Yintoni iGonarthrosis kunye nendlela yokuNyanga
Umxholo
- Olona nyango lululo kwi-gonarthrosis
- Injani iPhysotherapy yeGonarthrosis
- Ngaba i-gonarthrosis ibangela ukukhubazeka?
- Ngubani osengozini yokuba
IGonarthrosis idolo le-arthrosis, eliqhelekileyo kubantu abangaphezu kweminyaka engama-65 ubudala, nangona abona bantu bachaphazeleka kakhulu ngabafazi ngexesha lokuyeka ukuya exesheni, okuhlala kubangelwa kukuqaqanjelwa ngokuthe ngqo, njengokuwela apho umntu awa ngamadolo phantsi, umzekelo .
I-gonarthrosis inokuhlelwa njenge:
- Unilateral - xa ichaphazela kuphela idolo elinye
- Amazwe amabini - xa ichaphazela amadolo ama-2
- Kwiprayimari - xa unobangela wayo ungenakufunyanwa
- Esekondari -Ukuba kubangelwa kukutyeba kakhulu, ukwenzakala ngokuthe ngqo, ukususwa okanye ukwaphuka, umzekelo.
- Kunye namathambo - xa iifowuni ezincinci ezinamathambo zivela ngokudibeneyo
- Ngokuncitshiswa kwendawo yangaphakathi, evumela ukuba i-femur kunye ne-tibia ichukumise, ibangele iintlungu;
- Nge-subchondral sclerosis, kulapho kukho ukonakala okanye ukonakala kwincam ye-femur okanye i-tibia, ngaphakathi kwedolo.
I-Gonarthrosis ayisoloko iyanyangeka, kodwa kunokwenzeka ukunciphisa iintlungu, ukunyusa uluhlu lokuhamba, ukuphucula umgangatho wobomi kunye nokuphila kwesigulana ngonyango olunokwenziwa ngamayeza e-analgesic kunye ne-anti-inflammatory kunye neeseshoni zemihla ngemihla i-physiotherapy, ekufuneka iqalwe ngokukhawuleza. Ixesha lonyango lihluka kakhulu ukusuka komnye umntu ukuya kwelinye, kodwa alisoze libe ngaphantsi kweenyanga ezimbini.
Olona nyango lululo kwi-gonarthrosis
Iidigri ze-gonarthrosis, ngokokuhlelwa kwe-Kellgreen kunye neLawrenc, zikolu luhlu lulandelayo:
Iimpawu zeGonarthrosis zibonwe kwiX-reyi | Unyango olufanelekileyo | |
IBakala 1 | Indawo encinci yokudibanisa engathandabuzekiyo, enokubakho i-osteophyte emaphethelweni | Ukwehla kobunzima + i-aerobics yamanzi okanye uqeqesho lobunzima + ioyile yokuthintela ukudumba ukufaka isicelo kwindawo yeentlungu |
IBakala 2 | Ukuncipha okunokwenzeka kwendawo edibeneyo kunye nobukho be-osteophytes | I-Physiotherapy + kunye neyeza zokuthomalalisa iintlungu |
IBakala 3 | Ubungqina bokunciphisa ngokudibeneyo, ii-osteophyte ezininzi, i-subchondral sclerosis kunye nokukhubazeka kwethambo | I-Physiotherapy + amayeza + Ukungena kweCorticosteroid emadolweni |
IBakala 4 | Ukudityaniswa kwamalungu ngokudibeneyo, ukuqina kwesclerral sclerosis, ukukhubazeka kwethambo kunye neeosteophytes ezininzi ezinkulu | Utyando lokubeka i-prosthesis emadolweni |
Injani iPhysotherapy yeGonarthrosis
Unyango lwe-Physiotherapeutic unyango lwe-gonarthrosis kufuneka lwenziwe ngokwahlukeneyo, kuba oko kubonisiwe kwisigulana esinye akusoloko kufanelekile kwesinye. Kodwa ezinye izixhobo ezinokusetyenziswa zii-TENS, i-ultrasound kunye ne-infrared, ukongeza kwiingxowa zamanzi ashushu okanye abandayo kunye nokuzivocavoca okuboniswe ngumzimba we-physiotherapist.
