I-Bursitis vs. I-Arthritis: Uyini Umehluko?

-Delile

• Ukuqhathaniswa kwezimpawu
• Ungasho kanjani?
• Ukuxilongwa
• Kwenzekani emzimbeni
• I-Bursitis
• I-osteoarthritis
• Isifo samathambo
• Ukwelashwa
• I-Bursitis
• I-osteoarthritis
• Isifo samathambo
• Ukubonana nodokotela nini
• Okubalulekile

Uma unezinhlungu noma ukuqina kwelinye lamajoyinti akho, ungahle uzibuze ukuthi ngabe yini ebangelwa yisimo esidala lesi. Ubuhlungu obuhlangene bungadalwa yizimo eziningana, kufaka phakathi i-bursitis nezinhlobo zesifo samathambo.

Isifo samathambo singeza ngezindlela ezahlukahlukene, kubandakanya i-osteoarthritis (OA) ne-rheumatoid arthritis (RA). I-RA ivuvukala kakhulu kune-OA.

I-Bursitis, i-OA, ne-RA banezimpawu ezifanayo, kepha umbono wesikhathi eside nezinhlelo zokwelashwa zihlukile.

Izimo eziningi ze-bursitis zingelashwa futhi zihambe. I-OA ne-RA zombili zingamahlalakhona, noma kunjalo ungahle udlule ezikhathini zokuncipha kwezimpawu nezimpawu zezimpawu.

Ukuqhathaniswa kwezimpawu

I-Bursitis, i-OA, ne-RA ingabonakala ifana lapho ubuka nje izimpawu ezihlobene nelungu, kepha isimo ngasinye sihlukile.

Ungasho kanjani?

Kungaba nzima ukuthola imbangela yobuhlungu bakho obuhlangene. Cishe uzodinga udokotela ukuze ahlolisise isimo sakho njengoba izimpawu zesikhashana zesimo zingafana ncamashi.

Ubuhlungu obuhlangene obuza futhi buhambe bungaba yi-bursitis, kuyilapho ubuhlungu obuningi obungapheli bungaba yi-OA.

Ungacabanga nge-bursitis uma ubona ukuqala kwamuva kwezimpawu ngemuva kokwenza isenzo sokunyakaza esiphindaphindayo njengokudlala ithenisi noma ukukhasa uzungeze izandla zakho namadolo akho.

Izimpawu ze-RA zingahambela emalungeni ahlukene emzimbeni wakho. Ukuvuvukala okuhlangene kuvame ukuba khona, futhi kwesinye isikhathi amaqhuqhuva esikhunjeni abizwa ngokuthi ama-rheumatoid nodules nawo akhona.

Ukuxilongwa

Udokotela wakho uzodinga ukwenza ukuhlolwa komzimba, axoxe ngezimpawu zakho, futhi athathe umlando wezempilo nowomndeni ukuze aqale ukuxilonga isimo sakho, kungakhathalekile ukuthi une-bursitis, i-OA, noma i-RA.

Lezi zenzo zokuqala zinganele ukuthola i-bursitis. Udokotela wakho angalawula ukuhlolwa kwelabhoratri ukukhipha ukutheleleka noma i-ultrasonography ukuqinisekisa i-bursitis noma i-tendinitis noma ukuhlolwa okuqhubekayo kokuthola i-cellulitis.

Kuvame kakhulu ukwenziwa i-imaging nezinye izivivinyo zelebhu ze-OA neRA. Udokotela wakho angancoma ngisho nochwepheshe owaziwa njenge-rheumatologist ngokubonisana nokwelashwa kwalezi zimo ezihlala isikhathi eside.

