Isifo Samathambo Sesandla: Ake sixoxe ngezimbangela, izimpawu, kanye nokwelashwa ngamagama alula!

Ingabe uzizwa uqinile kancane eminweni yakho uma uvuka ekuseni, futhi kunzima ukuyigoba noma ukuyiqondisa? Noma uzizwa ubuhlungu noma ukushisa emalungeni nasezingalweni zakho kusihlwa ngemva kokwenza imisebenzi emincane usuku lonke? Ungase ucabange ukuthi lokhu kuyinto nje eyenzeka ngenxa yokukhathala. Kodwa-ke, lokhu kungaba yizimpawu zokuqala zesifo samathambo sesandla . Njengoba abantu abaningi bengazi kahle lokhu, namuhla sizokhuluma ngakho ngokuningiliziwe nangokulula.

Kuyini isifo samathambo sesandla? Masiqonde kalula!

Kalula nje, i-arthritis yisifo esihlasela izicubu ezisemalungeni akho. Iyini ilunga? Yilapho amathambo amabili ehlangana khona. Kufana nezihibe emnyango. I-arthritis ingalimaza ulwelwesi lwelunga noma i- cartilage ethambile, ethambile emboza imikhawulo yamathambo. Cabanga ngayo njengomsindo wemoto yakho lapho izingxenye zenjini yemoto yakho zithintana. Lapho le cartilage iphela, imikhawulo yamathambo iyavela bese iqala ukukhuhlana. Yilapho-ke ubuhlungu, ukuvuvukala, nokuqina kwenzeka khona. Njengoba izandla zethu zinamalunga amaningi amancane, i-arthritis ingenzeka kakhulu ezandleni. Ngokuhamba kwesikhathi, lokhu kungenza kube nzima ngawe ukwenza imisebenzi yakho yansuku zonke.

Yiziphi izinhlobo ze-arthritis ezithinta izandla?

Yebo, kunezinhlobo eziningana ze-arthritis, kodwa ake sixoxe ngezinhlobo ezintathu eziyinhloko ezivame ukuthinta izandla.

1. I-Osteoarthritis - isifo samalunga esiwohlokayo

Lolu uhlobo oluvame kakhulu lwe-arthritis. Abanye abantu balubiza nangokuthi "ukuguguleka kwamalunga." Ku -osteoarthritis, i-cartilage engikhulume ngayo ekuqaleni iyaguguleka kancane kancane futhi iphule. Bese kuthi iziphetho zamathambo zigudlane ngaphandle kokuzivikela. Yingakho izinto ezifana nobuhlungu, ukuqina, kanye nobunzima bokunyakaza zenzeka ngokuhamba kwesikhathi.

Cabanga ngakho, kufana nezingxenye zomshini osetshenziswa njalo eziguga ngokuhamba kwesikhathi.

I-osteoarthritis ivame ukuthinta isihlakala sakho, isisekelo sesithupha sakho, kanye namalunga aphakathi kwezinzipho zakho. Ngokuhamba kwesikhathi, ungase ube namaqhubu amancane emathanjeni akho.

2. I-Rheumatoid Arthritis - Ukuvuvukala okuvela ngaphakathi emzimbeni

I-rheumatoid arthritis iyisifo sokuvuvukala esingamahlalakhona esihlukile kancane. Sihilela ukuvuvukala kolwelwesi lwamalunga, olubizwa ngokuthi i-synovium . Kuyisifo esihlasela amasosha omzimba.. Okusho ukuthi, amasosha omzimba wakho ahlasela ngephutha izicubu zakho ezinempilo. I-synovium engaphakathi kwamalunga ethu ikhiqiza i-lubricant esiza ukuthi inyakaze kalula. Ku-rheumatoid arthritis, lapho le synovium ivuvukala, kuvela ubuhlungu, ukuqina, kanye nobunzima bokunyakaza. Ngokuhamba kwesikhathi, lokhu kuvuvukala kubhubhisa i-cartilage futhi ithambo ngokwalo liqala ukuguguleka. Imisipha kanye nemisipha ezungeze amalunga iba buthakathaka futhi inwebeke, okungabangela ukuthi ukuma nendawo yamalunga kushintshe. I-rheumatoid arthritis ivame ukuthinta amalunga amancane ezihlakaleni, ezandleni, naseminweni. Okukhethekile ukuthi ivame ukuthinta amalunga afanayo kuzo zombili izinhlangothi zomzimba. Isibonelo, uma une-arthritis eminweni yesandla esisodwa, kungenzeka ukuthi ithinte neminwe yesinye isandla.

