Ndezvipi Zvazvakakosha Kunoita Ngozi?
Kuvhiyiwa kunobatanidza pamwe chete , kunowanzoonekwa se "yekupedzisira kushandiswa" kurapwa, kunogona kupa rubatsiro rwakanyanya kune varwere vane chirwere chakanyanya chirwere cheArthritis. Apo kushandiswa kwekubatanidza kushandiswa kunobatsira kwazvo, kunyanya kwehudyu nemabvi , chokwadi chokuti chirwere chikuru hachifaniri kukanganwa.
Kushandura pamwe chete kunosanganisira kubviswa kwetikanti kubva kumativi ose ejoka uye kuiswa kweprosthesis (iyo itsva joint prosthesis inogadzirwa nesimbi kana simbi uye mapurasitiki).
Zvichinyorwa zvishoma, chirwere chechiremba chichibvisa chikamu chakakanganiswa ndokuchigadzirisa nechokuita.
Ukuru hwemapurogiramu ekurapa kweArthritis inoratidza kuti dzimwe nhanho dziri nyore uye dzinochengetedza dzinoedzwa uye dzinopera simba vasati vambovhiyiwa. Zvirwere zvekuchengetedza zvinogona kuedzwa, zvinosanganisira:
- zvinokonzera arthritis mishonga
- physically therapy
- joint protection
- zorora
- kurovedza muviri
Kunyange panguva yekuvhiyiwa inoratidzirwa senzira yekurapa, chiremba angasarudza nzira dzakajeka dzakadai, s synovectomy (kubviswa kwe synovium ) vasati vashandurirwa.
Sezvo marapirwo akasarudzwa, chinangwa ndechokuwana mugumisiro wakaisvonaka kwazvo mukugadzirisa arthritis neyo nzira yakanyatsochengetedza inogona kuitika. Kunyange zvazvo kubatanidza kunobatanidzwa kunoonekwa sekuti kubudirira, vanoonekwawo sezvikamu zvinoshandiswa nehupenyu hushoma. Apo kugoverwa kunobatanidzwa kunoratidzwa kunoratidzwa, zvinangwa ndezvekuti:
- kubudirira kurwadziwa
- dzokazve basa
- correct correction
- kudzivirira zvimwe kukuvara
Vechiduku Vane Arthritis
Mu Journal of Bone and Joint Surgery (2003; 85A: 1090-1094), vatsvakurudzi vanobva kuMayo Clinic muRochester, Minnesota vakaguma migumisiro yakanaka kubva kumabvi ekugadziriswa kwevana muvana uye vechidiki vane vana rheumatoid arthritis basa.
Vachiri vaduku gumi nematatu vakatevedzerwa kwevhareji yemakore gumi nemaviri mushure mekunge. Vasati vavhiyiwa, vaviri vevane 13 vakati havana kukwanisa kufamba. Vamwe vaifamba muimba chete kana kuti nechemberi pfupi. Pakaguma nguva yekutevera, varwere vatanhatu vanotaura kuti vanogona kufamba maruva matanhatu. Mumwe murwere akagara achichengetedza magetsi. Vatsvakurudzi vakawedzera kuti 4 kuvarwere vaduku vaifanira kuvhiyiwa mamwe mabasa uye uye dzakawanda zvinetso zvekuvhiya.
Hupenyu hushoma hwehupfeheses hunoratidza kuti kuongororwa kwekuvhiya kuchave kwakakodzera mune ramangwana kururamisa kukanganisa kwavo. Kuvhiyiwa kwega kwega kunotevera kwakaoma kupfuura nzira yakatangira. Kuziva kuti varwere vaduku vachatoda mamwe mararamiro vanotungamirira vamwe vanachiremba kuti vadzivise varwere vavo. Muchiitiko chevaduku vemahara arthritis, zvikomborero uye ngozi dzekuvhiyiwa dzinofanira kunyatsoongororwa.
Kufunga
Duke University Medical Center Bhuku reArthritis rinokurudzira kuti mibvunzo inotevera iongororwe nemunhu chero upi zvake anosarudza pakuvhiyiwa:
Pain Level
Kutambudzika kwako hakugamuchirwi here? Kurwadziwa nguva dzose kusingapindi kune mamwe marapirwo kunoita kuti iwe uve wakamuka usiku, uye zvinopesana nebasa kana mabasa zvakaoma zvokuti zvinoda kuvhiyiwa.
Painkillers
Unoda here marwadzo anonyadzisa kununura? Kana iwe uchida mishonga yemishonga zuva rose paine mvumo yakakwana yekudzivirira kurwadziwa, chirwere chinogona kuratidzwa.
Pain Management
Wakamboedza zvimwe zvese zvaungaita kuti uwane marwadzo ekurwadziwa here? Kana kushandiswa kwemishonga yeArthritis, chirwere chepanyama, kuzorora, kurovedza muviri, kuchengetedzwa pamwe chete, vashandi vanokonzera, uye steroid injection yakabereka migumisiro isina kugutsikana, chirwere chinogona kunge chiri chisarudzo chakanaka.
Kuvandudza
Wakagadzirira here kuchengeta nzira yekuvandudza? Iwe unofanirwa kunge wakagadzirirwa mupfungwa kwemwedzi yekurovedza uye kurapa kwepanyama kuti udzose hubatanidza basa mushure mekushandurwa kwekubatanidza kushandiswa.
Chimiro Chemuviri / Zvinangwa Zvechokwadi
Iwe uri mumuviri wakanaka here? Njodzi yezvinetso zvichave yakaderera kana muviri wako wose wepanyama hwakanaka. Izvo zvinangwa zvako ndezvechokwadi here? Iyo nzira yekuvandudza uye chinotarisirwa chiitiko chekuvhiyiwa chinofanira kuonekwa sechokwadi. Kuvhiya pamwe chete kushandiswa hakusi mushonga, asi kunofanira kupa hutadzo hwakadzorerwa uye basa.
Risks Vs. Quality Of Life
Vamwe varwere vanopedzisira vari muwiricheya sezvavanenge vakamirira kuti vave vakwegura zvakakwana kuti vaonekwe kuti vanofanirwa kubvumirwa kushandiswa. Kuvhiya kunogona kunonoka nevamwe vanachiremba nokuda kwezvinotarisirwa zvinetso. Asi, maonero akasiyana anoitwa nevamwe vanachiremba vanoziva kuti kuoma kwechirwere uye kurasikirwa kwebasa kunorayira kuvhiyiwa pasinei nezera. Inova hutano hwehupenyu hunobatsira nekusimbiswa kwehutano hwehupenyu hunoremedzwa nezvingangova nengozi. Kufambira mberi mukugadzirwa kwemajoka ekubatana kunotungamirira kune zvinowedzera kwenguva yakareba, izvo zvingagadzirisa dambudziko racho.
> Sources:
> Journal of Bone and Joint Surgery, 2003; 85A: 1090-1094
> Duke University Medical Center Bhuku reArthritis, David S. Pisetsky, MD, Ph.D., 1992