Ingabe ngezinye izikhathi uzizwa ubuhlungu ethangeni lakho uma uvuka ekuseni noma ngemva kokuhamba isikhashana? Ingabe uzizwa 'ubuhlungu' uma uvuka esihlalweni noma uphuma emotweni? Lobuhlungu bethangeni buyinkinga abantu abaningi abanayo. Ngezinye izikhathi kuyinto encane, kodwa ngezinye izikhathi kungaba yinto edinga ukunakwa kancane. Ngakho-ke namuhla, ake sixoxe ngokuthi buyini ubuhlungu bethangeni, ukuthi kungani buvela, nokuthi yini engenziwa ngakho.
Buyini ngempela ubuhlungu benqulu?
Kalula nje, ilunga lesinqe yilapho amathambo amabili emzimbeni wethu ehlangana khona. Ngokuqondile, ithambo lethu lethanga (i-femur) lixhumana ne-pelvis (i-pelvis) kuleli lunga lesinqe. Leli elinye lamalunga amakhulu futhi aqinile emzimbeni wethu. Leli lunga lisisiza kakhulu lapho sihamba, sigijima, sithwala isisindo, futhi sigcina ibhalansi.
Manje, ngaleli phuzu elibuhlungu, singathola umbono oqondile wokuthi inkinga ikuphi. Cabanga nje...
- Uma kuzwakala sengathi kungaphezu kwesinqe, eduze kwesikhumba, kungenzeka ukuthi kuyinkinga yemisipha, imisipha, noma imisipha.
- Uma ubuhlungu buzwakala sengathi buvela ngaphakathi, kungenzeka ukuthi bubangelwa inkinga ngamathambo noma i-cartilage.
- Ngezinye izikhathi ubuhlungu benqulu bungasakazekela kwezinye izindawo, njengasemhlane nasesinqeni.
Lobuhlungu abuhlali njalo. Bungase buvele kuphela uma uhamba noma usebenza bese buphela uma uphumula. Abanye abantu baba nobuhlungu obukhulu ekuseni. Kwabanye, ubuhlungu bungase bube bubi kakhulu ebusuku, ikakhulukazi uma belele ohlangothini olubuhlungu. Ngokuvamile, ubuhlungu obuncane bungalawulwa ngemithi yasekhaya kanye nemithi yokubulala izinhlungu. Kodwa-ke, uma ubuhlungu bukhulu ngokwanele ukuphazamisa imisebenzi yakho yansuku zonke futhi bungapheli ezinsukwini ezimbalwa, kufanele nakanjani ubone udokotela.
Yiziphi izimbangela eziyinhloko zobuhlungu benqulu?
Ubuhlungu benqulu buwuphawu nje. Kunezimo eziningi ezahlukene ezingaba imbangela yalokhu. Ake sibheke izimbangela eziyinhloko.
| Isizathu | Kwenzekani ngalokhu? | Izibonelo |
|---|---|---|
| Isifo samathambo | Isimo esibangela ubuhlungu nokuvuvukala emalungeni. I-arthritis yelunga lesinqe ivame kakhulu. | - I-Osteoarthritis - Isifo samathambo esibizwa ngokuthi i-rheumatoid arthritis - I-Ankylosing spondylitis |
| I-Bursitis | Ubuhlungu buvela ngenxa yokuvuvukala kwamasaka amancane agcwele uketshezi abizwa ngokuthi i-bursa azungeze amalunga ethu. | - I-Iliopectineal bursitis - I-bursitis ye-Trochanteric |
| Ukulimala | Ubuhlungu bungabangelwa yinoma yini elimaza izingxenye ze-hip joint. Lokhu kungenzeka ezingozini noma ngesikhathi udlala imidlalo. | - Ukucindezeleka kwemisipha ye-hip - Isifo sebhendi ye-Iliotibial - Izinyembezi ze-labral ze-hip - Ukuphuka kwamathambo |
| Izimo Zesakhiwo | Abanye abantu bangazalwa benezinkinga ezithile ngesimo sezinqe zabo, okungabangela ubuhlungu ebuntwaneni noma kamuva. | - I-Femoroacetabular impingement (FAI) - I-dysplasia yokuthuthukiswa kwe-hip (DDH) |
Njengoba ubona, kunezizathu eziningi. Abantu abasebenzisa izinqe zabo kuzo zonke izindlela, njengabadansi nabadlali be-gymnast, bathambekele kakhulu ekutholeni lolu hlobo lokulimala.
