Lebaka leo boemo bona bo leng mohloli oa mathata a maholo
Mokokotlo oa osteoarthritis ke mofuta o tloaelehileng oa osteoarthritis . Kaha letheka le na le boima ba 'mele, osteoarthritis e ka baka mathata a bohlokoa. Hoo e ka bang 1 ho ba 4 Maamerika ba ka lebella ho hlahisa lefu la masapo a moriri oa letheka nakong ea bophelo ba bona, ho ea ka American College of Rheumatology.
Tlhahlobo ea pele le phekolo ea pele e thusa ho laola matšoao a lefu la masapo a masapo.
Ka tlhaloso ena e akaretsang ea boemo boo, utloisisa hantle matšoao, ho hlahloba, le kalafo.
Mabaka a Hip Osteoarthritis
Osteoarthritis ea Hip e bakoa ke ho senyeha ha sethoathoa sa marang-rang le ho roala le maqhama a selekane sa hip. Sena se etsahala ka mabaka a 'maloa, ho akarelletsa:
- Kotsi e fetileng ea hip
- Ho robeha ho fetileng, e leng ho fetola ho tsamaisana ha leihlo
- Liphatsa tsa lefutso
- Boloetse bo sa feleng le bo tsoelang pele
- Lesapo la sesepa le bonolo haholo kapa le thata haholo
- Avascular necrosis
Tlhahlobo ea Hip Osteoarthritis
Ngaka ea hau e tla hlahloba histori ea hau ea bongaka, liphello tsa tlhahlobo ea hao ea 'mele, le mahlaseli a X ho fumana hore na ho na le tšenyo e kopanetsoeng hakae le ho etsa hore motho a hlahlojoe ke lefu la opaoarthritis. Haeba ho hlokahala boitsebiso bo eketsehileng, ngaka ea MRI (imagination ea magnetic resonance) e ka laeloa ke ngaka ea hau. Litlhahlobo tsa mali li ka sebelisoa haeba ho hlokahala hore u hlokomele mefuta e meng ea ramatiki .
Ho ea ka American College ea Rheumatology ho khetholla li-criteria tsa lefu la osteoarthritis ea letheka, e tlameha ebe ho na le bohloko ba hip le bonyane ho tse peli tse latelang:
- Sekhahla sa li-erythrocyte sedimentation <20 mm / hr
- Li-osteoporte tsa basali kapa li-acetabular li bone X-ray
- Sebaka se kopaneng se fokolisitsoeng ho X-ray
Matšoao a Hip Osteoarthritis
Bakuli ba nang le letheka la masapo ba opeoarthritis ba na le mahlaba a bohloko sebakeng sa sebaka sa thollo le ka pele kapa lehlakoreng la serope. Boima ba hoseng , le hoja nako e khutšoaane ea nako e e-na le ramatiki ea lefuba , e boetse e tšoana le hip osteoarthritis.
Habohlokoa ka ho fetisisa, ho na le mekhoa e fokolang ea lebelo le bohloko nakong ea ho tsamaea. Matšoao a ka mpefala ho feta moo bohloko bo leng teng kamehla.
Kalafo ea Hip Osteoarthritis
Osteoarthritis ea Hip e ke ke ea phekoloa, empa ho na le phekolo e fumanehang ho thusa ho laola matšoao. Merero ea phekolo e lokela ho ba motho ka mong ho motho e mong le e mong, ho latela American College of Rheumatology, le maemo a mang a lokelang ho nkoa.
Meriana ke tsela e le 'ngoe ea ho phekola maqeba a lefuba la masapo. Bakeng sa maemong a bonolo, acetaminophen hangata e lekoa pele. Li-NSAID (li-anti-inflammatory non anti-inflammatory) le li- analgesics tsa opioid li sebelisetsoa ho itekanetse ho ea mahlomoleng a maholo a lefuba la masapo.
Ho boetse ho na le phekolo e sa sebeliseng lithethefatsi e ka thusang, joalo ka boima ba 'mele. Le hoja batho ba tloaelehileng ba boima ba na le kotsi ea karolo ea 20 lekholong ea OA, batho ba fetang boima ba 'mele ba na le kotsing ea 25 lekholong,' me batho ba bangata ba na le kotsing ea 39 lekholong. Mananeo a boikoetliso ba metsi, phekolo ea meriana (mokhoa oa ho tsamaea le ho ikoetlisa ka matla), le phekolo ea mosebetsi (liphallelo tsa thuso, tšireletso e kopanetsoeng ) li boetse li paka hore li na le thuso. Thuto ea mamello e thusa hape.
Ho buuoa ho nkoa e le khetho ea ho qetela kalafo ea phekolo. Ho buoa ho nepahetse bakeng sa bakuli ba nang le lefuba la masapo le alafats'ane ba hlōlehileng ho khetha mekhoa e meng ea phekolo.
Mekhoa ea ho buoa e akarelletsa:
- Arthroscopy - lefu la arthroscope le hlahloba boemo ba lefuba la articular
- Osteotomy - limela tsa mahlahahlaha
- Kakaretso ea likhahla -e ncha ea likarolo tsa acetabular le tsa bosomane li kenngoa
Ho fumanoa ka mokhoa o nepahetseng le kalafo pele ho nako ho thusa ho fokotsa bohloko le ho ntlafatsa mosebetsi bakeng sa mokuli oa letheka la masapo. Ha maemo a ntse a tsoela pele, liphetoho tse nepahetseng tsa phekolo li ka etsoa.
Lisebelisoa:
Tataiso ea Mamello ea Osteoarthritis ea Hip. eOthothopod. E fihlile ka 7/29/2007.
http://www.eorthopod.com/public/patient_education/6501/osteoarthritis_of_the_hip.html
Litaelo tsa Phekolo ea Bongaka ea Osteoarthritis. Osteoarthritis ea Hip. Ramatiki le Rheumatism. Nov 1995.
http://www.rheumatology.org/publications/guidelines/oa-hip/oa-hip.asp