Ucinga ukuba kuyinto eqhelekileyo ukuba amadolo akho abuhlungu njengoko ukhula? Okanye uva isandi 'esiqhekekayo' xa uhamba ngezinyuko okanye uvuka emva kokuhlala okwethutyana? Le ntlungu nokuqina kwayo kungaba luphawu lwe-osteoarthritis. Namhlanje, siza kuthetha ngokufutshane ngale ngxaki abantu abaninzi abanayo, oko kukuthi, i-knee osteoarthritis .
Yintoni kanye kanye iKnee Osteoarthritis?
Ngamafutshane, i-knee osteoarthritis kukwaphuka kwesigqubuthelo sokukhusela esibizwa ngokuba yi-cartilage kwi-knee joint yakho ngokuhamba kwexesha. Cinga nge-knee joint yakho njengento ethintela ukuthuthumela emotweni. Yile cartilage efunxa uxinzelelo xa sibaleka, sitsiba, kwaye sihamba, inceda amathambo kwi-joint ashukume kakuhle ngaphandle kokukhuhlana.
Ekuhambeni kwexesha, ingxaki iqala xa le 'shock absorber', oko kukuthi, i-cartilage, iphela. Xa i-cartilage iphela, amathambo aqala ukukhuhlana. Kulapho ke kuvela khona iimpawu ezifana nentlungu, ukudumba, kunye nokuqina kwamadolo . Oku akuyonto eyenzeka ngobusuku obunye, kodwa yimeko ekhula kancinci kancinci ngokuhamba kwexesha.
Into ebalulekileyo kukuba i-osteoarthritis ayisosifo esinokunyangeka ngokupheleleyo. Kodwa ungakhathazeki. Kukho unyango oluninzi olusebenzayo kunye notshintsho kwindlela yokuphila olunokunceda ukulawula iimpawu kunye nokuthintela imeko ukuba ingabi mandundu.
Ngaba kukho amanqanaba ale meko?
Ewe, ngenxa yokuba le meko ibuhlungu edolweni ikhula kancinci kancinci, oogqirha bayahlulahlula ibe ngamanqanaba ahlukeneyo ukuchaza ubukhali bayo. Oku kuya kukunceda uqonde imeko yakho.
| Iqonga | Imeko kunye nemvakalelo |
|---|---|
| Inqanaba loku-1 (eliNcinci) | Eli linqanaba lokuqala. I-cartilage isaqala ukuphola. Usenokungaziva ntlungu. |
| Inqanaba lesi-2 (Eliphantsi) | Ngoku uqala kancinci kancinci ukuziva iintlungu nokuqina edolweni lakho, kodwa i-cartilage ayikagugi ngokwaneleyo ukuba amathambo akhuhlane. |
| Inqanaba lesi-3 (Eliphakathi) | Okwangoku, i-cartilage eninzi iphelile. Intlungu ivakala ngakumbi xa ubaleka, uhamba, kwaye ugoba idolo. Idolo livakala liqinile xa ume emva kwexesha elide. |
| Inqanaba lesi-4 (Elinzima) | Le yeyona meko imbi kakhulu. I-cartilage iphantse yaphela. Amathambo ayakhuhlana, nto leyo ebangela iintlungu eziqatha, ukuqina, kunye nobunzima bokuhamba. Kweli nqanaba, ugqirha unokucinga ngotyando lokutshintsha idolo. |
Ngaba nawe unazo ezi mpawu?
Nangona iintlungu ziluphawu oluphambili lwe-osteoarthritis yamadolo, kukho ezinye iimpawu ezininzi. Jonga ukuba ezi ziqhelene nawe na.
- Intlungu yedolo : Intlungu ingenzeka kungekuphela nje xa ufaka ubunzima okanye uhamba, kodwa ngamanye amaxesha nokuba uhleli nje.
- Ukuqina kwedolo: Usenokuziva uxinezelekile okanye ungakwazi ukugoba okanye ukolula idolo lakho, ingakumbi xa uvuka kusasa okanye emva kokuma ixesha elide.
- Ukudumba: Idolo libonakala lidumbile kwaye lidumbile.
