Ukuhlangulwa kweNtlungu ngokudibeneyo: Into onokuyenza ukuze uzive ungcono ngoku

Umxholo

• Kutheni amalungu ebuhlungu
• Unyango ukhetho lwentlungu edibeneyo
• Amayeza entlungu edibeneyo
• Amayeza omlomo
• Inaliti
• Imixholo
• Ugqirha
• Ulungiso lwenyama
• Unyango lwasekhaya
• Unyango olushushu nolubandayo
• Ukutshintsha kokutya
• Zilolonge
• Izibonelelo
• Umgca wezantsi

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

Kutheni amalungu ebuhlungu

Intlungu kumalungu akho inokubangela izizathu ezahlukeneyo. Kubantu abaninzi, iintlungu ezidibeneyo zibangelwa sisifo samathambo, iqela leemeko eziphawulwe kukudumba kumalungu.

Malunga nabantu abadala eUnited States bane-arthritis, ngokweZiko loLawulo lweNtsholongwane kunye noThintelo (CDC). I-Osteoarthritis (OA) lolona hlobo luqhelekileyo lwe-arthritis. Olu hlobo lubangelwa kukuwohloka kwentlala njengoko uneminyaka yobudala.

Kwabanye, iintlungu ezidibeneyo zinokubangelwa kukulimala okanye ukosuleleka kwamalungu, okanye enye imeko, enje nge-fibromyalgia okanye noxinzelelo. Isenokuba sisiphumo sokuma kakubi okanye ixesha elide lokungasebenzi.

Kungenzeka ukuba abantu abane-arthritis bancede iimpawu zabo, kodwa abaninzi abazi ukuba njani. Ukunyanga iintlungu ezidibeneyo akusoloko kulula njengokuthatha ipilisi okanye ukwenza imithambo embalwa, kodwa ukungahoyi iintlungu akuyi kuyenza ihambe.

Ngethamsanqa, zininzi iindlela zokhetho ezikhoyo onokuthi uzame. Kuxhomekeka kwisizathu kunye nobukhali bentlungu yakho edibeneyo, unokufumana indibaniselwano yonyango olusebenzelayo.

Unyango ukhetho lwentlungu edibeneyo

Ukuba uhlangabezana nentlungu edibeneyo kwaye ungazi ukuba kutheni, yenza idinga lokubonana nogqirha ukufumanisa unobangela.

Ngamanye amaxesha into enokuziva ngathi iintlungu ezidibeneyo ibangelwa yimeko engadibaniyo namalungu, anje ngokuxinwa kwemisipha okanye ukwaphuka kwethambo.

Kubalulekile ukuba ufumane ukuxilongwa ngaphambi kokuzama ukuzinyanga. Ukuchongwa kwangoko kwesifo samathambo, kubandakanya ne-osteoarthritis, kunokukunceda ukulawula imeko.

Nje ukuba uxilongwe, ungafunda malunga nokhetho kunyango lwentlobo ezithile zentlungu edibeneyo. Oku kunokubandakanya:

• ngomlomo, ngenaliti, okanye ngamayeza asemxholweni
• utshintsho kwindlela otya ngayo
• umthambo
• amayeza ekhaya
• izongezo zesondlo
• ulungiso lwenyama
• utyando

Amayeza entlungu edibeneyo

Ugqirha wakho unokuqala ukucebisa ukuba uphathe iintlungu ezidibeneyo ezibangelwa yi-arthritis kunye neyeza ezichasayo kunye neentlungu. Nantsi eminye imizekelo:

Amayeza omlomo

Oko ugqirha ugqirha kuya kuxhomekeka kwisizathu esingunobangela weentlungu zakho ezidibeneyo. I-OA-uhlobo oluqhelekileyo lwe-arthritis - amayeza omlomo afaka:

• I-Over-the-counter (OTC) iziyobisi ezichasayo (i-NSAIDs), ezinje nge-ibuprofen (Motrin, Advil) okanye naproxen (Aleve), ukunciphisa ukudumba kunye nokunciphisa iintlungu. Nangona kunjalo, ukuthatha ibuprofen ixesha elide akukhuthazwa ngenxa yomngcipheko wezilonda zesisu. Ivenkile ye-OTC NSAID.
• Ii-NSAID ezimiselweyo zibandakanya i-diclofenac (Voltaren) kunye ne-celecoxib (i-Celebrex).
• IiSalicylates, ezinje ngeasprini, zingalicutha igazi kwaye kufuneka zisetyenziswe ngononophelo olukhulu xa uthatha amanye amayeza okucoca igazi. Thenga iasprini.
• I-Acetaminophen (iTylenol), ethi ithi ngeedosi eziphezulu ixesha elide ingakhokelela ekonakaleni kwesibindi okanye ukusilela kwesibindi. Ivenkile yeacetaminophen.
• Amayeza eentlungu e-opioid abandakanya i-hydrocodone (Vicodin) okanye ikhowudi.
• I-Oral steroids ibandakanya njenge-prednisone okanye i-cortisone.
• I-Duloxetine (iCymbalta), edla ngokucinezelwa ngamanye amaxesha kwi-OA.

