Kusuntha kwa ziwalo zilizonse m'thupi kumadalira mkhalidwe ndi kupangidwa kwa mitsempha yotchedwa cartilaginous. Osteoarthritis ya manja ndi imodzi mwa matenda omwe anthu ambiri amawadwala, zomwe zimabweretsa ululu, zofooka zala zachitsulo komanso kufooka kwa thupi.
Nchifukwa chiyani pali osteoarthritis opunduka manja?
Zimayambitsa matenda:
- Kuphwanya kugwiritsidwa kwa tizirombo ndi magazi;
- kupwetekedwa mtima, fractures, sprains ndi sprains;
- ntchito;
- matenda a endocrine;
- zaka kusintha;
- ntchito zamalonda.
Palinso zinthu zowopsya zomwe sizikhala ndi umboni:
- chibadwa;
- nthawi ya postmenopausal;
- kulemera kwa thupi.
Kodi mafupa a osteoarthritis amphindi ang'onoang'ono a interphalangeal ndi manja akuwoneka bwanji?
Zizindikiro za matendawa zimakhala zochepa pang'onopang'ono ndipo zimawoneka pang'onopang'ono, kudutsa mu magawo atatu:
- Osteoarthritis wa manja a digirii. Amadziwika ndi kupweteka pang'ono m'magulu, makamaka madzulo komanso pambuyo pochita mwakhama, ndi kuyenda mosasintha. Pali zisindikizo zazing'ono phalanges za zala (Geberden ndi Bushard nodules), zooneka bwino;
- Osteoarthritis wa manja a chiwerengero chachiwiri. Matenda a ululu amapezeka nthawi zonse, koma osati mwamphamvu. Mitsempha imawoneka pamapfupa (osteophytes), kuchepetsa pang'ono kayendedwe kawirikawiri ndi kusinthasintha kwa zala. M'kupita kwa nthawi, minofu imatuluka, ziwalo zimakula mu kukula, zimagwedezeka pamene zatha;
- Osteoarthritis wa manja a digiri yachitatu. Zimaphatikizidwa ndi ululu waukulu wachisoni komanso pafupifupi kuchepa kwathunthu. Kuchuluka kwa minofu ya mafupa kumachepa, mafinya ambiri amakula. Minofu imeneyi imakhala yopanda phokoso, ndipo minofu ilibe ntchito.
Kodi mungatani kuti muzitha kudwala matenda a osteoarthritis?
Mankhwalawa amatenga nthawi yaitali, monga kubwezeretsa ntchito yogwirizana pamodzi ndi chitukuko cha minofu, yomwe yakhala yachibadwa kwa miyezi ingapo.
Njira yowonongeka ndizochita:
1. Anesthesia ndi kuchepa kwa mphamvu ya kutupa. Mankhwala otsatilawa akugwiritsidwa ntchito:
- Ibuprofen;
- Paracetamol;
- Movalis;
- Diclofenac ;
- Colchicine;
- Celecoxib.
Zimalimbikitsanso kugwiritsa ntchito mankhwala amderali:
- Diklak;
- Voltaren;
- Nimesulide;
- Indomethacin.
2. Kugwiritsira ntchito chondroprotectors, monga:
- Structum;
- Chondroitin;
- Glucosamine.
Mankhwalawa amathandiza kubwezeretsa mapangidwe a tizilombo toyambitsa matenda, komanso kuthandizira kusunga chinyezi.
.3 Physiotherapy:
- chisokonezo;
- phonophoresis ndi mankhwala osachiritsika oletsa kutupa;
- electrophoresis .
4. Kusisita ndi kudzipaka.
5. Zochita masewera olimbitsa thupi.
6. Kugwirizana ndi zakudya zomwe zimakhala ndi mavitamini ambiri komanso kufufuza zinthu.
Komanso, chithandizo cha osteoarthritis cha manja chimaphatikizapo jekeseni mwachindunji mumalo ophatikizana a hyaluronic acid. Izi
Mu mitundu yoopsa ya mafupa a osteoarthritis, opaleshoni imawonetsedwa, pamene mavuto a mafupa amakonzedwa, mafinya amachotsedwa.
Palibe njira zomwe zilipozi zimapereka chithandizo chamtheradi cha matendawa. Mpaka pano, munthu akhoza kungoimitsa kapena kuchepetsa kukula kwa matenda ndi kuchepetsa mawonetseredwe ake.