3. I-Psoriatic Arthritis - Izinkinga zamalunga ezihambisana nesifo sesikhumba

Kungenzeka ukuthi uke wezwa ngesifo sesikhumba i-psoriasis . I-Psoriatic arthritis uhlobo lwe-arthritis oluvela kwabanye abantu kanye ne-psoriasis. Ibangela ukuvuvukala kweminwe, ubuhlungu bamalunga, kanye nokuqina ekuseni. Ezimweni eziningi, izimpawu zifana ne-rheumatoid arthritis. Kodwa-ke, ngezinye izikhathi ingathinta iminwe embalwa kuphela.

Iyiphi ingxenye yesandla ethinteka kakhulu yilesi sifo samathambo?

Kunezindawo ezine eziyinhloko zesandla ezithinteka yi-arthritis:

• Isisekelo sesithupha: Yilapho isithupha sixhuma khona esihlakaleni.
• Ama-Knuckles: Amalunga avelayo uma isandla sibambene.
• Amalunga aphakathi eminwe.
• Amalunga aphezulu eminwe: Okusho ukuthi, amalunga aseduze nezinzipho.

Ubani onamathuba amaningi okuthola isifo samathambo ezandleni?

Abanye abantu banamathuba amaningi okuthola isifo samathambo kunabanye. Bona ukuthi la maqiniso ayasebenza yini kuwe:

• Ukukhula kweminyaka: I-osteoarthritis ivame ukuba yinto evamile ngemva kweminyaka engu-50. I-rheumatoid arthritis ingabonakala okokuqala phakathi kweminyaka engu-35 no-50.
• Ukuba ngowesifazane: Abesifazane banamathuba amaningi okuthola isifo samathambo kunabesilisa.
• Ukuba mhlophe: (Leli iqiniso elishiwo ngokwemininingwane yangaphandle.)
• Ukukhuluphala noma ukukhuluphala : Njengoba isisindo somzimba sanda, kufakwa ingcindezi eyengeziwe emalungeni.
• Ukulimala kwesandla kwangaphambilini: Ukuqhekeka , ukuminyana, noma ukwaphuka esandleni sakho noma iminweUma uke waba nayo, cishe uzoba nesifo samathambo kamuva. Isibonelo, uma ushaya isandla sakho kanzima ngenkathi udlala imidlalo noma usebenza, lokho kungasithinta.
• Ithonya lezakhi zofuzo : Uma izinhlobo ezithile ze-arthritis zingena emndenini wakho, ungase ube nesifo samathambo esibangela ukuba naso sibe khona.

Ziyini izimpawu zesifo samathambo esisandla?

Kuhle ukuqaphela kancane ngalezi zici.

Izimpawu ezingase zibonakale ezigabeni zokuqala:

• Ubuhlungu obungaqinile noma obushisayo emalungeni: Lobuhlungu bungavela zingakapheli amahora ambalwa noma ngosuku olulandelayo, ikakhulukazi ngemva kosuku lomsebenzi onzima wezandla. Ungase uzizwe ngale ndlela ngemva kosuku lomsebenzi onzima ekhishini noma ukuhlanza indlu yonke.
• Ubuhlungu nokuqina kwengalo/isandla ekuseni: Uma uvuka ekuseni, ingalo yakho ingase izwakale iqinile isikhashana, okwenza kube nzima ukugoba.
• Ukuvuvukala kwamalunga esandleni/ezingalweni.

Lezi zimpawu zingase zibe zimbi kakhulu njengoba i-arthritis iqhubeka:

• Izimpawu ziya ngokuya ziphindaphindeka .
• Ubuhlungu bungasukela ebuhlungwini obungajabulisi kuya ebuhlungwini obuhlabayo nobubukhali .
• Ungase uvuke ngisho nasebusuku ngenxa yobuhlungu .
• Ubuhlungu bungabangela ukuthi ushintshe indlela osebenzisa ngayo isandla sakho . Isibonelo, ungasebenzisa indlela ehlukile yokuphakamisa isisindo noma ukubamba isibambo.
• Izicubu ezizungeze ilunga elithintekile zingaba bomvu futhi zibe buhlungu uma zithintwa .
• Ungase uzwe noma uzwe umsindo "wokuchofoza" noma wokuqhekeka ( crepitus ) uma ugoba iminwe yakho.
• Ungase ungakwazi ukwelula iminwe yakho ngokugcwele .
• Amaqhubu amancane amathambo abizwa ngokuthi ama-node kaBouchard kanye nama-node kaHeberden angase avele emalungeni aphakathi eminwe.
• Amalunga eminwe angakhula , aguge, futhi anwebeke . Lokhu kungenza izandla zibe buthaka futhi kwenze kube nzima kakhulu ukwenza imisebenzi yansuku zonke .

