Isifo sePaget: yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu zesifo sikaPaget
• Uxilongo lwenziwa njani
• Unyango lwesifo sikaPaget
• 1. Umzimba wonyango
• 2. Ukutya
• 3. Uncedo
• 4. Utyando

Isifo sikaPaget, esikwabizwa ngokuba kukukhubazeka kwe-osteitis, sisifo sesifo se-metabolic, esingaziwayo imvelaphi esihlala sichaphazela indawo ye-pelvic, i-femur, i-tibia, i-vertebrae yomqolo, i-clavicle kunye ne-humerus. Esi sifo sibonakaliswa ngokutshatyalaliswa kwezicubu zethambo, eziphila emva koko kodwa zineziphene. Ithambo elitsha elenziwe ngobume obukhulu kodwa libuthathaka kwaye linokubalwa okuninzi.

Ihlala ivela emva kweminyaka engama-60, nangona isusela kuma-40 sele ikho imeko esele ibhaliwe. Inokubonakaliswa okuhle kwaye uninzi lwezigulana alunazimpawu ixesha elide, kwaye njengoko zisenzeka ixesha elininzi ebudaleni, iimpawu zihlala zididekile nezinye izifo ezinje ngesifo samathambo okanye iarthrosis evela ngenxa yobudala.

Iimpawu zesifo sikaPaget

Uninzi lwabantu abanesifo sikaPaget ababonisi zimpawu okanye iimpawu zotshintsho, ukufumanisa esi sifo ngexesha lovavanyo lokucinga ukuphanda enye imeko. Kwelinye icala, abanye abantu banokuba neempawu, ezona ziqhelekileyo ziintlungu emathanjeni ebusuku.

Esi sifo sinokuchongwa ukusukela kwiminyaka engama-40, siphinda-phinda emva kweminyaka engama-60, kwaye iimpawu zihambelana kakhulu neengxaki ezinokwenzeka, ezona ziphambili zezi:

• Ubuhlungu emathanjeni, ngakumbi emilenzeni;
• Ukukhubazeka kunye nentlungu edibeneyo;
• Ukutshintsha kwimilenze, ubashiye be-arched;
• Ukuqhekeka kwamathambo rhoqo;
• Ukonyuka kokugoba komqolo, kushiya umntu "ozingela umva";
• IOsteoporosis;
• Imilenze arched;
• Izithulu zibangelwa kukwanda kwamathambo okakayi.

Nangona oonobangela bengekaziwa ngokupheleleyo, kuyaziwa ukuba isifo sikaPaget sinokuhambelana nosulelo lwentsholongwane olufihlakeleyo, kuba kwezinye iimeko iintsholongwane sele zifunyenwe kumathambo achaphazelekayo. Ukongeza, kuyaziwa ukuba isifo sikaPaget sinokuhambelana nezinto zemfuza, ke ngoko, abantu kusapho olunye kunokwenzeka ukuba basiphuhlise esi sifo.

Uxilongo lwenziwa njani

Ukuchongwa kwesifo sikaPaget kufuneka kwenziwe ngugqirha wamazinyo ekuqaleni ngokuvavanya iimpawu kunye neempawu eziziswa ngumntu. Nangona kunjalo, ukuqinisekisa ukuxilongwa, kufuneka kwenziwe iimvavanyo ezithile ze-imaging, ezinje nge-X-ray kunye nokuvavanywa kwethambo, ukongeza kwiimvavanyo zaselebhu, ezinje ngomlinganiso wecalcium phosphorus kunye nealkali phosphatase egazini. Kwisifo sikaPaget, kunokwenzeka ukuba uqaphele ukuba amaxabiso e-calcium kunye ne-potassium aqhelekile kwaye i-alkaline phosphatase iphakame ngokubanzi.

Ngamanye amaxesha, ugqirha unokubonisa nokusetyenziswa kwemifanekiso yokujonga ngemagneti, ukuze kuchongwe ukubakho kwesarcoma, ithumba elikhulu leseli kunye ne-metastasis, okanye i-tomography ukujonga ukuba kunokwenzeka ukwaphuka.

Unyango lwesifo sikaPaget

Unyango lwesifo sikaPaget kufuneka sikhokelwe ngugqirha wamathambo ngokungqinelana neempawu, kwaye kwezinye iimeko, kusenokuboniswa ukusetyenziswa kweyeza lokuthomalalisa iintlungu okanye iziyobisi ezichasayo ukudambisa iintlungu, ukongeza ekusebenziseni iimodulators Ukusebenza kwamathambo kwiimeko apho isifo sisebenza khona.

Ukongeza kumayeza, kubalulekile ukuba wenze unyango lomzimba ukulawula iimpawu kunye nokuphucula umgangatho wobomi besigulana. Utyando, kwelinye icala, lolona nyango lufanelekileyo kwiimeko zoxinzelelo lwe-nerve okanye ukubuyisela ilungu elidibeneyo.

