Nhengo dzehutano dzinowanikwa pakati pemiti yakasvibirira yega imwe neimwe yemutsara wako wepelinha. Osteoarthritis inogona kukura muzvibatanidza izvi uye inogona kunzi nhengo yeArthropathy kana kuti nhengo inobatanidza osteoarthritis. Dzidza nezvechiitiko ichi uye kuti zvipi zvirongwa zvinogona kukurudzirwa.
Overview
Nhengo yeArthropathy inoderedza arthritis inokanganisa zvikamu zvehupamhi hwepamusoro.
Munharaunda yepamusoro apo kune zvikamu zvepakati, marwadzo anokonzerwa neArthritis anogona kukura.
Nhengo dzemajoka dzinowanika mumashure emutsana . Kune magetsi makumi maviri nemaviri anoumba musana wemunhu pamusoro pe sacrum (tailbone). Kune zvikamu zviviri zvezvikamu pakati pemiti yakabva kune imwe neimwe yepelinha iri pamutsara wepelinha.
Chikamu chinobatanidza uye intervertebral disc inoumba hutatu hwakakonzerwa pakati pedebrae iri pedyo. Chimwe chikamu chakabatana chine nzvimbo mbiri dzebonyane nekatekete pakati pavo uye capsule yemirasi yakaipoteredza. Synovial fluid inogadzirisa majoini, sezvinoitika kune mamwe mazamu akadai semabvi. Nhengo dzemajosi dzinobatsira kuchengetedza kurongeka kwechimiro chema vertebrae uye kugadzirisa kufamba.
Zvinokonzera
Arthritis muzvikamu zvezvikamu zvinogona kukura kubva:
- Kupfeka uye kubvarura izvo zvinoderedza nzvimbo pakati pe vertebrae zvichiita kuti zvikamu zvibatane zvive pamwe chete
- A kukuvadza kare kumashure
- Fractures
- Torn ligaments
- Disc disc
Nemhaka yezvimwe zvinetso zvinokonzerwa nemamiriro ezvinhu anokonzera zvikamu zvomuviri, bone spurs (inozivikanwawo seosteophytes) inogona kukura uye maronda anogona kuderera.
Zvimwe kunze kwekuda kwekukuvadzwa, hutachiona hutachiona hunhu hwekukwegura. Chinonyanya kukonzera chikonzero chechirwere chepfungwa ndechekupedzera kwepasina iyo inowanzoitika muupenyu hwekupedzisira.
Zviratidzo
Njodzi ndiyo chiratidzo chikuru chinobatanidzwa nehutachiona hwemagetsi. Zvinorwadza zvinowanzoipisisa nekutevera kana kurara. Urombo hunobatanidza nehutachiona hunogona kuwedzera kuburikidza nokunyengedza kana kupfugama shure.
Kutambudzika kwekudzoka kwakanyanya kunyunyuta kunowanzoitika asi hazviwanzopenyera pasi pamakumbo kana madonzvo kunze kwepasipenosis stenosis zvakare inobatanidzwa.
Maitiro Azvo Anoongororwa
X-rays, CT scan , uye magnetic resonance imaging (MRI) inogona kushandiswa kubatsira kubatsira kuongorora hutachiona hwehutachiona. Imwe nzira inonyanya kutaurwa inosanganisira kuita injandi inotungamirirwa uchishandisa fluoroscope. Mishonga uye dae inorohwa. Dhayi inobvumira chiremba kuti aone kuiswa kwesaiti uye jekisi. Kana chidimbu chakabatana ichijoka uye kupumbuka kunorwadza, iyo inoshumira kusimbisa kuongororwa kwehutano hutachiona.
Conservative Treatments
Pakutanga, chiremba angakurudzira nguva yekuzorora mukuedza kushandura zviratidzo. Kurara mahofisi anokonzera kushamwaridzana kwezvikamu zvinogona kukurudzirwa, zvakadai sekukanda kusvika kurara kana kuisa pamusana wako nemabvi uye pasi pasi.
Mishonga yemumuromo inogona kurongerwa kusanganisira:
- Tylenol
- Nonsteroidal anti-inflammatory drugs (NSAIDs)
- Tsvina dzinozorodza
- Corticosteroids
Dzimwe nzira dzokurapa dzinosanganisira:
- Traction
- Kusimbisa nekuita zvekubata muviri
- Water therapy
- Kugona kwemasana
Aggressive Treatments
Kana zviyero zvinodzora zvisingakundi, chiremba wako angakurudzira kurapa uku:
- Injections yemishonga inobata tsvina kana steroid munhengo yakabatana kana mitsipa iyo inoenda kunhengo yakabatana inogona kuedzwa.
- Sinu-vertebral nerve ablation iyo inoparadza mitsetse ine magetsi yemazuva inogona kunge inosarudzwa.
- Kuvhiya hakuwanzodikanwi kuti zvive nehutachiona hwehutachiona, asi zvisarudzo zvinowanikwa.
Zvokuvhiya
Zvokuvhiya zvinoshandiswa pakurapa maitiro ekugadzirisa zvinhu zvinosanganisira:
- Facet rhizotomy: Shandisa imwe yeropa rinoenda kune rimwe divi pamwe.
- Fusion: Fuse maviri kana kupfuura vertebrae kuti ibvise kufamba muzvikamu zvepadhesi. Dzimwe nguva zvikamu zvezvikamu zvinobviswa panguva yepinus fusion .
> Sources:
> Firestein, Gary S .; Budd, Ralph; Gabrieri, Sherine E; ODell, James R; McInnes, Iain B, Budd RC, Firestein GS, Kelley WN. Kelleys Textbook of Rheumatology . Elsevier Health Sciences; 2012.
> Mharapara Injections. American Academy of Orthopedic Surgeons. https://orthoinfo.aaos.org/en/treatment/spinal-injections/.