Okunye okunye ukuhlinzekwa kokuhlinzwa okunye
I-osteoarthritis yamadolo ingakuhambela, ngokoqobo nangokomfanekiso. Akukhona nje kuphela ukuthi ubuhlungu nokuqina kungenza kube nzima ukuhamba kahle, kodwa ukukhetha ukwelashwa kwe-knee osteoarthritis kungaba yinto ephazamisayo. Kunezindlela eziningi zokubhekana nalesi simo. Ezinye zibhekwa ziphephile futhi ziphumelela yi-American Academy of Orthopedic Surgeons (AAOS), kanti ezinye azikho, ngakho-ke kungasiza ukuba nomqondo wokuthi yiziphi izindlela zokwelashwa ezinconywayo futhi okungenjalo njengoba wena nodokotela wakho behlukanisa ngamathuba .
Nakhu okushiwo yi-American Academy of Orthopedic Surgeons (AAOS) mayelana nemithi engu-18 engeyona engavumeleki ye- knee osteoarthritis , esekelwe emazingeni ahlukene obufakazi. Bayeka ukufaka indawo esikhundleni sokuguqula amadolo kodwa gcinani engqondweni ukuthi kungaba yindlela yokwelashwa engcono kakhulu kuwe. Ngaphambi kokuba ufunde, phawula ukuthi imihlahlandlela ye-AAOS iphathelene nabantu abanezimpawu ze-knee osteoarthritis, njengobunzima obuhlangene nokuqina . Akaziqondanga njengezincomo kulabo ababenama knelo X-ray abonisa ubufakazi bokuhlushwa okuhlangene kepha abangenayo izimpawu.
Kunconywe Ukwelashwa Knee Osteoarthritis
1. Imisebenzi yokuvuselela, imfundo, kanye nempilo. Lokhu kubandakanya iqhaza ezinhlelweni zokuziphathisa nokwenza izinguquko emsebenzini uma kungenzeka ukuvikela amalunga akho (isibonelo, ukuhamba noma ukubhukuda kunokuba ugijime umzimba).
2. Imithi yokuphumula. Izidakamizwa ezingekho emsakazweni ezingezona-steroidal (anti-inflammatory drugs ) (NSAIDs) zinconywa kakhulu ukukhulula ubuhlungu nokuvuvukala.
I-tramadol ye-opioid narcotic ye-opioid iphinde ithole izilinganiso eziphezulu kusuka ku-AAOS yokwelapha ubuhlungu e-knee osteoarthritis.
Ukulahlekelwa kwesisindo. Uma ukhuluphele ngokweqile , echazwa ngokuba nenani le-mass mass (BMI) elingaphezu kuka-25, uyozuza kakhulu ukulahlekelwa amaphesenti angu-5 wesisindo somzimba wakho nokugcina isisindo esincane ngokudla nokuzivocavoca.
4. Isithende esilandelayo. Lezi yi- insoles eziphakamisa umkhawulo wangaphandle wenyawo ukuze zishintshe indlela ohlangothini lwegolo olusebenza ngayo. I-AAOS igcizelela ukuthi ayikugqugquzeli izigxobo ezithengiswayo zangasese zabantu abanesifo se-knee osteoarthritis.
5. Isinal Lona umkhuba wokuhlanza okuhlangene. I-AAOS ayiluleki ngokumelene nayo kodwa ithi odokotela kufanele bahlolisise ucwaningo olusha. Isifundo esisodwa sekhwalithi eliphezulu asizuzanga inzuzo elinganiselwe.
6. I-Tibial osteotomy. Nakuba izifundo zisekela le nqubo, lapho ingxenye ye-tibia (elinye lamathambo amabili omlenze ophansi owenza phansi kwegceke elihlangene) isusiwe, liyikhwalithi ephansi, i-AAOS ayincomo ngokumelene nayo.
Ukwelapha Ngokufakazela Okungaqondile
7. Amakhemikhali, okubandakanya izindlela zokusebenzisa i-electrotherapeutic. Lezi zihlanganisa ukuguqulwa kwamagesi e-transcutaneous (TENS); i-shortwave diathermy; okwamanje; ukusetshenziswa kokwelashwa kwensimu ye-electromagnetic yomthamo womculo (TAMMEF); kanye ne-ultrasound. Kulezi, i-ultrasound inebufakazi obuningi obubonisa ukuthi ingaba yimpumelelo, kodwa ngokubanzi kunomcwaningi omncane kakhulu wokugweba ngokugcwele noma iyiphi yalezi zonyango, ngokusho kwemihlahlandlela ye-AAOS.
