Kutheni le nto umvambo wam ubuhlungu xa ndimile okanye ndihamba, kwaye ndingayiphatha njani?

Umxholo

• Iimbangela zentlungu yomlenze xa umi okanye uhamba
• Isifo samathambo
• Osteoarthritis
• Isifo seBursitis
• Inzululwazi
• Iinyembezi ze-Hip labral
• Ukuchonga ingxaki
• Ukunyanga iintlungu zenyonga
• Ugqirha
• Nini ukubona ugqirha
• Ukuphila nentlungu yenyonga
• Yise kude

Intlungu ye-Hip yingxaki eqhelekileyo. Xa imisebenzi eyahlukeneyo enjengokuma okanye ukuhamba isenza iintlungu zakho zibe mbi, inokukunika imikhondo malunga nonobangela wentlungu. Uninzi lwezizathu zentlungu ye-hip xa umi okanye uhamba azikho nzulu, kodwa ezinye zifuna unyango.

Funda ukuze ufumane okungakumbi malunga nezizathu ezinokubakho kunye nonyango lweentlungu zenyonga xa umi okanye uhamba.

Iimbangela zentlungu yomlenze xa umi okanye uhamba

Intlungu ye-Hip xa umi okanye uhamba uhlala unezizathu ezahlukeneyo kunezinye iintlobo zentlungu ye-hip. Izinto ezinokubangela olu hlobo lwentlungu zibandakanya:

Isifo samathambo

Isifo samathambo esidumbisayo senzeka xa amajoni omzimba wakho aqala ukuhlasela izicwili ezisempilweni. Zintathu iintlobo:

• irheumatoid Arthritis
• i-ankylosing spondylitis
• inkqubo lupus erythematosus

Isifo samathambo esidala ukubangela iintlungu eziqaqambayo kunye nokuqina. Iimpawu zihlala zisiba mbi kusasa nasemva kokusebenza ngamandla, kwaye zinokwenza ukuhamba nzima.

Osteoarthritis

I-Osteoarthritis (OA) sisifo esidibeneyo sokudibana. Kwenzeka xa intlala phakathi kwamathambo iphela, ishiya ithambo livelile. Amathambo arhabaxa agudla omnye komnye, abangela iintlungu kunye nokuqina. Umlenze ngowona wesibini odibeneyo ochaphazelekayo.

Ubudala sesinye sezizathu eziphambili ze-OA, kuba umonakalo odibeneyo unokuqokelela ngokuhamba kwexesha. Eminye imingcipheko ye-OA ibandakanya ukwenzakala kwangaphambili kumalungu, ukutyeba kakhulu, ukungahambi kakuhle, kunye nembali yosapho ye-OA.

I-OA sisifo esinganyangekiyo kwaye sinokubakho kangangeenyanga okanye iminyaka ngaphambi kokuba ube neempawu. Ngokuqhelekileyo kubangela ukukrakra kwi:

• isinqe
• umqala
• ithanga
• umva
• iimpundu

Intlungu inokuthi "ivule" kwaye ibe nzima. Intlungu ye-OA iba mandundu ngemisebenzi yokuthwala umthwalo njengokuhamba okanye xa usima kuqala emva kokuhlala ixesha elide. Ukuba ishiywe inganyangwa, inokubangela ukukhubazeka ngokudibeneyo.

Isifo seBursitis

I-Bursitis kuxa iisaka ezigcwele ulwelo (bursae) eziqinisa amalungu akho ukuba adumbe. Iimpawu zibandakanya:

• buthuntu, iintlungu ezibuhlungu kumdibaniso ochaphazelekayo
• ukuthamba
• ukudumba
• bomvu

I-Bursitis ibuhlungu kakhulu xa ushukumisa okanye ucinezela kwilungu elichaphazelekayo.

I-burchitis ye-Trochanteric luhlobo oluqhelekileyo lwe-bursitis echaphazela indawo ye-bony kumda we-hip, ebizwa ngokuba yi-trochanter enkulu. Ngokwesiqhelo kubangela iintlungu kwinxalenye engaphandle yomlenze, kodwa ngekhe kubangele ukuqaqamba okanye iintlungu zomqolo.

Inzululwazi

I-Sciatica kukucinezelwa kwe-nerve ye-sciatic, ebaleka kumqolo wakho osezantsi, ngeqonga nangeempundu, nasemazantsi omlenze ngamnye. Ngokuqhelekileyo kubangelwa i-disc ye-herniated, i-spinal stenosis, okanye i-bone spur.

Iimpawu zihlala zikwelinye icala lomzimba, kwaye zibandakanya:

• Ukuqaqambisa iintlungu ecaleni kwentsholongwane ye-sciatic
• ukuba ndindisholo
• ukudumba
• intlungu yomlenze

Intlungu ye-Sciatica inokuvela kwi-ache epholileyo ukuya kwiintlungu ezibukhali. Intlungu ihlala ivakalelwa ngathi kukudibana kombane kwicala elichaphazelekayo.

Iinyembezi ze-Hip labral

UkuqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaLokwenzakala kwi-labrum, eyizicubu ezithambileyo ezigubungela isokhethi sethanga kwaye inceda ukuhamba kwenyonga yakho. Ukulila kunokubangelwa ziingxaki zesakhiwo ezinje nge-femoroacetabular impingement, ukwenzakala, okanye i-OA.

