Matanho eOsteoarthritis yeKnee

Zvemukati

• Chikamu 0
• Kurapa
• Chikamu 1
• Kurapa
• Chikamu 2
• Kurapa
• Chikamu 3
• Kurapa
• Chikamu 4
• Kurapa

Isu tinosanganisira zvigadzirwa zvatinofunga zvinobatsira kuvaverengi vedu. Kana iwe ukatenga kuburikidza nehukama pane ino peji, isu tinogona kuwana diki komisheni. Heano maitiro edu.

Matanho eosteoarthritis

Osteoarthritis (OA) yakakamurwa muzvikamu zvishanu. Chikamu 0 chinopihwa kune yakasarudzika, ine hutano ibvi. Chikamu chepamusoro, 4, chinopihwa OA yakaoma. OA yakave iyi yepamusoro ingangokonzeresa kurwadziwa kukuru uye kukanganisa kufamba kwekubatana.

Chikamu 0

Stage 0 OA inorondedzerwa se "zvakajairika" hutano hwemabvi. Kubatana kwemabvi hakuratidze zviratidzo zveOA uye mabasa akabatanidzwa pasina kukanganisika kana kurwadziwa.

Kurapa

Hapana kurapwa kunodiwa padanho 0 OA.

Chikamu 1

Munhu ane nhanho 1 OA ari kuratidza kushoma kukura kwepfupa kukura. Bone spurs ndeye boney kukura uko kunowanzo kukura uko mapfupa anosangana mumwe nemumwe mubatanidzwa.

Mumwe munhu ane nhanho 1 OA kazhinji haazomborwadziwa kana kusagadzikana nekuda kwekupfeka kudiki pazvinhu zvekubatana.

Kurapa

Pasina zviratidzo zvekunze zveOA kurapa, vanachiremba vazhinji havangadi kuti iwe urapwe chero kurapwa kweiyo nhanho 1 OA.

Nekudaro, kana iwe uine chinongedzo kune OA kana uri panjodzi yakawedzera, chiremba wako anogona kukukurudzira kuti utore zvinowedzera, senge chondroitin, kana kutanga chirongwa chekurovedza muviri kubvisa chero diki diki zviratidzo zveOA uye kunonoka kufambira mberi kweArthritis.

Tenga zve chondroitin zvinowedzera.

Chikamu 2

Chikamu 2 OA yemabvi inoonekwa se "nyoro" nhanho yemamiriro acho. X-ray yemabvi majoini mune ino nhanho inozoratidza kukura kukuru kwemapfupa, asi shwashwa inowanzove iri pahutano hwakanaka, i.e. nzvimbo iri pakati pemabhonzo yakajairika, uye mapfupa haasi kukwizirana kana kukwikwidzana.

Panguva ino, synovial fluid inowanzo kuve ichiripo pamatanho akakwana eakajairika mafambiro ekubatana.

Zvisinei, iyi ndiyo nhanho apo vanhu vangangotanga kusangana nezviratidzo-kurwadziwa mushure mezuva refu rekufamba kana kumhanya, kuomarara kukuru mubatanidzwa kana isingashandiswe kwemaawa akati wandei, kana hunyoro kana wakapfugama kana kukotama.

Kurapa

Taura nachiremba wako nezvezvinogona kuitika zviratidzo zveOA. Chiremba wako anogona kukwanisa kuona uye kuongorora mamiriro ezvinhu panguva ino yekutanga nhanho. Kana zvirizvo, saka unogona kugadzira chirongwa chekudzivirira mamiriro kubva mukufambira mberi.

Kurapa kwakasiyana kwakasiyana kunogona kubatsira kudzikamisa marwadzo uye kusagadzikana kunokonzerwa nedanho rakapfava reOA. Aya marapirwo ari kunyanya asiri-pharmacologic, zvinoreva kuti haufanire kutora mushonga wekununurwa kwechiratidzo.

Kana iwe uri kufutisa, kurasikirwa uremu kuburikidza nekudya uye kurovedza muviri kunogona kubvisa zviratidzo zvidiki uye nekuvandudza hupenyu hwako. Kunyangwe vanhu vasina kufuta, vachabatsirwa nekurovedza muviri.

Yakadzika-inokanganisa maekisesaizi uye kudzidziswa kwesimba kunogona kubatsira kusimbisa mhasuru dzakakomberedza mubatanidzwa, izvo zvinowedzera kudzikama uye zvinoderedza mukana wekuwedzera kwekubatana kwekubatana.

Dzivirira kubatana kwako kubva pakuedza nekudzivirira kupfugama, kukwenya, kana kusvetuka. Brace uye kuputira kunogona kubatsira kudzikamisa ibvi rako. Kuisa shangu kunogona kubatsira kugadzirisa gumbo rako uye kubvisa kumwe kumanikidza kwaunoisa pakubatana kwako.

Tenga mabhureki emabvi.

Tenga zvekuisa bhutsu.

Vamwe vanhu vangangoda mishonga yekunyaradza marwadzo. Izvi zvinowanzo shandiswa pamwe chete neasina mishonga yekurapa. Semuenzaniso, kana iwe uchida kutora maNSAID kana acetaminophen (senge Tylenol) yekuzorodza marwadzo, iwe unofanirwa zvakare kuyedza kurovedza muviri, kurasikirwa uremu, uye kudzivirira bvi rako kubva kunetseka kusingakoshi.

Tenga maNSAID.

Kurapa kwenguva refu nemishonga iyi kunogona kukonzera mamwe matambudziko. NSAID dzinogona kukonzera maronda emudumbu, matambudziko emwoyo, uye itsvo uye chiropa kukuvara. Kutora madhiri makuru eacetaminophen kunogona kukonzera kukuvara kwechiropa.

