Chikonzero nei iyi mamiriro ezvinhu ari matambudziko makuru
Hip osteoarthritis inowanzosanganisira osteoarthritis . Sezvo chiuno chiri chiremera chakabatana, osteoarthritis inogona kukonzera matambudziko makuru. Vanenge 1 mu4 veAmerica vanogona kutarisira kuwedzera osteoarthritis yehudyu munguva yavo yeupenyu, maererano neAmerican College yeRheumatology.
Kunyanya kuongororwa uye kurapwa kunobatsira kutarisa zviratidzo zvekuputika osteoarthritis.
Nekuongororwa uku kwechiitiko chacho, zviri nani kunzwisisa zviratidzo, kuongororwa, uye kurapa.
Zvinokonzera Hip Osteoarthritis
Hip osteoarthritis inokonzerwa nekuderera kwechirwere chemaziso uye kupfeka-uye-kusvimha kwekubatana kwechiuno. Izvi zvinoitika nokuda kwezvikonzero zvakawanda, kusanganisira:
- Hp hip kukuvara
- Kupera kwekare kwakapera, iyo inoshandura hup
- Genetics
- Congenital uye kukurudzira chirwere ichi
- Subchondral bone inonyorova kana yakaoma
- Avascular necrosis
Kuongororwa kwe Hip Osteoarthritis
Chiremba wako achafunga nezvehutano hwako hwehutano hwakakwana, hunobva mukuongorora kwako mumuviri, uye X-rays kuti aone kuwanda kwekubatana kwekubatana uye kuumba kuongororwa kwehup osteoarthritis. Kana humwe ruzivo rudikanwa rwunoda, MRI (magnetic resonance imaging) inogona kurairwa nachiremba wako. Kuongororwa kweRopa kunogona kushandiswa kana zvakakosha kutonga kune dzimwe mhando dzeArthritis .
Maererano neAmerican College yeRheumatology classification criteria ye osteoarthritis yehudyu, inofanira kunge iine hupurwa hwechiputi uye zvinenge zviviri pane zvinotevera zvitatu:
- Erythrocyte sedimentation rate <20 mm / hr
- Mukadzi kana kuti acetabular osteophytes anoonekwa pa X-ray
- Zvose nzvimbo yakaderera yakaonekwa pa X-ray
Zviratidzo zve Hip Osteoarthritis
Varwere vane hip osteoarthritis vanorwadziwa munzvimbo inoenda kunzvimbo yeguruva uye mberi kana kurutivi rwehudyu. Kusagadzikana kweMangwanani , kunyange kwechinguva chiduku chenguva inowanikwa nerheumatoid arthritis , inewo unhu hwehup osteoarthritis.
Chinonyanya kukosha, pane zvishoma zvokufamba kwechiuno uye kurwadziwa panguva yekufamba. Zviratidzo zvinogona kuwedzera kukura kusvika pakurwadziwa kunogara kuripo.
Kurapa kweHor Osteoarthritis
Hip osteoarthritis haigone kurapwa, asi kune mishonga inowanika kubatsira kubata zviratidzo. Zvirongwa zvezverapa zvinofanira kuva munhu mumwe nomumwe kune murwere wese, maererano neAmerican College yeRheumatology, uye mamwe mamiriro ezvinhu anofanira kutaridzirwa.
Mishonga ndeimwe nzira yekurapa hip osteoarthritis. Pamatambudziko mashoma, acetaminophen inowanzoedzwa kutanga. NSAIDs (nonsteroidal anti-inflammatory) uye analgesics yeopioid inoshandiswa pakuenzanisa kusvika kune yakakura hip osteoarthritis.
Iko kunewo maitiro asingashandisi zvinodhaka zvinogona kubatsira, zvakadai sekurema kwekuora. Kunyange zvazvo uremu hwemazuva ose huri nehuwandu hwe20% hwehuputi hweAA, vanhu vane uwandu hwehuwandu hwehuwandu hwevanhu vane huwandu hwe25 muzana, uye vanowedzera vanhu vane 39 muzana. Mvura yezvirongwa zvemvura, chirwere chepanyama (mararamiro emafambiro uye maitiro ekusimbisa), uye remishonga yebasa (zvigadziriro zvekubatsira, kudzivirirwa pamwe ) zvakaratidzawo kuti zvinobatsira. Dzidzo yevarwere inobatsirawo.
Kuvhiya kunoonekwa sekupedzisira kushandiswa kurapa. Kuvhiya kwakakodzera kune varwere vane hip osteoarthritis vakakundikana mamwe maitiro ekurapa anochengetedza.
Zvokuvhiya zvinosanganisira:
- Arthroscopy - arthroscope inotarisisa mamiriro ezvinhu echokweti
- Osteotomy - inoona zvinyorwa zvekubatanidzwa kwechiuno
- Zvose zvakashandiswa pakugadziriswa - hutsva hwemaAcetabular uye hwechikadzi hunoshandiswa
Kuongorora kwakarurama uye kurapwa kwekutanga kunobatsira kuderedza marwadzo nekuvandudza kushanda kwechiputi chinonzi opioarthritis murwere. Sezvo mamiriro acho achifambira mberi, kuchinja kwakakodzera kunogona kuitwa.
Sources:
Mutevedzeri wevarwere kune Osteoarthritis yeHur. eOrthopod. Yakasvika 7/29/2007.
http://www.eorthopod.com/public/patient_education/6501/osteoarthritis_of_the_hip.html
Mirayiridzo yeArape Management of Osteoarthritis. Osteoarthritis ye Hip. Arthritis & Rheumatism. Nov 1995.
http://www.rheumatology.org/publications/guidelines/oa-hip/oa-hip.asp