Kwenzekani emzimbeni

Lezi zimo ezihlukile zenzeka ngezizathu ezahlukahlukene, kufaka phakathi:

• ukuvuvukala
• ukukhishwa kwekristalu
• ukuwohloka ngokuhlanganyela

I-Bursitis

I-bursitis yenzeka lapho isikhwama esigcwele uketshezi esibizwa nge-bursa sivuvuka. Une-bursas kuwo wonke umzimba wakho eduze kwamalunga akho anikezela nge-padding phakathi kwe:

• amathambo
• isikhumba
• imisipha
• imisipha

Ungakuthola ukuvuvukala kwe-bursa uma uzibandakanya nomsebenzi odinga ukunyakaza okuphindaphindayo njengomdlalo, umdlalo wokuzilibazisa, noma umsebenzi wezandla.

Isifo sikashukela, ukukhishwa kwekristalu (i-gout), kanye nezifo nakho kungadala isimo.

Ngokuvamile kuyisimo sesikhashana esiphela ngemuva kwamasonto ambalwa okwelashwa. Kungabuya ngezikhathi ezithile. Kungaba yisifo esingalapheki uma kungelashwa noma uma kubangelwa esinye isimo.

I-osteoarthritis

Lokhu kungaba uhlobo lwe-arthritis oluqala ukufika engqondweni uma uzwa lelo gama. I-OA idala izinhlungu ezihlangene kusukela ekugugeni nasekudabukeni iminyaka eminingi. Ishintsha lonke ilunga lakho futhi okwamanje ayibuyiseki.

Imvamisa, i-OA yenzeka lapho uqwanga ejoyintini lwehla eminyakeni eminingi. Uqwanga lunikeza ukugoqa phakathi kwamathambo emajoyintini akho. Ngaphandle koqwanga olwanele, kungaba buhlungu kakhulu ukuhambisa okuhlangene kwakho.

Ukuguga, ukusebenzisa ngokweqile ilunga, ukulimala, nokukhuluphala ngokweqile kungathinta amathuba akho okuba ne-OA. Kukhona nokuthambekela kofuzo kwezinye izimo, ngakho-ke kungahle kube khona kumalungu omndeni amaningana.

Isifo samathambo

Lolu hlobo lobuhlungu obuhlangene empeleni lubangelwa yingxenye amasosha omzimba hhayi ukwakheka kwejoyini uqobo.

I-RA yisimo sokuzimela, okusho ukuthi amasosha akho omzimba asedrive futhi ahlose amaseli anempilo, adala ukuvuvukala emzimbeni.

Izimo ze-autoimmune zingahlala impilo yonke futhi azikwazi ukwelashwa, kepha zingelashwa.

I-RA yenzeka lapho amasosha akho omzimba ehlasela amangqamuzana aphilile kulwelwesi lwakho oluhlangene, okuholela ekuvuvukeni nasekuhluphekeni. Lokhu kungaholela ekulimaleni unomphela kwamalunga akho uma kungalashwa. I-RA nayo ingahlasela izitho zakho.

Ukubhema, isifo se-periodontal, ukuba ngowesifazane, nokuba nomlando womndeni waleso simo kungakhuphula ingozi yokuba ne-RA.

Ukwelashwa

Imiphumela yazo zonke lezi zimo iyahlukahluka, njengokwelashwa kwazo. Funda ngezansi ngezindlela zokwelapha i-bursitis, i-OA, ne-RA.

I-Bursitis

Lesi simo singelashwa ngezindlela ezahlukahlukene zasekhaya, imishanguzo ye-over-the-counter (OTC), kanye nokungenelela okuvela kudokotela noma uchwepheshe.

Ukwelashwa komugqa wokuqala kwe-bursitis kungafaka:

• ukufaka iqhwa nokushisa kujoyini elithintekile
• ukuphumula nokugwema ukunyakaza okuphindaphindayo kujoyini elithintekile
• ukwenza izivivinyo ukukhulula ilunga
• ukufaka i-padding kumajoyini azwelayo lapho wenza imisebenzi yezandla
• ukugqoka izicathulo ezihlanganiswe ngensimbi noma ngeplangwe zokuqondisa izinyawo ezibhekene zezingane noma okokubhinca ukuze usekele ukujoyina
• ukuthatha imishanguzo ye-OTC njengezidakamizwa ezingezona ukuvuvukala (ama-NSAID), njenge-ibuprofen ne-naproxen, ukuphatha ubuhlungu nokunciphisa ukuvuvukala

Uma izimpawu zinganciphisi ngalezi zindlela zokwelapha, udokotela wakho angancoma ukwelashwa ngokomzimba noma kokusebenza, imishanguzo yomlomo noma yomjovo ojova ngokuqinile, noma ukuhlinzwa.

