Dzimwe nzira dzeKnee Replacement Kuvhiya

Zvemukati

• Mhedziso
• Kurera uremu uye kurovedza muviri
• Kurapa kwepanyama
• Hyaluronic acid majekiseni
• Mishonga uye steroid shots
• Zvinyorwa zvekunyorera
• Corticosteroid majekiseni
• Kugadzirira
• Prolotherapy
• Kuvhiya kweArthroscopic
• Stem cell kurapwa
• Plasma-akapfuma mapuroteni majekiseni
• Knee osteotomy
• Rubatsiro rwekufamba uye rutsigiro
• Sarudzo dzisingabatsire
• Yera zvaunogona kuita

Mhedziso

Knee kutsiva kuvhiya haisi kazhinji sarudzo yekutanga yekurapa kurwadziwa kwemabvi. Dzimwe nzira dzakasiyana dzokurapa dzinogona kubatsira kuunza zororo.

Kana iwe uchirwadziwa nemabvi, bvunza chiremba wako nezvenzira dzisingapindike dzekugadzirisa. Heano mamwe mazano.

Kurera uremu uye kurovedza muviri

Nyanzvi dzinokurudzira zvakasimba vanhu vakafuta zvakanyanya kana vane kufutisa kuti vadzikire uremu uye kurovedza muviri. Pamwe chete, matanho aya anogona kubatsira kunonoka kukuvara kwekubatana pamwe nekuderedza marwadzo.

Kutsvagurudza kunoratidza kuti mamwe mapaundi gumi ekuwedzera anowedzera mukana wekuvandudza mabvi osteoarthritis ne. Panguva imwecheteyo, kurasikirwa nemapaundi gumi zvinogona kureva kuti une simba shoma rekutsimbirira pamabvi ako.

Mabasa akakodzera anosanganisira:

• kufamba
• kuchovha bhasikoro
• kusimbisa kurovedza muviri
• neuromuscular kudzidziswa
• kurovedza muviri kwemvura
• yoga
• tai chi

Nyanzvi dzinocherekedza kuti kurovedza muviri neboka kana chiremba wepanyama kunogona kubatsira kupfuura kurovedza wega. Ivo zvakare vanokurudzira kusarudza chiitiko chaunofarira uye chaunogona kutenga.

Nyanzvi yezvehutano inogona kuraira pane akakodzera maekisesaizi.

Kurapa kwepanyama

Chiremba wepanyama anogona kugadzirisa chirongwa chekudzora marwadzo uye kusimbisa mhasuru dzakakosha dzinokanganisa mabvi ako. Vanogona zvakare kushanda newe kuti uve nechokwadi chekuti urikuita maekisesaizi nenzira kwayo.

Vanogona kuisa chando uye kupisa kudzikisira kurwadziwa uye kuzvimba.

Hyaluronic acid majekiseni

Mabvi majekiseni e hyaluronic acid anofungidzirwa kuzodza mabvi akabatanidzwa.Izvi zvinogona kubatsira kuvandudza kushamiswa kwekutorwa, kudzikisa marwadzo, uye kugadzirisa kusimudzira kwemabvi.

Nyanzvi hadzikurudzire kushandisa majekiseni izvozvi, zvisinei, sezvo pasina humbowo hwakakwana hwekuti zvinoratidzwa kuti zvinoshanda.

Mishonga uye steroid shots

Over-the-counter (OTC) mishonga inogona kubatsira kubata kurwadziwa kwemabvi.

Sarudzo dzinosanganisira:

• over-the-counter marwadzo ekurapa zvinodhaka, senge acetaminophen
• misoro uye nemuromo nonsteroidal anti-inflammatories (NSAIDs)
• misoro yemakemikari ane capsaicin

Zvinyorwa zvekunyorera

Kana marapirwo eOTC asingashande, chiremba wako anogona kunyorera mishonga yakasimba, senge duloxetine kana tramadol.

Tramadol opioid, uye maopioid anogona kupindwa muropa. Nyanzvi dzinoraira chete kushandisa tramadol kana iwe usingakwanise kushandisa imwe mishonga, uye ivo havana kukurudzira chero imwe mhando yeopioid.

Corticosteroid majekiseni

Imwe sarudzo ndeyekuti uve nesiriniti jekiseni munzvimbo yakakanganiswa. Izvi zvinogona kudzikamisa kurwadziwa nekuzvimba mumabvi ako. Marwadzo anowanzo kudzikiswa mukati memazuva mashoma, uye zororo rinotora mavhiki akati wandei.

Vamwe vakabvunza kushandiswa kwenguva refu kwesteroids. Imwe ongororo yakawana kuti, mushure memakore maviri, vanhu vakagamuchira majekiseni esteroid vaive nekartilage shoma uye vasina kugadzirisa marwadzo emabvi.

Nekudaro, nhungamiro dzakaburitswa mu2019 dzinotsigira mashandisiro avo.

Kugadzirira

Kugadzirira inzira yechinyakare yechiChinese inogona kubatsira kubvisa marwadzo. Inoshandisa tsono dzakatetepa, dzakaonda kushandura kuyerera kwesimba mukati memuviri.

inoratidza kuti acupuncture inogona kubatsira kubata kurwadziwa kwemabvi munguva pfupi.

Ikozvino nhungamiro inotsigira kutsigira kushandiswa kwekugadzirisa pakurapa mabvi, asi ziva kuti mabhenefiti ayo haana kunyatso kujeka. Njodzi dzekurapwa dzakaderera, saka kugadziriswa kunogona kukodzera kuyedza.

