Ngaba ngamanye amaxesha uziva intlungu esinqeni sakho xa uvuka kusasa okanye emva kokuhamba okwethutyana? Ngaba ukhe uzive 'unomsindo' xa uvuka esitulweni okanye uphuma emotweni? Le ntlungu yesinqe yingxaki abantu abaninzi abanayo. Ngamanye amaxesha yinto encinci, kodwa ngamanye amaxesha inokuba yinto efuna ingqalelo encinci. Ngoko ke namhlanje, masithethe ngokuba yintoni intlungu yesinqe, kutheni isenzeka, kunye nento enokwenziwa ngayo.
Yintoni kanye kanye intlungu yesinqe?
Ngamafutshane, ilungu lesinqe kulapho amathambo amabini emzimbeni wethu adibana khona. Ngokuchanekileyo, ithambo lethu lesinqe (i-femur) liqhagamshela kwi-pelvis (i-pelvis) kweli lungu lesinqe. Eli lelinye lamalungu amakhulu nanamandla emzimbeni wethu. Eli lungu lisinceda kakhulu xa sihamba, sibaleka, sithwala ubunzima, kwaye sigcina ibhalansi.
Ngoku, ngale ngongoma ibuhlungu, sinokufumana umbono ocacileyo wokuba ingxaki iphi. Khawucinge nje...
- Ukuba ivakala ngathi ingaphezulu kwesinqe, ikufutshane nolusu, kusenokwenzeka ukuba yingxaki yemisipha, imisipha, okanye imisipha.
- Ukuba intlungu ivakala ngathi ivela ngaphakathi, isenokuba ibangelwa yingxaki emathanjeni okanye kwi-cartilage.
- Ngamanye amaxesha iintlungu zesinqe zinokusasazeka nakwezinye iindawo, njengomqolo kunye nemisipha.
Le ntlungu ayihlali ihleli. Ingavela kuphela xa uhamba okanye usebenza ize iphele xa uphumle. Abanye abantu baneentlungu ezininzi kusasa. Kwabanye, iintlungu zinokuba zimbi ebusuku, ingakumbi xa belele kwicala elibuhlungu. Ngokwesiqhelo, iintlungu ezincinci zinokulawulwa ngamayeza asekhaya kunye neepilisi zokunciphisa iintlungu. Nangona kunjalo, ukuba iintlungu zinzima ngokwaneleyo ukuba zingaphazamisani nemisebenzi yakho yemihla ngemihla kwaye azipheli kwiintsuku ezimbalwa, ngokuqinisekileyo kuya kufuneka ubone ugqirha.
Zithini izizathu eziphambili zentlungu yesinqe?
Iintlungu zesinqe ziluphawu nje. Zininzi iimeko ezahlukeneyo ezinokubangela oku. Makhe sijonge ezona zizathu ziphambili.
| Isizathu | Kwenzeka ntoni ngale nto? | Imizekelo |
|---|---|---|
| Isifo samathambo | Imeko ebangela iintlungu kunye nokudumba kwamalungu. I-arthritis yelungu lesinqe ixhaphake kakhulu. | - I-Osteoarthritis - Irheumatoid arthritis - I-Ankylosing spondylitis |
| I-Bursitis | Intlungu ibangelwa kukudumba kwezingxobo ezincinci ezizaliswe lulwelo ezibizwa ngokuba yi-bursa ezijikeleze amalungu ethu. | - I-Iliopectineal bursitis - I-Trochanteric bursitis |
| Ukwenzakala | Intlungu ingabangelwa yinto eyonakalisa iindawo zesinqe. Oku kungenzeka kwiingozi okanye xa udlala imidlalo. | - Uxinzelelo lwemisipha yesinqe - Isifo sebhendi ye-Iliotibial - Iinyembezi ze-hip labral - Amathambo aqhekekileyo |
| Iimeko zesakhiwo | Abanye abantu banokuzalwa beneengxaki ezithile ngokuma kwezinqe zabo, nto leyo enokubangela iintlungu ebuntwaneni okanye kamva. | -I-Femoroacetabular impingement (FAI) - I-Dysplasia yophuhliso lwe-hip (DDH) |
Njengoko ubona, zininzi izizathu. Abantu abasebenzisa izinqe zabo kuzo zonke iindlela, njengabadanisi kunye nabadlali bejimnastiki, bathambekele kakhulu ekufumaneni olu hlobo lokulimala.
