Isifo samathambo sesandla: Masithethe ngezizathu, iimpawu, kunye nonyango ngokulula!

Ngaba uziva uqinile kancinci kwiminwe yakho xa uvuka kusasa, kwaye kunzima ukuyigoba okanye ukuyilungisa? Okanye uziva intlungu okanye ukutsha kwamalungu akho kunye nezandla zakho ngokuhlwa emva kokwenza imisebenzi emincinci imini yonke? Usenokucinga ukuba oku yinto nje eyenzekayo ngenxa yokudinwa. Nangona kunjalo, ezi zinokuba ziimpawu zokuqala ze- arthritis yesandla . Ekubeni abantu abaninzi bengazi kakuhle oku, namhlanje siza kuthetha ngako ngokweenkcukacha nangokulula.

Yintoni isifo samathambo sesandla? Masiyiqonde ngokulula!

Ngamafutshane, isifo samathambo sisifo esihlasela izicubu ezikumalungu akho. Yintoni ilungu? Kulapho amathambo amabini adibana khona. Kufana neehinges emnyango. Isifo samathambo singonakalisa ulwelo lwelungu okanye i -cartilage ethambileyo, ethambileyo egubungela iziphelo zamathambo. Cinga ngaso njengesandi esenziwa yimoto yakho xa iindawo zenjini yemoto yakho zidibana. Xa le cartilage iphela, iziphelo zamathambo ziyavela kwaye ziqale ukukhuhlana. Kulapho ke kuvela khona intlungu, ukudumba, kunye nokuqina. Ekubeni izandla zethu zinamalungu amaninzi amancinci, isifo samathambo sinokwenzeka kakhulu ezandleni. Ekuhambeni kwexesha, oku kunokwenza kube nzima kuwe ukwenza imisebenzi yakho yemihla ngemihla.

Ziziphi iintlobo ze-arthritis ezichaphazela izandla?

Ewe, kukho iintlobo ezahlukeneyo ze-arthritis, kodwa masithethe ngeentlobo ezintathu eziphambili ezichaphazela kakhulu izandla.

1. I-Osteoarthritis - isifo samalungu esiwohlokayo

Olu lolona hlobo luqhelekileyo lwe-arthritis. Abanye abantu balubiza ngokuba "kukwaphuka kwamalungu." Kwi -osteoarthritis, i-cartilage endikhankanye ngayo ngaphambili iyaphela kancinci kancinci ize iqhekeke. Emva koko iziphelo zamathambo ziyagudlana ngaphandle kokuzikhusela. Yiyo loo nto izinto ezifana nentlungu, ukuqina, kunye nobunzima bokuhamba zisenzeka ngokuhamba kwexesha.

Cinga ngayo, oku kufana namacandelo omatshini osetyenziswa rhoqo aphela ngokuhamba kwexesha.

I-osteoarthritis idla ngokuchaphazela isihlathi sakho, isiseko sobhontsi wakho, kunye namalungu aphakathi kwentloko yakho kunye neenzipho. Ekuhambeni kwexesha, unokuba neempumlo ezincinci zamathambo kumalungu eminwe yakho.

2. I-Rheumatoid Arthritis - Ukudumba okuvela ngaphakathi emzimbeni

I-rheumatoid arthritis sisifo sokuvuvukala esahlukileyo kancinci, esingapheliyo. Sibandakanya ukudumba kwengqiniba yamalungu, ebizwa ngokuba yi-synovium . Sisifo esibangelwa kukuzimela komzimba.Oko kukuthi, inkqubo yomzimba wakho yokuzikhusela ihlasela ngempazamo izicubu zakho eziphilileyo. I-synovium engaphakathi kwamalungu ethu ivelisa i-lubricant enceda ukuba zishukume ngokulula. Kwi-rheumatoid arthritis, xa le synovium ivuvukala, iintlungu, ukuqina, kunye nobunzima bokuhamba kwenzeka. Ekuhambeni kwexesha, oku kuvutha kuyayonakalisa i-cartilage kwaye ithambo ngokwalo liqala ukuguguleka. Imisipha kunye ne-ligaments ezijikeleze amalunga ziba buthathaka kwaye zoluleke, nto leyo enokubangela ukuba imo kunye nendawo yamalungu itshintshe. I-rheumatoid arthritis idla ngokuchaphazela amalunga amancinci ezihlahleni, ezandleni, nakwiminwe. Okukhethekileyo kukuba idla ngokuchaphazela amalunga afanayo kumacala omabini omzimba. Umzekelo, ukuba une-arthritis kwiminwe yesandla esinye, kunokwenzeka ukuba ichaphazele neminwe yesinye isandla.

