Zingaphi izihlandlo esizisebenzisa ngazo iingalo zethu kwimisebenzi yemihla ngemihla? Cinga nje, ukuvula ibhotile yamanzi, ukuvula ucango, ukubhala, ukutya isidlo, ukusebenzisa ifowuni yethu... Sidinga iingalo zethu phantse kuyo yonke into esiyenzayo yonke imihla. Ngoko ke kuyacaphukisa kangakanani xa iingalo zethu ziqhubeka zibuhlungu, zidumbile, kwaye kunzima ukuzenza? Rhoqo, isifo samathambo sinokuba sisizathu esiphambili sale ntlungu ingapheliyo yengalo, ukudumba, kunye nokuqina. Makhe sithethe ngale nto namhlanje.
Kalula nje, yintoni isifo samathambo esihlathini?
I-arthritis kukukrweleka kancinci kancinci kwe-cartilage ngaphakathi kwamalungu ethu. Yicinge njengamalungu amabini omatshini. I-cartilage isebenza 'njengebhere' enceda la malungu mabini ukuba ahambe kakuhle ngaphandle kokukrwela kunye. Kwi-arthritis, le 'cushion' ebizwa ngokuba yi-cartilage iyaphela kwaye amathambo amabini aqala ukukrwela ngqo omnye komnye. Kulapho ke izinto ezifana nentlungu, ukudumba, kunye nokuqina kwamalungu kwenzeka khona.
Ingalo yethu ngokwenene lilungu elintsonkothileyo emzimbeni. Linamathambo amaninzi amancinci adibeneyo. Ngoko ke le meko ye-arthritis inokuchaphazela nayiphi na inxalenye yale lungu. Yimeko engapheliyo eqhubeka ngokuhamba kwexesha.
Ziziphi iintlobo ze-arthritis ezichaphazela isihlathi?
Kukho iintlobo ezahlukeneyo ze-arthritis ezichaphazela isihlahla. Zinokwahlulwa zibe ziindidi ezimbini eziphambili. Olunye luhlobo oluvela ngaphandle kokudumba. Olunye luhlobo oluvela ngokudumba.
Masiziqonde ngokucacileyo ezi ntlobo kwitheyibhile engezantsi.
| Uhlobo lwe-arthritis | Ingcaciso elula |
|---|---|
| Iintlobo ezenzeka ngaphandle kokuvuvukala | |
| I-Osteoarthritis | Olu lolona hlobo luxhaphakileyo. Ngamafutshane, kukuwohloka kwe-cartilage emalungeni ngokuhamba kwexesha. Kuxhaphake ngakumbi njengoko sikhula. Kuxhaphake kakhulu nakubantu abenza imisebenzi ebeka ubunzima obukhulu ezihlahleni zabo (umz., abachweli, abachweli) kwaye banokuba nale meko. |
| I-arthritis emva kwe-traumatic | Imeko eyenzeka xa i-cartilage esihlahleni yonakele emva kwengozi (umz., ukuwa, ingalo eyaphukileyo). Ngamanye amaxesha oku kunokuphucula ngokuhamba kwexesha, okanye kunokukhokelela kwi-osteoarthritis. |
| Iintlobo ezinxulumene nokuvuvukala | |
| Irheumatoid arthritis | Kulapho amajoni omzimba wethu ehlasela amalungu ethu ngempazamo. Oku kubangela ukudumba ngaphakathi kwamalungu kwaye kutshabalalise i-cartilage. Oku kudla ngokuchaphazela zombini izihlathi ngaxeshanye, kodwa kunokuchaphazela namanye amalungu emzimbeni. |
| Isifo samathambo se-Psoriatic | Abanye abantu abane-psoriasis banokuba nale meko ye-arthritis, ebangela ukudumba kwamalungu amancinci ezandla neenyawo. |
| Isifo samathambo esibizwa ngokuba yiSeptic arthritis | Xa intsholongwane okanye usulelo lwentsholongwane lungena emzimbeni, iintsholongwane ziyahamba ziye kwilungu zize zibangele ukudumba. Le yimeko engxamisekileyo neqatha. |
| Igawuthi | Xa amanqanaba e-uric acid emzimbeni esanda, iikristale ezincinci ezifana nenaliti ze-asidi ziyafakwa emalungeni. Oku kubangela iintlungu eziqatha kunye nokudumba. Idla ngokuchaphazela ubhontsi omkhulu kuqala, kodwa inokuchaphazela nesandla. |
Zithini iimpawu ze-arthritis yesandla?
Iimpawu zinokwahluka kancinci ngokuxhomekeke kuhlobo lwe-arthritis, kodwa kukho ezinye iimpawu eziqhelekileyo.
