Ezinye izindlela Zokuhlinzwa Kokuguqulwa Kamadolo

-Delile

• Ukubuka konke
• Ukwehla kwesisindo nokuvivinya umzimba
• Ukwelashwa ngokomzimba
• Imijovo ye-Hyaluronic acid
• Imithi kanye nama-steroid shots
• Izinketho zemithi kadokotela
• Imijovo ye-Corticosteroid
• Ukuthoma
• Ukwelashwa ngamakhemikhali
• Ukuhlinzwa kwe-arthroscopic
• Ukwelashwa kwama-stem
• Imijovo yamaprotheni ecebile ngePlasma
• I-osteotomy yamadolo
• Izinsiza-kuhambela nokuxhaswa
• Izinketho ezingasizi
• Linganisa izinketho zakho

Ukubuka konke

Ukuhlinzwa okufaka amadolo akuyona indlela yokuqala yokwelapha ubuhlungu bamadolo. Ukwelashwa okuhlukahlukene okuhlukile kungasiza ukuletha ukukhululeka.

Uma uhlangabezana nobuhlungu bamadolo, buza udokotela wakho ngezindlela ezingezinhle zokulwa nalo. Nayi eminye imibono.

Ukwehla kwesisindo nokuvivinya umzimba

Ochwepheshe bagqugquzela kakhulu abantu abakhuluphele ngokweqile noma abanokukhuluphala ukuba banciphise umzimba nokuzivocavoca umzimba. Ngokubambisana, lezi zinyathelo zingasiza ukunciphisa ukulimala okuhlangene futhi zinciphise ubuhlungu.

Ucwaningo lukhombisa ukuthi wonke amakhilogremu ayi-10 ongezelelweyo akhulisa amathuba okuba ne-osteoarthritis yamadolo ngo. Ngasikhathi sinye, ukwehlisa amakhilogremu ayi-10 kungasho ukuthi ucindezelwa ngamandla ngamadolo akho.

Imisebenzi efanele ifaka:

• ukuhamba
• ukuhamba ngebhayisikili
• ukuqinisa umzimba
• ukuqeqeshwa kwe-neuromuscular
• ukuzivocavoca amanzi
• i-yoga
• tai chi

Ochwepheshe bayaqaphela ukuthi ukuzivocavoca neqembu noma umelaphi kungasebenza kangcono kunokuzivocavoca wedwa. Bancoma futhi nokuthi ukhethe umsebenzi owuthandayo nongakwazi ukuwufinyelela.

Uchwepheshe wezokunakekelwa kwempilo angakweluleka ngokuzivocavoca umzimba okufanelekile.

Ukwelashwa ngokomzimba

Umelaphi wezomzimba angenza uhlelo lokunciphisa izinhlungu nokuqinisa imisipha esemqoka ethinta amadolo akho. Bangasebenza nawe futhi ukuqinisekisa ukuthi wenza izivivinyo ngendlela efanele.

Bangasebenzisa iqhwa nokushisa ukunciphisa izinhlungu nokuvuvukala.

Imijovo ye-Hyaluronic acid

Ukujova ngamadolo kwe-hyaluronic acid kucatshangwa ukuthi kugcoba ukuhlangana kwamadolo. Lokhu kungasiza ekuthuthukiseni ukumunca ukushaqeka, ukunciphisa ubuhlungu, nokwenza ngcono ukuhamba kwamadolo.

Ochwepheshe njengamanje abakuncomi ukusebenzisa le mijovo, ngoba abukho ubufakazi obanele bokuthi kukhonjisiwe ukuthi buyasebenza.

Imithi kanye nama-steroid shots

Imithi ye-Over-the-counter (OTC) ingasiza ukuphatha ubuhlungu bamadolo.

Izinketho zifaka:

• Izidakamizwa zokudambisa izinhlungu ezithengiswayo, njenge-acetaminophen
• ama-anti-inflammatories ama-topical and oral nonsteroidal (ama-NSAID)
• okhilimu abaqukethe i-capsaicin

Izinketho zemithi kadokotela

Uma ukwelashwa kwe-OTC kungasebenzi, udokotela wakho angakunikeza imithi enamandla, njenge-duloxetine noma i-tramadol.