8. Ukwelapha ngesandla. Lokhu kuhlanganisa ukwelashwa kwe-chiropractic, ukukhululwa kwe-myofascial, kanye nokusikwa kwe-Swedish. I-AAOS ayiyona noma imelene nalezi zindlela zokwelashwa.
9. Knee brace. Isibonelo se-knee brace yilapho kulayishwa khona imfucuza, oklanyelwe ukuthatha ukucindezeleka emadolweni angaphakathi kumuntu ogama i-osteoarthritis igxile lapho. Izifundo zokusebenza kwama-knees braces azibonisi ukuthi ziyasiza noma cha.
10. I-Acetaminophen, i-opioids, kanye nobuhlungu bezinhlungu. Nakuba kunobunye ubufakazi bokuthi ama-NSAID asebenza kahle ekuphatheni i-knee osteoarthritis, ijaji lisekhona kuma-non-NSAID (ngaphandle kwe-tramadol).
11. I-corticosteroids egayiwe. I-corticosteroids engaphakathi-articular injected into okuhlangene ohlangene. Akucaci indlela okuwusizo ngayo lokwelapha nge-osteoarthritis emadolweni.
12. Izijovo ze-biologic: Akuyona noma ngokumelene nomjovo onokukhula noma iplasma ecebile.
13. I- meniscectomy eyingxenye ye-Arthroscopic : Uma unezibonakaliso nezimpawu ze-meniscus ephukile noma umzimba ovulekile, abakwazi ukusikhuthaza noma ngokumelene nale nqubo.
Ukwelashwa Okungahle Kunconywe
14. I-Glucosamine ne-chondroitin. Nakuba i- glucosamine ne-chondroitin kokubili izinto zenzeke emvelweni ngokwemvelo, i-AAOS iluleka ngokuqinile ngokuyithatha ngesimo se-supplementary dietary yokwelapha i-osteoarthritis yamadolo.
15. I-Viscosupplementation. Lokhu ukwelashwa kuhilela ukujova i-hyaluronic acid, okuyingxenye ebalulekile yetshezi e-synovial eyama-cushions kanye nama-lubricates joints, endaweni lapho amathambo amalunga ehlangana khona. I-AAOS ayincomo i- intra-articular hyaluronic injection ama knee osteoarthritis.
16. Ukukhwabanisa : Kukhona ubufakazi obuqinile bokuqhwaba akusizikhululi ubuhlungu obuhlobene ne-knee osteoarthritis.
17. I- Arthroscopy ene-debridement noma ilahla . Lena inqubo lapho izicubu ezonakalisiwe zisusiwe phakathi kwamajoyina okungenasidingo.
18. Unispacer. Leli divayisi ehamba ngokukhululekile ekhokhela i-cartilage elahlekile, okusho ukuthi i-AAOS ithi akumele ifakwe komuntu onomzimba we-osteoarthritis we-knee unicompartmental.
Imithombo:
I-American Academy Yabahlinzeki Bama-Orthopedic. " Ukwelashwa kwe-Osteoarthritis ye-Knee: Isiqondiso Esisekelwe Ebufakazi, Edition 2. " Ngo-May 18, 2013.
> Battisti E, et al. "Ukusebenza Nezokuphepha Kwamasimu Omzimba We-Electromagnetic Field (TAMMEF) ku-Iziguli Eziphethwe I-Knee Osteoarthritis." I-Clin Exp Rheumatol . 2004 Sep-Oct; 22 (5): 568-72.
> Duivenvoorden T, et al. "Ama-braces kanye nama-Orthoses ngokuphatha i-Osteoarthritis ye-Knee." I-Cochrane Database Syst Rev. 2015 Mar 16; (3): CD004020. i-doi: 10.1002 / 14651858.CD004020.pub3.
> MedLine Plus. "Izidakamizwa, ama-Herbs, nama-Supplements: i-Tramadol." Ngo-Apr 2017.
> Izikhungo Zikazwelonke Zempilo. "I-Glucosamine neCondroitin ye-Osteoarthritis." Nov 2014.