Yonke into ekufuneka uyazi ngeTricompartmental Osteoarthritis

Umxholo

• Iingongoma eziphambili
• Ushwankathelo
• Ziintoni iimpawu?
• Imiba yomngcipheko
• Uxilongo
• Izinketho zonyango
• Ukulawulwa kobunzima kunye nokuzilolonga
• Izixhobo zonyango
• Unyango lwasekhaya
• Amachiza amiselweyo
• Ugqirha
• Ulawulo lobomi
• Imbonakalo

Iingongoma eziphambili

• I-Tricompartmental osteoarthritis luhlobo lwe-osteoarthritis echaphazela lonke idolo.
• Unokuhlala ulawula iimpawu ekhaya, kodwa abanye abantu banokufuna utyando.
• Ukuzivocavoca okunempembelelo ephantsi kunye nokulahleka kobunzima kunokunciphisa inkqubela phambili yale meko.

Ushwankathelo

I-Tricompartmental osteoarthritis luhlobo lwe-osteoarthritis (OA) echaphazela onke amacandelo amathathu emadolo.

Zezi:

• igumbi eliphakathi lobufazi-tibial, ngaphakathi kwedolo
• igumbi le patellofemoral, elenziwe yi-femur kunye ne-kneecap
• igumbi le-femal-tibial elisecaleni, ngaphandle kwedolo

I-OA inokuchaphazela naliphi na kula malungu. Xa ivela kuzo zontathu ezi zinto, le tricompartmental osteoarthritis. Impembelelo inokuba nzima kakhulu xa i-OA ichaphazela amacandelo amathathu kunokuba ibe linye.

Ziintoni iimpawu?

Iimpawu ze-OA tricompartmental ziyafana nezo ze-OA ezingasebenziyo, kodwa zichaphazela zontathu iinxalenye zamadolo.

Iimpawu zingabandakanya:

• ukudumba nokuqina kwamadolo
• ubunzima bokugoba kunye nokulungisa idolo
• ukudumba, ngakumbi emva komsebenzi
• iintlungu nokudumba okuba mandundu xa ulele okanye kusasa
• intlungu eyonyukayo emva kokuhlala okanye ukuphumla
• ukukhwabanisa, ukucofa, ukuqhawula, okanye ukugaya ingxolo emadolweni
• ubuthathaka okanye ukugoba emadolweni
• Ukuhamba kakuhle (ukuhamba), kuhlala kunemilenze egobileyo okanye unkqonkqoze
• amaqhuma ethanjeni
• Ilungu lokutshixa, ngenxa yamaqhekeza amathambo kunye nokusilela
• kunzima ukuhamba ngaphandle kwenkxaso

IX-reyi inokuveza iziqwenga zethambo ezonakeleyo kunye nomonakalo kwintlala nakwithambo.

Imiba yomngcipheko

Zininzi izinto ezonyusa umngcipheko wokukhula kwe-OA, kubandakanya ne-OA.

Bona:

Ukutyeba kakhulu. Ubunzima bomzimba obongezelelweyo bubeka uxinzelelo kumalungu athatha ubunzima, njengamadolo. Iingcali zicebisa abantu abane-OA kunye nokukhuluphala ukuba basebenze nogqirha wabo ukumisela ubunzima ekujoliswe kubo kunye nokuphuhlisa isicwangciso sokufikelela kule njongo.

Ukwaluphala. Njengoko usiya ukhula, iinxalenye zomdibaniso wakho zinokuphela ngokuthe ngcembe. Ukuziqhelanisa nokuzilolonga rhoqo kunokunceda ukuthoba isantya kule nkqubo. I-OA ayisiyonxalenye yokuzenzekelayo yokuguga, kodwa amathuba okuba yenzeke ayakhula kunye nobudala.

Ukwabelana ngesondo. Abasetyhini kunokwenzeka ngakumbi ukuba bakhulise i-OA kunamadoda, ngakumbi emva kweminyaka engama-50 ubudala.

Ukwenzakala kwilunga. Ukuba uye wonzakala edolweni kwixa elidlulileyo, kunokwenzeka ukuba uphuhlise i-OA.

Imisebenzi ethile. Ixesha elingaphezulu, iintlobo ezithile zomsebenzi womzimba zinokuxinzelela kumalungu edolo. Imizekelo ibandakanya ukuphakamisa rhoqo kunye nokuhambisa izinto ezinzima, ukwenza imidlalo ethile, kunye nokunyuka kwizinyuko ezininzi mihla le.

Imfuza. Ukuba unelungu losapho elisondeleyo, njengomzali, one-OA, unethuba eliphezulu lokuliphuhlisa, nawe.

Amathambo kunye neziphene ezithambileyo. Abanye abantu bazalwa benamadolo kunye ne-cartilage ethambekele ngakumbi kwi-OA.

Uxilongo

Ugqirha wakho uya kubuza malunga neempawu zakho.

Iikhrayitheriya zokuchongwa kwe-OA emadolweni zibandakanya iintlungu zamadolo kunye neempawu ezintathu nangaphezulu kwezi zilandelayo:

• Ukuqina kwentsasa ukuya kuthi ga kwimizuzu engama-30
• ukuqhekeka okanye ukuva notolo emadolweni, okwaziwa ngokuba yi-crepitus
• ukwandiswa kwenxalenye yebhony yedolo
• ukuthamba kwamathambo emadolo
• ukufudumala okuncinci kwilungu

Ugqirha unokufuna ukwenza uvavanyo lokucinga, njengeX-reyi.

Iziphumo zingabonisa iinkcukacha zesithuba phakathi kwamathambo edibeneyo. Ukunciphisa indawo edibeneyo kuphakamisa isifo esibi ngakumbi, kubandakanya ukhukuliseko lwentlala.