I-Tramadol iyi-opioid, futhi ama-opioid angalutha. Ochwepheshe baluleka kuphela ukusebenzisa i-tramadol uma ungakwazi ukusebenzisa eminye imithi, futhi abancomi noma yiluphi olunye uhlobo lwe-opioid.

Imijovo ye-Corticosteroid

Enye indlela ukuthi ube nomjovo we-steroid endaweni ethintekile. Lokhu kunganciphisa ubuhlungu nokuvuvukala emadolweni akho. Ubuhlungu buvame ukunciphisa ezinsukwini ezimbalwa, futhi ukukhululeka kuhlala amasonto ambalwa.

Abanye baye bakungabaza ukusetshenziswa kwesikhathi eside kwama-steroids. Ucwaningo oluthile lwathola ukuthi, ngemuva kweminyaka emibili, abantu abathola imijovo ye-steroid babene-cartilage encane futhi bengathuthuki ebuhlungwini bamadolo.

Noma kunjalo, imihlahlandlela eshicilelwe ku-2019 isekela ukusetshenziswa kwabo.

Ukuthoma

I-acupuncture inqubo yasendulo yamaShayina engasiza ekunciphiseni ubuhlungu. Isebenzisa izinaliti ezicijile nezincanyana ukushintsha ukuhamba kwamandla emzimbeni.

kukhombisa ukuthi ukutshopa kungasiza ukuphatha ubuhlungu bamadolo esikhathini esifushane.

Izinkombandlela zamanje zisekela ngokuqinile ukusetshenziswa kwe-acupuncture ekwelapheni ubuhlungu bamadolo, kepha qaphela ukuthi izinzuzo zayo azicaci ngokuphelele. Izingozi zokushopa ziphansi, ngakho-ke ukuthena kungakufanelekela ukuzama.

Ukwelashwa ngamakhemikhali

Ku-prolotherapy, uchwepheshe wezokunakekelwa kwezempilo ujovula isixazululo esicasulayo ku-ligament noma kwi-tendon ukwandisa ukugeleza kwegazi nokunikezwa kwezakhamzimba. Lokhu kwelashwa kuhlose ukukhuthaza inqubo yokuphulukisa ngokucasula izicubu.

Isixazululo se-dextrose, esiyinhlanganisela kashukela, sivame ukusetshenziswa.

Kwesinye, abantu abane-osteoarthritis yamadolo bathole imijovo emihlanu amasonto amane ehlukene. Babike ukuthi amazinga abo obuhlungu asekhuphuke emasontweni angama-26 ngemuva kokujova kokuqala. Ngemuva konyaka, basazizwa ngcono.

bathi le nqubo kungenzeka iphephile futhi ibonakala isiza ukuqeda izinhlungu, kepha basacela ukuthi kwenziwe olunye ucwaningo.

Imihlahlandlela yamanje ayincomi ukusebenzisa iprolotherapy.

Ukuhlinzwa kwe-arthroscopic

Udokotela ohlinzayo angase asikisele ukuhlinzwa kwe-arthroscopic ukususa izingcezu zamathambo, izingcezu ze-meniscus edabukile, noma uqwanga olimele, kanye nemisipha yokulungisa.

I-arthroscope uhlobo lwekhamera. Ivumela udokotela ohlinzayo ukuthi abuke ingaphakathi lelunga lakho ngokusebenzisa imbobo encane. Ngemuva kokucheba kabili noma kane, udokotela ohlinzayo usebenzisa i-arthroscope ukusebenza ngaphakathi kwedolo lakho.

Le ndlela ayihlaseli kangako kunokuhlinzwa kwendabuko. Abantu abaningi bangaya emakhaya ngosuku olufanayo. Ukubuyiselwa, futhi, kungenzeka kusheshe.