Prolotherapy

Muprolotherapy, nyanzvi yehutano inorova mhinduro inogumbura mukati megiramu kana tendon kuwedzera kuyerera kweropa uye kupa kwehutano. Iyi kurapwa inovavarira kukurudzira iyo yekurapa maitiro nekushatisa nyama.

Mhinduro ye dextrose, inova musanganiswa weshuga, inowanzo shandiswa.

Mune imwe, vanhu vane mabvi osteoarthritis vakagamuchira majekiseni mashanu mavhiki mana akapatsanurwa. Vakataura marwadzo avo anga avandudzika mavhiki makumi maviri nematanhatu mushure mekujowa kwekutanga. Mushure megore, ivo vachiri kunzwa kuvandudzwa.

vanoti maitiro aya anogona kunge akachengeteka uye anoita kunge anobatsira kubvisa marwadzo, asi ivo vachiri kudaidzira imwe ongororo.

Nongedzo dzanhasi hadzikurudzire kushandisa prolotherapy.

Kuvhiya kweArthroscopic

Chiremba anovhiya anogona kupa zano rekuvhiya arthroscopic kubvisa zvidimbu zvemapfupa, zvidimbu zvemaniscus yakabvaruka, kana shwashwa yakakanganiswa, pamwe nekugadzirisa mitsipa.

Arthroscope rudzi rwekhamera. Inobvumira chiremba anovhiya kuti aone mukati memubatanidzwa wako kuburikidza nekacheka kadiki. Mushure mekugadzira maviri kana mana maitiro, chiremba anovhiya anoshandisa arthroscope kuvhiya mukati mebvi rako.

Iyi nzira haina kuvhiringidza pane kuvhiya kwechinyakare. Vanhu vazhinji vanogona kuenda kumusha nezuva rimwe chete. Kudzoreredza, zvakare, kunogona kukurumidza.

Zvisinei, zvinogona kunge zvisingabatsiri mumarudzi ose emabvi arthritis.

Stem cell kurapwa

Uku kurapwa kwekuyedza kunoshandisa bone marrow maseru maseru kubva muchiuno kubatsira kumutsiridza shwashwa mumabvi.

yakaratidza kuti stem cell kurapa kunogona kubatsira kudzikamisa marwadzo emabvi uye kugadzirisa basa, asi zvinoita sekusaguma nekatekete regrowth.

Stem cell kurapwa kwekubatana kwemajoini haisati iri chikamu chekurapa. Nyanzvi hadzisi parizvino kukurudzira masero ejekiseni eosteoarthritis (OA), sezvo pasati paine nzira yakaomarara yekurapa parizvino.

Plasma-akapfuma mapuroteni majekiseni

Kumwe kurapa kwekuyedza kunosanganisira kubaya josi reosteoarthritic neprotein-rich protein (PRP) mumatanho matatu.

1. Anopa hutano anotora rimwe ropa kubva kumunhu anoda kurapwa.
2. Vachishandisa centrifuge, ivo vanoparadzanisa maplatelet ane kukura kwezvinhu kubva muropa.
3. Zvadaro, vanojowa maplatelet aya mumabvi akabatanidzwa.

Nongedzo dzanhasi dzinoraira vanhu kuti vasashandise iyi kurapa, sezvo paine kushomeka kweyakagadzika mukugadzirira nekutungamira majekiseni. Izvi zvinoreva kuti hazvigoneke kuziva kuti gadziriro iyi inosanganisira chii.

Knee osteotomy

Vanhu vane mabvi akaremara kana kukuvara kune rumwe rutivi rwemabvi avo vanogona kubatsirwa neosteotomy.

Iyi nzira inoshandura mutoro unorema kure kure nenzvimbo yakakuvadzwa yemabvi.

Nekudaro, mabvi osteotomy haina kukodzera kune wese munhu. Iyo inowanzo shandiswa kune vechidiki vane mashoma mashoma kukuvara kwemabvi.

Rubatsiro rwekufamba uye rutsigiro

Midziyo inogona kubatsira inosanganisira:

• tsvimbo yekufamba, iyo inogona kubatsira nekuenzanisa
• bondo rinosunga, kutsigira ibvi rakabatana

Kineseo tepi inzira yekutsigira kupfeka iyo inokurudzira muviri kupora zvakasununguka nekuwedzera kuyerera kweropa kutenderedza mhasuru. Iyo zvakare inotsigira mubatanidzwa uku uchiubvumira kuti ufambe wakasununguka. Inogona kubvisa marwadzo uye inogona kubatsira kudzivirira OA kubva mukukura kana kuwedzera kuipa.

Nongedzo dzanhasi hadzikurudzire kushandisa shangu dzakachinjika kana ineral uye medial-wedged insoles.

Sarudzo dzisingabatsire

Mazano azvino kuraira vanhu kuti vasashandise:

• transcutaneous magetsi etsinga kukurudzira (TENS)
• glucosamine uye chondroitin sulfate zvinowedzera
• bisphosphonates
• hydroxychloroquine
• methotrexate
• biologics

Yera zvaunogona kuita

Usati wasarudza kuvhiyiwa kwemabvi, zvakakosha kuti utarise zvese zvaunogona.

Nekudaro, kana iwe uchinzwa kuti waedza zvese kana chiremba wako anovhiya anotsiva akazara kana akasarudzika kutsiva, inogona kunge iri nguva yekufunga kuvhiyiwa.