Ugqirha wakho uya kujonga nokwenziwa kokukhula kwamathambo okubizwa ngokuba yi-osteophytes. I-Osteophytes ziziphumo zamathambo ahlikihla omnye komnye.

Kumanqanaba okuqala e-OA, olu tshintsho lusenokungabonakali kwii-X-ray. Nangona kunjalo, i-OA tricompartmental department ithanda ukuba qatha, kwaye ezi mpawu zihlala zicacile.

Olunye uvavanyo lunokubandakanya:

• iimvavanyo zelebhu ukulawula ezinye izifo
• I-MRI, enokuthi ibonakalise ukonakala kwizicubu ezithambileyo, ezinjenge-cartilage kunye nemisipha

Izinketho zonyango

Akukho lunyango lwe-tricompartmental okanye ezinye iintlobo ze-OA, kuba okwangoku akukwazeki ukuyibuyisela intlala esele yonakele.

Endaweni yoko, unyango lujolise kulawulo lweempawu kunye nokucothisa ukuqhubela phambili kwe-OA.

Ukulawulwa kobunzima kunye nokuzilolonga

Ukulawulwa kobunzima kunye nokuzilolonga kudlala indima ebalulekileyo kulawulo lwe-OA.

Ukuphulukana nobunzima kunokunceda ukunciphisa uxinzelelo emadolweni. Ukuzilolonga kugcina izihlunu zamadolo zomelele kwaye kunceda ukuxhasa idolo ngokudibeneyo.

Ugqirha okanye ugqirha wezinto eziphathekayo unokucebisa ukuba utshintshe kwiindlela ezinempembelelo ephezulu-njengokusebenza-ukuya kwiimpembelelo eziphantsi, njengokubhukuda kunye ne-aerobics yamanzi.

Olunye ukhetho olufanelekileyo lubandakanya i-tai chi, ukuhamba, ukuhamba ngebhayisikile, kunye nokuzilolonga. Buza ugqirha wakho malunga neendlela ezifanelekileyo onokukhetha kuzo.

Fumana iingcebiso apha kwizinto ezinempembelelo ephantsi kubantu abane-OA.

Izixhobo zonyango

Imizekelo ibandakanya:

• induku yokuhamba okanye yokuhamba
• isibiyeli okanye isihlwitha
• I-kinesiotape, uhlobo lokunxiba oluxhasa ukudibana ngelixa likuvumela ukuba lihambe

Iingcali azikukhuthazi okwangoku ukusebenzisa izihlangu eziguqulweyo, kuba akukho phando lwaneleyo ukubonisa ukuba loluphi uhlobo lokuguqulwa olufanelekileyo.

Unyango lwasekhaya

Unyango lwasekhaya lubandakanya:

• iipakethe zomkhenkce nobushushu
• ngaphezulu kwekhawuntari ye-non-steroidal anti-inflammatory drug (NSAIDs)
• Izithambiso zentloko eziqukethe i-capsaicin okanye ii-NSAID

Amachiza amiselweyo

Ukuba i-OTC kunye neyeza zasekhaya azincedi, okanye ukuba iimpawu zichaphazela ubomi bakho bemihla ngemihla kunye nokuhamba, ugqirha wakho unokumisela amayeza omlomo okanye atofwayo.

Ziquka:

• tramadol yokuphelisa iintlungu
• duloxetine
• I-corticosteroids enesitofu

Ugqirha

Ukuba olo nyango alusebenzi okanye uyeke ukusebenza, ugqirha wakho unokucebisa utyando.

Utyando lunokunceda abantu abanamava:

• intlungu ebuhlungu
• ubunzima bokuhamba
• ukunciphisa umgangatho wobomi

Ugqirha wakho unokucebisa utyando olupheleleyo lokutshintsha kwamadolo ukuba idolo le-OA elichaphazelekayo linokuchaphazela amandla akho okwenza imisebenzi yemihla ngemihla.

Lo gqirha uzakususa ithambo elonakeleyo kunye ne-cartilage kwaye ayitshintshe ibe lilungu lokufakelwa elenziwe ngentsimbi okanye ngeplastiki.

Ukuya kuthi ga kwiipesenti ezingama-90 zabantu abaguqulwe ngamadolo bebonke bathi kunciphisa amanqanaba entlungu kwaye kwandisa ukuhamba, ngokweAmerican Academy of Orthopedic Surgeons.

Nangona kunjalo, kungathatha iinyanga ezininzi ukubuyela kwimeko yokusebenza. Ukulandela kuya kubandakanya amayeza kunye notyelelo kugqirha wamathambo.

Ulawulo lobomi

Ukuba une-tricompartmental OA, ukuzilawula ngokwakho kwimeko yakho kunokunceda ukuyithintela ukuba ingabi mandundu.

Nazi ezinye zeendlela zokwenza oku:

• kuphephe ukutshaya
• landela ukutya okusempilweni
• fumana ibhalansi efanelekileyo phakathi komsebenzi kunye nokuphumla
• misela iipateni zokulala rhoqo
• funda indlela yokulawula uxinzelelo

Loluphi uhlobo lokutya olulungileyo onokululandela nge-OA? Fumana apha.

Imbonakalo

I-OA idolo ichaphazela abantu abaninzi, ngakumbi njengoko bekhula. I-OA yeTricompartmental ichaphazela onke amacandelo edolo.

Iindlela eziqhelekileyo zokuphucula iintlungu kunye nokuhamba kubandakanya umthambo, kunye neemeko ezinzima, utyando.

Ugqirha wakho angakunceda wenze isicwangciso esifanelekileyo sokugcina okanye ukuphucula umgangatho wobomi bakho nge-OA.