Ingaba igxalaba lakho nalo libuhlungu? Ngaba livakala liqinile? Lisenokuba yi-arthritis yamagxa!

Ngaba ngamanye amaxesha ukufumanisa kunzima ukuphakamisa amagxa akho? Ngaba unengxaki yeentlungu zamagxa kunye nokuqina kwawo ngelixa usenza imisebenzi yemihla ngemihla? Ukuba ezi zinto zivakala ziqhelekile kuwe, usenokuba une-arthritis yamagxa. Makhe sithethe ngale nto ngokweenkcukacha, ngokulula.

Yintoni i-Arthritis yamahlombe?

Ngamafutshane, isifo samathambo egxalabeni kukudumba kwegxala lakho. Yile nto ibangela iintlungu nokuqina kwegxala lakho. Ichaphazela kakhulu ijoyinti yebhola kunye nesokhethi egxalabeni lakho. Oogqirha babiza oku ngokuthi yi-glenohumeral joint . Cinga ngale ndlela: ijoyinti yebhola kunye nesokhethi ephezulu kwethambo lakho elingaphezulu lengalo (i-humerus) ingena kwisokhethi yekomityi kunye nesokhethi egxalabeni lakho (i-scapula).

Ekuhambeni kwexesha, le arthritis egxalabeni ibangela ukulahleka kwe-cartilage . Uyazi ukuba yintoni i-cartilage? Yithishu ethambileyo, egudileyo egubungela ibhola yethambo lengalo ephezulu kunye nesiseko sethambo legxala. Le cartilage yiyo evumela amathambo ethu ukuba ahambe kakuhle ngaphakathi kwelungu ngaphandle kokukhuhlana. Ikwasebenza njengomqamelo okhusela amathambo kuxinzelelo xa senza into ethile.

Ngoku khawucinge ngento eyenzekayo xa ufikelela kwinqanaba lokugqibela le-arthritis yamagxa. Xa yonke loo cartilage yokukhusela iphela, amathambo akwijoyinti yamagxa aqala ukukhuhlana. Ii-bone spurs , okanye ii-bone spurs ezintsha, zinokwenzeka. Ezi zinokuphazamisana nentshukumo eqhelekileyo yejoyinti, kwaye ngamanye amaxesha ezi spurs zinokuqhekeka zize zintante ngaphakathi kwejoyinti.

Zithini izigaba ze-arthritis yamahlombe?

Kukho amanqanaba amane aphambili e-shoulder arthritis. Makhe sijonge ukuba zeziphi:

• Inqanaba 1 (inqanaba lokuqala): Eli linqanaba lokuqala . I-cartilage yakho iqala ukuthamba kancinci, kodwa awubonisi zimpawu zibalulekileyo. Oku ngamanye amaxesha kubizwa ngokuba 'linqanaba elirhanelekayo'.
• Inqanaba lesi-2 (Eliphantsi): Eli linqanaba eliphantsi . Kule ndawo, kuqalisa ukukrazuka okuncinci kwi-cartilage. Usenokuva iintlungu nokuqina xa ushukumisa igxalaba lakho.
• Inqanaba lesi-3 (Eliphakathi): Eli linqanaba eliphakathi . I-cartilage iye yaba buthathaka kwaye iqala ukuphuma ibe ziingceba. Kukho iintlungu ezingapheliyo xa ushukumisa igxalaba, kunye nokuqina xa ume emva kokuhlala ixesha elide.
• Inqanaba lesi-4 (Inqanaba lokugqibela): Eli linqanaba lokugqibela . Ngeli xesha, i-cartilage iphele ngokupheleleyo, iveza umphezulu wamathambo. Kusenokubakho iintlungu eziqatha, ukudumba, kunye nokuqina, nokuba igxalaba liyashukunyiswa okanye akunjalo.

Zithini iimpawu ze-arthritis yamahlombe?

Iimpawu zesifo samathambo esisemagxeni zingahluka kumntu nomntu. Ngamanye amaxesha iimpawu zisenokungabi nzima njengomonakalo we-cartilage. Nangona kunjalo, kukho ezinye iimpawu eziqhelekileyo ezinokubonakala:

• Intlungu yamagxa: Olu lolona phawu luqhelekileyo . Ekuqaleni, unokuziva kuphela xa usenza into ethile. Kodwa ngokuhamba kwexesha, intlungu inokubakho nangaliphi na ixesha, nokuba ushukumisa ingalo yakho okanye akunjalo.
• Ukuqina kunye nokuncipha kokuhamba: Igxalaba lakho lisenokuvakala liqinile kwaye usenokuba nokuncipha kokuhamba kunye nokunyakaza engalweni yakho. Oku kunokwenza kube nzima ukwenza imisebenzi yemihla ngemihla efana nokuzihlamba okanye ukunxiba. Usenokungakwazi ukuphakamisa ingalo yakho iqonde phezulu okanye ukuyijikelezisa ngaphandle.
• Isandi sokuklikha okanye sokuqhuma kwilungu lamagxa: Esi sandi sibangelwa kukuguguleka kwe-cartilage kunye nokulahlekelwa bubuthambile bomphezulu welungu. Esi sandi sinokuhamba nentlungu okanye singabikho.
• Ukungalali: Kunzima kakhulu ukulala ukhululekile. Nokuba ukushukuma kancinci kwegxalaba kunokubangela iintlungu, nto leyo enokubangela ukungalali ngokwaneleyo.

