Kungenzeka ukuthi uke waphawula ukuthi abanye abantu bagoba iminwe yabo emuva ngendlela engavamile, noma bagoba amadolo abo emuva kakhulu kangangokuthi babuyela emuva kakhulu. Abanye abantu bakubiza nangokuthi 'i-double-jointed'. Eqinisweni, isikhathi esiningi lokhu akuyona inkinga enkulu. Kodwa uma unalolu hlobo lokuguquguquka kwamalunga, kanye nobuhlungu bamalunga obuvamile kanye nokulimala, ungase ube nesimo esibizwa ngokuthi i-Joint Hypermobility Syndrome. Ake sixoxe ngalokhu kalula, ngendlela ongayiqonda.
Kalula nje, iyini i-Joint Hypermobility Syndrome?
Amalunga ethu axhunywe ungqimba olukhulu lwezicubu. Sibiza lawa ma-ligaments . Afana nama-rubber bands ahlanganisa amalunga ethu futhi awavimbele ukuthi anganyakazi kakhulu. Kumuntu one-Joint Hypermobility Syndrome, la ma-ligaments abuthakathaka noma akhululekile. Afana ne-rubber band eyeluliwe kusukela ekusetshenzisweni. Ngakho-ke amalunga awo angagoba kakhulu kunokujwayelekile. Uma lokhu kuguquguquka ngokweqile kuhambisana nobuhlungu, sibiza lesi simo ngokuthi i-Joint Hypermobility Syndrome. Ihlukaniswa njenge -connective tissue disorder .
Uyini umehluko phakathi 'kokuvuvukala' kanye 'ne-syndrome'?
Yilapho abantu abaningi bedideka khona. Ukushukuma kwamalunga, noma ikhono lokugoba amalunga ngokweqile, kuvame kakhulu emphakathini. Uma ungakwazi ukugoba amalunga njengezindololwane zakho, izihlakala, iminwe, namadolo ngaphezu kwebanga lawo elijwayelekile, lokho kubizwa ngokuthi ukushukuma kwamalunga.
Kodwa kubantu abaningi, lokhu akubangeli ubuhlungu noma ezinye izinkinga zempilo. Kodwa kwabanye, lokhu kuguquguquka ngokweqile kubangela izimpawu eziningi njengobuhlungu bamalunga, ukulimala kwamalunga kanye nemisipha njalo, ukukhathala, kanye nezinkinga zamathumbu kanye nohlelo lomchamo . Yilapho-ke esikubiza khona ngokuthi i-Joint Hypermobility Syndrome . Kalula nje, ukuguquguquka ngokweqile + izimpawu = isifo.
Lesi simo sivame kakhulu ezinganeni nakubantu abadala abasebasha. Sivame kakhulu nakwabesifazane nakubantu base-Asia nase-Afrika-eCaribbean. Kodwa izindaba ezinhle ukuthi lesi simo sivame ukwehla njengoba iminyaka ikhula.
Ingabe lokhu kungaba uphawu lwesinye isifo esibi kakhulu?
Yebo, ngezinye izikhathi ukuhamba kwamalunga kungaba uphawu lwesifo esibucayi kakhulu, esihambisana nofuzo. Lokhu kubizwa ngokuthi yi-Heritable Disorders of Connective Tissue (HDCT). Nazi ezinye zezimo ezingavamile ezingase zihlotshaniswe ne-Joint Hypermobility Syndrome:
- I-Ehlers-Danlos Syndrome: Leli yiqembu lezimo ezithinta i-cartilage yethu, amathambo, amafutha kanye negazi. Izicubu zethu ezixhumeneyo, ezinikeza amandla nokuguquguquka,Lesi simo sibangelwa ukungasebenzi kahle kwe-collagen yeprotheni.
- I-Marfan Syndrome: Lesi futhi yisimo esithinta izicubu ezixhumeneyo. Sibangelwa yiphutha esakhiweni esakha i-fibrillin kanye nemicu enwebekayo, okuyingxenye enkulu yezicubu zethu ezixhumeneyo.
- I-Down Syndrome: Lesi yisimo sofuzo esithinta ukukhula kobuchopho bethu kanye nomzimba. Abantu abane-Down Syndrome bazalwa bene-chromosome eyengeziwe.
Ingabe nawe unalezi zimpawu? Zihlole...
Uphawu oluyinhloko noluvame kakhulu lwe-Joint Hypermobility Syndrome ubuhlungu emalungeni nasemisipheni. Ngaphezu kwalokho, bheka ukuthi unazo yini lezi zinto:
- Ukulimala okuvamile kwamalunga nemisipha: Isibonelo, ukukhumuka kwamahlombe, ukukhumuka kwamadolo, kanye nokuklwebheka kuvamile.
