Ubuhlungu Bamaqakala: Isibonakaliso Esihlukanisiwe, noma Isibonakaliso Se-Arthritis?

-Delile

• Izinhlobo ze-ankle arthritis
• I-post-traumatic arthritis
• Isifo samathambo
• Ukuxilongwa
• Ukuhlolwa kwe-gait
• Ukwelashwa

Ubuhlungu beqakala

Noma ngabe ubuhlungu beqakala budalwa yisifo samathambo noma okunye, kungakuthumela kudokotela ufune izimpendulo. Uma uvakashela udokotela wakho ngobuhlungu beqakala, bazohlola ukuhlangana kweqakala. Yilapho i-tibia (shinbone) ihlala khona ku-talus (ithambo lonyawo olungaphezulu).

Uma unesifo samathambo, ungahle ube:

• ubuhlungu
• ububele
• ukuvuvukala
• ukuqina
• kunciphise ububanzi bokunyakaza

Uma unezinhlungu, ungazizwa ikakhulu ngaphambili kweqakala lakho. Lokhu kungakhululeki kungenza kube nzima kuwe ukuhamba.

Izinhlobo ze-ankle arthritis

Abantu bavame ukuhlobanisa i-arthritis namadolo, izinkalo, nezihlakala, kepha futhi kungenzeka nasemaqakaleni. Lapho isifo samathambo sivela emaqakaleni, imvamisa kungenxa yokulimala okudala, njengokuhlukaniswa noma ukuphuka. Odokotela bayibiza le “post-traumatic” arthritis.

Enye imbangela i-rheumatoid arthritis (RA), ethinta umzimba wonke, kubandakanya nendawo yeqakala. I-osteoarthritis eyinhloko (i-OA), edala ukonakala noma "ukuguga nokudabuka" ngokuhamba kwesikhathi, kuyaqabukela kwenzeka emaqakaleni.

I-post-traumatic arthritis

I-ankle arthritis ingaba impendulo ebambezelekile ekuqothulweni okukhulu, ukususwa, noma ukuphuka. Udokotela wakho uzokubuza nganoma yimuphi umlando wokulimala. Umgogodla omkhulu ungalimaza uqwanga futhi uholele ekungazinzini okuhlangene. Lokhu kungadala izinguquko eziwohlokayo.

Ubufakazi bokulimala buvame ukuvela kuma-X-ray kungakapheli iminyaka emibili ngemuva kokulimala. Kungaba amashumi eminyaka uze ubone ubuhlungu obukhulu.

Isifo samathambo

Udokotela wakho angabuza futhi ngobuhlungu kwamanye amalunga. Ukungakhululeki okwengeziwe kungakhombisa ukuvuvukala okuhlelekile, njenge-RA.

Udokotela wakho angafuna ukukubona umile ngenkathi ungenazicathulo ukuze uhlole ukuqondana kwakho komlenze. Amathe ezicathulo zakho nawo angaveza izindlela zokugqoka. Lokhu futhi kungaqinisekisa izinkinga zokuqondanisa ezihlobene ne-RA emaqakaleni akho.

Ukuxilongwa

Ukuthola isifo samathambo, udokotela wakho uzothatha umlando wakho wezokwelapha abuze ngokulimala nokutheleleka kwangaphambilini. Futhi bangacela ama-X-ray. Uchwepheshe uzothatha izithombe zeqakala lakho kusuka ezinhlangothini eziningi ngenkathi umile. Isazi semisebe ye-radiologist sizohlola ukuqondana kwakho kweqakala nokuncipha kwesikhala sakho esihlangene.

Udokotela wakho uzobuye ahlole indlela ohamba ngayo, afunde i-cadence yakho, isivinini, nobude be-stride. Udokotela wakho uzokwazi ukuxilonga ukuthi une-arthritis ngokuya ngalezi zivivinyo nokubona.

Ukukhuluma nodokotela wakho kungaveza ukuthi iziphi izinto eziholela kumawele eqakala. Uma ukuhamba ekukhuphukeni kubuhlungu, ungaba nesifo samathambo ngaphambili kweqakala lakho. Uma ngemuva kweqakala kubuhlungu lapho wehla ekwehleni, ingemuva lejoyini lingaba nezinkinga.

Ukungakhululeki njengoba uhamba emhlabathini ongalingani kungasikisela iqakala elingazinzile. Lokho kungaba yinkomba yezinkinga endaweni engaphansi, engaphansi kwejoyinti le-ankle. Ukungazinzi nokuvuvukala kusikisela imisipha ebuthakathaka.

Ukuhlolwa kwe-gait

Ukuhlolwa kwe-gait kuvame ukuhilela ukuhamba noma ukugijima endaweni yokunyathela ngenkathi udokotela wakho ekubona. Ukuthi unyawo lwakho lushaya kanjani emhlabathini nakho kuyayixoxa indaba. Isibonelo, uma ukunyakaza kwakho kweqakala kuvinjelwe, ungaphakamisa isithende sakho phansi ngaphambi kwesikhathi futhi uguqe ngamadolo ngendlela ethandekayo.

Udokotela wakho noma uchwepheshe we-arthritis uzohlola ukujikeleza konyawo lwakho ngokuhlobene nomlenze wakho ophansi. Ukuqondanisa kwakho imilenze engezansi ngokuphelele kuzokunikeza izinkomba zokuthi izingalo zakho, amadolo kanye namaqakala ahamba kahle kangakanani.

Ukwelashwa

Uma une-ankle arthritis, ungadinga ukuphumula iqakala lakho ukuze unciphise ubuhlungu. Uma ukujabulela ukuzivocavoca umzimba, udokotela wakho angancoma ukubhukuda nokuhamba ngebhayisikili, ukuze uvikele iqakala lakho.

Ijoyinti elincane leqakala lithwala isisindo somzimba wakho izikhathi ezinhlanu esinyathelweni ngasinye, ngakho ukunciphisa isisindo kungasiza.

Imithi nayo ivamile ekwelapheni isifo samathambo. Udokotela wakho angancoma i-aspirin, i-naproxen, noma i-ibuprofen.Ukuze uthole isifo samathambo esibi kakhulu, bangahle bakunikeze imishanguzo yokuguqula isifo (i-DMARDs) yokuguqula izifo.