Ngaba amalungu akho nawo ayabuhlungu? Makhe sithethe nge-arthritis!

Ngaba ngamanye amaxesha uziva uqaqamba xa uvuka kusasa? Okanye amalungu akho aziva eqine kwaye eqaqamba? Okanye amalungu akho avuvukile kwaye abomvu? Ezi ayizozinto nje eziqhelekileyo. Ezi zinokuba ziimpawu zesifo esibizwa ngokuba yi-arthritis. Masifunde ngoku ngokweenkcukacha namhlanje, ngokungathi sithetha nomhlobo.

Yintoni le arthritis?

Ngamafutshane, isifo samathambo sisifo esonakalisa amalungu akho . Uyazi ukuba yintoni ilungu? Yindawo apho amathambo amabini emzimbeni wakho adibana khona. Cinga ngeendawo ezifana namadolo akho, iingqiniba, kunye namaqhina.

Njengoko sikhula, amanye amalungu ayawohloka ngokwendalo. Kubantu abaninzi, oku kubola okuqhelekileyo, ubomi bonke kubangela isifo samathambo. Ezinye iintlobo zesifo samathambo zibangelwa kukwenzakala kwelungu. Kwakhona, ezinye iimeko zempilo zinokubangela isifo samathambo.

I-arthritis inokuchaphazela naliphi na ilungu, kodwa ixhaphake kakhulu kwezi ndawo zilandelayo:

• Izandla kunye nezandla
• Amadolo
• Amathambo esinqe
• Iinyawo namaqatha
• Amagxa
• Umqolo ongezantsi (umqolo we-lumbar)

Ugqirha angakunceda ukulawula iimpawu ezifana neentlungu zamalungu kunye nokuqina kwawo. Abanye abantu abane-arthritis enzima banokufuna utyando lokutshintsha amalungu achaphazelekileyo.

Ukuba unentlungu enkulu yamalungu echaphazela imisebenzi yakho yemihla ngemihla , okanye ukuba uziva ngathi awukwazi ukushukuma okanye ukusebenzisa amalungu akho ngokuqhelekileyo, ngaba kuyimfuneko ngokwenene ukubona ugqirha? Musa ukulibazisa.

Ziziphi iintlobo ze-arthritis?

Ungamangaliswa kukufumanisa ukuba kukho iintlobo ze-arthritis ezingaphezu kwe-100! Kodwa ungakhathazeki, siza kuthetha ngezinye zezona ntlobo zixhaphakileyo:

• I-Osteoarthritis : Le yi-arthritis ekhula ngenxa yokuguguleka kwamalungu. Ukuba yinyani, yi-arthritis ekhula ngokuhamba kwexesha xa kusetyenziswa amalungu. Khawuthelekelele umakhulu wakho evuka kusasa athi, "Owu, amadolo am ayabuhlungu, andikwazi nokuwagoba," akunjalo? Yimeko efanayo leyo. Oku kudla ngokuba yinto eza nokukhula.
• I-rheumatoid arthritis : Oku kuxa inkqubo yomzimba wakho yokuzikhusela (inkqubo esikhusela kwizifo) ihlasela amalungu akho ngempazamo. Oku kubangela ukuba amalungu onakale, adumbe, kwaye abe buhlungu.
• I-Gout : Oku kwenzeka xa ikhemikhali ebizwa ngokuba yi-uric acid iqokelelana egazini ize ibeke iikristale ezibukhali emalungeni. Khawuthelekelele ukuba umntu ngequbuliso wakhala esithi ubhontsi wakhe omkhulu uyatsha kwaye uyabuhlungu, isenokuba yi-gout. Intlungu inokuba ngequbuliso kwaye ibe qatha.
• I-Ankylosing spondylitis: Oku kuchaphazela kakhulu amalungu angaphantsi komqolo kunye namalungu ajikeleze izinqe. Yimeko eyenza kube nzima ukugcina umqolo uthe tye.
• Isifo samathambo se-Psoriatic : Olu luhlobo lwesifo samathambo esibakho kubantu abane-psoriasis, imeko yolusu. Kunye namabala olusu, kukwakho nentlungu yamalungu.
• Isifo samathambo sabantwana : Esi sisifo samathambo esenzeka kubantwana nakubantu abadala abancinci abangaphantsi kweminyaka eli-16 ubudala. Usenokuba uzibuza ukuba ezi zinto zinokwenzeka na nakubancinci, akunjalo? Ewe, yinyani.

