I-oneoarthritis ye-Knee inokubandakanya nayiphina idilesi ezintathu
I-osteoarthritis ithinta ixolo elihlangeneyo ngaphezu kwanoma yimuphi omnye umdibaniso. Ibhokisi elihlangeneyo liqukethe amathambo amane-i-femur, i-tibia, i-patella, kunye ne-fibula-kunye namacandelo amathathu. I-Osteoarthritis inokuchaphazela enye, ezimbini, okanye zonke ezo zintathu. Xa zonke ezi zintathu zichaphazelekayo, kuthiwa yi-osteoarthritis.
Amacandelo amathathu eKnee
Ngamanye amacandelo amathathu atyathwa ngamagama amathambo amabini ahlangene ngaphakathi kwendawo.
Bazi:
- Igumbi eliphakathi le-femoro-tibial (igumbi langaphakathi
- Igumbi le-femoro-tibial elisecaleni (igumbi elingaphandle)
- Igumbi le Patellofemoral (i-kneecap ne-femur)
Ukuhlola amaKnee Amasebe
Uvavanyo loqobo lunikeza inkcazo yokuqala yecandelo elichaphazelekayo. Ugqirha wakho uya kukucela ukuba ume kwaye uhambe. Ngexa umile, ugqirha uya kukubona ngenxa yokukhubazeka kwangasemva kwesimo, njenge- valgus (ugxobhoza) okanye i-varus (ukuguqa umlenze) . Kukho nokuba kukho ukungafani okucacileyo okanye okufihlakeleyo kumda womlenze.
Xa uceliwe ukuba uhambe, ugqirha wakho uya kujonga izinto ezingekho phantsi kwezinto, ezinjengokuqhaqhaqhaqhazela, ukugubha, okanye ukungahambi. Ugqirha wakho kwakhona uya kuhlola iimpawu zokudibanisa ngokubambisana kwaye ukhangele uluhlu lwakho lokunyakaza . Ugqirha wakho uya kugcina ixolo lokuxubusha ngokuhlangeneyo , i-knepate idolo xa isesigxina, kwaye ujonge iimpawu ze- atrophy kunye neenguqu zesikhumba.
I-ray-ray iya kufuneka ukuze kuqinisekiswe ukulahleka kwe-cartilage kunye nomonakalo odibeneyo ohambelana nokungaqhelekanga okuphawuliweyo ngexesha lokuhlolwa kwakho. Ngomfanekiso we-x-radi, ukulahleka kwe-cartilage kubonakalisa njengokunciphisa isikhala phakathi kweziphelo zamathambo okwenza umdibaniselwano. Oku kuthethwa njengendawo edibeneyo yokunciphisa .
Ngokuqhelekileyo, ukunciphisa indawo edibeneyo kubonakala kwicala elinye. Ukunciphisa okuqhelekileyo kubonwa ngamaphesenti angama-75 abantu abagugile i-osteoarthritis kwaye kunokubangela ukuma kwesigxina. Ukunciphisa, okungaqhelekanga kubantu abane-knee osteoarthritis, idibaniswa kunye nesigxina. Phantse kwisiqingatha sazo zonke izigulane ze-knee osteoarthritis zinobungqina bommonakaliso we patellofemoral kwi-ray-ray.
Unyango lwe-Conservative Treatment of Tricompartmental Knee Osteoarthritis
Izinyango zokwelapha kwi-knee osteoarthritis zixhomekeke kubukhulu bomonakalo odibaniseneyo, izinga leentlungu, kunye nomgangatho womsebenzi. Ngaphambi kokuba ukhetho olucetywayo luqwalaselwe, unyango olungenalo uphezulu lufanele lucatshangelwe kwaye mhlawumbi luzame, kuquka:
- Imithi : Le yonyango yonyango, enjongo yokulawula intlungu kunye nokulawula ezinye iimpawu ze-osteoarthritis . Iziyobisi ukwenzela ukunciphisa isifo sokunyuka kwesifo kusasazo.
- Ukuzivocavoca : Ukusebenzisa umgangatho omncinci kunceda ukugcina amandla kunye nobuninzi bezityalo ezichaphazelekayo.
- Ukulawulwa kwesisindo : Ukuthatha amakhilogremu angaphezulu kunamandla kumalungu akho njengoko uhamba. Yilo kanye umthwalo ofuna ukuwuphepha kunye ne-knee osteoarthritis.
- Iintlungu zokuxhoma iintlungu : Iifoloji, ama-gel, kunye neoli, zibonelela ngolunye uhlengahlengiso lwentlungu kubantu abangenazo iimpendulo ezingafanelekanga okanye abanako ukunyamezela imithi yomlomo.
- I-lateral wedge insoles : I-insoles ezikhethekileyo zenzelwe ukunciphisa intlungu edibeneyo ne-knee osteoarthritis ngokuguqula i-mechanics yamadolo.
