Ukwelashwa kwe-osteoarthritis kumele kube ngabanye
I-osteoarthritis yisifo esibuhlungu esingaphazamisa ikhono lesiguli sokwenza imisebenzi yansuku zonke , kuye ngokuthi yiziphi amalunga ezithintekayo. Ukuxilongwa kokuqala kanye nokwelashwa kubaluleke kakhulu. Imigomo yokwelashwa kwe-osteoarthritis yilezi:
- Nciphisa ubuhlungu nezinye izimpawu ze-osteoarthritis
- Londoloza noma uthuthukise umsebenzi ohlangene
- Nciphisa ukukhubazeka ngokomzimba
I-American College of Rheumatology (ACR) inikeza imihlahlandlela yokwelashwa kwe-osteoarthritis, nakuba igcizelela ukuthi izinqumo zokwelapha ekugcineni ziphumula nodokotela nesiguli. Imikhombandlela ye-ACR ihlanganisa okungekho-pharmacologic kanye ne-pharmacologic (okungukuthi, izidakamizwa) ongakhetha ukwelashwa kwe-osteoarthritis.
Ukwelashwa okungewona ama-Pharmacologic for Osteoarthritis Patients
Izinketho zokunakekelwa kwezidakamizwa ezingezona izidakamizwa kufanele zibhekwe kuqala. Uma usizo olwanelisayo lungatholakala ngokusebenzisa izinketho ezingekho izidakamizwa, ingozi ehambisana nemiphumela emibi yemithi igwenywe. Izinketho zokwelashwa ezingekho emthethweni zihlanganisa:
- Imfundo yeziguli kanye nezinhlelo zokuzilawula
- Ukulahlekelwa isisindo uma isiguli singaphezu komzimba
- Ukwelashwa ngokomzimba wokusebenza okuhamba phambili, ukuqinisa imisipha, isimo se-aerobic
- Amadivayisi wokusiza
- Ukuthinta nokweqa
- Ama-insoles ahlanganisiwe
- Ukwelashwa kwemisebenzi yokuvikelwa okuhlangene , ukulondolozwa kwamandla
Imithi ye-Osteoarthritis
Imithi kufanele ibhekwe njengokwelapha i-osteoarthritis ngaphezu kwezinketho zokwelapha ezingekho izidakamizwa.
Imithi isetshenziselwa ukuphathwa ubuhlungu. Ukukhethwa kwemithi kusekelwe ebukhulu bezinhlungu, ingozi yemiphumela emibi yesiguli ngasinye, kanye nokuhlanganyela okubandakanyekile okuhilelekile.
Imithi yomlomo
- I-Acetaminophen
- Ama- analgesics e- opioid (isib. Ultram noma ngaphezulu ukwelashwa kwe-opioid)
- Ama-NSAID (isib. Ibuprofen, naproxen, dicofenac, meloxicam)
- I-COX-2 inhibitor (isb., ICelebrex)
- I-salicylate engenamakhetho
Izijovo zangaphakathi (intraarticular)
- Izijovo ze-Corticosteroid
- I-Viscosupplementation (ie, imijovo ye-hyaluronan )
Ama-cream nama-gel
- I-Capsaicin ukhilimu
- I-Methylsalicylate ukhilimu
Ukuhlinzwa kwe-Osteoarthritis
Ukuhlinzwa kubhekwa njengokukhethwa kokugcina kokwelashwa kokusebenzisa. Ukuhlinzwa okuhlanganyelwe Kunconywa iziguli ezinomunyu obukhulu noma ukulinganiselwa okusebenzayo okuqhubekayo okuhlulekile ukuphendula kwezinye izinketho zokwelashwa.
Ukuhlinzwa kunganciphisa ubuhlungu, kulungiswe ukulungiswa okuhlangene, futhi kubuyiselwe ukuhamba okuhambisanayo nomsebenzi. Izinhlobo ezivame kakhulu zokuhlinza ezisetshenziselwa ukwelapha i-osteoarthritis zifaka:
- Ukuhlinzeka nge-arthroscopic
- Osteotomy
Okunye Ukwelashwa Kwe-Osteoarthritis
Ezinye izindlela zokwelashwa ziye zathola ukuthandwa eminyakeni eminingi edlule. I-Glucosamine ne-chondroitin sulfate kuye kwanconywa ukwelashwa kwe-osteoarthritis. Nokho, ezinye izifundo ziye zabuza ukuphumelela kwezidakamizwa kanye nekhwalithi yemikhiqizo ethengiswayo.
Amavithamini, ikakhulukazi ama- antioxidants , kuthiwa anciphisa i-osteoarthritis futhi angase avimbele lesi sifo. I-Vitamin C iye yahlotshaniswa nokuncipha ubuhlungu nokuqhubeka kwe-osteoarthritis. Amavithamini D no-E nawo ahlanganiswe nokukhululeka kwe-osteoarthritis.
I-chiropractic nayo ihanjiswe njengenzuzo ye-osteoarthritis. Ukuxhaphazwa, ngesifo sokusebenza kwengqondo esineziguli ezigula ngamagciwane, kungasiza ekunciphiseni ubuhlungu be-osteoarthritis kwezinye iziguli.
Imithombo:
Ukwelashwa kwe-Osteoarthritis. I-Primer kuma-Rheumatic Diseases. Edition 12. Ishicilelwe yi-Arthritis Foundation.
Osteoarthritis Ukwelapha Izinketho. I-Arthritis Foundation. 7/23/2007.
Izincomo ze-Medical Management ye-Osteoarthritis ye-Hip ne-Knee. I-American College of Rheumatology. September 2000.