Knee Osteoarthritis
I-knee osteoarthritis yindlela eqhelekileyo ye-osteoarthritis. Abantu abangaphezu kwezigidi ezili-10 baseMelika banama-knee osteoarthritis. Kwakhona kuyona nto ibangelekileyo yokukhubazeka kwe-musculoskelet e-United States. Ukulawulwa ngempumelelo kwe-knee osteoarthritis kuxhomekeke ekuqwalaseleni iimpawu zokuqala, ukuxilongwa ngokuchanekileyo, kunye nokunyangwa okufanelekileyo.
Iimpawu kunye neempawu zeKnee Osteoarthritis
I-oneoarthritis ye-Knee ibonakala ngokugqithisileyo kweentlungu ezidibeneyo, ukuqina okuhlangeneyo , kunye nobuninzi bokuhamba .
Ngokungazi, i-knee osteoarthritis ikhula kancane kancane kwixesha leminyaka ize ingabonakali kuze kube yilapho iba uphawu. Kuqhelekile ukuba abantu abane-knee osteoarthritis baqale bakhononde ngentlungu eyenzeka ngokuhamba, kunye nemingcele yokuhamba (umz., Umgama), ukusuka ekuhlaleni ukuya kwindawo yokuma , kunye nokunyuka kwee-stair. Ezinye izikhalazo eziqhelekileyo ziquka ukuvakalelwa kukuba idolo liya kuphawula , idolo elichaphazelekayo livale , okanye i- sensing popping in joint .
-
Yintoni i-Tricompartmental Osteoarthritis?
-
Ukusebenzisa i-Viscosupplement Hyalgan yokuphatha i-Knee Osteoarthritis
Kukho rhoqo ukuvuvukala kwendawo, kodwa ngokuqhelekileyo ayinakunyaniswa nokufudumala okanye ubomvu. Ngayiphi na impawu kunye neempawu ezikhankanywe ngasentla, emva kwexesha elifutshane lokubona ukuba iimpawu ziyaphumla okanye ukuba unyango luyabancedisa, abaninzi abantu bayaqonda ukuba kufuneka babonane nogqirha wabo ukuvavanya okufanelekileyo.
Ubuhlungu obudityaniswe ne-knee osteoarthritis bubonakala bubi kakhulu emva komsebenzi, ingakumbi xa kunokusetyenziswa kakubi kwegciwane elichaphazelekayo. Ubunzima buya kubuhlungu emva kokuhlala ixesha elide. Njengokuba idolo le-osteoarthritis liqhubeka, impawu ziba nzima kakhulu. Ubuhlungu buya kuhlala buhlala njalo, kunokubonakalisa kuphela xa kuthwala ubunzima okanye umsebenzi olandelayo.
> I-cartilage ye-Bone ihla ne-osteoarthritis.
Iintlungu eziqhubekayo kunye nobunzima buphawu lwesifo esesiswini esingaqhelekanga esenzekayo xa ukulahleka kwe-cartilage kunzima kakhulu ukuba akukho-cartilage eshiya iindawo eziphelile zamathambo emadolweni. Imizimba ehluthayo kwindawo edibeneyo inokubangela neentlungu nokuqina. I-Crepitus (i- sensing grishing ) kunye nokwanda kweempawu ezinzulu ezenzeka ngezulu eliqhwithiyo nazo ziyimpawu ze-knee osteoarthritis-nangona okokugqibela kuxoxwe.
