Chii chinonzi Gonarthrosis uye Maitiro Ekurapa
Zvemukati
- Kurapa kwakanyanya kwegonarthrosis
- Sei Physiotherapy yeGonarthrosis
- Ko gonarthrosis inokonzera hurema here?
- Ndiani ari panjodzi yekuve
Gonarthrosis ibvi arthrosis, rakajairika muvanhu vanopfuura makore makumi matanhatu nemashanu ekuberekwa, kunyange hazvo vakanyanya kubatwa vari vakadzi panguva yekuguma kuenda, iyo inowanzo kukonzerwa nekumwe kushungurudzika kwakananga, senge kudonha uko munhu anowira nemabvi pasi, semuenzaniso .
Gonarthrosis inogona kusarudzwa se:
- Yakabatana - painobata chete 1 ibvi
- Kubatana - painobata mabvi maviri
- Primary - kana chikonzero chayo chisingakwanise kuwanikwa
- Sekondari - kana zvichikonzerwa nekufuta zvakanyanya, kunetsekana kwakanangana, kutsemuka kana kutsemuka, semuenzaniso.
- Nemaosteophytes - kana madiki emabhonyoni akaonekwa akatenderedza mubatanidzwa
- Iine yakaderedzwa intra-articular nzvimbo, iyo inobvumira iyo femur uye tibia kubata, zvichikonzera kurwadziwa kukuru;
- Ne subchondral sclerosis, inova iyo panenge paine kuora kana kuora kwetipi yechikadzi kana tibia, mukati mebvi.
Gonarthrosis haigone kurapwa nguva dzose, asi zvinokwanisika kudzikisa marwadzo, kuwedzera mafambiro, kuvandudza hupenyu uye kugara kwemurwere nemushonga unogona kuitwa neanorapa uye anti-anogumbura zvinodhaka uye nezvikamu zvezuva nezuva physiotherapy, iyo inofanirwa kutanga nekukurumidza sezvazvinogona. Nguva yekurapa inosiyana zvakanyanya kubva kune mumwe munhu kuenda kune anotevera, asi haimbove pasi pemwedzi miviri.
Kurapa kwakanyanya kwegonarthrosis
Iwo madhigirii e gonarthrosis, zvinoenderana nekupatsanurwa kweKellgreen neLawrenc, ari mune tafura inotevera:
| Gonarthrosis maitiro anoonekwa paX-ray | Kurapa kwakanyanya | |
| Bhuku 1 | Diki isina chokwadi nzvimbo yekubatana, iine osteophyte inogona kumucheto | Kurera huremu + mvura maekisesaizi kana kudzidzisa uremu + mafuta ekurwisa-kuzvimba kuti ushandise kunzvimbo yekurwadziwa |
| Bhuku 2 | Inogoneka kudzikira kwenzvimbo yekubatana uye kuvapo kwemaosteophyte | Physiotherapy + anti-kuzvimba uye analgesic mishonga |
| Bhuku 3 | Zviratidzo zvakabatana zvakabatana, akawanda maosteophytes, subchondral sclerosis uye bone contour deformity | Physiotherapy + mushonga + Corticosteroid inopinda mumabvi |
| Bhuku 4 | Kubatana kwakanyanya kudzikira, kwakasimba subchondral sclerosis, bone contour deformity uye akati wandei makuru maosteophytes | Kuvhiya kuisa prosthesis pamabvi |
Sei Physiotherapy yeGonarthrosis
Physiotherapeutic kurapwa kwegonarthrosis kunofanirwa kuitwa zvakasiyana, nekuti izvo zvinoratidzwa kune mumwe murwere hazviwanzo kukodzera mumwe. Asi zvimwe zviwanikwa zvinogona kushandiswa ndeye TENS, ultrasound uye infrared, pamusoro pemabhegi emvura inodziya kana inotonhorera uye kurovedza kunoratidzwa neve physiotherapist.
