Hiki iā ʻoe ke kiʻi i ka artritis i kāu ālau?

Anter

• ʻO nā mea wikiwiki e pili ana i ka maʻi kōpū i ka iwi ā
• He aha nā ʻano o ke ākea e hiki ke hoʻopili i kou ā?
• ʻO Osteoarthritis
• Rheumatoid arthritis
• Pāleʻa psoriatic
• He aha nā ʻōuli o ka arthritis i kou iwi ā?
• Nā maʻi ʻo Jaw a me nā maʻi ʻo TMJ
• ʻO nā kumu ʻē aʻe o ka ʻeha ā
• Ka wā e ʻike ai i ke kauka
• He aha nā koho lapaʻau?
• ʻOki kino
• Kōkua kekahi hana mālama pilikino iā ʻoe iho?
• Ke laina lalo

ʻAe, hiki iā ʻoe ke loaʻa i ka artritis i kou ā, ʻoiai ʻaʻole ia kahi kahi a ka poʻe e noʻonoʻo ai i ka wā e pili ana i ka maʻi kō.

Hiki ke kumu ʻia ka maʻi ʻōlapa i kou iwi ā:

• osteoarthritis
• rumatika
• arthritis psoriatic

Hiki ke hele a mai ka ʻeha o Jaw mai kahi akahai a ʻino a ʻinoʻino paha i ka hala ʻana o ka manawa. Hiki iā ia ke hopena i nā hōʻailona e pili ana i nā maʻi temporomandibular ami (TMJ).

E kōkua kēia ʻatikala i ka wehewehe ʻana pehea e hiki ai i nā ʻano ʻokoʻa o ke kuamoʻo ke hoʻololi i ka iwi ā a me nā koho lapaʻau e hiki ke kōkua.

ʻO nā mea wikiwiki e pili ana i ka maʻi kōpū i ka iwi ā

• Ma muli o ka hui pū ʻana o ka iwi ā i nā ʻoki a ʻelua a me nā neʻe ʻana, ua manaʻo ʻia ʻo ia kekahi o nā hono paʻakikī loa i kou kino.
• Wahi a, pili i ka osteoarthritis o ka iwi ā ma kahi o 8 pākēneka a 16 pākēneka o ko ka honua heluna.
• Wahi a ka noiʻi like, ʻo ka osteoarthritis āpau e hoʻopili i nā wahine he nui aku i ka kāne.
• Hiki i ka Osteoarthritis ke hoʻopili i kekahi a i ʻole ʻelua ʻaoʻao o kou iwi ā.

He aha nā ʻano o ke ākea e hiki ke hoʻopili i kou ā?

ʻO Osteoarthritis

ʻO ka Osteoarthritis kahi ʻano maʻamau o ka degenerative arthritis, hiki ke hoʻopili i kekahi ami i kou kino. Pili ia me ka overuse ami, a lilo ia i mea maʻamau i kou mau makahiki.

ʻO ka osteoarthritis o ka iwi ā e ka luku ʻia ʻana o nā ʻopa paʻakikī a palupalu hoʻi e pili ana i nā hono o ka iwi ā. Hiki i kēia ke hoʻololi i ke kinona a me ka hana o ka iwi ā.

ʻO ka ʻāʻā paha o ka iwi ā.

Rheumatoid arthritis

ʻO Rheumatoid arthritis (RA) kahi maʻi autoimmune e hōʻeha i kāu ʻōnaehana pale maʻi e hoʻouka i nāʻiʻo olakino e uhi ana i kou mau hono. He kūlana hōʻeha mau.

Kū pinepine nā hōʻailona Jaw i nā wā hope o RA. Pā paha nā ʻaoʻao ʻelua o ka iwi ā.

I loko o kahi poʻe me RA, kokoke i ka 93 pakeneka o lākou i loaʻa nā hōʻailona TMJ a i ʻole ka luku ʻana i ka iwi ā. Ua ʻike ʻia ka noiʻi like i ka paʻakikī o ka maʻi TMJ e pili ana i ke koʻikoʻi RA.

Pāleʻa psoriatic

Psoriatic arthritis (PsA) kahi maʻi hui pū i hiki mai e pili ana i ka poʻe i loaʻa ka ʻili ʻo psoriasis. He kūlana autoimmune ia i manaʻo ʻia e holo i loko o nā ʻohana.

