Unyango lweThupha Arthritis

Umxholo

• Izinketho zonyango
• Zilolonge izithupha zakho
• Amayeza esifo samathambo
• Amayeza amiselweyo
• Iziqwenga eziphezulu
• Izisombululo zotyando
• Imbonakalo

Ngokubambelela koobhontsi…

I-Osteoarthritis ebhontsi yeyona ndlela ixhaphakileyo yesifo samathambo esichaphazela izandla. Iziphumo ze-Osteoarthritis ukusuka ekonakaleni kwe-cartilage kunye nethambo elisisiseko. Inokuchaphazela ukudibana okungaphantsi, okukuko ukudibanisa kufutshane nesihlahla kunye nenxalenye yenyama yesithupha. Ukudityaniswa kwesiqhelo kukuvumela ukuba ucofe, ujikeleze, kwaye ujikeleze ubhontsi ngamakhulu emisebenzi yonke imihla.

Kubantu abane-arthritis yesithupha, i-cartilage efana ne-cushion ngaphakathi kwindibaniselwano iyahla ngokuhamba kwexesha. Oku kubangela ukuba ithambo lihlikihle kwithambo. Iimpawu zesithupha samathambo zinokukhubazeka, ngokuyinxenye kuba isithupha sidingeka rhoqo suku ngalunye. Ukwehla kwamandla okubambelela, ukuncipha koluhlu lokuhamba, kunye nokudumba kunye neentlungu kwisandla sakho zinokwenzeka. Usenokukufumanisa kunzima ukuvula iingqayi, ukujija ukuvula umnatha womnyango, okanye ukrole iminwe yakho.

Ukuba unesifo samathambo kwamanye amalungu njengamadolo akho, iinyonga, okanye iingqiniba, inokwenza ukuba isifo samathambo sibe nokwenzeka. Abasetyhini bathambekele ngakumbi kwisifo samathambo, ngakumbi abo bane-ligaments eguquguqukayo okanye eye-lax. Ngokwezibalo, abasetyhini kunokwenzeka ngakumbi kunamadoda ukuba aphuhlise isifo samathambo.

I-rheumatoid arthritis lolunye uhlobo lwesifo samathambo esinokuthi sikhule ngokudibeneyo.

Izinketho zonyango

Isifo samathambo sahlukile kumntu ngamnye. Kukho iindlela ezahlukeneyo zonyango ezinokusebenzela iimpawu zakho ezithile.

Ukhetho lokuqala lonyango lubandakanya:

• ukuzilolonga
• Ukusetyenziswa komkhenkce
• amayeza
• Ukuqhekeka
• inaliti steroid

Ukuba ezi ndlela azithomalalisi iintlungu kwaye ziphucule umsebenzi, ukudibana kungafuna ukwakhiwa kwakhona.

Njengalo naluphi na uhlobo lwesifo samathambo, kubalulekile ukuba uthethe nogqirha wakho ngaphambi kokuba unyange imeko yakho, ngakumbi ngaphambi kokuba uthathe amayeza.

Zilolonge izithupha zakho

Ugqirha wakho okanye ugqirha unokucebisa ngokuzilolonga ngesandla. Unokwenza le mithambo ukuphucula uluhlu lokuhamba kunye nokuphucula iimpawu zakho zamathambo.

Ukuzivocavoca okulula kunokubandakanya ukolula isithupha, apho uzama ukubamba incam yesithupha sakho phantsi komnwe wakho obomvana.

Olunye ulwahlulo, olubizwa ngokuba yi-IP, lusebenzisa ibala. Ifuna ukuba ubambe ubhontsi wakho uzinze ngesinye isandla kwaye uzame ukugoba nje inxalenye ephezulu yesithupha. Kwaye umthambo owongezelelweyo kukuchukumisa nje iingcebiso zeminwe yakho nganye kwincam yesithupha sakho.

Kuya kufuneka wenze le mithambo kuphela emva kokubonisana nogqirha okanye ugqirha wakho. Kwaye qiniseka ukuba ufumana imiyalelo yokuqinisekisa ukuba usenza iintshukumo ngokuchanekileyo.

Amayeza esifo samathambo

Amayeza asetyenziselwa iintlungu abandakanya amayeza e-over-the-counter (OTC), amayeza kagqirha, kunye namayeza ajoyiweyo.

