Ingabe Ungathola Isifo Samathambo Emhlathini Wakho?

-Delile

• Amaqiniso asheshayo nge-arthritis emhlathini
• Yiziphi izinhlobo zesifo samathambo ezingathinta umhlathi wakho?
• I-osteoarthritis
• Isifo samathambo
• I-psoriatic arthritis
• Ziyini izimpawu zesifo samathambo emhlathini wakho?
• I-Jaw arthritis ne-TMJ ukuphazamiseka
• Ezinye izimbangela zobuhlungu bomhlathi
• Ukubonana nodokotela nini
• Yiziphi izinketho zokwelashwa?
• Ukuhlinzwa
• Ingabe zikhona izindlela zokuzinakekela ezisizayo?
• Okubalulekile

Yebo, ungathola i-arthritis emhlathini wakho, yize kungeyona indawo abantu abaningi abacabanga ngayo uma kukhulunywa ngesifo samathambo.

I-arthritis emhlathini wakho ingabangelwa:

• i-osteoarthritis
• isifo samathambo
• isifo samathambo psoriatic

I-jaw arthritis ingahluka kusuka kumnene kuya kokubi futhi ingahle yande ngokuhamba kwesikhathi. Kungadala futhi nezimpawu ezihambisana nokuphazamiseka kwe-temporomandibular joint (TMJ).

Lo mbhalo uzosiza ekuchazeni ukuthi izinhlobo ezahlukahlukene zesifo samathambo zingathinta kanjani umhlathi kanye nezinketho zokwelashwa ezingasiza.

Amaqiniso asheshayo nge-arthritis emhlathini

• Ngoba umhlathi uhlanganisa zombili ihinji kanye nokunyakaza kwe-sliding, kubhekwa njengenye yamajoyinti anzima kakhulu emzimbeni wakho.
• Ngokusho kwe-osteoarthritis yomhlathi kuthinta amaphesenti alinganiselwa ku-8 kuya kumaphesenti ayi-16 omhlaba wonke.
• Ngokocwaningo olufanayo, i-jaw osteoarthritis ithinta abesifazane abaningi kunabesilisa.
• I-osteoarthritis ingathinta uhlangothi olulodwa noma zombili zomhlathi wakho.

Yiziphi izinhlobo zesifo samathambo ezingathinta umhlathi wakho?

I-osteoarthritis

I-osteoarthritis yindlela ejwayelekile ye-arthritis ewohlokayo, engathinta noma yiliphi ilunga emzimbeni wakho. Kuhlotshaniswa nokusetshenziswa ngokweqile ngokuhlangene, futhi kuba okuvame kakhulu njengoba ukhula.

I-osteoarthritis yomhlathi ibonakala ngokucekelwa phansi kwezicubu ezinzima nezithambile ezizungeze amalunga omhlathi. Lokhu kungashintsha ukwakheka nokusebenza komhlathi.

Ukulimala komhlathi kungaba ngomhlathi.

Isifo samathambo

I-rheumatoid arthritis (RA) isifo esizimele esibangela ukuthi amasosha omzimba wakho ahlasele izicubu ezinempilo ezifaka amalunga akho. Isimo esingapheli sokuvuvukala.

Izimpawu zomhlathi zivame ukwenzeka ezigabeni zakamuva ze-RA. Zombili izinhlangothi zomhlathi zingathinteka.

Kubantu abane-RA, cishe amaphesenti angama-93 wabo abenezimpawu ze-TMJ noma ukubhujiswa kwethambo lomhlathi. Ucwaningo olufanayo luthole ukuthi ubunzima benkinga ye-TMJ buhlobene nobukhulu beRA.

I-psoriatic arthritis

I-Psoriatic arthritis (i-PsA) yisimo esihlangene sokuvuvukala esenzeka cishe kubantu abanesimo se-psoriasis sesikhumba. Kuyisimo sokuzimela komzimba okucatshangwa ukuthi sisebenza emindenini.