Ukutshatyalaliswa kwe-articular (jointly) cartilage , ebonakalayo kwi-x-rays ecacileyo , ibaluleke kakhulu into yokuxilonga ehambisana ne-knee osteoarthritis. Ukulahleka kwe-cartilage kwi-knee osteoarthritis kungabangelwa ngu:
- ukulimala kwangaphambili kwedolo
- ukuphindaphinda ukuguqa emadolweni
- ukuphuka, i- ligament , kunye nokulimala kwamadoda, naluphi na oluchaphazela ukulungelelaniswa kwamadolo kunye nomlenze
- i-genetic predisposition to cartilage engaqhelekanga kunye ne-knee osteoarthritis
- ukunyanya nokugqithisa okongeza uxinzelelo kunye nomthwalo kwintsebenziswano echaphazelekayo; izicubu ze-adipose zandisa ii- cytokines ezinokutsha ; kwaye i-leptin inokudlala indima
- iingxaki zesithambo se-subchondral ( isangqa lesithambo phantsi kwe-cartilage emadolweni)
Ukuxilongwa kwe-Knee Osteoarthritis
Njengoko kunjalo xa kukho nawuphi na uhlobo lwe- arthritis olukhankanywayo , ukubonisana kokuqala nodokotela wakho kuqala ngokuxubusha ngeempawu oye wazifumana. Ukuhlaziywa kwimbali yakho yonyango kunye nokulandela ukuhlolwa komzimba. Kufuneka ulindele ukuba uvavanyo lwe-diagnostic luyalelwe, iimvavanyo zegazi kwakhona ukulawula ezinye iintlobo ze-arthritis kunye ne-x-ray ukukhangela ubungqina bomonakalo odibeneyo.
Ngethuba loviwo loviwo, ugqirha uya kugcina ibhokisi elichaphazelekayo ukuvuvukala, ubomvu, ukufudumala kunye nokukhubazeka (umzekelo, varus versus valgus deformity). Ugqirha wakho uya kuhlola uluhlu lwezithuthi ezizenzekelayo, kwaye uqaphele ukuba kukho ububele kumgca. Ugqirha wakho uya kugcina umthwalo wakho, kunye nemiqondiso yentlungu eyongezelelekileyo ngokunyamezela. Nge-osteoarthritis, ngokuqhelekileyo idolo elinye lichaphazeleka ngaphezu kwelinye, kodwa zombini unokuchaphazeleka, ngokuqhelekileyo ngamaxesha ahlukeneyo.
Ukuphonononga iimfuno kuyadingeka ukukhangela ubungqina beenguqu ezinxulumene ne-osteoarthritis kunye nokulawula ezinye iimeko.
I-rays x-rays iyalelwe kuqala kwaye ukuba imifanekiso ecacileyo efunekayo, i-MRI okanye i-CT iyayilalelwa. Ugqirha lwe-Arthroscopic ngenye indlela yokujonga imeko yegama.
Uphononongo lweemviwo kunye neengcamango ziza kubonisa ukuba iyiphi inxalenye yodolo echaphazelekayo. I-joint joint patelfemoral kunye ne-tibiofemoral joint joint often affected by osteoarthritis. I-jointal tibiofemoral jointly ayichaphazeleka kakhulu kwi-osteoarthritis. Njengoko unokulindela, indawo yentlungu inika isibonakaliso esihle sokuthi ibandakanyeka yiphi idolo. Intlungu kwi-jointello ye patellofemoral idla ngokugqithiseleyo ngexesha elide lokuhlala, ukuma esihlalweni esiphansi, ukunyuka kwezitepsi okanye ukuhla. Ubuhlungu beendolo zangaphambili ezidlulayo eziqhelekileyo zingase zihambelane ne-moderation osteoarthritis. Intlungu ebuhlungu ehambelana nokuphazamiseka kokulala ngokuqhelekileyo ibonisa ukuba i-osteoarthritis ephezulu. Ngokuqhelekileyo akukho buhlungu obuya ngaphaya kwidolo ngaphandle kokuba ludibaniswe ne -cyst Baker .
Unyango lwe-Knee Osteoarthritis
I-knee osteoarthritis ayikwazi ukuphiliswa, kodwa kukho unyango olukhoyo ukuze luncede ukulawula iimpawu.
Kukho iindlela zokwelapha ze-pharmacologic kunye non-pharmacologic.
Iipilisi ezingaphezu kwe-counter-counter, ezifana ne- acetaminophen , zinokukunceda ngeentlungu zoxolo. Ezinye izigulane zifumana intlungu engcono ekuthathe i- NSAID (i-nonsteroidal anti-inflammatory drugs) okanye i- Celebrex (celecoxib), enye i- COX-2 inhibitor ekhethiweyo ekhoyo kwi-US. badinga ukukhululeka kwentlungu.
