Kws Tshuaj Q&A: Kev Kho Mob Osteoarthritis ntawm Kev Rho Plaws
Zoo Siab
- Kuv tau kuaj pom tias OA ntawm lub hauv caug. Kuv tuaj yeem ua dab tsi kom ncua sijhawm kev phais mob? Cov kev tsis tseem ceeb ua haujlwm dab tsi?
- Puas yog kev txhaj tshuaj cortisone zoo, thiab kuv tuaj yeem tau txhaj ntau npaum li cas?
- Puas yog kev tawm dag zog thiab kev tawm dag zog lub cev ua tau zoo hauv OA ntawm lub hauv caug?
- Thaum twg kuv yuav tsum tau xav txog qee hom kev hloov hauv caug?
- Puas yog muaj hnub nyoog yog qhov tseem ceeb thaum nws los txog rau kev hloov hauv caug?
- Kuv yuav tuaj yeem ua tau cov haujlwm zoo li cas tom qab hloov lub hauv caug? Kuv puas tseem yuav muaj qhov mob tom qab rov qab mus rau theem ib txwm ua?
- Kuv yuav xaiv ib tug kws phais neeg li cas?
- Kuv tau hnov txog kev ua txhaum txoj kev phais mob hauv caug me. Kuv puas yog ib tug neeg sib tw rau qhov ntawd?
- Yuav ua li cas hais txog kev phais mob hauv pob qij txha, qhov uas lawv ntxuav tawm ntawm kev sib koom tes? Kuv puas yuav tsum tau sim ua ntej ntawd?
Healthline tau xam phaj orthopedic kws kho mob Dr. Henry A. Finn, MD, FACS, tus thawj coj kho mob ntawm Pob Txha thiab Pob Txha Hloov Chaw Kho Mob ntawm Weiss Memorial Tsev Kho Mob, rau cov lus teb rau cov lus nug uas ib txwm muaj nyob ib puag ncig kev kho mob, tshuaj noj, thiab phais mob txha pob txha (OA) ntawm lub hauv caug. Dr. Finn, tus kws tshaj lij rau tag nrho cov kev sib koom tes sib txuas thiab cov ceg tawv tawv rau kev phais mob, tau coj ntau dua 10,000 cov kev phais mob. Ntawm no yog qhov nws tau hais.
Kuv tau kuaj pom tias OA ntawm lub hauv caug. Kuv tuaj yeem ua dab tsi kom ncua sijhawm kev phais mob? Cov kev tsis tseem ceeb ua haujlwm dab tsi?
“Kuv xav hais kom coj cov pob txha nqaj mus txhawb lub hauv caug thiab / lossis pob taws pob taws uas taw kev sib zog rau qhov tsawg tshaj plaws ntawm qhov sib koom tes. Nonsteroidal anti-inflammatory tshuaj (NSAIDs) xws li ibuprofen (Motrin, Advil) tuaj yeem pab yog tias koj lub plab tuaj yeem tiv taus lawv. "
Puas yog kev txhaj tshuaj cortisone zoo, thiab kuv tuaj yeem tau txhaj ntau npaum li cas?
“Cortisone nrog tus ntev thiab luv luv ua yeeb yam steroid tuaj yeem yuav ob rau peb lub hlis ntawm kev tso siab. Nws tau ntseeg tias koj tsuas muaj ib xyoos lossis ib xyoos ntawm lub neej. Thaum lub hauv caug mob caj dab heev, nws tsis muaj qhov nqes rau cortisone. Cov kev txhaj tshuaj no tsuas cuam tshuam rau lub cev me me xwb. ”
Puas yog kev tawm dag zog thiab kev tawm dag zog lub cev ua tau zoo hauv OA ntawm lub hauv caug?
“Kev tawm dag zog me me uas tsis yog mob yuav txhim kho endorphins thiab tuaj yeem txhim kho kev ua haujlwm dhau sijhawm. Kev kho lub cev tsis muaj txiaj ntsig ua ntej kev phais mob. Ua luam dej yog qhov kev tawm dag zog zoo tshaj plaws. Yog tias koj yuav tawm mus ua haujlwm tom chaw ntaus kis las, siv lub tshuab elliptical. Tab sis nco ntsoov tias osteoarthritis yog ib tug kab mob tsis zoo, yog li koj yuav xav tau hloov chaw kawg. "
Thaum twg kuv yuav tsum tau xav txog qee hom kev hloov hauv caug?
