Unyango lwe-Osteoarthritis

Umxholo

• Unyango ngendlela yokuphila ye-osteoarthritis
• Zilolonge
• Ukutya
• Phumla
• Kuyabanda nobushushu
• Amayeza angaphezulu kwekhawunta ye-osteoarthritis
• Acetaminophen
• Iziyobisi ezichasayo ezingasebenziyo
• Imixholo yamayeza
• Amayeza amiselweyo e-osteoarthritis
• ICorticosteroids
• IiNSAID ezimiselweyo
• Iziyobisi
• Olunye unyango lwe-osteoarthritis
• Ulungiso lwenyama
• Utyando lwe-osteoarthritis
• Ukutshintshwa ngokudibeneyo
• Ukulungelelaniswa kwamathambo kwakhona
• Ukuhlanganiswa kwamathambo
• Utyando lwearthroscopic
• Ukuthatha

Unyango lwe-osteoarthritis

I-Osteoarthritis (OA) ibangelwa kukuthotywa kwentlala. Oku kukhokelela kwiimpawu ezinje:

• intlungu
• ukudumba
• ukuqina

Olona nyango lululo lwe-OA luya kuxhomekeka kwiimpawu zakho. Iya kuxhomekeka kwiimfuno zakho kunye nobukhali be-OA yakho ngexesha lokuchongwa.

Uninzi loogqirha luqala unyango lwe-OA ngeendlela ezilula, ezingafunekiyo. "Ukungavumi" kuthetha ukuba unyango aluyi kubandakanya ukufaka nantoni na emzimbeni

Nangona kunjalo, unokufuna unyango olunzulu ngakumbi ukuba iimpawu zakho azilawuleki ngotshintsho kwindlela yokuphila kunye nonyango. Kwabanye abantu, utyando (unyango olungenelelayo) lunokuba yeyona ndlela ilungileyo yokulawula iimpawu ze-OA eqatha.

Unyango ngendlela yokuphila ye-osteoarthritis

Abantu abaninzi banokunceda ukulawula iimpawu zabo ze-OA ngotshintsho olusisiseko kwindlela yokuphila. Thetha nogqirha wakho malunga nokuba ezi ndlela zinokulunga kuwe.

Zilolonge

Ukuzilolonga kungadlala indima enkulu ekunciphiseni iintlungu eziza ne-OA. Indlela yokuphila enokukunceda inokukunceda:

• gcina amalungu akho esempilweni
• phelisa ukuqina
• ukunciphisa iintlungu nokudinwa
• yandisa amandla omzimba kunye nethambo
• phucula ibhalansi ukunqanda ukuwa

Abantu abane-OA kufuneka banamathele kwimithambo ethambileyo, enefuthe eliphantsi. Kubalulekile ukuba uyeke ukuzivocavoca umzimba xa uqala ukuziva iintlungu ezidibeneyo okanye ezitsha. Nawaphi na amahlaba ahlala ixesha elingaphezulu kweeyure ezimbalwa emva kokuba ugqibe ukwenza umthambo kuthetha ukuba mhlawumbi wenze kakhulu.

Umzekelo, unokuthatha umthambo wasemanzini, othathwa njengolungileyo kubantu abane-OA. Ubunzima obuncinci bokuthwala ubunzima, ke kuyawuthantamisa amalungu akho. Kananjalo, ukuzilolonga emanzini afudumeleyo kukonyusa ukuhamba kwegazi kumalungu akho, okuzisa izakha-mzimba kunye neeproteni eziyimfuneko ekulungiseni izicwili ezonakeleyo.

Xa kufikwa kwi-OA, umthambo awupheleli nje kwimeko ye-aerobic. Kuya kufuneka usebenze ngamandla kunye nokuzolula ukuxhasa amalungu akho kunye nokugcina ubhetyebhetye.

Ukutya

Ukugcina ubunzima obunempilo kunokunciphisa uxinzelelo kumalungu. Ukuba utyebile okanye utyebe kakhulu, thetha nogqirha wakho malunga nendlela yokwehlisa umzimba ngokukhuselekileyo. Ukwehla kobunzima kunokunceda kwintlungu ye-OA, ngakumbi i-OA emadolweni. Inokunciphisa nokudumba emzimbeni.

