Kab mob hauv

Osteoarthritis (OA) yog kev sib koom tes sib koom ua ke. Nws yog vim kev laus thiab hnav thiab kua muag ntawm tus pob qij txha.

Cov pob txha mos yog cov tawv nqaij, cov roj hmab uas ua kom koj cov pob txha nyob ntawm pob qij txha. Nws tso cai rau cov pob txha ci dhau ib leeg. Thaum cov pob txha mos tawg thiab ris pov tseg, cov pob txha txhuam ua ke. Qhov no feem ntau ua rau qhov mob, o, thiab nruj ntawm OA.

Raws li OA zuj zus ntxiv, bony spurs lossis pob txha ntxiv yuav tsim nyob ib ncig ntawm qhov sib koom tes. Lub ligaments thiab cov leeg nyob ib ncig ntawm qhov sib koom tes tej zaum yuav qaug zog thiab qaug zog.

Ua ntej hnub nyoog 55, OA tshwm sim sib luag rau txiv neej thiab poj niam. Tom qab hnub nyoog 55, nws yog qhov muaj ntau rau cov poj niam.

Lwm yam kuj tseem tuaj yeem ua rau OA.

• OA yuav khiav ntawm cov tsev neeg.
• Kev rog dhau yuav ua rau muaj kev phom sij rau OA hauv lub ntsag, hauv caug, pob taws, thiab taw pob qij txha. Qhov no yog vim tias qhov hnyav dua ua rau ntau qhov hnav thiab ntuag.
• Kev txhuam los yog lwm tus neeg raug mob sib koom tes tuaj yeem ua rau OA tom qab lub neej. Qhov no suav nrog kev raug mob rau pob txha mos thiab pob txha hauv koj pob qij txha.
• Cov haujlwm uas cuam tshuam txog txhos caug lossis zaum khooj ntev dua ib teev hauv ib hnub, lossis koom nrog nqa, nce ntaiv, lossis taug kev yuav ua rau muaj kev pheej hmoo rau OA.
• Ntaus pob ncaws pob uas cuam tshuam ncaj qha rau kev sib koom tes (ncaws pob), sib ntswg (pov pob lossis ncaws pob), lossis cuam pov pob tseem yuav muaj kev phom sij rau OA.

Cov mob uas tuaj yeem ua rau OA lossis cov tsos mob zoo xws li OA suav nrog:

• Kev los ntshav uas ua rau los ntshav hauv cov pob qij txha, xws li hemophilia
• Cov kev tsis sib haum xeeb uas thaiv cov ntshav nyob ze rau kev sib koom tes thiab ua rau pob txha tuag (thaj av necrosis)
• Lwm yam mob caj dab, xws li mob caj dab ntev (mob ntev), mob caj dab, lossis mob caj dab

Cov tsos mob ntawm OA feem ntau tshwm sim hauv nruab nrab hnub nyoog. Yuav luag txhua tus neeg muaj qee cov tsos mob ntawm OA thaum muaj hnub nyoog 70 xyoo.

Qhov mob thiab mob heev rau cov pob qij txha yog cov tsos mob feem ntau. Qhov mob feem ntau tuaj:

• Tom qab ua exercise
• Thaum koj muab qhov hnyav los sis nias rau ntawm qhov sib koom tes
• Thaum koj siv lub pob qij

Nrog OA, koj cov pob qij txha yuav ua tsis taus thiab txav mus los tau ntev raws sijhawm. Koj tuaj yeem pom cov xeb, nplawm, lossis suab nrov thaum koj txav ntawm qhov sib koom tes.

"Thaum sawv ntxov tawv" yog hais txog qhov mob thiab txhav thaum koj sawv thaum sawv ntxov. Kev nruj vim yog OA feem ntau kav rau 30 feeb lossis tsawg dua. Nws tuaj yeem nyob ntev dua 30 feeb yog tias muaj tus mob ntawm qhov sib koom ua ke. Nws feem ntau txhim kho tom qab kev ua si, cia qhov sib koom ua ke "kom sov."

Nruab hnub, qhov mob yuav mob heev dua thaum koj nquag thiab xis nyob thaum koj so. Raws li OA zuj zus, koj yuav muaj mob txawm tias koj so. Thiab tej zaum nws yuav tsa koj thaum hmo ntuj.

Qee tus neeg yuav tsis muaj tsos mob, txawm tias xoo hluav taws xob qhia kev hloov pauv ntawm OA.

Tus kws kho mob yuav kuaj xyuas koj thiab nug koj cov tsos mob. Qhov ntsuas yuav tuaj yeem qhia:

• Kev sib koom ua ke uas ua rau lub suab suab (zom zaws), hu ua kev tsim tawm
• Cov leeg o (cov pob txha ncig ntawm pob qij txha yuav hnov ​​zoo li loj)
• Cov khoom lag luam tsawg tsawg
• Kev sib deev thaum sib koom tes nias
• Kev ua haujlwm li qub feem ntau yog mob

Kev kuaj ntshav tsis muaj txiaj ntsig zoo rau kev kuaj mob OA. Lawv tuaj yeem siv los saib rau lwm yam kev mob, xws li mob caj dab mob caj dab lossis gout.

