Ọrịa ogbu na nkwonkwo

Ogbu na nkwonkwo bụ mbufụt ma ọ bụ mmebi nke otu ma ọ bụ karịa nkwonkwo. Nkwonkwo bụ ebe ọkpụkpụ 2 zutere. E nwere ụdị ọrịa ogbu na nkwonkwo karịrị otu narị.

Ọrịa ogbu na nkwonkwo na-agụnye mmebi nke akụkụ nke nkwonkwo, ọkachasị cartilage. Cartilage nkịtị na-echebe nkwonkwo ma na-enye ya ohere ịga nke ọma. Cartilage na-amịkọkwa ujo mgbe nrụgide dị na nkwonkwo, dịka mgbe ị na-eje ije. Enweghi cartilage nkịtị, ọkpụkpụ dị n'okpuru cartilage na-emebi ma na-agakọta ọnụ. Nke a na-ebute ọzịza (mbufụt), na isi ike.

Uzo ndi ozo ndi ozo nke oria ogbu na nkwonkwo tinyere:

• Na synovium
• Ọkpụkpụ dị n'akụkụ nkwonkwo ahụ
• Lig na akwara
• Ihe mkpuchi nke akwara na akwara (bursae)

Ọrịa na mmebi nwere ike ịpụta site na:

• Ọrịa autoimmune (usoro ahụ ji alụso ọrịa ọgụ na-awakpo anụ ahụ dị mma)
• Ọkpụkpụ gbajiri agbaji
• General "iyi na akwa" na nkwonkwo
• Ọrịa, ọtụtụ mgbe site na nje ma ọ bụ nje
• Kristal dị ka uric acid ma ọ bụ calcium pyrophosphate dihydrate

N'ọtụtụ ọnọdụ, mbufụt nkwonkwo na-apụ mgbe ihe kpatara ga-apụ ma ọ bụ mesoo ya. Mgbe ụfọdụ, ọ naghị adị. Mgbe nke a mere, ị nwere ọrịa ogbu na nkwonkwo na-adịte aka.

Ogbu na nkwonkwo nwere ike ime na ndị ọgbọ na mmekọahụ. Ọrịa ogbu na nkwonkwo, nke sitere na usoro ndị na-enweghị mkpali na-abawanye na afọ, bụ ụdị kachasị.

Ndị ọzọ, ụdị ọrịa ogbu na nkwonkwo na-ahụkarị gụnyere:

• Ọkpụkpụ ankylosing
• Ọrịa ogbu na nkwonkwo, gout, calcium pyrophosphate deposition ọrịa
• Juvenile rheumatoid ogbu na nkwonkwo (na ụmụaka)
• Ọrịa nje
• Ọrịa ogbu na nkwonkwo Psoriatic
• Ọrịa ogbu na nkwonkwo
• Ọrịa ogbu ogbu na nkwonkwo (na ndị okenye)
• Scleroderma
• Lupus erythematosus sistemụ (SLE)

Ogbu na nkwonkwo na-akpata nkwonkwo mgbu, ọzịza, isi ike, na mmachi ngagharị. Mgbaàmà nwere ike ịgụnye:

• Nkwonkwo mgbu
• Ọzịza nkwonkwo
• Ike belatara ịmegharị nkwonkwo ahụ
• Uhie na ikpo ọkụ nke anụ ahụ gburugburu nkwonkwo
• Nkwesi ike nkwonkwo, ọkachasị n'ụtụtụ

Onye nlekọta ahụike ga-eme nyocha anụ ahụ ma jụọ maka akụkọ ahụike gị.

Ule ahụ nwere ike igosi:

• Fluan gburugburu nkwonkwo
• Ọkpụkpụ na-ekpo ọkụ, na-acha uhie uhie, dị nro
• Ihe isi ike na-agagharị nkwonkwo (akpọrọ "obere njegharị")

Fọdụ ụdị ogbu na nkwonkwo nwere ike ịkpata nkwarụ nkwonkwo. Nke a nwere ike bụrụ akara nke ọrịa ogbu na nkwonkwo na-agwọ ọrịa siri ike, nke a na-agwọghị.

A na-emekarị nyocha ọbara na ụzarị ọkụ iji chọpụta ọrịa na ihe ndị ọzọ na-akpata ọrịa ogbu na nkwonkwo.

Onye na-eweta ọrụ ahụ nwekwara ike wepu ihe atụ nke mmiri nkwonkwo na agịga ma zipụ ya na ụlọ nyocha ka enyocha ya maka kristal mbufụt ma ọ bụ ọrịa.

Ihe na-akpata ya anaghị abụkarị ọgwụgwọ. Ebumnuche nke ọgwụgwọ bụ:

• Belata ihe mgbu na mbufụt
• Melite ọrụ
• Gbochie mmebi nkwonkwo ọzọ

AGBANWE AGBANWE

Mgbanwe mgbanwe ndụ bụ ọgwụgwọ kachasị maka ọrịa ogbu na nkwonkwo na ụdị nkwonkwo ndị ọzọ. Mmega ahụ nwere ike inye aka belata isi ike, belata ihe mgbu na ike ọgwụgwụ, ma melite ahụ ike na ọkpụkpụ. Otu ahụike gị e nwere ike inyere gị aka ịmepụta usoro mmega ahụ kachasị mma maka gị.

