Zithini iindlela zonyango lweArthritis?

Umxholo

• Ushwankathelo
• Ulawulo lobunzima
• Amayeza
• Inaliti
• Ukuzivocavoca kunye nokunyanga komzimba
• Ukolula kunye nokuguquguquka
• Iinkqubo zokuzinyamekela
• Izibonelelo kunye nezinye iindlela zonyango
• Ezinye iindlela zokuphepha
• Izixhobo zokuhamba
• Iingcebiso zokusebenzisa uswazi
• Utyando olwenziwa endaweni ye-Hip
• Yise kude
• Intlungu yethambo?

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Ukuba uthenga into ngekhonkco kweli phepha, sinokufumana ikhomishini encinci. Isebenza njani le nto.

Ushwankathelo

Nge-hip osteoarthritis (OA), intlala eqinisa amalungu akho ukuba aphele, ibangele ukukhuhlana, ukonakala kwamathambo kunye nokudumba. Intlungu kunye nokuqina kunokubangela.

Umboneleli wakho wezempilo uya kukucebisa ngonyango ngokusekwe:

• impilo yakho iyonke
• ubukhali bokubandakanyeka ngokudibeneyo
• ubukhali beempawu
• intshukumo kunye nokuthwala ubunzima
• ezinye izinto ezizezinye.

Zonke iindlela zonyango lwe-hip osteoarthritis zijolise ekulawuleni iintlungu kunye nasekuphuculeni ukuhamba, kodwa ukhetho olufanelekileyo luya kuxhomekeka kumntu ngamnye. Unyango lokuqala lunokuba ngumthambo kwaye wolule.

Nangona kunjalo, i-osteoarthritis sisifo esiya sisiba mandundu, oko kuthetha ukuba iimpawu zihlala zisiba mandundu ngokuhamba kwexesha. Ukuba oku kuyenzeka, umboneleli wakho wezempilo unokucebisa ukuba utyando olwenziwe ngokutsha.

Funda ngokufunda malunga neendlela ezikhoyo zonyango lwe-hip arthritis.

Ulawulo lobunzima

Abantu abanesalathiso sobunzima obuphezulu bomzimba (BMI) banomngcipheko ophezulu we-osteoarthritis. Ubunzima obongezelelweyo bubeka uxinzelelo olongezelelweyo kumalungu. I-BMI ephezulu, kubandakanya ukutyeba kakhulu, inokuba negalelo kukudumba.

Ezi zinto zinokwenza ukuba iimpawu zibe mbi ngakumbi kwaye zibangele ukuba bathuthuke ngokukhawuleza.

Kubantu abanokutyeba kakhulu okanye ukutyeba kakhulu, iingcali zonyango zicebisa ngamandla ukunciphisa umzimba.

Umboneleli wakho wezempilo unokukunceda uthathe isigqibo sokuba ngaba olu khetho lulungele wena kwaye, ukuba kunjalo, eyona ndlela yokujongana nelahleko.

Basenokucebisa utshintsho lokutya kunye nenkqubo yokuzivocavoca.

Amayeza

Amayeza okuphucula iintlungu angadlala indima ekulawuleni le ngxaki kunye nokuzivocavoca kunye nokulawula ubunzima.

Kulabo baneempawu ezibuthathaka, amachiza omlomo angasebenziyo (i-NSAIDs) anokunceda ukulawula iintlungu kunye nokudumba. Ezi ziyafumaneka kwikhawuntara.

Imizekelo ibandakanya:

• ibuprofen
• acetaminophen
• iqeqsha

Abantu abane-OA yokumodareyitha ukuya kubukhali esinqeni banokufuna ukukhululeka kwentlungu, njenge-duloxetine okanye i-tramadol.

Ngaphandle kwe-tramadol, iingcali azicebisi amanye amayeza e-opioid, njengoko kukho umngcipheko omkhulu wokuxhomekeka.

Inaliti

Ababoneleli ngezempilo banokumisela inaliti ye-steroid ukunciphisa iintlungu kunye nokudumba.

I-Steroids inokunceda ukulawula iintlungu ngokunciphisa ukudumba. Nangona kunjalo, banikela kuphela ngentlungu yexeshana. Ukusetyenziswa kwexesha elide kunokukhokelela kwiziphumo ezibi.