Ngokuxhomekeke kuhlobo lwesifo samathambo onaso, sinokubangela ukuba izicwili zendalo ezikumalungu akho ziqhekeke (ezibizwa ngokuba yi-'degeneration') okanye singabangela ukudumba (okubizwa ngokuba yi-'inflammation'). Kwezinye iintlobo, ukudumba kubangela ukudumba kwezicwili (okubizwa ngokuba yi-'degeneration').

Ixhaphake kangakanani isifo samathambo?

I-arthritis sisifo esixhaphakileyo . Ngokwezibalo ezivela kwamanye amazwe, inani elikhulu labantu abadala liza kuba nesifo samathambo emalungeni abo ngaxa lithile ebomini babo.

I-osteoarthritis lolona hlobo luqhelekileyo lwe-arthritis. Izifundo zifumanise ukuba malunga nesiqingatha sabantu abadala baya kuba ne-osteoarthritis ngaxa lithile ebomini babo. Ngoko ke yinto echaphazela abantu abaninzi.

Zithini iimpawu ze-arthritis?

Ezi zezona mpawu zixhaphakileyo zesifo samathambo. Kodwa ayinguye wonke umntu ohlangabezana nazo zonke ezi mpawu ngendlela efanayo, akunjalo?

• Intlungu yamalungu : Olu luphawu oluphambili. Ngamanye amaxesha luqala kancinci kwaye lunokwanda kancinci kancinci.
• Ukuqina kwamalungu okanye ukuncipha kokuhamba kwawo : Ukuziva uqinile kumalungu akho xa uvuka kusasa, okanye ukungakwazi ukugoba okanye ukolula iingalo okanye imilenze yakho ngokulula njengangaphambili.
• Ukudumba : Ilungu libonakala lidumbile kwaye likhulisiwe.
• Ukutshintsha kombala wolusu : Ulusu olujikeleze ilungu luba bomvu.
• Ukuziva intlungu okanye ukurhawuzelelwa lilungu : Kuvakala ngathi kubuhlungu ukulichukumisa nje.
• Ukuziva ushushu xa ujikeleze amalungu : Ukuziva ushushu xa ujikeleze amalungu kunakwezinye iindawo.

Apho uziva khona iimpawu zakho kuxhomekeke kuhlobo lwe-arthritis onalo kunye namalungu achaphazelekileyo.

Ezinye iintlobo ze-arthritis zineempawu ezifika zidlule. Oko kukuthi, kwezinye iintsuku ziba zimbi kakhulu zize ziphele emva kweentsuku ezimbalwa. Ezi sizibiza ngokuba yi-"flares" okanye "flare-ups." Kwezinye iintlobo, amalungu ahlala ebuhlungu kwaye eqinile. Ingakumbi emva komsebenzi onzima.

Ziziphi izizathu eziphambili ze-arthritis?

Izizathu zesifo samathambo ziyahluka ngokuxhomekeke kuhlobo onalo. Makhe sijonge ezinye zezizathu eziphambili:

• I-OsteoarthritisYinto yendalo yokwaluphala. Ubomi bonke bokusetyenziswa kwamalungu, i-cartilage (into ethambileyo, efana nomqamelo phakathi kwamalungu) iyawohloka.
• Ukuba une-uric acid eninzi egazini lakho (imeko ebizwa ngokuba yi-hyperuricemia), unokuba ne -gout . Ezi kristali ze-uric acid ziyaqokelelana emalungeni, nto leyo ebangela iintlungu.
• I-arthritis (umzekelo, i-rheumatoid arthritis) inokuthi ivele xa inkqubo yakho yomzimba ihlasela amalungu akho ngempazamo . Kufana nomkhosi wakho ozihlasela wona.
• I-viral arthritis inokubangelwa zizifo ezithile zentsholongwane (umzekelo, abanye abantu bava iintlungu zamalungu emva kwezinto ezifana ne-COVID-19).
• Ngamanye amaxesha isifo samathambo sikhula ngaphandle kwesizathu esicacileyo , ngaphandle kwesizathu esicacileyo. Oogqirha bathi oku yi-idiopathic arthritis.

