Saameyntii Ostoarthritis-ka gacanta ee naafanimada waa mid muhiim ah
EUs Task Force Qiimeeyaan Osteoarthritis Hand
Calaamadaha gacmaha ee osteoarthritis waxay saameysaa 20 boqolkiiba dadka ka weyn 55 sano. EULAR (Ururka Midowga Yurub ee Ka Hortagga Jirrada) oo ah koox hawleed ah oo horey u soo saartay talooyin loogu talagalay daaweynta suuxdinta iyo jilibka osteoarthritis, oo la sii daayay jaangooyooyin sannadkii 2006 si loogu daweeyo gacanta osteoarthritis.
Hawlaha Midowga Yurub, oo ka kooban 21 khabiir oo ay ka mid yihiin dhowr qof oo rheumatologi ah , dhakhtar qotodheer, iyo dhakhtarka farsamoyaqaannada kale ee caafimaadka, ayaa falanqeeyay cilmi-baarista caddaynta iyo soo-baxday heshiis la isku raacay 11 talobixin oo ku salaysan 17 hab-daaweyneed ayaa ugu habboon daaweynta gacanta osteoarthitis.
Talooyinkaasi waxay ahaayeen kuwo si xoog leh lagula taliyay inay si daciif ah ugu taliyaan iyagoo ku xiran heerka caddaynta. Waxaa la ogaaday in kaliya 6 ka mid ah 17 hab-daaweyneed oo ku salaysan caddaynta cilmi-baarista. Talooyinka kale waxay ku salaysan yihiin qibrada bukaan socodka ama xogta ka timid barashada osteoarthritis ee kudubyada aan ka ahayn gacanta.
Kow iyo toban talooyin loogu talagalay Daaweynta Cudurka Osteoarthritis
Ciidamada EUembers ayaa soo bandhigay talooyinkan ku saabsan maareynta iyo daaweynta gacanta osteoarthritis:
- Daawooyinka farmasiga (daawooyinka) iyo dawooyinka aan dawooyinka lahayn (daawooyinka aan dawada lahayn), ee loo yaqaan 'osteoarthritis patient hand', ayaa lagu taliyaa.
- Daaweynta osteoarthritis gacanta waa in loo shubaa bukaanka. Waxyaabaha halista ah, nooca osteoarthritis, heerka infakshinka, heerka xanuunka, darnaanta, curyaanka, tayada nolosha, dhididka, iyo wada-daaweynta waa in dhammaantood la tixgeliyaa rabitaanka bukaanka.
- Bukaan-socodka waa in la barto ilaalinta wadajirka ah iyo la siiyo nidaam jimicsi.
- Codsiga kulka (sida xirmo kulul , kuleylka kuleylka leh, suufka parafin ) iyo ultrasound ayaa caawineysa maaraynta osteoarthritis gacanta.
- Wixii salka suulka, kabidda waxaa lagu talinayaa. Dhakhaatiirta waxaa lagula talinayaa in ay ka hortagaan noocyo kale oo dheellitiran.
- Xanuun dhexdhexaad ah iyo heer dhexdhexaad ah, marka aan la isku darin isbiirtooyin badan, dawooyinka maxaliga ah ama daaweynta jirka (sida, NSAID-yada, capsaicin ) waxay ka fiican yihiin daaweynta nidaamka.
- Acetaminophen (tus., Tylenol) waa daaweynta xanuunka afka laga qaato. Ilaa 4 g / maalin ayaa loo tixgeliyaa ammaan iyo waxtar.
- Bukaannada ka hela jawaab celin aan laga helin acetaminophen, xulashada soo socota waa daawada NSAID (daawooyinka nonsteroidal anti-inflammatory) ee qiyaasta ugu hooseysa, ee muddada ugu gaaban ee suurtogalka ah. Doorashada NSAID ee bukaan kasta oo shakhsi ah waa inay tixgelisaa halista dheef-shiid kiimikaad iyo halista wadnaha.
