Osteoarthritis Jiyya

Osteoarthritis Jiyya

Fiye da mutane miliyan 27 a Amurka suna da osteoarthritis . Musamman, bisa ga Cibiyoyin Kula da Cututtuka da Cututtuka (CDC), osteoarthritis yana shafar kashi 13.9 cikin 100 na manya da shekaru 25 da haihuwa da 33.6 bisa dari na manya 65 da tsufa. Yana da mafi yawan al'ada na wariyar launin fata. Gwiwoyi , hannayensu , ƙafafu , kwatangwalo , da kashin baya sune gidajen da mafi yawan al'amuran osteoarthritis.

Mutanen da ke da alamun cututtuka na osteoarthritis suna buƙatar magani mai mahimmanci don magance ciwon haɗin gwiwa, haɓaka, ƙumburi, da sauran alamun bayyanar.

Sauran manufofin magani sun haɗa da kiyaye ko inganta haɗin gwiwa, rage rashin lafiya, da inganta rayuwar rayuwa.

Mutanen da ke fama da cutar suna rikita rikicewa da yawa daga hanyoyin da za a yi don magance su-kuma a gaskiya, suna so su daina abin da ba ya aiki kuma suna mai da hankali ga abin da ke aikatawa. Babu wani bayani ga kowa da kowa, amma masu bincike sun tsara jagororin maganin osteoarthritis.

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Akwai magani na marasa magani (marasa magani) don maganin osteoarthritis, maganin maganin maganin magunguna (magani), magungunan maganin magungunan, magungunan ƙwayoyin cuta, gyare-gyaren salon rayuwa-kuma a matsayin zama na ƙarshe, tiyata.

A shekara ta 2012, Cibiyar Rheumatology na Amirka (ACR), ta buga maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin magani, hannu, da gwiwa. Kungiyar masana masana'antu ta bayar da shawarwari mai karfi, shawarwari na kwaskwarima, ko babu shawarwari ga wasu zaɓuɓɓukan magani. Idan ana daukar shawarar karfi, ana buƙatar shaidar da ake bukata mai kyau, da kuma shaida cewa amfanin da aka fi dacewa da duk wani hadarin da ke tattare da magani.

Bayanin sharadi ya danganta da rashin cikakken shaida ko shaidar da ba ta da bambanci lokacin yin la'akari da amfani da hadari. Idan ba a bayar da shawarwarin ba, akwai bayanai marasa isa ko bayanai daga bazuwar, gwajin gwajin gwaji.

Hand (Pharmacologic Jiyya Zɓk.)

Babu shawarwari mai karfi da masana da ke hade da ACR a cikin wannan nau'in kulawa. Masana sunyi amfani da shawarar daya ko fiye daga cikin wadannan zaɓuɓɓukan magani:

• Harshen kaya
• NSAIDs masu mahimmanci , ciki har da salicylate
• magunguna NSAIDs , ciki har da masu haɓaka COX-2
• Ultram (tramadol)

Masana gwani sunyi amfani da shawarar da za a yi amfani da wadannan NOT:

• magungunan intra-articular
• opioid analgesic magunguna

Har ila yau, an bayar da shawarar shawarar cewa mutane da osteoarthritis wadanda suke da shekarun 75 da haihuwa sun yi amfani da NSAID masu mahimmanci maimakon mabiya NSAIDs.

Hand (Non-Pharmacologic Jiyya Zɓk.)

Babu wata shaida da ta samo don yin shawarwari mai karfi a wannan magungunan magani, amma an yi shawarwari da dama.

Dokar ta ACR ta ba da shawarar cewa masana harkokin kiwon lafiya (masu kula da kulawa na farko, masu kwantar da hankali a jiki, ko masu ilimin likita) suyi:

• Yi la'akari da ikon mai haƙuri don yin ayyukan rayuwar yau da kullum
• ba da umurni a haɗin kariya ta haɗin gwiwa
• samar da na'urorin kayan aiki don amfani da ayyukan rayuwar yau da kullum
• bayar da umurni don amfani da yanayin thermal (watau zafi da sanyi)
• bayar da samfurori ga mutane tare da haɗin gwiwa na trapeziometacarpal hadin gwiwa (tushe na yatsotsin hannu )

Hip (Pharmacologic Jiyya Zɓk.)

