IArthrosis ezandleni neminwe: iimpawu, oonobangela kunye nonyango

Umxholo

• Iimpawu eziphambili
• Izizathu ezinokubangela
• Unyango lwenziwa njani
• 1. Ukusetyenziswa kwamayeza
• 2. Umzimba wonyango
• 3. Ukungena kumalungu
• 4. Utyando

IArthrosis ezandleni neminwe, ekwabizwa ngokuba yi-osteoarthritis okanye i-osteoarthritis, yenzeka ngenxa yokunxiba kunye nokukrazula kwintlala yamalungu, inyusa ukungqubana phakathi kwamathambo ezandla kunye neminwe, ekhokelela kwiimpawu zentlungu kunye nokuqina, okwenza kube nzima yenza intshukumo elula kunye nemisebenzi yemihla ngemihla. Kwiimeko ezihambele phambili, maqhuqhuva anokubakho embindini wamalungu.

Ukongeza, iarthrosis yezandla neminwe inokubangela utshintsho kumathambo nakwizicubu ezijikeleze ilunga elibambe indibaniselwano kunye kwaye ibambe umsipha kwithambo, elibangela ukudumba kunye nentlungu.

Le meko inokuthintela, ngakumbi xa ichaphazela izandla zozibini, kwaye ke, xa kunikwa naziphi na iimpawu, ugqirha wamathambo okanye ugqirha wamathambo kufuneka kuboniswane nesona sifo sifanelekileyo kunyango.

Iimpawu eziphambili

Iimpawu ze-arthrosis ezandleni neminwe zihlala zikhula kancinci kwaye zisiba mandundu ngokuhamba kwexesha, kwaye zibandakanya:

• Intlungu esandleni okanye eminweni, ezinokuba namandla ngakumbi xa zivuka kwaye zincipha imini yonke, nangona kunjalo ngokuqhubela phambili kwesi sifo, iintlungu zinokwenzeka imini yonke;
• Ukuqina kwamalungu ezandla neminwe, ngakumbi xa uvuka okanye emva kokuhamba ixesha elide ungakhange ushukumise izandla okanye iminwe;
• Ukonyusa ubuntununtunu bamalungu ezandla kunye neminwe, enokuba novakalelo xa kusetyenziswa uxinzelelo lokukhanya kufutshane okanye kwilungu;
• Ukuphulukana nokuba bhetyebhetye, eyenza kube nzima ukwenza iintshukumo ezilula, njengokuchola into okanye ukubhala, umzekelo;
• Ukudumba eminweni kubangelwa ukudumba macala onke amalungu;
• Ukulinganisa ezandleni okanye kwiminwe, nkqu ekuphumleni.

Ukongeza, ukwenziwa kwamaqhuqhuva kumalungu, afana ne-Heberden's nodule, eyakhiwe kwilungu lokugqibela leminwe, kunye ne-Bouchard's nodule, eyakhiwe embindini weminwe, inokuqinisekiswa.

Ukuxilongwa kwe-arthrosis yezandla kufuneka kwenziwe ngugqirha wamathambo okanye i-rheumatologist esekwe kuvavanyo lweklinikhi apho kuvavanywa khona iimpawu zomntu, kunye nokuvavanywa kwembali yezempilo yobuqu neyosapho.

Ugqirha uhlala ecebisa ukuba kwenziwe iimviwo ezincedisayo, ezinje nge-X-reyi, apho kujongwa khona utshintsho lwethambo, ikhompyuter ye-tomography kunye nomfanekiso-ngqondweni wemagneti, ukujonga ukuwohloka kwendibaniselwano kwaye, ngenxa yoko, qinisekisa ukuxilongwa kwaye ubonise okona kulungileyo unyango.

Izizathu ezinokubangela

IArthrosis esezandleni neminwe ibangelwa ikakhulu yimizamo ephindaphindwayo, ixhaphake kakhulu ebantwini abasebenzisa amalungu abo kakhulu, njengabasebenzi bezokwakha, abathungi, abantu abenza imisebenzi yasekhaya okanye iimbaleki ezidlala imidlalo ezifuna umzamo wezandla.