- Glucosamine iyo chondroitin , unugyada soybean ee aan soomaliga ahayn , diacerein , iyo viskosupplementation waa daaweyn kasta oo gaabis ah oo loogu talagalay osteoarthritis. Waxay ku siin karaan gargaar yar oo sun ah.
- Corticosteroid-ka ciribtirka kudheerta ayaa ah mid wax ku ool ah, gaar ahaan marka uu jiro finan ah osteoarthritis.
- Qalliinka (tusaale, arthroplasty, arthrodesis , ama osteotomy) ayaa loo tixgelin karaa bukaanada aan nasiib lahayn daaweyn badan oo daaweyn ah. Qalliin waxaa lagula talinayaa bukaanka qaba xanuunka daran iyo naafanimada gacanta osteoarthritis.
Sababtoo ah Talooyin gaar ah oo Isku-xidhan ah
Osteoarthritis waxay saameyn kartaa gacmaha, miskaha, iyo jilibka.
Wadamadu waxay ku kala duwan yihiin anatomy iyo shaqada, bukaanadu way ka duwan yihiin marka la eego habboonaanta daaweynta iyo jawaabta daaweynta.
Lix ka mid ah talooyinka 11, warbixinta ka muuqatay Annals of Rheumatic Cudurrada , ayaa lagu taageeray xogta waxbarasho:
- waxbarashada iyo jimicsiga
- NSAIDs
- COX-2 inhibitor
- NSAID-yada daaweynta jirka
- capsaicin
- chondroitin sulfate
Talooyinka ACR Talo-siinta Osteoarthritis (2012)
Sanadka 2012, College College of Rheumatology waxay cusbooneysiiyeen talooyin ku saabsan daaweynta osteoarthritis gacanta. Waxay sida caadiga ah kugula talinayaan in dhakhtarradu sameeyaan daawooyinka aan dawooyinka ahayn ee soo socda:
- Qiimeeyaan awooda waxqabadka nolol maalmeedka (ADLs)
- Tijaabi farsamooyinka badbaadada guud
- Bixinta aaladaha caawimaadda, sida loo baahdo, si ay bukaanka uga caawiyaan inay qabtaan ADLs
- Isticmaal isticmaalka hababka kuleylka
- Bixinta kabadhada loogu talagalay bukaanka qaba trapeziometacarpal osteoarthritis
Talooyinka farmashiyaha ee shuruudaha ku jira waxa ka mid ah kuwan soo socda (isticmaal hal ama in ka badan kuwa soo socda):
- Capsaicin mawduuca
- Maaddooyinka NSAID-ka ee maadooyinka, oo ay ku jiraan salokylin trolamin
- Oral NSAIDs, oo ay ka mid yihiin COX-2 xannibaadayaasha xaddidan
- Tramadol
ACR waxay ku talineysaa in xirfadlayaasha caafimaadka aysan isticmaalin kuwan soo socda:
- Daawooyinka aan qalliinka lahayn
- Xanuunada Opioid
Sidoo kale, bukaanka da'doodu tahay 75 sano waa in ay isticmaalaan daawada maadada loo yaqaan "NSAID".
Ilaha:
Talo-bixin calaamad ku saleysan oo ku saabsan maaraynta gacanta osteoarthritis. Zhang, W. Hooyooyinka Xanuunada Rootiga ah. Waxaa lagu daabacay shabakad. Oktoobar 17, 2006.
http://ard.bmj.com/content/66/3/377
American College of Rheumatology 2012 Talooyinka loogu talagalay Isticmaalka Qalabka Nuugyada iyo Dhakhaatiirta Faragelinta ee Osteoarthritis ee gacanta, cunaha, iyo jilibka. Hochberg M. et al. Arthritis Care & Research Vol. 64, Tirada 4, Abriil 2012.
http://www.rheumatology.org/Portals/0/Files/ACR%20Recommendations%20for%20the%20Use%20of%20Nonpharmacologic%20and%20Pharmacologic%20Therapies%20in%20OA%20of%20the%20Hand%%Hip%20and % 20Knee.pdf