- Ukuqina kwamalunga nemisipha: Ukuzizwa uqinile emzimbeni, kungaba lapho uvuka ekuseni noma ngemva kokuma isikhashana.
- Ukukhathala: Ukuzizwa ukhathele ngaso sonke isikhathi ngaphandle kwesizathu esithile.
- Ukuntuleka kokulinganisela emzimbeni: Ukuzizwa sengathi uhlala uwela futhi ulahlekelwa ukulinganisela kwakho.
- Izinkinga zomchamo kanye nendle: Abanye abantu bangase babe nobuhlungu besisu kanye nokuqunjelwa ngenxa yalesi simo.
- Ukuzizwa unesizungu nokuquleka: Ukuzizwa unesizungu futhi unekhanda elibuhlungu, njengokungathi uvele wasukuma.
- Ukuba nesikhumba esincane nesinwebekayo: Isikhumba sabanye abantu singase sibe sikhulu kakhulu kunesivamile.
Kungani kwenzeka into efana nale?
Imbangela eqondile yalesi simo ayikatholakali okwamanje. Kodwa-ke, kukholelwa ukuthi sidluliselwa ezizukulwaneni ngezizukulwane . Lokhu kusho ukuthi uma umama wakho, ubaba, noma isihlobo esiseduze benalesi simo, nawe unamathuba amaningi okuba naso.
Ososayensi bakholelwa ukuthi lokhu kubangelwa ushintsho kuma-genes enza iphrotheni ebizwa ngokuthi i-collagen emizimbeni yethu. Njengoba sishilo ngaphambili, i-collagen yiyona enika amalunga ethu, imisipha, kanye nemisipha amandla nokuguquguquka kwawo. Abantu abane-Joint Hypermobility Syndrome banalesi sici ku-collagen, okubangela ukuba imisipha yabo ibe buthaka. Lapho imisipha iba buthaka, amalunga ayakhululeka futhi aqale ukugoba ngaphezu kwalokho okufanele.
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela, into yokuqala azokwenza ukuhlola umzimba ukuze ahlole ukunyakaza kwakho emalungeni akho. Bangase futhi benze ukuhlolwa kwegazi ukuze bahlole ezinye izimo zofuzo esikhulume ngazo ngaphambili.
Ngaphezu kwalokho, kunezindlela eziningana ezikhethekile ezisetshenziswa ukukala ukuguquguquka kwamalunga akho.
Isikolo se-Beighton
Lesi isikali samaphuzu angu-9. Lokhu kuhlolwa kulinganisa ukuguquguquka kwakho. Uma ungenza okulandelayo, uzothola iphuzu elilodwa ngelinye.
| Isenzo sokuhlola | Amaphuzu atholiwe |
|---|---|
| Ungakwazi yini ukugoba phambili ubeke izintende zakho phansi ngaphandle kokugoba amadolo akho? | Iphuzu eli-1 |
| Ungakwazi yini ukugoba izindololwane zakho emuva? | Iphuzu eli-1 ngendololwane ngayinye (inani eliphelele elingu-2) |
| Ungakwazi yini ukugoba amadolo akho emuva? | Iphuzu eli-1 ngedolo ngalinye (izingqikithi ezimbili) |
| Ungakwazi yini ukugoba isithupha sakho emuva bese usihlikihla engalweni? | Iphuzu eli-1 ngesithupha ngasinye (inani eliphelele eli-2) |
| Ungakwazi yini ukugoba umunwe wakho omncane emuva ngaphezu kwama-degree angu-90? | Iphuzu eli-1 ngomunwe ngamunye omncane (inani eliphelele elingu-2) |
Uma uthola amaphuzu angu-4 noma ngaphezulu kulolu vivinyo futhi ube nobuhlungu emalungeni amane noma ngaphezulu okungenani izinyanga ezi-3 , udokotela wakho angase asole ukuthi ungase ube ne-Joint Hypermobility Syndrome.
Imibuzo emihlanu
Futhi, udokotela angase akubuze le mibuzo emihlanu:
1. Wake wakwazi yini ukubeka izandla zakho phansi ngaphandle kokugoba amadolo akho?
2. Wake wakwazi yini ukugoba isithupha sakho bese usihlikihla ngaphansi kwesandla sakho?
3. Ngesikhathi useyingane, ingabe wawujabulisa abangani bakho ngokugoba umzimba wakho ngezindlela ezingavamile? Noma wawukwazi ukwenza ama-splits?
