Ukusetshenziswa kwe-extracorporeal shock wave therapy ku-knee arthritis

I-Knee osteoarthritis (KOA) yisifo esingamahlalakhona samathambo nesifo samalunga esibonakala ngokuwohloka kwe-cartilage yamadolo kanye ne-hyperplasia yamathambo esibili.Ngakho-ke, i-itis eyaziwa nangokuthi i-arthritis ekhulayo ye-knee joint, isifo samathambo esiwohlokayo kanye ne-osteoarthropathy, ebonakaliswa ngokuyinhloko njengobuhlungu, ukuvuvukala, ukuqina kanye nokunyakaza kwamalunga okuthintekayo.

01 i-epidemiology

I-osteoarthritis iwuhlobo oluvame kakhulu lwe-arthritis, futhi i-knee osteoarthritis iwuhlobo oluvame kakhulu lwe-osteoarthritis.
Isibalo esiphelele se-osteoarthritis kubantu silinganiselwa ku-20%, abesifazane abaningi kunabesilisa, iminyaka yokuqala igxile kakhulu eminyakeni engu-40-65 ubudala, ubudala obuphakeme buyiminyaka engu-50 ubudala, futhi ukwanda kwabantu abangaphezu kweminyaka engu-65 ubudala 68%.

Isamba sezinga lokusabalala kwe-KOA yabantu abadala cishe li-15%, elivamile kubantu abaneminyaka ephakathi kanye nabantu asebekhulile abangaphezu kweminyaka engama-50 ubudala.Ngokusheshisa inqubo yokuguga kwabantu, izinga lokusabalala liyakhula.Ukuvama kuphezulu ngendlela engama-50% kubantu abangaphezu kweminyaka engama-60 ubudala;Lesi sibalo sifinyelela ku-80% kulabo abaneminyaka engaphezu kuka-75. Izibalo eziphezulu zeziguli zabesilisa nabesifazane zazingama-24.7% kanye nama-54.6%, ngokulandelana.
I-knee joint, eyakhiwe i-femur yangaphakathi, i-condyle ye-lateral, i-tibia yangaphakathi, i-condyle ye-lateral ne-patella, iyinhlangano enkulu futhi eyinkimbinkimbi enamathuba amaningi okulimala.

02 Ukuhlukaniswa kwesifo samathambo

I-Knee arthritis yisifo esivamile samadolo, futhi isifo samathambo esivamile singahlukaniswa sibe izinhlobo ezintathu.

I-Osteoarthritis: I-arthritis evamile, ngokuvamile ebhekwa njengesifo esiqhubekayo esiqhubekayo esiwohlokayo.Ibonakala ngokuguga okungapheli kwe-cartilage.Ngokuvamile phakathi nokuguga, ezigabeni zokuqala zesifo, azikho izimpawu ezicacile, noma i-mild izimpawu.Esikhathini sokuqala, kuvame ukubonakaliswa njengokuqina nokungahambi kahle emalungeni, okuthuthukisa ngemva komsebenzi.Ukuvuvukala okunamandla kungase kwenzeke uma kwenzeka umsebenzi omkhulu, okhululwa ngemva kokuphumula kanye nokwelashwa kwezimpawu.

2. I-arthritis yangemva kokuhlukumezekayilokhu: Kuyisifo samathambo esibonakala kancane kancane ngemva kokulimala ejoyintini ledolo.Isethulo somtholampilo sifana ne-osteoarthritis, kodwa kunomlando ocacile wokuhlukumezeka, njengokulimala kwe-ligament noma ukulimala kwe-meniscus.

3. I-Rheumatoid Arthi-ritis: Iwuhlobo oluvuvukalayo lwe-arthritis.Esikhathini sokuqala, ukuvuvukala kwe-synovial yamalunga yiyona eyinhloko, bese i-cartilage ehlangene iguguleka, okuholela ekulahlekelweni okukhulu kokusebenza kwamalunga.Ezimpawu zomtholampilo zakamuva ze-osteoarthritis, ukukhubazeka okukhulu kusekhona.I-Rheumatoid arthritis ingenzeka kunoma ibuphi ubudala, ikakhulukazi kubantu abasha, futhi ngokuvamile ihlasela amadolo womabili.

03 Ukwelashwa

I-arthritis yedolo ekunyakazeni kwamadolo kobuhlungu izoba nzima, futhi ushintsho lokuqala lwe-paroxysmal lube ubuhlungu obuqhubekayo, es.ikakhulukazi ebusuku.Lokhu futhi kubangela ukunyakaza kwamadolo ahlangene kulinganiselwe, izimpawu ezikhubazekile, uma zingaqhubeki ukwelashwa, ukujoyina kuzovela into ekhubazekile.

1. I-Conservative trukudla

Kuhlanganisa imithi, massage, ukushisa therapy nokunye.Iningi lemithi edambisa izinhlungu, engadambisa izinhlungu, kodwa le druI-gs inemiphumela emibi kakhulu emgudwini wamathumbu.I-massage nezinye izindlela, kodwa futhi nokudambisa izinhlungu.

2. Ukuhlinzwa trukudla

I-arthritis iphindaphinda futhi ilunga alilungile, ngakho-ke kuyadingeka ukuhlinzwa.Kodwa uma kungenjalo, ukuhlinzwa akuyona inketho.Bhekasebenzisa ukwelashwa kokuhlinzwa kubuhlungu futhi kuyinkimbinkimbi, akuyona into enhle ezigulini.

3. Ukwethuka kwegagasie therapy

I-Shock waveuhlobo lwegagasi lomshini, olunezici ezithile ze-acoustics, optics kanye nemishini.Iwuhlobo lwamagagasi omsindo anezici zomshini ezibangela ukucindezelwa okusheshayo kwendawo ephakathi futhi ikhiqize amandla ngokudlidliza, ukunyakaza kwesivinini esikhulu, njll., okungadala izinguquko ezimpahleni ezingokomzimba zendawo, njengokucindezela nokuminyana.

04 Kuyini ukwelapha ngamagagasi okuthuthumela?

I-Shock wave iwuhlobo lwamaza omshini anomsindo, ukukhanya kanye nezici zemishini, ezingaqhuba ngokukhululeka emzimbeni womuntu.Lapho igagasi lokushaqeka liqhuba ezicutshini zomuntu, amabhamuza amancane azokhiqiza ama-microjets, ahambisana nokwanda okusheshayo kwamabhamuza, okuholela kumphumela we-cavitation.

 

Ngaphezu kwalokho, ngenxa yokugqugquzelwa kwegagasi lokushaqeka emikhawulweni yezinzwa, ukuzwela kwenzwa kungancishiswa, kubangele ukuguqulwa kwama-radicals mahhala azungeze amangqamuzana ukuze kukhishwe izinto ezivimbela izinhlungu, kukhuphule umkhawulo wobuhlungu, ngaleyo ndlela kunciphise ubuhlungu. .Ngenxa yokuthi ukuminyana kwezicubu ezithambile zomuntu kuyafana namanzi, amagagasi athuthumela awadali monakalo emzimbeni womuntu.

 

Njengamanje, ukwelashwa kwe-extracorporeal shock wave njengokwelashwa okungahlaseli kungadlala indima ekwehliseni izinhlungu kanye nemisipha ephumuzayo, sekusetshenziswe emikhakheni eminingi.

Yiziphi izinzuzo ze-shock wave therapy?

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·Imodi yokuphumayo: imodi eyodwa, ukushaya kwezandla okwenziwa ngesandla, ukushaya kwe-automatic, intermittent okuzenzakalelayo.