Knee Osteoarthritis
I-osteoarthritis ye-knee iyindlela ejwayelekile kakhulu ye-osteoarthritis. Abantu abangaphezu kwezigidi ezingu-10 baseMelika banama-knee osteoarthritis. Yona futhi imbangela evame kakhulu yokukhubazeka kwe-musculoskeletal e-United States. Ukuphathwa kahle kwe-knee arthritis kuxhomeke ekuqapheliseni izimpawu zakudala, ukuxilongwa okunembile nokuphathwa ngendlela efanele.
Izimpawu Nezibonakaliso Ze-Knee Osteoarthritis
I-oneoarthritis ye-knee ijwayele ukuqala kokungahambi kahle kobuhlungu obuhlangene , ukuqina okuhlangene , nokuhamba okulinganiselwe kokunyakaza .
Ngokungazi, i-knee osteoarthritis ikhula kancane kancane phakathi nenkathi yeminyaka futhi ingabonakali kuze kube yilapho iba uphawu. Kuvamile ukuthi abantu abane-knee-osteoarthritis baqale bakhononde ngobuhlungu obwenzeka ngokuhamba, kanye nokulinganiselwa ekuhambeni (isib. Ibanga), ukusuka ekuhleleni kuya ekumeni , nokukhuphuka kwezinyathelo. Ezinye izikhalazo ezivamile zihlanganisa umuzwa wokuthi idolo lizokhipha , idolo elichaphazelekile livale , noma inzwa evelayo .
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Iyini i-Osteoarthritis ye-Tricompartmental?
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Ukusebenzisa i-Viscosupplement Hyalgan Yokuphatha I-Knee Osteoarthritis
Kuvame ukuvuvukala kwendawo, kepha ngokuvamile akuhlobene nokufudumala noma ukubomvu. Ngesinye sezibonakaliso ezibalwe ngenhla, ngemuva kwesikhathi esifushane sokubona ukuthi izimpawu ziyaqeda yini noma uma ukuzitholela kungasiza, abantu abaningi bayaqaphela ukuthi kumele baxoxe nodokotela wabo ukuze bahlole ukuhlola okufanelekile.
Ubuhlungu obuhlobene ne-knee osteoarthritis ngokuvamile bubi nakakhulu okulandelayo okulandelayo, ikakhulukazi uma kunokusetshenziswa kabi kwamadolo ashintshiwe. Ubunzima bungaba yingozi ngemva kokuhlala isikhathi eside. Njengoba i-knee osteoarthritis iqhubeka, izimpawu ngokuvamile ziba nzima nakakhulu. Ubuhlungu bungaba njalo, kunokuba kuboniswe kuphela uma umsebenzi wesisindo noma umsebenzi olandelayo.
> I-bone cartilage yehla nge-osteoarthritis.
Ubuhlungu obunjalo kanye nobunzima buwuphawu oluthile lwezinto ezenzekile lapho kutholakala ukuqina kwe-cartilage okunamandla kakhulu ngaphandle kwe-cartilage eshiywe yilezi ziphetho zamathambo emadolweni. Imizimba ekhululekile endaweni ehlangene ingase ibe nomthelela ebuhlungu nasekuqineni. I-Crepitus (inzwa yokugaya) nokunyuka kwamandla empawu okwenzeka ngesimo sezulu esivunguvungu nakho kuyimfanelo ye-knee osteoarthritis-nakuba le mpikiswano iphikisana.
Ukuwohloka kwe-articular (joint joint), okubonakala emaceleni e-ray-ray , kuyindlela ebalulekile yokuxilonga ehlobene ne-knee osteoarthritis. Ukulahleka kwe-cartilage e-osteoarthritis yamadolo kungabangelwa yi:
- ukulimala kwangaphambili kwamadolo
- ukuphindaphindiwe emadolweni
- ukuphuka, i- ligament izinyembezi , nokulimala kwabantu, noma yikuphi okungathinta ukulungiswa kwamadolo nomlenze, nokukhuthaza ukugqoka nokukhala
- i-genetic predisposition to cartilage engavamile nokuguqa i-osteoarthritis
- ukukhuluphala nokuqhathanisa okwandisa ukucindezeleka nomthwalo ohlangene ohlangene; izicubu ze-adipose zandisa ama- cytokines anesisindo; futhi i-leptin ingadlala indima
- izinkinga nge- bone subchondral (ungqimba lwethambo ngaphansi kwe-cartilage emadolweni)
Ukuxilongwa kwe-Knee Osteoarthritis
Njengoba kunjalo uma kunolunye uhlobo lwe- arthritis okusolakala ukuthi , ukubonisana kokuqala nodokotela wakho kuqala ngokuxoxisana ngezimpawu ozibonayo. Ukubuyekezwa komlando wakho wezokwelapha nokulandela ukuhlolwa komzimba. Kufanele ulindele ukuthi izivivinyo zokuxilonga ziyalwe, nokuhlolwa kwegazi kakhulu ukulawula ezinye izinhlobo ze-arthritis kanye nama-x-ray ukufuna ubufakazi bokulimala okuhlangene.