- Isandi sokuqhekeka: Xa ugoba okanye ulungisa amadolo akho, uva isandi sokuqhekeka, ukugquma ngaphakathi.
- Ukungazinzi: Idolo livakala ngathi alinabomi, ngokungathi "liyaphela" xa lime, oko kuthetha ukuba liyagoba ngaphandle kokulawula.
- Ukutshixa idolo: Xa uzama ukushukumisa idolo lakho, ngequbuliso livakala ngathi litshixiwe okanye libambekile.
Izinto ezinokwenzeka ukuba awuyinaki le nto
Ukuba iintlungu zedolo azinanzwa ngokungathi luphawu nje, kunokubakho ezinye iingxaki .
- Ukungazinzi kwamalungu: Xa unciphisa ukusebenzisa idolo lakho ngenxa yentlungu, izihlunu ezijikelezileyoOku kwenza ilungu libe buthathaka, nto leyo eyenza lingazinzi, nto leyo ebangela ukuba kubekho iingxaki zokuhamba nokuwa.
- Ukuqhawuka kwamathambo: Amathambo ayakhuhlana, nto leyo ebangela ukuba kubekho amaqhuma amancinci emathanjeni. Oku kunokubangela intlungu engakumbi kunye nokuqina kwamalungu.
- I-Baker's cyst: I-sac egcwele ulwelo (i-cyst) inokukhula emva kwedolo. Oku kunokubangela iintlungu nokuqina emva kwedolo.
- Ukuphazamiseka kweemvakalelo: Iintlungu ezingapheliyo kunye nokungakwazi ukuhamba kunokubangela ukuba abanye abantu babe neengxaki zeemvakalelo ezifana nokuxhalaba kunye nokudakumba.
Kutheni le nto ibangela intlungu edolweni? Zithini izinto ezinokubangela umngcipheko?
Isizathu esiphambili kukuba i-cartilage iyaguga ngokwendalo xa sikhula, njengokuba amatayara emotweni eguga njengoko siqhuba. Kodwa kukho ezinye izinto ezininzi ezinokubangela umngcipheko onokukhawulezisa oku kuguga nokukrazuka.
| Into Engumngcipheko | Ingcaciso |
|---|---|
| Ukutyeba kakhulu | Ukuba i-body mass index yakho (BMI) ingaphezulu kwama-30, amadolo akho kufuneka abe nobunzima obungaphezulu, nto leyo ebangela ukuba i-cartilage iphele ngokukhawuleza. |
| Iingozi ezindala | Ukwenzakala edolweni ngaphambili (umz., ukukrazuka kwemisipha) kunokubangela ukuba amalungu angazinzi kakuhle kwaye aguge ngokukhawuleza. |
| Uxinzelelo olugqithisileyo edolweni | Umngcipheko uphezulu ukuba imisebenzi ethile (umz., ukuphakamisa izinto ezisindayo) okanye ezemidlalo (umz., ibhola ekhatywayo, ukuphakamisa iintsimbi) ibeka uxinzelelo olukhulu emadolweni. |
| Isizukulwana | Ukuba kukho umntu kusapho lwakho onale meko, usenokuba namathuba amaninzi okuba nayo. |
Uyifumana njani le nto, Gqirha?
Xa usiya kugqirha oneentlungu zedolo, uza kuqala akubuze ngeempawu zakho aze emva koko ahlole idolo lakho.
- Ingaba idolo lidumbile, libomvu, okanye libuhlungu xa ulichukumisa?
- Umgama onokugoba nokwandisa idolo lakho (umgama wokunyakaza).
- Ingaba ilungu alizinzanga okanye likhululekile?
- Jonga indlela ohamba ngayo.
Emva kolu vavanyo lokuqala, i-X-ray ingayalelwa ukuqinisekisa imeko. I-X-ray ingabonisa ngokucacileyo ukuba i-cartilage igugile kwaye ichukumisa ithambo, okanye ukuba kukho naziphi na izihlunu zethambo. Ngamanye amaxesha, i-MRI okanye i-CT scan ingacetyiswa ukuba ufuna iinkcukacha ezithe vetshe.