Uthola kanjani udokotela we-arthritis esandleni?

Uma unalezi zimpawu, kungcono ukubona udokotela. Udokotela uzohlola isandla sakho futhi akubuze ngezimpawu zakho. Ngaphezu kwalokho:

• Ama-X-ray: I-X-ray ingasetshenziswa ukubona ukuthi i-cartilage emathanjeni isigugile yini nokuthi kukhona yini ukukhula kwamathambo amasha ekugcineni kwamathambo (ama-bone spurs).
• Ukuhlolwa kwegazi: Ukuhlolwa kwegazi kwenziwa ukuhlola izinto ezithile egazini, njenge -rheumatoid factor , ikakhulukazi uma kusolwa ukuthi i-rheumatoid arthritis inesifo samathambo.

Yiziphi izindlela zokwelapha isifo samathambo sesandla?

Izindlela zokwelapha zincike ohlotsheni lwesifo samathambo onaso, isigaba salesi sifo, ukuthi mangaki amalunga athintekile, ubudala bakho, ukuthi usebenza kangakanani, ukuthi isandla sakho esilawulayo sithintekile yini, kanye nanoma yiziphi ezinye izimo zezokwelapha onazo.

Imigomo eyinhloko yokwelashwa yile:

• Ukunciphisa ubuhlungu nokuqina kwamalunga.
• Ukuthuthukisa ukuhamba nokusebenza kwamalunga.
• Ukuthuthukisa ikhwalithi yempilo yakho.
• Ezimweni ezifana ne-rheumatoid arthritis noma i-psoriatic arthritis, kulawula ukuqhubeka kwesifo.

Izindlela zokwelapha zifaka phakathi ukubopha/ukubopha , imithi , imijovo , izindlela ezingezona izidakamizwa , kanye nokuhlinzwa .

1. Ukugqoka ama-splint noma ama-braces

Lokhu kunikeza ukwesekwa nokuvikelwa kwelunga elithintekile. Kuphinde kusize ekunciphiseni ukukhubazeka kwamalunga, kuzinzise ilunga, kunciphise ukucindezeleka kwelunga, futhi kugcine ilunga lisendaweni efanele. Udokotela wakho, uchwepheshe wezokwelapha, noma uchwepheshe wezokwelapha ngezandla angakweluleka ngebhande elifanele, ukuthi uligqoke kanjani, nokuthi uligqoke isikhathi esingakanani. Ukuligqoka isikhathi eside kakhulu kungabangela ubuthakathaka bemisipha.

2. Imithi

Udokotela wakho angase akunikeze imithi yokunciphisa ubuhlungu bamalunga nokuvuvukala, nokuvimbela ukulimala okwengeziwe kwamalunga akho ezimweni ezifana ne-rheumatoid noma i-psoriatic arthritis. Ungazama imithi ehlukene kuye ngohlobo kanye nobunzima be-arthritis yakho.

• I-Acetaminophen: Lokhu kunciphisa ubuhlungu.
• Imithi Engavimbi Ukuvuvukala (ama-NSAID): Le mithi inciphisa ubuhlungu nokuvuvukala. Izibonelo zifaka phakathi i-ibuprofen , i-diclofenac , i-naproxen , kanye ne -celecoxib . Ama-NSAID okhilimu avame ukunconywa kuqala nge-osteoarthritis.
• Imithi Yokulwa Namathambo Eguqula Izifo (i-DMARD): Le mithi ilawula ukuqhubeka kwesifo samathambo futhi inciphise izimpawu. Izibonelo: I-Methotrexate , i-Hydroxychloroquine .
• Ama-Corticosteroids: Lawa asetshenziswa njengamaphilisi omlomo, njengomjovo emsipheni, noma njengomjovo emthanjeni. Anciphisa ukuvuvukala nezinye izimpawu zesifo samathambo.
• Imithi yokucindezela amasosha omzimba:Lokhu kulawula ukuqhubeka kwesifo samathambo esibizwa ngokuthi i-rheumatoid arthritis futhi kunciphisa umonakalo emathanjeni azungeze amalunga.
• Ama-Biologic Agent: Lawa asiza ukulawula ukulimala kwamalunga ku-rheumatoid arthritis. Izibonelo: I-Adalimumab (Humira®) , i-Etanercept (Enbrel®) .

Okubalulekile: Ngisho nemithi etholakala ngaphandle kwemithi kadokotela akufanele isetshenziswe ngaphandle kokubonisana nodokotela, njengoba ingase ihlangane neminye imithi ongase uyithathe noma ezinye izimo zempilo ongase ube nazo.