3. Isifo samathambo se-Psoriatic - Iingxaki zamalungu ezibangelwa zizifo zolusu

Usenokuba ukhe weva ngesifo sesikhumba i-psoriasis . I-Psoriatic arthritis luhlobo lwe-arthritis oluvela kwabanye abantu kunye ne-psoriasis. Ibangela ukudumba kweminwe, iintlungu zamalungu, kunye nokuqina kusasa. Kwiimeko ezininzi, iimpawu zifana ne-rheumatoid arthritis. Nangona kunjalo, ngamanye amaxesha inokuchaphazela iminwe embalwa kuphela.

Leliphi icala lesandla elichaphazeleka kakhulu yile arthritis?

Kukho iindawo ezine eziphambili zesandla ezichaphazeleka yi-arthritis:

• Isiseko sobhontsi: Kulapho ubhontsi uqhagamshela khona esihlahleni.
• Iiknuckles: Amalungu avelayo xa isandla sibambene.
• Amalungu aphakathi eminwe.
• Amalunga aphezulu eminwe: Oko kukuthi, amalunga akufutshane nezinzipho.

Ngubani onokuthi abe nesifo samathambo ezandleni?

Abanye abantu banamathuba amaninzi okuba nesifo samathambo kunabanye. Jonga ukuba ezi nyaniso ziyasebenza na kuwe:

• Ukukhula kweminyaka: I-Osteoarthritis idla ngokuba yinto eqhelekileyo emva kweminyaka engama-50. I-rheumatoid arthritis inokuqala ukubonakala phakathi kweminyaka engama-35 nama-50.
• Ukuba ngumfazi: Abafazi banamathuba amaninzi okufumana isifo samathambo kunamadoda.
• Ukuba ngumlungu: (Le yinyani ekhankanyiweyo ngokwedatha yangaphandle.)
• Ukutyeba okanye ukunyuka kobunzima : Njengoko ubunzima bomzimba busanda, uxinzelelo olungakumbi lubekwa kumalungu.
• Ukwenzakala kwesandla kwangaphambili: Ukuqhekeka , ukutsalwa, okanye ukwaphuka kwesandla okanye iminwe yakhoUkuba unayo, usenokuba nesifo samathambo kamva. Umzekelo, ukuba ubetha isandla sakho ngamandla ngelixa udlala imidlalo okanye usebenza, oko kungayichaphazela.
• Impembelelo yemfuza : Ukuba iintlobo ezithile zesifo samathambo zifumaneka kusapho lwakho, usenokuba nesifo samathambo esinokubangela ukuba sibe naso.

Zithini iimpawu zesifo samathambo esisandla?

Kulungile ukuba nononophelo kancinci ngezi mpawu.

Iimpawu ezinokubonakala kwizigaba zokuqala:

• Intlungu ebuhlungu okanye evuthayo emalungeni: Le ntlungu inokubakho kwiiyure ezimbalwa okanye ngosuku olulandelayo, ingakumbi emva kosuku lomsebenzi onzima wezandla. Ungaziva ngolu hlobo emva kosuku lomsebenzi onzima wasekhitshini okanye ukucoca indlu.
• Intlungu yengalo/isandla sakusasa kunye nokuqina: Xa uvuka kusasa, ingalo yakho isenokuvakala iqinile okwethutyana, nto leyo eyenza kube nzima ukugoba.
• Ukudumba kwamalungu esandleni/ezingalweni.

Ezi mpawu zinokuba nzima ngakumbi njengoko isifo samathambo siqhubeka:

• Iimpawu ziya zisanda .
• Intlungu ingaqala kwintlungu ebuhlungu ukuya kwintlungu ebukhali nehlabayo .
• Usenokuvuka nasebusuku ngenxa yentlungu .
• Intlungu inokubangela ukuba utshintshe indlela osebenzisa ngayo isandla sakho . Umzekelo, ungasebenzisa indlela eyahlukileyo yokuphakamisa ubunzima okanye ukubamba isiphatho.
• Izicubu ezijikeleze ilungu elichaphazelekayo zinokuba bomvu kwaye zibe buhlungu xa uzichukumisa .
• Usenokuva okanye uve isandi "sokuklikha" okanye sokuqhekeka ( crepitus ) xa ugoba iminwe yakho.
• Usenokungakwazi ukolula iminwe yakho ngokupheleleyo .
• Amaqhuma amancinci amathambo abizwa ngokuba ngamaqhuma kaBouchard kunye namaqhuma kaHeberden anokubonakala kwiindawo eziphakathi zeminwe.
• Amalungu eminwe anokukhula , aguquguquke, aze oluleke . Oku kunokwenza izandla zibe buthathaka kwaye kube nzima kakhulu ukwenza imisebenzi yemihla ngemihla .

