Ingabe umhlane wakho ubuhlungu ngaso sonke isikhathi? Ake sifunde ngesifo samathambo somgogodla!

Ingabe uvame ukuba nobuhlungu emhlane? Mhlawumbe uma uvuka ekuseni, umhlane wakho uzizwa uqinile futhi unjengokhuni? Noma ukuthola kunzima ukuqondisa umhlane wakho ngemva kokuhlala esihlalweni isikhashana? Uma ulwa nalezi zinto, khona-ke imbangela ingaba yi-spinal arthritis. Ungakhathazeki, lesi yisimo esithinta abantu abaningi. Ngakho-ke ake sixoxe ngalokhu ngemininingwane ethe xaxa namuhla, ngendlela ongayiqonda, kulungile?

Kuyini i-Spinal Arthritis?

Kalula nje, isifo samathambo omgogodla ukuvuvukala kwamalunga aphakathi kwamathambo amancane emgogodleni wakho abizwa ngokuthi ama-vertebrae . Cabanga ngomgogodla wakho njengochungechunge lwama-beads. Wakhiwe ngamathambo angu-33 abekwe phezu komunye nomunye. Ithambo ngalinye libizwa ngokuthi i-vertebrae. Amalunga lapho la ma-vertebrae ahlangana khona afana nezihibe emnyango. La malunga asivumela ukuthi sigobe umgogodla wethu phambili, emuva, futhi siphenduke sisuka kolunye uhlangothi siye kolunye. Ngakho-ke, isifo samathambo senzeka lapho la malunga evuvukala, noma lapho izicubu ezithambile ezibizwa ngokuthi i-cartilage esebenza njengomcamelo ziguga.

Umgogodla wethu ungahlukaniswa izingxenye ezintathu eziyinhloko, ukuze kube lula ngawe ukukhumbula:

• Umgogodla wesibeletho: Lena yi-vertebrae yokuqala engu-7 entanyeni. Le ngxenye iyona esebenza uma ushukumisa ikhanda lakho phezulu naphansi bese ubheka kusukela kolunye uhlangothi kuya kolunye.
• Umgogodla wesifuba: Lokhu kuqala phansi kwentamo bese kuphela ekhejini lezimbambo. Lena yingxenye esekela isifuba sethu.
• Umgogodla we-Lumbar: Lena yingxenye yomhlane wakho ongezansi ethatha ingcindezi enkulu uma sigoba phambili noma siphakamisa izinto ezisindayo.

Nakuba isifo samathambo singathinta noma iyiphi ingxenye yomgogodla, sivame kakhulu emgogodleni womlomo wesibeletho kanye nomgogodla we-lumbar. Uma unezimpawu zesifo samathambo, njengobuhlungu bomhlane kanye nokuqina, bona udokotela. Udokotela wakho uzokwazi ukukunikeza ukwelashwa okudingekayo ukulawula izimpawu zakho nokuvimbela ukulimala okwengeziwe emgogodleni wakho.

Yiziphi izinhlobo ze-spinal arthritis ezikhona?

Manje ake sibheke izinhlobo ze-arthritis ezingase zenzeke emgogodleni. Empeleni, noma yiluphi uhlobo lwe-arthritis lungavela emgogodleni. Kodwa-ke, kunezinhlobo ezimbalwa ezivame ukubonakala:

• I-Osteoarthritis: Lolu uhlobo oluvame kakhulu. Cabanga ngalo, njengoba nje amathayi ezimotweni zethu eguga ngokuhamba kwesikhathi, lokhu kubangelwa ukuqina kwesikhumba, isembozo esithambile nesivikelayo esizungeze amalunga ethu, esiguga ngokuhamba kwesikhathi. Kuba yinto evamile njengoba siguga. Yingakho abanye abantu ngezinye izikhathi becabanga ukuthi "ubuhlungu bomhlane buvamile njengoba siguga."
• I-rheumatoid arthritis: Lena indaba ehlukile. Kuyisifo sokuzivikela komzimba . Lokhu kusho ukuthi amasosha omzimba wethu ahlasela amalunga ethu. Kufana nokujikijela amatshe endlini yethu. Lokhu kungathinta hhayi umgogodla kuphela, kodwa namanye amalunga emzimbeni.
• I-Psoriatic arthritis: Lesi futhi yisifo esithinta amasosha omzimba. Abanye abantu abanesimo sesikhumba i-psoriasis (eyaziwa nangokuthi i-lichen planus) bangaba nalesi sifo.
• I-Ankylosing spondylitis: Lolu uhlobo lwe-arthritis oluthinta kakhulu umgogodla. Kulokhu, amathambo ahlangana kancane kancane, okunciphisa ukuguquguquka komgogodla. Uphawu olukhulu lwalokhu ukuqina ekuseni.

