Matenda a Hoff

Okalamba amavutika ndi ululu wamagulu, makamaka m'manja ndi mawondo. Izi zimachitika chifukwa cha kusinthika kwa chilengedwe cha mafupa ndi matumbo a mtima. Koma pali vuto pamene vuto lomwelo limapezeka achinyamata. Koma pazochitika zoterezi, zidzakhudzana ndi kuwuka kwa matenda osiyanasiyana. Chimodzi mwa izi ndi matenda a Hoff.

Kuti mudziwe nthawiyo, muyenera kudziŵa chomwe chimayambitsa kuyambira, ndipo zizindikiro zazikulu za matendawa ndi ziti.

Zifukwa za matenda a Hoff

Matenda a Goff kapena lipoarthritis ndi aseptic (popanda matenda ndi mavairasi ndi tizilombo toyambitsa matenda) kutupa kwa minofu ya mafuta ya Goff, chifukwa cha zomwe iwo amalephera kuchita pang'onopang'ono. Pali magawo awiri a chitukuko cha matendawa: ovuta komanso osapitirira. Ngati choyamba sichichiritsidwe nthawi, ndiye kuti chimadutsa chachiwiri.

Pali zifukwa zingapo za chitukuko cha matenda a Hoff m'magulu.

• kusokonezeka, kupindula pa msinkhu uliwonse: kugwa, kutembenuka kwakukulu kapena kuwonjezera;
• kukhala osasinthasintha kuntchito: kukhala pansi kapena kudalira pamadzulo, mwachitsanzo: kwa okwera mabasiketi kapena oyang'anira;
• kusintha kwa hormonal (pachimake);
• katundu waukulu nthawi zonse pambali. Izi zimapezeka mwa othamanga, ojambula zithunzi, makamaka ballet ndi circus;
• arthrosis.

Zizindikiro za Matenda a Hoff

Gawo lovuta la matendawa ndi losavuta kudziwa:

• zofooka za quadriceps;
• Kuwonjezera kwa mgwirizano ndi kochepa;
• pali ululu woopsa;
• kufiira kumachitika;
• Edema ilipangidwe imapangidwa.

Dokotala yemwe ali ndi zizindikirozi amadziwitsa matenda a Hoff mosavuta, ngakhale podzifufuza mosavuta.

Ndikovuta kwambiri kudziwa matendawa mu siteji yosatha ya percolation. Ndi bwino kumvetsera zisonyezo izi:

• maonekedwe a ululu usiku ndi pamene akuyesera kudalira pa thumba lomwe lakhudzidwa;
• kuchepa mu ntchito ya quadriceps femoris minofu;
• pafupi ndi bondo, mawonekedwe atsopano amapangidwa, kumasula chisokonezo pakukakamiza;
• Mgwirizano wa bondo umayamba kugwira ntchito mosasunthika.

Kuti atsimikizidwe kuti ali ndi matendawa, kuwonjezera pa kufufuza ndi matenda, palinso maphunziro owonjezera omwe adzafunike: arthroscopy, MRI kapena CT.

Kuchiza kwa matenda a Hoff

Pa gawo lirilonse la matenda a Hoff pamadzulo, pali njira ziwiri zothandizira:

• zowonjezereka (zogwira ntchito);
• osamala.

Matendawa ndi ofewa komanso ochepa, pakhoza kukhala mankhwala okwanira ndi odana ndi kutupa, omwe adzakhale motere:

1. Kuyika njira yotsalira ya mgwirizano wokhudzidwa, womwe umalimbikitsa bedi kukhala ndi zochepa kuyenda.
2. Kulowa mankhwala ophatikizana ( corticosteroids ), kuchepetsa kutupa.
3. Kugwiritsa ntchito njira zamakono (kutsekemera ndi nyali Solluks, laser ndi oxygen therapy, matope ndi parafini ntchito ozocerite, electromyostimulation).
4. LFK, ndiko, kuchita zolimbitsa thupi kumalimbitsa minofu ya extensor ya shin ndi kubwezeretsa kuyenda kwa bondo.

Pazirombo zoopsa komanso pang'onopang'ono za matenda a Hoff, madokotala amalimbikitsa kubwezeretsa ntchito yogwirizanitsa mothandizidwa ndi opaleshoni, monga kudula (kapena kuchotsa) gawo lomwe lakhudzidwa la matupi a Goff (strangulated), komanso mawanga omwe amapangidwa pa bondo. Njira yopaleshoniyi imachitidwa ndi njira yodabwitsa.

Pambuyo pa opaleshoni kwa milungu iwiri, wodwalayo amafunika kukonzanso, zomwe zidzakonza mapangidwe athunthu ndi kubwezeretsa ntchito yotaya wa bondo. Idzakhala ndi:

• Physiotherapy (njirayi ndi yofanana ndi mankhwala oyenera);
• kusamba;
• ntchito;
• phwando la kusamba, matope ndi madzi amchere (ayodini-bromine, sulphide ndi radon).

Pochiza matenda a Goff, mankhwala amtunduwu amatha kuthetsa ululu, kotero ngati mukufuna kupeza zotsatira zabwino, muyenera kufunsa dokotala wanu mukawona zizindikiro zoyamba za matendawa.