Mabvi ako anorwadza here paunomuka mangwanani? Kana kuti unonzwa kurwadziwa kwemusana manheru mushure mekugara pachigaro zuva rese? Pamwe wakamonyoroka gumbo rako uchitamba mitambo, uye kurwadziwa hakusati kwapera? Tose tinonzwa kurwadziwa uye kusagadzikana mumiviri yedu, mapfupa, majoini, uye tsandanyama pane imwe nguva muhupenyu hwedu. Saka, nhasi tichataura zvakadzama nezvekuti ndiani chaizvo chiremba watinofanira kuona panguva yakaita seiyi, uye kuti vangatibatsira sei.
Ndiani chaizvo chiremba wemapfupa?
Zvichitaurwa zviri nyore, uyu chiremba ane hunyanzvi muzvirwere zvine chekuita nehurongwa hwemapfupa nemapfupa emuviri wedu, kureva mapfupa, majoini, netsandanyama. Dzimwe nguva tinovadaidza kuti 'vanachiremba vemapfupa'. Muchirungu, nyanzvi iyi inonziwo 'Orthopedic Surgeon' kana kuti 'Orthopedicist'.
Dzinonyanya kutarisa matambudziko anoitika mu'Musculoskeletal System' yemuviri wedu, kureva, mapfupa netsandanyama. Ngationei kuti chii chiri chehurongwa uhwu.
- Mapfupa: Mapfupa anopa muviri wedu chimiro nesimba.
- Majoini: Nzvimbo dzinobatana mapfupa (semuenzaniso ibvi, gokora).
- Cartilage: Chifukidziro chakapfava, chinodzivirira chinodzivirira mapfupa kuti asakwizane pamisungo.
- MaLigaments: Nyama dzakasimba dzinobatanidza mapfupa uye dzinosimbisa majoini.
- Tsandanyama: Nyama dzinobatsira muviri kufamba.
- Matendoni: Nyama dzakasimba dzinobatanidza tsandanyama nemapfupa.
- Tsinga: Sisitimu inotakura zviratidzo kubva kuuropi mumuviri wese. Dzimwe nguva, tsinga dzinogona kubatwa nekuda kwematambudziko emapfupa kana majoini.
Basa guru revanachiremba ava vane hunyanzvi nderekugadzirisa chero marwadzo, kusagadzikana, kana mamiriro ezvinhu anoitika chero kupi zvako mune ino system uye kukubatsira kuti utangezve mabasa ako ezuva nezuva pasina kurwadziwa.
Ndezvipi zvirwere zvinowanzo rapa vanachiremba ava?
Mhando dzakasiyana dzezvirwere zvinorapwa nevanachiremba vemapfupa dzakakura zvikuru. Dzinotangira pamatambudziko ekuzvarwa nawo, kusvika pakukuvara kunokonzerwa netsaona, kusvika kumamiriro ezvinhu anokura sezvatinokura. Ngatitarisei zvimwe zvezvirwere zvinonyanya kukosha.
| Kurwara/dambudziko | Tsananguro iri nyore |
|---|---|
| Arthritis | Kuzvimba nekurwadziwa kwemajoini. Osteoarthritis, chirwere chinokonzerwa nekusakara kwemajoini, chinowanzoitika, kunyanya patinokura. |
| Kutyoka Kwemapfupa | Pfupa rakatyoka kana rakatyoka nekuda kwekudonha, tsaona, nezvimwewo. Tinozvitiwo 'kutyoka'. |
| Kukuvara Kwemitambo | Kubvaruka kwemasumbu (semuenzaniso kubvaruka kweACL), kurwadza kwetsandanyama, kukwenya, nezvimwewo zvinoitika panguva yemitambo. |
| Kurwadziwa kwemusana nemutsipa | Marwadzo anokonzerwa nezvikonzero zvakasiyana-siyana, zvakaita sekugara zvisina kunaka uye kudonha kwediski. |
| Zvirwere zvekuzvarwa nazvo | Matambudziko emapfupa anowanikwa pakuzvarwa, akadai se clubfoot uye hip dysplasia. |
| Matumbu emapfupa nenyama yakapfava | Mabundu ane kenza kana kuti asiri ekenza anokura mumapfupa kana munyama dzakapfava dzakadai semhasuru nemarunda. |
| Scoliosis | Kukombama kwemusana kumativi. |
| Kurwadziwa kwetsinga | Kuzvimba uye kurwadziwa mumitsipa. |
Chiremba weRheumatologist neChiremba weMafupa chinhu chimwe chete here? Musiyano uripi?
Izvi zvinovhiringidza vanhu vazhinji. 'Rheumatologist' ne 'Orthopedic Surgeon' vanhu vaviri vakasiyana. Kunyangwe vese vachirapa zvirwere zvine chekuita nemapfupa, majoini, uye tsandanyama, maonero avanoita dambudziko racho nenzira dzekurapa zvakasiyana.
Zvichitaurwa zviri nyore, Chiremba weMafupa anoita oparesheni, asi chiremba weRheumatologist haaiti oparesheni.
