Ucabanga ukuthi kuyinto evamile ukuthi amadolo akho abuhlungu njengoba ukhula? Noma uzwa umsindo 'wokuqhekeka' uma ukhuphuka izitebhisi noma uvuka ngemva kokuhlala isikhashana? Lobuhlungu nokuqina kungaba uphawu lwe-osteoarthritis. Namuhla, sizoxoxa kafushane ngale nkinga abantu abaningi abanayo, okungukuthi, i-knee osteoarthritis .
Iyini ngempela i-Knee Osteoarthritis?
Kalula nje, i-knee osteoarthritis ukuwohloka kwesivikelo esibizwa ngokuthi i-cartilage ejoyintini lakho ledolo ngokuhamba kwesikhathi. Cabanga ngejoyinti lakho ledolo njengento eqeda ukushaqeka emotweni. Yilo qwaba olumunca ingcindezi lapho sigijima, sigxuma, futhi sihamba, kusiza amathambo ejoyintini ukuba anyakaze kahle ngaphandle kokugudlana.
Ngokuhamba kwesikhathi, inkinga iqala lapho lo 'mshini wokudambisa ukushaqeka', okungukuthi, i-cartilage, uphela. Lapho i-cartilage iphela, amathambo aqala ukugudlana. Yilapho kuvela khona izimpawu ezifana nobuhlungu, ukuvuvukala, nokuqina kwamadolo . Lokhu akuyona into eyenzeka ngobusuku obubodwa, kodwa isimo esikhula kancane kancane ngokuhamba kwesikhathi.
Into ebalulekile ukuthi i-osteoarthritis ayisona isifo esingelapheki ngokuphelele. Kodwa ungakhathazeki. Kunezindlela eziningi zokwelapha ezisebenzayo kanye nezinguquko zendlela yokuphila ezingasiza ekulawuleni izimpawu futhi zivimbele lesi simo ukuba singabi sibi kakhulu.
Ingabe zikhona izigaba zalesi simo?
Yebo, ngenxa yokuthi lesi simo sobuhlungu bedolo sikhula kancane kancane, odokotela basihlukanisa ngezigaba eziningana ukuze bachaze ubunzima baso. Lokhu kuzokusiza uqonde isimo sakho.
| Isiteji | Isimo kanye nomuzwa |
|---|---|
| Isigaba sokuqala (Esincane) | Lesi yisigaba sokuqala. I-cartilage isanda kuqala ukuphola. Ungase ungezwa buhlungu. |
| Isigaba 2 (Esincane) | Manje usuqala kancane kancane ukuzwa ubuhlungu nokuqina edolweni lakho, kodwa i-cartilage ayikagugi ngokwanele ukuba amathambo agudlane okwamanje. |
| Isigaba 3 (Esiphakathi) | Okwamanje, inani elikhulu le-cartilage seliphelile. Ubuhlungu buzwakala kakhulu lapho ugijima, uhamba, futhi ugoba idolo. Idolo lizizwa liqinile nalapho ume ngemva kwesikhathi eside. |
| Isigaba 4 (Sinzima) | Lesi yisimo esibi kakhulu. I-cartilage isicishe iguge ngokuphelele. Amathambo ayagudlana, okubangela ubuhlungu obukhulu, ukuqina, kanye nobunzima bokunyakaza. Kulesi sigaba, udokotela angase acabangele ukuhlinzwa esikhundleni sedolo. |
Ingabe nawe unalezi zimpawu?
Nakuba ubuhlungu buwuphawu oluyinhloko lwe-osteoarthritis yamadolo, kunezinye izimpawu eziningana. Bona ukuthi uyazijwayele yini lezi.
- Ubuhlungu bedolo : Ubuhlungu bungenzeka hhayi kuphela lapho ufaka isisindo noma uhamba, kodwa ngezinye izikhathi ngisho nalapho uhleli nje.
- Ukuqina kwedolo: Ungase uzizwe uqinile noma ungakwazi ukugoba noma ukuqondisa idolo lakho, ikakhulukazi uma uvuka ekuseni noma ngemva kokuma ngemva kokuhlala endaweni eyodwa isikhathi eside.
