical Management of Osteoarthritis. Osteoarthritis wa Hip. Arthritis & Rheumatism. Nov 1995.
http://www.rheumatology.org/publications/guidelines/oa-hip/oa-hip.asp