Eminye indlela yokuGuqula ukutshintsha amadolo

Umxholo

• Ushwankathelo
• Ukuthoba umzimba kunye nokuzilolonga
• Ulungiso lwenyama
• Inaliti ye-Hyaluronic acid
• Amayeza kunye nokudubula kwe-steroid
• Izinketho zokumisela
• Inaliti yeCorticosteroid
• Unyango
• Unyango
• Utyando lwearthroscopic
• Unyango lwesitem
• Inaliti etyebileyo yePlasma
• Idolo osteotomy
• Izixhobo zokuhamba kunye nenkxaso
• Iinketho ezingancediyo
• Linganisa izinto onokukhetha kuzo

Ushwankathelo

Utyando olwenziwe ngamadolo aluhlali lukhetho lokuqala lokunyanga iintlungu emadolweni. Ezinye iindlela zonyango zinokunceda ukuzisa isiqabu.

Ukuba uhlangabezana neentlungu zedolo, cela ugqirha wakho ngeendlela ezingekho phantsi kokuhlangabezana nazo. Nanga amanye amacebiso.

Ukuthoba umzimba kunye nokuzilolonga

Iingcali zikhuthaza ngamandla abantu abatyebe kakhulu okanye abatyebe kakhulu ukuba banciphise umzimba kunye nokuzilolonga. Ngokudibeneyo, la manyathelo anokunceda ukucothisa ngokudibeneyo kunye nokunciphisa iintlungu.

Uphando lubonisa ukuba zonke iiponti ezili-10 ezongezelelweyo zonyusa amathuba okuphuhlisa i-osteoarthritis nge. Kwangelo xesha, ukuphulukana neekhilogram ezili-10 kunokuthetha ukuba awucinezeli ngamandla emadolweni.

Imisebenzi efanelekileyo ibandakanya:

• ukuhamba
• ukuhamba ngebhayisikile
• ukomeleza umthambo
• uqeqesho lwe-neuromuscular
• umthambo wamanzi
• iyoga
• tai chi

Iingcali ziqaphele ukuba ukuzivocavoca kunye neqela okanye ingcali yomzimba kunokuba luncedo kunokuzilolonga wedwa. Bakwacebisa ukuba ukhethe umsebenzi owuthandayo kwaye onakho ukuwufikelela.

Ingcali kwezempilo inokucebisa ngeendlela ezifanelekileyo zokuzilolonga.

Ulungiso lwenyama

Ingcali yezomzimba inokusebenza ngesicwangciso sokunciphisa iintlungu kunye nokomeleza izihlunu eziphambili ezichaphazela amadolo akho. Banokusebenza kunye nawe ukuqinisekisa ukuba wenza imithambo ngokuchanekileyo.

Banokufaka umkhenkce kunye nobushushu ukunciphisa iintlungu kunye nokudumba.

Inaliti ye-Hyaluronic acid

Inaliti yediski ye-hyaluronic acid icingelwa ukuba ithambisa idolo ngokuhlangeneyo.Oku kunokunceda ukuphucula ukufunxeka kothuko, ukunciphisa iintlungu, kunye nokuphucula ukuhamba kwamadolo.

Iingcali azikukhuthazi okwangoku ukusebenzisa ezi ngenaliti, nangona kunjalo, kuba akukho bungqina baneleyo bokuba zingqinekile ukuba ziyasebenza.

Amayeza kunye nokudubula kwe-steroid

Amayeza e-over-the-counter (OTC) anokunceda ukulawula iintlungu emadolweni.

Izinketho zibandakanya:

• iziyobisi ezincedisa ukuphelisa iintlungu, ezifana neacetaminophen
• I-anti-inflammatories (ii-NSAID) zeengxoxo kunye nezomlomo.
• Iithambisi zeengqokoba eziqukethe i-capsaicin

Izinketho zokumisela

Ukuba unyango lwe-OTC alusebenzi, ugqirha wakho unokukunika amayeza anamandla, njenge-duloxetine okanye i-tramadol.

ITramadol yiopioid, kwaye iiopioid zinokuba likhoboka. Iingcali zicebisa kuphela ukusebenzisa i-tramadol ukuba awukwazi ukusebenzisa amanye amayeza, kwaye azikukhuthazi naluphi na olunye uhlobo lwe-opioid.

Inaliti yeCorticosteroid

Olunye ukhetho kukuba nenaliti ye-steroid kwindawo echaphazelekayo. Oku kunokunciphisa iintlungu kunye nokudumba emadolweni. Iintlungu zihlala zinciphisa kwiintsuku ezimbalwa, kwaye isiqabu sihlala iiveki ezininzi.

Abanye baye babuza ukusetyenziswa kwexesha elide kwe-steroids. Olunye uphononongo lufumanise ukuba, emva kweminyaka emi-2, abantu abafumene inaliti ye-steroid babene-cartilage encinci kwaye akukho kuphucuka kwiintlungu zedolo.

Nangona kunjalo, izikhokelo ezipapashwe ngo-2019 zixhasa ukusetyenziswa kwazo.

Unyango

Ukwenza i-acupuncture yindlela yakudala yaseTshayina enokunceda ekuthomalaliseni iintlungu. Isebenzisa iinaliti ezibukhali, ezibhityileyo ukutshintsha ukuhamba kwamandla emzimbeni.

ibonisa ukuba i-acupuncture inokunceda ukulawula iintlungu emadolweni kwixesha elifutshane.

Izikhokelo ezikhoyo zixhasa ngokuthe ngqo ukusetyenziswa kwe-acupuncture ekunyangeni iintlungu zamadolo, kodwa qaphela ukuba izibonelelo zayo azicacanga kwaphela. Umngcipheko we-acupuncture uphantsi, ke ukulungiswa kwawo kunokufanelekile ukuzama.