Izimpawu kanye nokwelashwa kwalolu hlobo ngalunye kungase kuhluke kancane, yingakho kubaluleke kakhulu ukubona udokotela ukuze uthole ukuthi yiluphi uhlobo oluqondile onalo.

Kuvame kangakanani lokhu kuqina komgogodla?

Empeleni kuvame kakhulu kunalokho ongakucabanga. Kuvame kakhulu kubantu abaneminyaka engaphezu kwengu-60. Ngokwezibalo, kulinganiselwa ukuthi cishe amaphesenti angama-95 amadoda kanye namaphesenti angama-70 abesifazane abaneminyaka engaphezu kwengu-60 banesifo samathambo somgogodla. Lokho kusho ukuthi abantu abadala abaningi abakuzungezile kungenzeka ukuthi bahlushwa yilesi simo.

Ziyini izimpawu ze-arthritis yomgogodla?

Izimpawu ze-arthritis yomgogodla ziyahlukahluka kumuntu nomuntu. Kodwa-ke, izimpawu ezivame kakhulu zifaka:

• Ubuhlungu bomhlane: Ubuhlungu buvame ukuzwakala, ikakhulukazi entanyeni nasemhlane ongezansi. Ngezinye izikhathi lobu buhlungu bungaba njalo noma bube khona budlule.
• Ukuqina noma ukuntuleka kokuguquguquka: Ukuzizwa uqinile emhlane, kungaba lapho uvuka ekuseni noma ngemva kokuma isikhashana. Njengesihinji esigqwalile.
• Ubuhlungu ezingalweni noma emilenzeni: Uma imizwa emhlane icindezelwe, ubuhlungu bungahamba phansi ezingalweni noma emilenzeni. Abanye abantu bangase bazizwe sengathi imilenze yabo iyaphela amandla.
• Ukungakwazi ukuhamba kude njengakuqala: Ungase ungakwazi ukuhamba kude njengakuqala, kungaba ngoba umhlane wakho uqala ukuqaqamba ngemva kokuhamba ibanga elifushane noma ngoba imilenze yakho ayizizwa kahle.
• Ukuzizwa ukhathele ngaso sonke isikhathi (Ukukhathala): Ukuzizwa ukhathele futhi ungenampilo ngaso sonke isikhathi kungenye impawu abanye abantu ababhekana nayo.

Kuye ngokuthi i-arthritis ikuphi emgogodleni wakho, ungase uzwe ubuhlungu kulezi zindawo:

• Ikhanda
• Izimbambo
• Amathambo enqulu
• Indawo yesinqe
• Amadolo

Cabanga nje, uma uvuka ekuseni, intamo yakho iqine kangangokuthi awukwazi ngisho nokuyiphendula, uba nobuhlungu obuncane emhlane wakho ongezansi usuku lonke, futhi uma ume isikhashana, uzwa umuzwa wokuthuthumela ugeleza emlenzeni wakho... Lena imizwa yomuntu onesifo samathambo. Abanye abantu baze bathi uma uhlikihla umhlane wabo, kuzwakala sengathi "ubisi lobisi" luthelwa phezu kwawo.

Yini ebangela i-arthritis emgogodleni?

Uhlobo ngalunye lwe-arthritis lunezimbangela zalo ezihlukile. Isibonelo, i-osteoarthritis ikhula ngoba i-cartilage ezungeze amalunga ethu iyawohloka ngokuhamba kwesikhathi, njengoba nje imoto endala iwohloka.

Ngakolunye uhlangothi, izinhlobo ezifana ne -rheumatoid arthritis zibangelwa yizifo ezibangelwa ukuzivikela komzimba . Okusho ukuthi, isimiso somzimba sokuzivikela, okufanele sivikele imizimba yethu, sihlasela ngephutha izingxenye zomzimba wethu, kulokhu amalunga.