Kodwa-ke, kungahle kungasizi kuzo zonke izinhlobo zesifo samathambo.

Ukwelashwa kwama-stem

Lokhu kwelashwa kokuhlola kusebenzisa amangqamuzana omnkantsha wesinqe esinqeni ukusiza ukuvuselela izicubu ze-cartilage emadolweni.

kukhombisile ukuthi ukwelashwa kwe-stem cell kungasiza ekunciphiseni ubuhlungu bamadolo futhi kuthuthukise ukusebenza, kepha akubonakali kuholele ekuvuseleleni kabusha kwe-cartilage.

Ukwelashwa kwama-stem cell kokulimala ngokuhlanganyela akuseyona ingxenye yezokwelapha. Ochwepheshe njengamanje abakhuthazi imijovo yama-stem cell ye-osteoarthritis (OA), njengoba ingekho indlela yokwelashwa esezingeni elifanayo okwamanje.

Imijovo yamaprotheni ecebile ngePlasma

Olunye ukwelashwa kokuhlola kuhilela ukujova idolo le-osteoarthritic ngeprotein ecebile nge-plasma (PRP) ngezinyathelo ezintathu.

1. Umhlinzeki wezokunakekelwa kwezempilo uthatha igazi kumuntu odinga ukwelashwa.
2. Besebenzisa i-centrifuge, bahlukanisa ama-platelets aqukethe izinto ezikhulayo egazini.
3. Ngemuva kwalokho, bajova la maplatelets edolweni.

Imihlahlandlela yamanje yeluleka abantu ukuthi bangayisebenzisi le ndlela yokwelapha, ngoba kunokushoda kokubekwa emgomeni ekulungiseleleni nasekuhlinzekeni imijovo. Lokhu kusho ukuthi akunakwenzeka ukwazi ukuthi amalungiselelo aqukethe ini.

I-osteotomy yamadolo

Abantu abanokukhubazeka kwamadolo noma ukulimala ohlangothini olulodwa kuphela lwamadolo abo bangazuza ku-osteotomy.

Le nqubo isusa umthwalo othwala isisindo kude nendawo eyonakele yamadolo.

Kodwa-ke, i-osteotomy yamadolo ayifanele wonke umuntu. Ngokuvamile isetshenziselwa abantu abasha abanomkhawulo wokulimala kwamadolo.

Izinsiza-kuhambela nokuxhaswa

Amadivayisi angasiza afaka:

• umoba wokuhamba, ongasiza ngokulinganisela
• ukuqiniswa kwamadolo, ukuxhasa ukuhlangana kwamadolo

IKineseo tape yindlela yokwesekwa yokugqoka ekhuthaza umzimba ukuthi welaphe ngokwemvelo ngokwandisa ukugeleza kwegazi elizungeze imisipha. Iphinde isekele ukujoyina ngenkathi ikuvumela ukuthi ihambe ngokukhululeka. Kungadambisa izinhlungu futhi kungasiza ekuvimbeleni i-OA ekuthuthukiseni noma ekubi kakhulu.

Imihlahlandlela yamanje ayincomi ukusebenzisa izicathulo eziguquliwe noma ama-insoles we-lateral and medial-wedged.

Izinketho ezingasizi

Imihlahlandlela yamanje yeluleka abantu ukuthi bangasebenzisi:

• i-transcutaneous electrical nerve stimulation (TENS)
• izithako ze-glucosamine ne-chondroitin sulfate
• ama-bisphosphonates
• i-hydroxychloroquine
• imethotrexate
• i-biologics

Linganisa izinketho zakho

Ngaphambi kokukhetha ukuhlinzekwa kwamadolo, kubalulekile ukucubungula zonke izinketho zakho.

Kodwa-ke, uma uzizwa ukuthi uzame konke noma udokotela wakho ohlinzayo uphakamisa ukufakwa okuphelele noma okuyingxenye, kungaba yisikhathi sokucabanga ngokuhlinzwa.