Ufumana njani ugqirha we-arthritis esandleni?

Ukuba unale mpawu, kungcono ukubona ugqirha. Ugqirha uza kuhlola isandla sakho aze akubuze ngeempawu zakho. Ukongeza:

• Ii-X-reyi: I-X-reyi ingasetyenziselwa ukubona ukuba i-cartilage emathanjeni igugile na kwaye kukho ukukhula kwamathambo amatsha eziphelweni zamathambo (i-bone spurs).
• Uvavanyo lwegazi: Uvavanyo lwegazi lwenziwa ukujonga izinto ezithile egazini, ezifana ne -rheumatoid factor , ingakumbi ukuba kukho i-rheumatoid arthritis erhanelwayo.

Ziziphi iindlela zonyango lwe-arthritis yesandla?

Iindlela zonyango zixhomekeke kuhlobo lwesifo samathambo onaso, inqanaba lesi sifo, ukuba mangaphi amalungu achaphazelekileyo, ubudala bakho, ukuba usebenza kangakanani, nokuba isandla sakho esilawulayo sichaphazelekile na, kunye nazo naziphi na ezinye iimeko zempilo onazo.

Iinjongo eziphambili zonyango zezi:

• Ukunciphisa iintlungu nokuqina kwamalungu.
• Ukuphucula ukuhamba kwamalungu kunye nokusebenza kwawo.
• Ukuphucula umgangatho wobomi bakho.
• Kwiimeko ezifana ne-rheumatoid arthritis okanye i-psoriatic arthritis, kulawula ukuqhubela phambili kwesi sifo.

Iindlela zonyango ziquka ukutywina/ukuxhoma imilenze , amayeza , inaliti , iindlela ezingezizo ezonyango , kunye notyando .

1. Ukunxiba ii-splint okanye ii-braces

Ezi zibonelela ngenkxaso kunye nokhuselo kwilungu elichaphazelekileyo. Zikwanceda ekunciphiseni ukukhubazeka kwamalungu, ukuzinzisa ilungu, ukunciphisa uxinzelelo kwilungu, kunye nokugcina ilungu likwindawo efanelekileyo. Ugqirha wakho, ingcali yezonyango, okanye ingcali yezandla inokukunika iingcebiso nge-slint efanelekileyo kuwe, indlela yokuyinxiba, kunye nexesha elingakanani lokuyinxiba. Ukuzinxiba ixesha elide kunokubangela ubuthathaka bemisipha.

2. Amayeza

Ugqirha wakho unokukunika amayeza okunciphisa iintlungu kunye nokudumba kwamalungu, kunye nokuthintela umonakalo ongakumbi kumalungu akho kwiimeko ezifana ne-rheumatoid okanye i-psoriatic arthritis. Ungazama amayeza ahlukeneyo ngokuxhomekeke kuhlobo kunye nobunzima be-arthritis yakho.

• I-Acetaminophen: Le yindlela yokunciphisa iintlungu.
• Amayeza Angalwiyo Nee-steroidal Alwa Nokuvuvukala (NSAIDs): La anciphisa iintlungu nokudumba. Imizekelo ibandakanya ibuprofen , i-diclofenac , i-naproxen , kunye ne -celecoxib . Iikhrimu ze-NSAID ezisetyenziswa kwiindawo ezingaphandle kwesikhumba zihlala zicetyiswa kuqala kwi-osteoarthritis.
• Amayeza okulwa namathambo atshintsha izifo (ii-DMARD): La mayeza alawula ukuqhubela phambili kwesifo samathambo kwaye anciphise iimpawu. Imizekelo: iMethotrexate , iHydroxychloroquine .
• IiCorticosteroids: Ezi zisetyenziswa njengeepilisi ezithathwa ngomlomo, njengeenaliti kwisihlunu, okanye njengeenaliti emthanjeni. Zinciphisa ukudumba kunye nezinye iimpawu zesifo samathambo.
• Amayeza okunciphisa umzimba:Ezi zilawula ukuqhubela phambili kwesifo samathambo kwaye zinciphisa umonakalo emathanjeni ajikeleze amalungu.
• Ii-Biologic Agents: Ezi zinceda ekulawuleni umonakalo wamalungu kwi-rheumatoid arthritis. Imizekelo: I-Adalimumab (Humira®) , i-Etanercept (Enbrel®) .