Ziziphi izinto ezibangela umngcipheko wokuba nesifo samathambo?

Nabani na unokuba nesifo samathambo. Kodwa kukho izinto ezithile ezinokunyusa umngcipheko wokuba nesifo samathambo. Nazi ezinye zazo:

• Ukusetyenziswa kwecuba : Ukutshaya icuba nokusebenzisa ezinye iimveliso zecuba kwandisa umngcipheko. Ngaba oku akusiso isizathu sezifo ezininzi?
• Imbali yosapho : Ukuba umntu kusapho lwakho (onxulumene nebhayoloji, njengomama wakho, utata, abantakwenu noodadewabo) unesifo samathambo, nawe unokuba naso.
• Inqanaba lomsebenzi : Ukuba awusebenzi rhoqo emzimbeni, oko kuthetha ukuba awuzilolongi, unokuba sengozini enkulu yokuba nesifo samathambo.
• Ezinye iimeko zempilo : Ukuba unezifo zokuzikhusela komzimba (iingxaki zenkqubo yomzimba yokuzikhusela), ukutyeba kakhulu, okanye nayiphi na imeko echaphazela amalungu akho, unokuba sengozini enkulu yokuba nesifo samathambo.

Abanye abantu basengozini enkulu yokufumana isifo samathambo kunabanye, kuquka:

• Abantu abangaphezu kweminyaka engama-50 ubudala.
• Abafazi (ezinye iintlobo ze-arthritis zixhaphake kakhulu kubafazi).
• Abadlali, ingakumbi abo badlala imidlalo yokudibanisa.
• Abantu abasebenza nzima emzimbeni kwaye banemisebenzi ebeka uxinzelelo olukhulu kumalungu abo (umzekelo, abo bama ixesha elide, bagobe, okanye baguqe ngamadolo).

I-arthritis iqala nini xa ineminyaka emingaphi?

I-arthritis ingakhula nakweyiphi na iminyaka. Ubudala obuqala ngabo buxhomekeke kuhlobo onalo kunye nokuba yintoni ebangela loo ntlungu.

I-osteoarthritis idla ngokuchaphazela abantu abangaphezu kweminyaka engama-50 ubudala. I-rheumatoid arthritis idla ngokuchaphazela abantu abadala abaphakathi kweminyaka engama-30 nama-60 ubudala.

Ezinye iintlobo ezinesizathu esithile zihlala ziqala ngexesha elinye. Umzekelo, isifo samathambo esibangelwa yintlungu emva kokwenzakala (i-arthritis eyenzeka emva kokwenzakala) sivela emva kokwenzakala kwamalungu. Ngokufanayo, i-gout ikhula emva kokuba amanqanaba e-uric acid egazini ephakanyisiwe kangangeenyanga eziliqela.

Kungcono ukuthetha nogqirha malunga nomngcipheko wakho wokuba nesifo samathambo, kunye nexesha omele uqale ngalo ukuqaphela utshintsho olukwimalungu akho.

Oogqirha bayixilonga njani i-arthritis?

Ugqirha uza kuxilonga isifo samathambo ngovavanyo lomzimba . Uza kuhlola amalungu akho achaphazelekileyo aze akubuze ngeempawu zakho. Ugqirha kuya kufuneka acacise ukuba waqala nini ukufumana iimpawu ezifana neentlungu nokuqina, uhlobo lomsebenzi owenzayo, kunye nexesha losuku oliva kakhulu.

Ugqirha mhlawumbi uza kujonga umgama weentshukumo zakho (`umgama weentshukumo`). Oko kukuthi, ukuba ungagoba kangakanani, wolule, kwaye ujikelezise ilungu. Angathelekisa nomgama weentshukumo zelungu elinye kunye nowezinye iinxalenye (umzekelo, elinye idolo, iqatha, okanye iinzwane zakho).

Uvavanyo lweArthritis

Ukongeza kuvavanyo lomzimba, ugqirha unokwenza ezinye iimvavanyo ezininzi.

