Ukuqonda i-Cartilage, Amalungu, kunye neNkqubo yokuguga

Umxholo

• Ubume bedibeneyo
• Umzimba owaluphalayo
• Imiba yomngcipheko we-OA
• Ubunzima
• Imbali yosapho
• Ukwabelana ngesondo
• Umsebenzi
• Unyango
• Amayeza
• Inaliti
• Ugqirha
• Indlela yokuphila kunye nonyango lwasekhaya
• Zilolonge
• Ubushushu / unyango olubandayo
• Izixhobo zokunceda
• Phumla
• Ukuhla ukusinda
• Imbonakalo

Yintoni iarthrosis?

Ixesha lokuhamba, lokuzivocavoca, kunye nokushukuma kunokuthatha umthwalo kwi-cartilage yakho-izicwili ezigudileyo, ezinerabha ezigubungela ukuphela kwamathambo. Ukonakala kwe-cartilage kunokubangela ukudumba okungapheliyo kumalungu, kwaye kungakhokelela kwisifo samathambo.

I-Osteoarthritis (OA) yeyona ndlela ixhaphakileyo yesifo samathambo. I-OA ikwabizwa ngokuba sisifo esidibeneyo sokudibana. Ngokutsho kwe, malunga ne-30 yezigidi zabantu abadala e-United States bane-OA. Oko kwenza ukuba i-OA ibe sesinye sezizathu eziphambili zokukhubazeka kubantu abadala.

Ubume bedibeneyo

Amalungu amaqhekeza e-cartilage kwaye abanceda ukuba bahambe kakuhle nangokulula. Inwebu ebizwa ngokuba yi-synovium ivelisa incindi eshinyeneyo enceda i-cartilage isempilweni. I-synovium inokutsha kwaye iqine njengoko kunxiba kunye nokukrazula kwi-cartilage. Oku kungakhokelela kukukrala, okuvelisa ulwelo olongezelelekileyo kwilungu, okukhokelela kukudumba-kwaye mhlawumbi nophuhliso lwe-OA.

Amalungu achaphazeleka kakhulu kwi-OA ngala:

• izandla
• iinyawo
• umqolo
• isinqe
• amadolo

Njengoko intlala iya isiba mandundu, amathambo akufutshane akanakho ukuthambisa ngokwaneleyo kwi-synovial fluid kunye nokuqengqeleka kwi-cartilage. Nje ukuba amathambo ahlangane ngokuthe ngqo, oko kubangela iintlungu ezongezelelekileyo kunye nokudumba kwezicwili ezijikelezileyo.

Njengamathambo aqhubeka nokudibana kunye, anokuqina kwaye aqale ukukhula ii-osteophytes, okanye amathambo.

Umzimba owaluphalayo

Okukhona umdala, kokukhona kuya kubakho ukuba buhlungu kancinci okanye ukubabuhlungu xa ume, unyuke izitepsi, okanye uzilolonge. Umzimba awuchacha ngokukhawuleza njengoko wenzayo kwiminyaka emincinci.

Kwakhona, intlala iyawohloka ngokwendalo, enokubangela ukudakumba. Izicubu ezigudileyo ezidibanisa amalungu kwaye zibancede ukuba zihambe ngokulula ziyanyamalala ngokuguga. Izinto zokuthintela ukothuka zendalo zomzimba ziyaguga. Ke uqala ukuziva ungaphezulu ngokwasemzimbeni wakho.

Ukuphulukana nethoni yemisipha kunye namandla amathambo okudala uwafumana. Oko kunokwenza imisebenzi enzima ngokwasemzimbeni ibe nzima ngakumbi kwaye irhafise umzimba.

Imiba yomngcipheko we-OA

Umngcipheko oqhelekileyo wokuphuhlisa i-OA yiminyaka. Uninzi lwabantu abane-OA bangaphezulu kweminyaka engama-55. Ezinye izinto zonyusa amathuba omntu okuphuhlisa esi sifo. Oku kubandakanya:

Ubunzima

Ukutyeba kakhulu kubeka uxinzelelo olongezelelekileyo kumalungu, intlala, kunye namathambo, ngakumbi emadolweni nasezinqeni. Ikwathetha ukuba akunakufane usebenze ngokwasemzimbeni. Ukuziqhelanisa nokuzilolonga rhoqo, njengokuhamba imihla ngemihla, kunokuwanciphisa kakhulu amathuba okuba ne-OA.

Imbali yosapho

Imfuza ingamenza umntu abe nethuba lokuphuhlisa i-OA. Ukuba unamalungu osapho anesi sifo, unokuba semngciphekweni omkhulu wokuba ne-OA.

Ukwabelana ngesondo

Ngaphambi kweminyaka yobudala engama-45, amadoda kunokwenzeka ukuba aphuhlise i-OA. Emva kwama-50, abasetyhini banamathuba okuphuhlisa i-OA kunamadoda. Amathuba okuphuhlisa i-OA kuzo zombini izini zesini aya kuphantse abe malunga neminyaka engama-80.

Umsebenzi

Imisebenzi ethile inyusa umngcipheko womntu ekuphuhliseni i-OA, enje:

• ulwakhiwo
• ukulima
• ukucoca
• Ivenkile

Abantu abakule mi sebenzi basebenzisa imizimba yabo ngamandla njengenxalenye yomsebenzi wabo. Oku kuthetha ukunxiba ngakumbi kunye nokukrazula kumalungu abo, kubangela ukudumba okungakumbi.