Ngatinzwisisei musiyano uyu zvakajeka zvishoma.
| Kuenzanisa | Chiremba weMafupa | Chiremba weRheumatologist |
|---|---|---|
| Kuvhiya | Ehe , kurapwa kwekuvhiya nekusavhiya kunoitwa. | Kwete , mishonga nemimwe mishonga isingashandisi kuvhiyiwa ndiyo inopihwa. |
| Chinangwa chikuru | Matambudziko emakanika akadai sekukuvara, tsaona, kuremara kwekuzvarwa, uye matambudziko emajoini. | Zvirwere zvemuviri zvirwere zvinokanganisa muviri wese nekuda kwematambudziko ekudzivirira muviri. |
| Mienzaniso | Kutyoka, osteoarthritis, kukuvara kwemitambo, matambudziko emusana. | Rumatoid Arthritis, Lupus, Vasculitis. |
Asi mhando mbiri idzi dzenyanzvi dzinowanzo shanda pamwe chete. Semuenzaniso, kana uine rheumatoid arthritis, chiremba we rheumatologist achakupa mishonga yekudzora mamiriro ako. Asi kana ibvi rako rave kusakara zvakanyanya nekuda kwechirwere ichi, unogona kutumirwa kuna chiremba wemapfupa kuti anovhiyiwa panzvimbo pemajoini.
Pane zvimwe zvinhu zvidiki here muzvirwere zvemapfupa?
Ehe. Zvechokwadi. Kufanana nedzimwe nzvimbo dzekurapa, kune hunyanzvi hwakadzama muzvirwere zvemapfupa nemajoini. Kuwedzera kune nyanzvi yezvemapfupa, vamwe vanachiremba vanodzidziswa zvakanyanya mune imwe nzvimbo.
- Kuvhiyiwa kwetsoka netsoka: Nyanzvi mukugadzirisa matambudziko akaomarara anoitika mutsoka dzedu.
- Kuvhiyiwa kwemaoko nemakumbo ekumusoro: Matambudziko ane chekuita neruoko, ruoko, gokora, nefudzi.
- Kutsiva majoini: Nyanzvi dzekutsiva majoini akasakara akadai sehudyu nebvi.
- Kuvhiyiwa kwemapfupa evana: Kurapa matambudziko ane mapfupa evana vadiki nevana vari kukura.
- Kuvhiyiwa kwemusana: Nyanzvi dzinorapa zvirwere zvakaoma zvemusana nemutsipa.
- Mushonga wemitambo: Unyanzvi mukudzivirira nekurapa kukuvara kwevatambi.
- Orthopedic Oncology: Kurapa bundu rekenza rinoitika mumapfupa nenyama dzakapfava.
- Kukuvara kwemapfupa: Kurapa kutyoka kwakaomarara uye kukuvara kunokonzerwa netsaona dzakakomba.
Unofanira kuona chiremba wemapfupa nemajoini riini?
Kana ukaramba uine chimwe chezviratidzo zvinotevera kana kupfuura, zvakakosha kuti uone chiremba wezvirwere zvose uye, kana zvichidikanwa, tumira kuna chiremba wemapfupa nemajoini.
| Chiratidzo | Izvi zvinogona kureva chii? |
|---|---|
| Ruzha rwekukwenya kana kukwenya kana uchifambisa joini | Panogona kunge paine kupera kwekatsi mujoini kana dambudziko neligament. |
| Marwadzo, kuzvimba, uye kutsvuka mumajoini | Inogona kuva chiratidzo chechirwere chekuzvimba chakadai searthritis. |
| Kunzwa kusanzwa kana kukwenya mumakumbo | Izvi zvinogona kuitika nekuda kwekumanikidzwa kwetsinga ne pfupa kana cartilage disc. |
| Kuoma kwekufamba nekuda kwekurwadziwa | Zvinhu zvakaita sekusakwanisa kusimudza mapendekete kana kukotamisa mabvi zvinoratidza kuremara. |
| Kuomarara kwemajoini emangwanani | Kana uchinetseka kukotama nekutambanudza majoini ako kwenguva yakati mushure mekumuka, zvinogona kunge zviri chiratidzo chearthritis. |
Chii chinoitika pazuva rekutanga raunoenda kunoona chiremba?
Zvakajairika kuti unzwe kutya zvishoma paunoenda kunoona nyanzvi. Asi kuziva zvekutarisira pachine nguva kunogona kubatsira kuderedza kutya ikoko. Heano zvimwe zvinhu zvinowanzoitika panguva yako yekutanga yekusangana nechiremba.
1. Kutaura nezvezviratidzo zvako: Chiremba achakubvunza mibvunzo yakawanda, kusanganisira kuti kurwadziwa kwako kwakamira sei, kuti kwava nenguva yakareba sei, kuti kwava kunyanya kuipa riini, kuti ndeipi mimwe mishonga yaunotora, basa rako, uye mararamiro ako.
2. Kuongororwa kwemuviri: Chipfundo chinorwadza kana chikamu chemuviri chinoongororwa. Chinogona kukotama, kutatamuka, uye kufambiswa munzira dzakasiyana.
