Osteoarthritis inogona kukanganisa manhengo mune chero chikamu chemuviri, kusanganisira chikwama. Mafupa mapfumbamwe anogadzira chisungo chechikwata: kumucheto kwakadzika kwetibia (shinbone), iyo fibula (duku duku regumbo rezasi), uye taresi (kurema-kutakura bone inopinda mucheki yakaumbwa ne tibia uye fibula) .
Kutanga kuongororwa uye kurapwa kunobatsira vanhu vane mazhe osteoarthritis kugadzirisa zviratidzo zvavo.
Chikonzero cheAnkle Osteoarthritis
Osteoarthritis chirwere chinokanganisa chinowedzera. Nemhando iyi yeArthritis, chironda cheputika - chakasimba, asi chimiro chinoshandiswa chinosvika kumagumo emapfupa ari kuita chibatanidzi - anoreka zvishoma nezvishoma.
Zviitiko zvakawanda zvechikwata chinonzi osteoarthritis zvakabatana nekukuvadzwa kwepachivara chekare. Kukuvadza kungave kwakaitika makore asati apfuura kune humwe hutano hwehasteoarthritis mumakumbo. Kukuvadza kunogona kukuvadza goroti zvakananga, kana kunogona kugadzirisa ma mechanics emakumbo echikwata (sei kubatana kunoshanda).
Kunze kwekukuvadza, pane zvimwe zviitiko zvinokonzera izvo zvingaita kuti kuve nekunyanya kweasteoarthritis. Kunyanya kuwandisa kwave kuchibatanidzwa ne osteoarthritis, uye inogona kuwedzera uremu hwekutakura manyorero, kusanganisira chikwata. Genetics inogonawo kuita basa. Semuenzaniso, kuva netsoka-gumbo kunogona kukanganisa mararamiro aunoita uye kuwedzerwa kudzvinyirira pamakumbo edzimba.
Kuongororwa kweAnkle Osteoarthritis
Kuongororwa kwepachipfupa osteoarthritis kazhinji kunotanga nemashoko ekurapa emurwere.
Murwere anofanirwa kuita kuti chiremba azive nezvekukuvara kwechikwata chekare. Nhoroondo yemhuri ye osteoarthritis inokoshawo kuti ione.
Kuongororwa kwemuviri kunogona kuratidza nzira dzisina kufanira dzekufamba mumakumbo emakumbo, pamwe nekurwadziwa, kuzvimba, kana kuti unyoro pasi pemakumbo emakumbo. Crepitus (inogunhira sezvinobatanidzwa inosunungura) inoratidza mhedziso yemapfupa iyo inogadzira chibatanidzi iri kubvarirana.
Panguva yekuongororwa kwepanyama, kuongororwa kwemafupa ekugoverwa panguva yekufamba (gait analysis) kunogona kuitwa. Kuongororwa kunotarisawo mutsara wemurwere uye kunoedza simba rechidzitiro netsoka.
X-rays anobatsira kuona kuoma kwemakumbo emakumbo uye inogona kubatsira vanachiremba kuti vaenzanise huwandu hwehutakiti huripo. X-ray kana zvimwe zvidzidzo zvekufungidzira zvinogona kuonawo nzvimbo inobatanidza kushandura uye kuisa misungo. CT inoongorora kana MRIs inoshandiswa kuongororwa kwemaoko echiuno, pamwe chete.
Zviratidzo zveAnkle Osteoarthritis
Chirwere chikuru chinosangana ne osteoarthritis mumakumbo echiuno chinorwadza. Pakutanga, marwadzo aripo nekufambisa kana basa (kufamba, kukwira makwande, etc.) Sezvo osteoarthritis inofambira mberi, marwadzo aripo kunyange panguva yekusagadzikana kana kupona.
Zvimwe zviratidzo zvepakona osteoarthritis dzinosanganisira:
- kubatana kuoma
- kubatana kubatana
- rakarasika kushanduka
- yakagadziriswa-----kufamba
- kunetseka kufamba
- kuoma nokurema-kutakura, izvo zvingatokonzera kukwidza nekuwira
Kurapa kweAnkle Osteoarthritis
Kurapa kwemajoka epiostearthritis inowanzotarisirwa kugadzirisa marwadzo uye kuregera kunomutsa kunokonzera marwadzo. Nzira dzekuvhiya dzisingabatsiri dzinoedzwa kutanga. Kana isingabudiriri, chirongwa chokuvhiya chinoonekwa.
Nongurgical treatment options dzinosanganisira:
- mishonga (nonsteroidal anti-inflammatory drugs)
- tsvina-yakagadzirirwa shangu-pasi
- AFO (manyorero emakumbo etsoka kana mazhenko)
- physically therapy
- zvokudya zvinowedzera ( glucosamine uye chondroitin)
- steroid injection mubatanidzwa
Zvokuvhiya zvinoshandiswa kweiyoostearthritis zvinosanganisira:
- chirwere chepfungwa
- ankle arthrodesis (fusion)
- kushandiswa kwechikwama
Sources:
> Mutevedzeri wevarwere kune Osteoarthritis yeAnkle. eOrthopod.
Arthritis of the Foot and Ankle. American Academy of Orthopedic Surgeons. July 2007.