Ingabe ngezinye izikhathi uba nobuhlungu esinqeni sakho, edolweni, noma ehlombe obungapheli kungakhathaliseki ukuthi uthatha imithi engakanani? Ungase ukuthole kunzima ukuhamba noma ngisho nokukhuphuka izitebhisi. Lokhu kungase kube ngenxa yokuthi igazi eliya engxenyeni yethambo elingaphakathi kwelunga liyanqamuka, okubangela ukuba life. Ngokwezokwelapha, lokhu sikubiza ngokuthi i-Avascular Necrosis (AVN) , noma i-Osteonecrosis . Nakuba igama lingase libe yinkimbinkimbi kancane, kubalulekile ukuthi uqonde lesi simo kalula.
Kuyini i-Avascular Necrosis (AVN)?
Kalula nje, lesi yisimo lapho amathambo ethu "ecinana." Cabanga ngakho, njengawo wonke amaseli emzimbeni wethu, amathambo adinga umoya-mpilo nezakhamzimba ukuze aphile, ahlale eqinile, futhi akhule amasha. Lokhu kulethwa yigazi. Kwenzekani uma, ngesizathu esithile, ukugeleza kwegazi engxenyeni yethambo kuyeka ngokuphelele noma ngezinga elikhulu? Njengoba nje isihlahla sifa ngaphandle kwamanzi, leyo ngxenye yethambo iqala ukufa kancane kancane ngaphandle kokuthola ukudla okunomsoco. Yilokhu esikubiza ngokuthi i-AVN.
Leli thambo elifile liba buthakathaka ngokuhamba kwesikhathi, liqale ukuqhekeka, bese liphuka. Uma lokhu kwenzeka eduze kwelunga, ilunga ngokwalo lingawa. Nakuba lesi simo singathinta noma yiliphi ithambo emzimbeni, sivame kakhulu ku:
- Ilunga lesinqe: Ingxenye engenhla yethambo lethanga.
- Ijoyinti ledolo: Ingxenye engezansi yethambo lethanga.
- Ilunga lehlombe: Isiphetho esingenhla sethambo lengalo.
Lokhu akuyona into eyenzeka ngokuzumayo. Yisimo esiba sibi kancane kancane ngokuhamba kwesikhathi. Ngakho-ke, kubaluleke kakhulu ukusibona nokuselapha kusenesikhathi .
Ziyini izimpawu zalesi simo?
Izimpawu ze-AVN azibonakali ngokuzumayo. Zikhula kancane kancane ngemva kwamasonto, ngezinye izikhathi izinyanga. Kungase kungabi khona ubuhlungu ekuqaleni. Kodwa-ke, njengoba isimo siba sibi kakhulu, lezi zimpawu zingase zivele.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu bamalunga | Ekuqaleni, ubuhlungu buqala kuphela uma ilunga lingaphansi komthwalo, njengalapho umi noma uhamba. Kamuva, ubuhlungu bungenzeka ngisho nalapho umi noma ulele ebusuku. |
| Ubunzima bokugoba nokwelula ijoyinti | Kukhona ubuhlungu nokungakhululeki lapho ugoba noma welula isitho. Ilunga lingase lizwakale sengathi linamathele. |
| Ukuxhuga | Ikakhulukazi uma ithanga noma idolo lakho lithintekile, ungase uqale ukuhamba ungaqondile uqhuga. Lokhu kuyinto eyenziwa ngumzimba wakho ukuze ugweme ubuhlungu. |
| Ubunzima ngemisebenzi yansuku zonke | Ngisho nezinto ezilula njengokukhuphuka izitebhisi, ukuma, nokuhamba ziba imisebenzi ebuhlungu nenzima. |
Kungani lokhu kwenzeka? Yiziphi izizathu?
Kunezizathu ezahlukahlukene zokuthi kungani ukugeleza kwegazi emathanjeni kungayeka. Sizoxoxa ngalezi zizathu ngokuzihlukanisa ngezigaba ezimbili eziyinhloko.
Ngenxa yengozi (i-AVN ebuhlungu)
Lena yimbangela evame kakhulu. Uma ulimale kakhulu futhi wephuka ithambo (waphuka) noma wahlukanisa ilunga (waphuka), imithambo yegazi ethambile enikeza igazi ethanjeni ingonakala. Le ngozi iphezulu kakhulu ezimweni ezifana nokuphuka kwethanga . Uma igazi selinqamukile, ithambo liqala ukufa kancane kancane.