Ukutya okusempilweni kunokukunceda ufumane izakha mzimba eziyimfuneko ezinokuthi zinciphise ukudumba kwaye zinokucothisa ukuqhubela phambili kwesifo samathambo.

Phumla

Ukuba amalungu akho adumbile kwaye ane-achy, banike ikhefu. Zama ukunqanda ukusebenzisa indibaniselwano evuthayo kangangeeyure eziyi-12 ukuya kwezi-24 ukuze ukudumba kwehle. Ikwangumbono olungileyo ukulala ngokwaneleyo. Ukukhathala kunokunyusa ukuqonda kwakho kwentlungu.

Kuyabanda nobushushu

Zombini ezibandayo kunye nobushushu zinokukunceda ukunyanga iimpawu ze-OA. Ukufaka umkhenkce kwindawo ebuhlungu kangangemizuzu engama-20 kunceda ukuthintela imithambo yegazi. Oku kunciphisa ulwelo kwizihlunu kunye nokunciphisa ukudumba kunye nentlungu. Unako ukuphinda unyango kabini okanye kathathu ngemini.

Ingxowa yemifuno efriziwe yenza ipakethe enkulu yomkhenkce. Qiniseka nje ukuba urhangqa nayiphi na ipakethi yomkhenkce oyisebenzisayo kwisikipa okanye itawuli. Ngaphandle koko, ingqele inokwenzakalisa okanye yonakalise ulusu lwakho.

Unokwenza ipateni yonyango yemizuzu engama-20 ngebhotile yamanzi ashushu okanye ngephedi yokufudumeza. Zombini zinokufumaneka kwindawo ekuthengiswa kuyo iziyobisi. Ubushushu buvula imithambo yegazi kwaye bonyuse ukujikeleza, njengoko bekutshiwo ngaphambili ekulungiseni izicwili ezonakeleyo. Ubushushu bulungile ekuncedeni ngokuqina.

Unokufumana ukukhululeka kokubanda nobushushu. Zama ukubona ukuba yeyiphi eyona nto ilungele wena. Nangona kunjalo, thintela ukusetyenziswa kwakho kungabi ngaphezulu kwemizuzu engama-20 ngexesha. Emva koko nika umzimba wakho ikhefu.

Amayeza angaphezulu kwekhawunta ye-osteoarthritis

Iindidi ezininzi zamayeza e-over-the-counter (OTC) anokunceda ekunciphiseni iimpawu ze-OA. Nangona kunjalo, iintlobo ezahlukeneyo zamachiza zineziphumo ezahlukeneyo. Kubalulekile ukuba ukhethe iziyobisi ezifanelekileyo ukunceda kwiimpawu zakho.

Acetaminophen

I-Acetaminophen (iTylenol) yi-OTC painkiller. Iyanciphisa iintlungu, kodwa hayi ukudumba. Ukuthatha kakhulu kunokubangela ukonakala kwesibindi.

Iziyobisi ezichasayo ezingasebenziyo

Izidakamizwa ezichasayo ezichasayo (i-NSAID) zinokunceda ukulwa iimpawu ezininzi ze-OA. Njengoko kuchaziwe ngamagama abo, banciphisa ukudumba. Ziyanceda nakwiintlungu. Ii-NSAID ze-OTC zibandakanya:

• Iasprini (iBufferin)
• ibuprofen (Advil, Motrin, Nuprin)
• I-naproxen (Aleve, uNaprosyn)

Kubalulekile ukuba uqaphele ukuba ii-NSAID zinokubangela iziphumo ebezingalindelekanga ezibalulekileyo ngokuhamba kwexesha. Oku kunokubandakanya:

• iingxaki zesisu
• isifo sentliziyo
• kukhala ezindlebeni
• ukulimala kwesibindi
• umonakalo kwizintso
• iingxaki zokopha

Ukusebenzisa i-NSAID yesihloko (enye isetyenziswe kwesikhumba sakho) inokunciphisa umngcipheko wale miphumo emibi, njengoko ngaphantsi kweyeza lijikeleza emzimbeni.

