Ukwelashwa kwe-OA ngomjovo nangendlela yokuhlinzwa: Umhlahlandlela Wezingxoxo Zodokotela

-Delile

• Izimpawu zakho
• Lokho osuvele ukwenzile ukwelapha i-OA yakho
• Izinguquko zendlela yokuphila
• Imithi
• Ukwelashwa ngomjovo

Ukubuka konke

Kwabanye abantu, ukuhlinzwa kuyindlela kuphela yokuqeda izinhlungu ze-osteoarthritis (OA) yamadolo. Kodwa-ke, kukhona nezindlela zokwelapha ezingezona ezokuhlinzwa nezinguquko zendlela yokuphila ezingaletha ukukhululeka.

Ukuthola inketho yakho engcono kudinga ingxoxo evulekile nodokotela wakho. Cabanga ukuxoxa ngezihloko ezilandelayo lapho uqokwa khona. Kungahle kube nendlela eyodwa noma eziningi ongaphatha ngayo i-OA yakho yamadolo ngaphandle kokulandela ukuhlinzwa.

Izimpawu zakho

Uma kukhulunywa ngezimpawu zakho nokuthi uzizwa kanjani, akekho owazi kangcono kunawe. Ukuqonda okucacile kwezimpawu ohlangabezana nazo nobukhali bazo kungahamba ibanga elide ekusizeni udokotela wakho ukuba eze nohlelo lokwelashwa.

Ubukhulu bezimpawu zakho kuzosiza nodokotela wakho ukuthi azi ukuthi ukwelashwa okungasetshenziswanga kuzokusebenzela yini.

Enye yezindlela ezinhle kakhulu zokuqinisekisa ukuthi utshela udokotela wakho konke abadinga ukukwazi mayelana nezimpawu zakho ukuzibhala phansi. Gcina umkhondo wezimpawu zakho ezinsukwini eziholela ekuqokweni kwakho. Qaphela lokhu:

• ubunzima bezinhlungu zakho esikalini sika-1 kuye ku-10
• lapho uzwa khona ubuhlungu
• uhlobo lobuhlungu obuzwayo, olunemininingwane ngangokunokwenzeka
• noma yiziphi ezinye izimpawu ohlangabezana nazo, njengokufudumala, ukubomvu, noma ukuvuvukala
• imisebenzi eyenza izimpawu zakho zibe zimbi kakhulu nanoma yikuphi ukulinganiselwa onakho
• yini edambisa ubuhlungu bakho
• ukuthi izimpawu zakho ziyithinta kanjani impilo yakho yansuku zonke

Qiniseka ukuthi futhi uletha noma yiziphi izimpawu onazo kusuka emithini oyiphuzayo.

Udokotela wakho kufanele azi ukuthi ngabe uhlangabezana nanoma yikuphi ukucindezeleka okungokomzwelo okuhlobene ne-OA yakho noma yikuphi ukwelashwa okutholayo futhi. Kwabanye, ubuhlungu be-OA kanye nomthelela wayo ekwenzeni kwabo izinto abazijabulelayo kungaholela emizweni yokukhathazeka nokudangala. Lokhu kudinga ukubhekiswa nodokotela wakho.

Lokho osuvele ukwenzile ukwelapha i-OA yakho

Xoxa nodokotela wakho nganoma yini osuvele uyenza ukwelapha i-OA yakho. Zibuze le mibuzo elandelayo, bese uxoxa ngezimpendulo zakho nodokotela wakho:

• Ngabe wenze noma yiziphi izinguquko zendlela yokuphila ukuzama ukuphatha i-OA yakho?
• Ngabe uthatha noma imiphi imithi noma izithasiselo?
• Ngabe imishanguzo noma izithasiselo ziyakusiza yini ngezimpawu zakho?

Izinguquko zendlela yokuphila

Bayanda odokotela abancoma izinguquko zendlela yokuphila ukwelapha i-OA. Ukuhlanganisa ukuzivocavoca kungaba enye yezindlela eziphumelela kakhulu zokwelapha ubuhlungu bamadolo akho. Ukuqinisa imisipha yakho ngokuzivocavoca kunganciphisa ubuhlungu nokuqina kwakho futhi kuthuthukise kakhulu ukuhamba kwakho. Kunganciphisa futhi ukulimala kwamalunga akho.

