Ingabe nawe uzizwa sengathi amadolo akho aqinile uma uvuka ekuseni, futhi kunzima ukuwagoba noma ukuwaqondisa? Uma ukhuphuka izitebhisi noma uhamba isikhashana, ingabe uzizwa ubuhlungu ngomsindo 'oqhumayo' ovela emadolweni akho? Uma lezi zinto uzijwayele, mhlawumbe nawe unesifo esivamile, kodwa esicasulayo phakathi kwabantu abaningi. Namuhla sikhuluma ngesifo samathambo edolweni. Ungakhathazeki, sizoxoxa ngakho konke ngalokhu kalula, ngendlela ongayiqonda.
Kalula nje, iyini le arthritis?
Cabanga ngamalunga emizimba yethu njengamaphiko omnyango. Ukuze la ma-hinge asebenze kahle, buthule, futhi kalula, kudingeka abe nento efana namafutha phakathi kwawo. Emalunga ethu, ikakhulukazi amalunga athwala isisindo njengedolo, lapho kuhlangana khona amathambo amabili, kukhona ungqimba olubushelelezi nolunjengerabha. Lokhu sikubiza ngokuthi i-cartilage . Yilokhu okusebenza njengamafutha kulawo ma-hinge. Okusho ukuthi, lapho sihamba, sigijima, noma sidansa, kuvimbela amathambo ukuthi agudlane futhi kusize ilunga lihambe kahle.
Esimweni esibizwa ngokuthi i-arthritis, ngesizathu esithile , lesi simbozo sokuvikela esibizwa ngokuthi i-cartilage siyaphela kancane kancane . Bese, lokho kushelela kuyaphela, futhi iziphetho zamathambo ziqala ukukhuhlana. Yilapho kuvela khona izimpawu ezifana nobuhlungu, ukuvuvukala, nokuqina kwamalunga. Lokhu kuvame ukuthinta amalunga amakhulu omzimba wethu athwala isisindo, njengamadolo.
Yiziphi izinhlobo ze-arthritis ezithinta idolo?
Kunezinhlobo ze-arthritis ezingaphezu kwe-100, kodwa kunezinhlobo ezimbalwa eziyinhloko ezivame ukuthinta idolo. Ake sizibheke.
| Uhlobo lwe-arthritis | Incazelo elula |
|---|---|
| I-Osteoarthritis | Lolu uhlobo oluvame kakhulu. Njengoba nje amathayi emotweni eguga ngokuhamba kwesikhathi, yilapho i-cartilage emalungeni ethu iguga khona njengoba siguga futhi siwasebenzisa. Kungabizwa nangokuthi "i-arthritis egugayo." |
| Isifo Samathambo Esibangelwa Yi-Rheumatoid | Lokhu kuhlukile kancane. Kuyisifo sokuzivikela komzimba. Okusho ukuthi, amasosha ethu omzimba, amasosha asivikela ezifweni, ahlasela ngephutha amalunga ethu aphilile. Lokhu kubangela ukuvuvukala ngaphakathi kwamalunga futhi kubhubhise uqwanga. Lokhu kungathinta amadolo womabili ngesikhathi esisodwa. |
| Isifo Samathambo Esingavamile Sabantwana | Lolu uhlobo lwesifo samathambo esitholakala ezinganeni ezincane. Lesi futhi yisifo esibangelwa ukuzivikela komzimba. Amadolo ezingane angase avuvuke futhi abe buhlungu. |
| I-arthritis yangemva kwenhlekelele | Lolu hlobo lwe-arthritis lungenzeka eminyakeni eminingi ngemva kwengozi enkulu edolweni, njengokuwa noma ukuphuka. |
Ngaphezu kwalokho, ezinye izinhlobo ze-arthritis, njenge -gout , zingathinta namadolo. Ukuze uthole ukuthi hlobo luni olunalo, kufanele nakanjani ubone udokotela .
Yiziphi izimpawu ezibonisa ukuthi unesifo samathambo edolweni?
Izimpawu ze-arthritis zingahluka kumuntu nomuntu, kodwa kunezimpawu ezimbalwa ezivamile.
- Ubuhlungu: Ubuhlungu buqala kuqala. Ubuhlungu bungakhula, ikakhulukazi lapho uhamba, ukhuphuka izitebhisi, noma ugoba idolo. Ubuhlungu bungancipha ngemva kokuphumula isikhashana, kodwa bungabuya uma uqhubeka nomsebenzi.
