Chii chinonzi Osteonecrosis uye maitiro ekuziva
Zvemukati
Osteonecrosis, inonziwo avascular necrosis kana aseptic necrosis, ndiko kufa kwenzvimbo yebhonzo kana ropa rayo rikakanganiswa, nefupa infarction, iyo inokonzeresa marwadzo, kupunzika kwepfupa uye inogona kukonzera arthrosis yakaoma.
Kunyangwe ichikwanisa kuoneka mune chero bhonzo mumuviri, osteonecrosis inoitika kazhinji muchiuno, ichikanganisa nzvimbo yemusoro wechikadzi, pamwe nemabvi, mapfudzi, makumbo, mawoko kana muhaya pfupa.
Mushonga unoitwa nachiremba wemazino, uye unosanganisira kushandiswa kwemishonga kubvisa zviratidzo, nemaanti-inflammatories, kuwedzera kuzorora uye physiotherapy, zvisinei, kuvhiya kugadzirisa shanduko kana kunyange kutsiva mubatanidzwa kunogona kuratidzwawo. prosthesis.
Zviratidzo zvikuru
Pakutanga, osteonecrosis inogona kunge isina zviratidzo uye haigone kuoneka pane yekufungidzira bvunzo. Asi sezvo kutenderera kweropa kuchikura uye paine kuwedzera kubatika kwepfupa, zviratidzo zvakaita sekurwadziwa mubatanidzwa wakakanganiswa zvinogona kuoneka, izvo zvinokonzeresa kufamba mukufamba kana kuita zviitwa zvezuva nezuva.
Rimwe kana akawanda mapfupa anogona kuve nechekuita nechirwere ichi uye, mu osteonecrosis yehudyu, chete kana mativi ese anogona kukanganiswa. Zvakare, dzidza kuona zvimwe zvikonzero zvekurwadziwa kwechiuno.
Mushure mekufungidzirwa kwe osteonecrosis yehudyu, chiremba wemazino anogona kuita ongororo yemuviri uye kukumbira bvunzo senge radiography kana MRI yenharaunda yakakanganiswa, iyo inogona kuratidza zviratidzo zvefupa necrosis, pamwe nekugadziriswa kwemapfupa kunogona kubuda, senge arthrosis.
Ndezvipi zvikonzero
Zvinonyanya kukonzera osteonecrosis kukuvara kwemapfupa kunoitika nekuda kwekushungurudzika, senge muzviitiko zvekutyoka kana kutsemuka. Zvisinei, zvikonzero zvisingaiti zvinosanganisa zvinosanganisira:
- Kushandiswa kwekorticosteroid zvinodhaka, paunenge uri muhombe uye kwenguva yakareba. Tarisa uone makuru mhedzisiro mhedzisiro ye corticosteroids;
- Kudhakwa;
- Zvirwere zvinokonzeresa kugwamba kweropa, senge sickle cell anemia, chiropa kutadza, cancer kana rheumatological hosha;
- Kushandiswa kweBisphosphonate kirasi mishonga, senge zoledronic acid, inoshandiswa kurapa osteoporosis uye zvimwe zviitiko zvegomarara, zvine hukama nenjodzi yakawedzera ye osteonecrosis yesaya.
Vanhu vanosvuta vanogona zvakare kuve nemikana yekukura osteonecrosis, sezvo kusvuta kuchikonzera matambudziko muropa rekupa mumuviri.
Mukuwedzera, pane zviitiko umo zvisingaiti kuti uwane chikonzero chechirwere, uye idzi zviitiko zvinonzi idiopathic osteonecrosis.
Kurapwa kunoitwa sei
Kurapa kweosteonecrosis kunotungamirirwa nachiremba wemazino (kana maxillofacial surgeon mune iyo osteonecrosis yejaya), uye inosanganisira kushandiswa kweanorapa uye anti-anogumbura zvinodhaka kudzikamisa zviratidzo, kuzorora kwejojo yakabatwa, kurapwa kwemuviri, kuwedzera kune kubviswa kwechikonzero chinogona kukonzera kuti ropa risakwanise.
Nekudaro, iyo yekurapa kukuru iyo inogadzira mhedzisiro yakanaka yekurapa osteonecrosis kuvhiya, uko kunosanganisira kuita kupunzika kwepfupa, kuisa pfupa kubatanidza kana, mumatambudziko akakomba, kutsiva mubatanidzwa.
Physiotherapy yeOsteonecrosis
Physiotherapy yakakosha kubatsira murwere kupora, uye inogona kusiyana zvichienderana nerudzi uye kuomarara. Kana pfupa rakakanganiswa zvakanyanya nekuoma kwekudiridza kweropa, zvakajairika kuve nekudzikira kwenzvimbo mukati mejoini nekuzvimba, ndosaka kukura kweArthrosis uye arthritis zvakajairika.
Mune physiotherapy, mhasuru yekusimbisa kurovedza muviri, kubatana kwekubatanidza uye kutambanudza kunogona kuitwa kuitira kudzikisa njodzi yezvinetso munzvimbo yakakanganiswa, sekutyoka, uye kunyangwe kudzivirira kuisa prosthesis. Izvo zvishandiso zvinogona zvakare kubatsira kudzora marwadzo uye kusimbisa mhasuru.
Ona kuti marapirwo anogona kuitwa sei mushure mekuisa hudyu yekunyepedzera.