Ingcali ye-Q & A: Unyango lwe-Osteoarthritis yeKnee

Umxholo

• Ndifumene ukuba ne-OA emadolweni. Ndingenza ntoni ukulibazisa utyando? Zeziphi iintlobo zeendlela ezingezizo ezokusebenza?
• Ngaba iinaliti ze-cortisone ziyasebenza, kwaye ndingazifumana kangaphi?
• Ngaba ukuzivocavoca kunye nokunyanga ngokwasemzimbeni kuyasebenza ekujonganeni ne-OA emadolweni?
• Ndiqala nini ukuqaphela uhlobo oluthile lotyando lokutshintsha idolo?
• Ngaba ubudala buyinto xa kufikwa kutshintsho lwedolo?
• Zeziphi iintlobo zemisebenzi endiza kukwazi ukuyenza emva kokutshintsha kwedolo? Ngaba ndiya kuhlala ndibuhlungu emva kokubuyela kumanqanaba omsebenzi oqhelekileyo?
• Ndimkhetha njani ugqirha wotyando?
• Ndivile ngotyando olungena kwamadolo oluncinci. Ngaba ndingumgqatswa walonto?
• Kuthiwani ngoqhaqho lwamadolo e-arthroscopic, apho bacoca khona ilunga? Ngaba kufuneka ndizame oko kuqala?

U-Healthline wenza udliwanondlebe nodokotela ogqirha u-Ugqirha u-Henry A. Finn, MD, FACS, umlawuli wezonyango we-Bone kunye ne-Joint Replacement Centre e-Weiss Memorial Hospital, ukufumana iimpendulo zeyona mibuzo ixhaphakileyo malunga nonyango, amayeza kunye notyando lwe-osteoarthritis (OA) idolo. Ugqirha Finn, ogqirha ekulungiseleleni ukutshintshwa kwamalungu ngokuhlangeneyo kunye notyando olunzima lokusindisa amalungu, ukhokele utyando olungaphezulu kwe-10 000. Nantsi into ebeyithethile.

Ndifumene ukuba ne-OA emadolweni. Ndingenza ntoni ukulibazisa utyando? Zeziphi iintlobo zeendlela ezingezizo ezokusebenza?

“Ndingacebisa ukuzama iarthritic off-loader brace ukuxhasa idolo kunye / okanye isithende esinqumlayo esiyalela amandla kwelona cala lincinci le-arthritic lejoyini. Amachiza alwa nokudumba (i-NSAID) anjenge-ibuprofen (iMotrin, i-Advil) anokunceda ukuba isisu sakho singazinyamezela. ”

Ngaba iinaliti ze-cortisone ziyasebenza, kwaye ndingazifumana kangaphi?

“ICortisone ene-steroid emide nebambeleyo inokuthenga iinyanga ezimbini ukuya kwezintathu zoncedo. Yintsomi ukuba unokufumana unyaka omnye okanye enye ebomini. Nje ukuba idolo libe nesifo samathambo kakhulu, akukho nto iphantsi kwi-cortisone. Ezi zitofu zinempembelelo encinci emzimbeni. ”

Ngaba ukuzivocavoca kunye nokunyanga ngokwasemzimbeni kuyasebenza ekujonganeni ne-OA emadolweni?

“Ukuzilolonga umzimba kabuhlungu kuyayiphucula i-endorphins kwaye kunokuphucula ukusebenza ngokuhamba kwexesha. Unyango lomzimba alunasibonelelo ngaphambi kotyando. Ukuqubha ngowona msebenzi ulungileyo. Ukuba uza kwenza umthambo kwindawo yokuzivocavoca, sebenzisa umatshini we-elliptical. Kodwa khumbula ukuba i-osteoarthritis sisifo esiya sisiba mandundu, ngenxa yoko kuya kufuneka uphinde usitshintshe. ”

Ndiqala nini ukuqaphela uhlobo oluthile lotyando lokutshintsha idolo?

