18 Sauya don gyaran gyaran gyare-gyare
Osteoarthritis na gwiwa zai iya tafiya da ku, a zahiri da kuma alama. Ba wai kawai zafin zafi da girman kai zai sa ya yi wuya a yi tafiya lafiya ba, amma yanke shawara kan magani don gwiwa osteoarthritis zai iya zama mai ban mamaki. Akwai hanyoyin da yawa don magance wannan yanayin. Wasu suna dauke da lafiya da tasiri daga Cibiyar Nazarin Orthopedic Surgeons (AAOS), kuma wasu ba haka ba ne, don haka yana iya taimakawa wajen fahimtar wace irin wa] annan jiyya da kuma wa] anda ba su zama kamarku ba, kuma likitanku sunyi ta hanyar da za ku iya .
Ga abin da Cibiyar Nazarin Ƙwararrun Orthopedic American (AAOS) ta ce game da maganin marasa lafiya 18 da ake yi don gwiwar osteoarthritis , bisa tushen matakan da ke nuna. Sun dakatar da haɗuwa da maye gurbin gwiwa sai dai ka tuna cewa zai iya zama mafi kyawun magani a gare ka. Kafin ka karanta, ka lura cewa jagororin AAOS sun shafi mutanen da ke da alamun cututtuka na osteoarthritis na gwiwa, irin su ciwon haɗin gwiwa da kuma karfin zuciya . Ba su kasance a matsayin shawarwari ga wadanda suka sami raunin X-ray ba, wadanda ke nuna alamar haɗin gwiwa amma wadanda ba su fuskanci alamun bayyanar.
Jiyya da aka Gwada don Knee Osteoarthritis
1. Sauyewa, ilmantarwa, da ayyukan kiwon lafiya. Wannan ya hada da shiga cikin shirye- shiryen kai-da -kai da kuma canza canje-canjen a lokacin da zai yiwu don kare gidajenku (misali, tafiya ko yin iyo maimakon a guje wa aikin motsa jiki).
2. Saurin shan magani. Magungunan maganganun baka da marasa amfani da kwayoyin cututtukan cututtukan steroidal (NSAIDs) suna da shawarar sosai don kawar da ciwo da kumburi.
Bayanan maganin kwayoyin maganin maganin maganin cututtuka na opioid da aka samu daga AAOS don magance ciwo daga gwiwar osteoarthritis.
3. Asarar nauyi. Idan kayi nauyi , an tsara shi ta hanyar samun nauyin rubutun jiki (BMI) fiye da 25, zaku sami matukar amfana ga rasa kashi 5 na nauyin jikin ku da kuma kiyaye nauyin ƙananan ta hanyar cin abinci da motsa jiki.
4. Tsakanin layin daji. Wadannan ƙananan ɗigo ne wanda ya ɗaga ƙananan ƙafafun kafa don canza hanyar haɗin gwiwa gwiwa. AAOS ya jaddada cewa ba ya bayar da shawarar daɗaɗɗun sheqa ga mutane tare da gado na tsakiya na tsakiya na osteoarthritis.
5. Wuta mai tsabta. Wannan shine aikin wankewa daga haɗin gwiwa. AAOS ba ya ba da shawara game da shi amma ya ce likitoci ya kasance a kan ido don sabon bincike. Ɗaya daga cikin binciken nagartaccen binciken bai sami amfanuwa ba.
6. Tsibirin tsufa. Kodayake binciken da ke goyon bayan wannan hanyar, wanda aka cire wani ɓangaren nabia (daya kasusuwan kasusuwan ƙafar kafa da ke kafa kashin gwiwa gwiwa), basu da kyau, AAOS ba ya bada shawara akan shi.
