Ingabe ihlombe lakho nalo libuhlungu? Ingabe lizwakala liqinile? Kungaba yisifo samathambo ehlombe!

Ingabe ngezinye izikhathi ukuthola kunzima ukuphakamisa amahlombe akho? Ingabe ulwa nobuhlungu behlombe nokuqina kwawo ngenkathi wenza imisebenzi yansuku zonke? Uma lezi zinto zizwakala zijwayelekile kuwe, ungase ube nesifo samathambo ehlombe. Ake sixoxe ngalokhu ngokuningiliziwe, kalula.

Kuyini i-Arthritis yamahlombe?

Kalula nje, isifo samathambo ehlombe ukuvuvukala kwejoyinti lakho lehlombe. Yilokhu okubangela ubuhlungu nokuqina ehlombe lakho. Kuthinta kakhulu ijoyinti lebhola nesokhethi ehlombe lakho. Odokotela bakubiza lokhu ngokuthi ijoyinti le-glenohumeral . Cabanga ngale ndlela: ijoyinti lebhola nesokhethi phezulu kwethambo lakho elingenhla lengalo (i-humerus) lingena kusokhethi yendebe nesokhethi ehlombe lakho (i-scapula).

Ngokuhamba kwesikhathi, lesi sifo samathambo ehlombe sibangela ukulahlekelwa yi-cartilage . Uyazi ukuthi iyini i-cartilage? Iyizicubu ezithambile nezibushelelezi ezimboza ibhola lethambo lengalo engenhla kanye nesokhethi lethambo lehlombe. Le cartilage yilokho okuvumela izindawo zethu zamathambo ukuba zihambe kahle ngaphakathi kwejoyinti ngaphandle kokugudlana. Isebenza futhi njengomqamelo ovikela amathambo ekucindezelweni lapho senza okuthile.

Manje cabanga ukuthi kwenzekani uma ufika ezigabeni zokugcina zesifo samathambo ehlombe. Lapho yonke leyo cartilage evikelayo iphela, amathambo asemahlombe aqala ukugudlana. Ama-bone spurs , noma ama-bone spurs amasha, angakheka. Lokhu kungaphazamisa ukunyakaza okuvamile kwejoyinti, futhi ngezinye izikhathi la ma-spurs angaphuka futhi antante ngaphakathi kwejoyinti.

Yiziphi izigaba ze-arthritis yehlombe?

Kunezigaba ezine eziyinhloko zesifo samathambo ehlombe. Ake sibheke ukuthi ziyini:

• Isigaba 1 (isigaba sokuqala): Lesi yisigaba sokuqala . I-cartilage yakho iqala ukuthamba kancane, kodwa awubonisi zimpawu ezinkulu. Lokhu ngezinye izikhathi kubizwa ngokuthi 'isigaba esisolisayo'.
• Isigaba 2 (Esincane): Lesi yisigaba esithambile . Kuleli qophelo, ukudabuka okuncane kuqala ukwakheka ku-cartilage. Ungase uzwe ubuhlungu nokuqina lapho ushukumisa ihlombe lakho.
• Isigaba 3 (Esiphakathi): Lesi yisigaba esiphakathi . I-cartilage isibe buthakathaka futhi iqala ukuphuka ibe yizicucu. Kukhona ubuhlungu obuqhubekayo lapho ushukumisa ihlombe, kanye nokuqina lapho umi ngemva kokuhlala isikhathi eside.
• Isigaba 4 (Isigaba Sokugcina): Lesi yisigaba sokugcina . Ngalesi sikhathi, i-cartilage isigugile ngokuphelele, iveza ubuso bethambo. Kungase kube nobuhlungu obukhulu, ukuvuvukala, kanye nokuqina, kungakhathaliseki ukuthi ihlombe liyashukunyiswa noma cha.

Ziyini izimpawu zesifo samathambo ehlombe?

Izimpawu zesifo samathambo ehlombe zingahluka kuye ngomuntu nomuntu. Ngezinye izikhathi izimpawu zingase zingabi zimbi njengomonakalo we-cartilage. Kodwa-ke, kunezimpawu ezithile ezivamile ezingabonakala:

• Ubuhlungu behlombe: Lolu uphawu oluvame kakhulu . Ekuqaleni, ungase uluzwe kuphela uma wenza okuthile. Kodwa ngokuhamba kwesikhathi, ubuhlungu bungavela nganoma yisiphi isikhathi, kungakhathaliseki ukuthi ushukumisa ingalo yakho noma cha.
• Ukuqina kanye nokwehla kwebanga lokunyakaza: Ihlombe lakho lingase lizwakale liqinile futhi kungenzeka ukuthi unezinga lokunyakaza kanye nokunyakaza okunciphile engalweni yakho. Lokhu kungenza kube nzima ukwenza imisebenzi yansuku zonke njengokuzigeza noma ukugqoka. Ungase ungakwazi ukuphakamisa ingalo yakho iqonde phezulu noma ukuyijikisa ngaphandle.
• Umsindo wokuchofoza noma wokugxuma esihlanganyelweni samahlombe: Lo msindo ubangelwa ukuguguleka kwe-cartilage kanye nokulahlekelwa ubushele. Lo msindo ungahambisana nobuhlungu noma ungabi khona.
• Ukungalali: Kunzima kakhulu ukulala usesimweni esikhululekile. Ngisho nokunyakaza okuncane kwehlombe kungabangela ubuhlungu, okungaholela ekuncipheni ubuthongo.

