I-Osteoarthritis Yozwane Olukhulu: Izimpawu, Izimbangela, Nokwelapha

-Delile

• Ziyini izimpawu ze-OA kuzwaneni?
• Ukushintsha ukubukeka
• Kunzima ukuhamba
• Izimbangela ze-osteoarthritis
• Ukwelashwa kwasekhaya
• Ukwelashwa kwe-Osteoarthritis
• Ukuhlinzwa
• Ungakwazi yini ukuvimbela i-osteoarthritis?
• Gcina isisindo sakho esinempilo
• Gcina amazinga kashukela egazini aphilile
• Hlala usesimweni
• Nakekela noma yikuphi ukulimala
• Ukuthatha

Yini i-osteoarthritis?

I-Osteoarthritis (OA) uhlobo oluvame kakhulu lwe-arthritis. Kungathinta amalunga nomaphi emzimbeni. Lapho uqwanga emalungeni luphela, amathambo ayavezwa bese aqubuzana. Lokhu kubangela ukuvuvukala nobuhlungu ejoyintini futhi kunganciphisa ibanga lakho lokunyakaza.

I-OA ngokuvamile iqala kancane kepha ivame ukuba yimbi ngokuhamba kwesikhathi. Isisekelo sezinzwane ezinkulu, esaziwa ngokuthi ilunga lokuqala le-metatarsophalangeal, yindawo evamile ye-OA.

Ziyini izimpawu ze-OA kuzwaneni?

Ngisho nasezigabeni zokuqala, isifo samathambo kuzwane singadala isizungu, ukuqaqamba, nobuhlungu bamalunga. Ungase futhi uzizwe ubuhlungu noma ubuhlungu kwezinye izinzwane noma enyaweni yonyawo lwakho lapho uhamba.

Ngokuhamba kwesikhathi, ungahle uhlakulele umuzwa ovuthayo, okuyisibonakaliso esivelele sobuhlungu bezinzwa, noma i-neuropathy.

Uzwane lwe-arthritic lungaqaqamba ngemuva kokuhlala isikhathi eside noma lapho uvuka okokuqala ekuseni. Ukuqina nobuhlungu imvamisa kuyisibonakaliso se-OA ngemuva kwesikhathi eside sokungasebenzi noma ukungakwazi ukuhamba.

Ukwanda kwethambo elikhulu lezinzwane kungenza kube nzima noma kungenzeki ukugoba uzwane lwakho.

Ngokuqondile, kubantu abane-OA, ukuwohloka okuhlangene kanye nenqubo yethambo esebenzayo kuyabangelwa, njenge-spurs noma i-ankylosing. Ukukhula kwethambo okweqile kungaholela ekuhlanganeni kokuhlangana kanye nokuhlangana okungaguquki, noma okungagoqi. Umphumela uba uzwane oluqinile, olubizwa nangokuthi i-hallux rigidus.

Ukushintsha ukubukeka

I-arthritis ibangela ukuvuvukala, ngakho-ke ungabona ukuvuvukala okuzungeze ukuhlangana kozwane lwakho. I-cartilage eyonakele ingaholela ekuthanjaneni kwamathambo.

Ungaba nokunciphisa isikhala ngokuhlanganyela, noma ukubhujiswa, kepha ubuhlungu obuncane. Kukhona inqwaba yezimpawu nokutholwa kwe-radiographic okungenzeka.

Umzimba wakho uzozama ukulungisa lesi simo ngokukhula kwamathambo amaningi. Lokhu kudala ukuphuma kwamathambo okuthiwa i-bone spurs.

Ungahle ungazi ngamathambo kuze kube yilapho uthuthukisa i-bump ebonakalayo noma i-callus kuzwane lwakho.

Lapho uzwane olukhulu luguquka, lungaqala lududule lubhekane nezinye izinzwane, lubangele ukuba inhlanganisela engezansi kukazwane ikhule. Lokhu kwaziwa njenge-bunion. Njengoba lokhu kukhuliswa kwe-capsule okuhlangene kungelona ithambo, ngeke kuvele kuma-X-ray.