I-PsA yisimo esingelapheki, kepha izimpawu zingafika zidlule. Uma ingalashwa kusenesikhathi, ingalimaza umhlathi ngokungaphenduki, njengoba kuphawuliwe ocwaningweni luka-2015.

I-PsA uhlobo lwe-spondyloarthritis lwe-arthritis. Ezinye izinhlobo ze-arthritis kuleli qembu zingadala ukuphazamiseka kwe-TMJ.

Ucwaningo olufanayo luka-2015 lwabantu abangu-112 - abanye abane-psoriasis kuphela kanti abanye abane-psoriasis ne-PsA - bathola ukuthi womabili la maqembu anezimpawu zokuphazamiseka kwe-TMJ.

Kepha labo abane-PsA babenezimpawu ezengeziwe kakhulu ze:

• izinkinga zokuvula umhlathi
• ukugaya amazinyo nokuqinisa
• imisindo yomhlathi

Ziyini izimpawu zesifo samathambo emhlathini wakho?

Izimpawu zesifo samathambo emihlathini yakho zingahluka ngokuya ngobukhulu besifo samathambo. Ezinye zezimpawu ezivame kakhulu zifaka:

• ubuhlungu, okungaba buhlungu buthuntu noma ukugwaza okubukhali lapho uhambisa umhlathi
• ukuvuvukala ngaphakathi noma ezungeze amalunga omhlathi wakho
• ukunyakaza okuhlangene okuvinjiwe noma ukukhiya umhlathi wakho
• ukuthamba komhlathi
• ukuqina komhlathi, ikakhulukazi ekuseni
• umsindo we-creaking, grating, wokuchofoza, noma we-crunching (obizwa nge-crepitus)
• ukuhlafuna ubunzima
• ubuhlungu bobuso noma ubuhlungu obuzungeze indlebe noma intamo yakho
• ikhanda
• ubuhlungu bezinyo

I-Jaw arthritis ne-TMJ ukuphazamiseka

Izinkinga ezihlangene ze-Temporomandibular zivame kakhulu, zithinta abantu baseMelika abangaba yizigidi eziyishumi, ngokusho kweNational Institute of Dental and Craniofacial Research.

I-arthritis emhlathini ingaveza izimpawu zokuphazamiseka kwe-TMJ. Lokhu kungafaka:

• ukuvuvukala okungapheli
• ukuwohloka koqwanga
• ukuvinjelwa kokuhamba

Ukudlondlobala nobukhali bokuphazamiseka kwe-TMJ kuncike ohlotsheni lwe-arthritis ehilelekile. Umshini wokuthi ukuwohloka kwe-cartilage cartilage kubangela kanjani ukuphazamiseka kwe-TMJ akuqondakali kahle.

Ezinye izimbangela zobuhlungu bomhlathi

Ubuhlungu bomhlathi bungaba nezimbangela eziningi, futhi kwesinye isikhathi kungaba nezimbangela ezingaphezu kwesisodwa. Ubuhlungu emhlathini wakho abuhlali buhlobene nokulimala kwethambo.

Ngaphandle kwesifo samathambo, ubuhlungu bomhlathi nakho kungabangelwa:

• Ukunyakaza okuphindaphindwayo. Ezinye izigameko ezivamile zifaka phakathi:
  • ukuhlafuna insini njalo
  • ukuqinisa noma ukugaya amazinyo akho
  • ukuluma uzipho
• Ukulimala. Lokhu kungabangelwa:
  • ukutheleleka, njengokutheleleka kwesono
  • igalelo emhlathini
  • ukwelula umhlathi, njengenqubo yamazinyo
  • ukufakwa kwamashubhu ngesikhathi senqubo yezokwelapha
• Izinkinga zomzimba. Izibonelo zingafaka:
  • ukungalingani kwamazinyo akho
  • izinkinga zomhlathi ezakhiwe njengefa
  • izifo zezicubu
• Imithi. Eminye imithi kadokotela ingathinta imisipha yakho yomhlathi futhi idale ubuhlungu.
• Izici ezingokomzwelo. Ukukhathazeka, ukudangala, kanye nengcindezi kungadala ukushuba, imisipha yomhlathi eqinile noma kwenze izinhlungu zomhlathi zibe zimbi kakhulu.