Ngoko ke, uziva njani xa unesifo samathambo egxalabeni?

Usenokuba neentlungu ezahlukeneyo zamagxa, ukusuka kwezincinci ukuya kwezinzima, kunye nokuqina. Le ntlungu idla ngokuvela ecaleni kwegxalaba, njengentlungu enzulu evela nzulu ngaphakathi kwegxalaba. Ekuhambeni kwexesha, ungabona ukuba uluhlu lokushukuma kwegxalaba lakho luyancipha.

Kutheni i-arthritis ikhula kweli gxalaba? Zithini izizathu?

Zininzi izinto ezinokubangela isifo samathambo esibangelwa yi-shoulder arthritis. Makhe sijonge ukuba zeziphi ezi zinto:

• I-Osteoarthritis: Olu lolona hlobo luqhelekileyo lwe-arthritis. Ngamafutshane, sisifo esikhula ngokukhula nokuguguleka kwamalungu. Kwimeko enjalo, i-cartilage iyathamba, iqhekeke, iqhekeke, iguge, ize ekugqibeleni inyamalale ngokupheleleyo.
• I-Rotator cuff tear arthropathy: Olu hlobo lwe-arthritis lwenzeka xa i-rotator cuff, inkqubo yemisipha kunye nemisipha egxalabeni, ikrazukile kakhulu, nto leyo ebangela ukuba ibhola yethambo lengalo ephezulu (intloko ye-humeral) ikhuhle amanye amathambo.
• I-rheumatoid arthritis kunye nezinye iintlobo ze-inflammatory arthritis: Ezi zizifo ezizikhuselayo emzimbeni . Oku kuthetha ukuba inkqubo yokuzikhusela yomzimba wakho ihlasela izicubu zakho eziphilileyo. Oku kunokubangela ukudumba kolwelo lwamalungu kunye nomonakalo kwi-cartilage.
• Ukulimala egxalabeni: Naluphi na uhlobo lokulimala emathanjeni egxalabeni lakho – umzekelo, ukukhubeka, ukwaphuka, okanye ukubetheka okunzima – kunokonakalisa umphezulu we-cartilage. Ekuhambeni kwexesha, oku kunokukhokelela kwi-arthritis.
• I-Avascular necrosis: Le mekoI-Osteonecrosis ikwabizwa ngokuba yi-osteonecrosis. Oku kuxa ukunikezelwa kwegazi 'kwibhola' yegxalaba lakho kunqunyulwa, nto leyo ebangela ukuba ithambo life. Oku kunokwenzeka ukuba ukunikezelwa kwegazi ethanjeni kunqunyulwa, nokuba kungenxa yokwenzakala okanye ukugula (okanye nokuba kungenxa yamayeza athile).

Ngubani onokuthi aphuhlise oku ngakumbi?

Abantu abanokuthi babe nesifo samathambo esinamahlombe baquka:

• Kubantu abangaphezu kweminyaka engama-50 ubudala. Kuba i-cartilage iyancipha ngokwendalo njengoko sikhula.
• Kubantu abatyebe kakhulu . Kuba xa ubunzima bomzimba busanda, kubakho uxinzelelo olungakumbi kumalungu.
• Ukuba kukho umntu kusapho, oko kukuthi, umntu onxulumene nofuzo, okhe waba nale meko ngaphambili.

Ugqirha uyibona njani le nto?

Ugqirha wakho uza kuqala enze uvavanyo lomzimba lwegxa lakho. Oku kuthetha ukujonga uluhlu lwentshukumo yakho, amandla, kunye neendawo zentlungu. Baza kubuza nangembali yakho yezonyango yangaphambili kunye neempawu zangoku.