Uphatha kanjani lobu buhlungu benqulu?
Ukwelashwa okudingayo kuzoncika embangeni yobuhlungu bakho kanye nobunzima babo. Udokotela wakho ungumuntu ongcono kakhulu ukwenza leso sinqumo.
Izinto ongazenza ekhaya: Indlela ye-RICE
Lena ikhambi lasekhaya elilula nelisebenza kahle kakhulu lokulimala okuncane. `I-RICE` uhlamvu lokuqala lwamagama amane.
- R - Ukuphumula:Yeka noma yini ebangela ubuhlungu, okungukuthi, umsebenzi onzima, okwesikhashana. Ukunikeza ilungu ukuphumula kuzovimba umonakalo ukuthi ungabi mubi kakhulu.
- I - Iqhwa: Songa iphakethe leqhwa noma indwangu efakwe emanzini abandayo ngethawula bese uyibeka endaweni ebuhlungu imizuzu eyi-10-15. Yenza lokhu cishe kanye ngehora ngosuku lokuqala. Bese, ukwenze njalo emahoreni angu-3-4 ezinsukwini ezimbalwa ezilandelayo. Ungalokothi ubeke iqhwa ngqo esikhumbeni.
- C - Ukucindezela: Lokhu kusiza ukunciphisa ukugeleza kwegazi nokulawula ukuvuvukala. Sebenzisa ibhandishi lokucindezela, ongayithenga ekhemisi.
- E - Ukuphakama: Uma kungenzeka, phakamisa umlenze wakho phezu kwemicamelo bese uwubeka ngaphezu kancane kwezinga lenhliziyo yakho.
Izibulali-zinhlungu (Imithi)
Udokotela wakho angase akunike imithi yokulawula ubuhlungu nokuvuvukala. Lokhu kufaka phakathi ama-NSAID athengiswa ngaphandle kwemithi kadokotela (imithi engeyona i-steroidal elwa nokuvuvukala), njenge-ibuprofen ne-naproxen. I-Acetaminophen (i-Paracetamol) nayo iyasetshenziswa.
Kodwa khumbula, ungawuthathi lo muthi izinsuku ezingaphezu kweziyi-10 zilandelana ngaphandle kokukhuluma nodokotela wakho.
Ukwelashwa Komzimba
Uma uzwa ubuhlungu ngenxa yesimo esifana nesifo samathambo noma inkinga yesakhiwo, udokotela wakho angakuthumela kudokotela wezokwelapha ngokomzimba. Bazokufundisa ukuzivocavoca kanye nokwelula ukuze kuqiniswe imisipha ezungeze inqulu yakho. Lokhu kuzokwandisa ukuqina kwenqulu futhi kunciphise ubuhlungu.
Ukuhlinzwa
Akuwona wonke umuntu onesifo sezinqe ozodinga ukuhlinzwa. Kodwa-ke, uma ubuhlungu bukhulu futhi ezinye izindlela zokwelapha zingasebenzi, udokotela wakho angase acabangele ukuhlinzwa.
- I-arthroscopy yesinqe: Lolu uhlobo lokuhlinzwa oluvame kakhulu. Luhilela ukwenza izimbobo ezimbalwa ezincane esikhumbeni nokufaka ithuluzi elincane elibizwa ngokuthi i-arthroscope, elifakwe ikhamera, ukuze kutholakale futhi kulungiswe umonakalo ongaphakathi.
- Ukufakelwa inyonga: Kwezinye izimo ezinzima, ikakhulukazi lapho ubuhlungu bukhulu kangangokuthi ukuhamba noma ukuma akunakwenzeka, i-hip arthroplasty ingadingeka. Lokhu kuhilela ukususa ilunga elonakele bese kufakwa ilunga lokwenziwa (prosthesis).
Ingabe ubuhlungu benqulu bungavinjelwa?
Asikwazi ukuvimbela into efana nengozi ukuthi yenzeke, kodwa kunezinto esingazenza ukuze sinciphise ingozi.
Uma udlala ezemidlalo futhi uvivinya umzimba:
- Zifudumeze njalo ngaphambi kokuqala ukujima kwakho.
- Uma usuqedile ukuzivocavoca, pholisa bese welula umzimba.
- Gcina ubuhlungu bese udlala uthi "kulungile" futhi ungazivivinyi.