Abancinci, abantu abasebenzayo banokukhulisa i-OA. Nangona kunjalo, kuhlala kusisiphumo sengozi, njengokulimala kwezemidlalo okanye ingozi. Imbali yokwenzakala emzimbeni okanye iingozi inokunyusa amathuba omntu okuba aphuhlise i-OA kamva.

Unyango

I-OA ayinalo unyango. Endaweni yoko, injongo yonyango kukulawula iintlungu, kwaye kuncitshiswe izizathu ezibangela ukuba iimpawu ze-OA zibe mbi. Inyathelo lokuqala lokunyanga i-OA kukunciphisa iintlungu. Oku kuhlala kwenziwa ngokudityaniswa kwamayeza, umthambo, kunye nonyango lomzimba.

Unyango lwe-OA luhlala luhambelana nendlela yokuphila yomntu kwaye yintoni ebangela iintlungu kunye nokukhathazeka. Uluhlu lweendlela zokhetho luyafumaneka. Oku kubandakanya:

Amayeza

Ukuthomalalisa iintlungu kwi-over-the-counter (OTC) zihlala zingabantu bonke abane-OA abafuna ukunyanga iintlungu. Imizekelo ibandakanya i-nonsteroidal anti-inflammatory drug (NSAIDs) - ezinje nge aspirin (Bufferin) kunye ne ibuprofen (Advil, Motrin IB) - okanye i-acetaminophen (Tylenol).

Nangona kunjalo, ukuba iintlungu ziba zimbi okanye amayeza e-OTC ayisebenzi, amayeza eentlungu anamandla anokufuneka.

Inaliti

I-Hyaluronic acid kunye ne-corticosteroid injections inokunceda ukunciphisa iintlungu kumalungu achaphazelekayo. Nangona kunjalo, iinaliti ze-steroid zihlala zingasetyenziswanga ngokuphindaphindiweyo kuba zinokubangela ukongezwa ngokudibeneyo ngokudibeneyo ngokuhamba kwexesha.

Inaliti ye-Hyaluronic acid kunye ne-corticosteroid triamcinolone acetonide (iZilretta) zamkelwe kuphela emadolweni. Ezinye iinaliti ezinje ngePRP (iproteni etyebileyo eplasma) kunye neenaliti zesitem ezisetyenziselwa ulingo.

Ugqirha

Ugqirha lugcinelwa abantu abane-OA enzima kunye neyenzakalisayo.

I-Osteotomy yinkqubo yokususa enokuthi inciphise ubungakanani bamathambo xa iphazamisa intshukumo edibeneyo. I-Osteotomy ikwayindlela encinci yokungenelela kubantu abafuna ukunqanda utyando oludibeneyo lokutshintsha.

Ukuba i-osteotomy ayinayo inketho okanye ayisebenzi, ugqirha wakho unokucebisa i-bone fusion (arthrodesis) ukunyanga amajoyina ahlupheke kakhulu. I-Arthrodesis yenyonga okanye idolo kunqabile ukuba yenziwe kwakhona, kodwa inokwenziwa kwamanye amalungu anje ngeminwe okanye izihlahla.

Amalungu omlenze kunye namadolo, indawo yokugqibela kukudityaniswa ngokudibeneyo (iArthroplasty).

Indlela yokuphila kunye nonyango lwasekhaya

Ukunceda ukulawula iintlungu zakho kunye nokunciphisa iimpawu zakho, unokufuna ukuzama uhlengahlengiso lwendlela yokuphila ukwenza izinto zibe lula kumalungu akho kunye namathambo. Olu hlengahlengiso lunokuphucula ukusebenza kunye nomgangatho wobomi bakho. Izinketho zibandakanya:

Zilolonge

Ukuzivocavoca okunempembelelo ephantsi kunokunceda ukomeleza izihlunu kunye nokugcina amathambo omelele. Ukuzilolonga kukwaphucula ukuhamba ngokudibeneyo.

Yiyeke imithambo enzima, enje ngetennis kunye nebaseball, kwaye uqalise ukwenza umthambo ongaphantsi. Igalufa, ukuqubha, iyoga, kunye nebhayisikile konke kulula kumalungu.

Ubushushu / unyango olubandayo

Faka uxinizelelo olufudumeleyo okanye iipakethe ezibandayo kumalungu xa ebuhlungu okanye ebuhlungu. Oku kunokunceda ukunciphisa iintlungu kunye nokunciphisa ukudumba.

Izixhobo zokunceda

Sebenzisa izixhobo ezinje ngeebrakhwe, iziqwenga, kunye neebhontsi kunokunceda umzimba wakho uxhase amalungu abuthathaka.

Phumla

Ukunika iintlungu, iintlungu eziqaqambileyo zokuphumla ngokwaneleyo kunokunciphisa iintlungu kwaye kunciphise ukudumba.

Ukuhla ukusinda

Ukuphulukana neeponti ezi-5 kunokunceda ukunciphisa iimpawu ze-OA, ngakumbi kumalungu amakhulu afana nesinqe kunye namadolo.

Imbonakalo

Kuqhelekile ukuba njengokuba uneminyaka yobudala uza kuva iintlungu kunye nokuqaqanjelwa ngamalungu akho - ngakumbi xa umi, unyuka izitepsi, okanye umthambo. Kwaye kunokwenzeka ukuba ekuhambeni kwexesha, ukonakala kwe-cartilage kungakhokelela kukukrala kunye ne-OA.

Nangona kunjalo, kukho unyango kunye notshintsho kwindlela onokuyenza ukunciphisa iintlungu kunye nokulawula ezinye iimpawu. Ukuba unayo i-OA, thetha nogqirha kwaye uphonononge ukhetho lwakho lonyango.