Ngaba ngamanye amaxesha ukhe ube neentlungu esinqeni, edolweni, okanye egxalabeni ezingapheliyo nokuba uthatha amayeza angakanani na? Usenokukufumanisa kunzima ukuhamba okanye ukunyuka izinyuko. Oku kusenokuba kungenxa yokuba igazi eliya kwinxalenye yethambo elingaphakathi kwelungu liyanqanyulwa, nto leyo ebangela ukuba life. Ngokwezonyango, sibiza oku ngokuthi yi-Avascular Necrosis (AVN) , okanye i-Osteonecrosis . Nangona igama lisenokuba nzima kancinci, kubalulekile ukuba uyiqonde le meko ngokulula.
Yintoni i-Avascular Necrosis (AVN)?
Ngamafutshane, le yimeko apho amathambo ethu "efuthanisekayo." Cinga ngayo, njengayo yonke iseli emzimbeni wethu, amathambo adinga ioksijini kunye nezondlo ukuze aphile, ahlale eqinile, kwaye akhule amatsha. Ezi ziziswa ligazi. Kwenzeka ntoni ukuba, ngesizathu esithile, ukuhamba kwegazi kwinxalenye yethambo kuyeka ngokupheleleyo okanye kakhulu? Njengokuba umthi ufa ngaphandle kwamanzi, loo nxalenye yethambo iqala ukufa kancinci kancinci ngaphandle kokufumana isondlo. Le yinto esiyibiza ngokuba yi-AVN.
Eli thambo lifileyo liba buthathaka ngokuhamba kwexesha, liqale ukuqhekeka, lize liqhekeke. Ukuba oku kwenzeka malunga nelungu, ilungu ngokwalo linokuqhekeka. Nangona le meko inokuchaphazela naliphi na ithambo emzimbeni, ixhaphake kakhulu kwezi:
- Ilungu lesinqe: Isiphelo esingaphezulu sethambo lesinqe.
- Idolo: Isiphelo esisezantsi sethambo lethanga.
- Ilungu legxalaba: Isiphelo esingaphezulu sethambo lengalo.
Oku akuyonto eyenzeka ngequbuliso. Yimeko eba mandundu kancinci kancinci ngokuhamba kwexesha. Ngoko ke, kubaluleke kakhulu ukuyichonga nokuyinyanga kwasekuqaleni .
Zithini iimpawu zale meko?
Iimpawu ze-AVN azibonakali ngequbuliso. Zikhula kancinci kancinci emva kweeveki, ngamanye amaxesha kwiinyanga. Kusenokungabikho ntlungu ekuqaleni. Nangona kunjalo, njengoko imeko isiba mandundu, ezi mpawu zinokuvela.
| Uphawu | Inkcazo |
|---|---|
| Intlungu yamalungu | Ekuqaleni, intlungu iqala kuphela xa ilungu liphantsi komthwalo, njengaxa ume okanye uhamba. Kamva, intlungu inokubakho nokuba ume nje okanye ulele ebusuku. |
| Ubunzima bokugoba nokwandisa ilungu | Kukho iintlungu kunye nokungakhululeki xa ugoba okanye ulula ilungu. Ilungu lisenokuvakala ngathi libambekile. |
| Ukuqhwalela | Ingakumbi ukuba isinqe okanye idolo lakho lichaphazelekile, ungazibona sele uqalisa ukuhamba uqhwalela. Le yinto eyenziwa ngumzimba wakho ukuze uphephe iintlungu. |
| Ubunzima ngemisebenzi yemihla ngemihla | Nezinto ezilula ezifana nokunyuka izinyuko, ukuma, nokuhamba ziba yimisebenzi enzima nenzima. |
Kutheni oku kusenzeka? Zithini izizathu?
Kukho izizathu ezahlukeneyo zokuba ukuhamba kwegazi emathanjeni kungayeka. Siza kuxoxa ngezi zizathu ngokuzahlulahlula zibe ziindidi ezimbini eziphambili.
Ngenxa yengozi (iTraumatic AVN)
Le yeyona nto ixhaphakileyo. Ukuba wenze ingozi enkulu waza waphuka ithambo (waphuka) okanye waqhekeza ilungu (waphuka), imithambo yegazi ebuthathaka ehambisa igazi ethanjeni inokonakala. Lo mngcipheko uphezulu kakhulu kwiimeko ezifana nokuqhekeka kwesinqe . Nje ukuba unikezelo lwegazi lunqanyulwe, ithambo liqala ukufa kancinci kancinci.
