Amavi osteoarthritis (KOA) ni igufwa ridakira n'indwara ifatanije ahanini irangwa no kwangirika kw'imitsi y'amavi hamwe na hyperplasia ya kabiri.Kubwibyo rero, bizwi kandi nka arthrite ikwirakwiza ingingo zifata ivi, arthritis degenerative arthritis na osteoarthropathie, bigaragarira cyane nkububabare, kubyimba, gukomera no kugira ingaruka kumitsi.
01 epidemiologiya
Osteoarthritis nuburyo bukunze kurwara rubagimpande, naho ivi osteoarthritis nuburyo bukunze kugaragara bwa osteoarthritis.
Umubare rusange w'aba osteoarthritis mu baturage ni 20%, abagore benshi ugereranije n'abagabo, imyaka yo gutangira yibanda cyane ku myaka 40 ~ 65, imyaka yo hejuru ni 50, kandi ubwinshi bw'abantu barengeje imyaka 65 ni 68%.
Umubare rusange w’abantu bakuze KOA ni 15%, ukaba ukunze kugaragara ku bageze mu za bukuru ndetse n’abasaza barengeje imyaka 50.Hamwe nihuta ryibikorwa byo gusaza kwabaturage, umubare wubwiyongere uragenda wiyongera.Icyorezo kiri hejuru ya 50% mubantu barengeje imyaka 60;Umubare uri hejuru ya 80% kubarengeje imyaka 75. Umubare munini w’abarwayi b’abagabo n’abagore wari 24.7% na 54,6%.
Ifi y'amavi, igizwe na femur y'imbere, impande zombi, tibia y'imbere, impande zombi hamwe na patella, ni ingingo nini kandi igoye ifite amahirwe menshi yo gukomeretsa.
02 Itondekanya rya rubagimpande
Indwara y'amavi ni indwara ikunze kwibasira ivi, kandi rubagimpande zishobora kugabanywamo ubwoko butatu.
Osteoarthritis: Indwara ya rubagimpande, ubusanzwe ifatwa nkindwara idakira igenda itera.Kurangwa no kwambara karande ya karitsiye.Akenshi mugihe cyo hagati no gusaza, mugihe cyambere cyindwara, nta bimenyetso bigaragara, cyangwa mild ibimenyetso.Mubyiciro byambere, bikunze kugaragara nko gukomera no kutoroherwa mu ngingo, bigenda neza nyuma yibikorwa.Indurwe ikaze irashobora kugaragara mugihe habaye ibikorwa bikomeye, byoroha nyuma yo kuruhuka no kuvura ibimenyetso.
2. Indwara ya rubagimpandeni: Arthritis igaragara buhoro buhoro nyuma yo guhahamuka kumavi.Kwerekana kwa muganga bisa na osteoarthritis, ariko hariho amateka asobanutse y’ihungabana, nko kwangirika kwimitsi cyangwa kwangirika kwa menisque.
3. Indwara ya rubagimpandeimihango: Nubwoko butwika bwa rubagimpande.Mugihe cyambere, synovial inflammation yingingo nimwe nyamukuru, hanyuma karitsiye ihuriweho irasenyuka, bikaviramo gutakaza cyane imikorere ihuriweho.Mugihe cyibimenyetso byamavuriro ya osteoarthritis, haracyari ubumuga bukomeye.Indwara ya rubagimpande irashobora kugaragara mumyaka iyo ari yo yose, cyane cyane mu rubyiruko, kandi ubusanzwe ifata amavi yombi.
03 Ubuvuzi
Arthritis devi mu ivi ry'ububabare biziyongera, kandi paroxysmal kare ihinduka kububabare buhoraho, escyane nijoro.Ibi kandi bitera ivi kugendagenda kumavi kugarukira, ibimenyetso bimugaye, niba bidakomeje kuvurwa, ingingo izagaragara nkibintu byahinduwe.
1. Abagumyabanga trkurya
Harimo imiti, massage, kuvura ubushyuhe nibindi.Imiti myinshi ni imiti igabanya ububabare, ishobora kugabanya ububabare, ariko iyi drugs igira ingaruka zikomeye kumitsi yigifu.Massage nubundi buryo, ariko kandi kugirango woroshye ububabare.
2. Kubaga trkurya
Indwara ya rubagimpande irasubirwamo kandi ingingo ikora nabi, bityo hakenewe kubagwa.Ariko niba ataribyo, kubaga ntabwo ari amahitamo.Becakoresha ubuvuzi bwo kubaga burahahamutse kandi buragoye, ntabwo ari amahitamo meza kubarwayi.
3. Shok wave
Umuhengeri niubwoko bwumukanishi, bufite ibintu bimwe na bimwe bya acoustique, optique hamwe nubukanishi.Nubwoko bwijwi ryamajwi hamwe nubukanishi butera kwikuramo byihuse kandi bikabyara ingufu binyuze mu kunyeganyega, umuvuduko mwinshi, nibindi, bishobora gutera impinduka mumiterere yumubiri wikigereranyo, nkumuvuduko nubucucike.
04 Ubuvuzi ni ubuhe?
Shock wave ni ubwoko bwimashini ifite amajwi, urumuri nubukanishi, bushobora kwitwara mumubiri wumuntu.Iyo inkubi y'umuyaga ikora mu ngingo z'umuntu, utubuto duto tuzabyara microjets, iherekejwe no kwaguka kwinshi kw'ibibyimba, bikavamo ingaruka za cavitation.
Byongeye kandi, bitewe no gukurura imivurungano ku iherezo ry’imyakura, ibyiyumvo by’imitsi birashobora kugabanuka, bigatuma ihinduka rya radicals yubusa ikikije selile irekura ibintu bibuza ububabare, bikazamura ububabare, bityo bikagabanya ububabare. .Kuberako ubucucike bwimyenda yoroheje yumuntu busa nubw'amazi, imivumba yo guhungabana ntabwo yangiza umubiri wumuntu.
Kugeza ubu, ubuvuzi bwa extraacorporeal shock therapy nkubuvuzi budatera bushobora kugira uruhare mukugabanya ububabare no koroshya imitsi, bwakoreshejwe mubice byinshi.
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Igihe cyo kohereza: Mutarama-16-2024