Yiziphi izinto eziyingozi ezithinta lokhu?

Manje ake sibheke izici eziyingozi zokuthuthukisa isifo samathambo emgogodleni. Nakuba singenakukwazi ukulawula ezinye izinto, singayinciphisa le ngozi uma sinakekela ezinye izinto.

Ngokuvamile, izici eziyingozi ezivame kuzo zonke izinhlobo ze-arthritis yilezi:

• Iminyaka yakho: Njengoba ukhula, ingozi yakho yokuba nesifo samathambo iyanda. Kungokwemvelo.
• Ukusetshenziswa kukagwayi: Ukubhema ugwayi nokusebenzisa ezinye izinhlobo zikagwayi kwandisa kakhulu ingozi yesifo samathambo.
• Ubulili bakho: Kutholakale ukuthi amadoda anamathuba amancane okuthola isifo samathambo somgogodla kunabesifazane.

Ngaphezu kwalokho, kunezinye izici eziyingozi ezithinta ngqo isifo samathambo somgogodla:

• Uma othile emndenini wakho enesifo samathambo: Uma umama wakho, ubaba, noma isihlobo esiseduze sinesifo samathambo, nawe usengozini encane yokuba naso. Lokhu kubizwa ngokuthi ukuthambekela kwefa.
• Uma unomsebenzi noma into oyithandayo ekubeka ingcindezi enkulu emhlane wakho: Isibonelo, umuntu ohlala ekhompyutheni usuku lonke, noma umuntu ophakamisa izinto ezisindayo (isib. abasebenzi bokwakha, abalimi). Noma uma uvame ukulimaza umhlane wakho ngenkathi udlala imidlalo (isib. i-rugby, ukuphakamisa izinsimbi). Lezi zinto zingalimaza umhlane wakho futhi ziholele ekuguleni kwamalunga.
• Ezinye izifo ezibangelwa ukuzivikela komzimba: Abantu abanezifo ezifana nesifo sikaCrohn , i-ulcerative colitis (lezi yizifo zamathumbu), kanye ne-psoriasis nabo basengozini enkulu.
• Ukukhuluphala ngokweqile noma ukukhuluphala: Uma ukhuluphala, umhlane ubeka ingcindezi enkulu kuwo, okwandisa ingozi yokuguguleka kwamalunga kanye nesifo samathambo.

Yiziphi ezinye izinkinga ezingabangelwa yilokhu?

Uma isifo samathambo somgogodla singaphathwa kahle, kungavela izinkinga ezithile. Ezinye zazo yilezi:

• I-Spine stenosis: Intambo yethu yomgogodla iyindlela yokungena emgogodleni wethu. Uma le ndlela incipha ngenxa yesifo samathambo, ingacindezela intambo yomgogodla kanye nemizwa ephuma kuyo. Lokhu kungabangela ubuhlungu, ukungakhululeki, kanye nobuthakathaka emilenzeni.
• I-Radiculopathy nezinye izinkinga zemizwa: Izimpande zemizwa eziphuma emathanjeni zingacindezelwa. Lokhu kubizwa ngokuthi i-radiculopathy. Isibonelo, i-sciatica yisimo esifana nalesi.
• Ukuphuka komgogodla, ikakhulukazi ukuphuka kokucindezeleka: I-arthritis ingenza amathambo abe buthaka futhi ibangele ukuthi i-vertebra iphuke, ngisho noma iwe kancane noma iphakamisa izinto ezinzima.
• I-Kyphosis: Ukugoba kwemvelo komgogodla kuyashintsha, okwenza ukuthi ugobe phambili futhi ubonakale ugobile.

Uthola kanjani ukuthi une-arthritis kulo mgogodla?

Uma unesifo somhlane noma okunye ukungakhululeki, into yokuqala okufanele uyenze ukubona udokotela. Udokotela uzokuxilonga futhi akubuze ngezimpawu zakho.