Ngenxa yezinye izimo zezokwelapha noma izimbangela (i-Nontraumatic AVN)
Lesi simo singavela ngaphandle kwengozi. Ake sibheke ezinye zezimbangela ezisithinta ngezansi. Uma i-AVN ivele ngenxa yesizathu esinjalo, ingathinta izinhlangothi zombili zomzimba. Isibonelo, uma ithinta ihlombe lesokudla, kungenzeka ukuthi nehlombe lesobunxele nalo lithinteke.
| Imbangela/Isici sengozi | Incazelo elula |
|---|---|
| Ukusetshenziswa kwe-steroid isikhathi eside | Ama-Corticosteroids , njenge-Prednisone, ayimbangela enkulu yalokhu, njengoba engakhuphula amazinga e-lipid egazini futhi anciphise imithambo yegazi. |
| Ukuphuza ngokweqile | Le ngozi iphakeme nakulabo abaphuza utshwala ngokweqile isikhathi eside. Utshwala bungadala ukwanda kwezinhlayiya zamafutha egazini futhi buvale imithambo yegazi. |
| Ukubhema | Ukubhema kungabangela ukuba imithambo yegazi inciphe futhi kuphazamise ukugeleza kwegazi. |
| Izimo ezithile zezokwelapha | I-AVN ingabangelwa izifo ezifana ne -sickle cell anemia, i-lupus , ukutheleleka nge-HIV , kanye nokwelashwa ngemisebe yomdlavuza. |
| Ukufakelwa isitho somzimba | Le ngozi ikhuliswa nayimithi (ikakhulukazi ama-steroid) enikezwa ukuvimbela umzimba ukuthi ungalamukeli isitho ngemva kokufakelwa isitho. |
| Ukugula Kokunciphisa Ukucindezeleka | Lesi yisimo esingaba khona kubantu ababhukuda olwandle olujulile. Uma ufika ngokushesha kakhulu, amabhamuza omoya angakheka egazini lakho futhi avale imithambo yegazi. |
Udokotela ukuthola kanjani lokhu?
Uma usitshela ngezimpawu zakho, udokotela uzoqala akubuze ngomlando wakho wezokwelapha, imithi oyiphuzayo, nendlela yokuphila (utshwala, ukubhema). Ngemuva kwalokho uzohlola umzimba wakho.
Kodwa indlela engcono kakhulu yokuqinisekisa lesi sifo iwukusebenzisa i-MRI (Magnetic Resonance Imaging) . Kunzima ukuthola lesi simo ezigabeni zokuqala nge-X-ray evamile. Lokhu kungenxa yokuthi izinguquko kuma-X-ray zibonakala kuphela ngemva kokulimala okukhulu ethanjeni. Kodwa-ke, i-MRI scan ingathola ukugeleza kwegazi okunciphile ethanjeni ngisho nezinguquko ezincane ethanjeni esigabeni sokuqala.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kuncike ezintweni eziningi, okuhlanganisa izinga lomonakalo ethanjeni lakho, isigaba sesifo, ubudala bakho, kanye nempilo yakho iyonke. Imigomo eyinhloko yokwelashwa ukuvimba ukulimala okwengeziwe kwamathambo, ukunciphisa ubuhlungu, nokugcina ukusebenza kwamalunga.
Ukwelashwa okungekona ukuhlinzwa
Uma lesi sifo sitholakala kusenesikhathi, ungazama ukusilawula ngaphandle kokuhlinzwa ngalezi zinto:
- Ukuphumula: Ukuthwala isisindo esithweni esithintekile, okusho ukunciphisa ukuhamba ngokweqile, ukugijima, nokugxuma.
- Izibulali-zinhlungu: Izinto ezifana nemithi engeyona i-steroidal anti-inflammatory (NSAIDs) enqunywe udokotela wakho zingasiza ekunciphiseni ubuhlungu nokuvuvukala.
- Ukwelashwa Komzimba: Ukuzivocavoca kuqinisa imisipha ezungeze ilunga futhi kusiza ukugcina ukuhamba kwamalunga.
