Ukuguqa ngamadolo: Uncedo lweOsteoarthritis

Umxholo

• Iimpawu zesifo samathambo
• Ufunyaniswa njani u-OA wedolo?
• Amayeza eentlungu
• Unyango lwasekhaya lwentlungu ye-OA
• Ukuqinisa amadolo abuhlungu
• Imithambo yemihla ngemihla
• Ukutya kwe-OA
• Izisombululo zotyando
• Imbonakalo

Idolo arthritis: Sisifo esiqhelekileyo

I-Osteoarthritis (OA) yimeko ebangela ukuba intlala phakathi kwamathambo idambe. I-Cartilage ibopha amathambo akho kwaye ikuncede uhambise amalungu akho kakuhle. Ngaphandle kwe-cartilage eyaneleyo, amathambo akho ayadibana, anokubangela iintlungu, ukuqina, kunye nokushukuma okulinganiselweyo. I-Osteoarthritis yamadolo yeyona ndlela ixhaphakileyo yesifo samathambo, ngokwe-American Academy of Orthopedic Surgeons (AAOS). Unyango lwe-OA emadolweni lunokubandakanya zombini unyango kunye notshintsho kwindlela yokuphila.

Iimpawu zesifo samathambo

Isifo samathambo sisifo esiqhubela phambili, esithetha ukuba esiba mandundu ngokuhamba kwexesha. Iimpawu zokuqala zamadolo i-OA zinokubandakanya ukuqina kwamalungu xa uvuka ekuseni, okanye ukuba buhlungu emva kokuba uhambe kakhulu okanye uzilolonga. Ukuthantamisa, ukudumba, kunye nobushushu kumalungu ziimpawu eziqhelekileyo zesifo samadolo. Abanye abantu baziva bebuthathaka edolweni, okanye baziva kwaye beva ukuqhekeka okanye ukucofa emadolweni. Ekuqaleni, unokufumana kuphela iimpawu emva kokusebenza komzimba. Kodwa njengoko i-OA iqhubela phambili, unokuziva ubuhlungu ngelixa uphumle.

Ufunyaniswa njani u-OA wedolo?

Ugqirha wakho uya kuxhomekeka kakhulu kwibali lakho ukuze enze uxilongo oluchanekileyo lwedolo OA. Xelela umboneleli wakho wezempilo malunga neempawu zakho, kubandakanya ukuba uziva njani kwaye ixesha elingakanani. Ugqirha wakho uya kujonga ukudumba kumalungu kwaye akubuze ukuba uguquke kwaye wandise amadolo akho ukuze ubone ukuba unoluhlu oluncinci lokuhamba. IX-reyi inokunceda ukuveza i-telltale eguqulweyo ye-cartilage ye-OA ngokubonisa ilahleko yendawo phakathi kwamalungu.

Amayeza eentlungu

Abantu abaninzi bafumanisa ukuba iintlungu ze-osteoarthritis ziphendula kakuhle kwi-over-the-counter (OTC) iyeza zentlungu, ezinje nge-ibuprofen, naproxen, kunye ne-acetaminophen.

Ukuba une-OA yokumodareyitha ukuya emadolweni, nangona kunjalo, amayeza e-OTC anokungasebenzi ngokwaneleyo. Ugqirha wakho unokukunika amayeza anamandla okunciphisa ukudumba kunye nokubonelela ngentlungu engapheliyo. Ukuba amayeza omlomo awasebenzi, inaliti ye-corticosteroids inokuba sesinye isisombululo.

La mayeza ahanjiswa ngokuthe ngqo emadolweni kunye nokunceda ukudumba. Ezinye zezi zitofu zinikwa ixesha elinye kuphela, ngelixa ezinye zinokunikwa kathathu okanye kane ngonyaka.

Unyango lwasekhaya lwentlungu ye-OA

Ukudibanisa amanye amayeza asekhaya kunye notshintsho kwindlela ophila ngayo kunye neyeza lakho leentlungu kunokunceda amadolo akho abuhlungu ukuba azive engcono. Qiniseka ukuba uthetha nogqirha wakho ngaphambi kokuzama naluphi na unyango lwasekhaya. Banokukunceda ulungelelanise isicwangciso sakho kwiimfuno zakho ezithile.

