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        長江云客戶端

        長江云公眾號

        飲食養生匯|關節炎的最終歸宿

        今天我們邀請到了中科應急管理研究院院長、骨外科副主任醫師、骨外科學博士、博士后、教授王磊老師,請他給我們講講有關骨關節炎的那些事兒!

        1.冬天穿裙子,好看卻凍出關節炎。

        2.腿粗且短還不直,O型腿不但影響美觀還傷膝蓋。

        3.保守治療不見好,骨關節炎要換關節嗎?

        4.得了骨關節炎,應該多鍛煉,還是少運動?

        冬天穿裙子,好看卻凍出關節炎

        這是大家的一個錯誤認知,凍出關節炎的可能性其實并不大哦!

        天氣寒冷只是誘發關節炎發生的一個因素,卻不是其形成的主因。

        另外,老年人常說的“風濕”其實也不是風濕性關節炎,而多為退行性骨性關節炎。

        其成因是長期磨損導致的骨性退變。

        還有一種情況是類風濕性關節炎,成因是自身免疫系統出現問題而發生的炎癥。

        而真正的風濕性關節炎是由于細菌感染,肌體產生抗原抗體反應,并對關節造成傷害而產生的。

        專家提醒:所有類型關節炎的發病都跟天氣沒有多大關系。

        但是身體局部受涼,例如夏季吹空調,會導致我們的微血管微循環的收縮,刺激關節周圍可能已經存在的炎性因子,從而出現疼痛的癥狀。

        這個時候如果我們用熱毛巾熱敷,就會加速血液循環,從而帶走炎性因子,減少關節的疼痛。

        相反,寒冷的條件則會減慢血液循環,從而加重關節炎的疼痛癥狀。

        腿粗且短還不直,O型腿不但影響美觀還傷膝蓋

        人們常說的X型腿或O型腿,用科學的術語來講,其實是膝內翻和膝外翻。

        O型腿不但會損傷膝關節,而且會造成髖關節和踝關節的退變,時間一長,甚至上身也會傾斜。

        關于幼時矯正,專家指出,兩歲以內的孩子可能出現生理性膝外(內)翻,所以無需考慮矯正。

        只有當膝間距超過5厘米寬時,可考慮進行矯正。

        且需要到專業的兒童骨科醫院進行咨詢,并遵醫囑購買合適的矯正鞋。

        而老年人出現“羅圈腿”的原因則不同,本質上是由于退行性骨性關節炎病變,嚴重時同樣建議就醫咨詢。

        那么哪些癥狀可能意味著我們患上了關節炎呢?

        首先,關節可能出現疼痛的癥狀。

        其次可能會出現紅、腫、發熱。

        再次,當我們伸直下肢,按壓髕上囊時,可能發現膝蓋有漂浮感,即出現了關節積液。

        保守治療不見好,骨關節炎要換關節嗎?

        當關節炎處于晚期時,需要考慮進行人工關節的置換。

        這是因為人工關節一方面可以消除痛感,同時還可以使患者恢復自理能力。

        除此之外,還可進行膝關節微創手術,不更換關節,而只通過炎癥清理來緩解疼痛。

        但是微創手術存在一些弊端,譬如不能解決疼痛的復發問題。

        且關節炎處于后期時,關節的活動度其實已經大大降低,微創手術并不能提高患者的生活質量。

        但由于老年人普遍比較排斥關節置換,所以也可以嘗試進行骨關節炎微創手術。

        得了骨關節炎,應該多鍛煉,還是少運動?

        針對這個問題,專家指出應該分期。

        由于關節炎由炎癥引起,所以在發作的急性期,建議患者休息養護。

        但是當進入骨關節炎延緩期,則要考慮通過運動鍛煉關節周邊的肌肉。

        增加肌肉力量,可以增強關節穩定性,從而減少關節進一步磨損。

        專家建議:在這一情況下,最推薦的運動方式是游泳。

        另外,由于骨關節炎治療的核心是減輕負重,所以飲食方面也要減少糖分和脂肪的攝入。

        來源:飲食養生匯

        (編輯:郭小涵  審核:蔣艷)

        違法和不良信息舉報電話

        鄂公網安備 42010602000216號

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