Uphawu oluphambili ziintlungu esihlahleni sonke.Kwi-osteoarthritis, oku kunokuvakala ngathi yintlungu ebuhlungu nengathandekiyo. Kwiimeko zokudumba ezifana ne-rheumatoid arthritis, kunokuba yintlungu ebukhali netshisayo.
Ngokwesiqhelo, iintlungu zinokwanda xa kusenziwa izinto ezinje:
- Xa uvula into efana nejam okanye ibhotile yamanzi
- Xa ujika isitshixo socango
- Xa uthayipha kwikhompyutha
- Xa usonga ilaphu
Ukongeza, ezi mpawu zinokubonwa:
- Ilungu lidumbile, libomvu, okanye livakala lifudumele xa ulichukumisa.
- Ukuqina kunye nentlungu xa ushukumisa okanye ugoba ingalo (ukunciphisa umgama wokunyakaza).
- Ukuziva uqinile kwaye uqinile kwilungu xa uvuka kusasa . Oku kuyehla kancinci kancinci njengoko usuku luqhubeka.
- Ukuziva ubuthathaka esandleni nasesihlahleni.
- Isandi esithi "ka-ka-ka" okanye "kiki-kiki" sivakala xa isihlakala sishukunyiswa.
- Usenokuba nemvakalelo yokurhawuzelelwa okanye ukurhawuzelelwa esihlahleni sakho. Oku kusenokuba kunxulumene nemeko ebizwa ngokuba yi-"Carpal tunnel syndrome."
Imeko efana ne-osteoarthritis inokuchaphazela isihlahla esinye kuphela. Nangona kunjalo, imeko yokuvuvukala efana ne-rheumatoid arthritis idla ngokuchaphazela izihlahla zombini ngaxeshanye . Amanye amalungu omzimba nawo anokuchaphazeleka. Ayisiyiyo loo nto kuphela, kodwa iimpawu eziqhelekileyo ezifana nomkhuhlane, ukudinwa, kunye nokurhawuzelelwa lusu nazo zinokuhamba nezi meko zokuvuvukala.
Ifunyanwa njani isifo samathambo?
Ukuba unezi mpawu, eyona nto ingcono onokuyenza kukubona ugqirha . Ugqirha uza kukubuza ngeempawu zakho aze ahlole isandla sakho. Baza kukujonga ukuba ungakwazi na ukugoba, ukolula, nokujikeleza isandla sakho. Baza kukujonga na ukudumba okanye ukukhubazeka.
Emva koko, iimvavanyo ezinje zingayalelwa ukuchonga ngokuchanekileyo uhlobo lwe-arthritis:
- I-X-reyi: Oku kungasetyenziselwa ukujonga ukuba isithuba esiphakathi kwamathambo esilungu siyancipha na, ukuguguleka kwe-cartilage, okanye umonakalo emathanjeni uyancipha.
- Uvavanyo lwegazi: Uvavanyo lwegazi lunokunceda ekujongeni iimpawu zokuvuvukala egazini, ingakumbi ukuba kukho imeko yokuvuvukala efana ne-rheumatoid arthritis erhanelwayo.
Ziziphi iindlela zonyango lwe-arthritis yesandla?
Kukho iinjongo ezimbini eziphambili xa unyanga isifo samathambo. Enye kukulawula iimpawu zakho (iintlungu, ukudumba) . Enye kukuyeka okanye ukunciphisa umonakalo ongakumbi kwilungu , ukuba kunokwenzeka. Oogqirha badla ngokuqala ngonyango olulula nolulula. Kuphela xa ezo mpawu zingazilawuli iimpawu apho badlulela kunyango oluphambili.
Unyango olulula onokuluzama kuqala
Ezi zizinto onokuzenza nokuba usekhaya.
1. Unyango olushushu/olubandayo:Zombini ezi ndlela zingasetyenziselwa ukunciphisa iintlungu. Ukuba ilungu lidumbile kwaye lifudumele, ukusebenzisa i-ice pack kuya kunciphisa ukudumba. Ukuba ilungu liqinile kusasa, ukulifaka emanzini ashushu okanye ukubamba isandla sakho esityeni samanzi afudumeleyo kunokunciphisa ukuqina kwalo.
2. Iipilisi zokunciphisa iintlungu: Ungasebenzisa iipilisi zokunciphisa iintlungu ezithengiswa ngaphandle kwemvume kagqirha ezifana neparacetamol okanye iziyobisi ezichasene nokuvuvukala ezingezizo iisteroid (NSAIDs) (umz., ibuprofen, idiclofenac). Iipilisi zokunciphisa iintlungu nazo zinokuba luncedo. Kodwa khumbula, kungcono rhoqo ukubonisana nogqirha wakho ngaphambi kokusebenzisa naliphi na iyeza.
