Ukusetyenziswa konyango lwe-extracorporeal shock wave kwi-knee arthritis

I-Knee osteoarthritis (KOA) yithambo elingapheliyo kunye nesifo esidibeneyo esibonakaliswe ngokuchithwa kwe-knee cartilage kunye ne-hyperplasia yamathambo esibini.Ngoko ke, i-itis eyaziwa ngokuba yi-proliferative arthritis ye-knee joint, i-arthritis ephazamisayo kunye ne-osteoarthropathy, ebonakaliswa ngokukodwa njengentlungu, ukudumba, ukuqina kunye nokunyakaza kwamalungu achaphazelekayo.

01 i-epidemiology

I-osteoarthritis lolona hlobo luxhaphakileyo lwe-arthritis, kwaye i-knee osteoarthritis lolona hlobo luqhelekileyo lwe-osteoarthritis.
Isiganeko esipheleleyo se-osteoarthritis kubemi malunga ne-20%, abafazi abaninzi kunamadoda, iminyaka yobudala igxininiswe kakhulu kwi-40 ~ 65 yeminyaka ubudala, ubudala obuphezulu buneminyaka engama-50 ubudala, kunye nokuxhaphaka kwabantu abangaphezu kweminyaka engama-65 ubudala. 68%.

Lilonke izinga lokuxhaphaka kwe-KOA yabantu abadala limalunga ne-15%, elixhaphakileyo kubantu abakubudala obuphakathi kunye nabantu abadala abangaphezu kweminyaka engama-50 ubudala.Ngokukhawuleza kwenkqubo yokuguga kwabantu, izinga lokuxhaphaka liyakhula.Ukuxhaphaka kuphezulu njenge-50% kubantu abangaphezu kweminyaka engama-60 ubudala;Inani liphezulu ukuya kuma-80% kwabo bangaphezu kwama-75. Izehlo eziphezulu zezigulane zamadoda nabasetyhini zazingama-24.7% kunye nama-54.6%, ngokulandelelanayo.
I-knee joint, equlethwe yi-femur yangaphakathi, i-condyle esecaleni, i-tibia yangaphakathi, i-condyle ye-lateral kunye ne-patella, idibeneyo enkulu kunye neyinkimbinkimbi kunye namathuba amaninzi okulimala.

02 Ukuhlelwa kwe-arthritis

I-arthritis yedolo sisifo esiqhelekileyo sedolo, kwaye isifo samathambo esiqhelekileyo sinokwahlulwa sibe ziindidi ezintathu.

I-Osteoarthritis: I-arthritis eqhelekileyo, ngokuqhelekileyo ithathwa njengesifo esingapheliyo.Ibonakaliswe ngokugqoka okungapheliyo kwe-cartilage.Ngokufuthi phakathi nobudala, kwizigaba zokuqala zesifo, akukho zimpawu zicacileyo, okanye mild iimpawu.Kwinqanaba lokuqala, kudla ngokubonakaliswa njengokuqina kunye nokungahambi kakuhle kumalungu, okuphucula emva komsebenzi.Ukuvuvukala okunamandla kunokwenzeka xa kwenzeka umsebenzi onzima, okhutshwayo emva kokuphumla kunye nonyango lweempawu.

2. I-arthritis yasemva kokwenzakalayi: Sisifo samathambo esibonakala ngokuthe ngcembe emva kokwenzakala kwilungu ledolo.Inkcazo yeklinikhi ifana ne-osteoarthritis, kodwa kukho imbali ecacileyo yokulimala, njengomonakalo we-ligament okanye umonakalo we-meniscus.

3. I-Rheumatoid Arthritis: Luhlobo oluvuthayo lwe-arthritis.Kwinqanaba lokuqala, ukuvuvukala kwe-synovial yamalungu iyona nto iphambili, kwaye emva koko i-cartilage edibeneyo iyachithwa, okukhokelela ekulahlekelweni okukhulu komsebenzi odibeneyo.Kwiimpawu zeklinikhi zamva nje ze-osteoarthritis, ukukhubazeka okunzulu kuhleli.I-arthritis ye-rheumatoid ingenzeka nanini na ubudala, ikakhulu kubantu abancinci, kwaye idla ngokuchaphazela amadolo omabini.

03 Unyango

I-arthritis yedolo ekuhambeni kwedolo lentlungu iya kuba nzima, kwaye utshintsho lwangaphambili lwe-paroxysmal kwiintlungu eziqhubekayo, es.ngakumbi ebusuku.Oku kubangela ukuba intshukumo edibeneyo yamadolo ilinganiselwe, iimpawu ezinqabileyo, ukuba aziqhubeki unyango, i-joint iya kubonakala i-deformed phenomenon.

1. Conservative trukutya

Kubandakanya iyeza, i-massage, unyango lobushushu kunye nokunye.Uninzi lwamachiza zizidambisi-ntlungu, ezinokuthi zithomalalise iintlungu, kodwa ezi drugs zineziphumo ebezingalindelekanga ezinkulu kwi phecana zesisu.I-massage kunye nezinye iindlela, kodwa kunye nokunciphisa intlungu.

2. Utyando trukutya

I-arthritis iphindaphinda kwaye idibeneyo ayisebenzi kakuhle, ngoko kufuneka utyando.Kodwa ukuba akunjalo, utyando alukho ukhetho.UBhekasebenzisa unyango lotyando lubuhlungu kwaye lunzima, alukho ukhetho olufanelekileyo kwizigulane.

3. Umothuko wave unyango

Ukothuka kwamazauhlobo lwamaza omatshini, oneempawu ezithile ze-acoustics, optics kunye ne-mechanics.Luhlobo lwamaza omsindo kunye neempawu zoomatshini ezibangela ukunyanzeliswa ngokukhawuleza kwe-medium kunye nokuvelisa amandla ngokungcangcazela, ukuhamba ngesantya esiphezulu, njl. njl., ezinokubangela utshintsho kwiipropati ezibonakalayo ze-medium, ezifana noxinzelelo kunye noxinzelelo.

04 Yintoni unyango lokothuka kwamaza?

I-Shock wave luhlobo lwamaza omatshini anesandi, ukukhanya kunye neempawu zoomatshini, ezinokuqhuba ngokukhululekileyo emzimbeni womntu.Xa i-wave shock iqhuba kwizicubu zomntu, amaqamza amancinci aya kuvelisa i-microjets, ehamba kunye nokwandiswa ngokukhawuleza kwamaqamu, okukhokelela kwisiphumo se-cavitation.

 

Ukongezelela, ngenxa yokuvuselela i-wave shock kwi-nerve endings, uvakalelo lwe-nerve lunokuncipha, lubangela ukuba utshintsho lwe-radicals yamahhala ejikeleze iiseli zikhuphe izinto ezithintela intlungu, ziphakamisa umda weentlungu, ngaloo ndlela zinciphisa intlungu. .Ngenxa yokuba ingxinano yezicubu ezithambileyo zomntu ziyafana namanzi, amaza othusayo awabangeli monakalo kumzimba womntu.

 

Okwangoku, unyango lwe-extracorporeal shock wave njengonyango olungahlaseli lunokudlala indima ekunciphiseni iintlungu kunye nezihlunu eziphumlayo, lusetyenziswe kwiinkalo ezininzi.

Zeziphi iingenelo zonyango lokothuka kwamaza?

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