Ngenxa yezinye iimeko zonyango okanye izizathu (i-Nontraumatic AVN)
Le meko inokwenzeka ngaphandle kwengozi. Makhe sijonge ezinye zezizathu eziyichaphazelayo apha ngezantsi. Ukuba i-AVN ikhula ngenxa yeso sizathu, inokuchaphazela omabini amacala omzimba. Umzekelo, ukuba ichaphazela igxalaba lasekunene, kunokwenzeka ukuba negxalaba lasekhohlo liyachaphazeleka.
| Unobangela/Into ebangela umngcipheko | Ingcaciso elula |
|---|---|
| Ukusetyenziswa kwexesha elide kwe-steroid | Ii-corticosteroids , ezifana ne-Prednisone, zezona zibangela oku, kuba zinokunyusa amanqanaba e-lipid egazini kwaye zinciphise imithambo yegazi. |
| Ukusela utywala ngokugqithisileyo | Lo mngcipheko uphezulu nakwabo basela utywala kakhulu ixesha elide. Utywala bunokubangela ukwanda kwamafutha egazini kwaye buvale imithambo yegazi. |
| Ukutshaya | Ukutshaya kunokubangela ukuba imithambo yegazi inciphe kwaye kuphazamise ukuhamba kwegazi. |
| Iimeko ezithile zonyango | I-AVN inokubangelwa zizifo ezifana ne -sickle cell anemia, i-lupus , usulelo lwe-HIV , kunye nonyango lwemitha yomhlaza. |
| Ukufakelwa amalungu omzimba | Le ngozi ikwanyuswa nangamayeza (ingakumbi ii-steroids) anikwayo ukuthintela umzimba ukuba ungalamkeli ilungu emva kokufakelwa ilungu. |
| Isifo sokudakumba | Le yimeko enokwenzeka kubantu abantywila emanzini anzulu. Xa uvela ngokukhawuleza kakhulu, amaqamza omoya anokwakheka egazini lakho aze avale imithambo yegazi. |
Ugqirha uyifumana njani le nto?
Xa usixelela ngeempawu zakho, ugqirha uza kuqala akubuze ngembali yakho yezonyango, amayeza owasebenzisayo, kunye nendlela ophila ngayo (utywala, ukutshaya). Emva koko uza kuhlola umzimba wakho.
Kodwa eyona ndlela ilungileyo yokuqinisekisa esi sifo kukusebenzisa i-MRI (Magnetic Resonance Imaging) . Kunzima ukuyifumanisa le meko kwizigaba zokuqala nge-X-ray eqhelekileyo. Oku kungenxa yokuba utshintsho kwi-X-ray lubonakala kuphela emva kokuba kwenzeke umonakalo omkhulu kwithambo. Nangona kunjalo, i-MRI scan inokubona ukuhamba kwegazi okunciphileyo emathanjeni kwanotshintsho oluncinci kwithambo kwisigaba sokuqala.
Zithini iindlela zonyango zoku?
Unyango luxhomekeke kwizinto ezininzi, kuquka ubungakanani bomonakalo emathanjeni akho, inqanaba lesi sifo, ubudala bakho, kunye nempilo yakho iyonke. Iinjongo eziphambili zonyango kukuyeka ukonakala kwamathambo, ukunciphisa iintlungu, kunye nokugcina ukusebenza kwamalungu.
Unyango olungelulo utyando
Ukuba isifo sifunyenwe kwangethuba, ungazama ukusilawula ngaphandle kotyando ngezi zinto zilandelayo:
- Ukuphumla: Kuthwala ubunzima kwilungu elichaphazelekayo, oko kuthetha ukunciphisa ukuhamba, ukubaleka, nokutsiba kakhulu.
- Iintlungu: Izinto ezifana namayeza angengo-steroidal anti-inflammatory (NSAIDs) achazwe ngugqirha wakho zinokunceda ekunciphiseni iintlungu nokudumba.
- Unyango Lomzimba: Ukuzilolonga kuqinisa izihlunu ezijikeleze ilungu kwaye kunceda ukugcina ukuhambahamba kwamalungu.
