Kuvamile ukuzwa izinhlungu ezincane emalungeni ethu ngezikhathi ezithile. Lokhu kungenzeka uma sisebenza kanzima usuku lonke, lapho sihlala kabi, noma lapho sithola ukulimala okuncane. Kodwa uma lobu buhlungu buqhubeka izinsuku noma amasonto ngaphandle kokuncipha, uma amalunga evuvukele, ebomvu, futhi eqinile lapho sivuka embhedeni ekuseni, khona-ke akuvamile. Yilapho sidinga khona usizo 'kudokotela wezifo zamalunga' .
Ngubani ngempela 'udokotela wezifo zamalunga'?
Kalula nje, 'i-Rheumatologist' udokotela ogxile ekuxilongeni nasekwelapheni izifo ezihlobene namalunga ethu , imisipha, amathambo, kanye nezicubu ezixhumeneyo (ama-ligaments, imisipha). Ugxila kakhulu ezifweni zokuzivikela komzimba kanye nezifo ezibangelwa ukuvuvukala .
Manje ungase uzibuze ukuthi ziyini lezi zifo ezibangelwa ukuzivikela komzimba. Cabanga ukuthi uhlelo lokuzivikela lomzimba wakho, uhlelo lwakho lokuzivikela komzimba , luqala ngephutha ukuhlasela amangqamuzana akho aphilile, njengalawo asemalungeni akho, esikhumbeni, namehlo. Yilokho okwenzekayo. Lokhu kuhlasela kubangela izimpawu ezifana nokuvuvukala, ubuhlungu, kanye nokubomvu (ukuvuvukala) ezindaweni ezithintekile.
Udokotela wakho womndeni (udokotela oyinhloko) angakudlulisela kudokotela wamathambo ngokusekelwe ezimpawini zakho. Uzokwenza izivivinyo ezidingekayo, anqume imbangela eqondile yesimo sakho, futhi anikeze uhlelo lokwelapha olungcono kakhulu.
Yiziphi izimo eziyinhloko ezelashwa udokotela wamathambo?
Udokotela wamathambo welapha izifo ezingaphezu kwe-100 zamalunga, imisipha namathambo. Ithebula elingezansi libala ezinye zezifo ezivame kakhulu.
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| Isifo Samathambo Esibangelwa Yi-Rheumatoid | Ubuhlungu nokuvuvukala okubangelwa amasosha omzimba ahlasela amalunga. |
| I-Osteoarthritis | Isimo esibangelwa ukuguguleka nokuguga kwe-cartilage phakathi kwamalunga njengoba ekhula noma ngenxa yokusetshenziswa ngokweqile. |
| I-Gout | Ubuhlungu obukhulu obubangelwa amazinga aphezulu e-uric acid emzimbeni kanye nokugcwala kwezingcezu zayo ezincane emalungeni. |
| I-Lupus | Isifo esithinta amasosha omzimba ezithweni ezahlukahlukene, njengamalunga, isikhumba, izinso kanye nobuchopho. |
| I-Fibromyalgia | Isimo esibangela ubuhlungu emzimbeni wonke, ukukhathala nezinkinga zokulala. |
| I-Osteoporosis | Amathambo aba buthakathaka futhi aphuke kalula. |
Ngenxa yokuthi lezi zifo zingathinta izindawo ezingaphezu kweyodwa zomzimba, udokotela wamathambo uzosebenza nabanye ochwepheshe, njengodokotela besikhumba, odokotela benhliziyo, kanye nabelaphi bomzimba, ukuze bakwelaphe uma kudingeka.
Kungani kufanele ubonane nodokotela wezifo zamathambo?
Uma usunesinye noma ngaphezulu kwalezi zimpawu ezilandelayo isikhathi eside, kubaluleke kakhulu ukuthi uqale ubonane nodokotela womndeni wakho, bese kuthi uma sebekucebisile, ubonane nodokotela wamathambo.
- Ubuhlungu obungapheli, ukuvuvukala, noma ukuqina kwelungu elilodwa noma ngaphezulu.
- Ukuqina kwamalunga okuthatha imizuzu engaphezu kwengu-30 uma uvuka ekuseni.
- Umkhuhlane ongapheli, ukukhathala, noma ukwehla kwesisindo okungachazeki.
- Uma othile emndenini wakho enesifo sokuzivikela komzimba (isib. i-Rheumatoid Arthritis, i-Lupus) futhi nawe uhlangabezana nezimpawu ezingenhla.
Kubaluleke kakhulu ukuxilonga nokwelapha lezi zimo kusenesikhathi, ngoba ngaphandle kwalokho, ukulimala okungapheli kwamalunga kungenzeka ngokuhamba kwesikhathi.
Kwenzekani uma uya kudokotela wamathambo?
