M'zaka zaposachedwapa, kuchuluka kwa anthu osweka mafupa kwakhala kukuchulukirachulukira, zomwe zikukhudza kwambiri miyoyo ndi ntchito ya odwala. Chifukwa chake, ndikofunikira kuphunzira njira zopewera kusweka mafupa pasadakhale.
Kupezeka kwa kusweka kwa fupa
Zinthu zakunja:Kusweka kwa mafupa kumachitika makamaka chifukwa cha zinthu zakunja monga ngozi zamagalimoto, kuchita masewera olimbitsa thupi kwambiri kapena kukhudzidwa. Komabe, zinthu zakunja izi zitha kupewedwa mwa kukhala osamala poyendetsa galimoto, kuchita masewera olimbitsa thupi kapena zinthu zina zolimbitsa thupi, komanso kutenga njira zodzitetezera.
Zinthu zokhudzana ndi mankhwala:Matenda osiyanasiyana amafunika mankhwala, makamaka kwa okalamba omwe amagwiritsa ntchito mankhwala nthawi zambiri. Pewani kugwiritsa ntchito mankhwala okhala ndi ma steroid, monga dexamethasone ndi prednisone, omwe angayambitse osteoporosis. Chithandizo chobwezeretsa mahomoni a chithokomiro pambuyo pa opaleshoni ya thyroid nodule, makamaka pa mlingo waukulu, chingayambitsenso osteoporosis. Kugwiritsa ntchito mankhwala oletsa mavairasi monga adefovir dipivoxil kwa nthawi yayitali kungafunike pa matenda a chiwindi kapena matenda ena opatsirana. Pambuyo pa opaleshoni ya khansa ya m'mawere, kugwiritsa ntchito kwa nthawi yayitali mankhwala oletsa aromatase kapena zinthu zina zofanana ndi mahomoni kungayambitse kutayika kwa mafupa. Mankhwala oletsa proton pump, mankhwala oletsa matenda a shuga monga thiazolidinedione, komanso mankhwala oletsa khunyu monga phenobarbital ndi phenytoin angayambitsenso osteoporosis.
Chithandizo cha kusweka kwa mafupa
Njira zochiritsira zochiritsira zochizira matenda a fractures zimaphatikizapo izi:
Choyamba, kuchepetsa pamanja,yomwe imagwiritsa ntchito njira monga kukoka, kusintha, kuzungulira, kutikita minofu, ndi zina zotero kuti ibwezeretse zidutswa za fracture zomwe zasokonekera pamalo awo abwinobwino a thupi kapena pafupifupi malo ake a thupi.
Chachiwiri,kukhazikika, zomwe nthawi zambiri zimaphatikizapo kugwiritsa ntchito zingwe zazing'ono, zingwe zomangira,orthoses, kugwirana kwa khungu, kapena kugwirana kwa mafupa kuti fupa likhalebe pamalo pomwe lathyoka pambuyo poti lachepa mpaka litachira.
Chachitatu, chithandizo cha mankhwala,omwe nthawi zambiri amagwiritsa ntchito mankhwala olimbikitsa kuyenda kwa magazi, kuchepetsa kutupa ndi ululu, komanso kulimbikitsa kupangika ndi kuchiritsa kwa callus. Mankhwala omwe amalimbitsa chiwindi ndi impso, kulimbitsa mafupa ndi minyewa, kudyetsa qi ndi magazi, kapena kulimbikitsa kuyenda kwa magazi m'thupi angagwiritsidwe ntchito pothandizira kubwezeretsa ntchito ya ziwalo.
Chachinayi, kuchita masewera olimbitsa thupi,zomwe zimaphatikizapo masewera olimbitsa thupi odziyimira pawokha kapena othandizira kubwezeretsa kuyenda kwa mafupa, mphamvu ya minofu, ndikuletsa kufooka kwa minofu ndi kufooka kwa mafupa, zomwe zimathandiza kuchira kwa kusweka kwa mafupa komanso kuchira bwino kwa ntchito.
Chithandizo cha Opaleshoni
Chithandizo cha opaleshoni cha kusweka kwa mafupa chimaphatikizapo makamakakukhazikika kwamkati, kukhazikika kwakunjandikusintha kwa mafupa a mitundu yapadera ya kusweka.
Kukhazikika kwakunjaNdi yoyenera kusweka kwa mafupa otseguka komanso apakati ndipo nthawi zambiri imakhala ndi nsapato zokoka kapena zotsutsana ndi kutembenuka kwakunja kwa masabata 8 mpaka 12 kuti apewe kuzungulira kwakunja ndi kukweza mwendo wokhudzidwa. Zimatenga pafupifupi miyezi 3 mpaka 4 kuti zichiritsidwe, ndipo pali kuchuluka kochepa kwambiri kwa necrosis ya mutu wosalumikizana kapena wa femoral. Komabe, pali kuthekera kosuntha koyambirira kwa kusweka, kotero anthu ena amalimbikitsa kugwiritsa ntchito kukhazikika kwamkati. Ponena za kukhazikika kwakunja kwa plaster, sikugwiritsidwa ntchito kawirikawiri ndipo kumangogwiritsidwa ntchito kwa ana aang'ono okha.
Kukhazikika kwamkati:Pakadali pano, zipatala zomwe zili ndi matenda zimagwiritsira ntchito njira yochepetsera kusweka ndi kukhazikika mkati motsogozedwa ndi makina a X-ray, kapena njira yochepetsera kutseguka ndi kukhazikika mkati. Opaleshoni isanayambe kukhazikika mkati, njira yochepetsera kusweka imachitika ndi manja kuti itsimikizire kuchepa kwa kusweka kwa fupa isanayambe opaleshoniyo.
Kuchotsa mafupa:Osteotomy ingagwiritsidwe ntchito pa ma fracture ovuta kuchiritsa kapena akale, monga intertrochanteric osteotomy kapena subtrochanteric osteotomy. Osteotomy ili ndi ubwino wochita opaleshoni yosavuta, kuchepetsa kufupikitsa kwa chiwalo chokhudzidwa, komanso yabwino pochiritsa ma fracture ndi kuchira bwino.
Opaleshoni yosinthira mafupa:Izi ndizoyenera odwala okalamba omwe ali ndi kusweka kwa khosi la femoral. Pa necrosis ya mutu wa femoral wosalumikizana kapena avascular mu kusweka kwa khosi la femoral, ngati chotupacho chili pamutu kapena pakhosi, opaleshoni yosinthira mutu wa femoral ikhoza kuchitidwa. Ngati chotupacho chawononga acetabulum, opaleshoni yonse yosinthira chiuno imafunika.
Nthawi yotumizira: Marichi-16-2023