Emva koko, ugqirha angenza uvavanyo lokufota olufana nolu:

• I-X-reyi yamagxa: I-X-reyi inokujonga imeko yamathambo egxalabeni lakho, nokuba kukho ukuncitshiswa kwelungu, okanye ukuba kukho ukuqhekeka kwamathambo. Nangona oku kungayibonisi ngokuthe ngqo i-cartilage, kunokunika umbono wokuguguleka nokukrazuka kwe-cartilage.
• I-CT scan: Olu vavanyo lubonelela ngembono eneenkcukacha ezingaphezulu, ezilinganayo zamathambo egxalabeni kune-X-ray. Oku kudla ngokwenziwa xa kucwangciswa utyando.
• I-MRI scan: Oku kungajonga ngokusondeleyo izicubu ezithambileyo ezijikeleze ilungu lakho lamagxa, njenge-cartilage, i-tendon, kunye nemisipha. Ugqirha wakho unokuyalela oku ukujonga imeko ye-rotator cuff tendons yakho.

Zithini iindlela zonyango zoku?

Kukho iindlela zokunyanga isifo samathambo esisemagxeni, kuquka amayeza asekhaya, utshintsho kwindlela yokuphila, amayeza, kunye notyando.

Ekhaya nangenxa yotshintsho kwindlela yokuphila

Unyango lwe-arthritis yamagxa ludla ngokuqala ngonyango olungenalo utyando kunye notshintsho kwindlela ophila ngayo onokuthi ulwenze ekhaya. Ezi ndlela zinokukunceda ugcine igxalaba lakho lishukuma kwaye linciphise iintlungu. Ezi ziquka:

• Utshintsho kwimisebenzi kunye nendlela yokuphila: Iintlungu mazibe sisikhokelo sakho . Nciphisa okanye uyeke okwethutyana imisebenzi yemihla ngemihla (umzekelo, ukuphakamisa iintsimbi, ukufikelela kwinto ethile ephezu kwentloko) okanye imidlalo ebangela iintlungu zamagxa.
• Umkhenkce kunye nobushushu: Faka umkhenkce (usongelwe ngelaphu malunga nemizuzu eli-15-20) okanye ubushushu obumanzi (njengebhotile yamanzi ashushu) ukunciphisa ukudumba nokunciphisa iintlungu - khetha nayiphi na evakalelwa kukuba ikulungele.
• Ukuzilolonga kwamagxa:Ukuzilolonga nokomeleza umzimba kunokukunceda uphucule okanye ugcine umgama wamagxa akho okunyakaza. Ugqirha wakho angakuthumela kwingcali yezonyango . Uza kukufundisa imithambo efanelekileyo kuwe.

Amayeza

Amayeza anokunciphisa iintlungu aze anciphise ukudumba. Iindlela eziqhelekileyo ziquka:

• Amayeza athengiswa ngaphandle kwemvume kagqirha: Ukuze kuthomalaliswe iintlungu ixesha elifutshane, i-acetaminophen (umz., iPanadol®, iTylenol®) okanye amayeza angengo-steroidal anti-inflammatory (NSAIDs) afana ne-ibuprofen (umz., iBrufen®, iAdvil®, iMotrin®) okanye i-naproxen alungile. Kungcono ubuze ugqirha ngaphambi kokuba usebenzise ezi zinto.
• Iinaliti zeCorticosteroid: ICortisone liyeza elinciphisa ukudumba kwilungu kwaye linika isiqabu esikhawulezileyo kwintlungu. Ugqirha ufaka eli yeza ngqo kwilungu legxalaba lakho. Isiqabu sinokuhlala iinyanga ezininzi.

Utyando

Ukuba ezinye iindlela zonyango aziyithomalalisi intlungu yakho, kwaye isifo sakho samathambo siya sisiba mandundu kwaye senza kube nzima ukwenza imisebenzi yemihla ngemihla, ungacinga ngotyando. Iindlela eziqhelekileyo zotyando ziquka:

• Ukutshintshwa kwegxalaba: Kule nkqubo, ugqirha ususa ithambo elinesifo kwigxalaba lakho aze alifake elitsha esebenzisa iplastiki kunye neentsimbi ezifakelweyo. Oku kunokunciphisa kakhulu iintlungu kwaye kuphucule ukusebenza kwegxalaba.
• Ukususwa kwegxalaba nge-arthroscopic: Kule nkqubo, ugqirha wenza imingxunya emininzi emincinci egxalabeni lakho aze afake ikhamera encinci kunye nezixhobo ezikhethekileyo kuyo ukuze acoce amalungu, asuse iziqwenga ezikhululekileyo ze-cartilage eyonakeleyo kunye ne-bone spurs. Oku kudla ngokwenziwa kwizigaba zokuqala ze-arthritis.

Ugqirha wakho angatshintsha ezi ntlobo ziphambili zotyando ngokuxhomekeke kuhlobo, indawo, kunye nobunzima be-arthritis yakho. Indlela ophila ngayo, imbali yempilo, kunye nezinto ozikhethayo nazo zinokuchaphazela oku.

Ngaba isifo samathambo esinamahlombe sinokuthintelwa?