Ukuba ufumana ukuxilongwa ngesifo se-systemic okanye imeko ye-autoimmune, njenge-rheumatoid arthritis (RA), amayeza abizwa ngokuba sisifo esiguqula amachiza e-antirheumatic (i-DMARDs) anokunceda ekucothiseni ukuqhubela phambili kwe-RA kunye nokunciphisa ukulimala ngokudibeneyo.

Amachiza amatsha abizwa ngokuba yi-biologics abonelela ngempendulo ejolise ngakumbi kukudumba kwabantu abane-RA, kwaye anokunceda abo bangaphenduliyo kunyango nge-DMARDs yemveli.

Inaliti

Inaliti inokubonelela ngentlungu yokuphelisa kunye nokunciphisa ukudumba. Imizekelo yenaliti yokunyanga iintlungu ezidibeneyo ibandakanya:

• Inaliti edibeneyo ye-steroid
• hyaluronic acid inaliti

Inaliti zeSteroid ziluncedo ekunciphiseni ukudumba kwilungu, kodwa ziyaphela ngokuhamba kwexesha. Kukho umda wokuba mangaphi ugqirha anokukunika ngonyaka.

Imixholo

I-OTC ye-analgesics yeengxoxo inokunceda ekunciphiseni indawo edibeneyo. Thenga ii-analgesics ze-OTC.

Ugqirha wakho unokukunika amayeza angumxholo ane-diclofenac sodium. Unokujonga kwakhona iikhrimu ze-OTC, iigels, okanye iipatches eziqukethe ezi zinto zilandelayo:

• capsaicin
• menthol
• isalicylate
• lidocaine

Ugqirha

Ugqirha luthathwa njengendawo yokugqibela yokuphelisa iintlungu ezidibeneyo. Ihlala igcinelwe abantu abaneedolo okanye i-hip osteoarthritis engaphendulanga kwamanye amanyathelo.

Iimeko ezinzima zinokufuna ukutshintshwa ngokudibeneyo. Kwiimeko ezingaphantsi kakhulu, ugqirha unokufuna ukuzama i-osteotomy-utyando olubandakanya ukusika nokwenza amathambo kwakhona ukunciphisa uxinzelelo kwilungu.

Ngamanye amaxesha i-osteotomy isetyenziselwa ukulibaziseka isidingo sokutshintshwa ngokudibeneyo iminyaka eliqela, kodwa ayinguye wonke umntu onentlungu edibeneyo oya kuba ngumgqatswa wale nkqubo.

Ulungiso lwenyama

Unyango lomzimba luyindlela elungileyo yokunyanga iintlungu ngokudibeneyo kuba iyanceda ekuphuculeni uluhlu lwakho lokuhamba kwaye yomeleze izihlunu ezijikeleze ilunga. Oku kunceda ukunciphisa ukuqina kunye nentlungu.

Ngexesha lonyango lomzimba, uya kunikwa uthotho lokuqiniswa okwenziweyo kunye nokuzolula ukuzilolonga ukwenza rhoqo. Ukolula kunceda ekuhambeni kunye nakuluhlu olupheleleyo lokuhamba.

Ingcali yezomzimba inokucebisa ukuba unxibe izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana, ngakumbi iintlungu zedolo, ukunceda ukuzinza nokusebenza.

Unyango lwasekhaya

Zininzi izizathu zentlungu edibeneyo inokulawulwa ekhaya kunye notshintsho kwindlela yokuphila embalwa.

Unyango olushushu nolubandayo

Ukunciphisa ukuqina kwamalungu, zama ukutshintshisa ukubanda ngonyango olushushu. Iishawari ezishushu okanye iibhafu zinokunceda ukunciphisa ukuqina kwamalungu akho kusasa. Ebusuku, ungazama ukulala ngengubo eshushu yombane okanye iphedi yokufudumeza.

Unyango olubandayo luyanceda ekupheliseni ukudumba kumalungu. Songa ipakethe yomkhenkce ngetawuli kwaye uyisebenzise kumalungu abuhlungu imizuzu engama-20 ngexesha, amatyeli aliqela ngemini.

Ukutshintsha kokutya

Ukutya ukutya okunotye okuziinkozo, iziqhamo kunye nemifuno kunokunciphisa iimpawu zesifo samathambo.