“Umgaqo jikelele [kukuthathela ingqalelo utyando] xa iintlungu ziqhubeka, zingaphenduli kwamanye amanyathelo olondolozo, kwaye ziphazamisana kakhulu nokuphila kwemihla ngemihla kunye nomgangatho wobomi bakho. Ukuba unentlungu xa uphumle okanye uqaqanjelwe ebusuku, sesinye isibonakaliso esomeleleyo sokuba lixesha lokutshintsha. Awungekhe uhambe nje ngeX-reyi, nangona kunjalo. Abanye abantu beX-reyi babonakala bekhwankqisa, kodwa inqanaba nokusebenza kwabo kwanele. ”

Ngaba ubudala buyinto xa kufikwa kutshintsho lwedolo?

“Okuxakayo kukuba, okukhona umncinci kwaye ukhuthele ngakumbi, kuya kuncipha ukuba waneliswe kukutshintsha idolo. Izigulana ezincinci zinolindelo oluphezulu. Ngokubanzi, abantu abadala abachaphazelekayo ngokudlala intenetya. Bafuna nje isiqabu seentlungu kwaye bakwazi ukuhambahamba. Kulula kubantu abadala kwezinye iindlela ngokunjalo. Abantu abadala abava zintlungu zininzi ekubuyiseni. Kwakhona, okukhona umdala, kokukhona idolo lakho liya kuhlala likho ebomini bakho. Umntu oneminyaka engama-40 okhutheleyo uya kufuna omnye umntu oza kutshintshwa ekugqibeleni. ”

Zeziphi iintlobo zemisebenzi endiza kukwazi ukuyenza emva kokutshintsha kwedolo? Ngaba ndiya kuhlala ndibuhlungu emva kokubuyela kumanqanaba omsebenzi oqhelekileyo?

“Ungahamba yonke into oyifunayo, igalufa, udlale imidlalo enjenge-tennis engaboni ngamehlo - {textend} kodwa kungabikho diving kwiibhola okanye ubaleke yonke inkundla. Andiyikhuthazi imidlalo enefuthe eliphezulu ebandakanya ukujija okanye ukujika, njengokuskiya okanye ibhola yomnyazi. Igadi enomdla iya kuba nexesha elinzima kuba kunzima ukuguqa ngamadolo. Gcina ukhumbula ukuba, uxinzelelo olwehlayo olufake emadolweni, luya kuhlala lude. ”

Ndimkhetha njani ugqirha wotyando?

“Buza ugqirha wotyando ukuba mangaphi amadolo awenzayo ngonyaka. Kuya kufuneka enze ikhulu elinambini. Inqanaba lokosuleleka kwakhe kufuneka libe ngaphantsi kwepesenti enye. Buza malunga neziphumo zakhe ngokubanzi, nokuba ngaba akazilandeleli na iziphumo, kubandakanya uluhlu lokuhamba kunye nenqanaba lokukhulula. Iingxelo ezinje 'ngezigulana zethu zenza kakuhle' azonelanga. ”

Ndivile ngotyando olungena kwamadolo oluncinci. Ngaba ndingumgqatswa walonto?

“Ukungenelela okuncinci kukungalunganga. Nokuba incinci kangakanani incision, kusafuneka ugqibe kwaye usike ithambo. Akukho lungelo kukusikwa okuncinci, kodwa kukho izinto ezingalunganga. Kuthatha ixesha elide, kwaye kukho umngcipheko okhulayo kwithambo okanye kwimithambo. Ukuzinza kwesixhobo kuyancipha ngenxa yokuba awukwazi ukusifaka, kwaye awunakho ukusebenzisa izixhobo ezinamacandelo amade. Kananjalo inokwenziwa kuphela ngabantu ababhityileyo. Akukho mahluko kwinani lokopha okanye ixesha lokubuyisela. Nokuba i-incision ifutshane kuphela nge-intshi. Akufanelekanga oko. ”

Kuthiwani ngoqhaqho lwamadolo e-arthroscopic, apho bacoca khona ilunga? Ngaba kufuneka ndizame oko kuqala?

“Ijenali yoMbutho Wezonyango waseMelika kutshanje ipapashe inqaku elibonisa ukuba akukho nzuzo konke konke kuyo. Akukho bhetele kuneenaliti ze-cortisone, kwaye ingena kakhulu. ”