Kubalulekile ukuqaphela ukuthi kuyaqabukela kunconywa ukuhlinzwa.

I-osteoarthritis

Ukwelashwa kwe-OA kuzogxila ekwehliseni izimpawu, kunokuba kuzelaphe, futhi kugcinwe umsebenzi. Udokotela wakho angancoma:

• imithi, kufaka phakathi i-OTC nemithi kadokotela, kufaka phakathi ama-topicals
• ukuzivocavoca kanye neminye imisebenzi
• ukulungiswa kwendlela yokuphila, njengokugwema imisebenzi ephindaphindwayo nokulawula isisindo sakho
• ukwelashwa ngokomzimba nangokomsebenzi
• ama-brace, ama-splints nezinye izesekeli
• ukuhlinzwa, uma izimpawu zinciphisa kakhulu amandla

Isifo samathambo

Udokotela wakho angancoma ukuthi welaphe ubuhlungu obuhlangene njengoba kwenzeka uma une-RA. Kodwa ukwelapha i-RA kubandakanya izindlela ezahlukahlukene zokuphatha ukugwema ukuqhuma nokugcina isimo sixolelwe.

Ukukhululwa kusho ukuthi awunazo izimpawu ezisebenzayo, futhi izimpawu zokuvuvukala ezivamile egazini zingenzeka.

Ukuphatha ubuhlungu obuhlangene kungafaka ukuthatha ama-NSAID noma eminye imishanguzo yokuqeda izinhlungu nokunciphisa ukuvuvukala. Udokotela wakho futhi angancoma ukuphumula amalunga kodwa uhlale usebenza ngezinye izindlela.

Ukuphathwa kwesikhathi eside kwe-RA kungabandakanya ukuthatha imishanguzo kadokotela efana nemishanguzo yokuguqula izifo kanye nezinguquko zezimpendulo zebhayoloji.

Udokotela wakho angakukhuthaza futhi ukuthi ugweme ukucindezelwa, uhlale ukhuthele, udle okunempilo, futhi uyeke ukubhema, uma ubhema, ukugwema ukuqala isimo nokuzwa ubuhlungu bamalunga.

Ukubonana nodokotela nini

Uma ngabe uhlangabezana nobuhlungu obuhlangene amasonto ambalwa noma ngaphezulu, vakashela udokotela wakho.

Kufanele ubone udokotela ngokushesha uma:

• ungakwazi ukunyakazisa ilunga lakho
• qaphela ukuthi ijoyini livuvukele kakhulu kanti isikhumba sibomvu ngokweqile
• uhlangabezana nezimpawu ezinzima eziphazamisa ikhono lakho lokuqedela imisebenzi yansuku zonke

Kufanele futhi ubone udokotela wakho uma unemfiva noma izimpawu ezifana nomkhuhlane kanye nobuhlungu obuhlangene. Umkhuhlane kungaba uphawu lokutheleleka.

Okubalulekile

Ubuhlungu obuhlangene bungabangelwa esinye sezimo eziningi.

I-Bursitis imvamisa iyindlela yesikhashana yobuhlungu obuhlangene, kuyilapho i-OA ne-RA kuyizindlela ezihlala isikhathi eside.

Bona udokotela wakho ukuthola ukuxilongwa okufanele, njengoba isimo ngasinye siphathwa ngokuhlukile.

Ungakwazi ukuzama ukungenelela ukwelapha i-bursitis, kuyilapho i-OA neRA zizodinga ukuphathwa isikhathi eside.