Ugqirha wakho angasebenzisa iimvavanyo zokuthatha imifanekiso ezifana nezi ukuze athathe imifanekiso yamalungu akho:

• I-X-reyi : Oku kunokujonga utshintsho emathanjeni kunye nokuncitshiswa kwesithuba phakathi kwamalungu.
• I-Ultrasound : Oku kungasetyenziselwa ukubona ukuba kukho ulwelo oluqokeleleneyo kwizicubu ezithambileyo, i-cartilage, kunye namalungu.
• Iskeni seMagnetic Resonance Imaging (MRI) : Oku kukuvumela ukuba ubone izinto ezifana namalungu, i-cartilage, kunye ne-ligaments ngokweenkcukacha.
• I-Computerized Tomography Scan (CT Scan) : Oku kungathatha imifanekiso eneenkcukacha zamathambo kunye namalungu.

Olu vavanyo lunokunceda ugqirha wakho abone umonakalo ngaphakathi kwamalungu akho. Lunokunceda ukuqinisekisa ukuba akukho monakalo okanye iingxaki (ezifana nokuqhekeka kwamalungu) ezinokubangela ezi mpawu.

Ukuba ucinga ukuba une-gout, ugqirha wakho unokuyalela uvavanyo lwegazi ukujonga amanqanaba e-uric acid yakho. Uvavanyo lwegazi lunokujonga neempawu zosulelo okanye izifo ezizikhuselayo emzimbeni (ezifana ne-rheumatoid arthritis).

Ziziphi iindlela zonyango lwe-arthritis?

Akukho nyango lwe-arthritis. Kodwa ungakhathazeki! Ugqirha wakho unokukunceda ufumane unyango olunokukunceda ukulawula iimpawu zakho. Uhlobo lonyango olufunayo luya kuxhomekeka kwisizathu se-arthritis yakho, uhlobo onalo, kunye namalungu achaphazelekileyo.

Iindlela zonyango ze-arthritis ezisetyenziswa kakhulu zezi:

• Amayeza okulwa nokuvuvukala athengiswa ngaphandle kwe-OTC - umzekelo, ii-NSAID (ezifana ne-ibuprofen) okanye i-acetaminophen (ezifana nePanadol) - luhlobo lwamayeza okuphelisa iintlungu kunye nokulwa nokuvuvukala onokuwathenga kwikhemesti ngaphandle kwemvume kagqirha.
• IiCorticosteroids: La ngamayeza anamandla anikwe ngugqirha ukunciphisa ukudumba kunye nentlungu. Angathathwa njengeepilisi okanye ngamanye amaxesha njenge-cortisone ijova ngqo kwilungu.
• Ukuba une-rheumatoid arthritis okanye i-psoriatic arthritis, unganikwa amayeza okuguqula isifo (ii-DMARD). La mayeza anokunceda ukulawula isifo ukuba singabi mandundu.
• Unyango lomzimba okanye unyango lomsebenzi : Oku kubaluleke kakhulu. Kunokukunceda wonyuse amandla akho kunye nomgama wokuhamba, konyuse ukuzithemba kwakho xa uhamba kwaye usenza imisebenzi yemihla ngemihla, kwaye kukuncede ufunde iindlela zokukhusela amalungu akho.
• Utyando : Oku kudla ngokwenziwa kuphela ukuba ezinye iindlela zonyango azizange zinciphise iimpawu kwaye ukuba kukho umonakalo omkhulu kumalungu.

Utyando lwe-arthritis

Ukuba une-arthritis enzima kwaye ezinye iindlela zonyango azikuncedi, unokufuna utyando. Iintlobo ezimbini eziphambili zotyando lwe-arthritis kukudibanisa amalungu kunye nokutshintshwa kwamalungu .

• Ukuhlanganiswa kwamalungu : Njengoko igama lisitsho, inkqubo yotyando ibandakanya ukudibanisa amathambo amabini ukuze kumiswe intshukumo kwilungu. Oku kunciphisa iintlungu. Oku kudla ngokwenziwa xa kudityaniswa umqolo okanye amaqatha.
• Ukutshintshwa kwamalungu (i-Arthroplasty / Ukutshintshwa kwamalungu) : Ukuba amalungu akho onakele okanye amathambo agugile, unokufuna ukutshintshwa kwamalungu. Ugqirha ususa ilungu lakho lendalo elonakeleyo aze alitshintshe ngelungu lokufakelwa elenziwe ngesinyithi, iplastiki, okanye iseramikhi. Kusenokufuneka utshintshe inxalenye yelungu (ukutshintshwa kwamalungu angaphelelanga) okanye lonke ilungu (ukutshintshwa kwamalungu apheleleyo). Utyando lokutshintshwa kwamadolo nesinqe ngoku lwenziwa ngempumelelo enkulu.