ʻO PsA kahi maʻi mau, akā hiki mai nā ʻōuli a hele paha. Inā mālama ʻole ʻia i ka wā mua, hiki iā ia ke hōʻino i ka iwi ā i kēia manawa, e like me ka mea i kākau ʻia ma kahi noi 2015.

ʻO PsA kahi ʻano spondyloarthritis o ka maʻi kōpaʻa. ʻO nā ʻano ʻē aʻe o ka arthritis i kēia hui e kumu pū kekahi i nā maʻi o TMJ.

ʻO ka like o ka 2015 aʻo ʻana o 112 poʻe - ʻo kekahi me ka psoriasis wale nō a ʻo kekahi me ka psoriasis a me ka PsA - ʻike ʻia he mau ʻōuli ko nā hui ʻelua o nā maʻi TMJ.

Akā ʻo ka poʻe me PsA he mau hōʻailona hou aʻe o:

• pilikia e wehe ai ka iwi ā
• wili niho ana a paʻa
• kani leo

He aha nā ʻōuli o ka arthritis i kou iwi ā?

Hiki ke loli i nā ʻōuli o ke kuamoʻo ma kou iwi ā ma muli o ka nui o ka maʻi kōpū. ʻO kekahi o nā ʻōuli maʻamau e pili pū me:

• ʻeha, kahi e hōʻeha ai i kahi ʻūlū a i ʻole kahi ʻāʻoiʻoiʻoi ke neʻe ʻoe i kou iwi ā
• ka hoʻowahāwahā a i ʻole pili i kou mau iwi ā
• kaohi i ka neʻe ʻana a i ʻole ka laka ʻana o kou āpau
• palupalu iwi
• ʻoʻoleʻa, ʻoi loa i ke kakahiaka
• kahi kani ʻūlū, papa manamana, kaomi ʻana, a crunching paha (i kapa ʻia ʻo crepitus)
• paʻakikī i ka nau ʻana
• ʻeha o ka maka a ʻeha paha ma kou pepeiao a me kou ʻāʻī
• ʻeha poʻo
• ʻeha ka niho

Nā maʻi ʻo Jaw a me nā maʻi ʻo TMJ

Kūleʻa pinepine nā maʻi Temporomandibular ami, e pili ana ma kahi o 10 miliona mau ʻAmelika, e like me ka National Institute of Dental and Craniofacial Research.

Hiki ke hana i ka artritis i ka iwi ā i nā hōʻailona o nā maʻi o TMJ. Hiki i kēia mau mea ke:

• pehu mau
• hōʻino cartilage
• kapu o ka neʻe

ʻO ka holomua a me ke koʻikoʻi o nā maʻi TMJ i hilinaʻi ʻia i ke ʻano o ka maʻi āpau e pili ana. ʻO ke ʻano o ka hopena o ka hopena o ka cartilage arthritis i nā maʻi TMJ ʻaʻole maopopo loa.

ʻO nā kumu ʻē aʻe o ka ʻeha ā

Hiki ke loaʻa i nā ʻeha Jaw nā kumu he nui, a i kekahi manawa hiki ke ʻoi aku ma mua o hoʻokahi kumu. ʻAʻole pili ka ʻeha ma kou iwi i ka hōʻino iwi.

Ma waho aʻe o ka maʻi ʻōmaʻomaʻo, ʻeha pū ka iwi ʻē aʻe e:

• Noi hou. ʻO kekahi o nā lawehala maʻamau ka:
  • ʻulū pinepine ʻana i ka gum
  • ʻūlū a wili ʻana i kou mau niho
  • nahu kui
• ʻEhaʻeha. Hiki ke kumu kēia i:
  • he maʻi, e like me ka maʻi sinus
  • he hahau i ka auwae
  • ke kīloi ʻana i ka iwi ā, e like me ke kaʻina hana niho
  • hoʻokomo o nā paipu i ka manawa o ke kauka
• Nā pilikia o ke kino. Hiki i nā laʻana ke hoʻopili:
  • misalignment o ko oukou mau niho
  • hoʻoili pilikia i hoʻoili ʻia me ka hoʻoilina
  • nā maʻi ʻaʻa hoʻohui
• Nā Lapaʻau. Hiki paha i kekahi lāʻau lāʻau kuhikuhi ke hoʻololi i kou mau ʻāʻī a hōʻeha i ka ʻeha.
• Nā manaʻo kūpona. Hiki i ka hopohopo, kaumaha, a me ke koʻikoʻi ke hoʻonāukiuki i nā mākala, paʻa nā iwi ā i ʻole e hōʻeha loa i ka ʻeha.

