Knee osteoarthritis (KOA) ndi matenda aakulu a mafupa ndi olowa makamaka omwe amadziwika ndi kuwonongeka kwa mawondo a mawondo ndi hyperplasia yachiwiri.Choncho, itis imadziwikanso kuti proliferative nyamakazi ya mawondo olowa, osteoarthropathy ndi osteoarthropathy, omwe amawonetsedwa makamaka ngati ululu, kutupa, kuuma komanso kukhudzidwa kwa mgwirizano.
01 Epidemiology
Nyamakazi ya osteoarthritis ndi yofala kwambiri ya nyamakazi, ndipo nyamakazi ya bondo ndiyo yofala kwambiri ya nyamakazi.
Chiwerengero chonse cha osteoarthritis mwa anthu ndi pafupifupi 20%, akazi ambiri kuposa amuna, zaka zoyambira zimakhazikika kwambiri muzaka za 40-65, zaka zapamwamba kwambiri ndi zaka 50, ndipo kuchuluka kwa anthu opitilira zaka 65 ndi 68%.
Chiwerengero chonse cha anthu akuluakulu a KOA ndi pafupifupi 15%, omwe amapezeka mwa anthu azaka zapakati ndi okalamba opitirira zaka 50.Chifukwa cha kuchuluka kwa ukalamba wa anthu, kuchuluka kwa anthu akuchulukirachulukira.Kufalikira kumafika 50% mwa anthu opitilira zaka 60;Chiwerengerochi ndi cha 80% kwa omwe ali ndi zaka 75. Chiwerengero chapamwamba cha odwala amuna ndi akazi chinali 24.7% ndi 54.6%, motero.
Mgwirizano wa bondo, womwe umapangidwa ndi chikazi chamkati, lateral condyle, tibia yamkati, lateral condyle ndi patella, ndi mgwirizano waukulu komanso wovuta kwambiri wokhala ndi mwayi wambiri wovulala.
02 Gulu la Nyamakazi
Matenda a nyamakazi ndi matenda ofala a mawondo, ndipo nyamakazi wamba imatha kugawidwa m'mitundu itatu.
Osteoarthritis: Nyamakazi yodziwika bwino, yomwe nthawi zambiri imatengedwa kuti ndi matenda osachiritsika omwe amapita patsogolo.Amadziwika ndi kuvala kosatha kwa cartilage.Nthawi zambiri pakati ndi ukalamba, kumayambiriro kwa matendawa, palibe zizindikiro zoonekeratu, kapena mild zizindikiro.Kumayambiriro koyambirira, nthawi zambiri amawonetsedwa ngati kuuma komanso kusapeza bwino m'malo olumikizirana mafupa, omwe amakula pambuyo pa ntchito.Kutupa pachimake mwina kuchitika kwambiri ntchito, amene anamasulidwa pambuyo kupuma ndi symptomatic mankhwala.
2. Matenda a nyamakazi pambuyo pa zoopsandi: Ndi nyamakazi yomwe imawonekera pang'onopang'ono pambuyo pa kuvulala kwa bondo.Chiwonetsero chachipatala ndi chofanana ndi nyamakazi ya osteoarthritis, koma pali mbiri yodziwika bwino ya kuvulala, monga kuwonongeka kwa ligament kapena kuwonongeka kwa meniscus.
3. Matenda a nyamakaziritis: Ndi mtundu wotupa wa nyamakazi.Kumayambiriro koyambirira, kutupa kwa synovial kwa mafupa ndiko kumayambitsa, ndiyeno chichereŵechereŵe chamagulu chimakokoloka, zomwe zimapangitsa kuti mafupa awonongeke kwambiri.Kumapeto kwa zizindikiro zachipatala za osteoarthritis, kupunduka kwakukulu kumakhalabe.Matenda a nyamakazi amatha kuchitika pa msinkhu uliwonse, makamaka kwa achinyamata, ndipo nthawi zambiri amakhudza mawondo onse.
03 Chithandizo
Nyamakazi ya bondo pakuyenda kwa bondo kwa ululuwo idzakulirakulira, ndipo kusintha koyambirira kwa paroxysmal kukhala kupweteka kosalekeza, es.makamaka usiku.Izi zimapangitsanso bondo olowa kayendedwe ndi ochepa, limp zizindikiro, ngati kupitiriza mankhwala, olowa adzaoneka olumala chodabwitsa.
1. Conservative trkudya
Kuphatikizapo mankhwala, kutikita minofu, kutentha mankhwala ndi zina zotero.Ambiri mwa mankhwalawa ndi opha ululu, omwe amatha kuthetsa ululu, koma awa ndi drugs ali ndi zotsatira zoyipa kwambiri pamayendedwe am'mimba.Kutikita minofu ndi njira zina, komanso kuchepetsa ululu.
2. Opaleshoni trkudya
Matenda a nyamakazi amangochitika mobwerezabwereza ndipo cholumikizira chimakhala cholakwika, choncho opaleshoni imafunika.Koma ngati si choncho, opaleshoni si njira.Becakugwiritsa ntchito mankhwala opangira opaleshoni ndizovuta komanso zovuta, si chisankho chabwino kwa odwala.
3. Kugwedeza wavndi therapy
Shock wave ndimtundu wa mafunde a mawotchi, omwe ali ndi zida zina za ma acoustics, optics ndi mechanics.Ndi mtundu wa mafunde omveka omwe ali ndi mawonekedwe amakina omwe amayambitsa kukanikizana kofulumira kwa sing'anga ndikupanga mphamvu kudzera kugwedezeka, kuthamanga kwambiri, ndi zina zambiri, zomwe zingayambitse kusintha kwa thupi la sing'anga, monga kuthamanga ndi kachulukidwe.
04 Kodi shock wave therapy ndi chiyani?
Shock wave ndi mtundu wa mafunde amakina okhala ndi mawu, kuwala komanso makina, omwe amatha kuchita momasuka mthupi la munthu.Pamene anagwedezeka mu minofu yaumunthu, thovu laling'ono limatulutsa microjets, limodzi ndi kukula kwamphamvu kwa thovu, zomwe zimayambitsa Cavitation.
Kuonjezera apo, chifukwa cha kukondoweza kwa kugwedezeka kwa mitsempha pa mitsempha ya mitsempha, kukhudzidwa kwa mitsempha kumatha kuchepetsedwa, kuchititsa kusintha kwa ma radicals aulere kuzungulira maselo kuti atulutse zinthu zoletsa ululu, kukweza pakhomo la ululu, potero kuchepetsa ululu. .Chifukwa kachulukidwe ka minofu yofewa ya munthu ndi yofanana ndi yamadzi, mafunde owopsa samawononga thupi la munthu.
Pakali pano, extracorporeal shock wave therapy monga chithandizo chosasokoneza chingathandize kuchepetsa ululu ndi minofu yopuma, yakhala ikugwiritsidwa ntchito m'madera ambiri.
Ubwino wa shock wave therapy ndi chiyani?
·Kugwedeza kwamfuti kwapawiri, kugwiritsa ntchito njira ziwiri zodziyimira pawokha !!!
· Ikubwera ndi maupangiri 12 azachipatala !!
•Ndi malamulo angapo amankhwala, mutha kusankha mankhwala oyenera malinga ndi gawo la thupi lanu.
· Imakhala ndi ntchito yosungiramo zinthu.
· Imakhala ndi ntchito ya kuwunika kwa VAS.
·Ili ndi ntchito yolumikizira chosindikizira.
· Zotulutsa: single mode, manual pulse, automatic pulse, automatic intermittent.
Nthawi yotumiza: Jan-16-2024