Ukuba une-OA flare-up, into yokuqala yokwenza kukuphumla. Nangona ukuhamba kunye nokuzivocavoca kunceda ukugcina ukulungelelanisa, kufuneka uvumele amajoyina akho ahlaselekileyo ukuba ahlise umoya xa bebuhlungu. Olunye utshintsho kwindlela yokuphila olunokuphelisa iintlungu zesifo samathambo zibandakanya:

• ukusebenzisa ubushushu okanye ingqele emadolweni
• ukunciphisa umzimba xa kufuneka, njengoko ubunzima obugqithisileyo bubeka uxinzelelo ngakumbi emadolweni
• ukufaka imivalo yokubamba okanye ezinye izixhobo eziguqukayo ekhaya
• ukunxiba amadolo ukunceda ukuxhasa ukudibana

Ukuqinisa amadolo abuhlungu

I-arthritis yamadolo ingabangela intlungu ebalulekileyo kunye nobuthathaka njengoko imeko iqhubeka. Amalungu abuthathaka afuna inkxaso eyongezelelweyo njengoko usenza imisebenzi yakho yemihla ngemihla. I-Brace kunye ne-splints ziyilelwe ukuxhasa amadolo akho xa uphumla kwaye ngexesha lomsebenzi. Ezinye iintlobo zamabhanti zizinzisa amadolo akho ngaphandle kokuthintela uluhlu lwakho lokuhamba, ngelixa ezinye zikuyekisa ukuhamba ngeendlela ezinokubangela iintlungu. Qiniseka ukuba unxiba kuphela izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana ugqirha omiselweyo. Ukunxiba isixhobo esingakulungelanga kunokwenza imeko yakho ibe mandundu.

Imithambo yemihla ngemihla

Kuyinyani ukuba kuya kufuneka uphumle amalungu akho ngexesha lokuvutha okusebenzayo, kodwa imithambo yeyona ndlela yokulwa neempawu zesifo samathambo. Ukuqina ngokudibeneyo kuxhaphake kakhulu emva kwexesha lokungasebenzi. Xa ungasebenzi ixesha elide, amadolo akho anokutshixa, ukunciphisa uluhlu lwakho olupheleleyo lokuhamba. Ukuzivocavoca okunempembelelo ephantsi njengokuhamba okanye ukuqubha kugcina amalungu akho ehamba kakuhle kwaye agcina ukuguquguquka, okubalulekileyo xa ujongene namandla okushukumiseka okusikelwe umda. Ugqirha wakho okanye ugqirha womzimba unokukunika ukutshintsha kunye nokwandisa imithambo yamadolo eyilelwe ngokukodwa izigulana zamathambo.

Ukutya kwe-OA

Ukulandela ukutya okunempilo, okunamafutha asezantsi kukunceda ulawule ubunzima bakho-yinto ebalulekileyo kuye nakubani na onesifo samathambo-kwaye ikunika zonke iivithamini kunye neeminerals ozifunayo ukuze uhlale usempilweni. Gxila kwinyama ecekeceke, iimveliso ezinobisi ezinamafutha asezantsi, ukutya okuziinkozo okupheleleyo, kunye nokutya okuninzi okutsha, ngelixa unciphisa isodiyam kunye namafutha. Abantu abane-OA yamadolo banokufuna ukonyusa umxholo we-omega-3 kunye ne-flavonoid yokutya kwabo ngokutya okufana:

• iiapile ezibomvu
• amaqunube
• itswele ebomvu
• islamoni
• iminqwazi
• iimveliso zeflakisi
• isiqhamo somdla

ukuba ezi zondlo zinako, ukuqina, kunye nokonakala kwentlala enxulumene ne-OA.

Izisombululo zotyando

Ngelishwa, abanye abantu abane-OA emadolweni abanakuphendula kakuhle kunyango, ukutya, okanye indlela yokuphila. Kwezi zigulana, utyando lukhetho lokugqibela lokulawula iintlungu kunye nokuhamba kwemicimbi ye-OA. Izisombululo zotyando lwe-arthritis yamadolo zibandakanya:

• arthroscopy: Inkqubo encinci engenayo elungisa i-cartilage ekrazukileyo kwaye isuse izicubu ezibomvu kunye nezinye izidumbu
• osteotomy: Lungelelanisa idolo ngokudibeneyo ukuphucula ukuhamba
• intlala: Buyisela intlala elahlekileyo kunye nezicubu ezithambileyo ezivunyiweyo emzimbeni wakho
• ukutshintshwa kwamadolo ngokupheleleyo: ithatha indawo yamathambo kunye nezicubu ezonakalisiweyo ngokudibanisa idolo

Imbonakalo

Isifo samathambo asinyangi, kwaye kufuneka silawulwe ngononophelo ukuze sicothise ukuqhubela phambili kwesi sifo. Ukuba ucinga unokuba ne-OA emadolweni, ungalibazisi. Dibana nogqirha wakho ngokukhawuleza ukubeka isicwangciso sonyango. Unyango lwakwangoko lungahamba indlela ende ekukugcineni usempilweni kwaye usebenza.