Ukuzivocavoca kunye nokunyanga komzimba

Ukuzivocavoca kubalulekile ekunciphiseni umngcipheko we-osteoarthritis kunye nokunciphisa inkqubela phambili. Ukuzivocavoca akuncedisi kuphela ukulawula ubunzima bakho, kodwa kuphucula amandla, ukulungelelanisa nokuhamba.

Ukuzivocavoca okunempembelelo ephantsi akunakufane kubeke uxinzelelo kwilungu elonakeleyo. Iingcali zicebisa ngamandla i-tai chi kubantu abane-hip osteoarthritis.

Olunye ukhetho lubandakanya:

• iyoga
• ukukhwela ibhayisikile okanye ukusebenzisa ibhayisekile emileyo
• ukuqubha okanye ukusebenzisa amanzi
• ukomeleza umthambo
• ukuhamba

Ukuba awukwenzi umthambo okwethutyana, buza umboneleli wakho wezempilo okanye ugqirha wezonyango ngengcebiso. Banokukunceda wenze inkqubo eya kukufanela kwaye unciphise amathuba okonzakala.

Inkuthazo ibalulekile xa usenza imithambo yempilo.

Ikholeji yaseMelika yeRheumatology kunye neArthritis Foundation (ACR / AF) icebisa ukuba uzilolonge nomnye umntu okanye umqeqeshi kunye nokukhetha into oyithandayo.

Thenga kwi-Intanethi ngeebhayisekile ezimileyo.

Ukolula kunye nokuguquguquka

Ukuzolula rhoqo kunokunceda ukukhulula amalungu aqatha, achy, okanye abuhlungu. Nazi ezinye iingcebiso zokukunceda wolule ngokukhuselekileyo:

• Qala ngokubuza ingcali yezomzimba iingcebiso kunye nezikhokelo.
• Yenza konke ukuzolula ngobunono kwaye wakhe ubhetyebhetye kancinci.
• Yeka ukuba uziva iintlungu.
• Yandisa amandla kancinci.

Ukuba awuva ntlungu emva kweentsuku zokuqala zomsebenzi, ngokuthe ngcembe uchithe ixesha elininzi kuyo. Ekuqaleni, unokukufumanisa kunzima ukolula umgama omde, kodwa ubhetyebhetye bakho buya kwanda ngokuhamba kwexesha, njengoko uziqhelanisa.

Nazi iindlela ezimbalwa ezinokwenzeka:

Phambili phinda

Qala ngeenyawo zakho ububanzi bamagxa okanye uhlale esihlalweni. Ncipha kancinci, ugcine umzimba wakho ophezulu ukhululeke. Kuya kufuneka uzive ukolulwa esinqeni sakho nasemqolo.

Ukutsala amadolo

Lala ngomqolo. Tsala idolo lakho eligobileyo phezulu esifubeni sakho de ube uziva wolule. Ukuba umzimba wakho uyakuvumela, sebenzisa omnye umlenze wakho ukomeleza ukolula.

Ibhalansi yomlenze eyandisiweyo

Lo ngumsebenzi ofanayo nokutsalwa kwedolo, kodwa uqala kwindawo yokuma. Beka isandla esinye eludongeni ngenkxaso.

Imfezi

Qala ngokulala phantsi ngobuso. Iintendelezo zakho kufuneka zibe semgangathweni egxalabeni okanye esifubeni ukuphakama. Push ngokuchasene neentende zakho ukuphakamisa isifuba sakho emgangathweni. Yiva ukolula kumqolo wakho osezantsi kunye nasezinqeni. Bamba esi sikhundla imizuzwana eli-10. Ukukhululwa. Phinda kabini okanye kathathu amaxesha.

Nazi ezinye iindlela zoluleko onokuzibuza ngomboneleli wakho wezempilo malunga:

• emi flexors unyonga
• ukuhlala ngokuzolula
• icala engile pose
• ehleli twist umqolo

Buza umboneleli wakho wezempilo ngaphambi kokuba uqalise nakuphi na ukolula okanye umthambo okhalweni.

Iinkqubo zokuzinyamekela

Iingcali zithi ukuzilawula kubalulekile kunyango lwe-osteoarthritis.

