Theem ntawm Osteoarthritis ntawm Lub Ncaws
Zoo Siab
Peb suav nrog cov khoom uas peb xav tias tseem ceeb rau peb cov nyeem. Yog tias koj yuav los ntawm cov txuas hauv nplooj ntawv no, peb yuav khwv tau nyiaj me me. Ntawm no yog peb cov txheej txheem.
Theem ntawm osteoarthritis
Osteoarthritis (OA) tau muab faib ua tsib qib. Theem 0 tau muab txoj hauv caug, uas duav muaj zog. Qhov theem siab tshaj plaws, 4, yog muab rau OA hnyav. OA uas tau dhau los ua kev nce qib no feem ntau yuav ua rau mob hnyav thiab cuam tshuam kev sib koom tes.
Theem 0
Theem 0 OA tau cais raws li "kev noj qab haus huv" hauv caug. Lub hauv caug ob leeg tsis muaj cov cim qhia ntawm OA thiab kev sib koom tes ua haujlwm yam tsis muaj kev puas tsuaj los yog mob.
Kev Kho Mob
Tsis muaj kev kho mob dab tsi xav tau rau theem 0 OA.
Theem 1
Ib tus neeg muaj theem 1 OA tab tom ua pov thawj pob txha yau heev. Pob txha spurs yog boney txoj kev loj hlob uas feem ntau txhim kho qhov twg pob txha sib ntsib hauv kev sib koom tes.
Qee tus neeg uas muaj qib 1 OA feem ntau yuav tsis muaj kev mob lossis kev tsis pom zoo yog qhov tshwm sim ntawm kev coj tus kheej me me ntawm cov Cheebtsam ntawm kev sib koom ua ke.
Kev Kho Mob
Yog tias tsis muaj cov tsos mob sab nraud ntawm OA los kho, ntau tus kws kho mob yuav tsis yuam kom koj mus kho mob rau theem 1 OA.
Txawm li cas los xij, yog tias koj muaj qhov tsis haum rau OA lossis muaj kev pheej hmoo ntau ntxiv, koj tus kws kho mob yuav pom zoo kom koj noj tshuaj ntxiv, xws li chondroitin, lossis pib ua ib qho kev tawm dag zog kom txo cov tsos mob me ntawm OA thiab txhawm rau qeeb ntawm kev mob caj dab.
Kav rau tshuaj chondroitin pab.
Theem 2
Theem 2 OA ntawm lub hauv caug raug suav tias yog "theem" me me ntawm qhov mob. Xoo hluav taws xob ntawm lub hauv caug pob qij txha hauv qib no yuav qhia ntau dua pob txha loj dua, tab sis pob txha mos yog feem ntau tseem nyob rau qhov muaj kev noj qab haus huv, i.e. qhov chaw ntawm cov pob txha yog qhov qub, thiab cov pob txha tsis txhuam los yog txhuam ib leeg.
Nyob rau qib no, cov kua dej synovial kuj tseem feem ntau nyob rau theem txaus rau cov kev sib txuas ua ke.
Txawm li cas los xij, qhov no yog theem uas tib neeg yuav pib pom cov tsos mob - mob tom qab ib hnub ntev ntawm taug kev lossis khiav, muaj kev txhav ntau dua ntawm qhov sib koom tes thaum nws tsis siv rau ob peb teev, lossis kev sib tw thaum txhos caug lossis khoov.
Kev Kho Mob
Tham nrog koj tus kws kho mob txog koj cov kev muaj mob ntawm OA. Koj tus kws kho mob tuaj yeem tshawb pom thiab kuaj tus mob nyob rau theem no. Yog li, koj tuaj yeem tsim kho txoj hau kev los tiv thaiv tus mob ntawm kev nce qib.
Ntau hom kev kho mob tuaj yeem pab daws qhov mob thiab tsis xis nyob los ntawm theem me me ntawm OA. Cov kev kho no feem ntau tsis yog kws tshuaj, uas txhais tau tias koj tsis tas yuav noj tshuaj rau qhov mob zoo.