4. Njengomntwana noma umuntu omdala osemusha, ingabe wake wakhumuka ihlombe noma i-kneecap izikhathi ezingaphezu kwesisodwa?
5. Ingabe uzibheka njengomuntu 'ohlangene kabili'?
Uma uphendula ngokuthi "yebo" kwemibuzo emibili noma ngaphezulu yale, ungase ube ne-Joint Hypermobility Syndrome.
Yiziphi izindlela zokwelapha lokhu?
Akukho ukwelashwa kwalesi simo okwamanje. Kodwa ungakwazi ukulawula izimpawu zakho futhi uphile impilo evamile. Imigomo eyinhloko yokwelashwa ukuvikela amalunga akho nokuphatha ubuhlungu bakho.
Ukuqinisa imisipha ezungeze amalunga akho kungasiza ukwandisa ukwesekwa akutholayo nokuwavikela. Nazi ezinye izinto ongayenza ukuze usize:
- Gcina ukuma okuhle: Uma umile, goba amadolo akho kancane. Gwema ukugoba amadolo akho ngaphezu kwemingcele yawo.
- Gqoka izicathulo ezisekelwe kahle: Sebenzisa ama-insoles akhethekile (ama-orthotics) enziwe ngeseluleko sezokwelapha, ikakhulukazi uma unezinyawo ezisicaba.
- Bonana nodokotela Wezokwelapha Umzimba: Kubaluleke kakhulu ukufuna usizo lodokotela wezokwelapha umzimba ukuze unciphise ubuhlungu, wandise amandla emisipha, futhi uthuthukise ukuma komzimba kanye nokulinganisela komzimba.
Uma ubuhlungu bubuhlungu, udokotela wakho angase ancome imithi yokwelapha ubuhlungu etholakala ngaphandle kwemithi kadokotela efana ne -acetaminophen noma i-ibuprofen . Kodwa ungalokothi uzenzele imithi ngaphandle kweseluleko sikadokotela. Uma ubuhlungu bukhulu, khuluma nodokotela wakho ngezinketho zokwelapha ezifanele.
Ingabe ukudla neziphuzo kuyakuthinta lokhu?
Ucwaningo luthole ukuthi kungase kube nokuxhumana phakathi kwe-Joint Hypermobility Syndrome kanye nezinkinga zesisu, ikakhulukazi i-Irritable Bowel Syndrome (IBS) . Izimpawu ze-IBS (ubuhlungu besisu, ukuqunjelwa, ukuqunjelwa, noma isifo sohudo) zivame kakhulu kubantu abanalesi simo.
Ngakho-ke, udokotela wakho angakucela ukuthi uzame ukudla okuthile isikhashana. Lokhu kubizwa ngokuthi ukudla okukhiphayo . Lokhu kungakusiza ukuthi uthole ukuthi awunawo yini umuzwa wokungabekezelelani nokudla. Amaqembu okudla avame ukuhlolwa ngale ndlela yilawa:
- Ukudla okungenagluten: Gwema ukudla okuqukethe i-gluten, iphrotheni etholakala kokusanhlamvu okufana nokolweni nebhali.
- Ukudla okungenalo i-lactose: Gwema ukudla okuqukethe i-lactose, uhlobo lukashukela olutholakala ebisini nasemikhiqizweni yobisi.
- Ukudla okune-FODMAP ephansi: Ukunciphisa ukudla okuqukethe ushukela ovunda kalula (i-lactose, i-fructose, i-fructans, i-galactans, i-polyols) okutholakala ekudleni okuthile.
Into ebaluleke kakhulu ukuthi ngaphambi kokwenza ushintsho lokudla olufana nalolu,Kufanele nakanjani ukhulume nodokotela wakho. Kuphephile ukwenza lezi zinto ngaphansi kwesiqondiso sakhe.
Umlayezo Wokuya Nawe Ekhaya
- Ukunyakaza okukhulu kuyisimo esivamile, kodwa uma kuhambisana nezimpawu ezifana nobuhlungu nokulimala okuvamile, kungaba yi-Joint Hypermobility Syndrome.
- Nakuba kungekho ikhambi, izimpawu zingalawulwa. Into ebaluleke kakhulu ukuqinisa imisipha ezungeze amalunga.
- Uma unalezi zimpawu, qiniseka ukuthi ubona udokotela ukuze uthole ukuxilongwa okufanele kanye nohlelo lokwelashwa.
- Lesi simo sibangelwa ufuzo futhi asinakuvinjelwa, kodwa ngokuphathwa kahle, amalunga angavikelwa.
- Ezimweni eziningi, ubukhali balezi zimpawu buyehla njengoba iminyaka ikhula, ngakho ungakhathazeki.
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