- Ukuvuvukala: Idolo libukeka livuvukile futhi livuvukile.
- Umsindo wokuqhekeka: Uma ugoba noma uqondisa amadolo akho, uzwa umsindo wokuqhekeka, ukuguguleka okuvela ngaphakathi.
- Ukungazinzi: Idolo lizwakala sengathi aliphili, sengathi "liyaphela amandla" uma limile, okusho ukuthi ligoba ngokungalawuleki.
- Ukukhiya idolo: Uma uzama ukuhambisa idolo lakho, kungazelelwe lizwa sengathi likhiyiwe noma linamathele.
Izinto ezingenzeka uma ungakunaki lokhu
Uma ubuhlungu bedolo bunganakwa njengokungathi buwuphawu nje, kungase kube nezinkinga ezengeziwe.
- Ukungazinzi kwamalunga: Uma unciphisa ukusebenzisa idolo lakho ngenxa yobuhlungu, imisipha ezungezileLokhu kwenza ilunga libe buthaka, okwenza lingahlaliseki, okwandisa ingozi yezinkinga zokuhamba nokuwa.
- Ukuqhekeka kwamathambo: Amathambo ayagudlana, okubangela ukuba kwakheke amaqhubu amancane emathanjeni. Lokhu kungabangela ubuhlungu obukhulu kanye nokuqina kwamalunga.
- I-Baker's cyst: Isikhwama esigcwele uketshezi (i-cyst) singakhula ngemuva kwedolo. Lokhu kungabangela ubuhlungu nokuqina ngemuva kwedolo.
- Ukuphazamiseka kwemizwa: Ubuhlungu obungapheli kanye nokulinganiselwa okufana nokungakwazi ukuhamba kungabangela abanye abantu ukuba babe nezinkinga zemizwa njengokukhathazeka nokucindezeleka.
Kungani lokhu kubuhlungu edolweni kwenzeka? Yiziphi izici eziyingozi?
Isizathu esiyinhloko ukuthi i-cartilage iyaguga ngokwemvelo njengoba sikhula, njengoba nje amathayi emotweni eguga njengoba sishayela. Kodwa kunezinye izici eziningana eziyingozi ezingasheshisa lokhu kuguga nokuguga.
| Isici Sengozi | Incazelo |
|---|---|
| Ukukhuluphala ngokweqile | Uma i-body mass index yakho (BMI) ingaphezu kuka-30, amadolo akho kufanele athwale isisindo esengeziwe, okubangela ukuthi i-cartilage iguge ngokushesha. |
| Izingozi ezindala | Ukulimala kwangaphambilini edolweni (isb., ukudabuka kwemisipha) kungase kube nokuncipha kokuqina kwamalunga kanye nokuguguleka okusheshayo. |
| Ukucindezeleka ngokweqile edolweni | Ingozi iphezulu uma imisebenzi ethile (isib. ukuphakamisa izinto ezisindayo) noma ezemidlalo (isib. ibhola likanobhutshuzwayo, ukuphakamisa izinsimbi) icindezela amadolo ngokweqile. |
| Isizukulwane | Uma othile emndenini wakho enalesi simo, ungase ube sengozini enkulu yokuba naso. |
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela onesifo sobuhlungu edolweni, uzoqala ngokukubuza ngezimpawu zakho bese ehlola idolo lakho.
- Ingabe idolo livuvukile, libomvu, noma libuhlungu uma ulithinta?
- Ukuthi ungagoba futhi welule idolo lakho kangakanani (ububanzi bokunyakaza).
- Ingabe ilunga alizinzile noma likhululekile?
- Hlola indlela ohamba ngayo.
Ngemva kwalokhu kuhlolwa kokuqala, i-X-ray ingayalwa ukuqinisekisa isimo. I-X-ray ingabonisa ngokucacile ukuthi i-cartilage isigugile futhi ithinta ithambo, noma uma kukhona ama-spurs ethambo. Ngezinye izikhathi, i-MRI noma i-CT scan inganconywa uma kudingeka imininingwane eyengeziwe.
Yiziphi izindlela zokwelapha lokhu?
