Knee osteoarthritis inogona kusanganisira chero imwe yemakamuri matatu
Osteoarthritis inobata mabvi akabatanidzwa kupfuura chero imwe sangano. Mabheji akabatanidzwa ane mapfupa mana-femur, tibia, patella, uye fibula-uye matatu makamuri. Osteoarthritis inogona kuchinja imwe, mbiri, kana zvitatu zvezvivako izvozvo. Apo zvose zvitatu zvinokanganiswa, zvinonzi tricompartmental osteoarthritis.
Makamuri matatu eKnee
Chimwe chezvikamu zvitatu zvakatumidzwa zita remapfupa maviri anobatana pamwe mukati memukati.
Vari:
- Mhuri yepakati yevakadzi-tibial (mukati memukati
- Kambomira yevakadzi-tibial kamuri (kunze kwekamuri)
- Patellofemoral compartment (iyo kneecap uye femur)
Kuongorora Knee Compartments
Kuongororwa kwemuviri kunogona kupa chiratidzo chekutanga chekamuri chinoshandiswa. Chiremba wako achakumbira iwe kuti umire uye ufambe. Paunenge wakamira, chiremba wako achakucherechedza kune chero upi noupi hunosiya, sezvakaita valgus (kugogodza-bhuta) kana varus (bow-legged) deformity . Ikoko kunogonawo kunge kuve pachena kana kusiyanisa kwepabonde murefu wemakumbo.
Paunokumbirwa kufamba, chiremba wako achaona zvinhu zvisina kukodzera, zvakadai sokunyunguduka, kuvhara, kana kusakwanisa kufamba. Chiremba wakowo achaongorora zviratidzo zvekubatana kwekubatana uye oongorora mararamiro ako. Chiremba wako achacherechedzawo mabvi kuti awedzere kubatana , palpate mabvi apo paine chimiro chakasimba, uye chengetedza zviratidzo zvemasisti atrophy uye ganda rinoshanduka.
X-rays ichadikanwa kuti uratidze kuurasika kwechikara uye kuwirirana kwekubatana kunobatanidza nekusawirirana kunoonekwa panguva yekuongorora kwako muviri. Pamifananidzo ye-x-ra, kurasikirwa kwekatekete kunoratidzika sechepakati pepakati pakati pemagumo emapfupa ari kuita chibatanidzwa. Izvi zvinotumidzwa semubatanidzwa nzvimbo yakaderedza .
Kakawanda, kuomeswa kwemajoni nzvimbo kunooneka kune rumwe rutivi. Kupera kwemukati kwakatarwa muna 75 muzana yevanhu vane knee osteoarthritis uye inogona kukonzera mhedziso-mitsetse nemakumbo. Kufambisa kuderedza, izvo zvisingawanzozivikanwi nevanhu vane mazoro osteoarthritis, zvinosanganiswa negogodza-kneed stance uye gait. Pedyo nehafu yevamwe mabheti osteoarthritis vane zviratidzo zvekuvhiringidzika kwepellofemoral kune x-rays.
Conservative Treatment yaTricompartmental Knee Osteoarthritis
Kurapa kwemafupa ehesteoarthritis kunotsamira pakuoma kwekubatana kwekubatana, chirwere chekurwadziwa, uye basa rekuita. Vasati vasarudzwa kusarudzwa kunofungidzirwa, kurapa kusina kuvhima kunofanira kufungwa uye zvichida kuedzwa, kusanganisira:
- Mishonga : Iyi ndiyo tsika yemagariro, inotarisirwa kudzora marwadzo nekutarisa dzimwe zviratidzo zvehasteoarthritis . Zvinodhaka kuderedza zvirwere zvishoma zvinoramba zvichishayikwa.
- Kudzidzira muviri : Kuderera-kuita muviri kunobatsira kuchengetedza simba uye kufamba kwezvikamu zvakakanganiswa.
- Kurema kwehuwandu : Kutakura mapaundi akawedzera kunowedzera simba kumapiro ako sezvaunofamba. Ndicho mutoro chaiwo waunoda kudzivisa nemabvi osteoarthritis.
- Uturu hwemashuhu hunotapukira : Misoro yakasvibirira, gelo, uye mafuta anopa hupfumi humwe hunoita kuti vanhu vasave vakakwana kana kuti havagoni kushivirira mishonga yemuromo.
- Gare gare rinotsira insoles : Mazamu anokosha anogadzirirwa kubatsira kubatsira kuderedza marwadzo anowanikwa nevanopfugama knee osteoarthritis kuburikidza nokuchinja magetsi emabvi.