- I-Viscosupplementation : Uluhlu lweentyolo zamadolo kunye ne-gel-like substance (hyaluronates) isetyenziselwa ukongeza iipropathi ze-synovial fluid emadolweni achaphazeleka yi-osteoarthritis.
- Injini-articular injini ye-steroid : I-injection kwi-knee echaphazelekayo kunye neyeza ze-corticosteroid zenzelwa ukunciphisa ukuvuvukala nentlungu.
- Ukuncedisa ukutya : Iindleko ezininzi zithengiswa ngempilo ehlangeneyo. Nangona ngokuqhelekileyo babonwa njengekhuselekile, ukuphumelela kwabo akuzange kuboniswe.
- I-TENS (i-transcutaneous electrical nerve stimulation) : Lesi sixhobo esincinci esilawula ukunyuka kwamandla kagesi kumanzi okanye kwindawo ebuhlungu.
- Ukwenziwa komzimba : Izindlela ezahlukahlukeneyo ezisetyenziselwa ukuvuselela amanqaku athile asemzimbeni. Uncedo lweentlungu luyinjongo yabantu abane-arthritis.
Ukutshintshwa kokutshintshwa kweeNkampani ezithintekayo zeKnee
Xa unyango olulondolozayo luvelisa iziphumo ezingonelanelekanga, isinyathelo esilandelayo sinokuhlinzwa. Ukuxoxwa kwe-Arthroscopic okanye i- osteotomy ingathathwa njengento efanelekileyo kwiimeko ezithile, ngaphambi kokuqwalasela indawo yokuguqula idolo .
Xa kukho igumbi elinye lamadolo, ugqirha wakho kunye nodokotela ogqirha ngamathambo angancoma ukutshintshwa kwamadolo okutshintshile okanye ukutshintshwa kwamadolo okungaqhelekanga, kunokuba utshintshe idolo. Nangona isigqibo sokuba nomtshintsho wokuguqa ngamadolo angabonakalisa ingqiqo kwaye ichaneke, kukho iimeko zokuqwalasela.
Kungaba ngumcimbi wexesha ngaphambi kokuba amanye amacandelo agqitywe kwaye kufuneka uphando olungakumbi. Ngaba bekuya kuba ngcono ukuguqulwa kwamadolo endaweni yokuguqula idolo kunye nokujamelana nokuhlinzwa okwenzekayo kwixesha elizayo? Ugqirha wakho uya kuhlola ubunzima beemeko zakho kwaye ukhuthaze ikhosi efanelekileyo kwiimeko zakho.
Ngaphandle kwendawo yokuguqula idolo engasigxina okanye ukutshintshwa kwamadolo onke, kukho kwakhona indawo yokuguqula idolo. Ukutshintshwa kwegama lokuguqa ngamadolo yindlela yokukhetha abantu abane-knee osteoarthritis yamacandelo ephakathi kunye namatelfelefemoral. Xa kuthelekiswa nokutshintshwa kwamadolo onke, indawo yokuguqula idolo engabonakaliyo kunye ne-bicompartmental igcina ithambo eliqhelekileyo kunye neembambano ezibini.
ILizwi
Uninzi lwabantu abane-knee osteoarthritis banokubandakanyeka ngokungalingani kwamacandelo amathathu emadolo. Izinyango zokonyango, ngakumbi ukhetho lokunyanga, kuxhomekeke ekubeni unayo i-unicompartmental, i-bicompartmental, okanye i-osteoarthritis.
Iintlungu zesisu ziyinkcenkceshelo yonyango eqhelekileyo eyenza abantu baye kugqirha lo kuqala. Ukuxilongwa ngokuchanekileyo kubalulekile ekulawuleni i-knee osteoarthritis. Ukunyangwa okufanelekileyo kulandela ukuxilongwa. Iingcali zeemathambo zingagqitywa ekufuneka zilungiswe ukucwangcisa isicwangciso sonyango. Kukho unyango oluninzi olulondolozo oluzama ukuzama. Xa kufike ixesha lokuqwalasela ukuhlinzwa, fumana ogqirha onguchwephetha ogqithiseleyo.
> Imithombo:
> Beutler, Anthony, MD et al. Ukuhlolwa kweMpilo yeKnee. Isemgangathweno. Ukuhlaziywa kwe-Apreli 13, 2017.
> Deveza, Leticia Alle, MD, et al. Ulawulo lwe-Knee Osteoarthritis. Isemgangathweno. Ukuhlaziywa kwe-Apreli 17, 2017.
> Lane, uNancy E. noWallace, uDaniel J. Bonke malunga ne-Osteoarthritis. Umzimba ophantsi. Amakhasi 102-105. I-Oxford University Press. 2002.
> Sabatini, Luigi et al. IBicompartmental Knee Arthroplasty. Iingxelo zeMicrosoft Medicine. 2016 Jan; 4 (1): 5.