Zithini iindlela zonyango zoku?
Oogqirha badla ngokusebenzisa utyando njengesisombululo sokugqibela. Zininzi iindlela zonyango ezinokuzanywa ngaphambi koko.
Unyango olungelulo utyando
- Iipilisi zokunciphisa iintlungu: Ugqirha uza kunika amayeza afanelekileyo okulawula iintlungu nokudumba.
- Unyango lomzimba: Kuzilolonga ukuqinisa izihlunu ezijikeleze idolo nokuphucula ukuhambahamba kwedolo. Oku kubaluleke kakhulu.
- Ukunciphisa umzimba: Ukunciphisa umzimba kancinci kunokunciphisa kakhulu uxinzelelo emadolweni akho.
- Izixhasi zedolo: Ezi zinceda ekuxhaseni idolo kwaye zonyuse uzinzo.
- Iintlobo zemijovo:
- Inaliti yeCortisone: Uhlobo lwe-steroid olunikwa ukunciphisa iintlungu nokudumba ngokukhawuleza.
- Inaliti yejeli (iViscosupplementation): I-lubricant ifakwe kwilungu, nto leyo eyenza kube lula ukunyakaza.
- Inaliti ye-PRP (i-Platelet-rich plasma): I-plasma ekhutshiweyo egazini lakho ifakwa kwakhona kwilungu ukuze kukhuthazwe inkqubo yokuphiliswa.
Unyango lotyando
Ukuba ezinye iindlela zonyango aziphumeleli kwaye iintlungu azinyamezeleki, utyando lunokuthathwa njengelinge.
- Utyando lwe-Osteotomy: Ithambo elisedolweni liyasikwa kwaye libunjwe ngokutsha ukuze kutshintshelwe ubunzima bomzimba kwindawo ephilileyo yelungu.
- Ukutshintshwa kwedolo: Ilungu eligugileyo liyasuswa lize litshintshwe ngelungu elenziwe ngesinyithi neplastiki. Eli lungu lingaba lilonke okanye lingabi nanxalenye.
Awunakuthintela na amadolo akho ukuba angagugi?
Nangona oku kungenakuthintelwa ngokupheleleyo, kukho izinto onokuzenza ukunciphisa umngcipheko nokulawula ukuqhubeka kwale meko.
- Gcina ubunzima obusempilweni: Le yeyona nto ibalulekileyo.Nokuba ulahlekelwa yi-10% yobunzima bakho kunokunciphisa kakhulu umngcipheko wakho we-osteoarthritis yamadolo.
- Ukuzilolonga: Yenza umthambo ongenampembelelo ingako njengokudada nokukhwela ibhayisekile, okuqinisa izihlunu ezijikeleze idolo.
- Nciphisa uxinzelelo emadolweni akho: Ukuba ubaleka, khetha iindawo ezithambileyo ezifana nengca endaweni yendlela eqinileyo. Ukuba uphakamisa izinto ezinzima, sebenzisa indlela efanelekileyo.
- Funa unyango kwangethuba: Kubalulekile ukubona ugqirha wakho kwangoko xa uqala ukuva iintlungu zedolo, endaweni yokuzityeshela. Okukhona uqala unyango ngokukhawuleza, kokukhona amathuba akho okulawula iimpawu zakho nokuhlala usempilweni ngaphandle kwesidingo sotyando aba maninzi.
Umyalezo Wokuya Ekhaya
- I-knee osteoarthritis kukukrazuka nokudilika kwe-cartilage ekhuselayo egubungeleni.
- Intlungu, ukuqina kwamadolo, ukudumba, kunye nesandi sokusila zezona mpawu ziphambili.
- Ubunzima obugqithisileyo, iingozi zakudala, kunye nemfuza zezona zinto ziphambili ezibangela umngcipheko.
- Kubaluleke kakhulu ukulawula ubunzima bomzimba nokwenza umthambo olungele amadolo.
- Ukuba uva iintlungu zedolo, musa ukuzityeshela kwaye udibane nogqirha wakho ngokukhawuleza.
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