3. Imijovo ye-steroid

Ama-steroid awuhlobo lomuthi onciphisa ukuvuvukala futhi unciphise ubuhlungu. Le mijovo ivame ukusetshenziswa lapho ukuvuvukala kungenakulawuleka ngemithi, noma lapho ukuvuvukala kunqunyelwe emalungeni ambalwa. Le mijovo ifakwa ngqo emalungeni athintekile. Kodwa-ke, ngenxa yokuthi ama-steroids angenza buthaka imisipha kanye nemisipha, le mijovo ayisetshenziswa njalo, izikhathi ezimbalwa kuphela.

4. Amanye Amasu Okuphatha

Uhlelo oluphelele lokwelashwa luhlanganisa futhi:

• Ukuzivocavoca: Ukuqinisa amalunga kanye nokwelula umzimba kungasiza ekunciphiseni izimpawu futhi kuthuthukise ukusebenza kwawo. Uchwepheshe wezokwelapha angakusiza ukuthi unqume ukuthi yikuphi ukuzivocavoca okufanele.
• Amaphakethe ashisayo nabandayo: Amaphakethe abandayo anganciphisa ubuhlungu nokuvuvukala. Amaphakethe ashisayo anganciphisa ukuminyana. Ungafaki imizuzu engaphezu kwengu-20 ngesikhathi.
• Ukuphumula: Ukuthatha ikhefu njalo kungasiza ekunciphiseni ubuhlungu bamalunga nokuvuvukala.
• Ukudla okunempilo nokulawula isifo sikashukela kanye ne-cholesterol.
• Yehlisa isisindo uma ukhuluphele kakhulu.
• Gwema ukubhema: Ukubhema kwandisa ingozi yokuba nesifo samathambo.
• Ukwelashwa Komsebenzi: Ungafunda ukusebenzisa amadivayisi okuzisiza ukuze akusize ngemisebenzi yansuku zonke, njengokugqoka noma ukwenza imisebenzi yasekhaya ekhishini.

5. Ukuhlinzwa - njengendlela yokugcina yokwenza

Uma imithi kanye nezinye izindlela zokwelapha zinganikezi impumuzo, futhi uqwanga olusekugcineni kwethambo selugugile ngokuphelele, ukuhlinzwa kungacatshangelwa. Kunezinhlobo eziningana eziyinhloko zokuhlinzwa:

• Ukuhlanganiswa Kwamalunga (i-Arthrodesis): Lokhu kuhlinzwa kusebenzisa ipuleti namaphini ukuhlanganisa amathambo amalunga akho ndawonye. Lokhu kukunika ilunga eliqinile, elingenabuhlungu, kodwa kunciphisa ikhono lakho lokuhambisa ilunga ngendlela eguquguqukayo.
• Ukufakelwa kwamalunga (i-Arthroplasty):Njengoba nje amalunga afana namadolo nezinqe angashintshwa, amalunga asesandleni nawo angashintshwa. Ilungu lokwenziwa elenziwe ngepulasitiki, i-ceramic, i-silicon, noma insimbi lisetshenziselwa ukufaka esikhundleni selungu elonakele. Kodwa khumbula, amalunga okwenziwa afakwe eminweni awalingisi ngokugcwele ukunyakaza okuvamile kweminwe.
• Ukudluliselwa kwemisipha: Amamisipha ayizicubu ezixhumanisa imisipha namathambo. Ukuvuvukala kwesikhathi eside okuvela ku-arthritis kungabangela ukuba imisipha iqhume. Uma lokhu kwenzeka, ingxenye yemisipha enempilo ingasetshenziswa ukubuyisela ukusebenza kwesandla sakho.

Wena nodokotela wakho ohlinzayo nizoxoxa futhi ninqume ukuthi iyiphi inqubo yokuhlinzwa engcono kakhulu kuwe, nicabangela izici ezifana neminyaka yakho, izinga lomsebenzi, amalunga athintekile, kanye nobuhlungu nokukhubazeka onakho.

Yini ongayilindela ngemva kokuhlinzwa kwesandla?

Ngemva kokuhlinzwa, kuzodingeka ugqoke i-cast noma i-splint ukuze uvikele isandla sakho ngenkathi siphola. Udokotela wakho angakudlulisela kudokotela wezandla. Bangase bakunike nemithi yokwelapha izinhlungu isikhathi esilinganiselwe ukusiza ekunciphiseni ubuhlungu.

Ingabe zikhona izinkinga ngokuhlinzwa kwesandla?