Uphando lubonisa ukuba ukutya okune-omega-3 fatty acids kunye ne-antioxidants kunokunceda ukuthintela ukudumba. Oku kutya kubandakanya:

• Ukutya okune-omega-3 okutyebileyo, njengama-walnuts, imbewu ye-chia, iflakisi, kunye neentlanzi ezinamanqatha njenge salmon, ityhuna kunye ne mackerel
• ukutya okune-antioxidant-rich, njengeziqhamo kunye nemifuno enemibala, iimbotyi, amandongomane, iwayini ebomvu, kunye netshokholethi emnyama

Ngaphezulu kokubandakanya okungaphezulu koku kutya ekutyeni kwakho, qiniseka ukuba usike iikhabhohayidrethi ezenziweyo kunye namafutha agcweleyo.

Zilolonge

Umsebenzi womzimba, njengokuhamba okanye ukuqubha, awukwazi ukunciphisa iintlungu kuphela, kodwa kunye nokuphucula imeko yakho kunye nomgangatho wobomi. I-CDC iphakamisa ukuba abantu abane-arthritis kufuneka bazame ukufumana ubuncinci bomsebenzi weveki nganye.

Qiniseka ukuba uyayiphepha imisebenzi enokubangela ukulimala ngokudibeneyo, njengokuzivocavoca okunempembelelo ephezulu njengentenetya okanye ukubaleka.

I-Tai chi kunye neyoga yimisebenzi ebalaseleyo yabantu abaneentlungu ezidibeneyo. Omnye opapashiweyo wafumanisa ukuba i-tai chi inefuthe elihle kwintlungu, ukusebenza komzimba, uxinzelelo, kunye nomgangatho wobomi kubantu abane-OA emadolweni.

Ukuba utyebe kakhulu, unokunciphisa iintlungu ezidibeneyo kunye neempawu zesifo samathambo ngokugcina ubunzima obunempilo. Ubunzima obongeziweyo bubeka uxinzelelo kumalungu akho, ngakumbi amadolo, iinyonga kunye neenyawo.

Ukuba unengxaki yokunciphisa umzimba, ugqirha unokukuthumela kwingcali yokutya ukuze uqalise kuhambo lwakho lokunciphisa umzimba.

Izibonelelo

Izongezo zokutya zinokunceda ekunciphiseni iimpawu ezinje ngokudumba kunye nentlungu edibeneyo. Akukho songezelelo sokutya sibonakalise izibonelelo ezicace gca zentlungu edibeneyo, kodwa kukho ubungqina bokuba izongezo ezimbalwa zinokunceda.

Imizekelo ibandakanya:

• Ioyile yeentlanzi, ebonakalisiweyo ukuba iyanceda ukukhulula amalungu kunye ne-morning stiff kubantu abane-RA
• ijinja, ebonakalise ukuba inefuthe lokuchasana nokudumba kwizifundo zaselebhu kunye nokunciphisa iintlungu kunye nokukhubazeka kubantu abane-OA
• I-glucosamine kunye ne-chondroitin sulphate kunokuba luncedo kubantu abaneentlungu eziguqukayo ukuya kwintlungu

Gcina ukhumbula ukuba ukuba intlungu yakho edibeneyo ibangelwa yenye imeko, enje ngeRA, amayeza asekhaya anjengezongezo akufuneki athathe indawo yonyango.

Ngelixa ungalawula iintlungu ezidibeneyo ekhaya, qiniseka ukubona ugqirha ngoko nangoko ukuba unazo naziphi na kwezi mpawu zilandelayo kunye nentlungu edibeneyo:

• ifiva
• amalungu adumbileyo
• amalungu adibeneyo abomvu, athambileyo, okanye ashushu ekuchukumeni
• ukuba ndindisholo ngequbuliso
• ilunga alinakuhamba ngokupheleleyo
• ukungakwazi ukusebenza imihla ngemihla ngenxa yeentlungu zakho ezidibeneyo

Umgca wezantsi

Zininzi iindlela zokhetho zentlungu edibeneyo, ukusukela kumayeza kunye nonyango lomzimba kutshintsho lokutya kunye namayeza ekhaya. Unyango luya kuthi ekugqibeleni luxhomekeke kwisizathu esingunobangela weentlungu zakho ezidibeneyo.

Ukuba uhlangabezana neentlungu ezidibeneyo, tyelela ugqirha wakho ukuze ufumane ukuxilongwa kunye nesicwangciso sonyango. Ngokwe-CDC, abantu abane-arthritis yokuvuvukala, njenge-RA, banomgangatho ongcono wobomi ukuba bafumana ukuxilongwa kwangoko, bafumana unyango, kwaye bafunda ukulawula imeko yabo ngokufanelekileyo.