Qhov xoo hluav taws xob yuav qhia:

• Poob rau ntawm qhov chaw sib koom ua ke
• Hnav nqos tas cov nqaj txha povtseg
• Pob txha spurs
• Bony hloov pauv ze rau ntawm qhov sib koom tes, hu ua subchondral cysts

Yuav tsis muaj peev xwm kho tau OA, tab sis OA cov tsos mob tuaj yeem tswj tau. OA yuav ua rau muaj kev nyuaj zuj zus ntxiv dua li lub sijhawm uas qhov no tshwm sim sib txawv ntawm ib tus neeg mus rau lwm tus.

Koj tuaj yeem tau phais, tab sis lwm txoj kev kho tuaj yeem txhim kho koj qhov mob thiab ua rau koj lub neej zoo dua. Txawm hais tias cov kev kho no tsis tuaj yeem ua rau OA ploj mus, lawv feem ntau tuaj yeem ncua sijhawm phais lossis ua rau koj cov tsos mob me txaus kom tsis txhob tsim teeb meem loj.

COV TSHUAJ KHO MOB

Cov tshuaj tiv thaiv mob tsis haum tshuaj (OTC) tshaj, xws li cov tshuaj acetaminophen (Tylenol) lossis cov tshuaj tsis haum nonsteroidal (NSAID) tuaj yeem pab nrog cov tsos mob OA. Koj tuaj yeem yuav cov tshuaj no yam tsis tas muaj ntawv los ntawm kws kho mob.

Nws raug pom zoo kom koj tsis txhob noj ntau dua 3 gram (3,000 mg) ntawm cov tshuaj acetaminophen ib hnub. Yog tias koj muaj kab mob siab, tham nrog koj tus kws kho mob ua ntej noj tshuaj acetaminophen. OTC NSAIDs suav nrog cov tshuaj aspirin, ibuprofen, thiab naproxen. Muaj ntau lwm NSAIDs yuav siv tau los ntawm cov tshuaj muab rau. Tham nrog koj tus muab kev pab ua ntej noj NSAID txhua hnub.

Duloxetine (Cymbalta) yog ib hom tshuaj kho mob uas tseem tuaj yeem pab kho tus mob (mob ntev) mob ntsig txog OA.

Kev txhaj tshuaj ntawm cov tshuaj steroid feem ntau muab qhov tseem ceeb luv rau nruab nrab ntev tau txiaj ntsig los ntawm qhov mob ntawm OA.

Cov tshuaj uas koj siv tau suav nrog:

• Tshuaj, xws li glucosamine thiab chondroitin sulfate
• Cov tshuaj nplaum tawv nqaij Capsaicin los daws qhov mob

LUB NEEJ MUAJ KEV PAUV HLOOV

Ua kom nquag plias thiab ua kom tawm dag zog tuaj yeem ua kom muaj kev sib koom ua ke thiab tag nrho. Hais kom koj tus kws kho mob qhia cov kev tawm dag zog kom cuag ncua lossis xa koj mus rau tus kws kho mob lub cev. Kev siv dej, xws li ua luam dej, feem ntau pab tau.

Lwm cov lus qhia txog kev ua neej xws li:

• Thov kev kub lossis txias txias rau qhov sib koom ua ke
• Noj zaub mov zoo
• So kom txaus
• Kev poob phaus yog tias koj rog dhau
• Tiv thaiv koj cov pob qij txha los ntawm kev raug mob

Yog tias qhov mob ntawm OA mob heev ntxiv, kev saib xyuas nrog cov haujlwm yuav ua rau nyuaj lossis mob. Hloov pauv ib ncig ntawm tsev tuaj yeem pab txo kev ntxhov siab rau koj cov pob qij txha kom txo qee qhov mob. Yog tias koj txoj haujlwm ua rau muaj kev ntxhov siab nyob rau qee cov pob qij txha, koj yuav tsum kho koj qhov chaw ua haujlwm lossis hloov chaw haujlwm.

PHYSICAL THERAPY

Kev tawm dag zog lub cev tuaj yeem pab txhim kho cov leeg pob txha thiab cov lus txav ntawm txhav txhav ntxiv rau qhov koj tshuav. Yog tias kev kho mob tsis ua rau koj lub siab nyob tom qab 6 txog 12 asthiv, ces nws yuav tsis muaj txiaj ntsig zoo.

Kev zaws zaws yuav muab kev kho mob ncua luv, tab sis tsis pauv pauv lwm yam OA txheej txheem. Nco ntsoov tias koj ua haujlwm nrog tus kws kho zaws kho uas muaj kev paub txog kev ua haujlwm ntawm cov pob qij txha nyuaj.