Kunzima ukuhamba

Ukuhamba kungaba yinkinga uma ungakwazi ukugoba uzwane lwakho olukhulu.

Uma ungenawo vele amabuniyoni, ukungalingani ngendlela ohamba ngayo kungabenza bathuthuke kakhulu. Njengoba uhamba, amabuniyoni acindezela izicathulo zakho, okwenza izinzwane zakho ezinkulu zicindezele ezinye izinzwane zakho. Lokhu kwenza ukuhamba kube buhlungu.

Ukuhlikihla okulandelayo kwejoyinti langaphandle kuzicathulo zakho nakho kungenza ukuhamba kube buhlungu.

Ngokuhamba kwesikhathi, amabuniyoni angaholela emmbileni (umnyombo ophakathi kwezicubu ezinzima ne-callus ezungeze yona), ama-callus, nama-hammertoes, okuyizinzwane ezibheke phansi futhi ezingawela zodwa.

Izimbangela ze-osteoarthritis

Ingozi yakho ye-OA iyanda njengoba ukhula, ikakhulu ngenxa yokuguga. Umzimba wakho ungahle ungakwazi ukuphulukisa uqwanga olimele njengoba ukhula.

Kungenzeka ukuthi uthuthukise i-OA uma:

• ube nomlando wayo womndeni
• ube nokukhuluphala ngokweqile
• ube nokulimala kwangaphambilini kwilungu

IHallux rigidus nayo ingenzeka ngenxa yokulimala uzwane noma ukukhubazeka konyawo. Ukuqina kuzwane olukhulu kuvamise ukuqala phakathi kweminyaka engama-30 nengama-60. Ukuqala kweminyaka yobudala kwe-OV kuvamise ukukhombisa ukuthi isimo senziwa ukufakwa.

Ukwelashwa kwasekhaya

Ukudambisa izinhlungu e-over-the-counter (OTC) kanye nama-anti-inflammatories kungasiza ekunciphiseni ubuhlungu nokuvuvukala. Ukubeka amaphakethe eqhwa kuzwane kunganikeza ukukhululeka kwesikhashana.

Ukukhetha izicathulo ezifanele kungenza umehluko omkhulu. Izithende eziphakeme, izicathulo eziqinile, nezicathulo ezicijile zingakhuthaza ukwakheka kwamabunion. Ungasizakala ngokufakwa kwephedi noma izisekeli ze-arch ukuvimbela ukuxubha nokwenza ngcono ukunethezeka.

Njalo vumela indawo eningi yozwane lwakho olukhulu.

Isisindo esingeziwe sengeza ukucindezeleka emathanjeni ezinyawo zakho, ngakho-ke zama ukunaka ukudla kwakho futhi uvivinye umzimba njalo. Lezi zinguquko zendlela yokuphila zingakusiza uzizwe ungcono futhi ubambezele ukuqhubeka, kepha kungenzeka kungamisi ukuqhubeka kwe-OA.

Ukwelashwa kwe-Osteoarthritis

Umhlinzeki wakho wezokunakekelwa kwempilo angathatha i-X-ray yonyawo lwakho ukufuna ama-bone spurs nokuhlola ukulahleka komsebenzi wejoyini. Kodwa-ke, ama-X-ray awadingeki ngaso sonke isikhathi ukuthola kahle i-OA.

Imvamisa ukuthola ukuhamba kahle noma isicathulo sezemidlalo kungasiza. Kodwa-ke, uma leyo nketho ingasebenzi, umhlinzeki wakho wezokunakekelwa kwempilo futhi angancoma ama-insoles enziwe ngokwezifiso noma izicathulo ezinamathe aqinile namabhodlela e-rocker.

Umelaphi wakho womzimba noma omunye umhlinzeki wezokunakekelwa kwezempilo angakukhombisa ukuthi ukwelula kanjani nokuzivocavoca kwezinyawo zakho. Kwezinye izimo, i-splint noma i-brace ingaba usizo. Induku ehamba ngezinyawo ingakusiza uzizwe uzinze kakhudlwana.