Babu shawarwari masu karfi da aka yi don farawa na maganin maganin maganin maganin maganin maganin maganin maganin cutar. Sharuɗɗa na da'awar sun hada da yin amfani da ɗaya daga cikin magunguna masu biyowa don maganin farko:

• acetaminophen
• Sassan NSAIDs
• tramadol
• intra-articular corticosteroid injections

Masana sun bayar da shawarar cewa za a yi amfani da wadannan zaɓuɓɓukan magani ba don amfani da hip osteoarthritis ba:

• chondroitin sulfate
• glucosamine

Babu shawarar da aka yi dangane da amfani da:

• NSAIDs masu mahimmanci
• injections injictions masu tsaka-tsakin intra-articular

• Cymbalta (Duloxetine)
• opioid analgesic magunguna

Hip (Non-Pharmacologic Jiyya Zɓk.)

Masana sun bayar da shawarar cewa mutane da hip osteoarthritis:

• shiga cikin cututtuka na zuciya ko na zuciya ko juriya a cikin ƙasa, ko duka biyu
• shiga cikin aikin ruwa
• rasa nauyi, idan kisa

Masana sunyi shawarar cewa mutane da hip osteoarthritis:

• shiga cikin shirin gudanar da kai
• karbi aikin farfadowa (massa) haɗe tare da aikin motsa jiki
• karbi psychoactive aikace-aikace
• karbi umarnin game da amfani da yanayin yanayin thermal
• karɓa da amfani da kayan tafiya , kamar yadda ya kamata

Masana sun ba da shawarwarin game da wadannan zaɓuɓɓukan magani:

• motsa jiki na daidaitawa, kadai ko hada tare da ƙarfafa ayyukan
• tai chi
• manual farfadowa kadai

Knee (Pharmacologic Jiyya Zabuka)

Babu shawarwari masu karfi don farawa na farko na gwiwa na osteoarthritis. Masana sunyi shawarar cewa an yi amfani da ɗaya daga cikin wadannan:

• acetaminophen
• Sassan NSAIDs
• NSAIDs masu mahimmanci
• tramadol

• Amfani da Orthovisc a Viscosupplementation

• Jiyya magani don Osteoarthritis hannu

• intra-articular corticosteroid injections

Masana sunyi shawarar cewa mutane da gwiwa osteoarthritis BA amfani da:

• chondroitin sulfate
• glucosamine
• Harshen kaya

Babu shawarar da aka yi don amfani da hyaluronates, duloxetine, ko kuma maganin analgesic opioid.

Knee (Non-Pharmacologic Jiyya Zabuka)

Masana sun bayar da shawarar da za su iya ba da izinin maganin maganin marasa magani don mutanen da ke da gwiwar osteoarthritis:

• shiga cikin wasan kwaikwayo na wasan kwaikwayo ko juriya a cikin ƙasa, ko duka biyu
• shiga cikin aikin ruwa
• rasa nauyi, idan kisa

Masana sunyi shawarar cewa mutane da gwiwa osteoarthritis:

• shiga cikin shirin gudanar da kai
• karbi aikin farfadowa tare tare da aikin motsa jiki
• karbi psychoactive aikace-aikace
• Yi amfani da alamar da ake kira patellar taping
• lalacewa a kan abin da aka sanya a cikin layi (idan ganewar asali shine sashi na waje osteoarthritis)
• sa matsakaicin matsakaicin matsakaicin matsakaici na ciki (idan ganewar asali shine zane-zane na tsakiya na osteoarthritis)
• karbi umarnin game da amfani da yanayin yanayin thermal
• karɓa da amfani da kayan tafiya, idan aka nuna
• shiga cikin shirin tai chi

Ba a bayar da shawarar ba don:

