Yintoni iOsteonecrosis kunye nendlela yokuchonga

Umxholo

• Iimpawu eziphambili
• Zintoni izizathu
• Unyango lwenziwa njani
• I-Physiotherapy yeOsteonecrosis

I-Osteonecrosis, ekwabizwa ngokuba yi-avascular necrosis okanye i-aseptic necrosis, kukufa kwengingqi yethambo xa igazi layo liphazanyiswa, kukho ukubonwa kwethambo, okubangela iintlungu, ukuwa kwethambo kwaye kunokubangela iarthrosis ebukhali.

Nangona inokubonakala kulo naliphi na ithambo emzimbeni, i-osteonecrosis yenzeka rhoqo esinqeni, ichaphazela ingingqi yentloko yobufazi, kunye nasemadolweni, emagxeni, emaqatheni, ezihlahleni okanye kwithambo lomhlathi.

Unyango lwenziwa ngugqirha wamazinyo, kwaye luquka ukusetyenziswa kwamayeza okuthomalalisa iimpawu, kunye ne-anti-inflammatories, ukongeza ekuphumleni kunye ne-physiotherapy, nangona kunjalo, utyando ukulungisa utshintsho okanye nokubuyisela ilungu linokubonakaliswa. ilungu elingelolakho.

Iimpawu eziphambili

Ekuqaleni, i-osteonecrosis ayinakuba nazimpawu kwaye ayinakubonwa kwiimviwo zokucinga. Kodwa njengoko ukujikeleza kwegazi kusiba mandundu kwaye kukho ukubandakanyeka okungakumbi kwethambo, iimpawu ezinjengentlungu kwilungu elichaphazelekayo zinokubonakala, nto leyo ebangela ubunzima ekuhambeni okanye ekwenzeni imisebenzi yemihla ngemihla.

Olunye okanye nangaphezulu amathambo anokubandakanyeka kwesi sifo kwaye, kwi-osteonecrosis yenyonga, inye kuphela okanye omabini amacala anokuchaphazeleka. Kwakhona, funda ukufumanisa ezinye izizathu zentlungu ye-hip.

Emva kokukrokrela i-osteonecrosis ye-hip, i-orthopedist ingenza uvavanyo lomzimba kwaye icele iimviwo ezinje nge-radiografi okanye i-MRI yommandla ochaphazelekayo, onokuthi ubonakalise iimpawu zethambo necrosis, kunye nolungelelwaniso lwethambo olunokuthi luvele, njengearthrosis.

Zintoni izizathu

Oonobangela abaphambili be-osteonecrosis kukwenzakala kwethambo okwenzeka ngenxa yomothuko, njengakwimeko yokuqhekeka okanye ukonakala. Nangona kunjalo, izizathu ezingezizo ezothusayo zibandakanya:

• Ukusetyenziswa kweziyobisi ze-corticosteroid, xa usebenzisa idosi ephezulu kunye nexesha elide. Jonga ezona ziphumo ziphambili ze-corticosteroids;
• Utywala;
• Izifo ezibangela utshintsho ekunqandeni igazi, ezinjengearheng cell anemia, ukusilela kwesibindi, umhlaza okanye izifo ze-rheumatological;
• Ukusetyenziswa kwamayeza eklasi yeBisphosphonate, ezinje ngezoledronic acid, esetyenziselwa ukunyanga i-osteoporosis kunye nezinye iimeko zomhlaza, inxulumene nomngcipheko okhulayo we-osteonecrosis yomhlathi.

Abantu abatshayayo banokubakho amathuba okuphuhlisa i-osteonecrosis, njengoko ukutshaya kubangela ubunzima kunikezelo lwegazi emzimbeni.

Ukongeza, kukho iimeko apho kungenakwenzeka ukufumana unobangela wesifo, kwaye la matyala abizwa ngokuba yi-idiopathic osteonecrosis.

Unyango lwenziwa njani

Unyango lwe-osteonecrosis lukhokelwa ngugqirha wamathambo (okanye ugqirha we-maxillofacial kwimeko ye-osteonecrosis yomhlathi), kwaye kubandakanya ukusetyenziswa kweyeza lokuthomalalisa iintlungu kunye nokuthomalalisa ukudumba, ukuphumla kwento edibeneyo, unyango lomzimba, ukongeza ukupheliswa kwesizathu esinokubangela ukuba igazi lingonelanga.

Nangona kunjalo, olona nyango luphambili oluvelisa ezona ziphumo zibalaseleyo zokunyanga i-osteonecrosis lutyando, olubandakanya ukwenza ukudodobala kwethambo, ukubeka ufakelo lwamathambo okanye, kwiimeko ezinzima kakhulu, ukubuyisela ilunga.

I-Physiotherapy yeOsteonecrosis

I-Physiotherapy ibaluleke kakhulu ukunceda ukubuyela kwakhona kwesigulana, kwaye inokwahluka ngokuxhomekeka kuhlobo kunye nobukhali. Xa ithambo lichaphazeleka kakhulu bubunzima bokunkcenkceshela igazi, kuyinto eqhelekileyo ukuba kunciphe indawo ngaphakathi kwendibaniselwano kunye nokudumba, yiyo loo nto ukukhula kwearthrosis kunye ne-arthritis kuqhelekile.

Kwi-physiotherapy, ukuqiniswa kwemisipha, ukudityaniswa ngokudibeneyo kunye nokuzolula kunokwenziwa ukunciphisa umngcipheko weengxaki kwindawo echaphazelekayo, njengokuqhekeka, kunye nokuthintela ukubeka indawo yokufakelwa. Izixhobo zinokunceda ukulawula iintlungu kwaye zomeleze izihlunu.

Jonga ukuba unyango lunokwenziwa njani emva kokubeka i-band prosthesis.