I-Alternative to Knee Replacement Surgery
I-osteoarthritis yamadolo inokukuhamba, ngokoqobo nangokomfanekiso. Akunakuphela nje intlungu kunye nokuqina okukwenza kube nzima ukuhamba kakuhle, kodwa ukugqiba kwindlela yokwelapha i-knee osteoarthritis kunokuphazamisa. Kukho iindlela ezininzi zokujongana nale meko. Ezinye zibhekwa zikhuselekile kwaye ziphumelela yi-American Academy ye-Orthopedic Surgeons (AAOS), kwaye ezinye azikho, ngoko kuya kunceda ukuba ube nengqiqo yokuba unyango lunconywa kwaye awunjengawe kunye nogqirha wakho uhlele ngokusebenzisa .
Nantsi into eyenziwa yi-American Academy of Orthopedic Surgeons (AAOS) malunga neyeza ezingama-18 ezingenasvasive ze- knee osteoarthritis , ezisekelwe kumanqanaba ahlukeneyo obungqina. Bayeka ukufutshane kunokufaka indawo yokuguqa kodwa bagcine engqondweni ukuba inokuba yindlela yokwenza unyango engcono kakhulu kuwe. Ngaphambi kokuba ufunde, qaphela ukuba izikhokelo ze-AAOS zibhekiselele kubantu abanezimpawu ze-knee osteoarthritis, ezifana nentlungu kunye kunye nokuqina . Azinakutsho nje njengeziphakamiso kulabo abaye bawa ngamadolo e-X ababonisa ubungqina bokuhlaselwa ngokubambisana kodwa abangenayo nayiphi na impawu.
Iingcebiso zonyango lwe-Knee Osteoarthritis
1. Imisebenzi yokubuyiselwa, imfundo, kunye nempilo. Oku kubandakanye inxaxheba kwiinkqubo zokulawula ukuzimela nokwenza utshintsho kwimisebenzi xa kunokwenzeka ukukhusela amajoyina akho (umzekelo, ukuhamba okanye ukubhukuda kunokuba usebenze nge-cardio umzimba).
2. Iipilisi zokuncedisa ubuhlungu. Izidakamizwa ze-oral kunye nezobugcisa ezingezange-steroidal (anti-inflammatory drugs) (NSAIDs) zinconywa kakhulu ukuba zinciphise intlungu nokuvuvukala.
I-opioid narcotic tramadol i-opioid narcotic tramadol ifumana amanqaku aphezulu ukusuka kwi-AAOS yokunyanga iintlungu ezivela e-knee osteoarthritis.
3. Ukunyusa ukulahleka. Ukuba ukhuluphele kakhulu , uchazwa ngokuba nesalathisi somzimba (BMI) omkhulu kunama-25, uya kuxhamla kakhulu ukulahlekelwa ngu-5 ekhulwini lomzimba wakho nokugcina ubunzima obuphantsi ngokutya kunye nokuzilolonga.
4. Ithendeleko yangaphambili. Ezi zi- insoles eziphakamisa umda wangaphandle wenyawo ukwenzela ukutshintsha indlela idolo elidlulayo lisebenza ngayo. I-AAOS igxininisa ukuba ayiyikucebisa isithintelo sesithende sabantu abaphethe i-knee osteoarthritis.
5. Inaliti yokulahla. Lo ngumkhuba wokuhlamba idibeneyo. I-AAOS ayicebisi ngokuchasene nayo kodwa ithi oogqirha kufuneka bajonge uphando olutsha. Olunye uphando oluphezulu lufumanisa ukuba akukho nzuzo enokulinganiswa.
6. I-osteotomy ye-Tibial. Nangona uphando oluxhasa le nkqubo, apho iqela le-tibia (elinye lamathambo omlenze ongezantsi elisezantsi phantsi kwegolo elihlangeneyo) lisuswe, liphantsi komgangatho ophantsi, i-AAOS ayicebisi nxamnye nayo.
Unyango oluneziNgqineli ezingabonakaliyo
7. Iimpawu zenyama, kuquka i-electrotherapeutic modalities. Ezi zibandakanya ukuvuselelwa kwamagciwane okuhamba ngogesi (TENS); i-shortwave diathermy; langoku; isicelo sonyango sensimu ye-electromagnetic field modulated music (TAMMEF); kunye ne-ultrasound. Kule ndlela, i-ultrasound inobungqina obuninzi obubonisayo buya kusebenza, kodwa ngokubanzi kukho uphando oluncinci kakhulu ukugweba ngokupheleleyo le naluphi unyango, ngokwemiqathango ye-AAOS.