Ngakho-ke, uzizwa kanjani uma unesifo samathambo ehlombe?

Ungase uzwe ubuhlungu obuhlukahlukene behlombe, kusukela kobuncane kuya kobunzima, kanye nokuqina. Lobuhlungu buvame ukuvela ohlangothini lwehlombe, njengobuhlungu obujulile obuvela ekujuleni kwejoyinti. Ngokuhamba kwesikhathi, ungase uqaphele ukuthi ububanzi bokunyakaza kwejoyinti lakho lehlombe buyancipha.

Kungani i-arthritis ikhula kuleli hlombe? Ziyini izimbangela?

Kunezimbangela eziningana ezingaba khona ze-arthritis yamahlombe. Ake sibheke ukuthi ziyini:

• I-Osteoarthritis: Lolu uhlobo oluvame kakhulu lwe-arthritis. Kalula nje, yisifo esikhula ngokuguga nokuguguleka kwamalunga. Kulesi simo, i-cartilage iba thambile, iqhekeke, iqhekeke, iguge, futhi ekugcineni inyamalale ngokuphelele.
• I-Rotator cuff tear arthropathy: Lolu hlobo lwe-arthritis lwenzeka lapho i-rotator cuff, uhlelo lwemisipha nama-tendon ehlombe, idabuka kakhulu, okwenza ibhola lethambo lengalo engenhla (ikhanda le-humeral) ligudlane namanye amathambo.
• I-rheumatoid arthritis kanye nezinye izinhlobo ze-arthritis ezivuvukalayo: Lezi yizifo ezizimele . Lokhu kusho ukuthi uhlelo lokuzivikela lomzimba wakho luhlasela izicubu zakho ezinempilo. Lokhu kungabangela ukuvuvukala kolwelwesi lwamalunga kanye nomonakalo ku-cartilage.
• Ukulimala ehlombe: Noma yiluphi uhlobo lokulimala emathanjeni ehlombe lakho – isibonelo, ukuqhekeka, ukuphuka, noma ukushaywa kanzima – kungalimaza ubuso be-cartilage. Ngokuhamba kwesikhathi, lokhu kungaholela ekuqaqambeni kwamathambo.
• I-Avascular necrosis: Lesi simoI-Osteonecrosis ibizwa nangokuthi i-osteonecrosis. Lokhu kwenzeka lapho ukunikezwa kwegazi 'ebholeni' lehlombe lakho kunqanyulwa, okubangela ukuba ithambo life. Lokhu kungenzeka uma ukunikezwa kwegazi ethanjeni kunqanyulwa, kungaba ngenxa yokulimala noma ukugula (noma ngisho nangenxa yemithi ethile).

Ubani onamathuba amaningi okuthuthukisa lokhu?

Abantu abanamathuba amaningi okuthuthukisa i-arthritis yamahlombe bahlanganisa:

• Kubantu abaneminyaka engaphezu kwengu-50. Ngoba i-cartilage iba buthaka ngokwemvelo njengoba sikhula.
• Kubantu abanokukhuluphala ngokweqile . Ngoba uma isisindo somzimba sikhuphuka, kuba nokucindezeleka okukhulu emalungeni.
• Uma othile emndenini, okungukuthi, umuntu ohlobene nezakhi zofuzo, eke waba nalesi simo ngaphambili.

Udokotela ukubona kanjani lokhu?

Udokotela wakho uzoqala ngokukuhlola ihlombe lakho ngokomzimba . Lokhu kusho ukuhlola ububanzi bokunyakaza kwakho, amandla, kanye nezindawo zobuhlungu. Bazobuza nangomlando wakho wezokwelapha wangaphambilini kanye nezimpawu zamanje.