- Ukuqina: Esinye sezimpawu eziyinhloko umuzwa wokuqina edolweni lapho uvuka ekuseni, okungahlala cishe imizuzu engama-30.
- Ukuvuvukala: Ungase uqaphele ukuvuvukala edolweni. Ngezinye izikhathi, ungase uzizwe ufudumele uma uthinta idolo.
- I-Crepitus: Umsindo noma umuzwa ozwakala “njengokuqhekeka” kobisi uma ugoba noma uqondisa idolo lakho. Lokhu kubangelwa ukuguguleka kwe-cartilage kanye namathambo akhuhlana.
- Ubuthakathaka bedolo: Idolo lingase lizizwe sengathi "liyaba buthaka" futhi alikwazi ukuthwala isisindo.
- Ukunyakaza okulinganiselwe: Ngokuhamba kwesikhathi, ungase ungakwazi ukugoba noma ukuqondisa idolo lakho ngokugcwele.
Into ebaluleke kakhulu ukungesabi uma unesinye noma ezimbili zalezi zimpawu. Kodwa-ke, uma lezi zimpawu ziqhubeka futhi ziphazamisa imisebenzi yakho yansuku zonke, kufanele nakanjani ubone udokotela wakho womndeni ukuze akunike iseluleko.
Yiziphi izici eziyingozi zokuthuthukisa isifo samathambo?
Nakuba noma ubani angaba nesifo samathambo, abanye abantu basengozini enkulu.
- Ubudala: Ingozi yokuba nesifo samathambo, ikakhulukazi ngemva kweminyaka engu-50, iyanda.
- Ukukhuluphala: Uma sikhula, amadolo ethu athwala umthwalo wesisindo, okungabangela ukuthi i-cartilage iguge ngokushesha.
- Ukulimala okudala: Uma uke waba nengozi yedolo ngaphambilini, ukulimala kwezemidlalo, noma ukuhlinzwa, kungenzeka kakhulu ukuthi ube nesifo samathambo kamuva.
- Umsebenzi: Abantu abenza imisebenzi ebeka ingcindezi enkulu emadolweni (isib., umsebenzi wokuhlala phansi, ukulima, ukuphakamisa izinto ezisindayo) basengozini enkulu.
- Ufuzo: Uma othile emndenini wakho enaso (ikakhulukazi isifo samathambo esibizwa ngokuthi i-rheumatoid arthritis), nawe ungaba sengozini enkulu yokuba naso.
- Ubulili: Ezinye izinhlobo ze-arthritis, isibonelo i-rheumatoid arthritis, zivame kakhulu kwabesifazane.
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela, uzoqala ngokukubuza ngezimpawu zakho. Ngemuva kwalokho uzohlola idolo lakho. Uzohlola ukuvuvukala, ukufudumala, kanye nobuhlungu lapho ulishukumisa.
Ngemuva kwalokho, kungenziwa izivivinyo eziningana ukuqinisekisa lesi sifo:
1. I-X-ray: Lokhu kungasetshenziswa ukuhlola ukuthi igebe eliphakathi kwamathambo edolo linciphile noma ukuthi i-cartilage isigugile.
2. I-MRI noma i-CT scan: Lokhu kusiza ekutholeni isithombe esicacile somonakalo wezicubu ezithambile njenge-cartilage kanye ne-ligaments.
3. Ukuhlolwa kwegazi: Ukuhlolwa kwegazi kungayalwa ukuze kulinganiswe izinto ezithile egazini (isib. izimpawu zokuvuvukala), ikakhulukazi uma kusolwa isimo esifana ne-rheumatoid arthritis.
Nokho, yikuphi ukwelashwa okungenziwa manje?
Into ebalulekile ukuthi isifo samathambo yisimo esingelapheki ngokuphelele, kodwa singaphathwa kahle kakhulu . Njengesifo sikashukela kanye nomfutho wegazi ophakeme, imigomo eyinhloko yokwelashwa ukulawula ubuhlungu, ukwandisa ukusebenza kwamalunga, nokuvimbela lesi sifo ukuthi singabi sibi kakhulu.
Kunezindlela eziningana zokwelapha. Udokotela wakho uzohlola isimo sakho futhi athuthukise uhlelo lokwelashwa olukufanele kakhulu.
1. Izinguquko zendlela yokuphila kanye nokuzivocavoca umzimba
Lesi yisisekelo sokwelashwa. Lezi zinto zingaba zibaluleke kakhulu kunemithi.
