Isifo sikaPaget: siyini, izimpawu nokwelashwa

-Delile

• Izimpawu zesifo sikaPaget
• Ukuxilongwa kwenziwa kanjani
• Ukwelashwa kwesifo sikaPaget
• 1. I-Physiotherapy
• 2. Ukudla
• 3. Amakhambi
• 4. Ukuhlinzwa

Isifo sikaPaget, esaziwa nangokuthi ukukhubazeka kwe-osteitis, yisifo samathambo esisuselwa emzimbeni, esidabuka ngokungaziwa esivame ukuthinta isifunda se-pelvic, i-femur, i-tibia, i-vertebrae yomgogodla, i-clavicle ne-humerus. Lesi sifo sibonakala ngokucekelwa phansi kwezicubu zethambo, ezilulama ngemuva kwalokho kepha zikhubazeke. Ithambo elisha elenziwe likhulu ngokwakheka kepha libuthakathaka futhi linokubalwa okuningi.

Imvamisa ivela ngemuva kweminyaka engama-60, yize kusuka kwabangu-40 sekuvele kunamacala abhaliwe. Inokubonakaliswa okuhle futhi iningi leziguli alinazo izimpawu isikhathi eside, futhi njengoba kwenzeka isikhathi esiningi ekugugeni, izimpawu zivame ukudideka nezinye izifo ezifana nesifo samathambo noma i-arthrosis evelayo ngenxa yobudala.

Izimpawu zesifo sikaPaget

Iningi labantu abanesifo sikaPaget abakhombisi zimpawu zokushintsha, bathola lesi sifo ngesikhathi sokuhlolwa kwe-imaging ukuphenya esinye isimo. Ngakolunye uhlangothi, abanye abantu bangaba nezimpawu, okuvame kakhulu ukuba wubuhlungu emathanjeni ebusuku.

Lesi sifo singabonakala kusukela eminyakeni engama-40, siba kaningi kakhulu ngemuva kweminyaka engama-60, futhi izimpawu zihlobene kakhulu nezinkinga ezingenzeka, okuyizona eziyinhloko:

• Ubuhlungu emathanjeni, ikakhulukazi emilenzeni;
• Ukukhubazeka nobuhlungu obuhlangene;
• Ukuguqulwa kwemilenze, kubashiye be-arched;
• Ukuhlukana kwamathambo njalo;
• Ukwehliswa okukhuphukile komgogodla, kushiye umuntu "ozingela emuva";
• Ukukhumuzeka kwamathambo;
• Imilenze arched;
• Ubuthulu obudalwa ngamathambo ogebhezi akhulisiwe.

Yize izimbangela zingakaziwa ngokugcwele, kuyaziwa ukuthi isifo sikaPaget singahle sihlobene nokutheleleka ngegciwane okucashile, ngoba kwezinye izimo sekutholakale amagciwane emathanjeni athintekile. Ngaphezu kwalokho, kuyaziwa futhi ukuthi isifo sikaPaget singahle futhi sihlobane nezici zofuzo, ngakho-ke, abantu bomndeni owodwa banamathuba amaningi okuba nalesi sifo.

Ukuxilongwa kwenziwa kanjani

Ukuxilongwa kwesifo sikaPaget kufanele kwenziwe udokotela wamathambo ekuqaleni ngokuhlola izimpawu nezimpawu ezivezwa ngumuntu. Kodwa-ke, ukuqinisekisa ukuxilongwa, kuyadingeka ukwenza okunye ukuhlolwa kwe-imaging, njenge-X-ray kanye nokuskena kwamathambo, ngaphezu kokuhlolwa kwelabhoratri, njengokulinganisa kwe-calcium phosphorus ne-alkaline phosphatase egazini. Esifo sikaPaget, kungenzeka ukuthi uqaphele ukuthi amanani we-calcium ne-potassium ajwayelekile futhi i-alkaline phosphatase ngokuvamile iphakeme.

Kwezinye izimo, udokotela futhi angakhombisa ukusetshenziswa kwe-imagination yama-magnetic resonance, ukuze abone ukuthi kungenzeka yini ukuthi i-sarcoma, isimila esikhulu samangqamuzana kanye ne-metastasis, noma i-tomography ukuhlola ukuthi kungenzeka yini ukuphuka.

Ukwelashwa kwesifo sikaPaget

Ukwelashwa kwesifo sikaPaget kufanele kuqondiswe udokotela wamathambo ngokobukhulu bezimpawu, futhi kwezinye izimo, kungakhonjiswa ukusetshenziswa kwe-analgesics noma imishanguzo elwa nokuvuvukala ukudambisa izinhlungu, ngaphezu kokusebenzisa ama-modulators nakho kunganconywa Umsebenzi wethambo ezimweni lapho isifo sisebenza khona kakhulu.

Ngaphezu kwemithi, kubalulekile ukwelashwa ngokomzimba ukulawula izimpawu nokuthuthukisa ikhwalithi yempilo yesiguli. Ukuhlinzwa, ngakolunye uhlangothi, kuyindlela yokwelashwa efanelekile ezimweni zokucindezelwa imizwa noma ukufaka elinye ilunga elonakele.