Ugqirha wakho okanye ugqirha wakho uza kukuchazela ukuba loluphi uhlobo lotyando olufunekayo kunye nento onokuyilindela kulo.

Ngaba isifo samathambo singathintelwa?

Ezinye iintlobo ze-arthritis zibangelwa zizizathu zendalo okanye iimeko zempilo ongenakukwazi ukuzitshintsha. Ngoko ke, akukho ndlela yokuzithintela rhoqo. Nangona kunjalo, unganciphisa umngcipheko wakho wokuba ne-arthritis ngokwenza ezi zinto:

• Ukuphepha iimveliso zecuba : Eli licebiso eliqhelekileyo phantse kuzo zonke izifo.
• Ukulandela ukutya okunempilo kunye nesicwangciso sokuzilolonga esikufaneleyo nako kubalulekile. Ukulawula ubunzima bomzimba wakho kubaluleke kakhulu, kuba xa utyeba, uxinzelelo kumalungu akho luyanda.
• Ukwenza umthambo ongenampembelelo ingako ongafaki uxinzelelo olukhulu kumalungu akho. Umzekelo, ukuhamba, ukudada, kunye nokukhwela ibhayisekile .
• Nxiba izixhobo zokhuseleko ezifanelekileyo kwaye uhlale umile kakuhle ngexesha lomsebenzi onokwenzakalisa amalungu akho (umz., ukudlala imidlalo, ukuphakamisa iintsimbi).

Yintoni onokuyilindela ukuba une-arthritis?

Ukuba une-arthritis, ungalindela ukuba kufuneka ulawule iimpawu zakho ixesha elide (mhlawumbi ubomi bakho bonke) . Oku kuthetha ukuba kufuneka ufunde ukuphila nayo. Ugqirha wakho unokukunceda ufumane unyango oluya kunciphisa impembelelo ye-arthritis kwimisebenzi yakho yemihla ngemihla.

Kwabanye abantu, iimpawu ze-arthritis zinokuba mandundu njengoko bekhula. Kukwabubulumko ukubuza ukuba kufuneka ubonane kangaphi nogqirha wakho ukuze aphinde ajonge naluphi na utshintsho kumalungu akho.

Ndifanele ndimbone nini ugqirha?

Ukuba unayo nayiphi na kwezi mpawu, musa ukulibazisa ukubona ugqirha:

• Intlungu ebuhlungu kakhulu (ingakumbi ukuba ihlala ixesha elingaphezu kweveki okanye ayipheli ngeepilisi zentlungu eziqhelekileyo).
• Ukuba ukuqina kwamalungu akho kuya kusiba mandundu, ingakumbi ukuba ngequbuliso awukwazi ukuhambisa ilungu ngokuqhelekileyo.
• Ukuba iimpawu zakho eziqhelekileyo zibuya rhoqo, okanye ukuba ziya zisiba mandundu (ukwanda kokuqaqamba kwesikhumba).
• Ukuba ilungu liba bomvu, lidumbe, kwaye libe nomkhuhlane (oku kungaba luphawu losulelo).

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa sisiya kugqirha, ngamanye amaxesha siyalibala into esifuna ukuyibuza, akunjalo? Ngoko ke, licebo elihle ukubhala phantsi imibuzo ethile kwangaphambili. Nazi ezinye zemizekelo:

• Luhlobo luni lwesifo samathambo endinaso?
• Luhlobo luni lonyango endiludingayo? Ngaba kukho naziphi na iziphumo ebezingalindelekanga kwezi ndlela zonyango?
• Ngaba ndiza kufuna utyando? Ukuba kunjalo, zithini iingenelo zalo?
• Kufuneka ndize kangaphi kwiimviwo zokulandelela?
• Zeziphi iinguqu ekufuneka ndizenze kwindlela endiphila ngayo? (njengokutya, ukuzilolonga)
• Ndenze ntoni ukuba intlungu iyanda?

Indlela yokunciphisa ngokukhawuleza intlungu ye-arthritis?