- Ukwehlisa isisindo: Uma ukhuluphele kancane, ukwehlisa ngisho nekhilogremu elilodwa kunganciphisa kakhulu ingcindezi emadolweni akho.
- Ukuzivocavoca okulungile:Akulungile ukucabanga ukuthi "akufanele uvivinye umzimba ngoba idolo lakho libuhlungu." Ukuzivocavoca okuqinisa imisipha ezungeze idolo lakho kuzokwandisa ukwesekwa okunikezwayo emalungeni futhi kunciphise ubuhlungu. Ukuzivocavoca okunethonya elincane okungacindezeli kakhulu idolo lakho, njengokubhukuda , ukugibela ibhayisikili nokuhamba, kungcono kakhulu. Kuhle ukubonisana nodokotela wezokwelapha umzimba ngalokhu.
- Ukusetshenziswa kokushisa nokubanda: Ukufaka ibhodlela lamanzi ashisayo kunganikeza impumuzo uma kukhona ubuhlungu nokuqina. Uma kukhona ukuvuvukala, kungcono ukufaka iphakethe leqhwa.
2. Imithi
Udokotela angase anikeze imithi ehlukahlukene yokulawula ubuhlungu nokuvuvukala.
Isexwayiso: Ungalokothi uqhubeke nokusebenzisa imithi yokubulala izinhlungu ngaphandle kokubonisana nodokotela, ngoba uzizwa sengathi uzizwa kanjalo. Lokhu kungabangela imiphumela emibi.
| Uhlobo lwesidakamizwa | Ukusebenza kahle |
|---|---|
| Ama-Painkiller | Imithi efana ne-acetaminophen iyasiza ekunciphiseni ubuhlungu. |
| Ama-NSAID (Izidakamizwa Ezingavimbeli Ukuvuvukala) | Lokhu kunciphisa ubuhlungu nokuvuvukala futhi kuza ngesimo samafutha okugcoba (ama-gel). |
| Imijovo ye-Cortisone | Uma ubuhlungu obukhulu nokuvuvukala, udokotela wakho angakunika umjovo we-steroid ngqo edolweni. Lokhu kunikeza impumuzo yesikhashana kodwa esheshayo. |
| Ama-DMARD (Imithi Elwa Nezifo Eguqula Izifo) | Lolu hlobo lomuthi lunikezwa ikakhulukazi izimo ezifana ne-rheumatoid arthritis. Lulawula ukusebenza kwesimiso somzimba sokuzivikela futhi luvimbele lesi sifo ukuthi siqhubeke. |
3. Ukuhlinzwa
Ezimweni lapho ubuhlungu bungenakulawuleka naphezu kwazo zonke ezinye izindlela zokwelapha futhi idolo lonakele kangangokuthi akunakwenzeka ukwenza imisebenzi yansuku zonke, ukuhlinzwa kumele kubhekwe njengesinyathelo sokugcina.
- I-Knee Arthroscopy: Ikhamera ifakwa ngezimbobo ezincane ukuze kuhlanzwe noma kwenziwe ukulungiswa okuncane ngaphakathi kwejoyinti.
- Ukufakwa Kwedolo: Izingxenye noma lonke ilungu eligugile lishintshwa ngelungu lokwenziwa elenziwe ngensimbi nepulasitiki. Lokhu kuyindlela yokuhlinzwa ephumelele kakhulu, eqeda ubuhlungu futhi ikuvumela ukuthi uhambe kahle futhi.
Umlayezo Wokuya Nawe Ekhaya
- Ungakushayi indiva ubuhlungu bamadolo, ukuqina kwawo, nokuvuvukala kwawo njengokuthi "ukuguga okuvamile." Kungaba uphawu lwe-arthritis.
- Uma unalezi zimpawu, bona udokotela ngokushesha ukuze uthole ukuxilongwa okufanele. Uma uqala ukwelashwa ngokushesha, imiphumela iba mihle.
- Ukulawula isisindo kanye nokuzibandakanya ekuzivocavoceni okulungele amadolo kubaluleke kakhulu ekulawuleni isifo samathambo.
- Ngisho noma une-arthritis, ungakwazi ukulawula ubuhlungu bakho futhi uphile impilo esebenzayo nejabulisayo. Udokotela wakho kanye nochwepheshe wezokwelapha umzimba bangakusiza ukwenza lokho.
- Ungalokothi usebenzise imithi yokubulala ubuhlungu etholakala ngaphandle kwemithi kadokotela isikhathi eside. Landela imiyalelo kadokotela wakho ngaso sonke isikhathi.
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