Yog tias koj rog dhau, poob ceeb thawj los ntawm kev noj haus thiab kev tawm dag zog tuaj yeem daws cov tsos mob me me thiab txhim kho koj lub neej kom zoo. Txawm hais tias cov tib neeg uas tsis rog dhau los, yuav tau txais txiaj ntsig los ntawm kev tawm dag zog.
Kev cuam tshuam qis aerobics thiab kev cob qhia lub zog tuaj yeem pab ua kom cov leeg nyob ib ncig ntawm qhov sib koom tes, uas ua kom muaj kev ruaj khov thiab txo qis kev ua rau kev sib koom tes ntxiv.
Tiv thaiv koj cov pob qij txha los ntawm kev txav dhau los ntawm kev zam lub hauv caug, zaum-sawv los yog dhia. Kev zaws qhwv thiab ntaub qhwv tuaj yeem pab ua kom lub hauv caug ruaj khov. Cov khau khau tuaj yeem tuaj yeem pab kho koj txhais ceg thiab nplij qee qhov kev ntxhov siab uas koj tau tso rau ntawm koj qhov sib koom tes.
Mus ncig yuav cov hauv caug.
Kav rau khau ntaub.
Qee tus neeg yuav tsum tau siv tshuaj kho mob me me. Cov no feem ntau yog siv ua ke nrog cov kev kho tsis tseem ceeb. Piv txwv, yog tias koj yuav tsum noj NSAIDs lossis acetaminophen (xws li Tylenol) rau kev kho mob kom tsis txhob mob, koj kuj yuav tsum sim ua kom ib ce muaj zog, poob ceeb thawj, thiab tiv thaiv koj lub hauv caug los ntawm kev ntxhov siab tsis tsim nyog.
Khw rau NSAIDs.
Kev kho mob ntev ntev nrog cov tshuaj no tuaj yeem tsim lwm yam teeb meem. NSAIDs tuaj yeem ua rau mob plab, mob plawv, thiab mob raum thiab mob siab. Kev noj tshuaj ntau dua ntawm acetaminophen yuav ua rau lub siab puas.
Theem 3
Theem 3 OA raug cais raws li "kub hnyav" OA. Hauv theem no, pob txha mos ntawm pob txha qhia pom qhov puas tsuaj, thiab qhov chaw ntawm cov pob txha pib nqaim. Cov neeg muaj theem 3 OA ntawm lub hauv caug feem ntau yuav ntsib kev mob ntau zaus thaum taug kev, khiav, ncab, lossis txhos caug.
Lawv yuav muaj kev txhav tom qab zaum ntev ntev lossis thaum sawv thaum sawv. Cov pob qij ntshav yuav sawv tom qab lub sijhawm txuas ntxiv, nrog rau.
Kev Kho Mob
Yog tias txoj kev kho tsis yog mob tsis ua haujlwm lossis tsis muaj kev pab kho mob uas lawv tau ua ib zaug lawm, koj tus kws kho mob yuav qhia cov tshuaj uas hu ua corticosteroids.
Cov tshuaj Corticosteroid muaj xws li cortisone, ib yam tshuaj hormones uas tau pom tias ua rau mob OA thaum txhaj tshuaj ze ntawm qhov sib koom ua ke.Cortisone muaj nyob rau hauv cov tshuaj lag luam, tab sis nws kuj tau tsim tawm hauv koj lub cev.
Qee qhov kev txhaj tshuaj corticosteroid tuaj yeem siv peb lossis plaub zaug hauv ib xyoos. Lwm tus, xws li triamcinolone acetonide (Zilretta), tsuas yog muab ib zaug nkaus xwb.
Qhov tshwm sim los ntawm kev txhaj tshuaj tiv thaiv corticosteroid muaj kuab pov tseg txij li ob lub hlis. Txawm li cas los xij, koj thiab koj tus kws kho mob yuav tsum saib ntawm kev siv corticosteroid txhaj tshuaj kom zoo zoo. Kev tshawb fawb qhia pom tias kev siv mus sij hawm ntev yuav ua rau paug sib koom tes puas.