3. Unyango lomzimba: Ingcali yonyango lomzimba ingakufundisa imithambo ethile yokunceda ukuqinisa isandla sakho nokwandisa ukuguquguquka. Ukuzilolonga rhoqo nokuthambileyo kunceda ukuphucula ukuhamba kwegazi kwiithishu ezijikeleze ilungu kwaye kuthintele ukuqina.
4. Tshintsha indlela oqhele ukwenza ngayo izinto: Nangona eminye imithambo ilungile, ukwenza uhlobo olufanayo lomsebenzi olubeka uxinzelelo esihlahleni sakho kunokwenza isifo samathambo sibe sibi ngakumbi. Ingcali yezonyango zomsebenzi inokukunika iingcebiso malunga nendlela yokutshintsha indlela oqhele ukwenza ngayo imihla ngemihla ukuze unciphise uxinzelelo esihlahleni sakho.
Unyango olukhethekileyo oluchazwe ngugqirha
Ukuba intlungu kunzima ukuyilawula ngonyango olulula, ugqirha wakho unokukuthumela kwezi ntlobo zonyango.
- Iinaliti zeCortisone: Ezi ziinaliti ze-steroid. Ezi naliti zifakwa ngqo esihlahleni. Zinika isiqabu esikhawulezileyo nesikhawulezileyo ekudumbeni nasentlungu. Nangona kunjalo, iziphumo zazo zezexeshana.
- Iinaliti zeplasma etyebileyo kwiPlatelet: Olu lunyango olutsha lwe-osteoarthritis. Lubandakanya ukuthatha iiplatelets egazini lakho uze uzifake kwakhona kwijoyinti. Ezinye izifundo zibonise ukuba oku kunokukhuthaza ezinye ze-cartilage eyonakeleyo ukuba zikhule kwakhona.
- Iipilisi ze-steroid ezithathwa ngomlomo: Ezi zisetyenziselwa ukulawula iimeko zokudumba ezifana ne-rheumatoid arthritis. Zithintela ukusebenza kwenkqubo yomzimba yokuzikhusela kwaye zinciphise ukudumba.
- I-DMARDS: Oku kumela "amayeza okuguqula izifo alwa namathambo". La ngamayeza akhethekileyo anikwa ukunyanga izifo ezihlasela amasosha omzimba ezifana ne-rheumatoid arthritis. Atshintsha indlela esi sifo sihamba ngayo aze anciphise umonakalo kumalungu.
Kusenokufuneka utyando.
Ukuba zonke ezinye iindlela zonyango azikwazi ukulawula iintlungu, okanye ukuba isifo samathambo sinzima kangangokuba kunzima ukwenza imisebenzi yemihla ngemihla, ugqirha unokucebisa utyando.
1. Ukususwa kwe-carpectomy yomqolo okufutshane:Oku kuquka ukususa amathambo amancinci amaninzi (amathambo e-carpal) esihlahleni abangela iintlungu. Oku kuvumela amathambo aseleyo ukuba ahambe ngokukhululeka ngaphandle kokuwaphazamisa.
2. Utyando lokudibanisa amalungu: Kule meko, iziqwenga zamathambo ezibuhlungu ziqiniswa kunye ngeepini kunye nezikrufu. Ekubeni amathambo elungisiwe, intlungu nayo iyanyamalala. Nangona kunjalo, emva koku, amandla okugoba nokujikelezisa isihlakala ayaphela.
3. I-arthroplasty yesandla: Oku kuquka ukususa ilungu elonakeleyo uze ulifake ilungu elenziwe ngesinyithi okanye iplastiki. Oku kunokunciphisa iintlungu kwaye kugcine intshukumo ethile yesandla.
Umyalezo Wokuya Ekhaya
- Musa ukuyityeshela intlungu engapheliyo, ukudumba, okanye ukuqina esihlahleni sakho. Isenokuba luphawu lokuqala lwe-arthritis.
- Kukho iintlobo ezahlukeneyo zesifo samathambo. Kubalulekile ukubona ugqirha ukuze ufumane ukuba loluphi uhlobo oluchanekileyo onalo kwaye ufumane ukuxilongwa okufanelekileyo.
- Abantu abaninzi bayakwazi ukulawula iintlungu zabo kakuhle baze baphile ubomi obuqhelekileyo ngonyango olulula (unyango lobushushu/lomkhuhlane, umthambo, iintlungu).
- Ukuba intlungu yakho iphazamisana nobomi bakho bemihla ngemihla, ungathandabuzi ukuthetha ngokukhululekileyo nogqirha wakho malunga neendlela zonyango ezikhoyo. Uza kukunceda wenze isigqibo esifanelekileyo, ngolwazi oluchanekileyo, nokuba kufuneka utyando.
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