Iko basa renyama rinongororwa sei mu osteoarthritis varwere? Ndezvipi zvakagadzirirwa kuti iwe unowedzera kuwedzera muviri uye kuti mabasa ezuva nezuva anowedzera kuoma kwauri?
Vanachiremba nevatsvakurudzi vanoshandisa mibvunzo yakawanda yakave yakagadzirwa sezvivimbiso zvakasimba zvekuongorora basa re osteoarthritis varwere. Hazviiti chete kuti zviongorori zvinopa vanachiremba ruzivo pamusoro pehutano hwehutano hwehutano hwehutano, huongorori hunogona kuenzaniswa nechinangwa chekuziva kushanda zvakanaka kana kuvandudzwa.
Zvirongwa Zvokuongorora
Kuongororwa kwakakurumbira kunoshandiswa kutsvaga kukwanisa kushanda mu osteoarthritis varwere kunosanganisira:
- The Lequesne Algofunctional Index: Inonzi Lequesne Index inobvunzurudzwa nemibvunzo 10 yakapiwa kuvarwere vane osteoarthritis yemabvi . Iine mibvunzo mishanu ine chokuita nekurwadziwa kana kusagadzikana, mubvunzo 1 unotarisa kure nekufamba kufamba, uye mibvunzo mina pamusoro pemabasa ekugara kwezuva nezuva. Yose mubvunzo wemibvunzo inowanikwa pane 0 kusvika ku24. Zvikamu zvezasi zvinoratidza kuti pane kupererwa kwemaitiro mashoma.
- IWest Ontario uye McMaster Universities Osteoarthritis Index (WOMAC): WOMAC OA Index inoumbwa nezvinhu 24 muzvikamu zvitatu zvinotarisa kurwadziwa (mibvunzo 5), muviri (mibvunzo 17), uye kuoma (mibvunzo 2). Dzidza zvakawanda pamusoro peWOMAC OA Index.
- Katz Index of Independence muZviitiko zveZvipenyu Zvezuva Nezuva: Kugeza, kupfeka, kudzimba, kushandura, kubatana, nekudyisa kunoongororwa muKatz Index yeIndendence muZviitiko zveZvipenyu Mazuva ose. Imwe pfungwa inopiwa nokuda kwechiitiko chimwe nechimwe chinogona kuitwa nekuzvimiririra uye hapana mazano anopiwa kana rubatsiro rwunodiwa. Nhamba yacho yakatangira kubva pa 0 kusvika ku6, uye 6 iri yakakwirira uye inoratidza kuzvimiririra. Nhamba ye zero inoratidza murwere anonyanya kuvimba.
- Zvimwe zviitiko zvekugara kwezuva nezuva : Instrumental Zvimwe zveZvipenyu zvezuva nezuva zvinotsvaga hutano hunoshanda hwevatana vakwegura. Kuongororwa kwakavakirwa pane zvinomwe zvinoshandiswa: kushandiswa kwebhuku refoni kuisa, kupindura, kana kuwana nhamba yefoni yomunhu; kufamba mumotokari kana kushandisa zvifambiso zvevanhu; kutengesa zvokudya kana mbatya; kugadzirira kudya; kuita mabasa epamba; kushandisa mishonga zvakakodzera; uye kutarisira mari. Chimwe chezvinhu zvinomwe zvinotarisirwa zvinosungirirwa sezvizvimiririra, rubatsiro runodiwa, kana kuvimba. Maongororo maviri apera-mumwe nevarwere uye mumwe nemureri, nhengo yemhuri, kana kuti mutarisiri.
- The Arthritis Impact Measurement Scale: Arthritis Impact Measure Scale (AIMS) inotarisa hutano, hutano, uye hukama hwehupenyu pamwe chete nematanho mapfumbamwe, kusanganisira kukanganisa, kufamba, kurwadziwa, kuita zvepanyama uye zvemagariro, uye kuora mwoyo nekuzvidya mwoyo.
Maitiro-Akavakirwa Maedzo
Pamwe chete neongororo dzinoshandiswa kugadzirisa mamiriro ekushanda kwehutano, kunewo mamwe maitiro anobudirira-anoshandiswa kuongorora muviri. Maitiro ekugadzirisa angave akabudirira, mune dzimwe nguva, pakufanotaura nezvekuremara kwemazuva anotevera kupfuura kuongorora. Zvimwe zvekuongorora kwekushanda zvinosanganisira:
- kubata simba
- pine simba
- manual dexterity
- timed walk
- imire kubva pachigaro
- kuenzanisa
- kukurumidza uye kufamba
- gait assessment
Kukosha Kwokuongorora Kushanda
Zvakakosha zvikuru kuti murwere awane zviratidzo zvake zvepakutanga kuongororwa kuitira kuti kuongororwa kwakarurama kunogona kuumbwa. Zvakakosha kutanga kurapa kwakakodzera nokukurumidza sezvinobvira, asi hazviregi ipapo. Vanachiremba nevarwere vanofanira kutarisa kuti basa remuviri rinokanganiswa sei ne osteoarthritis. Chii chinonzi murwere ane zvinetso, uye ndezvipi zvingagadziriswa? Kushanda kwekushanda kunokosha chete sekuongororwa uye kurapwa. Chikamu chekurarama neArthritis.
Sources:
Zvimwe zviitiko zveMazuva Ekugara. Family Practice Notebook. Scott Moses, MD. 1/13/2008.
Maitiro ekuongorora Maitiro. Osteoarthritis. Johns Hopkins. Joan M. Bathon, MD.
Kuyera noutano hwehutano muArthritis: Arthritis Impact Meji Scale. Meenan RF, Gertman PM, Mason JH. Arthritis & Rheumatism 23, 146-152, 1980.