Ngemva kwalokho, udokotela angenza nokuhlolwa kwezithombe okufana nalokhu:

• I-X-ray yamahlombe: I-X-ray ingahlola isimo samathambo ehlombe lakho, ukuthi kukhona yini ukuncishiswa kwelunga, noma ukuthi kukhona yini ukuqhekeka kwamathambo. Nakuba lokhu kungakhombisi ngqo i-cartilage, kunganikeza umbono wokuguga nokudabuka kwe-cartilage.
• I-CT scan: Lokhu kuhlolwa kunikeza umbono oningiliziwe, onezinhlangothi ezintathu wamathambo esihlanganisi sehlombe kune-X-ray. Lokhu kuvame ukwenziwa lapho kuhlelwe ukuhlinzwa.
• I-MRI scan: Lokhu kungabheka ngokucophelela izicubu ezithambile ezizungeze ihlombe lakho, njenge-cartilage, imisipha, nemisipha. Udokotela wakho angase akuyalele lokhu ukuhlola isimo semisipha yakho ye-rotator cuff.

Yiziphi izindlela zokwelapha lokhu?

Kunezindlela zokwelapha isifo samathambo ehlombe, okuhlanganisa izindlela zokwelapha zasekhaya, izinguquko zendlela yokuphila, imithi, kanye nokuhlinzwa.

Ekhaya kanye nokushintsha kwendlela yokuphila

Ukwelashwa kwe-arthritis yamahlombe kuvame ukuqala ngokwelashwa okungadingi ukuhlinzwa kanye nezinguquko zendlela yokuphila ongazenza ekhaya. Lezi zindlela zingasiza ukugcina ihlombe lakho lihamba futhi linciphise ubuhlungu. Lokhu kufaka phakathi:

• Izinguquko zomsebenzi kanye nendlela yokuphila: Ubuhlungu kufanele bube yisiqondiso sakho . Nciphisa noma uyeke okwesikhashana imisebenzi yansuku zonke (isibonelo, ukuphakamisa izinsimbi, ukufinyelela okuthile phezulu) noma ezemidlalo ezibangela ubuhlungu emahlombe.
• Iqhwa nokushisa: Faka iqhwa (ligoqwe ngendwangu cishe imizuzu eyi-15-20) noma ukushisa okumanzi (njengebhodlela lamanzi ashisayo) ukuze unciphise ukuvuvukala futhi unciphise ubuhlungu - khetha noma yikuphi okuzizwa kukuhle kuwe.
• Ukuzivocavoca kwamahlombe:Ukuzilolonga nokuqinisa umzimba kungakusiza ukuthi uthuthukise noma ugcine ibanga lokunyakaza kwamahlombe akho. Udokotela wakho angakudlulisela kudokotela wezokwelapha ngokomzimba . Uzokufundisa izivivinyo ezifanele wena.

Imithi

Imithi ingadambisa ubuhlungu futhi inciphise ukuvuvukala. Izinketho ezivamile zifaka:

• Imithi etholakala ngaphandle kwemithi kadokotela: Ukuze kuqedwe ubuhlungu besikhashana, i-acetaminophen (isib., i-Panadol®, i-Tylenol®) noma imithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID) njenge-ibuprofen (isib., i-Brufen®, i-Advil®, i-Motrin®) noma i-naproxen ilungile. Kungcono ukubuza udokotela ngaphambi kokusebenzisa lezi.
• Imijovo ye-Corticosteroid: I-Cortisone umuthi onciphisa ukuvuvukala kwamalunga futhi unikeze impumuzo esheshayo ebuhlungwini. Udokotela ufaka lo muthi ngqo emgodini wamalunga ehlombe lakho. Ukukhululeka kungahlala izinyanga eziningana.

Ukuhlinzwa

Uma ezinye izindlela zokwelapha zingabuqedi ubuhlungu bakho, futhi isifo sakho samathambo siba sibi kakhulu futhi senza kube nzima ukwenza imisebenzi yansuku zonke, ungase uthande ukucabangela ukuhlinzwa. Izinketho ezivamile zokuhlinzwa zifaka:

• Ukufakwa esikhundleni kwehlombe: Kule nqubo, udokotela ohlinzayo ususa ithambo eligulayo elisehlombe lakho bese elifaka elisha elisebenzisa izifakelo zepulasitiki nezensimbi. Lokhu kunganciphisa kakhulu ubuhlungu futhi kuthuthukise ukusebenza kwehlombe.
• Ukususwa kwehlombe nge-arthroscopic: Kule nqubo, udokotela ohlinzayo wenza izimbobo eziningana ezincane ehlombe lakho bese efaka ikhamera encane namathuluzi akhethekile ukuze ahlanze ilunga, asuse izingcezu ezikhululekile ze-cartilage eyonakele kanye ne-bone spurs. Lokhu kuvame ukwenziwa ezigabeni zokuqala ze-arthritis.

Udokotela wakho ohlinzayo angase ashintshe lezi zinhlobo eziyinhloko zokuhlinzwa kuye ngohlobo, indawo, kanye nobunzima besifo sakho samathambo. Indlela yakho yokuphila, umlando wezempilo, kanye nezinto ozikhethayo nazo zingathinta lokhu.

Ingabe isifo samathambo ehlombe singavinjelwa?