• Sekuyisikhathi esingakanani unalobu buhlungu?
• Ubuhlungu bunjani? (isib., ukusha? ukugwaza? ukuqina?)
• Ubuhlungu buqala nini ukuba bubi nakakhulu? (isib. ekuseni? ebusuku? ngenkathi usebenza?)
• Ingabe ubuhlungu buba bubi kakhulu noma bubi kakhulu uma wenza okuthile? (isib., ukuhlala, ukuma, ukuhamba)

Bazobuza imibuzo efana nale futhi bakhulume ngomlando wakho wezokwelapha (ingabe unazo ezinye izifo, ingabe uthatha imithi, njll.).

Udokotela uzohlola umhlane wakho. Uzohlola nobubanzi bokunyakaza kwakho nokuthi ngabe kukhona yini izindawo lapho uzwa khona ubuhlungu uma ucindezela umhlane wakho.

Hlobo luni lokuhlolwa okwenziwayo ngalokhu?

Ngokuvamile, ngemva kwengxoxo nokuhlolwa ngokomzimba, uma udokotela enokungabaza, uzoyala ukuhlolwa okuningana ukuze athathe izithombe zomgogodla nezicubu ezizungezile. Lokhu kubizwa ngokuthi ukuhlolwa kwezithombe .

Ukuhlolwa okuvame kakhulu yile:

• I-X-ray Yomgogodla: Lokhu kungahlola isimo samathambo, ukuthi isikhala esiphakathi kwamalunga sinciphile yini, nokuthi kukhona yini ukukhula kwamathambo okwengeziwe (ama-bone spurs).
• Iskeni se-MRI (Magnetic Resonance Imaging): Lokhu kungathatha isithombe esicacile hhayi nje samathambo, kodwa nezicubu ezithambile njenge-cartilage, ama-disc, imizwa, kanye nentambo yomgogodla.
• Ukuskena kwe-CT (Computed Tomography): Lokhu kunganikeza nolwazi oluningiliziwe ngamathambo. Kucacile kune-X-ray.

Yiziphi izindlela zokwelapha lokhu?

Okuzisola kakhulu ngabantu abaningi ukuthi akukho ikhambi elitholakale lesifo samathambo.Kodwa ungakhathazeki. Kunezindlela eziningi zokwelapha ezisebenzayo ezitholakalayo zokusiza ukulawula izimpawu zakho, ukunciphisa ubuhlungu, nokuvimbela ukulimala okwengeziwe emgogodleni wakho. Udokotela wakho uzonquma uhlobo lwesifo samathambo onaso ngokusekelwe esimweni sakho esithile.

Nazi ezinye zezindlela zokwelapha ezisetshenziswa kakhulu:

• Imithi yokwelapha ubuhlungu ethengiswa ngaphandle kwemithi (OTC): Imithi yokwelapha ubuhlungu ethengiswa ngaphandle kwemithi (OTC), njenge -NSAID (Non-Steroidal Anti-Inflammatory Drugs) (isb. i-ibuprofen, i-diclofenac) kanye ne -acetaminophen (isb. i-Panadol), ingasiza ekunciphiseni ukuvuvukala nobuhlungu. Kodwa-ke, kungcono ukukhuluma nodokotela ngaphambi kokuthatha le mithi izinsuku ezingaphezu kweziyi-10 ngesikhathi.
• Ukwelashwa ngokomzimba: Uchwepheshe wezokwelapha ngokomzimba ngumuntu okusiza ukuthuthukisa ukunyakaza nokusebenza komzimba wakho. Bazokunikeza izivivinyo nemiyalelo yokukusiza ukuphatha ubuhlungu, ukuqina, kanye nokungakhululeki, ukuqinisa imisipha ezungeze umgogodla wakho, nokugcina ukuma okufanele.
• Imithi kadokotela: Ngezinye izikhathi udokotela wakho angakunika imithi enamandla yokudambisa ubuhlungu ebizwa ngokuthi i-corticosteroids , kungaba ngamaphilisi noma umjovo we-cortisone onikezwa ngqo esilungwini esithintekile. Uma une-rheumatoid arthritis noma i-psoriatic arthritis, unganikezwa nohlobo olukhethekile lomuthi olubizwa ngokuthi i-DMARD (Izidakamizwa Eziguqula Izifo Ezilwa Ne-Rheumatic) . Lokhu kusebenza ukunciphisa ubukhali besifo.