Njenganoma yikuphi ukuhlinzwa, ukuhlinzwa kwesandla kungaba nezinkinga ezithile. Isibonelo:

• Ukuhamba akuthuthuki njengoba bekulindelekile.
• Ukufakelwa kabusha kwesitho ngenxa yokwaphuka noma ukuguguleka.
• Amathambo angahlangani ndawonye noma angahlangani kahle ngesikhathi sokuhlinzwa kokuhlanganiswa.

Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa?

Isikhathi sokululama sincike ezintweni eziningi, okuhlanganisa ubucayi besimo sakho, uhlobo lokuhlinzwa okwenziwe, ikhono likadokotela ohlinzayo, nokuthi ulandela kahle kangakanani ukwelashwa. Ngokuvamile ungabuyela emisebenzini evamile cishe ezinyangeni ezintathu ngemva kokuhlinzwa kokwakhiwa kabusha kwamalunga. Ithimba lakho lezokwelapha lizokunikeza umbono omuhle kakhulu wesikhathi sokululama esifanele wena.

Ingabe ufuna izindlela ezintsha zokwelapha?

Yebo, kunezivivinyo eziningana zemitholampilo ezenzeka e-US, ikakhulukazi i-osteoarthritis, ezintweni ezifana nokwelashwa kwamaseli e-stem. Imiphumela yokuqala iyakhuthaza. Futhi, eminyakeni eyishumi edlule, kutholakale imithi eminingi emisha ye-psoriatic arthritis kanye ne-rheumatoid arthritis, futhi ucwaningo olwengeziwe luyaqhubeka.

Ingabe amaphilisi e-Glucosamine ne-Chondroitin alungile?

Lezi zithako zokudla azibuyekezwa futhi azivunyelwe yizikhungo ezifana ne-U.S. Food and Drug Administration (FDA). Lokhu kusho ukuthi azikho ngaphansi kwezivivinyo zomtholampilo eziqinile njengemithi ejwayelekile. Nakuba ezinye izivivinyo zomtholampilo zibonise ukuthi zingaba usizo ekunciphiseni ubuhlungu, azikafakazelwa ukuthi zinciphisa ukuqhubeka kwe-osteoarthritis. Uma ucabanga ukusebenzisa into efana nale, qiniseka ukuthi ubuza udokotela wakho. Zingase zihlangane neminye imithi oyiphuzayo.

Ingabe isifo samathambo ezandleni singavinjelwa?

Ngeshwa, i-arthritis ayinakuvinjelwa ngokuphelele. Kodwa-ke, unganaka izimpawu ze-arthritis njengoba ukhula. Uma ubona noma yiziphi izinguquko emalungeni akho, bona udokotela ngokushesha. Ungathatha nezinyathelo zokulawula ezinye zezinto eziyingozi:

• Yidla ukudla okunomsoco: Nikeza umzimba wakho izakhamzimba ozidingayo futhi ugcine isisindo esinempilo. Ukuba nesisindo esikhulu (i-BMI engaphezu kuka-25) kubeka ingcindezi enkulu emalungeni akho.
• Ungabhemi: Ukubhema kwandisa ingozi yokuba nesifo samathambo.

Ngakho-ke, yini okufanele siyikhumbule kulokhu? (Umyalezo Wokuya Ekhaya)

Uma unezinhlungu ezibuhlungu noma ezishisayo emalungeni akho esandla, ukuqina kwasekuseni, noma ukuvuvukala emalungeni akho, lokhu kungaba izimpawu ze-arthritis. Njengoba sesixoxile, izinhlobo eziningana ze-arthritis zingathinta izandla.

Into engcono kakhulu ongayenza ukufuna iseluleko sezokwelapha ngokushesha uma unalezi zimpawu. Udokotela uzokuxilonga kahle futhi akunikeze uhlelo lokwelashwa olufanele wena.

Lolo hlelo lokwelashwa lungafaka izinto ezifana nokuzivocavoca ngezandla, amaphakethe okushisa nokubandayo, kanye nokushintsha indlela yokuphila, kanye nemithi, ama-splint/braces, imijovo ye-steroid, ngisho nokuhlinzwa njengesisombululo sokugcina. Khumbula, nakuba kungekho ikhambi le-arthritis, usengakwazi ukulawula izimpawu zakho futhi uphile impilo enhle. Ngakho-ke ungesabi, bese ulandela iseluleko sikadokotela wakho.

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I-arthritis yesandla, ubuhlungu bamalunga, i-osteoarthritis, i-rheumatoid arthritis, ubuhlungu besandla, ukuvuvukala kwamalunga, ukwelashwa kwe-arthritis