I-Arthrosis ezandleni naseminwe: izimpawu, izimbangela kanye nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Izimbangela ezingaba khona
• Yelashwa kanjani
• 1. Ukusetshenziswa kwemithi
• 2. I-Physiotherapy
• 3. Ukungena emalungeni
• 4. Ukuhlinzwa

I-arthrosis ezandleni naseminwe, ebizwa nangokuthi i-osteoarthritis noma i-osteoarthritis, ivela ngenxa yokuguga nokudabuka kuqwanga lwamalunga, okwandisa ukungqubuzana phakathi kwamathambo ezandla neminwe, okuholela ezimpawu zobuhlungu nokuqina, okwenza kube nzima yenza ukunyakaza okulula nemisebenzi yansuku zonke. Ezimweni ezisezingeni eliphakeme kakhulu, amaqhuqhuva angakheka phakathi kwamalunga.

Ngaphezu kwalokho, i-arthrosis yezandla neminwe ingadala ushintsho emathanjeni nasezicutshini ezizungeze ilunga elibamba ukuhlangana ndawonye futhi libambe imisipha ethanjeni, elibangela ukuvuvukala nobuhlungu.

Lesi simo singakhawulela impela, ikakhulukazi uma sithinta izandla zombili, ngakho-ke, lapho kuvezwa noma yiziphi izimpawu, kufanele kuboniswane nodokotela wamathambo noma i-rheumatologist ukuthola ukuxilongwa nokwelashwa okufanele kakhulu.

Izimpawu eziyinhloko

Izimpawu ze-arthrosis ezandleni naseminwe ngokuvamile zikhula kancane futhi ziba zimbi ngokuhamba kwesikhathi, futhi zifaka:

• Ubuhlungu esandleni noma eminweni, okungaba namandla kakhulu lapho kuvuka futhi kuncipha usuku lonke, kepha ngokuqhubeka kwesifo, ubuhlungu bungavela usuku lonke;
• Ukuqina kwamalunga wezandla neminwe, kuqapheleka kakhulu lapho uvuka noma ngemuva kokuhamba isikhathi eside ngaphandle kokuhambisa izandla noma iminwe;
• Ukwanda kokuzwela kwamalunga wezandla neminwe, okungazwela lapho kusetshenziswa ingcindezi yokukhanya kuhlangothini noma eduze nalo;
• Ukulahleka kokuguquguquka, okwenza kube nzima ukwenza ukunyakaza okulula, njengokuthatha into noma ukubhala, isibonelo;
• Ukuvuvukala eminweni kubangelwa ukuvuvukala okuzungeze ilunga;
• Ukufakwa ezandleni noma eminwe, ngisho nasekuphumuleni.

Ngaphezu kwalokho, ukwakheka kwamaqhuqhuva emalungeni, njenge-nodule ka-Heberden, okwakhiwa ekuhlanganeni kokugcina kweminwe, kanye nesinqeqele seBouchard, esakhiwa maphakathi neminwe, kungaqinisekiswa.

Ukuxilongwa kwe-arthrosis yezandla kufanele kwenziwe ngudokotela wamathambo noma i-rheumatologist ngokususelwa ekuhlolweni komtholampilo lapho kuhlolwa khona izimpawu ezethulwe ngumuntu, kanye nokuhlolwa komlando wezempilo womuntu siqu nowomndeni.

Udokotela uvame ukuncoma ukuthi kwenziwe izivivinyo ezihambisanayo, njenge-X-ray, lapho kuhlolwa khona izinguquko zamathambo, i-computed tomography nemifanekiso yamagnetic resonance, ukuhlola izinga lokwehla kwenhlanganisela futhi, ngaleyo ndlela, aqinisekise ukuxilongwa futhi akhombise okuhle kakhulu ukwelashwa.

Izimbangela ezingaba khona

I-arthrosis esezandleni neminwe idalwa ikakhulu ngenxa yemizamo ephindaphindwayo, evame kakhulu kubantu abasebenzisa amalunga abo kakhulu, njengabasebenzi bokwakha, abathungi, abantu abenza imisebenzi yasendlini noma abasubathi abadlala imidlalo edinga umzamo wezandla.