Ukubonana nodokotela nini

Uma unezinhlungu zomhlathi, kuwumqondo omuhle ukubona udokotela wamazinyo noma udokotela wakho ukuthola imbangela. Uma usheshe welapha izinkinga ze-arthritis noma ze-TMJ, kungcono ukubikezelwa. Ukubamba i-arthritis kusenesikhathi kungasiza ekuvikeleni ukulimala emhlathini wakho.

Umhlinzeki wakho wezokunakekelwa kwempilo uzocela umlando wakho wezokwelapha futhi ahlole ngokomzimba umhlathi wakho. Bazobuza futhi ngezimpawu zakho futhi bangahle bahlole ukuhlolwa kwegazi.

Ukusiza ukuxilonga imbangela yobuhlungu bomhlathi wakho, umhlinzeki wakho wezokunakekelwa kwempilo anga-oda ukuhlolwa kwezithombe. Lokhu kungafaka:

• i-X-ray yomhlathi wakho
• ukuskena kwe-CT (computed tomography) ukuze ubuke kangcono amathambo akho omhlathi nezicubu ezihlangene
• I-MRI (imaging resonance imaging) ukubona ukuthi kunezinkinga yini ngesakhiwo somhlathi wakho

Yiziphi izinketho zokwelashwa?

Ukwelashwa kwe-arthritis yomhlathi kuzoya ngohlobo lwe-arthritis onayo nobukhulu bayo.

Ngokuvamile, umgomo wokwelashwa uku:

• ukuvimbela ukuwohloka okuqhubekayo komhlathi
• phatha ubuhlungu
• gcina umsebenzi wakho womhlathi

Njengamanje, alukho usizo lokwelapha ukubuyisela emuva umonakalo we-jaw arthritis.

Ukubuyekezwa kocwaningo ngo-2017 mayelana ne-jaw arthritis kubike ukuthi izinyathelo zokuqala zokuzilungisa zixazulule izimpawu zobuhlungu kubantu abane-jaw arthritis. Lezi zinyathelo zifaka phakathi:

• ukuphumula komhlathi
• ukwelashwa ngokomzimba
• izidakamizwa ezingezona ukuvuvukala (ama-NSAID)
• unogada womlomo ukuvimbela ukugaya amazinyo

Ngokuya ngezimpawu zakho zomhlathi wamathambo nokuthi zinzima kangakanani izimpawu zakho, umhlinzeki wakho wezokunakekelwa kwempilo angaphinde anikeze ukuthi:

• ukugqugquzela ugesi
• izidakamizwa zomlomo kufaka phakathi:
  • ukuphumula kwemisipha
  • Ukudambisa izinhlungu kadokotela
  • imishanguzo
  • izidakamizwa zokuguqula izifo (DMARDS)
• amafutha okugcoba
• imijovo ye-steroid
• imijovo ye-hyaluronic acid
• ukutshopa

Ukuhlinzwa

Uma ukwelashwa okulondolozayo kungasebenzi ekudambiseni izinhlungu noma ezinye izimpawu, ukuhlinzwa kungaba yindlela.

Enye inketho i-arthroscopy ene-arthrocentesis, okuyinqubo encane yokuhlasela enezinga eliphezulu lokuphumelela.

Ngokuya ngokubuyekezwa kuka-2017, le nqubo iqeda izimpawu kubantu abane-jaw arthritis abasenobuhlungu ngemuva kokuzama izindlela zokwelapha ezilandelanayo.