Ngaphandle kwamachiza omlomo, ezinye iindlela zokwelapha kwi-knee osteoarthritis zibandakanya i -injection intra-articular ye- steroids okanye i- viscosupplements . Iiliti ze-Steroid zisetyenziselwa ukuphucula ngokukhawuleza intlungu nokuvuvukala . Iimfosupplements, okanye i-hyalruonates, zizinto ezinjenge-gel ezinokuthi zijojowe emadolweni achaphazelekayo ngenjongo yokubonelela i-lubrication kunye nokukhupha, okufana neepropati ze-synovial fluid kwisiqhelo esivamile .
Kukho iindlela ezininzi "zokuqonda" iindlela zokulawula i-knee osteoarthritis:
- umsebenzi / umzimba / unyango lomzimba - Ukuhamba kunye nomsebenzi kubalulekile ekuphuculeni nasekulondolozeni amandla kunye nobuninzi bezityalo.
- Ukugcina isisindo sakho esilungileyo okanye ulahlekelwe isisindo xa ukhululeka kakhulu - Iipounds ezongezelelweyo zongeza uxinzelelo emadolweni, ngoko ukunyamekela ubunzima bakho kubalulekile ekulawuleni i-knee osteoarthritis.
- ukuguqa ngamadolo okanye inkxaso - Ukugqoka idolo ngokunika inkxaso, ukuzinza, kunye nentlungu.
- kushushu kwaye kubanda - Ukusetyenziswa kobushushu okanye kubanda (e..g, iipakethe zejel) kunokunceda ukukhulula intlungu nokuvuvukala.
- Iimpawu zeengqungquthela (okungagunyazisiyo) zikhethwa kwintlungu yoxolo; I- presta yeVoltaren (i-diclofenac) i-gel yi-NSAID yezobugcisa
- ugqirha lokuguqulwa kwamadolo - isithuba sokugqibela emva kokuba unyango olulungileyo luye lwahluleka ukuvelisa impendulo eyaneleyo
Funda kwakhona: 25 Ukwelashwa okuphumelelayo kwi-Hip neKnee Osteoarthritis
ILizwi
Phantse ama-13 ekhulwini labasetyhini kunye neepesenti ezili-10 zamadoda aneminyaka engama-60 ubudala kunye nangaphezulu ubudala banama-knee osteoarthritis. Nangona iziganeko zegciwane le-osteoarthritis zanda ngokweenqanaba, umntu unokuhlakulela eso sifo.
Ngokuxhomekeka kwisifo esiqinileyo, i-knee osteoarthritis inokubangela ukulinganiselwa komzimba kunye nokulinganiselwa komsebenzi , kwaye ngenxa yoko, igalelo elikhulu lobomi. Unokumangaliswa xa ufumanisa ukuba i-osteoarthritis idibaniswa nomngcipheko ophezulu wokufa ngokuthelekiswa nomlinganiselo jikelele. Ngomlando wesifo sikashukela, umhlaza, okanye i-cardiovascular and presence of walking disability, kukho ingozi eyongeziweyo.
Ukufumana i-knee osteoarthritis kufuna ukuba uqaphele iimpawu zokuqala, qhagamshelana nogqirha wakho ukuze ufumane i-diagnostic echanekileyo, unamathele kwi-regimen equlethwe yinkqubo echanekileyo yonyango, kwaye unake ingqwalasela engqongqo kwizinto ezinokuchaphazela ukunyuka kwesifo. Unwabile ukukunika ngolwazi olufunekayo ukuba ube nolwazi oluyisiseko lwe-knee osteoarthritis, ukuqonda kweziphakamiso zegqirha zakho kunye nezikhokelo zakutsha zokulawula i-osteoarthritis.
Imithombo:
IArthritis ye-Knee. OrthoInfo. AAOS. Juni 2014.
Izinto zeKlinikhi ze-Osteoarthritis. UNelson neJordan. Isahluko 99. I-Kelley Textbook yeRheumatology. Elsevier. I-ninth edition.
Ukubonakaliswa kwezonyango kunye nokuxilongwa kwe-Osteoarthritis. Doherty kunye noAbhishek. Isemgangathweno. Ukuhlaziywa kwe-Agasti 1, 2016.
I-Heidari B. Knee Osteoarthritis, i-Pathogenesis, kunye neeMpawu: INgxenye I. I-Caspian Journal ye-Medicine yangaphakathi. 2011 Spring 2 (2): 205-212.