- Nika umzimba wakho isikhathi osidingayo ukuze ululame ngemva kokuzivocavoca.
Ukuze uthole ukuphepha okuvamile, cabangela lezi zinto:
- Ungashiyi izinto zilele ekhaya noma emsebenzini ezingakubangela ukuba ushelele futhi uwe.
- Ungakhweli ezihlalweni noma ematafuleni ukuze ufinyelele okuthile okungenhla. Sebenzisa into efanelekile, njengeladi.
- Uma unenkinga yokuhamba noma usengozini yokuwa, ungesabi ukusebenzisa induku yokubambelela (umoba/i-walker).
Kufanele ubonane nini nodokotela?
Lokhu kubaluleke kakhulu.
Uma ubuhlungu benqulu yakho buhlala njalo, noma bukuvimbela ekwenzeni imisebenzi yakho yansuku zonke noma ngisho nokwenza izinto ozithandayo, kufanele nakanjani ubone udokotela ngokushesha.
Uma uke waba nengozi, njengengozi yemoto noma ukuwa, noma uma ungakwazi ukuhambisa inqulu noma umlenze wakho, noma uma ucabanga ukuthi unethambo eliphukile, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Nakuba ubuhlungu benqulu buvamile, akudingeki uphile nabo. Udokotela wakho angahlonza imbangela yobuhlungu bakho futhi akunikeze ukwelashwa okudingayo ukuze ubuyele emsebenzini ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Nakuba ubuhlungu benqulu buvamile, ungabunaki. Ubuhlungu buyisibonakaliso esivela emzimbeni wakho.
- Njengoba ukwelashwa kuyahlukahluka kuye ngokuthi ubuhlungu bubangelwa yini, kubaluleke kakhulu ukuthola imbangela eqondile.
- Izindlela zokwelapha zasekhaya ezifana nendlela ye-RICE zingasiza ekunciphiseni ubuhlungu obuncane nokuvuvukala.
- Uma ubuhlungu bungapheli ezinsukwini ezimbalwa, bukhulu, noma buphazamisa imisebenzi yansuku zonke, qiniseka ukuthi ubona udokotela wakho.
- Uma uzwa ubuhlungu obukhulu ngemva kwengozi noma usola ukuthi ithambo liphukile, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU).
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Yisiphi isifo esinqunyelwe amaphilisi/amakapsuli e-Fluvastatin (Fluvastatin / Lescol)?
Lona umuthi 'we-High Cholesterol/Hyperlipidemia' (Statin)! Kungenzeka ukuthi awunamandla njenge-Atorvastatin, kodwa okukhethekile kwalokhu ukuthi umuthi owenzelwe ukunciphisa ingozi yokuvaleka kabusha kwemithambo yegazi kubantu abaye bahlaselwa yinhliziyo noma bahlinzwa inhliziyo (PTCA/Bypass). Futhi, awunakho ukusebenzisana okuningi kwemithi neminye imithi.
💬 Leli philisi le-cholesterol (i-Fluvastatin) liyincibilikisa kanjani i-cholesterol embi uma ingena emzimbeni wethu?
Umshini oyinhloko owenza i-cholesterol esibindini semizimba yethu ubizwa ngokuthi 'i-HMG-CoA Reductase'. Lapho nje leli philisi lifika esibindini sethu, ama-molecule alo asebenzayo (asuselwa ekukhiqizweni) ayavimba/avala lowo mshini ngo-100% (Ukuvinjelwa kwe-Enzyme). Lapho umshini ucishiwe, isibindi asinayo enye indlela ngaphandle kokuqala ukumunca i-cholesterol/LDL embi egazini lethu (Ukulawulwa Okuphezulu kwama-receptor e-LDL).
💬 Yiziphi izingozi nemiphumela emibi kakhulu okufanele uyiqaphele lapho uthatha leli philisi le-cholesterol (i-Fluvastatin)?
Nakuba lo muthi unengozi encane yemiphumela emibi, ingozi enkulu yi-'Myopathy/Rhabdomyolysis'! Uma uzwa ubuhlungu bemisipha obungabekezeleleki, ubuthakathaka, nomchamo omnyama, tshela udokotela wakho ngokushesha, ngaphandle kwalokho izinso zakho zingase ziyeke ukusebenza futhi ungase ufe. Futhi, lokhu akuvunyelwe 'kumama abakhulelwe' kanye nalabo 'abanesifo sesibindi'!
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