Imixholo yamayeza

Iindidi zeekhrim kunye neegel ziyafumaneka ezinokunceda ukunciphisa iintlungu ze-OA. Ezi zinokuqulatha izinto ezisebenzayo ezinjenge-menthol (iBengay, iSitain) okanye i-capsaicin (iCapzasin, iZostrix). ICapsaicin yinto eyenza iipepper ezishushu “zishushu.”

I-Diclofenac, i-NSAID, iza kwifom yejeli (iVoltaren gel) okanye isisombululo (iPennsaid), efuna amayeza.

Amayeza amiselweyo e-osteoarthritis

Kwabanye abantu abane-OA, iipilisi zeentlungu ze-OTC azincedi ngokwaneleyo. Unokufuna amayeza kagqirha ukuba iimpawu ziqala ukuchaphazela umgangatho wobomi bakho. Ukulawula iintlungu kunye nokudumba kunokukunceda wenze imisebenzi yesiqhelo, yemihla ngemihla.

ICorticosteroids

ICorticosteroids inciphisa ukudumba, okunciphisa ukudumba kunye nentlungu kumalungu. Kwi-OA, ii-corticosteroids zihlala zinikezelwa ngenaliti, ke kufuneka zinikezelwe kuphela ngugqirha onamava kwaye zisetyenziswe ngobulumko ukunqanda iingxaki kunye neziphumo ebezingalindelekanga.

Inaliti ye-Corticosteroid inokufuneka kube kanye ukuze izuze. Nangona kunjalo, banokunikwa kathathu okanye kane ngonyaka xa kufuneka njalo.

Okwangoku, i-triamcinolone acetonide (iZilretta) kuphela kwe-corticosteroid evunyiweyo ye-FDA yokunyanga i-osteoarthritis emadolweni. Eli chiza linegama libiza kakhulu kune-generic triamcinolone acetonide, efumanekayo kwezinye iifom ze-OA.

IiNSAID ezimiselweyo

Ii-NSAID ze-Prescription zenza into efanayo nee-OTC NSAIDs. Nangona kunjalo, ziyafumaneka ngeedosi ezinamandla ezisebenza ixesha elide. Ii-NSAID ezimiselweyo zibandakanya:

• iselecoxib (Celebrex)
• ipiroxicam (Feldene)
• amandla-amayeza ibuprofen kunye naproxen
• diclofenac

Ama-NSAID amiselweyo ngamanye amaxesha anokubangela iziphumo ebezingalindelekanga ezingathandekiyo. Thetha nogqirha wakho malunga nendlela yokunciphisa umngcipheko.

Iziyobisi

Iipilisi zentlungu ezomeleleyo zinokubonelela ngesiqabu kwiintlungu eziqatha, kodwa kufanele kuqatshelwe ukuba nazo zinokubangela ukuba likhoboka, kwaye azikhuthazwa ukunyanga i-OA. Oku kubandakanya:

• ikhowudi
• meperidine (iDemerol)
• Imofini
• Oxycodone (OxyContin)
• ipropoxyphene (iDarvon)
• iTramadol (Ultram)

Olunye unyango lwe-osteoarthritis

Ukongeza kwiziyobisi kunye notyando, ezinye iindlela zonyango lwe-OA ziyafumaneka. Olu nyango lujolise ekubuyiseleni ukusebenza okufanelekileyo kumalungu akho.

Ulungiso lwenyama

Unyango lomzimba lunokuba luncedo kwabanye abantu abane-OA. Inokunceda:

• ukuphucula amandla emisipha
• yonyusa uluhlu lokuhamba kwamalungu aqinileyo
• ukunciphisa intlungu
• ukuphucula ukuhamba kunye nokulinganisela

Ingcali yonyango inokukunceda uhlakule irejimeni yokuzivocavoca efanelekileyo kwiimfuno zakho. Iingcali zonyango zinokukunceda ngezixhobo ezincedisayo ezinje:

• iziqwenga
• iibhrashi

Oku kunokubonelela ngenkxaso kumalungu adibeneyo. Banokuthatha uxinzelelo kumathambo enzakeleyo kwaye banciphise iintlungu.