Ka wā e ʻike ai i ke kauka

Inā loaʻa ka ʻeha o ka iwi ā, maikaʻi ke ʻike i kāu kauka niho a kauka paha e ʻike ai i ke kumu. ʻO ka mea ma mua e mālama ʻoe i nā pilikia o ka arthritis a ʻo TMJ paha, ʻoi aku ka maikaʻi o ka wānana. Hiki ke kōkua i ka hopu ʻana i ka maʻi o ke kuʻi i mua e pale i ka hōʻino ʻana o kou iwi ā.

E noi kāu mea olakino i kāu mōʻaukala olakino a nānā kino i kou ā. E nīnau pū lākou e pili ana i kāu mau hōʻailona a kauoha paha i kahi hōʻoia koko.

I mea e kōkua ai i ke kuhi ʻana i ke kumu o ka ʻeha o kou alo, hiki i kāu mea mālama ola ke kauoha i nā hoʻokolohua kiʻi. Pākuʻi ʻia kēia mau mea:

• kahi X-ray o kou iwi ā
• kahi CT (compute tomography) scan e kiʻi i kahi nānā ʻoi aku i kou iwi ā a me nā hui pū
• MRI (kiʻi resonance ʻume mākenēki) e ʻike ai inā aia kekahi pilikia me ke ʻano o kou ā

He aha nā koho lapaʻau?

ʻO ka mālama ʻana i ka maʻi ā iwi e hilinaʻi ʻia i ke ʻano o ka maʻi o ke ahulau a loaʻa iā ʻoe a me kona koʻikoʻi.

ʻO ka maʻamau, ʻo ka pahuhopu o ka mālama ʻana i:

• pale i ka hōʻino hou ʻana o ka iwi
• mālama ʻeha
• mālama i kāu hana ā

I kēia manawa, ʻaʻohe mālama e hoʻohuli i ka hōʻino o ka iwi ā iwi.

Ua hōʻike ʻia kahi loiloi 2017 e pili ana i nā noiʻi e pili ana i ka iwi āpau o ka iwi i ka hopena o nā hana conservative i hoʻonā ʻia i nā ʻōuli ʻeha o nā poʻe me ka iwi ā iwi. Ua komo kēia mau ana:

• hoʻomaha maha
• hoʻōla kino
• nā lāʻau anti-inflammatory nonsteroidal (NSAIDs)
• he kiaʻi waha e pale i ka wili ʻana o nā niho

Kaukaʻi ʻia i kou mau iwi ā iwi laka a me ke koʻikoʻi o kāu mau ʻōuli, hiki i kāu kauka olakino ke kuhikuhi:

• hoʻoulu uila uila
• lāʻau lāʻau me:
  • nā mea hoʻomaha hoʻomaha nāʻiʻo
  • nā mea lawe ʻeha ʻeha
  • lāʻau antidepressants
  • nā lāʻau antirheumatic-e hoʻololi nei i nā maʻi (DMARDS)
• hamo kumuhana
• nā kōkō steroid
• nā kūpikipiki hyaluronic acid
• ʻākehu

ʻOki kino

Inā maikaʻi ʻole nā ​​mālama conservative i ka hoʻomaha ʻana i ka ʻeha a i ʻole nā ​​hōʻailona ʻē aʻe, he koho paha ke ʻoki.

ʻO kahi koho he arthroscopy me ka arthrocentesis, kahi hana invasive minimally me kahi helu kūleʻa kiʻekiʻe.

Wahi a ka loiloi 2017, hoʻomaha kēia hana i nā ʻōuli i loko o ka poʻe me ka iwi ā iwi ʻā i loaʻa ka ʻeha ma hope o ka hoʻāʻo ʻana i nā mālama mālama mālama.

