Intlungu edibeneyo

Intlungu edibeneyo inokuchaphazela elinye okanye ngaphezulu kwamalungu.

Intlungu edibeneyo inokubangelwa ziintlobo ezininzi zokulimala okanye iimeko. Inokudibaniswa ne-arthritis, i-bursitis, kunye nentlungu yomzimba. Nokuba yintoni unobangela, iintlungu ezidibeneyo zinokukhathaza kakhulu. Ezinye izinto ezinokubangela iintlungu ezidibeneyo zezi:

• Izifo ezisebenza ngokuzenzekelayo njenge-rheumatoid arthritis kunye ne-lupus
• Isifo seBursitis
• Chondromalacia patellae
• Amakristali kwi-joint-gout (ingakumbi efunyenwe kwizwane ezinkulu) kunye ne-CPPD arthritis (pseudogout)
• Usulelo olubangelwa yintsholongwane
• Ukwenzakala, njengokuqhekeka
• Osteoarthritis
• I-Osteomyelitis (usulelo lwethambo)
• I-Septic arthritis (usulelo oludibeneyo)
• UTendinitis
• Ukuziqhelanisa okungaqhelekanga okanye ukusetyenziswa gwenxa, kubandakanya ubunzima okanye ukugungxula

Iimpawu zokudumba ngokudibeneyo zibandakanya:

• Ukudumba
• Ubushushu
• Ukuthantamisa
• Ubomvu
• Intlungu ngokuhamba

Landela iingcebiso zomboneleli wakho wezonyango zokunyanga unobangela wentlungu.

Kwiintlungu ezingenayo i-arthritic joint, ukuphumla kunye nokuzilolonga kubalulekile. Ukuhlamba okufudumeleyo, ukuphulula, kunye nokuzilolonga kufuneka kusetyenziswe rhoqo kangangoko kunokwenzeka.

I-Acetaminophen (iTylenol) inokunceda ubuhlungu buzive bungcono.

Izidakamizwa ezichasayo ezichasayo (i-NSAIDS) ezifana ne-ibuprofen okanye i-naproxen inokukunceda ukunciphisa intlungu kunye nokuvuvukala. Thetha nomboneleli wakho ngaphambi kokunika i-aspirin okanye ii-NSAID ezinje nge-ibuprofen ebantwaneni.

Nxibelelana nomboneleli wakho ukuba:

• Unomkhuhlane ongahambelani neempawu zomkhuhlane.
• Ulahlekelwe ziikhilogram ezili-10 (4.5 kg) okanye nangaphezulu ngaphandle kokuzama (ukwehla kobunzima obungacetywanga).
• Intlungu yakho edibeneyo ihlala ngaphezulu kweentsuku ezininzi.
• Unentlungu edibeneyo, engachazwanga kunye nokudumba, ngakumbi ukuba unezinye iimpawu ezingachazwanga.

Umboneleli wakho uya kukubuza imibuzo malunga nembali yakho yezonyango kunye neempawu, kubandakanya:

• Leliphi ilungu elibuhlungu? Ngaba iintlungu kwelinye icala okanye omabini amacala?
• Yintoni eqale iintlungu kwaye ubunayo kangaphi? Unayo ngaphambili?
• Ngaba le ntlungu iqale ngequbuliso nangobuzaza, okanye ngokucotha nangobulali?
• Ngaba iintlungu zihlala zikho okanye ngaba ziyafika zidlule? Ngaba iintlungu ziye zaba qatha?
• Ngaba ulimele ilungu lakho?
• Ngaba ukhe wagula, irhashalala, okanye umkhuhlane?
• Ngaba ukuphumla okanye ukuhamba kuyenza ngcono okanye ibe mandundu? Ngaba izikhundla ezithile zikhululekile okanye azikho lula? Ngaba ukugcina ukudibana kuphakanyisiwe kunceda?
• Ngaba amayeza, ukuphulula, okanye ukusebenzisa ubushushu kuyazinciphisa iintlungu?
• Zeziphi ezinye iimpawu onazo?
• Ngaba kukho nantoni na?
• Ngaba unokugoba kwaye wolule isihlanganisi? Ngaba ilunga liziva liqinile?
• Ngaba amalungu akho aqinile ekuseni? Ukuba kunjalo, buhlala ixesha elingakanani ukuqina?
• Yintoni eyenza ukuqina kube ngcono?

Uvavanyo lomzimba luya kwenziwa ukukhangela iimpawu zokungaqhelekanga ngokudibeneyo kubandakanya:

• Ukudumba
• Ukuthantamisa
• Ubushushu
• Intlungu ngokuhamba
• Isindululo esingaqhelekanga njengokuthintelwa, ukukhululeka kwendibaniselwano, ukuva nothotho

Uvavanyo olunokwenziwa lunokubandakanya:

• CBC okanye umahluko wegazi
• Iprotheyini esebenzayo yeC
• I-x-ray edibeneyo
• Inqanaba lentlenga
• Uvavanyo lwegazi olukhethekileyo kwizifo ezahlukeneyo zokuzimela
• Umnqweno odibeneyo wokufumana ulwelo oludibeneyo lwenkcubeko, ukubalwa kweeseli ezimhlophe kunye noviwo lweekristali

Unyango lunokubandakanya:

• Amayeza anje nge-non-steroidal anti-inflammatory drug (NSAIDS) kubandakanya ibuprofen, naproxen, okanye indomethacin
• Ukufakwa kweyeza le-corticosteroid ngokudibeneyo
• Amayeza okubulala iintsholongwane kunye nokuhambisa amanzi rhoqo, kwimeko yosulelo (ihlala ifuna ukulaliswa esibhedlele)
• Unyango lomzimba lwezihlunu kunye nokudityaniswa ngokudibeneyo

Ukuqina kwilunga; Iintlungu - amalungu; Arthralgia; Isifo samathambo

• Amathambo
• Ubume bedibeneyo

I-Bykerk VP, iCrow MK. Sondela kwisigulana ngesifo samathambo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 241.

UDavis JM, iModer KG, iHunder GG. Imbali kunye novavanyo lomzimba lwenkqubo yemisculoskeal. Ku: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, ii-eds. Incwadi kaKelley kunye neFirestein yeRheumatology. Ngomhla we-10. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 40.