3. Kuferefeta: Ungangokumbirwa kuita chimwe chinhu chakaita seX-ray kuti unzwisise dambudziko chairo. Dzimwe nguva, kana uchida rumwe ruzivo, CT scan kana MRI scan inogonawo kukurudzirwa.
4. Kuongorora uye Kurapa: Kazhinji, zvichibva paruzivo urwu, chiremba achatsanangura chirwere chako uye otsanangura hurongwa hwekurapa hunokukodzera. Zvisinei, dzimwe nguva kuongororwa kwakakwana kunogona kuitwa chete mushure mekunge zvabuda muongororo, zvakaita seMRI, zvagamuchirwa.
Pandinoenda kuna chiremba wemapfupa, ndinofanira kuvhiyiwa here?
Uku ndiko kutya kukuru kuri kuitwa nevanhu vazhinji. Asi mhinduro ndeyekuti 'kwete' . Chiremba wemapfupa haasi munhu anongovhiya chete. Ivowo inyanzvi mukurapa kusingavhiyiwi.
Yeuka, kuona chiremba wemapfupa hazvirevi kuti kuvhiyiwa nguva dzose. Muzvirwere zvakawanda, kurapwa kusingavhiyiwi kunogona kubatsira.
Kazhinji, kunze kwekunge paine kukuvara kwakanyanya kana zvimwe zvirema zvekuzvarwa, vanachiremba vanogara vachiedza kurapwa kusiri kwekuvhiyiwa kutanga. Kana kurapwa ikoko kukasabudirira ndipo panofanira kufungwa nezvekuvhiyiwa.
Saka, chii chinonzi kurapwa kusingavhiyiwi?
- Kupfeka midziyo yakakosha: Zvinhu zvakaita sezvisungo zvekusimbisa muviri, zvisungo zvesimbi, plaster yeParis (casts) kana zvisungo zvinobatsira nhengo kuti irambe yakamira uye ichipora.
- Majekiseni ejoini: Kubaya mishonga yesteroid, yakaita secortisone, mujoini kuderedza marwadzo nekuzvimba.
- Mishonga: Mishonga inonyaradza marwadzo (semuenzaniso paracetamol, ibuprofen), mishonga inozorodza tsandanyama, nezvimwewo.
- Kurapa Kwemuviri: Maekisesaizi chaiwo ekusimbisa tsandanyama, kuwedzera mafambiro emajoini, uye kuderedza marwadzo.
- Kurapa Kwebasa: Kudzidziswa maitiro ekuita mabasa ezuva nezuva zviri nyore (akadai sekupfeka mbatya, kubika) pasinei nekurwadziwa.
- Kurapa nePRP (Platelet-rich plasma therapy): Nzira yemazuva ano yekurapa inoshandisa maplatelet kubva muropa remurwere kuti kukurumidzise kupora kwenyama yakakuvara.
- Orthotics: Zvishongo zvakagadzirwa zvakananga zvinoiswa mukati meshangu kuti zvigadzirise nzvimbo yetsoka uye kuderedza kumanikidzwa kwetsoka paunenge uchifamba.
Vanachiremba ava vanovhiya rudzii?
Kana kuvhiyiwa kuchidikanwa, kune mhando dzakasiyana dzekuvhiyiwa dzinogona kugadzirirwa mamiriro ako ezvinhu.
Kuvhiyiwa kwekutsiva majoini
- Kutsiva hudyu zvachose
- Kutsiva mabvi ese uye chikamu chawo
- Kutsiva mapendekete zvachose
Kuvhiyiwa kwemaoko nemakumbo ekumusoro
- Kuvhiyiwa kwechirwere che carpal tunnel syndrome (kuburitswa kweCarpal tunnel)
- Kugadzirisa misodzi yeRotator cuff (Rotator cuff surgery)
- Kuvhiyiwa kwemunwe we trigger
Kuvhiyiwa kwemusana
- Kuvhiyiwa kwekuderedza kudzvanywa kwetsinga (Kubvisa kudzvanywa kwemusana, Laminectomy)
- Kubatana kwemusana
Kuvhiyiwa kwekukuvara kwemitambo
- Kuvhiyiwa kweMeniscus
- Kugadziriswa kweAnterior cruciate ligament (ACL)
Mharidzo Yekuenda Nayo Kumba
- Chiremba weMafupa inyanzvi yakadzidziswa zvikuru inorapa matambudziko ane chekuita nemapfupa edu, majoini, uye tsandanyama.
- Kuenda kunovaona hazvirevi kuti unofanira kuvhiyiwa nguva dzose. Kune nzira dzakawanda dzekurapa dzisina kuvhiyiwa dziripo, dzakadai sekurapa nemuviri, mishonga, uye majekiseni.
- Kana uine kurwadziwa kwemajoini kwenguva refu, kuzvimba, kuomarara, kana kunetseka kufamba, usanonoka kutsvaga rubatsiro rwechiremba.
- Kutaura pachena nachiremba wako nezvezviratidzo zvako, mararamiro ako, uye zvaunotarisira kwakakosha kuti usarudze nzira chaiyo yekurapa.
- Kana ukarapwa zvakanaka, iwewo unogona kurarama hupenyu husina marwadzo uye hune simba.
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