1. I-Physiotherapy

I-Physiotherapy kufanele iqondiswe mathupha ngudokotela we-physiotherapist futhi kumele ibe ngeyomuntu ngamunye ngoba umuntu ngamunye kufanele ukwelashwa kwakhe kuhambisane nezidingo zakhe, futhi kungakhonjiswa izivivinyo zokwelula nokwelula imisipha, okungenziwa ngokusetshenziswa kwamadivayisi afana namagagasi amafushane, i-infrared, i-ultrasound kanye nama-TENS. Ngakho-ke, ngalezi zivivinyo kungenzeka ukugwema ukuwa nokuqhekeka okungenzeka, ngoba ibhalansi nayo iyakhuthazeka.

Ngaphezu kwalokho, i-physiotherapist nayo ingakhombisa ukusebenza kokuvivinya umzimba, ngaphezu kwezikhathi zokwelashwa ngokomzimba, nokusetshenziswa kwezinduku noma abahamba ngezinyawo ukwenza lula ukuhamba nokunciphisa ubungozi bokuwa, kwezinye izimo.

Ngokuncanyelwayo, amaseshini kufanele abanjwe nsuku zonke noma okungenani ama-3 ngesonto ukuthuthukisa ukuqina kwenhliziyo, ukukhuthaza ukuzimela nokwenza ngcono impilo. Yize ukwelashwa ngokomzimba kungakwazi ukwelapha isifo sikaPaget, kubaluleke kakhulu ukunciphisa izingqinamba zezimoto ezibangelwa ukuqhubeka kwesifo.

2. Ukudla

Isazi sokudla okunempilo singancoma ukusetshenziswa kokudla okunothile nge-calcium novithamini D ukuthuthukisa impilo yethambo, njengobisi, ushizi, iyogathi, inhlanzi, amaqanda kanye nokudla kwasolwandle. Lokhu kudla kufanele kudliwe nsuku zonke, ikakhulukazi imikhiqizo yobisi enesikimu, ukugwema amafutha amaningi ekudleni.

Ukwengeza ukukhiqizwa kukavithamini D emzimbeni kubalulekile ukushiswa yilanga okungenani imizuzu engama-20 nsuku zonke, ngaphandle kokusebenzisa i-sunscreen, njengoba le vithamini ikhiqizwa esikhumbeni. Ngaphezu kwalokho, ukuvivinya umzimba njalo kusiza ukwandisa ukumuncwa kwe-calcium emathunjini nokulungiswa kwayo emathanjeni, kusiza ekulweni nalesi sifo.

Bona ividiyo engezansi ukuthola amathiphu amaningi wokwenza amathambo akho aqine futhi ugweme izimpawu nezimpawu zesifo sikaPaget:

3. Amakhambi

Amakhambi kufanele akhonjiswe ngudokotela futhi angaphuzwa nsuku zonke noma ngezikhathi ezithile zonyaka, njengoba kudingeka. Amanye akhonjisiwe ama-bisphosphonates kwifomu le-tablet noma le-injection njenge-alendronate, i-pamidronate, i-risedronate noma i-zoledronic acid, noma imishanguzo efana ne-calcitonin, ngaphezu kwamaphilisi e-calcium carbonate ahambisana ne-cholecalciferol.

Abantu abathintekile bavame ukulandelwa njalo ezinyangeni ezi-3 ukuze udokotela abone ukuthi imithi iyasebenza yini noma idinga ukuguqulwa yini. Lapho umuntu ezinzile ngokwengeziwe, ukulandelelwa kungenziwa njalo ezinyangeni eziyisithupha noma njalo ngonyaka futhi kufanele kugcinwe impilo yonke ngoba lesi sifo asinakho ukwelashwa futhi singadala ukukhubazeka okukhulu.

4. Ukuhlinzwa

Imvamisa, ukwelashwa kwe-physiotherapeutic okuqondiswe kahle kuyakwazi ukuletha izinzuzo eziningi kumuntu, ukuhlehlisa noma ukugwema ukuhlinzwa, kepha-ke, kuyadingeka ukuthi ukwelashwa kulandelwe ngokuqinile.

Ukuhlinzwa kungaba inketho lapho i-physiotherapy inganele ukulwa nezimpawu nokukhubazeka, lapho kukhona ukucindezelwa kwemizwa noma lapho umuntu edinga ukufaka esikhundleni sejoyini futhi uma kunokuwohloka okukhulu okubangela ubuhlungu obukhulu nokuvaleka kokuhamba.

Udokotela wamathambo angathatha isikhundla sokujoyina futhi ngemuva kwale nqubo, kuyadingeka ukuthi ubuyele ku-physiotherapy ukuvimbela izinkinga kanye nokwenza ngcono ukuphakama namandla okunyakaza komzimba, ngaleyo ndlela kube lula impilo yomuntu yansuku zonke.