Lesi simo sivame kakhulu kubantu abanezihlobo emndenini ezine-osteoarthritis, abantu abadala kanye nabesifazane abaya esikhathini, ngenxa yokuguga kwemvelo koqwanga.

Ngaphezu kwalokho, izifo ezivuthayo noma ezizimele, njenge-systemic lupus erythematosus ne-rheumatoid arthritis, ngaphezu kwezifo ze-metabolic ezifana ne-hemochromatosis, zingavumela ukuqina kwesandla okuhlangene, okuholele ekutheni i-osteoarthritis. Yazi ezinye izimbangela ze-osteoarthritis.

Yelashwa kanjani

Ukwelashwa kwe-osteoarthritis ezandleni naseminwe kwenziwa ngokwezimpawu ezilethwayo futhi kuhlose ukudambisa izinhlungu, ukuqinisa ukuqina nokusiza ekunyakaziseni ukunyakaza.

Ukwelashwa kufanele kuboniswe ngudokotela futhi kungenziwa nge:

1. Ukusetshenziswa kwemithi

Imithi yokwelapha i-arthrosis ezandleni naseminwe ibandakanya ukudambisa izinhlungu njenge-paracetamol noma izidakamizwa ezilwa nokuvuvukala njenge-ibuprofen noma naproxen, njengoba zisiza ekulawuleni ubuhlungu obuhlangene nokuvuvukala.

Omunye umuthi ongakhonjiswa ngudokotela yi-duloxetine, i-antidepressant, ekhonjiswa nokwelashwa kobuhlungu obungapheli obubangelwa i-arthrosis yezandla neminwe. Bona izinketho eziningi zemithi ye-osteoarthritis.

2. I-Physiotherapy

I-Physiotherapy ye-osteoarthritis yezandla neminwe isiza ukuqinisa imisipha ezungeze ilunga, yenyuse ukuguquguquka futhi yehlise ubuhlungu. Lokhu kwelashwa kufanele kuqondiswe yi-physiotherapist ezokhombisa izivivinyo ezifanele kakhulu ngokwesigaba se-osteoarthritis futhi ngawodwana. I-physiotherapist nayo ingadlulisa ukuzivocavoca okufanele kwenziwe ekhaya ukugcwalisa ukwelashwa kwe-physiotherapy, ngaphezu kokuncoma ukufaka iqhwa noma ukushisa endaweni ukukhulula izimpawu ze-arthrosis.

Buka le vidiyo nodokotela womzimba uMarcelle Pinheiro onemithambo ye-physiotherapy ye-osteoarthritis:

3. Ukungena emalungeni

Ukungena emalungeni wezandla noma eminwe kungenziwa ngomjovo wezidakamizwa ze-corticosteroid noma i-hyaluronic acid, ezimweni ezikhethiwe, futhi kufanele kuboniswe njalo kwenziwe ngudokotela oqaphe umuntu.

Imijovo ye-Corticosteroid emajoyini isiza ukuthuthukisa ubuhlungu futhi ingenziwa imijovo emi-3 kuye kwengu-4 ngonyaka. Ukujova i-corticosteroid, udokotela ubulala izinzwa ezizungeze amalunga esandla noma iminwe abese ejova i-corticoid.

Umjovo we-hyaluronic acid, into efana nento ejwayelekile etholakala emajoyintini esebenza njengesihluthulelo sokushaqeka, isiza ukuthambisa amalunga abuhlungu ezandla noma iminwe ngakho-ke, iyasiza ekunciphiseni ubuhlungu.

4. Ukuhlinzwa

Ukuhlinzwa kwe-arthrosis ezandleni noma eminweni kukhonjiswa kuphela kwinani elincane lamacala lapho ukwelashwa bekungasebenzi khona noma lapho elinye lamalunga lonakele kakhulu. Kodwa-ke, asikho isiqinisekiso sokuthi ukuhlinzwa kuzoziqeda nya izimpawu futhi umuntu angaqhubeka nokuzwa ubuhlungu nokuqina ezandleni noma eminweni.