Yog tias cov tshuaj NSAIDs lossis cov tshuaj acetaminophen yuav siv tsis tau lawm, siv tshuaj kho mob, xws li codeine thiab oxygencodone, tuaj yeem pab txo cov kev muaj mob ntau ntxiv nyob rau theem 3 OA. Ntawm lub sijhawm luv, cov tshuaj no tuaj yeem siv los kho mob me ntsis mus rau mob hnyav.
Txawm li cas los xij, cov tshuaj yeeb dej cawv tsis pom zoo siv rau kev siv mus ntev ntev vim tias qhov kev pheej hmoo ntawm kev nce siab ntxiv thiab kev vam khom. Cov kev mob tshwm sim ntawm cov tshuaj no suav nrog xeev siab, tsaug zog thiab nkees.
Cov tib neeg uas tsis teb rau kev kho mob OA-kev kho lub cev, kev poob phaus, siv cov NSAIDs thiab tshuaj loog - tej zaum yuav yog cov zoo rau viscosupplementation.
Viscosupplements yog ib qho kev txhaj tshuaj ntawm hyaluronic acid. Cov kev kho mob nrog tus viscosupplement yuav tsum tau txhaj ib txog tsib koob hyaluronic acid, muab ib lim tiam sib nrug. Muaj ob peb koob tshuaj uas muaj koob txhaj raws li kev txhaj tshuaj ib zaug.
Cov txiaj ntsig ntawm kev txhaj tshuaj viscosupplementation tsis yog tam sim ntawd. Qhov tseeb, nws yuav siv sijhawm ntev li ob peb lub lis piam rau qhov txiaj ntsig ntawm txoj kev kho tau hnov, tab sis kev zoo los ntawm cov tsos mob tshwm sim li ob peb lub hlis. Tsis yog txhua tus teb rau cov kev txhaj tshuaj no.
Theem 4
Theem 4 OA raug suav tias yog "hnyav." Cov neeg nyob rau theem 4 OA ntawm lub hauv caug ntsib kev mob loj thiab tsis xis nyob thaum lawv taug kev lossis txav cov pob qij txha.
Qhov ntawd vim tias qhov chaw sib koom ua ke ntawm cov pob txha tau txo qis dua-pob txha mos yuav luag ploj mus, uas tawm hauv cov leeg txha thiab tej zaum yuav mus nyob tsis tau. Cov kua dej synovial tsawg dua, thiab nws tsis pab txo qhov kev sib txhuam ntawm qhov txav ntawm qhov chaw ntawm kev sib koom.
Kev Kho Mob
Kev phais mob hauv pob txha, los yog osteotomy, yog ib txoj kev xaiv rau cov neeg mob OA ntawm lub hauv caug. Thaum lub sijhawm phais mob no, kws phais neeg txiav tus pob txha saum lossis hauv qab lub hauv caug kom luv, txuas nws ntev, lossis hloov nws cov lus sib dhos.
Qhov kev phais no txav qhov hnyav ntawm koj lub cev kom nyob deb ntawm cov ntsiab lus ntawm pob txha qhov twg pob txha loj tshaj plaws thiab kev loj hlob pob txha. Qhov kev phais no feem ntau ua rau cov neeg hluas.
Tag nrho lub hauv caug hloov, los yog arthroplasty, yog qhov kawg kawg rau cov neeg mob feem ntau OA ntawm lub hauv caug. Lub sijhawm ua cov txheej txheem no, tus kws phais yuav tshem tawm cov sib koom ua ke thiab hloov nws nrog cov khoom siv yas thiab hlau.
Kev phiv los ntawm kev phais no suav nrog mob sib kis ntawm qhov chaw phais thiab cov ntshav txhaws. Rov qab los ntawm cov txheej txheem no yuav siv sijhawm ntev mus ntau lub hlis lossis ntau hli thiab yuav tsum tau muaj kev kho mob sab nraud thiab lub cev.
Nws yog tau tias kev hloov pauv koj lub hauv caug pob qij txha yuav tsis yog qhov kawg ntawm koj OA lub hauv caug teeb meem. Koj yuav xav tau kev phais mob ntxiv lossis ntxiv lwm lub hauv caug nyob hauv koj lub neej, tab sis nrog lub hauv caug siab dua, nws tuaj yeem siv sijhawm ntau caum xyoo.
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