Ukudla ukudla okunempilo kungenye inguquko yendlela yokuphila okufanele uyixoxe nodokotela wakho. Izifundo eziningana zixhumanise isisindo ne-OA yamadolo. Baye bathola ukuthi ukulahlekelwa ngisho nangamakhilogremu ambalwa nje kungalithuthukisa kakhulu inani lomonakalo kuqwanga lwamadolo. Kulinganiselwa ukuthi iphawundi elingu-1 lesisindo somzimba lilingana no-3 kuye kwayi-6 amakhilogremu engcindezi emajoyini edolo.

Ukufaka ukudla okulwa nokuvuvukala ekudleni kwakho nakho kungakhulula izimpawu ze-OA.

Buza udokotela wakho ukuthola izeluleko zokwehlisa isisindo ngokuya ngezidingo zakho ezithile. Futhi funa iziphakamiso zokuthi yikuphi ukudla ongakufaka ekudleni kwakho nokufanele ukukugweme.

Kwezinye izimo, imisebenzi yomuntu ekhaya nasemsebenzini ingaba nomthelela ezimpawu zabo nasekuqhubekeni kwe-OA. Khuluma nodokotela wakho mayelana nokwelashwa komsebenzi nokuthi ngabe bazizwa yini ukuthi ungazuza yini ekuhlolweni nomelaphi osebenza emsebenzini. Uchwepheshe angahlola imisebenzi yakho futhi akufundise izindlela zokuvikela amalunga akho ekulimaleni nasebuhlungwini.

Imithi

Imithi ethile yamakhompiyutha, njengemithi elwa nokuvuvukala (ama-NSAID) kanye ne-acetaminophen (iTylenol), inganikeza ukukhululeka okusebenzayo kobuhlungu nokuvuvukala.

Ngobuhlungu obukhulu, udokotela wakho angancoma imishanguzo kadokotela namandla. Buza udokotela wakho ngokusebenzisa imithi yokwelapha izimpawu zakho. Qiniseka ukuthi ubuza nganoma yimiphi imiphumela emibi engaba khona.

Kubalulekile futhi ukutshela udokotela wakho nganoma imiphi imithi noma izithasiselo osuvele uziphuzela i-OA noma esinye isimo. Ezinye izidakamizwa nezithasiselo ziyaphazamisana.

Ukwelashwa ngomjovo

Ukwelashwa ngomjovo kwe-OA emadolweni kufanele ukuxoxe nodokotela wakho uma ungatholi ukukhululeka okwanele ngemithi nangokushintsha kwendlela ophila ngayo.

Imijovo ye-Corticosteroid inganikeza ukukhululeka okusheshayo ebuhlungwini bakho, ihlala noma kuphi kusuka ezinsukwini ezimbalwa kuya ezinyangeni ezimbalwa. Imijovo iqukethe inhlanganisela ye-cortisone kanye ne-anesthetic yendawo ejojowe edolweni.

Enye indlela kungaba ukwenziwa kwe-viscosupplementation. Lokhu kufaka ukujova into efana ne-gel ebizwa nge-hyaluronic acid (HA) kuluketshezi oluhlangene oludolweni. I-HA isiza ukuhamba ngokuhlanganyela ngokukhululekile futhi kangcono ukumunca ukushaqeka ejoyinini lapho unyakaza.

Odokotela baxoxa ngokusetshenziswa kwemijovo ye-platelet-rich plasma (PRP) ne-stem cell therapy ukwelapha i-OA yamadolo, kepha izinzuzo azikaqinisekiswa ngezilingo ezinkulu. Imiphumela yesikhathi esifushane ibonakala ithembisa kwezinye izifundo, kepha hhayi kwezinye. Kusazobonakala ukuthi ngabe lokhu kuzoba yindlela yokwelashwa ejwayelekile esikhathini esizayo.

Buza udokotela wakho le mibuzo elandelayo uma ucabanga ngemijovo yokwelapha i-OA yakho:

• Ngabe ngingumuntu ofanelekela ukwelashwa ngomjovo?
• Yimiphi imiphumela emibi engaba khona yohlobo ngalunye?
• Ngabe zikhona izixwayiso ezikhethekile okufanele zicatshangelwe?
• Ngingalindela ukuthi isikhathi eside kangakanani ukukhululeka kobuhlungu kuqhubeke?

Ngokubambisana nodokotela wakho, nikwazi ukuza nohlelo olusebenzayo lokwelapha ubuhlungu bamadolo enu ngokusebenzisa izindlela ezingezona ezokuhlinzwa.