Ingabe kwenziwa ukuhlinzwa kwe-arthritis yomgogodla?

Iningi labantu abane-arthritis yomgogodla abadingi ukuhlinzwa. Udokotela uzocabangela ukuhlinzwa kuphela uma izimpawu zinzima naphezu kwazo zonke ezinye izindlela zokwelapha ezijwayelekile. Noma, njengoba kushiwo ngaphambili, uma kukhona inkinga efana ne-spinal stenosis noma i-vertebrae ephukile, kungase kudingeke ukuhlinzwa ukuze kulungiswe.

Izinhlobo ezimbili ezivame kakhulu zokuhlinzwa ukuhlanganisa umgogodla kanye nokususa ukucindezeleka komgogodla . Uma udinga ukuhlinzwa, udokotela wakho ohlinzayo uzokuchazela ukuthi yikuphi ukuhlinzwa okufanele wena nokuthi yini ongayilindela.

Yini okufanele uyilindele uma uphila nalesi simo?

Eqinisweni, isifo samathambo somgogodla yisimo esidinga ukuphathwa isikhathi eside (mhlawumbe impilo yonke). Kodwa-ke, udokotela wakho angakusiza ukunciphisa umthelela esinawo emisebenzini yakho yansuku zonke.

Abanye abantu bangase babe nokwanda okuncane kwezimpawu njengoba bekhula. Ngakho-ke, kubalulekile ukubona udokotela wakho njalo bese uhlolwa isimo sakho. Ngemuva kwalokho, ungabona ukuthi kukhona yini ushintsho esimweni somgogodla wakho noma ukuthi izimpawu zakho zishintshile, bese uthatha isinyathelo esidingekayo.

Ingabe ikhona indlela yokuvimbela lokhu?

Kunzima ukuvimbela ngokuphelele isifo samathambo, esibangelwa yisifo sokuzivikela komzimba. Kodwa-ke, kunezinto esingazenza ukuvikela amalunga ethu (kufaka phakathi nomgogodla wethu):

• Landela ukudla okunempilo okukufanele.
• Yenza ukuzivocavoca okungenamthelela omkhulu: Izinto ezifana nokubhukuda, i-yoga, kanye nokugibela ibhayisikili ziqinisa amalunga akho ngaphandle kokuwacindezela kakhulu.
• Gwema ukubhema neminye imikhiqizo kagwayi ngokuphelele.
• Gqoka izingubo zokuzivikela ezifanele lapho usebenza, udlala imidlalo, noma wenza izinto zokuzilibazisa.

Ungazinakekela kanjani?

Lokhu nakho kubaluleke kakhulu. Enye yezindlela ezinhle kakhulu zokunciphisa izimpawu ze-arthritis ukuhlala usebenza ngangokunokwenzeka. Kodwa ungenzi lutho olubangela ubuhlungu obukhulu. Ukuzivocavoca okuthambile nokuthambile, njengokuhamba, kungasiza ekunciphiseni ubuhlungu nokuqina. Kungasiza futhi ekuvimbeleni isimo ukuba singabi sibi kakhulu.

Akudingeki uye kuma-Olympic. Ukuzivocavoca njalo njengokuhamba, ukubhukuda, ukugibela ibhayisikili kanye ne-yoga kuhle emhlane wakho. Lokhu kuzoqinisa imisipha yakho kuwo wonke umzimba wakho. Buza udokotela wakho noma uchwepheshe wezokwelapha ukuthi yiziphi izivivinyo ezifanele wena. Zingakusiza uhlale usebenza futhi uphephile.

Uma isifo sakho samathambo somgogodla sikwenza kube nzima ukwenza imisebenzi yakho yansuku zonke, ungase ufune usizo kuchwepheshe wezokwelapha osebenza ngokuhlinzwa . Bangakufundisa ukuthi ungama kanjani, uhlale kanjani, uzulazule kahle, noma usebenzise amadivayisi ahlukahlukene ukuze akusize wenze umsebenzi wakho ngokuphepha.

Kufanele ngimbone nini udokotela?

