Imithi, imijovo, kanye nezengezo zesifo samathambo
Ubuhlungu, ukuvuvukala nokuqina kwesifo samathambo kunganciphisa ukunyakaza kwakho. Imithi ingasiza ukuphatha izimpawu zakho ukuze uqhubeke nokuphila impilo esebenzayo. Khuluma nomhlinzeki wakho wezokunakekelwa kwezempilo ngemithi efanele wena.
Ukudambisa izinhlungu zasesitolo kungasiza ngezimpawu zakho ze-arthritis. "I-counter-the-counter" kusho ukuthi ungathenga le mithi ngaphandle kwemithi kadokotela.
Odokotela abaningi batusa i-acetaminophen (efana neTylenol) kuqala. Inemiphumela emibi embalwa kunezinye izidakamizwa. UNGATHATHI ngaphezu kwama-gramu ama-3 (3,000 mg) ngosuku. Uma unenkinga yesibindi, khuluma nodokotela wakho kuqala ngokuthi ingakanani i-acetaminophen ekufanele.
Uma ubuhlungu bakho buqhubeka, udokotela wakho angase asikisele izidakamizwa ezingekho-steroidal ezilwa nokuvuvukala (ama-NSAID). Izinhlobo ze-NSAID zifaka i-aspirin, ibuprofen, ne-naproxen.
Ukuthatha i-acetaminophen noma elinye iphilisi lobuhlungu ngaphambi kokuzivocavoca kulungile. Kepha UNGADLALI umsebenzi ngoba uthathe umuthi.
Kokubili ama-NSAID kanye ne-acetaminophen ngemithamo ephezulu, noma kuthathwe isikhathi eside, kungadala imiphumela emibi kakhulu. Uma uthatha ukudambisa izinhlungu ezinsukwini eziningi, tshela umhlinzeki wakho. Ungadinga ukubhekelwa imiphumela emibi. Umhlinzeki wakho angafuna ukukuqapha ngokuhlolwa kwegazi okuthile.
ICapsaicin (iZostrix) ukhilimu wesikhumba ongasiza ekudambiseni izinhlungu. Ungazizwa ufudumele, uluma lapho uqala ukufaka ukhilimu. Lo muzwa uyahamba ngemuva kwezinsuku ezimbalwa zokusetshenziswa. Ukuphumula kobuhlungu kuvame ukuqala kungakapheli amasonto amabili kuya kwamabili.
Ama-NSAID ngesimo sokhilimu wesikhumba ayatholakala ngaphezulu kwe-counter noma ngencwadi kadokotela. Buza umhlinzeki wakho ukuthi lokhu kungakulungela yini.
Imithi ebizwa nge-corticosteroids ingafakwa ejoyintini ukusiza ngokuvuvukala nobuhlungu. Usizo lungahlala izinyanga. Ukudutshulwa okungaphezu kuka-2 noma okungu-3 ngonyaka kungaba yingozi. Lezi zibhamu zivame ukwenziwa ehhovisi likadokotela wakho.
Lapho ubuhlungu bubonakala buyahamba ngemuva kwale mijovo, kungahle kulinge ukubuyela emisebenzini okungenzeka ukuthi ibangele ubuhlungu bakho. Lapho uthola le mijovo, cela udokotela wakho noma owelapha ngokomzimba ukuthi akunikeze ukuzivocavoca nokwelula okuzokwehlisa amathuba okubuyela kobuhlungu bakho.
I-Hyaluronic acid yinto esivele ikhona kuketshezi lwamadolo akho. Kuyasiza ukuthambisa ilunga. Uma une-arthritis, i-hyaluronic acid ejoyintini lakho iba mncane futhi ingasebenzi kahle.
- Udokotela wakho angajova uhlobo lwe-hyaluronic acid esihlangwini sakho ukuze usize ukuthambisa nokuvikela. Lokhu kwesinye isikhathi kubizwa ngokuthi uketshezi oluhlangene lokufakelwa, noma i-viscosupplementation.
- Le mijovo ayikwazi ukusiza wonke umuntu futhi izinhlelo ezimbalwa zezempilo zimboza le mijovo.
Umjovo we-stem cell uyatholakala. Kodwa-ke, lokhu kwelashwa kusekusha. Khuluma nomhlinzeki wakho ngaphambi kokujova.
Umzimba ngokwemvelo wenza kokubili i-glucosamine ne-chondroitin sulfate. Zibalulekile kuqwanga oluphilile emajoyintini akho. Lezi zinto ezimbili ziza ngefomu lokungezelela futhi zingathengwa ngaphezu kwekhawunta.
Izithako ze-Glucosamine ne-chondroitin sulfate zingasiza ekulawuleni ubuhlungu. Kepha akubonakali kusiza ilunga ukuthi likhule uqwanga noma ligcine isifo samathambo singabi sibi kakhulu. Abanye odokotela bancoma isikhathi sokuhlolwa sezinyanga ezintathu ukubona ukuthi i-glucosamine ne-chondroitin ziyasiza yini.
I-S-adenosylmethionine (i-SAMe, ebizwa ngokuthi "sammy") ifomu elenziwe umuntu lekhemikhali yemvelo emzimbeni. Izimangalo zokuthi i-SAMe ingasiza i-arthritis azifakazelwa kahle.
I-arthritis - imithi; I-arthritis - imijovo ye-steroid; I-arthritis - izithasiselo; I-arthritis - i-hyaluronic acid
Vimba i-JA. Izici zomtholampilo ze-osteoarthritis. Ku: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, abahleli. I-Rheumatology. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2019: isahluko 181.
UHochberg MC, Altman RD, Ephreli KT, et al. Izincomo ze-American College of Rheumatology 2012 zokusetshenziswa kwezindlela zokwelapha ezingezona ezomuthi kanye ne-pharmacologic e-osteoarthritis yesandla, inqulu, kanye nedolo. I-Arthritis Care Res (eHoboken). 2012; 64 (4): 465-474. I-PMID: 22563589 www.ncbi.nlm.nih.gov/pubmed/22563589.