- Izixhasi ezifana neentonga: Ukuba isinqe okanye idolo lichaphazelekile, ukusebenzisa iintonga kunokunciphisa ubunzima kwilungu.
- Iipakethi zobushushu/zobushushu: Ezi zinokunceda ekunciphiseni iintlungu okwethutyana.
Unyango lotyando
Ukuba umonakalo kwithambo mkhulu, okanye ukuba unyango olungasentla alunakuwulawula, utyando lunokufuneka.
| Utyando | Kwenzeka ntoni kuyo? |
|---|---|
| Ukunciphisa uxinezeleko olungundoqo | Oku kuquka ukugqobhoza umngxuma omnye okanye ngaphezulu (ii-cores) kwithambo elonakeleyo. Oku kunciphisa uxinzelelo ngaphakathi kwithambo, kuvumela imithambo yegazi emitsha ukuba yakheke kwaye kuphucule ukuhamba kwegazi. Oku kusebenza kakuhle kwizigaba zokuqala zesifo. |
| Ukufakelwa Kwamathambo | Ithambo elifileyo liyasuswa ngotyando kwaye endaweni yalo kufakwe ithambo eliphilileyo elivela kwenye inxalenye yomzimba wakho okanye ithambo elivela kumnikeli. |
| Ukutshintshwa Kwamalungu | Ukuba umonakalo kwithambo unzima, okanye ilungu ngokwalo liwile, ilungu elonakeleyo lisuswa ngokupheleleyo kwaye endaweni yalo kufakwe ilungu elenziwe ngesinyithi okanye iplastiki. Ukutshintshwa kweHip/Knee kudla ngokwenziwa. |
Ikamva limphathele ntoni umntu one-AVN?
Into yokuqala ekufuneka uyitsho kukuba i-Avascular Necrosis ayisosifo esisongela ubomi . Ayiyi kuchaphazela ubomi bakho. Nangona kunjalo, inokuba nefuthe elikhulu kumgangatho wobomi bakho. Intlungu inokwenza kube nzima ukwenza imisebenzi yemihla ngemihla, ukuhamba, kunye nokusebenza.
Kwakhona, xa i-AVN ibangela umonakalo emathanjeni, i-cartilage ekwilungu inokonakala, nto leyo ekhokelela kwi -osteoarthritis enzima. Kwiimeko ezinjalo, utyando lokutshintshwa kwamalungu ekugqibeleni lunokufuneka.
Ndifanele ndimbone nini ugqirha?
Le yeyona nxalenye ibalulekileyo. Abantu abaninzi abayinaki intlungu yamalungu, becinga ukuba yinto eqhelekileyo. Nangona kunjalo, ukuba unezi mpawu, ngokuqinisekileyo kuya kufuneka ubone ugqirha.
Ukuba unentlungu xa uhamba okanye ushukumisa umzimba wakho, kwaye ayipheli nokuba sele uphumle okanye usele amayeza okudambisa iintlungu, okanye ukuba uziva ngathi uyaqhwalela ngaphandle kwesizathu, bona ugqirha ngokukhawuleza kwaye ucele ingcebiso.
Khumbula, ukuba imeko efana nale ikhawuleza ukubonwa, kokukhona unyango lunokuba nempumelelo, kokukhona umonakalo emathanjeni ungancipha, kwaye umgangatho wobomi bakho ungagcinwa ngcono.
Umyalezo Wokuya Ekhaya
- I-Avascular Necrosis (AVN) kuxa ukuhanjiswa kwegazi emathanjeni kuyeka, nto leyo ebangela ukuba amathambo afe.
- Izihlunu, idolo, kunye namalungu egxalaba zixhaphake kakhulu.
- Uphawu oluphambili ziintlungu zamalungu ezikhula kancinci kancinci kwaye azipheli nokuba sele uphumle.
- Oku kunokubangelwa ziingozi, ukusetyenziswa kwee-steroid ixesha elide, ukusela utywala ngokugqithisileyo, kunye neemeko ezithile zempilo.
- Ukuba unentlungu yamalungu engachazekiyo okanye uqhwalela, musa ukuyityeshela kwaye ngokuqinisekileyo bonana nogqirha.
- Ukufunyanwa kwangethuba kunye nonyango kunokuthintela ukuba isifo singabi mandundu.
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