- Izisekelo ezifana nezinduku zokusibekela: Uma isinqe noma idolo lithintekile, ukusebenzisa izinduku zokusibekela kunganciphisa isisindo esijoyintini.
- Amaphakethe Okushisa/Okushisa: Lawa angasiza ekunciphiseni ubuhlungu okwesikhashana.
Ukwelashwa ngokuhlinzwa
Uma umonakalo ethanjeni umkhulu, noma uma ukwelashwa okungenhla kungenakukulawula, kungase kudingeke ukuhlinzwa.
| Ukuhlinzwa | Kwenzekani kuyo? |
|---|---|
| Ukunciphisa Ukucindezeleka Okuyinhloko | Lokhu kuhilela ukubhoboza imbobo eyodwa noma ngaphezulu encane (ama-core) ethanjeni elonakele. Lokhu kunciphisa ingcindezi ngaphakathi kwethambo, okuvumela imithambo yegazi emisha ukuthi yakheke futhi kuthuthukise ukugeleza kwegazi. Lokhu kuyasebenza ezigabeni zokuqala zesifo. |
| Ukuxhunyelelwa Kwamathambo | Ithambo elifile lisuswa ngokuhlinzwa bese lithathelwa indawo yingcezu yethambo eliphilile elivela kwenye ingxenye yomzimba wakho noma ithambo elivela kumnikeli. |
| Ukufakwa Kwejoyinti | Uma umonakalo ethanjeni umkhulu, noma ilunga ngokwalo liwile, ilunga elonakele lisuswa ngokuphelele bese lithathelwa indawo ilunga lokwenziwa elenziwe ngensimbi noma ngepulasitiki. Ukufakwa esikhundleni kwe-Hip/Knee kuvame ukwenziwa. |
Ikusasa liphetheni kumuntu one-AVN?
Into yokuqala okufanele uyisho ukuthi i-Avascular Necrosis ayisona isimo esisongela impilo . Ngeke ithinte isikhathi sakho sokuphila. Kodwa-ke, ingaba nomthelela omkhulu ezingeni lempilo yakho. Ubuhlungu bungenza kube nzima ukwenza imisebenzi yansuku zonke, ukuhamba, kanye nokusebenza.
Futhi, uma i-AVN ibangela ukulimala kwamathambo, i-cartilage ejoyintini ingaguga, okuholela e -osteoarthritis enzima. Ezimweni ezinjalo, kungase kudingeke ukuhlinzwa kokufaka amalunga esikhundleni sawo ekugcineni.
Kufanele ngimbone nini udokotela?
Lena yingxenye ebaluleke kakhulu. Abantu abaningi bayabushaya indiva ubuhlungu bamalunga, becabanga ukuthi kuyinto evamile. Kodwa-ke, uma unalezi zimpawu, kufanele nakanjani ubone udokotela.
Uma uzwa ubuhlungu lapho uhamba noma ushukumisa umzimba wakho, futhi bungapheli ngisho nangemva kokuphumula noma ukuthatha imithi yobuhlungu, noma uma uzizwa sengathi uyaxhuga ngaphandle kwesizathu, bona udokotela ngokushesha bese ucela iseluleko.
Khumbula, uma isimo esinjengalesi sisheshe siqashelwe, ukwelashwa kungaba yimpumelelo kakhulu, umonakalo omncane emathanjeni ungancishiswa, futhi ikhwalithi yokuphila kwakho ingagcinwa ingcono.
Umlayezo Wokuya Nawe Ekhaya
- I-Avascular Necrosis (AVN) yilapho igazi eliya emathanjeni liyeka ukunikezwa, okubangela ukuba amathambo afe.
- Izinqe, idolo, kanye namalunga ehlombe yiwona avame ukuthinteka.
- Uphawu oluyinhloko ubuhlungu bamalunga obukhula kancane kancane futhi obungapheli ngisho noma uphumule.
- Izingozi, ukusetshenziswa kwama-steroid isikhathi eside, ukuphuza utshwala ngokweqile, kanye nezimo ezithile zezokwelapha kungabangela lokhu.
- Uma unezinhlungu zamalunga ezingachazeki noma ukuxhuga, ungakuzibi futhi nakanjani ubone udokotela.
- Ukutholwa kusenesikhathi kanye nokwelashwa kungavimbela lesi sifo ukuba singabi sibi kakhulu.
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