Unyango lwe-OA engatofakaliyo kunye nonyango: Isikhokelo seNgxoxo ngoGqirha

Umxholo

• Iimpawu zakho
• Into osele uyenza ukunyanga i-OA yakho
• Utshintsho kwindlela yokuphila
• Amayeza
• Unyango olufanelekileyo

Ushwankathelo

Kwabanye abantu, utyando kuphela kwendlela yokuthomalalisa iintlungu ze-osteoarthritis (OA) emadolweni. Nangona kunjalo, kukwakho neendlela ezininzi zonyango kunye notshintsho kwindlela yokuphila enokuthi izise isiqabu.

Ukufumana ukhetho lwakho olufanelekileyo kufuna ingxoxo evulekileyo nogqirha wakho. Cinga ngokuxoxa ngezi zihloko zilandelayo kwintlanganiso yakho elandelayo. Kukho indlela enye okanye ezingaphezulu zokulawula idolo lakho i-OA ngaphandle kokulandela utyando.

Iimpawu zakho

Xa kuziwa kwiimpawu zakho kunye nendlela oziva ngayo, akukho mntu wazi ngcono kunawe. Ukuqonda okucacileyo kweempawu ohlangabezana nazo kunye nobukrakra bazo kunokuhamba indlela ende ekuncedeni ugqirha wakho ukuba eze nesicwangciso sonyango.

Ubukrakra beempawu zakho ziya kunceda ugqirha wakho azi ukuba ngaba unyango lonyango alunakusebenzela.

Enye yeendlela ezilungileyo zokuqinisekisa ukuba uxelela ugqirha wakho yonke into abafuna ukuyazi malunga neempawu zakho kukuba ubhale phantsi. Gcina umkhondo weempawu zakho kwiintsuku ezikhokelela ekutyunjweni kwakho. Qaphela:

• ubunzima beentlungu zakho kwisikali se-1 ukuya kwi-10
• apho uziva khona iintlungu
• uhlobo lweentlungu ohlangabezana nazo, zichazwe ngokunokwenzeka
• naziphi na ezinye iimpawu ohlangabezana nazo, ezinje ngokufudumala, ukuba bomvu, okanye ukudumba
• imisebenzi eyenza ukuba iimpawu zakho zibe mandundu kwaye nakuphi na ukusikelwa umda onako
• ithomalalisa intlungu yakho
• indlela iimpawu zakho ezibuchaphazela ngayo ubomi bakho bemihla ngemihla

Qiniseka ukuba uzisa naziphi na iimpawu onazo kumayeza owathathayo.

Ugqirha wakho kufuneka azi ukuba ufumana naluphi na uxinzelelo lweemvakalelo olunxulumene ne-OA yakho okanye naluphi na unyango olufumanayo. Kwabanye, iintlungu ze-OA kunye nefuthe labo kubuchule bokwenza izinto abazonwabelayo zingakhokelela kwiimvakalelo zoxinzelelo kunye noxinzelelo. Oku kufuneka kujongwane nogqirha wakho.

Into osele uyenza ukunyanga i-OA yakho

Xoxa nogqirha wakho ngayo nantoni na osele uyenza ukunyanga i-OA yakho. Zibuze le mibuzo ilandelayo, kwaye uxoxe ngeempendulo zakho nogqirha wakho:

• Ngaba ulwenzile naluphi na utshintsho ebomini ukuzama ukulawula i-OA yakho?
• Ngaba uthatha nawaphi na amayeza okanye izongezo?
• Ngaba amayeza okanye izongezo ziyanceda zonke iimpawu zakho?

Utshintsho kwindlela yokuphila

Ngakumbi nangakumbi oogqirha bacebisa utshintsho kwindlela yokuphila ukuze kunyangwe i-OA. Ukubandakanya umthambo kunokuba yenye yezona ndlela zisebenzayo zokunyanga iintlungu zamadolo. Ukomeleza izihlunu zakho ngokwenza umthambo kunokunciphisa iintlungu kunye nokuqina kwaye uphucule kakhulu uluhlu lwakho lokuhamba. Inokucothisa nomonakalo kumalungu akho.