- Viscosupplementation : Majekesiti emabvi akaiswa gel-soro (hyaluronates) inoshandiswa kuwedzera zvinhu zve synovial fluid mumabvi akabatwa ne osteoarthritis.
- Intra-articular steroid injection : An injection mujinga rakabatwa nejinga nemishonga ye corticosteroid inoitwa kuti kuderedze kuputika uye kurwadziwa.
- Zvokudya zvinowedzera : Zvizhinji zvinowedzera zvinotengeswa kwehutano hwakabatana. Nepo ivo vachiwanzoonekwa sevakachengeteka, kubudirira kwavo hakuna kubvumidzwa.
- TENS (transcutaneous electal nerve stimulation) : Ichi chinhu chiduku chinotungamirira magetsi emagetsi akanyorova kumitsipa mukati kana pedyo nenzvimbo inorwadza.
- Kugadziriswa : Maitiro akasiyana-siyana anoshandiswa kugadzirisa pfungwa dzakasiyana-siyana pamuviri. Kuchengetwa kwemarwadzo chinangwa chevanhu vane arthritis.
Kugadziriswa Kwekugadzirisa KweAkaona Knee Compartments
Kana mishonga inogadzirisa inobereka zvibereko zvisingakwanisi, danho rinotevera rinogona kuvhiyiwa. Arthroscopic disridement kana osteotomy inogona kuonekwa seyakakodzera pane dzimwe nguva, isati yafunga kugadziriswa kwebvi rose .
Apo imwe bedzi yebvi inobatanidzwa, chiremba wako uye chiremba wemapfupa anogona kukurudzira kushandiswa kwegumbo kusarudzo kana kushandiswa kwegumbo risina unicompartmental, pane kugadzirisa mabvi akazara. Kunyange zvazvo chisarudzo chekugadziriswa kwemabvi akasiyana chingaratidzika sechinhu chinonzwisisika uye chakarurama, kune zvikonzero zvokufungisisa.
Inogona kungova nyaya yenguva isati yasvika dzimwe dzimba dzinosakara uye kuvhiyiwa kunodikanwa. Zvingava zviri nani kuva nemabvi akazara panzvimbo panzvimbo pokugadzirisa mabvi asina kukwana uye kutarisana nekugona kuvhiyiwa mune ramangwana? Chiremba wako achaongorora kuoma kwemamiriro ako uye anokurudzira nzira yakanakisisa yemhosva yako.
Kunze kwekushandurwa kwegumbo risina kubvumirana kana kugadziridzwa kwebvi rose, kunewo bicompartmental knee replacement. Bicompartmental knee replacement ndiyo imwe nzira yevanhu vane mazamu osteoarthritis emakamuri emukati uye patellofemoral. Inofananidzwa nekugadziriswa kwebvi rose, unicompartmental uye bicompartmental knees replaces kuchengetedza pfupa yakazara uye mbiri cruciate ligaments.
Shoko Rinobva
Vanhu vakawanda vane maziso eheteoarthritis vanokanganisa kusabatanidzwa kwezvikamu zvitatu zvemabvi. Mishonga inoshandiswa, kunyanya chirongwa chokuvhiya, zvichienderana nokuti iwe unicompartmental, bicompartmental, kana tricompartmental knee osteoarthritis.
Kurwadziwa kwepamusoro chirwere chinowanzoitwa kuchipatara chinotora vanhu kune chiremba wavo wekutanga kuti vaongorore. Kuongorora kwakarurama kunokosha pakugadzirisa osteoarthritis yebvi. Kurapa kwakakodzera kunotevera kuongororwa. Anyanzvi wemasopa anogona kuguma pakudiwa kuti agadzirise chirongwa chekurapa. Kune mishonga yakawanda yekuchengetedza kuedza. Kana yava nguva yekufunga nezvekuvhiya, tsvaga chiremba wezvechiremba wakanakisisa anowanikwa kwauri.
> Sources:
> Beutler, Anthony, MD et al. Kuongorora Kwepanyama kweKnee. Kusvika pari zvino. Yakapedzerwa musi waApril 13, 2017.
> Deveza, Leticia Alle, MD, et al. Kutungamira kweKnee Osteoarthritis. Kusvika pari zvino. Yakapedzwa musi waApril 17, 2017.
> Lane, Nancy E. uye Wallace, Daniel J. Zvose pamusoro peOsteoarthritis. Muviri Wakadzika. Mapeji 102-105. Oxford University Press. 2002.
> Sabatini, Luigi et al. Bicompartmental Knee Arthroplasty. Annals of Translational Medicine. 2016 Jan; 4 (1): 5.