Kurapa kweOsteoarthritis yeKnee: Chii Chinoshanda?

Zvemukati

• 1. Chengetedza huremu hune hutano
• 2. Gara uchiekisesaiza
• 3. Mishonga yekuzorodza kurwadziwa
• 4. Dzimwe nzira dzokurapa
• 5. Steroids isina jekiseni
• 6. Kuvhiya
• Kuvhiya kweArthroscopic
• Osteotomy
• Yakazara mabvi kutsiva
• Zvikonzero zvishanu zvekufunga nezveKnee Replacement Kuvhiya
• Maonero: Chii chinoitika zvinotevera?

Osteoarthritis (OA) ndiyo yakajairika mhando yemajoini. OA yemabvi inoitika kana shwashwa - mutsipa pakati pemabvi emabvi - inodonha. Izvi zvinogona kukonzera kurwadziwa, kuomarara, uye kuzvimba.

Iko hakuna mushonga weOA yebvi, asi kurapwa kunogona kubatsira kubvisa kusagadzikana uye kunonoka kukuvara. Iyo inogona kuvandudza futi yako yemhando yehupenyu uye ikubatsire iwe zviri nani kuramba uchiita zuva nezuva-kwezuva zviitiko.

Sarudzo dzako dzekurapa dzinoenderana nezvaunoda iwe wega. Izvi zvinosanganisira nhoroondo yako yezvokurapa, mwero wekurwadziwa, uye kukanganisa kweOA paupenyu hwako hwezuva nezuva.

Kurapa kunowanzo sanganisira musanganiswa wemarapirwo uye sarudzo dzemararamiro Nyanzvi kubva kuAmerican College yeRheumatology uye iyo Arthritis Foundation (ACR / AF) inoburitsa nhungamiro pazvinhu zvingangobatsira - asi iva nechokwadi chekutaura nachiremba wako usati waita chero shanduko, hombe kana diki, kune chirongwa chako chekurapa.

1. Chengetedza huremu hune hutano

Kana iwe uri parizvino uremu, kurasikirwa kunyangwe mashoma mapaundi anobatsira neOA. Kurasikirwa nehuremu kunogona kudzora kushushikana kwemajoini ako uye, mukuita kudaro, kunobatsira kudzikisira zviratidzo.

Kurera huremu kunogona kubatsira kudzikisa kuzvimba uye njodzi yeimwe nyaya dzehutano, dzakadai sekukwira kweropa, rudzi rwechipiri chirwere cheshuga, uye chirwere chemoyo.

Kana iwe uine OA yemabvi uye iwe uchifungidzirwa kunge wakanyanya kufuta kana kufutisa, zvinogona kunge chiremba wako achizopa zano rekuuya nehurongwa hwekukubatsira iwe kuonda.

Dzidza zvakawanda nezvekuti nei kurema manejimendi kuchikosha uye kuti ndechipi chikafu chekudya chingakubatsire zvirinani kubata OA yemabvi.

2. Gara uchiekisesaiza

Kurovedza muviri kwakakosha kana iwe uine OA yemabvi. Inogona kukubatsira:

• gadzirisa huremu hwako
• kuvaka simba remhasuru kutsigira ibvi rako rakabatana
• gara uchifambisa
• kuderedza kushungurudzika

Mabasa akakodzera anosanganisira yakaderera-maitiro aerobic kurovedza muviri, kusanganisira:

• kuchovha bhasikoro
• kufamba
• kushambira kana imwe mvura maekisesaizi
• tai chi
• yoga
• kutambanudza, kusimbisa, uye kuenzanisa zviitwa

Kutasva bhasikoro rakamira kunogona zvakare kubatsira kuchengetedza simba mune iyo quadriceps uye hamstring mhasuru mapoka pasina kuisa kumanikidza pamabvi ako majoini. Iwe unoshandisa mhasuru idzi, kumberi uye kumashure kwezvidya zvako, kana iwe uchisimuka kubva panzvimbo yekugara. Dzinobatsirawo kudzikamisa ibvi.