Amasokisi wokucindezelwa ayatholakala futhi angasiza ukuphatha isimo sakho.

Umhlinzeki wakho wezokunakekelwa kwempilo angajova ama-corticosteroids ngqo ejoyintini lakho ukusiza ukunciphisa ukuvuvukala nokudambisa izinhlungu. Umjovo owodwa we-corticosteroid ungasebenza. Noma kunjalo, banganikezwa ama-3 noma ama-4 amahlandla ngonyaka.

Umhlinzeki wakho wezokunakekelwa kwempilo angancoma nemithi ye-OTC, njengama-gel angqubuzana nokuvuvukala noma ama-lotion. Uma imithi ye-OTC ingasebenzi, ingahle inikeze eminye imithi.

Ukuhlinzwa

Ezimweni ezinzima kakhulu, abahlinzeki bezokunakekelwa kwezempilo bangasusa uqwanga olimele futhi balungise ukujoyina endaweni ehlala njalo, ebizwa nge-fusion noma i-arthrodesis. Bangakwenza lokhu besebenzisa ipuleti nezikulufo, noma izintambo.

Ezinye iziguli zingazuza ngokuhlinzwa okuhlanganyelwe okufakwa esikhundleni, okubizwa nge-arthroplasty. Izinketho zokuhlinza zizoncika ezingeni lomsebenzi wakho nokuthi ngabe imisebenzi yakho idinga ukunyakaza kwenhlanganisela ye-metatarsophalangeal.

Buza umhlinzeki wakho wezokunakekelwa kwezempilo uma ngabe ufanelekele ukuhlinzwa uma ukwelashwa okungasetshenziswanga kungakusizi.

Ungakwazi yini ukuvimbela i-osteoarthritis?

Landela lezi zeluleko ukusiza ukuvimbela i-OA:

Gcina isisindo sakho esinempilo

Ukugcina isisindo sakho esinempilo kungasiza ekuvimbeleni amalunga akho ekutholeni ukucindezeleka okwengeziwe. I-Arthritis Foundation ithi kuwo wonke amakhilogremu owatholayo, amadolo akho kufanele axhase cishe amakhilogremu amane angeziwe wokucindezeleka. Ngokuhamba kwesikhathi, lokhu kucindezela okwengeziwe kuzoholela ekutheni amalunga akho aqhekeke.

Gcina amazinga kashukela egazini aphilile

Abantu abanesifo sikashukela sohlobo 2 cishe banamathuba aphindwe kabili okuba nesifo samathambo, ngokusho kwe-Arthritis Foundation.

Ucwaningo lwakamuva lukhombisa ukuthi ushukela wegazi ophakeme ungasiza ukwakheka kwama-molecule abangela uqwanga luqine. Abantu abanesifo sikashukela nabo babhekana nokuvuvukala okungadala ukulahleka koqwanga.

Hlala usesimweni

Ukuvivinya umzimba njalo kusiza ekuqiniseni imisipha esekela amalunga akho. Iphinde igcine amalunga akho eqinile. Ukuthola imizuzu engama-30 yokuzivocavoca umzimba amahlandla ama-5 ngeviki kungasiza ukuvikela i-OA.

Nakekela noma yikuphi ukulimala

Kungenzeka ukuthi uthuthukise isifo samathambo emalungeni owalimazile.

Nawa amathiphu amaningana wokukusiza ukuvikela amalunga akho:

• Gqoka izinto zokuzivikela uma udlala imidlalo.
• Prakthiza amasu amahle wokuphakamisa lapho uphethe izinto ezisindayo.

Ukuthatha

Kunezinto eziningi ezingaba nomthelela kumuntu othuthukisa i-OA, okubandakanya ukulahlwa ngokwezakhi zofuzo. Kodwa-ke, kukhona izindlela zokwelashwa ezingakusiza ukuphatha isimo nezimpawu zakho.

Khuluma nomhlinzeki wakho wezokunakekelwa kwezempilo ukukusiza ukuthi wakhe uhlelo lokwelashwa olusebenza kahle kakhulu kuwe.