Jiyya tare da Tabbatar da Sharuɗɗa
7. Ma'aikata na jiki, ciki har da magungunan lantarki. Wadannan sun haɗa da motsin jiki na jiki na jiki (TENS); gajeren mahaifa; halin yanzu; aikace-aikace warkewa na filin filin electromagnetic musammam (TAMMEF); da duban dan tayi. Daga cikin waɗannan, duban dan tayi yana da shaidar da ta nuna cewa zai iya zama tasiri, amma duk da haka akwai bincike mai zurfi don tabbatar da cikakkiyar hukunci akan waɗannan jiyya, bisa ga jagororin AAOS.
8. Nemo farfadowa. Wannan ya haɗa da farfadowa na chiropractic, release release, da kuma Massage ta Sweden. Babu AAOS don ko kuma a kan waɗannan hanyoyin warkarwa.
9. Knee takalmin. Misali na takalmin gwiwa yana mai saukewa na tsakiya, wanda aka tsara don ɗaukar damuwa daga cikin gwiwa a cikin wani wanda aka kula da magungunan osteoarthritis a can. Nazarin ilimin tasirin gwiwa ba su nuna ko suna da taimako ko a'a.
10. Acetaminophen, opioids, da kuma ciwon ciwo. Kodayake akwai shaidar cewa NSAID na da tasiri ga maganin gwiwar osteoarthritis, kuma har yanzu shaidun suna kan wadanda ba NSAID (banda tramadol).
11. Injected corticosteroids. Corticosteroids masu tsaka-tsaki sune injected cikin haɗin da ya shafi abin ya shafa. Babu tabbacin yadda wannan magani zai iya zama don osteoarthritis na gwiwa.
12. Jigilar cututtuka: Ba don ko da injections tare da ci gaban factor ko plalet-rich plasma.
13. Arthroscopic m meniscectomy : Idan kana da alamun da bayyanar cututtuka na mai tsage kayan aiki ko jikin jiki, ba za su iya bada shawara ga ko da wannan hanya.
Jiyya da ba'a Amince da su ba
14. Glucosamine da chondroitin. Kodayake glucosamine da chondroitin su ne abubuwa biyu da ke faruwa a cikin kwakwalwa, AAOS ya bada shawara akan shan su a matsayin nau'i na abincin abincin don maganin osteoarthritis na gwiwa.
15. Viscosupplementation. Wannan magani ya hada da allurar hyaluronic acid, wanda shine muhimmin sashi na ruwan gine-ginen da ake amfani da su da kuma kayan shafawa, a cikin yankin da kasusuwan haɗuwa suka hadu. AAOS ba ya bayar da shawarar hawan hyaluronic acid injections saurara osteoarthritis.
16. Acupuncture : Akwai hujjoji mai karfi na acupuncture ba zai taimakawa ciwo da ke da alaka da osteoarthritis ba.
17. Arthroscopy tare da debridement ko wange . Wannan wata hanya ce wadda aka cire lalacewar nama daga tsakanin ɗakunan ba tare da wata hanya ba.
18. Amurkapacer. Wannan kyauta ne mai kyauta wanda ya biya bashin abin da ke dauke da gurasa, wadda AAOS ta ce ba za a saka shi ba a cikin wani tare da bayyanar cututtuka na dindindin osteoarthritis.
Sources:
Cibiyar Nazarin Ƙwararrun Orthopedic American. " Jiyya na Osteoarthritis na Knee: Jagoran Bayanan Sharuɗɗa, Edition na 2 ". Mayu 18, 2013.
> Battisti E, et al. "Ƙarfi da Tsaro na Yankin Electromagnetic Musamman (TAMMEF) a cikin marasa lafiya wanda Knee Osteoarthritis ya shafi." Clin Exp Rheumatol . 2004 Sep-Oct; 22 (5): 568-72.
> Duivenvoorden T, et al. "Braces da Orthoses don magance Osteoarthritis na Knee." Cochrane Database Syst Rev 2015 Mar 16; (3): CD004020. Doi: 10.1002 / 14651858.CD004020.pub3.
> MedLine Plus. "Drugs, Herbs, and Supplements: Tramadol." Mayu 2017.
> Cibiyoyin Lafiya na Ƙasar. "Glucosamine da Chondroitin don Osteoarthritis." Nov 2014.