Chiremba kana chiremba wepanyama anogona kukubatsira kugadzirira chirongwa chakakodzera.

Nyanzvi dzinokurudzira kushanda nemudzidzisi kana kurovedza muviri nevamwe vanhu kuti vakubatsire kuramba uchikurudzirwa. Zvinogona kuve zvakapusa sekukoka shamwari, muvakidzani, kana nhengo yemhuri kuti ibatane newe mukufamba kwezuva nezuva. Izvi zvichaita kurovedza muviri chiitiko chemagariro pamwe nekurovedza muviri.

3. Mishonga yekuzorodza kurwadziwa

Pamusoro pekambani (OTC) uye mishonga yemishonga inogona kubatsira kubvisa marwadzo uye zvimwe zviratidzo zvine hukama neOA yemabvi.

Dzimwe sarudzo dzeOTC dzinogona kukubatsira iwe kugadzirisa marwadzo mashoma uye kusagadzikana zvinosanganisira:

• nonsteroidal anti-inflammatory drug (NSAIDs), senge ibuprofen (Advil kana Motrin)
• acetaminophen (Tylenol), kana iwe usingakwanise kutsungirira NSAIDs
• misoro yekugadzirira ine maNSAID kana capsaicin

Kana mishonga yeOTC isiri kushanda, chiremba wako anogona kupa:

• duloxetine (Cymbalta)
• tramadol

Tramadol mushonga weopioid. IAACR / AF haikurudzire kushandisa maopioid zvinodhaka, sezvo paine njodzi yekuvandudza kuvimba. Nekudaro, kana iyo mimwe mishonga ikasashanda, chiremba anogona kuzopedzisira opa opioid.

4. Dzimwe nzira dzokurapa

Pamusoro pekurovedza muviri uye mishonga, mamwe marapirwo asiri ekurapa anogona kukubatsira zvirinani kubata OA yemabvi. Izvi zvinosanganisira:

• kushungurudzika manejimendi zviitiko, senge iyo yoga uye tai chi
• acupuncture
• kupisa uye kutonhora mapakeji ekugadzirisa marwadzo uye kuzvimba
• kurapa kwekuita basa, uko kunogona kudzidzisa nzira nyowani dzekugadzirisa zviitiko zvezuva nezuva
• kugadzirisa maitiro ekurapa, izvo zvinogona kukubatsira iwe kugadzirisa marwadzo, kusagadzikana, uye kunetsekana kwekurarama uine chirwere chisingaperi

Iyo ACR / AF haikurudzire kukwiza muviri, kurapa kwemanyorerwo, kana kushandiswa kwe transcutaneous magetsi ekukurudzira (TENS) yeOA yemabvi. Tsvagurudzo haina kuratidza kuti idzi dzimwe nzira dzokurapa dzinobatsira. Izvo zvakati, kukwiza muviri kunogona kuve nezvakanakira kupfuura izvo zvine chekuita neOA kusagadzikana, kusanganisira kudzikisira kushushikana kwako.

Vamwe vanhu vanoshandisa colchicine, hove mafuta, kana vhitamini D kune OA, asi nyanzvi hadzisi kukurudzira izvi futi, sezvo vasina kuratidza mabhenefiti muzvidzidzo zvesainzi. Uye zvakare, colchicine inogona kuve nemhedzisiro mhedzisiro senge manyoka uye kurutsa.

ACR / AF inopa vanhu mazano ekuti vadzivise mishonga yakaita seglucosamine, chondroitin sulfate, hydroxychloroquine, majekiseni eBotox, uye majekiseni e hyaluronic acid, sezvo pasina humbowo hwakakwana kuratidza kuti vakachengeteka kana kuti vanoshanda.

5. Steroids isina jekiseni

Nekurwadziwa kwakanyanya uye kuzvimba, chiremba anogona jekiseni glucocorticoids kana corticosteroids yakananga mubatanidzwa.