Ukongeza, ingcali yezomzimba ingabonisa indlela yokusebenzisa imakana okanye abahambahambayo. Banokuzama ukubetha iindawo ezithile emadolweni, ezinje nge patella, ukunciphisa iintlungu emadolweni kwabanye abantu.

Utyando lwe-osteoarthritis

Iimeko ezinzima ze-OA zinokufuna ukuba kwenziwe utyando ukuze kulungiswe okanye kulungiswe amalungu adibeneyo. Kukho iintlobo ezininzi zotyando kunye neentlobo zokufakwa ezisetyenziswa kwi-OA.

Ukutshintshwa ngokudibeneyo

Ukuba utyando lwe-OA luyafuneka, ukutshintshwa ngokudibeneyo endaweni kokona kulungileyo. Oku kuyinyani ngokukodwa kubantu abadala, kuba akunakulindeleka ukuba bathathe indawo yesibini.

Utyando oluhlangeneyo lokutshintshwa kwaziwa ngokuba yi-arthroplasty. Le nkqubo isusa indawo edibeneyo eyonakalisiweyo emzimbeni kwaye iyitshintshe ngeplastikhi eyenziwe ngeplastiki okanye ngentsimbi. Ukutshintshwa kwe-Hip kunye namadolo zezona ntlobo zixhaphakileyo zokudityaniswa kwamalungu. Nangona kunjalo, amanye amalungu angatshintshwa, kubandakanya amagxa, iingqiniba, iminwe kunye namaqatha.

Amalungu okufakelwa komzimba angahlala amashumi amabini okanye nangaphezulu. Nangona kunjalo, ixesha lokudityaniswa kwendibaniselwano lixhomekeke kwindlela elisetyenziswa ngayo elo lungu kunye nokuba zomelele kangakanani izicubu ezixhasayo ngaphezulu kwexesha.

Ukulungelelaniswa kwamathambo kwakhona

I-Osteotomy luhlobo lotyando olusetyenziselwa ukulungisa amathambo onakaliswe sisifo samathambo. Oku kunciphisa uxinzelelo kwinxalenye eyonakeleyo yethambo okanye edibeneyo. I-Osteotomy idla ngokwenziwa kuphela kubantu abancinci abane-OA, ekungafunekiyo ukubuyiselwa endaweni ngokudibeneyo.

Ukuhlanganiswa kwamathambo

Amathambo ngokudibeneyo angadityaniswa ngokusisigxina ukwandisa uzinzo ngokudibeneyo kunye nokunciphisa iintlungu.

Olu tyando luhlala lukhokelela kumda omncinci okanye akukho luhlu lwentshukumo ngokudibeneyo. Nangona kunjalo, kwiimeko ezinzulu ze-OA, isenokuba yeyona ndlela ilungileyo yokuthomalalisa iintlungu ezinganyangekiyo.

Ukuhlanganiswa kwamathambo kwaziwa ngokuba yi-arthrodesis.

Utyando lwearthroscopic

Kule nkqubo, ugqirha ugqobhoza kwaye wonakalise intlala kwilungu. Oku kwenziwa ngokusetyenziswa kwearthroscope. IArthroscope yikhamera encinci esiphelweni setyhubhu. Ivumela oogqirha ukuba babone emadolweni ngokudibeneyo ngelixa besenza iinkqubo zokudibanisa. IArthroscopy inokusetyenziselwa ukususa i-bone spurs.

Kwixesha elidlulileyo, olu yayilutyando olwalusenziwa ukunyanga iarthrosis yamadolo. Nangona kunjalo, uphando lubonise ukuba i-arthroscopy ayisebenzi ngakumbi ekunyangeni iintlungu zexesha elide kunonyango okanye kunyango lomzimba.

Ukuthatha

Zininzi iindlela ezikhoyo zokunyanga i-osteoarthritis. Ukuba unayo i-OA, sebenza nogqirha ukuze ufumane unyango olufanelekileyo.