Uyiphatha njani le ntlungu yesinqe?
Unyango olufunayo luya kuxhomekeka kwisizathu sentlungu yakho kunye nobunzima bayo. Ugqirha wakho ngumntu ofanelekileyo ukwenza eso sigqibo.
Izinto onokuzenza ekhaya: Indlela ye-RICE
Le yeyona ndlela ilula nesebenzayo yokulungisa iingozi ezincinci ekhaya. `RICE` ngunobumba wokuqala wamagama amane.
- R - Ukuphumla:Yeka nantoni na ebangela intlungu, oko kukuthi, umsebenzi onzima, okwethutyana. Ukunika ilungu ixesha lokuphumla kuya kuyithintela ingozi ukuba ingabi mandundu.
- I - Umkhenkce: Songa ipakethe yomkhenkce okanye ilaphu elifakwe emanzini abandayo ngetawuli uze ulibeke kwindawo echaphazelekayo imizuzu eli-10-15. Yenza oku malunga neyure ngosuku lokuqala. Emva koko, kwenze rhoqo emva kweeyure ezi-3-4 kwiintsuku ezimbalwa ezizayo. Ungaze ubeke umkhenkce ngqo eluswini.
- C - Uxinzelelo: Oku kunceda ukunciphisa ukuhamba kwegazi nokulawula ukudumba. Sebenzisa ibhandeji yokucinezela, onokuyithenga kwikhemesti.
- E - Ukuphakama: Ukuba kunokwenzeka, phakamisa umlenze wakho phezu kwemiqamelo uze uwubeke ngaphezulu kancinci kwinqanaba lentliziyo yakho.
Izibulali-ntlungu (Amayeza)
Ugqirha wakho angakunika amayeza okulawula iintlungu kunye nokudumba. La aquka ii-NSAIDs ezithengiswa ngaphandle kwemvume kagqirha (iziyobisi ezichasene nokudumba ezingezizo ii-steroidal), ezifana ne-ibuprofen kunye ne-naproxen. I-Acetaminophen (iParacetamol) nayo iyasetyenziswa.
Kodwa khumbula, musa ukulisebenzisa eli yeza iintsuku ezingaphezu kwe-10 zilandelelana ngaphandle kokuthetha nogqirha wakho.
Ulungiso lwenyama
Ukuba unentlungu ngenxa yemeko efana ne-arthritis okanye ingxaki yesakhiwo, ugqirha wakho unokukuthumela kwingcali yezonyango. Baza kukufundisa imithambo kunye nokolula ukuze kuqiniswe izihlunu ezijikeleze isinqe sakho. Oku kuya kwandisa uzinzo lwesinqe kwaye kunciphise iintlungu.
Utyando
Ayinguye wonke umntu onentlungu yesinqe oya kufuna utyando. Nangona kunjalo, ukuba iintlungu zinzima kwaye ezinye iindlela zonyango azisebenzi, ugqirha wakho unokuqwalasela utyando.
- I-arthroskopiya yeSinqe: Olu lolona tyando luqhelekileyo. Lubandakanya ukwenza imingxunya embalwa emincinci eluswini nokufaka isixhobo esincinci esibizwa ngokuba yi-arthroscope, esinekhamera, ukuchonga nokulungisa umonakalo ongaphakathi.
- Ukutshintshwa kwesinqe: Kwezinye iimeko ezinzima, ingakumbi xa intlungu inzima kangangokuba ukuhamba okanye ukuma akunakwenzeka, i-hip arthroplasty inokufuneka. Oku kubandakanya ukususa ilungu elonakeleyo kwaye lifakwe ilungu elenziweyo (i-prosthesis).
Ngaba iintlungu zesinqe zingathintelwa?
Asinakuyithintela into efana nengozi ukuba yenzeke, kodwa kukho izinto esinokuzenza ukunciphisa umngcipheko.
Xa udlala imidlalo kwaye uzilolonga:
- Soloko uzifudumeza ngaphambi kokuba uqale umthambo wakho.
- Xa ugqibile ukuzilolonga, pholisa uze wolule umzimba.
- Gcina intlungu uze udlale uthi "kulungile" kwaye ungazilolongi.
- Nika umzimba wakho ixesha olifunayo lokuphola emva kokuzilolonga.
