Chiwerengero Chatsopano Chokhazikika

Osteoarthritis (OA) ndi mtundu wofala kwambiri wa nyamakazi ya mawondo ndipo ukhoza kubweretsa ululu waukulu ndi kulemala. Zizindikiro nthawi zambiri zimakhala zovuta kwambiri ndi kulemera, ndipo pakapita patsogolo, ngakhale ntchito za tsiku ndi tsiku zimakhala zovuta.

Pamene kusuntha ndi zowawa zimakhala zazikulu kwambiri, opaleshoni yobwezeretsa mawondo ikhoza kukhala njira.
 

Kodi kusintha bondo ndi chiyani?

Oposa 90 peresenti ya anthu omwe amachitidwa opaleshoni yobwezeretsa mawondo amanena kuti amachepetsa ululu wawo.

Pali mitundu yosiyanasiyana ya mawondo m'malo. Zosankha zikuphatikizapo:

• bondo lonse m'malo: bondo lonse limasinthidwa
• m'malo mwa bondo: gawo lokhalo la bondo limasinthidwa
• m'malo mwa mawondo awiri: mawondo onse amasinthidwa nthawi imodzi

Nthawi zambiri, anthu amachitidwa opaleshoni yosintha mawondo chifukwa ali ndi OA. Kusintha mawondo onse ndi ntchito yomwe imachitika kawirikawiri.
 

Kodi chimachitika ndi chiyani panthawi ya ndondomekoyi?

Maopaleshoni ambiri obwezeretsa mawondo amachitidwa mophatikizana ndi mankhwala oletsa ululu, zotumphukira zamitsempha, ndi msana (epidural) anesthesia. Mudzalandiranso mlingo umodzi wa maantibayotiki kuti muchepetse chiopsezo chotenga matenda.

Panthawiyi, dokotalayo amachotsa fupa la fupa ndi matenda kumene fupa la ntchafu (femur) ndi shin bone (tibia) zimakumana pa bondo lanu.

Kenako malowo amasinthidwa ndi implant yachitsulo. Chidutswa cha pulasitiki chapadera nthawi zambiri chimagwiritsidwa ntchito m'malo kumbuyo kwa bondo ndipo pamapeto pake, pulasitiki yomweyi imayikidwa pakati pa zigawo ziwiri zachitsulo.

Izi zimapangitsa mafupa onse a mawondo anu kukhala osalala kachiwiri kuti athe kusinthasintha ndi kupindika momasuka komanso mopanda ululu.
 

Total bondo m'malo kuchira

Zambiri mwa kuchira kwanu ndi kukonzanso kudzakhala kunyumba mutachoka kuchipatala. Anthu ena amafunikira chithandizo chamankhwala kunyumba kapena chithandizo.

Dokotala wanu adzakulemberani chithandizo chamankhwala ku chipatala chapafupi kuti akuchiritseni. Wothandizira thupi pachipatalachi akuwonetsa masewera olimbitsa thupi omwe mungachite kunyumba.

Aliyense amachira mosiyana, koma anthu ambiri amaloledwa kubwereranso pakuyendetsa pakatha milungu inayi.

Zingakhale bwino kukonzekera nyumba yanu kuti mubwererenso musanachite opaleshoni.
 

Masewera olimbitsa thupi

Kuchita masewera olimbitsa thupi kumathandiza kwambiri kuti mawondo awonongeke, kuthandizira bondo panthawi ya chithandizo, ndi kuchira.

Kuchita masewera olimbitsa thupi kungathandize kupewa kuwonongeka kwa mafupa ndi:

• kulimbikitsa minofu yozungulira bondo
• kukuthandizani kuti mukhale ndi thanzi labwino

Izi ndi zoona ponse paŵiri opaleshoni isanayambe kapena itatha, kaya yachibadwa kapena bondo lochita kupanga.

Kupweteka kosalekeza komanso kusayenda bwino kungapangitse chiopsezo chodzipatula. Kulowa m'kalasi yochita masewera olimbitsa thupi kungakhale njira yabwino yolumikizirana ndi anthu ena, ena omwe angakhale ndi matenda ofanana.

Kuchita masewera olimbitsa thupi kungakuthandizeninso kuti mukhale bwino komanso kuchepetsa chiopsezo cha nkhawa ndi kuvutika maganizo.
 

Zochita zolimbitsa thupi ziti?

Malangizo ochokera ku American College of Rheumatology/Arthritis Foundation amalimbikitsa mwamphamvu kuchita masewera olimbitsa thupi posamalira OA ya bondo.
 