Ukutya ukutya okusempilweni lolunye utshintsho kwindlela yokuphila ekufanele ukuba uxoxe ngalo nogqirha wakho. Izifundo ezininzi zinxibelelanise ubunzima kwi-OA emadolweni. Bafumanise ukuba ukuphulukana neepawundi nje ezimbalwa kunokubuphucula kakhulu ubungakanani bomonakalo kwi-cartilage emadolweni. Kuqikelelwa ukuba iponti eyi-1 yesisindo somzimba ilingana neepawundi ezi-3 ukuya kwezi-6 zoxinzelelo kumalungu edolo.

Ukubandakanya ukutya okuchaseneyo nokudumba kwindlela otya ngayo kunokunciphisa iimpawu ze-OA.

Buza ugqirha wakho ngengcebiso yokunciphisa umzimba ngokusekwe kwiimfuno zakho ezithile. Kwakhona funa iingcebiso malunga nokutya oza kukubandakanya ekutyeni nasekuthinteleni.

Ngamanye amaxesha, imisebenzi yomntu ekhaya kunye nomsebenzi inokuba negalelo kwiimpawu zabo kunye nokuqhubela phambili kwe-OA. Thetha nogqirha wakho malunga nonyango lwasemsebenzini kunye nokuba bangaziva ukuba ungazuza na kuvavanyo nonyango lomsebenzi. Ingcali inokuvavanya imisebenzi yakho kwaye ikufundise iindlela zokukhusela amalungu akho kumonakalo nakwiintlungu.

Amayeza

Amanye amayeza e-counter-counter-counter, njenge-nonsteroidal anti-inflammatory drug (NSAIDs) kunye ne-acetaminophen (iTylenol), inokubonelela ngoncedo olusebenzayo lwentlungu kunye nokudumba.

Ngentlungu ebuhlungu, ugqirha wakho unokucebisa amayeza amayeza amayeza. Buza ugqirha wakho malunga nokusebenzisa amayeza ukunyanga iimpawu zakho. Qiniseka ukuba ubuza malunga naziphi na iziphumo ebezingalindelekanga ezinokubakho.

Kwakhona kubalulekile ukuxelela ugqirha wakho malunga nawaphi na amayeza okanye izongezo osele uzithatha kwi-OA okanye kwenye imeko. Ezinye iziyobisi kunye nezongezelelo ziyaphazamisana.

Unyango olufanelekileyo

Unyango olunokufakwa inaliti emadolweni OA kufanelekile ukuba uxoxe nogqirha wakho ukuba awufumani sibonelelo saneleyo ngonyango kunye notshintsho kwindlela ophila ngayo.

Inaliti ye-Corticosteroid inokubonelela ngoncedo olukhawulezayo kwintlungu yakho, ehlala naphi na ukusuka kwiintsuku ezininzi ukuya kwiinyanga ezininzi. Inaliti ziqulathe indibaniselwano yecortisone kunye neanesthetic yendawo ejoyiweyo edolweni.

Olunye ukhetho inokuba kukuxhaswa kwe-viscosupplementation. Oku kubandakanya ukujoba into efana ne-gel ebizwa ngokuba yi-hyaluronic acid (HA) kulwelo oludibeneyo edolweni. I-HA inceda ukuhamba ngokudibeneyo ngokukhululekileyo kwaye kungcono ukufunxe ukothuka kwilungu xa ushukuma.

Oogqirha baxoxa ngokusetyenziswa kwenaliti eneplatelet-rich (PRP) kunye nonyango lwe-stem cell ukunyanga i-OA yamadolo, kodwa izibonelelo azikaqinisekiswa ngezilingo ezinkulu. Iziphumo zexesha elifutshane zibonakala zithembisa kwizifundo ezithile, kodwa hayi kwezinye. Kuhlala kubonakala ukuba le iya kuba yeyona ndlela iphambili kunyango kwixa elizayo.

Buza ugqirha wakho le mibuzo ilandelayo ukuba ucinga ukutofa i-OA:

• Ngaba ndingumgqatswa ofanelekileyo kunyango olunokutofa?
• Zeziphi iziphumo ebezingalindelekanga ezinokubakho kuhlobo ngalunye?
• Ngaba kukho naziphi na izilumkiso ezithile ekufuneka zithathelwe ingqalelo?
• Ndingalindela ixesha elingakanani ukuba iintlungu zihlale ixesha elide?

Kunye nogqirha wakho, ninokwazi ukuza nesicwangciso esisebenzayo sokunyanga iintlungu zamadolo usebenzisa iindlela ezingezizo ezonyango.