Oku kubandakanya:

• ukufunda okuninzi kangangoko malunga nemeko yakho
• ukwazi ukuba zeziphi iindlela zonyango onokuthi ukhethe kuzo
• ukuthatha inxaxheba ekulawuleni iintlungu kunye nezinye iimpawu
• Xoxa ngokukulungeleyo nomboneleli wakho wezempilo
• ukuzikhathalela wena malunga nokutya kunye nesondlo, ukulala kwakhona kunye nokuzilolonga ngokufanelekileyo

Izinto zokuphila ezinokuthi zibe negalelo kwi-hip arthritis zibandakanya:

• ukhetho lokutya
• uhlobo kunye nenqanaba lomsebenzi womzimba
• ukusetyenziswa kwecuba kunye notywala
• ukufumana unonophelo olufanelekileyo kwezinye iimeko zempilo yengqondo nezomzimba
• ukuseka imikhwa yokulala esempilweni

I-Osteoarthritis inokuchaphazela impilo yomntu yengqondo. Ukuhlala usebenza kwaye wenze ukhetho oluqinisekileyo lokuphila kunokunceda ukunciphisa umngcipheko woxinzelelo kunye noxinzelelo nge-osteoarthritis.

Nazi ezinye zeengcebiso zokuzinyamekela ezinokuthi zibonelele ngoncedo:

• Phumla ngokwaneleyo. Misela imikhwa yokulala rhoqo kunye nokuphumla xa iimpawu ziziva zibi kakhulu kunesiqhelo.
• Lawula uxinzelelo. Ukuzilolonga, ukucamngca nokumamela umculo kunokukunceda uphumle, uphephe uxinzelelo kwaye uphakamise imood.
• Landela ukutya okusempilweni. Ukutya okunotye iziqhamo kunye nemifuno kunye neswekile kunye namafutha asezantsi kunokukunceda uzive ungcono kwaye ugcine ubunzima obusempilweni. Khetha ukutya okutsha, ukutya okupheleleyo kunokulungiswa.
• Hala undiqhwetha. Ukudibana nabahlobo, mhlawumbi ukwenza umthambo, kunokunceda ekunciphiseni uxinzelelo kwaye kukugcine usempilweni.
• Kuphephe ukutshaya kunye nokunciphisa utywala. Oku kongeza kwiingxaki zempilo ngokubanzi kwaye kunokubangela ukudumba.

Izibonelelo kunye nezinye iindlela zonyango

Abanye abantu baye bazama nokusebenzisa unyango lwendalo ukunyanga isifo samathambo. Kukho ubungqina bokuba oku kulandelayo kunokunceda:

• ukutshiza
• unyango lokuziphatha kwengqondo (CBT)
• Ukusetyenziswa kweepads zobushushu
• usebenzisa ioyile yamafutha ashushu afudumeza indawo, njenge capsaicin

Ezinye iindlela zokuphepha

Abanye abantu basebenzisa i-glucosamine, i-oyile yentlanzi, i-vitamin D, okanye i-chondroitin sulfate supplements, kodwa abukho ubungqina obaneleyo bokubonisa ukuba ezi zikhuselekile kwaye ziyasebenza.

Ukuba ukhetha izongezo, soloko uthetha nomboneleli wakho wezempilo kuqala. Ezinye izongezo zinokuvelisa iziphumo ezibi okanye zinxibelelane namanye amayeza.

I-ACR / AF ayikhuthazi oku kulandelayo kwi-OA yomlenze:

• unyango lwezandla
• unyango lokuthambisa
• ukuvuselelwa kwemithambo-luvo yombane (TENS)
• unyango lweseli
• botox

Akukho bungqina baneleyo bokubonisa ukuba ezi ndlela ziya kunceda.

Abanye ababoneleli ngezempilo banikezela nge-botox okanye i-stem cell therapy ye-OA, kodwa akukho lunyango lusemgangathweni kwezi ndlela kwaye abukho ubungqina obaneleyo bokubonisa ukuba bakhuselekile kwaye bayasebenza. Iingcali zicebisa ngokuchasene nabo.

Izixhobo zokuhamba

Uncedo lokuhamba lungathatha uxinzelelo esinqeni kwaye lubonelele ngenkxaso eyongezelelweyo kumalungu. Inokunciphisa umngcipheko wokuwa ngokukunceda ugcine uzinzo kunye nokulingana.