Ukuze ukhuseleke ngokubanzi, cinga ngezi zinto:
- Musa ukushiya izinto zithe saa ekhaya okanye emsebenzini ezinokubangela ukuba utyibilike uze uwe.
- Musa ukukhwela ezitulweni okanye etafileni ukuze ufikelele kwinto engaphezulu. Sebenzisa into efanelekileyo, njengeleli.
- Ukuba unengxaki yokuhamba okanye usemngciphekweni wokuwa, ungoyiki ukusebenzisa i-crutch (induku/i-walker).
Ufanele uye nini kugqirha?
Oku kubaluleke kakhulu.
Ukuba iintlungu zesinqe sakho azipheli, okanye ukuba zikuthintela ekwenzeni imisebenzi yakho yemihla ngemihla okanye nokwenza izinto ozithandayo, ngokuqinisekileyo kuya kufuneka ubone ugqirha ngokukhawuleza.
Ukuba ukhe waba nengozi, efana nengozi yemoto okanye ukuwa, okanye ukuba awukwazi ukushukumisa isinqe okanye umlenze wakho, okanye ukuba ucinga ukuba uphuke ithambo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko.
Nangona iintlungu zesinqe ziqhelekile, akufuneki uphile nazo. Ugqirha wakho unokuxilonga unobangela wentlungu yakho aze akunike unyango oludingayo ukuze ubuyele emsebenzini ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- Nangona iintlungu zesinqe ziqhelekile, musa ukuzityeshela. Iintlungu luphawu oluvela emzimbeni wakho.
- Ekubeni unyango luhluka ngokuxhomekeke kwisizathu sentlungu, kubaluleke kakhulu ukufumana unobangela ochanekileyo.
- Amayeza asekhaya afana nendlela ye-RICE anokunceda ekunciphiseni iintlungu ezincinci kunye nokudumba.
- Ukuba intlungu ayipheli kwiintsuku ezimbalwa, inzima, okanye iphazamisana nemisebenzi yemihla ngemihla, qiniseka ukuba ubona ugqirha wakho.
- Ukuba ufumana iintlungu eziqatha emva kwengozi okanye ukrokrela ukuba ithambo lakho liphukile, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Zeziphi izifo ezibekelwe iipilisi/iikhaphu zeFluvastatin (Fluvastatin / Lescol)?
Eli liyeza 'eliphezulu leCholesterol/Hyperlipidemia' (Statin)! Lisenokungabi namandla njenge-Atorvastatin, kodwa into ekhethekileyo ngalo kukuba liyeza elenzelwe ukunciphisa umngcipheko wokuvaleka kwakhona kwemithambo yegazi kubantu abaye bahlaselwa yintliziyo okanye utyando lwentliziyo (PTCA/Bypass). Kwakhona, alinazo iindlela ezininzi zokusebenzisana namayeza nezinye iziyobisi.
💬 Le pilisi ye-cholesterol (i-Fluvastatin) iyinyibilikisa njani i-cholesterol embi xa ingena emzimbeni wethu?
Umatshini oyintloko owenza i-cholesterol kwisibindi somzimba wethu ubizwa ngokuba yi-'HMG-CoA Reductase'. Kwakamsinya nje ukuba le pilisi ifikelele kwisibindi sethu, iimolekyuli zayo ezisebenzayo (ezithathwe ngokwendalo) ziyayivimba/ziyayivala loo matshini nge-100% (i-Enzyme Inhibition). Xa umatshini ucinyiwe, isibindi asinalo olunye ukhetho ngaphandle kokuqala ukufunxa i-cholesterol embi/i-LDL egazini lethu (Up-regulation of LDL receptors).
💬 Zeziphi iingozi eziyingozi kunye nemiphumo emibi ekufuneka uyiqaphele xa uthatha le pilisi ye-cholesterol (i-Fluvastatin)?
Nangona eli yeza lingenawo umngcipheko weziphumo ebezingalindelekanga, eyona ngozi inkulu yi-'Myopathy/Rhabdomyolysis'! Ukuba ufumana iintlungu zemisipha ezinganyamezelekiyo, ubuthathaka, kunye nomchamo omnyama, xelela ugqirha wakho ngokukhawuleza, kungenjalo izintso zakho zinokuyeka ukusebenza kwaye ungafa. Kwakhona, oku akuvumelekanga 'koomama abakhulelweyo' kunye nabo 'banezifo zesibindi'!
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