Osteoarthritis ya zala: zizindikiro ndi chithandizo

Matenda oterewa, monga arthrosis ya zala, amagwiritsa ntchito okalamba, makamaka akazi. Izi zili choncho chifukwa chakuti ali ndi zaka, oimira zachiwerewere ndi kusintha kwa thupi m'thupi ndipo amachepetsa collagen. Matendawa amawoneka ngati kuchepa kwa zala, ndipo mawonekedwe ake osatha amachititsa kuwonongeka kwa ntchito za manja ndi kusintha kwa ziwalo. Kuonongeka kwa thumba lachikwama likusonyezanso. Nanga chifuwa cha mano ndi chiyani? Zizindikiro ndi chithandizo cha matendawa zidzakambidwa mwatsatanetsatane mu nkhaniyi.

Mbali za arthrosis ya ziwalo za zala

Matendawa amakhudza kwambiri okalamba. Nyumba zomanga nyumba zimatha nthawi, minofu ya mafupa imachepa, pali kupopera kwa khungu, kuphulika kwa mafupa, kupuma kwa mafupa kumachitika. Matenda osatulutsidwa amachititsa kuti kupweteka kwa zala, kuoneka kowawa kwambiri, komwe kumawonjezeka ndi katundu pamphindi, kusunthika kumachepa, ndi kuuma kumawonekera. Milandu yolephera, munthu sangathe kuchita zinthu zofunika: ndizosatheka kutenga mphanda m'manja mwake kapena kutaya chivindikirocho mu botolo.

Zimayambitsa matenda

Chomwe chimayambitsa matendawa ndi chibadwa cha chibadwa. Ngati wina m'banja ali ndi nthenda yoteroyo, ndiye kuti mwayi wowonekera m'badwo wotsatira umakhalanso wabwino.

Chifukwa china chimene chimayambitsa arthrosis ya ziwalo za zala chimayesedwa kuti chikuwonjezeka katundu mderali. Gulu loopsya la chitukuko cha matendawa likuphatikizapo ntchito monga pianist, masseur ndi antchito. Ntchito yomalizayi ikugwirizana ndi kulembedwa kwa malemba pa kompyuta.

Zimayambitsa matenda a shuga, matenda a shuga. Kubwezeretsedwa kwa mahomoni kwa thupi la mkazi pa nthawi ya kusamba kumapangitsa kuchepa kwa estrogens, zomwe zimapangitsa kuti thupi liwonongeke, zomwe zimachititsa kuti minofu ikhale yopyapyala, ndipo mafupa ndi ziwalo zikhale zowopsya.

Chifukwa chofala kwambiri cha kukula kwa matenda ndi kuvulala kwa ziwalo za manja ndi zala zala, makamaka pamene kutupa kumachitika. Komanso, matendawa amachititsa kuledzeretsa, kusuta fodya, kutentha kwafupipafupi, kutetezeka kwa chitetezo chokwanira, kutsekemera kwa dzuwa, matenda a endocrine, kusintha kwa matenda, matenda opatsirana (chlamydia).

Zizindikiro

Ngati arthrosis ya zala zikuchitika, zizindikiro za matendawa zingakhale zosiyana. Mukasuntha zala zanu, pamakhala ululu wopweteka komanso wopweteka, womwe umakhala wosatha pakapita kanthawi. Pali kuphulika kwa ziwalo, zomwe zimaonekera kwambiri kumbali, ndipo dera lomwe likukhudzidwa limayamba kuphulika. Nthawi zambiri minofu yambiri imakhala yotopa. Zizindikiro zoterezi ndizochitika pachigawo choyamba cha matendawa, pomwe pali kutayika kwa thumba.

Pachigawo chachiwiri katsamba kakang'ono kamakhala koonda kwambiri. Pali kupweteka kosalekeza, kuyenda kwa zala kumakhala kochepa, dera lokhudzidwa limakhala lofiira, kutentha kwa thupi kumatuluka. Chikoka chimayamba kuwonjezeka kwambiri, ndipo chala kapena ngakhale mzere wonse umataya kukhudzidwa kwake.

Gawo lotsiriza la matendawa, monga arthrosis lalala, likuphatikizidwa ndi chiwonongeko chotheratu cha karola, ndi ululu waukulu, zala zopunduka, ndi kusintha kwake kwautali. Matenda a mimba ndi kutupa m'madera omwe akukhudzidwawo amalowa m'magulu a Bushard ndi Geberden. Kupanga koyamba kumachitika pamagulu akuluakulu a zala, chachiwiri - pakati. Mafupa ndi mafupa ali opunduka, zala zimasiya kusuntha. Mapulogalamu m'malo mwa khungu la mafupa.

Ngati, pakadali pano, palibe chithandizo cha arthrosis chala, n'zotheka kusokoneza dzanja lonse. Mankhwala omwe amapangidwa amakhala ndi matenda monga rizartroz, omwe amawoneka pamunsi pa thupi, zizindikiro zomwe zimafanana ndi arthrosis.

Kuzindikira matendawa

Kuti adziwe matenda a arthrosis, dokotala amayesa wodwalayo ndikuyang'ana malo okhudzidwawo. Kuti afotokoze za matendawa, dokotala amamutumiza wodwala kuti ayambe kuyesa magazi. Mavuto a mafupa, kutsetsereka kwa malo okhudzidwa, ndi ma osteophyte amatha kuwonetseredwa bwino pa mafano omwe amapezeka. Mayeso a magazi ayenera kukhala pamlingo woyenera, ndipo ngati pali zolakwika, adokotala amayamba kudwala matenda ena akuluakulu, mwachitsanzo, nyamakazi.