Kubalulekile: Kwanamayeza athengiswa ngaphandle kwemvume kagqirha akufuneki asetyenziswe ngaphandle kokubonisana nogqirha, kuba anokuchasana namanye amayeza osenokuba uwasebenzisa okanye ezinye iingxaki zempilo onokuba unazo.

3. Iinaliti zeSteroid

Ii-steroids luhlobo lwamayeza anciphisa ukudumba kwaye anciphise iintlungu. Ezi naliti zihlala zisetyenziswa xa ukudumba kungenakulawuleka ngamayeza, okanye xa ukudumba kulinganiselwe kumalungu ambalwa. Ezi naliti zifakwa ngqo kwilungu elichaphazelekayo. Nangona kunjalo, ngenxa yokuba ii-steroids zinokwenza buthathaka imisipha kunye nemisipha, ezi naliti azisetyenziswa rhoqo, zisetyenziswa izihlandlo ezimbalwa kuphela.

4. Amanye Amaqhinga Olawulo

Isicwangciso sonyango esipheleleyo siquka:

• Ukuzilolonga: Ukuzilolonga ukuqinisa amalungu kunye nokolula umzimba kunokunceda ukunciphisa iimpawu kunye nokuphucula ukusebenza kwawo. Ingcali yezonyango ingakunceda ubone ukuba loluphi uhlobo lokuzilolonga olufanelekileyo kuwe.
• Iipakethi ezishushu nezibandayo: Iipakethi ezibandayo zinokunciphisa iintlungu nokudumba. Iipakethi ezishushu zinokunciphisa ukuxinana. Musa ukuzifaka ngaphezu kwemizuzu engama-20 ngexesha.
• Ukuphumla: Ukuthabatha ikhefu rhoqo kunokunceda ukunciphisa iintlungu kunye nokudumba kwamalungu.
• Ukutya okunempilo kunye nokulawula isifo seswekile kunye ne-cholesterol.
• Yehlisa umzimba ukuba utyebile kakhulu.
• Kuphephe ukutshaya: Ukutshaya kwandisa umngcipheko wokuba nesifo samathambo.
• Unyango lomsebenzi: Ungafunda indlela yokusebenzisa izixhobo zokuzinceda ukuze zikuncede kwimisebenzi yemihla ngemihla, njengokunxiba okanye ukwenza imisebenzi yasekhaya ekhitshini.

5. Utyando - njengesisombululo sokugqibela

Ukuba amayeza kunye nezinye iindlela zonyango aziniki ncedo, kwaye i-cartilage ekupheleni kwethambo iphelelwe ngokupheleleyo, utyando lunokucingelwa. Kukho iintlobo ezininzi eziphambili zotyando:

• Ukuhlanganiswa kwamalungu (i-Arthrodesis): Olu tyando lusebenzisa ipleyiti kunye neepini ukudibanisa amathambo kwilungu lakho. Oku kukunika ilungu elizinzileyo nelingenantlungu, kodwa kunciphisa amandla akho okushukumisa ilungu ngendlela eguquguqukayo.
• Ukutshintshwa kwamalungu (i-Arthroplasty):Njengokuba amalungu afana namadolo nezinqe enokutshintshwa, amalungu asesandleni nawo anokutshintshwa. Ilungu elenziwe ngeplastiki, iseramikhi, isilicon, okanye isinyithi lisetyenziselwa ukutshintsha ilungu elonakeleyo. Kodwa khumbula, amalungu afakwe kwiminwe awafanisi ngokupheleleyo intshukumo yeminwe eqhelekileyo.
• Ukudluliselwa kwemisipha: Imisipha ziithishu ezidibanisa izihlunu namathambo. Ukudumba kwexesha elide okubangelwa yi-arthritis kunokubangela ukuba imisipha iqhekeke. Ukuba oku kuyenzeka, icandelo lemisipha ephilileyo lingasetyenziselwa ukubuyisela ukusebenza kwesandla sakho.

Wena kunye nogqirha wakho niza kuxoxa nize nigqibe ukuba loluphi utyando olulungele nina, nithathela ingqalelo izinto ezifana nobudala benu, inqanaba lomsebenzi wenu, amalungu achaphazelekileyo, kunye nobungakanani bentlungu kunye nokukhubazeka eninako.

Yintoni onokuyilindela emva kotyando lwesandla?

Emva kotyando, kuya kufuneka unxibe isamente okanye i-splint ukukhusela isandla sakho ngelixa siphola. Ugqirha wakho angakuthumela kwingcali yezandla. Banokukunika amayeza okudambisa iintlungu okwethutyana elithile ukunceda ukunciphisa iintlungu.

Ngaba kukho naziphi na iingxaki ngotyando lwesandla?