Akukho okufanele ukwesabe uma ubona udokotela wamathambo. Umgomo uwukuthatha izinyathelo ezidingekayo ukuze uhlole kahle isimo sakho.
1. Ukukhuluma nawe nokuthola imininingwane
Okokuqala, udokotela uzokhuluma nawe ngokucophelela futhi akubuze ngezimpawu zakho. Uzokubuza imibuzo eminingi, njengokuthi ubuhlungu buqale nini, ubuhlungu bube bubi kangakanani, ukuthi ukwenza noma yini kwenza ubuhlungu bube bubi kangakanani, nokuthi ngabe kukhona yini emndenini wakho onalesi simo. Kubaluleke kakhulu ukutshela wonke umuntu omaziyo ngaphandle kokufihla lutho.
2. Ukuhlolwa Komzimba
Okulandelayo, udokotela uzohlola umzimba wakho, ikakhulukazi amalunga abuhlungu. Bazohlola ukuthi amalunga avuvukele, abomvu, noma afudumele yini uma uwathinta. Bazokucela nokuthi ugobe futhi welule amalunga njengezingalo zakho, amahlombe, kanye nezinqe. Lokhu kuzokusiza ukuthi unqume ukuthi kungakanani ukunyakaza okulinganiselwe emalungeni akho.
3. Ukuhlolwa kwelebhu kanye ne-radiological
Ungase ucelwe ukuba wenze izivivinyo eziningana ukuze uhlole ngokunembile lesi sifo futhi unqume ukuthi sibucayi kangakanani.
| Uhlobo lokuhlola | Ubhekeni? |
|---|---|
| Ukuhlolwa kwegazi | Ihlola izinto ezifana nezimpawu zokuvuvukala emzimbeni (i-ESR, i-CRP) kanye nama-antibodies ahlobene nezifo ezifana ne-rheumatoid arthritis (i-Rheumatoid Factor - RF) . |
| Ukuhlolwa Kwezithombe | Ama-X-ray angabonisa umonakalo emathanjeni. Ama-MRI noma ama-ultrasound scan angabonisa ngokucacile umonakalo nokuvuvukala kwezicubu ezithambile ezifana namalunga, imisipha kanye ne-cartilage. |
| Ezinye izivivinyo | Ngezinye izikhathi kuthathwa isampula yoketshezi lwamalunga ukuze kuhlolwe (ukuxilonga i-gout ). Uma kudingeka, isampula encane yesikhumba noma izicubu zemisipha (i-biopsy) nayo ingathathwa ukuze kuhlolwe. |
4. Ukunikeza imithi yokwelapha
Ngemva kokucabangela konke lokhu, udokotela wakho uzoqala ukwelashwa okufanele kakhulu kuwe. Angase ancome okukodwa noma ngaphezulu kwalokhu okulandelayo:
- Imithi: Imithi enciphisa ubuhlungu nokuvuvukala (ama-corticosteroids), imithi elawula ukusebenza kwesimiso somzimba sokuzivikela, njll.
- Imijovo yamalunga: Ukujova umuthi ngqo emalungeni ukuze kuncishiswe ubuhlungu nokuvuvukala ngokushesha.
- Ukwelashwa Komzimba: Ukufundisa izivivinyo namasu okunciphisa ubuhlungu, ukwandisa ukuhamba kwamalunga, nokwandisa amandla emisipha.
- Ukwelapha Ngomsebenzi: Ukufundisa indlela yokwenza imisebenzi yansuku zonke kalula nangokuphepha kanye nokuncoma amadivayisi adingekayo okusiza (isib. ama-splint).
Eziningi zalezi zifo azipheli, okusho ukuthi kunzima ukuzelapha ngokuphelele. Kodwa-ke , ngokuqhubeka nokwelashwa nokulandela imiyalelo kadokotela wakho, ungasilawula ngempumelelo lesi sifo futhi uphile impilo evamile ngaphandle kobuhlungu .
Umlayezo Wokuya Nawe Ekhaya
- 'I-Rheumatologist' udokotela ogxile ekwelapheni izifo zamalunga, imisipha, namathambo, ikakhulukazi izifo ezibangelwa ukuzivikela komzimba.
- Ungawunaki ubuhlungu obuqhubekayo bamalunga, ukuvuvukala, kanye nokuqina kwasekuseni njengokujwayelekile.
- Ngokuthola nokwelapha lesi sifo kusenesikhathi, umonakalo ohlala njalo emalungeni ungavinjelwa.
- Uma unalezi zimpawu, ungangabazi ukubona udokotela wakho ukuze akunike iseluleko. Uzokudlulisela kudokotela wamathambo uma kudingeka.
- Nakuba eziningi zalezi ziyizifo ezingamahlalakhona, ngokwelashwa okufanele, zingalawulwa ngempumelelo futhi umuntu angaphila impilo entofontofo.
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