Umzimba womntu wonke usabela ngokwahlukileyo kunyango olwahlukileyo. Ngoko ke, akukho mpendulo "yomlingo" inye esebenza kuwo wonke umntu. Ugqirha wakho angakunceda ufumane indibaniselwano yonyango oluya kunceda ukunciphisa intlungu yakho yamathambo. Abanye abantu bafumana isiqabu xa beqala ukuthatha amayeza athengiswa ngaphandle kwemvume kagqirha okanye abhalwe ngugqirha. Abanye basebenzisa amayeza amathambo rhoqo ukunceda ukuthintela intlungu ngaphambi kokuba ibe mbi kakhulu ukuba bangenza nantoni na.

Ukuhlala usenza umthambo yenye yezona ndlela zilungileyo zokunciphisa iimpawu ze-arthritis. Musa ukuzinyanzela ukuba wenze nantoni na ebangela iintlungu eziqatha. Nangona kunjalo, ukolula umzimba wakho nokuwushukumisa kunokunceda ukunciphisa iintlungu nokuqina komzimba kwaye kuthintele ukuba zingabi mandundu.

Akunyanzelekanga ukuba ube yimbaleki ye-marathon okanye umntu ophakamisa iintsimbi kwi-Olimpiki. Ukuhamba, ukudada (amanzi anciphisa uxinzelelo kumalungu akho), ukukhwela ibhayisekile, ukolula umzimba, okanye i-yoga zonke ezi ziindlela ezilungileyo zokuxhasa amalungu akho nokuqinisa izihlunu zomzimba wakho.

Thetha nogqirha wakho okanye ingcali yezonyango malunga nemithambo efanelekileyo kuwe. Banokucebisa iindlela ezinokukunceda uhlale usebenza ngokukhuselekileyo.

Ngaba iimeko ezithile zemozulu ziyayenza mandundu isifo samathambo?

Ewe, abanye abantu banokufumanisa ukuba iintlungu zabo ze-arthritis ziyanda kwiimeko ezithile zemozulu. Ukufuma kunye nokubanda zizizathu ezimbini eziqhelekileyo zentlungu yamalungu.

Zininzi izizathu zoku. Abantu abasebenzi kakhulu ngexesha lemvula nasebusika. Ukubanda kunye nomswakama kunokwenza amalungu akho aqine kwaye kubangele isifo samathambo sibe sibi kakhulu. Enye ingcamango kukuba xa uxinzelelo lomoya (uxinzelelo lwe-barometric) lutshintsha, luchaphazela uxinzelelo ngaphakathi kwamalungu, nto leyo enyusa intlungu.

Ukuba uvakalelwa kukuba isifo sakho samathambo siya sisiba mandundu ngenxa yeemeko ezithile zemozulu okanye amaxesha onyaka, thetha nogqirha wakho. Angakuxelela iindlela zokuthintela iintlungu nokuqina unyaka wonke, okanye alungise unyango lwakho lwamathambo ukuze luvumelane notshintsho kwindawo okuyo.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-arthritis yenye yezona zifo zixhaphakileyo ebantwini. Kodwa ukuba abantu abaninzi banayo loo nto akuthethi ukuba kufuneka uphile uneentlungu.

Nokuba une-arthritis, ungaphila ubomi obuxakekileyo nobonwabisayo. Eyona nto ibalulekileyo kukuqonda ukuba awuwedwa kwaye ufumane iingcebiso kunye nonyango olufanelekileyo.

Thetha nogqirha wakho ngeendlela zokulawula iimpawu zakho ze-arthritis. Zinokukunceda uchithe ixesha elininzi usenza izinto ozithandayo kwaye unciphise ixesha olichitha uxinezelekile kwaye ungakhululeki.

I-arthritis ingabangela iintlungu kumalungu (amadolo, amanqe, umqolo, kunye naliphi na ilungu emzimbeni). Nangona kunjalo,Zama ukuhlala usebenza kangangoko unako. Buza ugqirha wakho malunga nonyango lomzimba okanye unyango lomsebenzi ukuze akuncede uhlale uqinile, usebenza, kwaye uzithembile kuyo yonke imisebenzi yakho yemihla ngemihla. Ungoyiki ukubuza imibuzo, kwaye ufumane imfundo. Emva koko ungaphila kakuhle nale meko!

I- Arthritis, iintlungu zamalungu, izifo zamalungu, i-osteoarthritis, i-rheumatoid arthritis, i-gout, ukudumba kwamalungu