Ukuhlambulula okuhlangeneyo akukho ixesha elide phakathi kweZonyango ezicetyiswayo ze-Knee Osteoarthritis
Emuva kwee-1970, kwakuqhelekile ukuva ngesigulane se-arthritis esasifumene nesigxina se-arthroscopic kunye nokuhlamba okuhlangeneyo. Kwiminyaka emashumi kamva kamva, ukuhlambulula ngokuhlangeneyo akuqhelekanga. Njengokuba kunjalo, ukuhlambulula ngokubhaliweyo akufakwe phakathi kwonyango olucetyiswayo lwe-knee osteoarthritis .
Yintoni edibanayo?
Kwi-osteoarthritis, njengoko i- cartilage iphuka, izibonda zenyama, i-cartilage disris et i-enzymes ezihlaziyileyo zingashiywa ngaphakathi.
Kukho kwakhona iikristali kwidibene okanye kwindawo edibeneyo . Ukuhlamba okuhlangeneyo yinkqubo ekhupha izicubu ezilahlekileyo okanye i-debris kwiindawo ezidibeneyo.
Inkqubo ibandakanya ukufakwa kwamathambo amancinci kwi-joint kunye nenye inqaku lokungena. Kukho iintlobo ezintathu zokuhlamba ngokubambisana:
- Ukuhlamba okuhlangeneyo kweTidal - isebenzisa enye inqaku lokungena kwidibeneyo ukuze ujobe umbane kwaye usebenzise umbane.
- Ukungcola ngokubambisana kwe-arthroscopic - isebenzisa amaphulo amabini okungena kwidibeneyo, enye ifake i-fluid kunye nelinye ukukha amanzi. Akukho ukuhlola okubonakalayo kokubambisana kwenzeka.
- Ukuhlamba okuhlangeneyo kwe-Arthroscopic - ukuhlambana ngokubambisana kunye nokuhlola okubonwayo (arthroscopy) .
Ngethuba lokuhlanjululwa ngokubambisana, idibeneyo ifakwe ngetyuwa kunye nohlamba lwamanzi (oko kukuthi, i-saline), kunye ne-fluid ehlangeneyo ixutywe ngaphandle. Umjikelezo wokujoba kunye nokucoca unokuphindwa kabini. Iingqungquthela, ukurhoxisa umxube wee-debris kunciphisa ukutshaya kunye nentlungu edibeneyo.
Kodwa ukuphumelela kokuhlanjululwa ngokuhlangeneyo kuye kwabuzwa kwaye kwafundwa.
Izifundo eziphikisanayo malunga nokuphumelela kokuHlangana okuHlangeneyo
Ngokwe-Cochrane ukuphononongwa kwezilingo ezisixhenxe zeeklinikhi ezibandakanya izigulane ezingama-567, abaphandi banqume ukuba ukuhlenga ngokuhlangeneyo akuvelisi inzuzo ebalulekileyo kwizigulana nge-knee osteoarthritis malunga nokuphulukiswa kwentlungu okanye ukuphucula umsebenzi ohlangeneyo.
Izilingo ezithathu kwezi sixhenxe zibandakanya ukuhluthwa kwe-arthroscopic joint joint. Ezi zifundo zimbini zibandakanya ukuhlanjululwa okuhlanganyelwanga kwe-arthroscopic, kwaye ezimbini ezisele zazinkcenkceshela.
Ukufunyaniswa kwe-Cochrane ukuchasana nezigqibo zesifundo esapapashwa kwi- Arthritis & Rheumatism ngo-1999. Kule sifundo, izigulane ezingama-98 ezine-tiboofemoral knee osteoarthritis babhaliswa kwisifundo seenyanga ezi-6 kwaye ngokungaqhelekanga banikezela olunye unyango lwesine: indawo ye- intraarticular placebo, i- corticosteroids yangaphakathi, i- corticosteroids yangaphakathi kunye ne-intraarticular placebo, kunye ne-corticosteroids yokudibanisa kunye ne-intraarticular. Iziphumo zabonisa ukuba, xa kuthelekiswa ne-placebo, zombini i-corticosteroids yangaphakathi kunye neentambo ezihlangeneyo zikhululeka kakhulu-kodwa akukho msebenzi ophuculweyo. I-corticosteroid yangaphakathi yonyango inikwe intuthuko yexesha elifutshane, ngelixa iinzuzo zokuhlanjululwa ngokubambisana zadlulayo ukuya kwiiveki ezingama-24.
Ngo-2008, i-American Academy ye-Orthopedic Surgeons (AAOS) yapapasha iziphakamiso ezingama-22 kunyango lwe- knee osteoarthritis . I-Arthroscopy ene-draridement okanye ukuloba ngokubambiseneyo ayilunyanzelwanga ukuphatha i-knee osteoarthritis. Ngokutsho kwe-AAOS, bekungekho ubungqina bokuba luncedo olukhulu.
Kanti esinye isifundo, esanyatheliswa kwi- Annal of Rheumatic Diseases ngo-2004, sabonisa ukuba kungekuphela nje ukuba kungabikho ukufumana inzuzo enxulumene nokuhlambulula ngokubambisana, iingxaki ezinxulumene nale nkqubo zinokwenzeka.
I-Pseudogout yinkxalabo enokwenzeka yokuhlamba i-arthroscopic kwizigulane ezine- chondrocalcinosis . Umngcipheko wokubambelela kwizifundo nge-chondrocalcinosis, kunye / okanye i-crystals, ngaphambi kokuhlamba kwakungamaxesha aphindwe mahlanu kwalabo abangenawo mngcipheko.
Njengaye nawuphi na umjovo, kukho kwakhona ukusuleleka kokusuleleka emva kokuhlamba ngokubambisana. Xoxa ngawo onke amanyathelo akho unyango kunye nogqirha wakho. Hlanganisa, nciphisa izibonelelo kunye nobungozi, kwaye wenze isigqibo esinolwazi.
Imithombo:
Ukuhlambulula ngokuhlangeneyo i-osteoarthritis yamadolo. Reichenbach S. et al. Ukuhlaziywa kweSiseko seSiseko seCchrane. Ngo-2010 Meyi 12; (5): CD007320.
Imiphumo yejoyi yokudibanisa kunye ne-steroid kwizigulane ezine-osteoarthritis zamadolo: iziphumo zoluhlu olulandelayo, olulinganiselwe, olulawulwayo. URavaud P. Arthritis & Rheumatism 42 (3): 475-82. 03/01/1999.
Unyango lwe-Osteoarthritis ye-Knee (Nonarthroplasty). Richmond, uJohn MD. Umbhalo we-American Academy of Orthopedic Surgeons 17 (9): 591-600. Septemba 2009.
Ukuhlambulula ngokuhlangeneyo kunye nokuhlambalaza. Pasquetti P. et al. Iziganeko zeeRheumatic Diseases. 2004: 63: 1529-1530