Nangona ingenakuthintelwa ngokupheleleyo, kukho izinto ezininzi onokuzenza ukunciphisa umngcipheko wokuba nesifo samathambo esinamahlombe:

• Kuphephe ukusebenzisa iimveliso zecuba, kuquka nokutshaya i-vaping .
• Zimisele ukutya okunempilo, njengokutya kwaseMeditera (okutyebileyo kwimifuno, iziqhamo, iimbotyi, amandongomane kunye neoyile yomnquma).
• Gcina ubunzima obusempilweni obukufaneleyo.
• Umsebenzi womzimba ongenampembelelo ingako, ongathwali ubunzimaUmzekelo, yenza imisebenzi efana nokudada nokuhamba.
• Nciphisa umngcipheko wokwenzakala kwamalungu ngokuthintela okanye ukunciphisa imisebenzi ethile. Lumka ngakumbi xa usenza umsebenzi obangela uxinzelelo oluphindaphindeneyo emagxeni akho.

Ngaba oku kunganyangwa ngokupheleleyo?

Inyaniso kukuba, okwangoku akukho nyango lwe-arthritis yamagxa. Ngenxa yokuba i-cartilage egugileyo ayinakutshintshwa, kunokwenziwa ezintsha. Nangona kunjalo, zininzi iindlela zokunciphisa iintlungu zakho nokwenza ubomi bakho bube lula. Ungasebenzisa umkhenkce, ubushushu, kunye nokuzilolonga ukuze ugcine igxalaba lakho likhululekile kwaye likhululekile. Unganciphisa okanye uyeke imisebenzi ekubangela iintlungu. Ukuba la manyathelo alula awancedi iintlungu zakho, thetha nogqirha wakho malunga namayeza okanye iindlela zotyando.

Ukuba ndine-arthritis egxalabeni lam, ndingalindela ntoni?

Iziphumo ozifumanayo zixhomekeke kwizinto ezifana neminyaka yakho, ukuba usebenza kangakanani, iintlobo kunye nobubanzi bokushukuma okwenzayo ngengalo yakho negxalaba, kunye nokuba kuphi, ukuba qatha kangakanani, kunye nokuba buhlungu kangakanani isifo samathambo sakho.

Ekubeni wonke umntu kunye nemeko nganye yamagxa yahlukile, kungcono ukubuza ugqirha wakho ukuba zeziphi iziphumo onokuzilindela kwaye uthethe ngazo zonke iindlela zonyango.

I-arthritis yehlombe inokuba buhlungu kwaye inokuchaphazela umgangatho wobomi bakho. Kodwa, ukuba ayinayo unyango, akuthethi ukuba kufuneka uphile nentlungu . Inyathelo lokuqala lokufumanisa ukuba yintoni ebangela iintlungu zehlombe lakho kunye nokuphuhlisa isicwangciso sonyango esinokuphelisa iimpawu zakho ngcono kukubona ugqirha wakho. Ugqirha wakho unokukunceda ufumane iindlela zokuchitha ixesha elingakumbi usenza izinto ozithandayo kwaye unciphise ixesha olichitha uziva uqinile kwaye ungakhululekanga.

Okokugqibela, izinto ekufuneka uzikhumbule...

Kulungile, ngoko ke sithethe kakhulu nge-arthritis yamagxa. Eyona nto ibalulekileyo kukuba, ukuba uneentlungu zamagxa, ukuqina, okanye ubunzima bokushukumisa igxalaba lakho, musa ukulibetha ngoyaba. Abanye abantu bacinga ukuba, "Mhlawumbi kukukruneka nje," okanye " Yinto eyenzekayo xa ukhula." Kodwa kubaluleke kakhulu ukubona ugqirha ngokukhawuleza ukuze ufumane unobangela.

• Khumbula, ukuba uyiqaphela kwangethuba , ungafunda iindlela zokunciphisa iintlungu, uphephe imisebenzi ethile, kwaye unciphise umonakalo ongakumbi kwi-cartilage.
• Kukho iindlela ezininzi zonyango, ngoko ke musa ukuphelelwa lithemba . Ugqirha wakho uza kukunceda ukhethe unyango olufanelekileyo kuwe.
• Thetha ngokukhululekileyo nogqirha wakho, buza nayiphi na imibuzo onayo, kwaye umxelele ukuba ulindele ntoni.
• Kubaluleke kakhulu ukuphila ubomi obusempilweni, ukwenza umthambo olungele amagxa, nokulandela imiyalelo enikiweyo.

Ukuba uhlangabezana nazo naziphi na ezi mpawu, nceda ufune iingcebiso zonyango. Ndinqwenelela wonke umntu impilo entle!

"I-arthritis yamagxa, iintlungu zamagxa, ukudumba kwamalungu, i-cartilage, i-osteoarthritis, i-rheumatoid arthritis, utyando lwamagxa