Phakathi nale nqubo, umhlinzeki wakho wezokunakekelwa kwempilo uzokwakha imbobo eyodwa noma ngaphezulu ngenhla kwejoyini lomhlathi. Okulandelayo, bazofaka i-arthroscope - ithuluzi elinokukhanya nekhamera - ukubheka ilunga.

Lapho umhlinzeki wakho wezokunakekelwa kwezempilo esebone ukuhlangana kwakho komhlathi ngokucacile, bazofaka amathuluzi amancane ekuvuleni ku:

• khipha izicubu ezibomvu
• yakha kabusha ilunga
• khipha ukuvuvukala

Bazofaka futhi uketshezi ejoyintini lakho, okuyinqubo ebizwa ngokuthi i-arthrocentesis.

Uketshezi kusiza ukugeza noma yimiphi imikhiqizo yamakhemikhali yokuvuvukala. Lokhu kungasiza ukunciphisa ingcindezi ejoyintini futhi kusize umhlathi wakho uphinde uthole uhla oluthile lokunyakaza.

Ukuhlinzwa okuvulekile kuyindlela yokugcina yabantu abanokungasebenzi kahle komhlathi noma izinhlungu eziqhubekayo. Ingqikithi yokufakwa ngokuhlanganyela nayo ingenzeka.

Ingabe zikhona izindlela zokuzinakekela ezisizayo?

Uma ubuhlungu bomhlathi wakho bungabi bukhulu kakhulu futhi abuphazamisi impilo yakho yansuku zonke, ungahle uthande ukuzama ukunciphisa ukungakhululeki kwakho komhlathi ngezinyathelo zokuzinakekela.

Ezinye izinketho zifaka:

• Uphumuza umhlathi. Ukugwema ukuvula umhlathi wakho ngokuzama nokuzama ukunamathela ekudleni ukudla okuthambile okungafanele ukuthi ukuhlafune kakhulu kungahlinzeka ukukhululeka.
• Ukwelashwa kweqhwa noma ukushisa. Ukufaka i-compress ebandayo kunganciphisa ukuvuvukala, ngenkathi iphedi yokushisa noma ibhodlela lamanzi ashisayo kungasiza ukukhulula imisipha yakho yomhlathi.
• Ukuzivocavoca kwemihlathi. Ukwenza izivivinyo zomhlathi ezithile kungasiza ekuqiniseni imisipha yakho yomhlathi futhi uthuthukise ukuhamba kwamalunga omhlathi wakho.
• Ukuzivocavoca umzimba. Uma uqinisa umhlathi wakho lapho ucindezelekile, izivivinyo zokuphumula zingakusiza uzizwe uzolile futhi ungakhululekile.
• Ukubhucunga imisipha yakho yomhlathi. Ukubhucunga imisipha yakho yomhlathi kungasiza ekwenzeni ukugeleza kwegazi futhi kusheshise ukwelashwa.
• Gqoka isivikelo somlomo ebusuku. Uma ujwayele ukugaya amazinyo akho lapho ulele, isivikelo somlomo singasiza ukuvimbela lokhu.

Okubalulekile

Yize umhlathi ungavamisile ukuhlotshaniswa nesifo samathambo, kungenzeka emajoyintini amaningi emzimbeni wonke, kufaka phakathi umhlathi wakho. I-osteoarthritis, i-rheumatoid arthritis, noma i-psoriatic arthritis ingadala isifo samathambo emhlathini.

Ubuhlungu, ukuvuvukala, nokunyakaza okuvinjelwe komhlathi yizimpawu ezivame kakhulu. I-arthritis nayo ingadala ukuphazamiseka kwe-TMJ.

Ukuxilongwa kusenesikhathi kwe-arthritis yomhlathi kungasiza ukuvimbela noma ukubambezela ukuwohloka okuqhubekayo komhlathi. Izindlela zokulondolozwa kwemvelo kuvame ukuba umugqa wokuqala wokwelashwa. Uma ubuhlungu buqhubeka noma uma ukulimala komhlathi kudlulele, ukuhlinzwa kungadingeka.