Mmemme mmemme nwere ike ịgụnye:

• Omume aerobic dị obere (nke a na-akpọkwa mmega ahụ) dị ka ịgagharị
• Nso nke mmegharị omume maka mgbanwe
• Ọzụzụ ike maka ụda akwara

Onye na-enye gị nwere ike ịkọwa ọgwụgwọ ahụike. Nke a nwere ike ịgụnye:

• Okpomọkụ ma ọ bụ akpụrụ mmiri.
• Splints ma ọ bụ orthotics iji kwado nkwonkwo ma nyere aka melite ọnọdụ ha. A na-achọkarị nke a maka ọrịa ogbu na nkwonkwo.
• Ọgwụ mmiri.
• Hịa aka.

Ihe ndị ọzọ ị nwere ike ime gụnyere:

• Na-ehi ụra nke ukwuu. Ihi ụra awa 8 ruo 10 n’abalị ma hie ụra n’ehihie nwere ike inyere gị aka ịgbake ngwa ngwa ngwa ngwa, ma nwedịrị ike inye aka gbochie njụ ọkụ.
• Zere ịnọ otu ọnọdụ ruo ogologo oge.
• Zere ọnọdụ ma ọ bụ mmegharị nke na-etinye nrụgide na nkwonkwo akpịrị gị.
• Gbanwee ulo gi ka ihe omume di nfe. Iji maa atụ, wụnye ihe ndị na-ejide mmadụ n’ebe a na-asa ahụ́, ebe a na-asa mmiri, na n’akụkụ ụlọ mposi.
• Gbalịa ime ihe ndị na-ebelata nrụgide, dị ka ntụgharị uche, yoga, ma ọ bụ tai chi.
• Rie nri siri ike nke jupụtara na mkpụrụ osisi na akwụkwọ nri, nke nwere vitamin na mineral dị mkpa, ọkachasị vitamin E.
• Rie nri nke nwere omega-3 fatty acids, dị ka azụ mmiri oyi (salmọn, mackerel, na azụ asa), flaxseed, mmanụ rapeseed (canola), soybean, mmanụ soybean, mkpụrụ ugu, na walnuts.
• Zere ị smokingụ sịga na ị alcoholụbiga mmanya ókè.
• Tinye ude capsaicin n’elu nkwonkwo mgbu gị. May nwere ike inwe mmelite mgbe ịtinye ude ahụ maka ụbọchị 3 ruo 7.
• Kwụsị ibu, ọ bụrụ na i buru ibu. Ibulata ibu nwere ike ime ka mgbu na nkwonkwo ụkwụ na ụkwụ dịkwuo mma.
• Jiri mkpisi iji belata ihe mgbu site na hip, ikpere, nkwonkwo ụkwụ, ma ọ bụ ọrịa ogbu na nkwonkwo ụkwụ.

ỌGWỤ

Enwere ike ide ọgwụ na mgbanwe ndụ. Ọgwụ niile nwere ụfọdụ ihe egwu. Onye dọkịta kwesịrị iso gị mgbe ị na-a medicinesụ ọgwụ ogbu na nkwonkwo, ọbụlagodi ndị ịzụrụ na-ere ahịa.

Ọgwụ ndị na-ere ọgwụ:

• Acetaminophen (Tylenol) bụ mgbe mbụ ọgwụ na-agbalị iji belata ihe mgbu. Were ihe ruru 3,000 kwa ụbọchị (2 ogbu na nkwonkwo-ike Tylenol kwa elekere asatọ). Iji gbochie mmebi nke imeju gị, ewerela ihe karịrị ọgwụ a tụrụ aro. Ebe ọ bụ na enwere ọtụtụ ọgwụ na-enweghị ọgwụ ndenye ọgwụ nke nwekwara etaminophen, ịkwesịrị itinye ha na 3,000 kwa ụbọchị karịa. Nakwa, zere mmanya mgbe ị na-ewere etaminophen.
• Pụ Ọgwụ Aspirin, ibuprofen, ma ọ bụ naproxen bụ ọgwụ ndị na-egbochi mkpali nke na-egbochi ọgwụ nje (NSAIDs) nke pụrụ ibelata ihe mgbu nke ogbu na nkwonkwo. Agbanyeghị, ha nwere ike ibute ihe egwu ma ejiri ya rụọ ọrụ ogologo oge. Ihe ndị nwere ike ibute ya gụnyere nkụchi obi, ọrịa strok, ọnya afọ, ọbara ọgbụgba sitere n’akụkụ nri, na mmebi akụrụ.