CUA

Kev tawg thiab kev zawm hniav tuaj yeem pab txhawb cov pob qij txha tsis muaj zog. Qee hom ua txwv lossis txwv kev sib koom ua ke ntawm txav. Lwm tus yuav hloov siab los ntawm ib qho ntawm kev sib koom. Siv brace tsuas yog thaum koj tus kws kho mob lossis kws kho mob pom zoo ib. Siv cov ntawv cuav qhia qhov tsis ncaj ncees tuaj yeem ua rau kev sib koom tes, txhav, thiab mob.

TXHEEJ TXHEEM KHO

Acupuncture yog txoj kev kho mob hauv Suav. Nws tau xav tias thaum kev txhaj tshuaj acupuncture txhawb cov qee yam ntsiab lus ntawm lub cev, tshuaj lom neeg uas thaiv qhov mob yog tso tawm. Acupuncture tuaj yeem muab tshuaj kho mob tseem ceeb rau OA.

Yoga thiab Tai chi kuj pom tau muaj txiaj ntsig tseem ceeb hauv kev kho mob los ntawm OA.

S-adenosylmethionine (SAMe, hais "Sammy") yog ib qho qauv uas yog lub cev ua kom muaj lub ntsej muag tshuaj hauv lub cev. Nws yuav pab txo qhov mob sib koom ua ke thiab qhov mob.

NTU

Cov mob hnyav ntawm OA tej zaum yuav tsum muaj kev phais kom hloov los yog kho cov pob qij txha puas. Cov kev xaiv muaj:

• Kev phais pob txha rau txhaws txhav txhav txhav txhav thiab pob txha mos
• Hloov chaw ntawm cov pob txha caj kom txo kev ntxhov siab ntawm pob txha los yog pob qij txha (pob txha txha)
• Kev phais mob cov pob txha, feem ntau nyob rau hauv nqaj qaum (arthrodesis)
• Tag nrho lossis ib nrab hloov ntawm kev sib koom tes nrog kev sib koom ua ke sib txuas (hloov hauv caug, hloov ntsag, hloov lub xub pwg, hloov pob taws, thiab luj tshib hloov)

Cov koom haum uas ua tshwj xeeb hauv kev mob caj dab yog cov kev pab zoo rau cov ntaub ntawv ntau ntxiv ntawm OA.

Koj qhov kev txav pauv yuav dhau mus raws sijhawm. Ua txhua hnub, xws li tu cev huv si, haujlwm hauv tsev, lossis ua noj yuav yog qhov nyuaj. Kev kho feem ntau pab txoj kev ua haujlwm.

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm OA uas haj yam tsis zoo.

Sim tsis txhob siv qhov sib koom ua mob rau ntawm qhov chaw ua haujlwm lossis thaum ua haujlwm. Tswj lub cev hnyav. Ua kom cov leeg nyob ib ncig ntawm koj cov pob qij txha muaj zog, tshwj xeeb tshaj yog cov kev hnyav-kev sib koom ua ke (lub hauv caug, lub duav, lossis pob taws).

Hypertrophic osteoarthritis; Osteoarthrosis; Degenerative sib koom tes tus kab mob; DJD; OA; Mob pob txaws - osteoarthritis

• ACL rov tsim dua - paug
• Pob luj taws hloov - paug
• Lub luj tshib hloov - tso tawm
• Lub hauv caug lossis hauv caug hloov - tom qab - dab tsi yuav nug koj tus kws kho mob
• Lub hauv caug lossis hauv caug hloov - ua ntej - yuav tau nug dab tsi ntawm koj tus kws kho mob
• Duav hloov - tso tawm
• Lub xub pwg hloov - tso tawm
• Kev phais lub xub pwg - tso tawm
• Kev phais pob qij txha - tawm paug
• Siv koj lub xub pwg tom qab hloov phais
• Siv koj lub xub pwg tom qab phais

• Kab mob hauv
• Kab mob hauv

Kolasinski SL, Neogi T, Hochberg MC, li al. 2019 American College of Rheumatology / Arthritis Foundation Kev Taw Qhia rau Kev Tswj Kab Mob Pob Txha ntawm txhais tes, ntawm lub duav, thiab lub hauv caug. Mob caj dab los tu Res (Hoboken)Cov. 2020; 72 (2): 149-162. PMID: 31908149 pubmed.ncbi.nlm.nih.gov/31908149/.

Kraus VB, Vincent TL. Mob txha. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil Tshuaj. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 246.

Misra D, Kumar D, Neogi T. Kev kho mob osteoarthritis. Hauv: Firestein GS, Budd RC, Gabriel SE, Koretzky GA, McInnes IB, O'Dell JR, eds. Firestein & Kelly Cov Ntawv Phau Ntawv RheumatologyCov. 11th ed. Philadelphia, PA: Elsevier; 2021: chap 106.