Le meko ixhaphake kakhulu ebantwini abanezihlobo kusapho olunesifo samathambo, abantu abadala kunye nabasetyhini abayeka ukuya exesheni, ngenxa yokuguga kwendalo.

Ukongeza, izifo ezivuthayo okanye ezenzekelayo, ezinje nge-systemic lupus erythematosus kunye ne-rheumatoid arthritis, ukongeza kwizifo ze-metabolic ezinje nge-hemochromatosis, inokuxhasa ukuqina ngokudibeneyo kwesandla, kukhokelela kwi-osteoarthritis. Yazi ezinye izinto ezibangela isifo samathambo.

Unyango lwenziwa njani

Unyango lwe-osteoarthritis ezandleni neminwe lwenziwa ngokweempawu ezibonisiweyo kwaye ijolise ekupheliseni iintlungu, ukuphucula ukuqina kunye nokunceda ukuphucula intshukumo.

Unyango kufuneka luboniswe ngugqirha kwaye lunokwenziwa nge:

1. Ukusetyenziswa kwamayeza

Amayeza okunyanga iarthrosis ezandleni neminwe kubandakanya ukudambisa iintlungu njengeparacetamol okanye amachiza alwa nokudumba njenge-ibuprofen okanye naproxen, njengoko encedisa ukulawula iintlungu ngokudibeneyo kunye nokudumba.

Olunye unyango olunokuthi luboniswe ngugqirha yi-duloxetine, i-antidepressant, ekwaboniswa kunyango lweentlungu ezingapheliyo ezibangelwa yi-arthrosis yezandla neminwe. Jonga ezinye iindlela zonyango lweeasteoarthritis.

2. Umzimba wonyango

I-Physiotherapy ye-osteoarthritis yezandla kunye neminwe inceda ukomeleza izihlunu ezijikeleze ilunga, ukwandisa ubhetyebhetye kunye nokunciphisa iintlungu. Olu nyango kufuneka lukhokelwe ngugqirha womzimba oya kuthi abonise ezona mithambo zifanelekileyo ngokwenqanaba le-osteoarthritis nangokomntu ngamnye. I-physiotherapist nayo ingadlulisa imithambo eyenziwayo ekhaya ukuxhasa unyango lwe-physiotherapy, ukongeza ekucetyisweni kokufaka umkhenkce okanye ubushushu kwindawo yokunciphisa iimpawu ze-arthrosis.

Bukela ividiyo kunye nomzimba we-physiotherapist uMarcelle Pinheiro kunye nokuzivocavoca umzimba nge-osteoarthritis:

3. Ukungena kumalungu

Ukungena kumalungu ezandla okanye eminwe kungenziwa ngenaliti yeziyobisi ze-corticosteroid okanye i-hyaluronic acid, kwiimeko ezikhethiweyo, kwaye kufuneka ihlale iboniswa kwaye yenziwe ngugqirha obeka iliso emntwini.

Inaliti ye-Corticosteroid kumalungu inceda ekuphuculeni iintlungu kwaye inokwenziwa ngenaliti ezi-3 ukuya kwezi-4 ngonyaka. Ukujova i-corticosteroid, ugqirha ubulala iintlungu kumalungu esandla okanye eminwe emva koko afake i-corticoid.

Inaliti ye-hyaluronic acid, eyinto efana necandelo eliqhelekileyo elifunyanwa kumalungu asebenza njengesixhobo sokumothusa, inceda ekuthambiseni amalungu abuhlungu ezandla okanye iminwe kwaye, ke, iyanceda ekupheliseni iintlungu.

4. Utyando

Utyando lwe-arthrosis ezandleni okanye kwiminwe luboniswa kuphela kwinani elincinci lamatyala apho unyango lwalungasebenzi okanye xa elinye lamalungu lonakele kakhulu. Nangona kunjalo, akukho siqinisekiso sokuba utyando luya kuphelisa ngokupheleleyo iimpawu kwaye umntu usenokuqhubeka nokufumana iintlungu kunye nokuqina ezandleni okanye kwiminwe.