Matekinoroji ekubatanidza pamwe nekubiridzira zvinoratidzwa zvakare nekuti zvinowedzera kugadzirwa kwe synovial fluid iyo inodiridzira mukati mubatanidzwa uye inoderedza kurwadziwa kusingaperi. Kana munhu achinge achinja sekusaenzana, kusamira zvakanaka uye kutsauka kwemabvi mukati kana kunze, kurovedza muviri kunovandudza mamiriro uye kugadzirisa kutsauka uku kunogona kushandiswa, senge kudzidziswa kwepashure kwepasirese, semuenzaniso.
Iwo maekisesaizi akanyanya kuratidzwa ndeawo ekusimbisa mhasuru netepi dzakaomarara kana uremu hunogona kusiyana kubva pa0.5 kusvika pa5 kg, zvinoenderana nesimba rekuti munhu anaro. Kurema kushoma uye kudzokorora kukuru kwakanakira kudzikamisa kuomarara kwemhasuru uye kunogona kuitwa kusimbisa kumberi, kumashure uye mativi ehudyu. Pakupedzisira, kutambanudza chidya kunogona kuitwa. Ona mimwe mienzaniso yekurovedza kwemabvi arthrosis.
Kubatsira munhu kufamba uye kutenderera imba, madondoro kana tsvimbo zvinogona kukurudzirwa kuti zvirinani kugovera huremu hwemuviri, zvichideredza kumanikidza kwemabvi.
Ko gonarthrosis inokonzera hurema here?
Vanhu vane giredhi 3 kana 4 gonarthrosis vanogona kuwana zvakaoma kushanda nekuda kwekurwadziwa nguva dzose uye kusakwanisika kwekumira uye kubata uremu, saka kana kurapwa ne physiotherapy, mishonga uye kuvhiyiwa hazvina kukwana kudzorera hupenyu hwehupenyu uye kugonesa basa iro munhu wacho atoita, munhu wacho anogona kutorwa seasina basa uye achienda pamudyandigere. Asi kazhinji aya madhigirii egonarthrosis anongoitika muvanhu vanopfuura makore makumi matanhatu nemashanu, kana atove pamudyandigere.
Ndiani ari panjodzi yekuve
Vakadzi vanowanzo kubatwa mushure memakore makumi mana nemashanu uye varume mushure memakore makumi mashanu, asi vangangoita vanhu vese vakura vanopfuura makumi manomwe neshanu vanotambura nemabvi arthrosis. Zvinotendwa kuti arthrosis mumabvi inogona kuoneka kutanga, isati yasvika makore makumi matanhatu nemashanu mumamiriro ezvinhu anotevera:
- Menopausal vakadzi;
- Vanhu vane osteoporosis;
- Kana kushayikwa kwevhitamini C uye D;
- Vanhu vakafuta;
- Vanhu vane chirwere cheshuga kana cholesterol yakawanda;
- Vanhu vane mhasuru dzehudyu dzisina kusimba.
- Muchiitiko chekutsemuka kweiyo anterior cruciate ligament kana kuputika kweiyo meniscus mumabvi;
- Shanduko senge genovaro kana genovalgo, ndopaya panopfugama mabvi mukati kana kunze.
Zviratidzo zvekurwadziwa kwemabvi uye kutsemuka zvinogona kumuka mushure mekudonha nemabvi pasi, semuenzaniso. Marwadzo anowanzo simuka kana uchiita kuyedza kana kuita chiitiko chemuviri, asi mune dzakakwirisa zviitiko zvinogona kuramba zviripo kwezuva rose.
Muvanhu vanopfuura makore makumi matanhatu nemashanu ekuberekwa, kuvapo kwemaosteophyte madiki, ayo anogona kuonekwa paX-ray yemabvi, zvinogona kuratidza kukura kukuru kwezviratidzo uye kudiwa kwekurapwa ne physiotherapy, uye muzviitiko zvakakomba kuvhiyiwa kuisa prosthesis pa ibvi rinogona kuratidzwa.
Yakakurumbira Mabhuku
Chirwere cheWaldenstrom