Unyango

Kwiprolotherapy, ingcali yezempilo itofa isisombululo esicaphukisayo kwi-ligament okanye kwi-tendon yokunyusa ukuhamba kwegazi kunye nokubonelela ngezondlo. Olu nyango lujolise ekuvuseleleni inkqubo yokuphilisa ngokucaphukisa izicubu.

Isisombululo se-dextrose, esingumxube weswekile, sihlala sisetyenziswa.

Kwelinye, abantu abane-osteoarthritis bafumana idolo ezintlanu ngaphandle kweeveki ezi-4. Baxela ukuba amanqanaba abo entlungu aphucule iiveki ezingama-26 emva kwenaliti yokuqala. Emva konyaka, basaziva ukuphucuka.

bathi le nkqubo inokukhuseleka kwaye ibonakala ngathi iyanceda ekunciphiseni iintlungu, kodwa basafuna uphando olongezelelekileyo.

Izikhokelo zangoku azikhuthazi ukusebenzisa iprolotherapy.

Utyando lwearthroscopic

Ugqirha unokucebisa utyando lwe-arthroscopic ukususa iziqwengana zethambo, iziqwenga zemeniscus eziqhekekileyo, okanye intlala eyonakeleyo, kunye nokulungisa iigaments.

Iarthroscope luhlobo lwekhamera. Ivumela ugqirha ukuba abone ngaphakathi kwendibaniselwano yakho ngokusika okuncinci. Emva kokwenza izihlandlo ezibini ukuya kwezine, ugqirha osebenzisa iarthroscope ukuze asebenze ngaphakathi kwedolo.

Obu buchule abunakuhlaselwa kangako kunotyando lwesiko. Uninzi lwabantu lungagoduka kwangolo suku lunye. Ukuchacha kwakhona, kunokwenzeka ukuba kukhawuleze.

Nangona kunjalo, ayinakunceda kuzo zonke iintlobo zesifo samathambo.

Unyango lwesitem

Olu nyango luvavanyo lusebenzisa iiseli zomongo wethambo ukusuka esinqeni ukunceda ukuvuselela izicubu zethambo emadolweni.

ibonakalisile ukuba unyango lwe-stem cell lunokunceda ukunciphisa iintlungu zamadolo kunye nokuphucula ukusebenza, kodwa akubonakali ngathi kubangela ukubuyela kwakhona kwe-cartilage.

Unyango lweeseli zamalungu okwenzakala ngokudibeneyo alukabi yinxalenye yonyango. Iingcali azikukhuthazi okwangoku ukutofa i-stem cell ye-osteoarthritis (OA), njengoko ingekabikho indlela yonyango esemgangathweni okwangoku.

Inaliti etyebileyo yePlasma

Olunye unyango lokulinga lubandakanya ukujova idolo le-osteoarthritic ngeprotein-rich protein (PRP) ngamanyathelo amathathu.

1. Umboneleli wezempilo uthatha igazi lomntu odinga unyango.
2. Besebenzisa icentrifuge, bohlula-hlula iiplatelets ezinezinto zokukhula ezivela egazini.
3. Emva koko, bafaka ezi platelet edolweni.

Izikhokelo zangoku zicebisa abantu ukuba bangalusebenzisi olu nyango, kuba kukho ukusilela kokubekwa emgangathweni ekulungiseleleni nasekulawuleni inaliti. Oku kuthetha ukuba akunakwenzeka ukuba wazi ntoni ukulungiselela.

Idolo osteotomy

Abantu abanokukhubazeka emadolweni okanye ukonakala kwelinye icala lamadolo abo banokuxhamla kwi-osteotomy.

Le nkqubo ishenxisa umthwalo ophethe ubunzima kude nendawo eyonakeleyo yedolo.

Nangona kunjalo, i-osteotomy ayifanele wonke umntu. Ihlala isetyenziselwa abantu abancinci abanomda omncinci wedolo.

Izixhobo zokuhamba kunye nenkxaso

Izixhobo ezinokunceda zibandakanya:

• induku yokuhamba, enokunceda ngokulinganisela
• idolo, ukuxhasa idolo elihlangeneyo

I-Kineseo tape luhlobo lwenkxaso yokunxiba ekhuthaza umzimba ukuba uphilise ngokwendalo ngokunyusa ukuhamba kwegazi okujikeleze umsipha. Ikwaxhasa ngokudibeneyo ngelixa ivumela ukuba ihambe ngokukhululekileyo. Inokuthomalalisa iintlungu kwaye inokunceda ukuthintela i-OA ekukhuleni okanye ekubi.

Izikhokelo zangoku azikukhuthazi ukusebenzisa izihlangu eziguqulweyo okanye ii-insoles ezisecaleni kunye nezitshatileyo.

Iinketho ezingancediyo

Izikhokelo zangoku zicebisa abantu ukuba bangasebenzisi:

• ukuvuselelwa kwemithambo-luvo yombane (TENS)
• i-glucosamine kunye ne-chondroitin sulphate supplements
• bisphosphonates
• hydroxychloroquine
• imethotrexate
• ibhayoloji

Linganisa izinto onokukhetha kuzo

Ngaphambi kokukhetha ukuhlinzwa ngamadolo, kubalulekile ukuba uqwalasele zonke iindlela onokukhetha kuzo.

Nangona kunjalo, ukuba uziva ukuba uzame yonke into okanye ugqirha wakho ugqirha ucebisa ukutshintshwa ngokupheleleyo okanye ngokungakhethiyo, kusenokuba lixesha lokuqwalaselwa kotyando.