Iinyembezi ezininzi ze-hip labral azibangeli zimpawu. Ukuba zibangela iimpawu, zinokubandakanya:

• intlungu kunye nokuqina kwinyonga yakho kuya kusiba mandundu xa ushukumisa inyonga echaphazelekayo
• iintlungu kumphako wakho okanye iimpundu
• ukucofa isandi esinqeni xa ushukuma
• uziva ungazinzanga xa uhamba okanye ume

Ukuchonga ingxaki

Ukuchonga ingxaki, ugqirha uya kuqala athathe imbali yonyango. Baza kubuza malunga nokuba iintlungu zakho zenyonga zaqala nini, kubi kangakanani, ezinye iimpawu onazo, kwaye ukuba ukhe wenzakala kutshanje.

Baya kuthi emva koko benze uvavanyo lomzimba. Ngethuba lovavanyo, ugqirha uya kuvavanya uluhlu lwakho lokunyakaza, jonga indlela ohamba ngayo, jonga ukuba yintoni eyenza ukuba iintlungu zakho zibe mbi, kwaye ujonge nakuphi na ukudumba okanye ukukhubazeka kwe-hip.

Ngamanye amaxesha, imbali yezonyango kunye novavanyo lomzimba luya kwanela ukufumanisa isifo. Ngamanye amaxesha, unokufuna iimvavanyo zokucinga ezinje:

• IX-reyi ukuba kurhanelwa ingxaki yethambo
• I-MRI ukujonga izicubu ezithambileyo
• Ukuskena kwe-CT ukuba iX-reyi ayiqinisekisi

Ukuba ugqirha ukrokrela ukuba unokuba nesifo samathambo esidumbileyo, baya kwenza uvavanyo lwegazi ukukhangela amanqaku alo meko.

Ukunyanga iintlungu zenyonga

Ngamanye amaxesha, unokunyanga iintlungu zenyonga ekhaya. Unyango lwasekhaya lunokubandakanya:

• phumla
• ukuthintela izinto ezenza ukuba iintlungu zibe mandundu (ungasebenzisa iintonga, induku, okanye ukuhambahamba)
• umkhenkce okanye ubushushu
• iziyobisi ezingasebenziyo ezichasayo (ii-NSAID)

Ukuba amayeza asekhaya awasebenzi, unokufuna unyango. Izinketho zibandakanya:

• izihlunu eziphumlayo
• unyango lomzimba ukomeleza izihlunu zakho zenyonga kwaye uncede ukubuyisela uluhlu lokuhamba
• Inaliti ze-steroid ukunciphisa ukudumba kunye nentlungu
• iziyobisi ezichasayo zesifo sokuqaqamba kwamalungu

Ugqirha

Ukuba olunye unyango luyasilela, utyando lukhetho. Iindidi zotyando zibandakanya:

• ukukhulula imithambo-luvo exinaniswe ngokuqatha
• ukutshintshwa kwe-hip kwi-OA enzima
• ukulungisa iinyembezi
• ukususa inani elincinci lezicubu ezonakalisiweyo zijikeleze iinyembezi
• ukutshintsha izicubu ezonakalisiweyo kwiinyembezi ezinqabileyo

Nini ukubona ugqirha

Intlungu ye-Hip ihlala inyangwa ekhaya ngamayeza afana nokuphumla kunye nee-NSAID. Nangona kunjalo, kuya kufuneka ubonane nogqirha ukuze uqhubeke uvavanya kwaye unyango ukuba:

• ilunga lakho libukeka likhubazekile
• awukwazi ukubeka ubunzima emlenzeni wakho
• awukwazi ukuhambisa umlenze okanye isinqe
• uva iintlungu eziqatha, ngequbuliso
• unokudumba ngequbuliso
• ubona iimpawu zosulelo, ezinjengomkhuhlane
• Unentlungu kumalungu amaninzi
• Unentlungu ehlala ngaphezu kweveki enye emva kokunyanga ekhaya
• Unentlungu ebangelwa kukuwa okanye yenye into eyenzakeleyo

Ukuphila nentlungu yenyonga

Ezinye zezinto ezibangela iintlungu zenyonga, ezinje nge-OA, zisenokunganyangeki. Nangona kunjalo, ungathatha amanyathelo okunciphisa iintlungu kunye nezinye iimpawu:

• Yenza isicwangciso sokulahleka kobunzima ukuba utyebe kakhulu okanye utyebe kakhulu. Oku kuyakunceda ukunciphisa umda woxinzelelo esinqeni sakho.
• Gwema imisebenzi eyenza intlungu ibe yimbi.
• Nxiba izihlangu ezithe tyaba nezitofotofo ezikhusela iinyawo zakho.
• Zama ukuzilolonga okunempembelelo ephantsi njengokukhwela ibhayisikile okanye ukuqubha.
• Soloko ushushubeza ngaphambi kokuba wenze umthambo, kwaye wolule emva koko.
• Ukuba kufanelekile, yomeleza imisipha kunye nokwenza umthambo ekhaya. Ugqirha okanye ingcali yonyango inokukunika imithambo ukuze uzame.
• Gwema ukuma ixesha elide.
• Thatha ii-NSAID xa kukho imfuneko, kodwa kuthintele ukuzithatha ixesha elide.
• Phumla xa kukho imfuneko, kodwa khumbula ukuba umthambo uya kunceda ukugcina isinqe sakho somelele kwaye siguquguqukele.

Yise kude

Iintlungu ze-Hip eziba mandundu xa umi okanye uhamba zinokunyangwa ngamayeza asekhaya. Nangona kunjalo, ukuba iintlungu zakho zinzulu okanye zihlala ngaphezulu kweveki, bona ugqirha. Banokukunceda ufumane unyango olululo kunye nokwenza utshintsho kwindlela yokuphila ukuze ujongane nentlungu engapheliyo ye-hip xa kukho imfuneko.