Kubatana Kusina Pakati Pakati Pakati Pakati Kunorapwa Mishonga yeKnee Osteoarthritis
Kudzoka muma1970, zvaiwanzoitika kunzwa nezvechirwere cheArthritis chakanga chave chichikanganiswa cheArthroscopic pamwe chete. Makumi emakore gare gare, kubatana pamwe chete hakuna kufanana. Sezvakangoitika, kushambadzira pamwe chete hakuna kunyorwa pakati pezvirongwa zvinorayirwa zvemafupa osteoarthritis .
Chii Chibatanidza Kubatana?
Mu osteoarthritis, sezvinoita martilage , bits of tissue, cartilage madhimoni uye enzyme dzinokuvadza zvinogona kusara mukati memubatanidzwa.
Ikoko kunogonawo kuva nemakristani mubatanidzwa kana mune imwe sangano . Joint lavage inzira inoshambidza kunze kwezvisikwa kana zvisikwa kubva panzvimbo yakabatana.
Nzira yacho inosanganisira kuiswa kwemashupu maduku mumubatanidzwa pane imwe kana mamwe mapeji ekupinda. Kune mhando mitatu yekubatanidza kuvhara:
- Tidal yokudiridza yakabatana nekushamba - inoshandisa imwe nzvimbo yekupindira mujoka kuti injore mvura uye inotora mvura.
- Izvo zvisingaiti-zvakagadziriswa pamwe chete - inoshandisa mapepa maviri ekupinda mujoka, imwe yekuisa injini uye imwe inotora mvura. Hapana kuongororwa kunoonekwa kwekubatana kunoitika.
- Arthroscopic joint lavage - yakasanganiswa kuputika nekuonekwa kunoonekwa pamwe chete (arthroscopy) .
Panguva yekubatana kwemajoka, chibatanidzwa chacho chinoshandiswa nemunyu uye kushambidza mvura (kureva, saline), uye kubatana kwemvura kunoputirwa kunze kwekubatana. Kuenderera kwekujowa nekudonha kunogona kudzokororwa kazhinji. Nechepfungwa, kubvisa kubatanidzwa kwemarara kunopera kupera nekurwadziwa pamwe chete.
Asi kubudirira kwekubatana pamwe chete kwakabvunzwa uye kwakadzidzwa.
Zvidzidzo Zvinopesana Nekubudirira kweJoint Lavage
Maererano nekuongorora kweCochrane kwemakiriniki emakirini manomwe anokwana vanomwe 567 varwere, vatsvakurudzi vakafunga kuti kusungirirana kwemajoka hakuiti kuti zvikwereti zvive zvakakosha kune varwere vane maziso arseoarthritis maererano nekunzwa kurwadziwa kana kuvandudzwa kwebasa rekubatana.
Zvitatu zvezvinomwe zvakaedzwa zvinosanganisira arthroscopic joint wash. Zvidzidzo zviviri zvakabatanidza kusagadzikana kwemajoka asingagoneki, uye maviri akasara akanga ari kudiridza.
Zvakawanikwa zvekuongorora kweCochrane zvinopesana nezvirevo zvekudzidza kwakabudiswa muArthritis & Rheumatism muna 1999. Muchidzidzo ichi, 98 varwere vane tibiofemoral knee osteoarthritis vakanyoreswa mumwedzi wekudzidza kwemwedzi mitanhatu uye vachipa mimwe mishonga inomwe yekurapa: intraarticular placebo, intraarticular corticosteroids , majoka akabatanidzwa uye intraarticular placebo, uye pamwe chete nekuraira uye intraarticular corticosteroids. Mhinduro yakaratidza kuti, kana ichienzaniswa ne placebo, zvose intraarticular corticosteroids uye kugoverana kushambadza zvakanyanya kunonunura marwadzo - asi hakuna kuvandudza basa. Corticosteroid inonzi intraarticular inopa rubatsiro rwemazuva mashomanana, asi kubatsirwa kwekubatana kwemaawa kwakapera kusvika masvondo makumi maviri nemana.
Muna 2008, American Academy of Orthopedic Surgeons (AAOS) yakabudisa 22 mazano ekurapa zviratidzo zvemafupa osteoarthritis . Arthroscopy ine chikwata kana chibatanidzi chekudya haina kukurudzirwa kuporesa zviratidzo zvemabvi osteoarthritis. Maererano neAAOS, kwakanga kusina uchapupu hwekubatsira kwakakosha.
Asi chimwe chidzidzo, chakabudiswa muAnalals of Rheumatic Diseases muna 2004, chakaratidza kuti kwete chete kungangova nekushaikwa kwebatsiro kunobatanidza kusungirirana pamwe chete, zvinetso zvine chokuita nehutano zvinogoneka.
Pseudogout inogona kunge yakakonzerwa neaarroscopic washing in varwere vane chondrocalcinosis . Dambudziko rekutsvaga munyaya dziri ne chondrocalcinosis, uye / kana makristst, vasati vashambadza kaviri kune avo vasina ngozi.
Sezvakaita chero jekisi, kunewo hutachiwana hwehutachiona hunotevera kusangana pamwe chete. Kurukurai zvose zvamunogona kurapa nechiremba wenyu. Pamwe chete, chengetedza zvikomborero uye njodzi, uye ita chisarudzo chine ruzivo.
Sources:
Kubatana kwakasanganiswa kwewasteoarthritis yemabvi. Reichenbach S. et al. Cochrane Database Yakarongeka Kurongeka. 2010 May 12; (5): CD007320.
Migumisiro yejojo yekubatanidza uye steroid muvarwere vane osteoarthritis yemabvi: migumisiro yeizhinji, randomized, iri kutongwa. Ravaud P. Arthritis & Rheumatism 42 (3): 475-82. 03/01/1999.
Kurapa kweOsteoarthritis yeKnee (Nonarthroplasty). Richmond, John MD. Zvinyorwa zveAmerican Academy of Orthopedic Surgeons 17 (9): 591-600. Svondo 2009.
Kubatana kwakasangana uye pseudogout. Pasquetti P. et al. Annals weRheumatic Diseases. 2004; 63: 1529-1530