Amayeza e-OTC anokunceda ngeentlungu zibandakanya i-acetaminophen (iTylenol), iziyobisi ezichasayo ezingasebenziyo (ii-NSAID), kunye nezongezo.

Ii-NSAID ze-OTC zibandakanya ibuprofen (Motrin, Advil) kunye ne naproxen (Aleve). Ii-NSAID ngeedosi eziphezulu zinokubangela iingxaki zempilo, ke qiniseka ukuba awuthathi ngaphezulu kokucetyiswayo kwiphakheji okanye ngugqirha wakho.

Kukho izongezo ezinobungqina bokusebenza kakuhle. Oku kubandakanya i-glucosamine kunye ne-chondroitin, ezifumaneka njengeepilisi kunye neepowder. Ukongeza, iicapssain ulusuukhrim olusetyenziswe kwisithupha lunokunceda ukunciphisa iintlungu.

Amayeza amiselweyo

Amayeza amiselweyo e-arthritis abandakanya i-COX-2 inhibitors njenge-celecoxib (i-Celebrex) kunye ne-meloxicam (Mobic). ITramadol (Ultram, iConzip) nayo inokumiselwa. La mayeza anokubangela iziphumo ebezingalindelekanga kwiidosi eziphezulu, njengokukhala ezindlebeni zakho, iingxaki zentliziyo, isibindi kunye nokonzakala kwezintso, kunye nokopha emathunjini. Kuya kufuneka ufumane iimvavanyo ezithile zegazi ngelixa usela la mayeza.

Inaliti ye-Corticosteroid kwilungu lesithupha inokunceda ekunciphiseni ukudumba kunye nentlungu. Oku kunokwenziwa kabini okanye kathathu ngonyaka. Uncedo lwezi zinaliti lunika okwethutyana kodwa lunokubaluleka. Lumka unqande umsebenzi ogqithisileyo womzimba ngelixa usebenzisa amayeza e-steroid kungenjalo usengozini yokonakalisa amalungu.

Iziqwenga eziphezulu

Ugqirha wakho okanye ugqirha wezinto eziphathekayo unokucebisa i-splint yesithupha sakho, ngakumbi ebusuku. Ukuqhekeka kobhontsi kunokubonakala ngathi yiglavu yesiqingatha enezinto zokuqinisa ngaphakathi. Ukunxiba esi siqwenga kunokunceda ukunciphisa iintlungu, ukukhuthaza indawo echanekileyo yesithupha sakho, kwaye uphumle ngokudibeneyo.

Olu hlobo lokuchaka ngamanye amaxesha lubizwa ngokuba yi "long opponens" okanye "thumb spica" splint. Ukutshiza kudla ngokuqhubeka ngokuqhubekayo kwiiveki ezintathu ukuya kwezine. Emva koko, ubuqhetseba bunxitywa ngamanye amaxesha, nokuba kusebusuku okanye ngexesha lemisebenzi ethile yemihla ngemihla enokuthi idibanise ukudibana.

Izisombululo zotyando

Ukuba ukuzivocavoca, amayeza, kunye nokucoca akwaneli ukunciphisa intlungu kunye nokubuyisela ukuhamba kunye namandla, ukuhlinzwa kunokufuneka. Utyando olunokwenzeka lwesifo samathambo lubandakanya:

I-Trapeziectomy: Elinye lamathambo esandla sakho abandakanyeka kwilungu lesithupha liyasuswa.

Osteotomy: Amathambo kwilungu lakho ahanjiswe kwaye ahambelana ngokuchanekileyo. Banokuncitshiswa ukuze basuse ukukhula okugqithileyo.

Ukuhlanganiswa okuhlangeneyo: Amathambo edibeneyo adityanisiwe. Oku kuphucula uzinzo kwaye kunciphisa iintlungu. Nangona kunjalo, akusekho bumdibaniso kwilungu, kwaye awusayi kuba nakho ukwenza imisebenzi ethile.

Ukutshintshwa ngokudibeneyo: Ilungu lidityaniswa kufakwa i-tendon grafti.

Imbonakalo

Ngelixa lungekho unyango lwe-arthritis kubhontsi wakho, kukho iindlela ezahlukeneyo zonyango ezinokunceda ekunciphiseni iimpawu kubantu abaninzi. Thetha nogqirha wakho okanye ugqirha ngokwasemzimbeni malunga nokuba loluphi unyango olunokukusebenzela.