Odokotela bavame ukusebenzisa ukuhlinzwa njengendlela yokugcina. Kunezindlela eziningi zokwelapha ezingazanywa ngaphambi kwalokho.
Ukwelashwa okungadingi ukuhlinzwa
- Ama-Painkiller: Udokotela uzokunikeza imithi efanele yokulawula ubuhlungu nokuvuvukala.
- Ukwelashwa ngokomzimba: Kunikezwa izivivinyo zokuqinisa imisipha ezungeze idolo nokuthuthukisa ukuhamba kwedolo. Lokhu kubaluleke kakhulu.
- Ukwehlisa isisindo: Ukwehlisa isisindo kancane kunganciphisa kakhulu ingcindezi emadolweni akho.
- I-Dream brace: Lokhu kusiza ekusekeleni idolo nokukhulisa ukuqina.
- Izinhlobo zemijovo:
- Umjovo we-Cortisone: Uhlobo lwe-steroid olunikezwa ukunciphisa ubuhlungu nokuvuvukala ngokushesha.
- Umjovo wejeli (i-Viscosupplementation): Kufakwa i-lubricant esilungwini, okwenza kube lula ukunyakaza.
- Umjovo we-PRP (i-Platelet-rich plasma): I-plasma ekhishwe egazini lakho ijovwa emuva emalungeni ukuze kukhuthazwe inqubo yokuphulukiswa.
Ukwelashwa ngokuhlinzwa
Uma ezinye izindlela zokwelapha zingaphumeleli futhi ubuhlungu bungabekezeleleki, kungase kucatshangelwe ukuhlinzwa.
- Ukuhlinzwa Kwamathambo: Ithambo elisedolweni liyasikwa futhi libunjwe kabusha ukuze kudluliselwe isisindo somzimba engxenyeni enempilo yelunga.
- Ukufakwa kwedolo: Ilunga eligugile liyasuswa bese lifakwa ilunga lokwenziwa elenziwe ngensimbi nepulasitiki. Lokhu kungaba okuphelele noma okungaphelele.
Awukwazi yini ukuvimbela amadolo akho ukuthi angagugi?
Nakuba lokhu kungenakuvinjelwa ngokuphelele, kunezinto ongazenza ukuze unciphise ingozi futhi ulawule ukuqhubeka kwalesi simo.
- Gcina isisindo esinempilo: Lena yinto ebaluleke kakhulu.Ngisho nokulahlekelwa yi-10% yesisindo sakho kunganciphisa kakhulu ingozi yakho ye-osteoarthritis yamadolo.
- Ukuzivocavoca: Yenza izivivinyo ezithinta kancane njengokubhukuda nokugibela ibhayisikili, okuqinisa imisipha ezungeze idolo.
- Nciphisa ukucindezeleka emadolweni akho: Uma ugijima, khetha izindawo ezithambile njengotshani esikhundleni sendlela eqinile. Uma uphakamisa izinto ezisindayo, sebenzisa ukuma okufanele.
- Funa ukwelashwa kusenesikhathi: Kubalulekile ukubona udokotela wakho ngokushesha nje lapho uqala ukuzwa ubuhlungu edolweni, kunokuba ungabunaki. Uma uqala ukwelashwa ngokushesha, amathuba akho okuphatha izimpawu zakho nokuhlala uphilile ngaphandle kwesidingo sokuhlinzwa aba maningi.
Umlayezo Wokuya Nawe Ekhaya
- I-knee osteoarthritis ukuguguleka nokudabuka kwesembozo se-cartilage esivikelayo sejoyinti.
- Ubuhlungu, ukuqina kwamadolo, ukuvuvukala, kanye nomsindo wokugaya yizimpawu eziyinhloko.
- Ukukhuluphala ngokweqile, izingozi ezindala, kanye nofuzo yizona zinto eziyinhloko ezibangela ingozi.
- Kubaluleke kakhulu ukulawula isisindo somzimba nokwenza izivivinyo ezilungele amadolo.
- Uma uzwa ubuhlungu edolweni, ungabunaki futhi uthintane nodokotela wakho ngokushesha okukhulu.
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