"Txoj cai dav dav yog [xav txog kev phais mob] thaum qhov mob pib tas mus li, tsis ua raws li lwm cov kev coj ua, thiab cuam tshuam nrog kev ua neej nyob niaj hnub thiab koj lub neej zoo. Yog tias koj muaj mob thaum so lossis mob thaum hmo ntuj, uas yog qhov qhia tau tias nws yog lub sijhawm los hloov chaw. Koj tsis tuaj yeem mus tsuas yog xoo hluav taws xob, txawm hais tias. Qee tus neeg xoo hluav taws xob zoo li tsis zoo, tab sis lawv lub peev xwm thiab ua haujlwm tau zoo txaus. "
Puas yog muaj hnub nyoog yog qhov tseem ceeb thaum nws los txog rau kev hloov hauv caug?
“Paradoxically, yau dua thiab nquag koj yog, koj yuav tsis txaus siab rau kev hloov hauv caug. Cov neeg mob me dua muaj qhov kev cia siab ntau dua. Feem ntau, cov neeg laus tsis txhawj txog kev ua si ntaus pob tesniv. Lawv tsuas yog xav kom mob qhov mob thiab kom tau ib puag ncig xwb. Nws yooj yim rau cov laus hauv lwm txoj kev thiab. Cov neeg laus yuav tsis hnov mob ntau yam hauv kev zoo rov los. Tsis tas li, tus neeg koj laus dua, qhov ntau koj lub hauv caug yuav nyob ntev rau koj lub neej. Ib tus muaj hnub nyoog 40 xyoo rov hauv tej zaum yuav xav tau lwm qhov hloov tshiab thaum kawg. "
Kuv yuav tuaj yeem ua tau cov haujlwm zoo li cas tom qab hloov lub hauv caug? Kuv puas tseem yuav muaj qhov mob tom qab rov qab mus rau theem ib txwm ua?
"Koj tuaj yeem taug kev txhua qhov koj xav tau, ntaus pob golf, ntaus pob ncaws pob zoo li kev ntaus pob ob tog ntaus pob - {textend} tab sis tsis muaj dhia rau pob los yog khiav thoob plaws tsev hais plaub. Kuv tsis xav txog cov kev ntaus kis las uas cuam tshuam nrog kev sib tw lossis tig, ib yam li caij ski lossis basketball. Tus kws tu lub vaj av yuav muaj lub sijhawm nyuaj vim tias nws nyuaj los txhos caug nrog lub hauv caug hloov. Nco ntsoov tias qhov kev ntxhov siab tsawg dua ntawm koj lub hauv caug, ntev nws yuav nyob ntev. "
Kuv yuav xaiv ib tug kws phais neeg li cas?
“Nug tus kws phais neeg seb nws yuav raug pes tsawg lub hauv caug ib xyoos. Nws yuav tsum ua ob peb puas. Nws qhov kis tau tus mob yuav tsum tsawg dua 1 feem pua. Nug txog nws cov txiaj ntsig dav dav, thiab seb nws puas ua nws cov txiaj ntsig tawm, nrog rau ntau yam kev txav chaw thiab tso xeb Cov lus zoo li 'peb cov neeg mob ua tau zoo' tsis zoo txaus. "
Kuv tau hnov txog kev ua txhaum txoj kev phais mob hauv caug me. Kuv puas yog ib tug neeg sib tw rau qhov ntawd?
“Tus yam ntxwv tsawg yog qhov tsis zoo. Tsis muaj qhov mob me npaum li cas, koj tseem yuav tsum tho thiab txiav lub pob txha. Tsis muaj kev zoo dua rau kev phais me, tab sis muaj ntau qhov tsis zoo. Nws siv sijhawm ntev dua, thiab nws muaj kev pheej hmoo ntxiv rau pob txha lossis cov hlab ntsha. Lub sijhawm siv ntawm lub cuab yeej tsawg dua vim tias koj tsis tuaj yeem tso nws zoo ib yam nkaus, thiab koj tsis tuaj yeem siv cov khoom siv nrog cov khoom siv ntev dua. Tsis tas li, nws tsuas ua tau nrog cov neeg nyias. Nws tsis muaj qhov sib txawv ntawm cov ntshav lossis lub sijhawm rov qab. Txawm tias qhov phais no tsuas yog nti luv dua. Nws tsis tsim nyog. "
Yuav ua li cas hais txog kev phais mob hauv pob qij txha, qhov uas lawv ntxuav tawm ntawm kev sib koom tes? Kuv puas yuav tsum tau sim ua ntej ntawd?
“Phau ntawv xov xwm ntawm Asmeskas Kev Koom Tes Kho Mob Tsis ntev los no luam tawm ib tsab xov xwm qhia tias muaj txiaj ntsig rau nws. Nws tsis tau zoo dua li cortisone txhaj tshuaj, thiab nws muaj qhov ntxeem tau ntau dua. "