8. Ukunyangwa kwamayeza. Oku kubandakanya unyango lwe-chiropractic, ukukhutshwa kwe-myofascial, kunye nokusikwa kweSweden. I-AAOS ayiyiyo okanye ayilwa nezo zonyango.
9. I-Knee brace. Umzekelo wendlela yokuguqa ngamadolo yinkampani ekhululayo yokukhulula, eyenzelwe ukuxinezeleka kwixolo langaphakathi kumntu ogxininisa i-osteoarthritis. Izifundo zokuphumelela kwamadolo agugu azibonakali ukuba ziyakunceda okanye cha.
10. I-Acetaminophen, i-opioids, kunye neentlungu. Nangona kukho ubungqina bokuba i-NSAID isebenzayo ekuphatheni i-knee osteoarthritis, i-jury isaphandle kwi-non-NSAID (ngaphandle kwe-tramadol).
11. I-corticosteroids egayiweyo. I-corticosteroids ye-intra-articular injected joint joint. Akucacanga ukuba luncedo njani olu unyango olwenziwe nge-osteoarthritis yamadolo.
12. Iinjongo ze-biologic: Akukho okanye i-injections kunye ne-plasma ecebileyo iplasma.
13. I- meniscectomy ye- arthroscopic ekhethekileyo : Ukuba unempawu kunye neempawu ze-meniscus okanye i-body evulekile, abanako ukucebisa okanye ukuchasene nale nkqubo.
Unyango olungenakunyuswa
14. I-Glucosamine kunye ne-chondroitin. Nangona i- glucosamine kunye ne-chondroitin zizinto zombini zenzeke ngokwemvelo kumalungu, i-AAOS icebisa ngokuthe ngqo ukuwathatha ngendlela yesondlo sokutya ekunyangeni i-osteoarthritis yamadolo.
15. Ukuhlaziywa kwemali. Olu unyango lubandakanya ukujoba i-hyaluronic acid, eyona nto ibalulekileyo yelesivial fluid e-cushions kunye ne-lubricates joints, kwindawo apho amathambo amajoyina ahlangana khona. I-AAOS ayincomo i -hyaluronic acid injections i-knee osteoarthritis.
16. Ukwenziwa komzimba : Kukho ubungqina obuqinileyo bokuthi u-acupuncture awunciphisi iintlungu ezihlobene ne-knee osteoarthritis.
17. I- Arthroscopy eneenkcenkcesho okanye ukuhlamba . Le yinkqubo apho izicubu ezonakalisiweyo zisuswe phakathi kwamajoyina angenasiphelo.
18. i-Unispacer. Lesi sixhobo esingenanto esihlawulelwayo esilungisa i-cartilage elahlekileyo, okuthi i-AAOS ithi ayifanele ifakwe kumntu onomzimba onomzimba ongenazo i-osteoarthritis.
Imithombo:
I-American Academy ye-Orthopedic Surgeons. " Unyango lwe-Osteoarthritis ye-Knee: Isikhokelo esisekelwe kwiNgqungquthela, uNgqungquthela wesi-2 ." Meyi 18, 2013.
> Battisti E, et al. "Ukusebenza kunye noKhuseleko loMmandla we-Electromagnetic Field (TAMMEF) kuMathambo achaphazelekayo yi-Knee Osteoarthritis." Iiklinikhi Exp Rheumatol . 2004 Sep-Oct; 22 (5): 568-72.
> Duivenvoorden T, et al. "Ubungqina kunye nama-Orthoses ngokuPhatha i-Osteoarthritis ye-Knee." I-Cochrane Database Syst Rev. 2015 Mar 16; (3): CD004020. i-doi: 10.1002 / 14651858.CD004020.pub3.
> IMilLine Plus. "Izidakamizwa, iiHerbs, kunye neziNcediso: iTramadol." Matshi 2017.
> AmaZiko eNational Health. "I-Glucosamine neCondroitin ye-Osteoarthritis." Novemba 2014.