Chikamu 3

Stage 3 OA inorondedzerwa se "zvine mwero" OA. Muchikamu chino, shwashwa pakati pemapfupa inoratidza kukuvara kuri pachena, uye nzvimbo iri pakati pemabhonzo inotanga kutetepa. Vanhu vane nhanho 3 OA yemabvi vanogona kusangana nekurwadziwa kazhinji pavanofamba, kumhanya, kukotama, kana kupfugama.

Ivo zvakare vanogona kusangana nekuomarara kwekubatana mushure mekugara kwenguva yakareba kana kana vachimuka mangwanani. Kuzvimba kwakabatana kunogona kuve kuripo mushure menguva yakareba yekufamba, futi.

Kurapa

Kana nonpharmacological Therapies isingashande kana kuti isisipi kununura marwadzo sezvavakamboita, chiremba wako anogona kukurudzira kirasi yemishonga inozivikanwa secorticosteroids.

Corticosteroid zvinodhaka zvinosanganisira cortisone, hormone iyo yakaratidzwa kubvisa marwadzo eOA kana jekiseni padhuze nejojo ​​yakakanganiswa.Cortisone inowanikwa semushonga wemishonga, asi zvakare inogadzirwa zvakasikwa nemuviri wako.

Mamwe majekiseni e corticosteroid anogona kupihwa katatu kana kana pagore. Zvimwe, senge triamcinolone acetonide (Zilretta), zvinongopihwa kamwe chete.

Mhedzisiro yejekiseni ye corticosteroid inopera mukati memwedzi miviri. Nekudaro, iwe pamwe nachiremba wako munofanira kutarisa mashandisirwo ejekiseni re corticosteroid zvakanyatsonaka. Tsvagiridzo inoratidza kushandiswa kwenguva yakareba kunogona kunyanyisa kukuvadza kwemajoini.

Kana pamusoro-the-counter NSAID kana acetaminophen isingachashande, mushonga wekurapwa, senge codeine uye oxycodone, inogona kubatsira kubvisa marwadzo akawedzera anowanikwa padanho 3 OA. Pfupi-pfupi hwaro, iyi mishonga inogona kushandiswa kurapa zvine mwero kusvika pakurwadziwa kukuru.

Nekudaro, mishonga yekudhakwa haina kukurudzirwa kuti ishandiswe kwenguva yakareba nekuda kwenjodzi yekuwedzera kushivirira uye kugona kutsamira. Mhedzisiro yemhedzisiro yemishonga iyi inosanganisira kusvotwa, kurara, uye kuneta.

Vanhu vasingateereri kurapwa kwakachengetedza OA-kurapa kwemuviri, kurasikirwa uremu, kushandiswa kweNSAID uye analgesics-vanogona kuve vakanaka kukwikwidza viscosupplementation.

Viscosupplements ari epakati-articular majekiseni e hyaluronic acid. Chaiwo kurapwa neiyo viscosupplement inoda imwe kusvika mashanu majekiseni e hyaluronic acid, yakapihwa vhiki rimwe rakaparadzaniswa. Kune majekiseni mashoma anowanikwa seimwe-jekiseni jekiseni.

Mhedzisiro yeiyo viscosupplementation jekiseni haisi yekukurumidza. Muchokwadi, zvinogona kutora vhiki dzinoverengeka kuti iko kuzere kwekurapa kunzwike, asi zororo kubva kuzviratidzo kazhinji rinotora mwedzi mishoma. Haasi munhu wese anopindura majekiseni aya.

Chikamu 4

Chikamu 4 OA inoonekwa se "yakaoma." Vanhu vari muchikamu chechina OA yemabvi vanonzwa kurwadziwa kukuru uye kusagadzikana pavanofamba kana kufambisa mubatanidzwa.

Imhaka yekuti nzvimbo yemubatanidzwa iri pakati pemabhonzo yakadzikiswa zvinoshamisa - shwashwa inenge yapera zvachose, ichisiya mubatanidzwa wakaomarara uye ungangoita usingafambire. Iyo synovial fluid yakadzikira zvakanyanya, uye haichabatsira kubatsira kukakavara pakati pezvikamu zvinofamba zvejoini.

Kurapa

Kuvhiyiwa kwepfupa, kana osteotomy, ndiyo imwe sarudzo kune vanhu vane OA yakaoma yemabvi. Munguva yekuvhiya uku, chiremba anovhiya anocheka pfupa pamusoro kana pazasi pemabvi kuti aripfupikise, kurebesa, kana kushandura kuenderana kwaro.

Kuvhiya uku kunoshandura huremu hwemuviri wako kure nemapoinzi epfupa pakaitika kukura kukuru kwepfupa nekukuvara kwemapfupa. Uku kuvhiya kunowanzoitwa mune vadiki varwere.

Yese mabvi kutsiva, kana arthroplasty, ndiyo yekupedzisira nzira kune vazhinji varwere vane yakaoma OA yemabvi. Munguva iyi maitiro, chiremba anovhiya anobvisa joini rakakuvara uye kuritsiva nepurasitiki nesimbi.

Zvimwe zvinokanganisa zvekuvhiya uku zvinosanganisira kutapukirwa panzvimbo yekutsemurwa uye kugwamba kweropa. Kudzoreredza kubva munzira iyi kunotora mavhiki akati wandei kana mwedzi uye kunoda kurapa kwakawanda uye kwepanyama.

Izvo zvinokwanisika kuti kutsiva kwako arthritic ibvi hakuzove kupera kweako OA mabvi matambudziko. Iwe ungangoda kumwe kuvhiiwa kana kunyange kumwe kutsiviwa kwemabvi mukati mehupenyu hwako, asi nemabvi matsva, anogona kutora makumi emakore.