Ma kēia kaʻina hana, e hana kāu mea mālama ola i hoʻokahi a ʻoi paha mau puka liʻiliʻi ma luna aʻe o ka iwi ā. ʻO ka mea aʻe, e hoʻokomo lākou i kahi arthroscope - kahi mea hana i loaʻa kahi kukui a me kahi kāmela - e nānā i ka hui.

I ka manawa e ʻike ai kāu kauka olakino i kāu hui ā maka, e hoʻokomo lākou i nā mea hana liʻiliʻi i ka wehe ʻana i:

• Wehe i nāʻiʻo makaʻu
• hoʻololi hou i ka ami
• e hōʻoluʻolu i ka pehu

E hoʻopili pū lākou i ka wai i loko o kāu hui, kahi hana i kapa ʻia ʻo arthrocentesis.

Kōkua ka wai i ka holoi ʻana i nā huahana kemika o ka hoʻowali. Hiki paha i kēia ke kōkua i ka hōʻemi ʻana i ke kaomi ma ka ami a kōkua i kou aʻa e loaʻa hou i kahi o ka neʻe.

ʻO ke kīpē hāmama kahi koho hope loa loa no ka poʻe me ke kīnā ʻole o ka ʻāʻī a i ʻole ka ʻeha mau. Hiki nō hoʻi ke pani huina.

Kōkua kekahi hana mālama pilikino iā ʻoe iho?

Inā ʻaʻole nui loa ka ʻeha o kou alo a ʻaʻole ia e hoʻopilikia i kou ola o kēlā me kēia lā, makemake paha ʻoe e hoʻāʻo e hōʻoluʻolu i kou mau ʻāʻī me nā hana mālama ponoʻī.

Aia kekahi o nā koho i:

• Ke hoʻomaha nei i kou ā. Ke hōʻalo nei i ka wehe ʻana o kou mau ā ākea a me ka hoʻāʻo ʻana e pili i ka ʻai ʻana i nā meaʻai palupalu āu e pono ʻole ai ke nau pinepine paha i ka hoʻomaha.
• ʻO Ice a i ʻole hoʻomehana wela. ʻO ka noi ʻana i kahi kaomi anu hiki ke hōʻoluʻolu i ka mumū, ʻoiai kahi pale pumehana a i ʻole kahi ʻōmole wai wela e kōkua i ka hoʻomaha ʻana i nā mākala.
• Hoʻoikaika kino Jaw. Hiki ke kōkua i ka hana ʻana i nā hana a ka iwi ʻē e hoʻoikaika i kou mau mākala a hoʻomaikaʻi i ka neʻe o kāu mau iwi ā.
• Nā hana hoʻomaha. Inā kū ʻoe i kou āwiwi ke kaumaha ʻoe, hiki i nā hana hoʻomaha ke kōkua iā ʻoe e hōʻoluʻolu a emi iho ke aho.
• ʻO ka lomilomi ʻana i nā mākala o kou alo. Hiki ke kōkua i ka lomilomi ʻana i nā mākala o kou alo e hoʻomaikaʻi i ke kahe o ke koko a wikiwiki i ka hoʻōla.
• E komo i kahi mea mālama waha i ka pō. Inā maʻalahi ʻoe i ka wili ʻana o kou mau niho ke hiamoe ʻoe, hiki i kahi mea mālama waha ke pale aku i kēia.

Ke laina lalo

ʻOiai ʻaʻole pili pinepine ka iwi ā me ka maʻi kō, hiki ke hana i nā ami i loko o ke kino, me kou iwi ā. ʻO Osteoarthritis, rheumatoid arthritis, a i ʻole psoriatic arthritis hiki ke hana i ka artritis i ka ā ā.

ʻO ka ʻeha, ka pehu ʻana, a me ka neʻe ʻia ʻana o ka iwi ā nā hōʻailona maʻamau. Hiki i ke kuʻi ʻana ke hana i nā maʻi ʻo TMJ.

Hiki ke kōkua i ke kuhi mua ʻana o ka iwi ā iwi ālai a pale a lohi paha i ka hōʻino ʻia o ka iwi ā. ʻO nā hana Conservative ka lalani mua o ka mālama ʻana. Inā mau ka ʻeha a inā nui ʻino ka ʻino, pono paha ke ʻoki.