1. Umzimba wonyango

I-Physiotherapy kufuneka ikhokelwe buqu ngugqirha womzimba kwaye kufuneka ibonakalise umntu ngamnye kuba umntu ngamnye kufuneka afumane unyango olufanelekileyo kwiimfuno zakhe, kwaye ukuzolula kunye nokuqinisa izihlunu kungabonakaliswa, okunokwenziwa ngokusetyenziswa kwezixhobo ezinje ngamaza amafutshane, infrared, i-ultrasound kunye ne-TENS. Ke, ngenxa yokuzivocavoca kunokwenzeka ukunqanda ukuwa kunye nokwaphuka okunokwenzeka, kuba ibhalansi ikhuthaziwe.

Ukongeza, i-physiotherapist inokubonisa nokusebenza kwemithambo yomzimba, ukongeza kwiiseshoni zonyango lomzimba, kunye nokusetyenziswa kweentonga okanye ukuhambahamba ukulungiselela ukuhamba nokunciphisa umngcipheko wokuwa, kwezinye iimeko.

Ngokukhetha, iiseshoni kufuneka zibanjwe yonke imihla okanye ubuncinci ama-3 ngeveki ukuphucula impilo yomzimba, ukukhuthaza ukuzimela kunye nokuphucula umgangatho wobomi. Nangona unyango lomzimba lungakwazi ukunyanga isifo sikaPaget, kubaluleke kakhulu ukunciphisa iingxaki zemoto ezibangelwa sisifo.

2. Ukutya

Ingcali yezondlo inokucebisa ngokutya okune-calcium kunye nevithamin D ukuphucula impilo yethambo, njengobisi, itshizi, iyogathi, intlanzi, amaqanda kunye nokutya kwaselwandle. Oku kutya kufuneka kutyiwe yonke imihla, ngakumbi iimveliso zobisi ezinqunqweyo, ukuthintela amanqatha amaninzi ekutyeni.

Ukonyusa imveliso yevithamin D emzimbeni kubalulekile ukuthambiswa lilanga ubuncinci imizuzu engama-20 yonke imihla, ngaphandle kokusebenzisa i-sunscreen, kuba le vithamini iveliswa eluswini. Ukongeza, ukwenza umthambo rhoqo kunceda ekwandiseni ukufakwa kwe-calcium emathunjini kunye nokuqina kwawo emathanjeni, kunceda ukulwa nesi sifo.

Jonga le vidiyo ingezantsi ukuze ufumane ezinye iingcebiso zokwenza amathambo akho omelele kwaye uphephe iimpawu kunye neempawu zesifo sikaPaget:

3. Uncedo

Amayeza kufuneka aboniswe ngugqirha kwaye angathathwa yonke imihla okanye ngamaxesha athile onyaka, njengoko kufuneka njalo. Ezinye zibonisiwe zi-bisphosphonates kwithebhulethi okanye kwifom ye-injection efana ne-alendronate, i-pamidronate, i-risedronate okanye i-zoledronic acid, okanye amayeza afana ne-calcitonin, ngaphezu kweepilisi ze-calcium carbonate ezinxulumene ne-cholecalciferol.

Abantu abachaphazelekayo bahlala belandelwa rhoqo emva kweenyanga ezi-3 ukuze ugqirha abone ukuba ayasebenza na la machiza okanye afuna ukuguqulwa. Xa umntu ezinze ngakumbi, ukulandelelwa kungenziwa rhoqo kwiinyanga ezi-6 okanye unyaka nonyaka kwaye kufuneka kugcinwe ubomi bonke kuba esi sifo asinyangi kwaye sinokubangela ukukhubazeka okukhulu.

4. Utyando

Ngokwesiqhelo, unyango lwe-physiotherapeutic olugqityiweyo luyakwazi ukuzisa izibonelelo ezininzi emntwini, ukuhlehlisa okanye ukunqanda utyando, nangona kunjalo, kunyanzelekile ukuba unyango luhanjelwe ngokungqongqo.

Utyando lunokukhetha xa i-physiotherapy ingonelanga ukulwa neempawu kunye nokukhubazeka, xa kukho uxinzelelo lwe-nerve okanye xa umntu efuna ukubuyisela indawo ngokudibeneyo kwaye ukuba kukho ukonakala kakhulu okubangela iintlungu eziqatha kunye nokuhamba.

Ugqirha wamathambo angathatha indawo ngokudibeneyo kwaye emva kwale nkqubo, kubalulekile ukubuyela kwi-physiotherapy ukukhusela iingxaki kunye nokuphucula ukuphakama kunye nokuqina kokuhamba komzimba, ngaloo ndlela uququzelela ubomi bemihla ngemihla.