Nakuba kungenakuvinjelwa ngokuphelele, kunezinto eziningana ongazenza ukuze unciphise ingozi yakho yokuthola isifo samathambo ehlombe:

• Gwema ukusebenzisa imikhiqizo kagwayi, okuhlanganisa nokuvasa .
• Hlosa ukudla okunempilo, njengokudla kwaseMedithera (okucebile ngemifino, izithelo, ubhontshisi, amantongomane, namafutha omnqumo).
• Gcina isisindo esinempilo esikufanele.
• Umsebenzi womzimba ophansi, ongathwali isisindoIsibonelo, yenza imisebenzi efana nokubhukuda nokuhamba.
• Nciphisa ingozi yokulimala kwamalunga ngokugwema noma ukunciphisa imisebenzi ethile. Qaphela kakhulu lapho wenza umsebenzi obangela ukucindezeleka okuphindaphindiwe emahlombe akho.

Ingabe lokhu kungelapheka ngokuphelele?

Uma ngikhuluma iqiniso, okwamanje ayikho ikhambi le-arthritis yamahlombe. Ngenxa yokuthi i-cartilage egugile ayinakushintshwa, kungadalwa entsha. Kodwa-ke, kunezindlela eziningi zokunciphisa ubuhlungu bakho nokwenza impilo yakho ibe lula. Ungasebenzisa iqhwa, ukushisa, kanye nokuzivocavoca ukuze ugcine ihlombe lakho likhululekile futhi likhululekile. Unganciphisa noma uyeke imisebenzi ekubangela ubuhlungu. Uma lezi zinyathelo ezilula zingasizi ubuhlungu bakho, khuluma nodokotela wakho mayelana nemithi noma izinketho zokuhlinzwa.

Uma ngine-arthritis ehlombe lami, yini engingayilindela?

Imiphumela oyitholayo incike ezintweni ezifana neminyaka yakho, ukuthi usebenza kangakanani, izinhlobo kanye nobubanzi bokunyakaza okwenzayo ngengalo yakho nehlombe, nokuthi kuphi, kukhulu kangakanani, nokuthi isifo sakho samathambo sibi kangakanani.

Njengoba wonke umuntu kanye nesimo ngasinye samahlombe sihlukile, kungcono ukubuza udokotela wakho ukuthi yimiphi imiphumela ongayilindela bese ukhuluma ngazo zonke izindlela zokwelapha.

Isifo samathambo ehlombe singaba buhlungu futhi singathinta ikhwalithi yempilo yakho. Kodwa, ngoba nje asinalo ikhambi, akusho ukuthi kufanele uphile nobuhlungu . Isinyathelo sokuqala sokuthola ukuthi yini ngempela ebangela ubuhlungu behlombe lakho nokuthuthukisa uhlelo lokwelapha olungaqeda kangcono izimpawu zakho ukubona udokotela wakho. Udokotela wakho angakusiza ukuthola izindlela zokuchitha isikhathi esiningi wenza izinto ozithandayo futhi unciphise isikhathi osichitha uzizwa uqinile futhi ungakhululekile.

Okokugcina, izinto okufanele uzikhumbule...

Kulungile, ngakho-ke sesikhulume kakhulu ngesifo samathambo ehlombe. Into ebaluleke kakhulu ukuthi, uma unesifo samahlombe, ukuqina, noma ubunzima bokuhambisa ihlombe lakho, ungakushayi indiva . Abanye abantu bacabanga ukuthi, "Mhlawumbe kumane nje ukuklwebheka," noma "Kuyinto eyenzekayo uma usukhulile." Kodwa kubaluleke kakhulu ukubona udokotela ngokushesha okukhulu ukuze uthole imbangela.

• Khumbula, uma ukuqaphela kusenesikhathi , ungafunda izindlela zokunciphisa ubuhlungu, ugweme imisebenzi ethile, futhi unciphise umonakalo owengeziwe ku-cartilage.
• Kunezindlela eziningi zokwelapha, ngakho ungalilahli ithemba . Udokotela wakho uzokusiza ukuthi ukhethe ukwelashwa okufanele.
• Khuluma nodokotela wakho ngokukhululekile , ubuze noma yimiphi imibuzo onayo, bese umtshela ukuthi yini oyilindele.
• Kubaluleke kakhulu ukuphila impilo enempilo, ukwenza izivivinyo ezilungele amahlombe, nokulandela imiyalelo enikeziwe.

Uma ubhekene nanoma yiziphi zalezi zimpawu, sicela ufune iseluleko sezokwelapha. Ngifisela wonke umuntu impilo enhle!

'I-arthritis yehlombe, ubuhlungu behlombe, ukuvuvukala kwamalunga, i-cartilage, i-osteoarthritis, i-rheumatoid arthritis, ukuhlinzwa kwehlombe