Uma unesinye noma ngaphezulu salezi zimpawu, xhumana nodokotela ngokushesha:

• Ubuhlungu abubekezeleleki.
• Umhlane wami uqinile kangangokuthi angikwazi ngisho nokuwushukumisa.
• Ukuba ndikindiki noma ukuqaqamba ezandleni, ezinyaweni, eminweni, noma ezinzwaneni.
• Ubuthakathaka ezingalweni noma emilenzeni.

Yimiphi imibuzo okufanele uyibuze udokotela wakho?

Uma siya kudokotela, ngezinye izikhathi siyakhohlwa lokho esifuna ukukubuza. Ngakho-ke, kuwumqondo omuhle ukubhala phansi imibuzo efana nale:

• Uhlobo luni lwesifo samathambo enginaso?
• Yiziphi izivivinyo zokuthatha izithombe engizodinga ukuzenza?
• Hlobo luni lokwelashwa engiludingayo?
• Ingabe ngizodinga ukuhlinzwa?
• Kufanele ngize kangaki ukuzohlolwa emuva?

Ingabe lesi sifo samathambo somgogodla siyisifo esibi kakhulu?

Njenganoma yisiphi isifo samathambo namalunga, isifo samathambo somgogodla ngezinye izikhathi singaholela ezinkingeni ezinkulu. Kodwa ungakhathazeki. Udokotela angakusiza ukuphatha izimpawu zakho futhi anciphise umthelela wesimo empilweni yakho yansuku zonke. Uma ubona ushintsho ezimpawini zakho, noma uma unomuzwa wokuthi ukwelashwa kwakho kwamanje akukusizi kangako njengoba kwakunjalo ngaphambili, bona udokotela ngokushesha.

I-arthritis yomgogodla ibangela ubuhlungu emhlane, ukuqina, kanye nokuvuvukala. Kuvamile ukuzizwa wesaba uma uthola ukuthi unesifo somgogodla. Kodwa-ke, abantu abaningi basengakwazi ukuphila impilo evamile futhi bajabulele izimpilo zabo nge-arthritis yomgogodla. Udokotela wakho angakusiza ukuthola ukwelashwa okudingayo ukuze uhlale uphephile, usebenza, futhi ungabi nobuhlungu ngangokunokwenzeka.

Ngakho-ke, ekugcineni, ezinye zezinto ezibaluleke kakhulu okufanele uzikhumbule!

Isifo samathambo somgogodla siyisimo esicasulayo nesihlala isikhathi eside. Kodwa ungalilahli ithemba. Kunezinto eziningi ongazenza ukuze uphile kahle nalesi simo.

• Ungabunaki ubuhlungu. Esikhundleni sokucabanga ukuthi, "Yilokho kanye okukhona," bona udokotela bese uthola ukuthi inkinga iyini ngempela. Uma uthola ngokushesha, kuba lula ukwelapha.
• Landela imiyalelo kadokotela wakho ngqo. Thatha imithi yakho ngesikhathi, yenza izivivinyo otshelwe ukuba uzenze, futhi ungayeki ukuya kudokotela wezokwelapha uma ekutshela ukuthi wenze kanjalo.
• Hlala usebenza ngangokunokwenzeka. Thola izivivinyo ozijabulelayo futhi ezingacindezeli amalunga akho (njengokubhukuda, ukuhamba, i-yoga) bese uzenza nsuku zonke. Ngeke nje kunciphise ubuhlungu, kodwa futhi kuhle engqondweni yakho.
• Lawula isisindo sakho. Ukukhuluphala ngokweqile kubeka ingcindezi eyengeziwe emhlane wakho. Yamukela ukudla okunempilo.
• Gwema ukubhema. Ukubhema kwenza isifo samathambo sibe sibi nakakhulu.
• Cabanga ngendlela enhle. Kholwa ukuthi ungaphila ngenjabulo nangenkuthalo ngalesi simo. Thola ukwesekwa kwengqondo uma kudingeka.

Khumbula, awuwedwa. Abantu abaningi emhlabeni wonke baphila nalezi zimo. Thola usizo oludingayo, futhi uhlale uqinile! Ungakunqoba lokhu.

` I-arthritis yomgogodla, ubuhlungu bomhlane, ukuvuvukala kwamalunga, i-osteoarthritis, i-rheumatoid arthritis, umgogodla, ukwelashwa kwe-arthritis