Dabere n'ụdị ogbu na nkwonkwo, a pụrụ ịgụta ọtụtụ ọgwụ ndị ọzọ:

• Corticosteroids ("steroid") na-enyere aka belata mbufụt. Enwere ike ịgbanye ha na nkwonkwo na-egbu mgbu ma ọ bụ nye ha n'ọnụ.
• A na-eji ọgwụ na-agbanwe ọrịa na-agbanwe ọrịa (DMARDs) na-agwọ ọrịa ogbu na nkwonkwo autoimmune na SLE
• A na-eji biologics na kinase inhibitor maka ọgwụgwọ nke ogbu na nkwonkwo autoimmune. Enwere ike inye ha site na ogwu ogbugba ma ọ bụ site n'ọnụ.
• Maka gout, enwere ike iji ụfọdụ ọgwụ belata uric acid.

Ọ dị ezigbo mkpa iwere ọgwụ gị dịka onye na-eweta ọrụ gwara gị. Ọ bụrụ na ị na-enwe nsogbu ịme otu (dịka ọmụmaatụ, n'ihi mmetụta ndị ọzọ), ị kwesịrị ịkpọtụrụ onye na-eweta gị. Hụ na onye na-eweta gị maara banyere ọgwụ gị niile ị na-a ,ụ, gụnyere vitamin na mgbakwunye ndị a zụtara na-enweghị ndenye ọgwụ.

URGW AND NA-EME ỌGW AND NA ỌZỌ

Mgbe ụfọdụ, enwere ike ịwa ahụ ma ọ bụrụ na ọgwụgwọ ndị ọzọ arụpụtaghị ma mebie nkwonkwo siri ike.

Nke a nwere ike ịgụnye:

• Mgbanwe nkwonkwo, dịka ngwekọta nkwonkwo ikpere niile

Ọrịa ole na ole metụtara ọrịa ogbu na nkwonkwo nwere ike ịgwọta kpam kpam site na ọgwụgwọ kwesịrị ekwesị. Ma, ọtụtụ n'ime nsogbu ndị a na-aghọ nsogbu ahụike (na-adịghị ala ala) mana enwere ike ịchịkwa ya nke ọma. Dị ike ike nke ụfọdụ ọnọdụ ogbu na nkwonkwo nwere ike inwe mmetụta dị ukwuu na agagharị ma nwee ike iduga itinye aka nke akụkụ ahụ ma ọ bụ sistemụ ndị ọzọ.

Nsogbu nke ogbu na nkwonkwo gụnyere:

• Ogologo oge (ala ala) mgbu
• Nkwarụ
• O siri ike ime ihe kwa ụbọchị

Kpọọ onye na-eweta gị ma ọ bụrụ:

• Nkwonkwo nkwonkwo gị na-adịgide karịa ụbọchị 3.
• Have nwere nnukwu ihe mgbu na nkwonkwo a na-akọwaghị.
• Nkwonkwo emetụtara emetụtala nke ọma.
• Have nwere oge siri ike ịmegharị nkwonkwo ahụ.
• Akpụkpọ ahụ gị gburugburu nkwonkwo na-acha ọbara ọbara ma ọ bụ na-ekpo ọkụ na aka.
• Have na-enwe ahụ ọkụ ma ọ bụ na ị felata n'amaghị ama.

Nchoputa mbu na ogwu nwere ike inyere aka igbochi mmebi nkwonkwo. Ọ bụrụ na ị nwere akụkọ ihe mere eme nke ezinụlọ banyere ọrịa ogbu na nkwonkwo, gwa onye na-eweta gị, ọbụlagodi ma ọ bụrụ na ịnweghị mgbu nkwonkwo.

Izere imebiga ihe ókè, ugboro ugboro nwere ike inye aka kpuchido gị megide ọrịa ogbu na nkwonkwo.

Nkwonkwo nkwonkwo; Mmebi mmekọrịta

• Ọrịa ogbu na nkwonkwo
• Ọrịa ogbu na nkwonkwo
• Ọrịa ogbu ogbu na nkwonkwo
• Ọrịa ogbu ogbu na nkwonkwo
• Osteoarthritis vs. ọrịa ogbu ogbu na nkwonkwo
• Ogbu na nkwonkwo na hip
• Ọrịa ogbu ogbu na nkwonkwo
• Ikpere nkwonkwo ụkwụ - usoro
• Hip nkwonkwo nnọchi - usoro

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Inman RD. Na spondyloarthropathies. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 249.

Kraus VB, nke Vincent TL. Ọrịa ogbu na nkwonkwo. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 246.

Mcinnes I, O'Dell JR. Ọrịa ogbu ogbu na nkwonkwo. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 248.

Singh JA, Saag KG, Bridges SL Jr, et al. 2015 American College of Rheumatology guideline maka ọgwụgwọ nke ọrịa ogbu ogbu na nkwonkwo. Ogbu na nkwonkwo Rheumatol. 2016; 68 (1): 1-26. PMID: 26545940 pubmed.ncbi.nlm.nih.gov/26545940/.