Ubuhlungu obuhlangene

Ubuhlungu obuhlangene bungathinta amalunga eyodwa noma amaningi.

Ubuhlungu obuhlangene bungadalwa yizinhlobo eziningi zokulimala noma izimo. Ingaxhunyaniswa nesifo samathambo, i-bursitis, nobuhlungu bemisipha. Akunandaba ukuthi kubangelwa yini, ubuhlungu obuhlangene bungakhathaza kakhulu. Ezinye izinto ezingadala ubuhlungu bamalunga yilezi:

• Izifo ezizimele njenge-rheumatoid arthritis ne-lupus
• I-Bursitis
• I-Chondromalacia patellae
• Amakristalu ku-joint - gout (ikakhulukazi atholakala kuzwane olukhulu) ne-CPPD arthritis (pseudogout)
• Izifo ezibangelwa igciwane
• Ukulimala, njengokuqhekeka
• I-osteoarthritis
• I-Osteomyelitis (ukutheleleka kwethambo)
• I-Septic arthritis (ukutheleleka okuhlangene)
• I-tendinitis
• Ukuzikhandla okungavamile noma ukusetshenziswa ngokweqile, kufaka phakathi izingqinamba noma ama-sprains

Izimpawu zokuvuvukala okuhlangene zifaka:

• Ukuvuvukala
• Imfudumalo
• Ubumnene
• Ububomvu
• Ubuhlungu ngokuhamba

Landela iseluleko somhlinzeki wakho wokunakekelwa kwezempilo ekwelapheni imbangela yobuhlungu.

Kubuhlungu obuhlangene obungeyona i-arthritic, kokubili ukuphumula nokuzivocavoca umzimba kubalulekile. Amabhavu afudumele, ukubhucungwa nokuvivinya umzimba kufanele kusetshenziswe kaningi ngangokunokwenzeka.

I-Acetaminophen (iTylenol) ingasiza ubuhlungu buzizwe bungcono.

Izidakamizwa ezingezona ukuvuvukala (i-NSAIDS) ezinjenge-ibuprofen noma i-naproxen zingasiza ekunciphiseni ubuhlungu nokuvuvukala. Khuluma nomhlinzeki wakho ngaphambi kokunikeza ama-aspirin noma ama-NSAID afana ne-ibuprofen ezinganeni.

Xhumana nomhlinzeki wakho uma:

• Unomkhuhlane ongahlobene nezimpawu zomkhuhlane.
• Ulahle amakhilogremu ayi-10 (4.5 kilograms) noma ngaphezulu ngaphandle kokuzama (ukwehlisa isisindo esingahlosiwe).
• Ubuhlungu bakho obuhlangene buhlala ngaphezu kwezinsuku ezimbalwa.
• Unezinhlungu ezihlangene, ezingachazeki ezihlangene nokuvuvukala, ikakhulukazi uma unezinye izimpawu ezingachazeki.

Umhlinzeki wakho uzokubuza imibuzo mayelana nomlando wakho wezokwelapha nezimpawu, kufaka phakathi:

• Yiliphi ilunga elibuhlungu? Ingabe ubuhlungu buhlangothini olulodwa noma zombili izinhlangothi?
• Yini eyaqala ubuhlungu futhi ubutholile kangaki? Wake waba nayo phambilini?
• Ingabe lobu buhlungu buqale ngokuzumayo nangokuqina, noma kancane futhi ngobumnene?
• Ingabe ubuhlungu buhlala njalo noma buyafika budlule? Ingabe ubuhlungu buye baba bukhulu ngokwengeziwe?
• Ingabe ulimele ilunga lakho?
• Wake wagula, waba namaqubu, noma wahlaselwa imfiva?
• Ingabe ukuphumula noma ukunyakaza kwenza izinhlungu zibe ngcono noma zibe zimbi kakhulu? Ngabe izikhundla ezithile zikhululekile noma zincane? Ingabe ukugcina ukuhlangana kuphakanyisiwe kuyasiza?
• Ingabe imithi, ukubhucunga umzimba, noma ukufaka ukushisa kunciphisa izinhlungu?
• Yiziphi ezinye izimpawu onazo?
• Ingabe kukhona ukuphazamiseka?
• Ungakwazi ukugoba uqondise ilunga? Ngabe ilunga lizizwa liqinile?
• Ngabe amalunga akho aqina ekuseni? Uma kunjalo, buqina isikhathi eside kangakanani?
• Yini eyenza ukuqina kube ngcono?

Ukuhlolwa komzimba kuzokwenziwa ukubheka izimpawu zokungajwayelekile okuhlangene okubandakanya:

• Ukuvuvukala
• Ubumnene
• Imfudumalo
• Ubuhlungu ngokunyakaza
• Ukunyakaza okungajwayelekile njengokulinganiselwa, ukuxegiswa kokujoyina, ukuzwa kwehele

Ukuhlolwa okungenziwa kufaka phakathi:

• I-CBC noma umehluko wegazi
• Amaprotheni asebenza ngo-C
• I-x-ray ehlangene
• Izinga le-sedimentation
• Ukuhlolwa kwegazi okuqonde ngqo kwizifo ezahlukahlukene ezizimele
• Isifiso esihlangene sokuthola uketshezi oluhlangene lwamasiko, ukubalwa kwamaseli amhlophe nokuhlolwa kwamakristalu

Ukwelashwa kungafaka:

• Imithi efana nezidakamizwa ezingezona ukuvuvukala (i-NSAIDS) kufaka phakathi ibuprofen, naproxen, noma indomethacin
• Ukujova umuthi we-corticosteroid kujoyini
• Ama-antibiotic kanye ne-drainage evame ukuhlinzwa, uma kwenzeka ukutheleleka (imvamisa kudinga ukulaliswa esibhedlela)
• Ukwelashwa ngokomzimba kokuvuselelwa kwemisipha nokuhlanganyela

Ukuqina kwelunga; Ubuhlungu - amalunga; I-Arthralgia; Isifo samathambo

• Amathambo
• Ukwakheka kokuhlanganiswa

I-Bykerk VP, iCrow MK. Sondela isiguli ngesifo samathambo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 241.

UDavis JM, uModer KG, uHunder GG. Umlando nokuhlolwa ngokomzimba kohlelo lwe-musculoskeletal. Ku: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, abahleli. Incwadi kaKelley noFirestein yeRheumatology. Umhlaka 10. IPhiladelphia, PA: Elsevier; 2017: isahluko 40.