Ngesikhathi uhlolisisa ngokomzimba, udokotela wakho uzobona ibhethinte elithintekayo ngokuvuvukala, ubomvu, ukufudumala, nokukhubazeka (isb., I- varus versus valgus deformity). Udokotela wakho uzohlola uhla lwezinyathelo ngokuzenzekelayo futhi ngenkuthalo, futhi uqaphele uma kunesihawu ethintweni. Udokotela wakho uzobona ukuthi uyaphila , kanye nezibonakaliso zobuhlungu obuningi ngokuzibopha. Nge-osteoarthritis, ngokuvamile ibhande elilodwa lithintwa ngaphezu kwesinye, kodwa kokubili kungathinteka, ngokuvamile ngezikhathi ezahlukene.
Ucwaningo lokucwaninga luyadingeka ukuze lubuke ubufakazi bezinguquko zesakhiwo ezihambisana ne-osteoarthritis nokulawula ezinye izimo.
Ama-x-rays aphansi ahlelwe kuqala futhi uma kudingwa izithombe eziningi ezengeziwe, i-MRI noma i-CT scan ingalawulwa. Ukuhlinzeka ngamathambo e-arthroscopic enye indlela yokubheka isimo semadolo.
Ucwaningo nolwazi lokucwaninga luzoveza ukuthi yiyiphi ingxenye yamadolo ethintekile. I-joint joint patelfemoral kanye ne-medial tibiofemoral ivame ukuthinteka kakhulu yi-osteoarthritis. I-jointal tialofemoral ingxenyana ye-osteoarthritis ingasetshenziswa kakhulu. Njengoba ungalindela, indawo yobuhlungu inikeza isibonakaliso esihle sokuthi ingxenye yebondo ibandakanyeka. Ubuhlungu obunxushunxusweni lwe-patellofemoral buvame ukwenziwa kabi kakhulu isikhathi eside sokuhlala, ukuma esihlalweni esiphansi, ukukhuphuka izitebhisi, noma ukwehla ukwehla. Ubuhlungu be-knee yangaphakathi obudlula kude bungase buhambisane ne-knee osteoarthritis emadolweni. Ubuhlungu obukhulu obuhambisana nokuphazamiseka kokulala ngokuvamile kubonisa ukuthi i-osteoarthritis ephakeme. Ngokuvamile alukho ubuhlungu obuya emadolweni ngaphandle uma kuhlanganiswa ne- cyst Baker .
Ukwelashwa kwe-Knee Osteoarthritis
Isifo se-osteoarthritis asikwazi ukuphulukiswa, kodwa kunezindlela zokwelashwa ezitholakalayo ukusiza ukuphatha izimpawu.
Kukhona izinketho zokwelapha ze-pharmacologic kanye non-pharmacologic.
Imithi yokwelapha ngaphezulu, njenge- acetaminophen , ingasiza ngokukhululeka kobuhlungu. Ezinye iziguli zithola ukukhululeka kobuhlungu obungcono ekuthathweni kwe- NSAID (izidakamizwa ezingavumeli ukuvuvukala) noma i- Celebrex (celecoxib), enye i- COX-2 ehleliwe e -inhibitor ekhethiwe e-US Kukhona nemithi e- opioid analgesic etholakalayo iziguli udinga ukukhululeka kobuhlungu obukhulu.