Iindlela zokuhlanganisa ngokudibeneyo kunye nokukhohlisa zikwabonakalisiwe ngenxa yokuba zonyusa imveliso ye-synovial fluid ethi inkcenkceshele ngaphakathi idibeneyo kwaye inciphise iintlungu ezingapheliyo. Xa umntu eneenguqu ezinjengokungalingani, ukungahambi kakuhle kunye nokuphambuka kwamadolo ngaphakathi okanye ngaphandle, imithambo ephucula indlela yokuma kunye nokulungisa oku kunxaxha inokusetyenziswa, njengokufundiswa kwemfundo yangasemva komhlaba, umzekelo.
Eyona mithambo ibonakalisiweyo yezo zomeleza izihlunu ngeetheyiphu zelastiki okanye iintsimbi ezinokwahluka ukusuka kwi-0.5 ukuya kwi-5 kg, kuxhomekeke kwinqanaba lamandla anawo umntu. Ubunzima obuncinci kunye nokuphindaphinda okukhulu kufanelekile ukunciphisa ukuqina kwemisipha kwaye kunokwenziwa ukomeleza umphambili, umva kunye namacala ethanga. Okokugqibela, ukolulwa kwethanga kunokwenziwa. Jonga eminye imizekelo yokuzivocavoca kwidolo le-arthrosis.
Ukunceda umntu ukuba ahambe kwaye ajikeleze indlu, iintonga okanye iintonga kunokucetyiswa ukuba zisasaze ngcono ubunzima bomzimba, ukunciphisa uxinzelelo emadolweni.
Ngaba i-gonarthrosis ibangela ukukhubazeka?
Abantu abane-gonarthrosis yebanga lesi-3 okanye lesi-4 banokukufumanisa kunzima ukusebenza ngenxa yeentlungu ezingapheliyo kunye nokungakwazi ukuma nokubamba ubunzima, ke xa unyango lwe-physiotherapy, amayeza kunye notyando alonelanga ukubuyisela umgangatho wobomi nokwenza umsebenzi umntu lowo sele eyenzile, umntu lowo angathathwa njengongasebenziyo kwaye athathe umhlala-phantsi. Kodwa ngesiqhelo la manqanaba e-gonarthrosis enzeka kuphela kubantu abangaphezu kweminyaka engama-65, xa sele ethathe umhlala-phantsi.
Ngubani osengozini yokuba
Abasetyhini bahlala bechaphazeleka emva kweminyaka yobudala engama-45 kunye namadoda emva kweminyaka engama-50, kodwa phantse bonke abantu abakhulileyo abangaphezulu kwama-75 baneengxaki zamadolo arthrosis. Kukholelwa ukuba iarthrosis edolweni inokubonakala kwangoko, ngaphambi kweminyaka engama-65 kwezi meko zilandelayo:
- Abasetyhini abasetyhini;
- Abantu abane-osteoporosis;
- Kwimeko yokungabikho kwevithamini C no-D;
- Abantu abatyebe ngokugqithiseleyo;
- Abantu abanesifo seswekile okanye i-cholesterol ephezulu;
- Abantu abanezihlunu zethanga ezibuthathaka kakhulu;
- Xa kwenzeka ukuphuka kwe-anterior cruciate ligament okanye ukuphuka kwe-meniscus emadolweni;
- Utshintsho olunjenge-genovaro okanye i-genovalgo, kulapho amadolo ajike aya ngaphakathi okanye ngaphandle.
Iimpawu zentlungu yamadolo kunye nokuqhekeka kunokuvela emva kokuwa kunye nedolo phantsi, umzekelo. Iintlungu zihlala zivela xa usenza iinzame ezithile okanye usenza imisebenzi yomzimba, kodwa kwiimeko eziphambili kakhulu zinokuhlala phantse imini yonke.
Kubantu abangaphezu kweminyaka engama-65 ubudala, ubukho bamathambo amancinci amancinci, anokubonakala kwi-X-ray yedolo, kunokubonisa ubungqongqo obukhulu beempawu kunye nemfuno yonyango nge-physiotherapy, kwaye kwiimeko ezinobuzaza botyando ukubeka iprothesis idolo linokuboniswa.