• motsa jiki na daidaitawa, kadai ko hada tare da ƙarfafa aikin
• sakawa a kaikaice a ciki
• samun hanyar farfadowa kawai
• saka takalmin gwiwa
• ta yin amfani da takalma mai laushi ta hanyar layi

Har ila yau akwai lokuta biyu na maganin da aka ba da shawarar kawai ga mutanen da ke da gwiwar osteoarthritis wadanda ke da matsakaicin matsanancin matsananciyar ciwo da kuma waɗanda suke da 'yan takara don yin gyare- gyaren gwiwoyi a gwiwa amma basu yarda ko kuma basu iya shiga aikin ba:

• acupuncture na gargajiya na gargajiya
• hanyar motsi na lantarki

Jiyya na sauran gidajen hadin gwiwa

Duk da yake ƙafafun da kashin baya, da sauran kayan aiki, ba a haɗa su a cikin shawarwarin maganin likita na Kwalejin Rheumatology na Amurka, da dama daga cikin jagororin sun shafi duk wani abin da ya shafi haɗin gwiwa-musamman maganganun pharmacologic. Osteoarthritis na kashin baya yana faruwa yayin da akwai lalacewa a cikin kwakwalwan dake tsakanin vertebrae. Yawancin mutanen da ke fama da matsalolin kwakwalwa ba su buƙatar tiyata kuma ana taimakon su da kyau ta hanyar jiyya. Idan matakan mahimmanci sun kasa, duk da haka, ƙila za a iya haɗawa da lumbar laminectomy, discectomy, ko kuma fuska .

Kamar yadda sauran kayan aiki, jiyya na ƙafa osteoarthritis yana neman taimako daga bayyanar cututtuka. Yarda da gogewa ko ƙafa ƙafa na iya taimakawa. Rashin nauyi idan nauyin kiɗa zai taimaka wa dukkanin kwakwalwa. Idan magunguna masu ra'ayin mazan jiya sun kasa samar da isasshen amsar, ana iya ɗaukar tiyata a matsayin mafakar karshe. Arthroscopy , arthrodesis (fusion), ko arthroplasty (maye gurbin) za'a iya la'akari da su, dangane da haɗin gwiwa da ke cikin ƙafa ko idon. Makasudin aikin tiyata shi ne don taimakawa ciwo da inganta aikin haɗin gwiwa.

Kalma Daga

Kwalejin Kwalejin Rheumatology na Amirka na kulawa da hannayen hannu, hip, da kuma osteoarthritis sun dogara ne akan shaidar da aka samu a shekara ta 2010. Kungiyar gwani sun hada da likitoci na farko, likitoci, geriatricians, masu rheumatologists , likita kothopedic, da magungunan jiki da kuma masu aikin likita. Kwamitin da aka tsara ya ba da cikakken ra'ayi don bincika shaidar.

Shawarar suna da mahimmanci saboda akwai maganin kulawa da yawa don osteoarthritis - da shawara game da inda za a fara ya zama dole. Yawancin mutanen da aka bincikar su tare da osteoarthritis suna amfani da hadewar maganin maganin maganin maganin maganin maganin magani da marasa magani.

ya ba ku da wannan takardun shaida saboda yana da sauƙin ganewa kuma zai ba ku izinin tattauna hanyoyin farko da za ku yi da likita tare da likitanku. Idan amsawarka bai dace ba, zaka iya ganin sauran zaɓuɓɓukanka. Kuma, don takamaiman maganin, akwai alaƙa zuwa ƙarin bayani.

> Sources:

> Hochberg MC, Altman RD, Afrilu KT, et al. Kwalejin Kwalejin Rheumatology na Amirka 2012 Dabaran Amfani da Dabbobin Kwayoyin Kwayoyin Tiyata da Magunguna na Osteoarthritis na Hand, Hip, da Knee. Arthritis Care and Research . 2012; Vol. 64 A'a. 4, shafi na 465-474.

> Kalunian KC. Initial Pharmacologic Far na Osteoarthritis. Na zamani. Updated May 19, 2016.

> Moskowitz RW, et al. Osteoarthritis - Binciken asali da Medical / M Management. Hudu na huɗu. LWW.