Zochita zomwe zingakhale zothandiza ndi izi:

• akuyenda
• kupalasa njinga
• zolimbitsa thupi
• masewera olimbitsa thupi
• tai chi
• maseŵera a yoga

Pamodzi ndi masewera olimbitsa thupi, kulemera ndikofunikira pakuwongolera OA ya bondo

Pambuyo pa kusintha kwa bondo, physiotherapist wanu adzakhala ndi ndondomeko yochita masewera olimbitsa thupi kuti muzitsatira.

Izi ziphatikizapo kubwereranso kumapazi anu mwamsanga mutatha opaleshoni ndikuyenda pang'ono tsiku lililonse.

Zochita izi zidzakuthandizani kulimbitsa bondo lanu ndikufulumizitsa machiritso anu.

Ndikofunika kutsatira malangizo mosamala kuti kuchira kwanu kukhalebe panjira. Zidzakuthandizani kuti mubwerere ku zochitika zanu za tsiku ndi tsiku mwamsanga momwe mungathere.

Zidzakuthandizaninso kukhazikitsa chizolowezi chomwe chingathandize thanzi lanu nthawi zonse.
 

Mavuto

Opaleshoni yonse imatha kukhala ndi zovuta. Pambuyo pa opaleshoni ya bondo, pakhoza kukhala chiopsezo cha:

• matenda
• magazi kuundana
• kupweteka kosalekeza, ngakhale opaleshoni ikapambana
• kuuma

Anthu ambiri samakumana ndi zovuta zazikulu ndipo amasangalala kwambiri kuti bondo lawo lasinthidwa. Gulu lazaumoyo lidzagwira ntchito nanu kuti muwonetsetse kuti zoopsa ndizochepa momwe zingathere.
 

Ndani ayenera kuganizira za opaleshoni ya mawondo?

Osteoarthritis ndi chifukwa chofala kwambiri chomwe anthu amachitira opaleshoni ya mawondo koma opaleshoni ingafunikirenso kwa anthu omwe ali ndi:

• kuvulala kwa bondo monga misozi ya ligament kapena meniscus misozi
• kupunduka kwa bondo kumene iwo anabadwa nako
• nyamakazi

Anthu ambiri omwe ali ndi ululu wa mawondo safuna opaleshoni ndipo amatha kuchiritsidwa popanda opaleshoni. Dokotala wanu angakulimbikitseni:

• kutaya thupi
• kuchita masewera olimbitsa thupi kwambiri kapena kutsatira dongosolo linalake lolimbitsa thupi
• kugwiritsa ntchito mankhwala osagulitsika kapena mankhwala ena
• jekeseni
   

Kupanga chisankho

Dokotala akhoza kukuyezani kuti awone ngati mukufuna opaleshoni, ndipo mudzakhala ndi mwayi wofunsa mafunso.

Nthawi zambiri, kusintha kwa mawondo athunthu kumachepetsa ululu ndikuwongolera kuyenda. Komabe, opaleshoni ikhoza kukhala yokwera mtengo, ingatenge milungu ingapo kapena miyezi ingapo kuti achire, ndipo pali chiopsezo chochepa cha zovuta.
 

Kusintha pang'ono bondo

M'malo mwa bondo laling'ono, dokotala wa opaleshoni amangolowetsa gawo la bondo lanu lomwe lawonongeka.

Poyerekeza ndi kusintha kwa mawondo onse, njirayi ili ndi ubwino wotsatirawu:

• Imafunika kudulidwako pang'ono.
• Pali kuchepa kwa mafupa ndi magazi.
• Kuchira nthawi zambiri kumakhala kofulumira komanso kosapweteka kwambiri.

Komabe, ngati muli ndi mawondo ochepa, mungafunike opaleshoni yowonjezera mtsogolomu ngati nyamakazi imayamba m'madera a bondo omwe sanalowe m'malo.
 

M'malo awiri a bondo

Mu opaleshoni ya mawondo awiri kapena awiri, dokotala wa opaleshoni amalowetsa mawondo onse nthawi imodzi.

Ngati muli ndi OA m'mawondo onse awiri, iyi ikhoza kukhala njira yabwino, chifukwa zikutanthauza kuti muyenera kudutsa ndondomekoyi ndi kuchira kamodzi.

Komabe, kukonzanso kumatenga nthawi yayitali ndipo mudzafunikira thandizo lochulukirapo mukachira.
 

Apollo Noida

Dokotala wochita opaleshoni m'malo mwa mawondo ku Noida komanso dokotala wabwino kwambiri wa mawondo ku Noida