Njengalo naluphi na utyando, utyando lwesandla lunokuba neengxaki ezithile. Umzekelo:

• Ukuhambahamba akuphucuki njengoko bekulindelwe.
• Ukufuneka kutshintshwe i-implant ngenxa yokwaphuka okanye ukuguguleka.
• Amathambo angadibani okanye angadibani kakuhle ngexesha lotyando lokudibanisa amathambo.

Kuthatha ixesha elingakanani ukuchacha emva kotyando?

Ixesha lokuchacha lixhomekeke kwizinto ezininzi, kuquka ubukhali bemeko yakho, uhlobo lotyando olwenziweyo, ubuchule bogqirha, kunye nendlela olandela ngayo unyango. Ngokwesiqhelo ungabuyela kwimisebenzi eqhelekileyo malunga neenyanga ezintathu emva kotyando lokwakha amalungu. Iqela lakho lezonyango liza kukunika umbono ongcono wexesha lokuchacha elilungele wena.

Ngaba ujonge unyango olutsha?

Ewe, kukho iimvavanyo ezininzi zonyango ezenzekayo e-US, ingakumbi kwi-osteoarthritis, kwizinto ezifana nonyango lwee-stem cell. Iziphumo zokuqala ziyakhuthaza. Kwakhona, kwiminyaka elishumi edlulileyo, amayeza amaninzi amatsha afunyenwe kwi-psoriatic arthritis kunye ne-rheumatoid arthritis, kwaye uphando olongezelelweyo luyaqhubeka.

Ngaba iipilisi zeGlucosamine kunye neChondroitin zilungile?

Ezi zongezo azihlolwa kwaye azivunywa ziiarhente ezifana ne-U.S. Food and Drug Administration (FDA). Oku kuthetha ukuba azikho phantsi kovavanyo oluqatha lweklinikhi olufana nolwamayeza aqhelekileyo. Nangona ezinye iimvavanyo zeklinikhi zibonise ukuba zinokuba luncedo ekunciphiseni iintlungu, azikabonakali ukuba ziyayicothisa inkqubela ye-osteoarthritis. Ukuba ucinga ngokusebenzisa into efana nale, qiniseka ukuba ubuza ugqirha wakho. Zisenokusebenzisana namanye amayeza owasebenzisayo.

Ngaba isifo samathambo ezandleni singathintelwa?

Ngelishwa, isifo samathambo asinakuthintelwa ngokupheleleyo. Nangona kunjalo, ungaziqwalasela iimpawu zesifo samathambo njengoko ukhula. Ukuba ubona naluphi na utshintsho kumalungu akho, bona ugqirha ngoko nangoko. Ungathabatha amanyathelo okulawula ezinye izinto ezinokubangela umngcipheko:

• Yitya ukutya okunesondlo: Nika umzimba wakho izondlo ozifunayo kwaye ugcine ubunzima obusempilweni. Ukuba nobunzima obukhulu (i-BMI engaphezulu kwama-25) kubeka uxinzelelo olungakumbi kumalungu akho.
• Musa ukutshaya: Ukutshaya kwandisa umngcipheko wokuba nesifo samathambo.

Ngoko ke, yintoni esifanele siyikhumbule koku? (Umyalezo Wokubuyela Ekhaya)

Ukuba unentlungu ebuhlungu okanye evuthayo kumalungu esandla sakho, ukuqina kwasekuseni, okanye ukudumba kwamalungu akho, ezi zinokuba ziimpawu ze-arthritis. Njengoko sele sixoxile, iintlobo ezahlukeneyo ze-arthritis zinokuchaphazela izandla.

Eyona nto ingcono onokuyenza kukufuna iingcebiso zonyango ngokukhawuleza ukuba unale mpawu. Ugqirha uza kukuxilonga kakuhle aze akunike isicwangciso sonyango esifanelekileyo kuwe.

Eso sicwangciso sonyango sinokubandakanya izinto ezifana nokuzilolonga ngezandla, iipakethi ezishushu nezibandayo, kunye notshintsho kwindlela yokuphila, kunye namayeza, ii-splints/braces, i-steroid injections, kwanotyando njengesisombululo sokugqibela. Khumbula, nangona kungekho nyango lwe-arthritis, usenokukwazi ukulawula iimpawu zakho kwaye uphile ubomi obuhle. Ngoko ke ungoyiki, kwaye ulandele icebiso likagqirha wakho.

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I-arthritis yesandla, iintlungu zamalungu, i-osteoarthritis, i-rheumatoid arthritis, iintlungu zesandla, ukudumba kwamalungu, unyango lwe-arthritis