Ngaphandle kwemithi yomlomo, ezinye izinketho zokwelapha ze-knee ostoarthritis zifaka umjovo wangaphakathi we-intra-articular we- steroids noma i- viscosupplements . I-steroid injection isetshenziselwa ukukhulula ngokushesha ubuhlungu nokuvuvukala . Ama-Viscosupplements, noma ama-hyalruonates, yizinto ezinjenge-gel ezingeniswa egameni elithintekayo ngenhloso yokuhlinzeka nge-lubrication kanye nokukhushulwa, okufana nezakhiwo ze-synovial fluid ngokuhlanganyela okujwayelekile .
Kunezindlela eziningana "zokuqonda" izindlela zokuphatha i-knee osteoarthritis:
- ukuzivocavoca / umsebenzi wokwenyama / ukwelashwa ngokomzimba - Ukuhamba nomsebenzi kubalulekile ekuthuthukiseni nasekugcineni amandla namandla okuhamba.
- silondoloze isisindo sakho esihle noma ulahlekelwe isisindo uma ukhuluphele ngokweqile - Amakhilogremu angeziwe afaka ukucindezeleka emadolweni akho, ngakho ukulalela isisindo sakho kubalulekile ekuphatheni i-osteoarthritis yamadolo.
- Ukugqoka ngamadolo noma ukwesekwa - Ukugqoka i knee kunikeza ukuxhaswa, ukuzinza, nobuhlungu.
- eshisayo nokubandayo - Ukusetshenziswa kokushisa noma okubandayo (e..g, amaphakethe ejelisi) kungasiza ekunciphiseni ubuhlungu nokuvuvukala.
- izikhwama ze-topical (okungewona odokotela) ziyizinketho zokuphumula ubuhlungu; i-prescription Voltaren (i-diclofenac) i-gel iyisimo se-NSAID esiphezulu
- ukuhlinzwa kwamadolo esikhundleni - isinqumo sokugcina ngemuva kokunakekelwa kwemithi esihlukumezekile sehlulekile ukuveza impendulo efanele
Funda futhi: 25 Ukwelapha okuphumelelayo kwe-Hip ne-Knee Osteoarthritis
Izwi elivela
Amaphesenti angaba ngu-13 abesifazane kanye namaphesenti angu-10 amadoda aneminyaka engama-60 ubudala nangaphezulu anesifo se-knee osteoarthritis. Ngenkathi isifo se-knee-osteoarthritis sanda ngaminyaka yobudala, noma ubani angahlakulela lesi sifo.
Kuye ngokuqina kwesifo, i-knee-osteoarthritis yegciwane ingabangela ukulinganiselwa okukhulu ngokomzimba nokulinganiselwa okusebenzayo , futhi ngenxa yalokho, kuthinta kakhulu izinga lokuphila. Ungase umangale uma ufunda ukuthi i-osteoarthritis ihlobene futhi nengozi ephezulu yokufa uma kuqhathaniswa nomphakathi jikelele. Ngomlando wesifo sikashukela, umdlavuza, noma isifo senhliziyo kanye nokukhubazeka kokuhamba, kunengozi eyengeziwe.
Ukuthola i-kneearthritis yamadolo kudinga ukuthi ubone izimpawu zakudala, uxhumane nodokotela wakho ukuze uthole ukuxilongwa okunembile, unamathele esimweni esinezinketho zokwelapha eziqinisekisiwe futhi eziphumelelayo, futhi uqaphele kakhulu izici ezingaguquki ezingathinta ukuqhubeka kwesifo. uyajabula ukukunikeza ulwazi oludingayo ukuze ube nokuqonda okuyisisekelo kwe-knee osteoarthritis, ukuqonda izincomo zodokotela wakho, kanye nemikhombandlela yakamuva yokuphatha i-osteoarthritis yamadolo.
Imithombo:
I-arthritis ye-Knee. I-OrthoInfo. I-AAOS. Juni 2014.
Izici zomtholampilo ze-Osteoarthritis. UNelson neJordani. Isahluko 99. I-Kelley's Bookbook of Rheumatology. Elsevier. Umagazini wesishiyagalolunye.
Ukubonakaliswa Kwemitholampilo nokuxilongwa kwe-Osteoarthritis. Doherty no-Abhishek. Kusesikhathini. Kubuyekezwe u-Agasti 1, 2016.
I-Heidari B. I-Osteoarthritis Ukuvama, Izingozi Zengozi, I-Pathogenesis, Nezici: Ingxenye I. I-Caspian Journal Ye-Medicine Yangaphakathi. 2011 Spring 2 (2): 205-212.