Njira zochiritsira

Ngati arthrosis ya zala zikuwonekera, momwe mungachitire Matendawa? Zotsatira zake zidzakhala zogwira mtima kwambiri pakuchita mankhwala ovuta, omwe akuphatikizapo njira monga:

• Chithandizo;
• Kupiritsa thupi, kusisita;
• Kugwiritsa ntchito mankhwala;
• Mankhwala amtundu;
• Chithandizo cha opaleshoni.

Zotsatira zabwino zimapindulitsa pogwiritsa ntchito mafuta onunkhira. Amatha kuthetsa ululu, kubwezeretsa kusuntha, kuonjezera kutuluka kwa magazi kupita kumalo osungirako malo. Mankhwalawa akuphatikizapo "Diclofenac", "Indomethacin", "Voltaren-Emulgel", "Dolgit-cream", "Butadion".

Poyambirira, chithandizo chokwanira cha deforming arthrosis cha mgwirizano wa interphalangeal ndi kubwezeretsedwa kwa mitsempha ya kanyumba kumakabe kwambiri. Pa gawo lachiwiri-3, matendawa amakhala osasinthika. Pankhaniyi, dokotala akupereka mankhwala othandizira kuti athetse kusintha komanso kuwonongeka kwa matenda.

Mankhwala

Ngati arthrosis imapezeka m'magulu a zala, chithandizocho chimagwiritsidwa ntchito ndi mankhwala, zomwe ziyenera kulamulidwa ndi dokotala basi.

Gawo loyambirira la matendawa silimachiritsidwa ndi mankhwala. Kawirikawiri wodwalayo amachira mankhwala mothandizidwa ndi chondroprotectors (chondroitin sulfate ndi glucosamine), kumathandiza kubwezeretsa minofu ndi kudyetsa. Ndizothandiza kwambiri panthawi yoyamba kuti muzitha kuchita ma physiotherapy. Ndikofunika kuti mutenge vitamini ndi mchere. Mothandizidwa ndi kutenthetsa kumathandiza kuchepetsa ululu wa matendawa.

Gawo lachiwiri la matendali likuphatikizapo kutuluka kwa ululu waukulu, kutukumuka komanso kusokonezeka kwa ziwalo. Dokotalayo akuika mankhwala osokoneza bongo omwe sali otero (Ibuprofen, Indomethacin, Ketoprofen, Butadion, Diclofenac, Piroxicam), chondroprotectors ndi hyaluronic acid. Chithandizo cha arthrosis chilimbikitsidwa kuti chichitidwe m'njira yovuta, choncho, njira ya mankhwala imaphatikizanso kugwiritsa ntchito vasodilators. Kwenikweni ndi "Pentoxifylline", "Agapurin", "Theonikol".

Gawo lachitatu, nthawi zambiri mumagwiritsira ntchito mankhwala amphamvu komanso othana ndi zotupa, monga "Naiz", "Fastum-gel." Mankhwala opanga opaleshoni amachitika pamene njira zonsezi zisanachitike, komanso kusintha kwa minofu kumapangitsa kuti munthu asathenso kuyenda bwino.

Kuchiza Kwawo

Ngati pali arthrosis ya ziwalo za zala, mankhwala amachitika komanso njira zamtunduwu. Koma amauzidwa kuti asamalimbane ndi zizindikiro, koma kulimbitsa chitetezo komanso kubwezeretsanso thupi.

Pali njira zotsatirazi zothandizira matendawa kunyumba:

• Ziphunzitso zakuthupi zomwe zimalimbikitsa kutenthetsa bwino kwa ziwalo ndi kutambasula kwa minofu;
• Kugwirizana ndi zakudya, koma kusala kudya sikuletsedwa;
• Kukaona sauna, chipinda cha nthunzi chomwe chimayambitsa njira zamagetsi ndikuchepetsa minofu ya minofu;
• Kugwiritsiridwa ntchito kwa hirudotherapy, popeza zinthu zomwe zili m'matumbo a leeches zimachepetsa magazi ndi kuthetsa matenda opweteka;
• Kuchiza ndi zitsamba, koma pa izi, muyenera kukhala osamala, chifukwa nthawi yomweyo maulamuliro omwe ali ndi mankhwala odana ndi zotupa omwe sali otero amachititsa kuti thupi likhale lopweteka.

Njira zothandizira

Pofuna kupewa matenda oopsa monga arthrosis zala, madokotala amalimbikitsa kusamalira njira zothandizira, monga:

• Kuchita masewera olimbitsa thupi;
• Sungani manja anu, musalole kuti azizizira;
• Yotsatira zakudya zabwino.

Zitetezo zotero ndizo njira yabwino kwambiri yothetsera vuto la zala.

Kutsiliza

Choncho, tapeza kuti arthrosis ya zala, zizindikiro ndi chithandizo cha matendawa zalingaliridwenso. Matendawa amayamba makamaka okalamba, pamene thupi liri kale litatopa. Matendawa amachititsa kuti munthu asamve ululu, kenako amamva kupweteka kwambiri. Ndikofunika kuti musayambe matenda oterewa, ndipo ngati malangizo onse a dokotala akutsatiridwa, chidziwitso chathunthu chikupezeka.