Izvi zvinogona kupa ruyamuro rwechinguva, asi harupi rubatsiro. Kazhinji steroid majekiseni anogona zvakare kutungamira kune asina kunaka mhedzisiro, saka chiremba anowanzo gumisa aya marapiro.

6. Kuvhiya

Kana kurwadziwa kwemajoini kukava kwakakomba, uye kumwe kurapa kusingabatsire, chiremba anogona kukurudzira kuvhiyiwa. Pane nzira dzakasiyana siyana dzekuvhiya dzekurapa OA yemabvi.

Kuvhiya kweArthroscopic

Iyi ndiyo nzira isingakanganisi zvishoma iyo chiremba anovhiya achishandisa arthroscope, mhando yekamera, kuona mukati memabvi.

Pavanenge vachidaro, vanogona zvakare kugadzirisa kukuvara kana kuchenesa marara, senge zvidimbu zvepfupa, kubva kujoini kuchengetedza zvirinani hutano hwakabatana.

Izvi zvinogona kubatsira kubvisa zviratidzo, uye zviri zvishoma zvinokanganisa kupfuura kuvhiya kwakazara kwemabvi. Nekudaro, kana iwe uine OA yemabvi, unogona achiri kuona kuti iwe uchazoda yakazara mabvi kutsiva mune ramangwana.

Osteotomy

Sekureva kweAmerican Academy of Orthopedic Surgeons (AAOS), osteotomy inogona kubatsira kana iwe uine yekutanga-nhanho OA yemabvi inobata pfupa parutivi rumwe chete rwejoini.

Mune maitiro aya, chiremba anovhiya achacheka nekugadzirisa pfupa. Izvi zvinotora kumanikidza kubva pachikamu chakakuvadzwa uye kugadzirisa kurongeka kwemabhonzo.

Inogona kuve yakakodzera kana iwe:

• vari kushanda, vari pasi pezera ramakore makumi matanhatu, uye havasi vakafuta
• kuva nemarwadzo parutivi rumwe chete rwemabvi
• vane OA zvakanyanya nekuda kwechiitiko kana kumira kwenguva yakareba

Rudzi rwekuvhiya urwu runogona kubatsira kumisa kana kunonoka kufambira mberi kwekukuvara kwemajoini.

Yakazara mabvi kutsiva

Mukutsiva kwakazara kwemabvi, chiremba anovhiya anobvisa zvinyama uye pfupa uye akatsiva mabvi akabatana neyakaumbwa.

Vanogona kuita izvi kuburikidza nekuvhiya kwakavhurika kana kushoma. Zviitiko zvakaita seyero yechiitiko uye hutano hwakazara hweavo vanobatsira vanachiremba kuona kana ichi chiri chisarudzo chakanakisa chekuvhiya.

Zvikonzero zvishanu zvekufunga nezveKnee Replacement Kuvhiya

Maonero: Chii chinoitika zvinotevera?

Kana OA iri kukonzera kurwadziwa uye kuomarara mumabvi ako akabatana, danho rekutanga nderekubvunza chiremba wako kuti akubatsire iwe kuti uuye nehurongwa hwakasiyana hwekurapa. Kupindira kwekutanga ndiyo nzira yakanakisa yekumisa kukuvara kwemajoini kubva pakuwedzera - uye kunorwadza - nekufamba kwenguva.

Kumbira chiremba wako nezve sarudzo dzakanakisisa dzekurovedza muviri uye mishonga. Izvo zvakare zvinobatsira kukurukura kana chirongwa chekudzikisa uremu chakakukodzera. Izvi, pamwe nedzimwe shanduko dzemararamiro, dzinogona kudzosera kudiwa kwekuvhiyiwa kwemakore akati wandei.

Nokurapwa kwakanaka, unogona kuwana zororo raunoda kuti utarisise zvirinani zviratidzo zvako uye ugare uchishanda.