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Chinese health 中医保健 >>
Family health medicine 家庭
2012年12月14日
The prevention and control of knee arthritis and misunderstanding
ChengTing China's traditional Chinese medicine academy of sciences wangjing hospital
China's traditional Chinese medicine to
For the prevention and control of the knee joint has gradually is no longer the doctor's work, it is also an increasingly hot topic people care about. For prevention and control, from two aspects, on the one hand, interpretation, want to let joint not aging does not conform to the scientific laws, along with human aging, as one of the organs of the joint will degeneration; On the other hand, the nip in the bud, the protection is inviolate articular cartilage to delay joint degradation speed is completely can do it. However, many patients often make rush decisions, blindly listen to gossip, or improper exercise or cure is undeserved, but the result will be pain worse, and the delay time.
Error 1: pain caused by "spur" must be resection
Don't blindly choose resection "spur". "Spur" is not like a sharp thorn, also is not a medical term, medical term should be put first, put on the English translation of Bone wart, also but Bone spurs, but in science article translated into Bone spurs, again in Chinese understand became "spur", should be called Bone hyperplasia or osteophyte more appropriate. Bone hyperplasia is because aging degeneration of joint suffer injury "protest" invalid, to adapt to the injury had to repair itself grow a "blood with different appearance" of the new organization, is also part of the bone, cartilage ground loss stability period compensatory hyperplasia of the product. In a sense, in a certain period of time can increase the joint interface improve joint stability, bone hyperplasia is not cause joint pain, pain is the leading cause of the cartilage wear the subchondral bone nerve be caused by, to have taken place in the pain of joint, reduce pain of the primary goal is to protect the existing articular cartilage and not resection hyperplasia osteophyte.
Erroneous zone 2: arthritis must rest
When arthritis pain of acute onset, proper rest is necessary, but the rest of symptoms and treatment after for a long time, some people will be afraid to do any movement, thought it would be better curing joint. This problem should be from two aspects that, on the one hand, knee arthritis patients need to avoid too long time and high strength and weight, in order to delay the articular cartilage further wear long, on the other hand, it will cause no activity stiff joints and the surrounding muscle disuse atrophy of the knee joint, and instability. People always want to walk, long-term inactive joints in daily walk, because muscle tissue cannot pull joints, make joint clearance further narrow friction frequent, aggravating articular cartilage damage, so for the patients, the correct method is in pain relief, gradually to walking, swimming and other activities, and initiate the load a bed knee quadriceps femoris isometric independent exercise and seat quadriceps femoris isotonic training, in order to strengthen the joint motion flexibility to prevent muscle atrophy.
Error 3: arthritis the exercise more not painful
Knee joint bone surface wrapped in a layer of cartilage protect joints, about 3 ~ 5 mm thick hyaline cartilage, thickness have strength elastic, because caused by various factors cartilage wear thin is not smooth rough even stripped, it led to the knee joint osteoarthritis occurs, have disease patients, try to reduce the ascent motion, up and down the stairs and long time trot, avoid accelerated cartilage wear, cause arthritis recurrence aggravated. Clinical many arthritis, originally the conservative treatment of illness has ease, but blindly listen to the so-called arthropathy exercise to work hard like gossip, had to go to the hospital to do the surgery.
Error 4: arthritis drugs alone can be cured
The clinical drug treatment of osteoarthritis of the knee used mechanism is to improve their own ability to repair cartilage, unripe joint synovial fluid, reduce friction between the articular surface wear, delay pain swelling, such drugs are used to improve their own ability to repair cartilage to delay wear degeneration process, rather than can regenerate cartilage, up to now have not yet found can make cartilage regeneration cure cartilage defects of the drug, drug can only be reduce joint symptoms delay joint degeneration.
Error 5: arthritis often eat a pain-killer
Because the job tension, housework burden and other reasons can not timely checked to the hospital treatment, people usually choose from suit a pain-killer relieve symptoms. What need reminds is, a pain-killer although is necessary in the short term, five family reasonable use premise is can rise to safety analgesic action, but such drugs can only temporarily take, also just pain and not effect a radical cure trigger pain cause, if use for a long time, especially the abuse or amount is too large, not only can't cure, still can appear many side effects, such as stomach ulcer bleeding and perforation, renal insufficiency, liver meritorious service is damage transaminase lifts, allergic reaction and damage to human body health.
Error 6: arthritis pure calcium can cure
Although taking Vit A, Vit C, Vit E and added Vit D on knee arthritis has certain protective effect, but arthritis pathological factors of bone surface is joint cartilage becomes more and more thin, smooth, rough, erosion, stripping, resulting in subchondral bone exposure cause, not simply because of the short of calcium, healthy people from rational diet every day in the intake of calcium quantity is enough, many people think that joint pain is short of calcium, so A large amount for A long time taking calcium preparations, to stimulate the gastrointestinal tract, gastrointestinal discomfort, often appear the phenomenon such as constipation, and even lead to kidney and liver function damage.