Imizekelo ibandakanya:

• intonga
• isakhelo sokuhamba

Iingcebiso zokusebenzisa uswazi

Xa usebenzisa uswazi, khumbula ezi ngcebiso zilandelayo:

• Qinisekisa ukuba induku ayide kakhulu okanye imfutshane. Akufanele udibanise okanye ulale xa usebenzisa intonga. Ukuphakama kwayo kufuneka kuye phezulu esihlahleni sakho.
• Sebenzisa induku kwicala lakho "elomeleleyo". Ukuba umlenze wakho ochaphazelekayo ulungile, bamba intonga ngesandla sakho sasekhohlo. Xa usiya phambili ngomlenze wasekunene, induku iya kukuxhasa. Ziqhelise ukuhambisa umlenze wakho ochaphazelekayo kunye nenduku ngaxeshanye.
• Phambili ngenduku umgama ofanelekileyo. Hambisa induku malunga nee-intshi ezimbini ukuya ngaphambili okanye kwicala lakho. Ukuba ukude kakhulu emzimbeni wakho, unokulahleka.

Ingcali yezomzimba inokukunceda uhlakulele indlela ekhuselekileyo.

Inkampani yakho yeinshurensi inokuhlawula iindleko zezi zibonelelo. Umboneleli wakho wezononophelo lwempilo angabhala amayeza kwezi zinto zoncedo lokuhamba ukunceda kwinkqubo yokubuyiselwa kwemali.

Thenga kwi-intanethi malunga nemanqana.

Utyando olwenziwa endaweni ye-Hip

Ukuba ukuzivocavoca, ukunciphisa umzimba, kunye neendlela zokuphila azisasebenzi, okanye ukuba i-OA ichaphazela ukuhamba kwakho okanye umgangatho wobomi, umboneleli wakho wezempilo unokucebisa utyando.

Izinketho zibandakanya:

• Ukuvuka kwe-Hip kwakhona. Ugqirha unciphisa ithambo elonakeleyo kunye nentlala kwaye ulisonge ngeqokobhe lesinyithi, elenza umphezulu womntu.
• Ukutshintshwa kwe-hip ngokupheleleyo. Ugqirha uthatha indawo yesokethi kunye nentloko ye-femur ngokudibeneyo.

Utyando olwenziwe ngokutsha lwe-Hip lunokuphucula umgangatho wobomi ngokuthi:

• ukuphucula amanqanaba entlungu
• ukwanda kokuhamba
• ukunciphisa umngcipheko weengxaki, njengokukhutshelwa kunyonga

Umboneleli wezononophelo lwempilo unokukunceda uqonde iingenelo kunye neengozi zotyando lwe-hip kwaye akuncede uthathe isigqibo sokuba ngaba le yeyona nto ilungele wena.

Yise kude

Akukho lunyango lwe-OA yenyonga, kodwa kukho iindlela zokucothisa inkqubela phambili nokulawula iimpawu.

Ukukhetha indlela yokuphila kubandakanya ukulawula ubunzima, ukuzilolonga, ukuthintela uxinzelelo, kunye nokulandela ukutya okusempilweni.

Izinketho zonyango zibandakanya amayeza angaphezulu kwekhawuntari kunye nonyango. Ukuba olu khetho alunakunceda ngamanqanaba entlungu kunye nemicimbi yokuhamba, umboneleli wezempilo unokucebisa utyando.

Ukuba uqala ukuqaphela iimpawu, ezinjengeentlungu kunye nokuqina, thetha nomboneleli wakho wezempilo. Ukuqala unyango kwangoko kunokunceda ukuphucula indlela ojonga ngayo, kwaye kungasusa isidingo sotyando.

Intlungu yethambo?

I-OA inokubangela i-bone spurs, engamathambo amancinci aqikelelweyo kumalungu akho. I-Bone spurs inokubangela iintlungu okanye ukunciphisa umda. Unyango lwe-bone spurs lunokuvela kwiintlungu zokuthomalalisa ukususwa kotyando, kudityaniswe nezinye iinkqubo, ezinje ngokudityaniswa kwamalungu.