Yini i-Gonarthrosis nokuthi Ungaphatha Kanjani

-Delile

• Izindlela zokwelapha ezihamba phambili ze-gonarthrosis
• Injani i-Physiotherapy yeGonarthrosis
• Ingabe i-gonarthrosis ibangela ukukhubazeka?
• Ubani osengozini enkulu yokuba

I-Gonarthrosis yi-knee arthrosis, ejwayelekile kubantu abaneminyaka engaphezu kwengama-65 ubudala, yize abathintekayo kakhulu kungabesifazane ngesikhathi sokunqamuka kokuya esikhathini, okuvame ukubangelwa ukuhlukumezeka okuqondile, njengokuwela lapho umuntu ewela khona ngamadolo phansi, ngokwesibonelo .

I-Gonarthrosis ingahlukaniswa njenge:

• Unilateral - lapho kuthinta kuphela idolo elilodwa
• Okubili - lapho kuthinta amadolo ama-2
• Okuyinhloko - lapho imbangela yayo ingatholakali
• Okwesibili - uma kubangelwa ukukhuluphala ngokweqile, ukuhlukumezeka okuqondile, ukususwa noma ukuphuka, isibonelo.
• Ngama-osteophyte - lapho amakholomu amancane amathambo evela azungeze ilunga
• Ngesikhala esinciphile sangaphakathi, evumela ukuthi i-femur ne-tibia ithinte, ibangele ubuhlungu obukhulu;
• Nge-subchondral sclerosis, okuyilapho kukhona ukuwohloka noma ukukhubazeka kwethiphu le-femur noma i-tibia, ngaphakathi kwedolo.

I-Gonarthrosis ayelapheki ngaso sonke isikhathi, kepha kungenzeka ukunciphisa izinhlungu, ukwandisa ukunyakaza, ukuthuthukisa impilo nokuphila kwesiguli ngokwelashwa okungenziwa ngemithi ye-analgesic kanye ne-anti-inflammatory kanye nezikhathi zansuku zonke i-physiotherapy, okufanele iqalwe ngokushesha okukhulu. Isikhathi sokwelashwa sehluka kakhulu kuye ngomuntu oyedwa kuye kwesinye, kodwa asisoze saba ngaphansi kwezinyanga ezimbili.

Izindlela zokwelapha ezihamba phambili ze-gonarthrosis

Ama-degree e-gonarthrosis, ngokokuhlukaniswa kwe-Kellgreen ne-Lawrenc, akulethebula elilandelayo:

Injani i-Physiotherapy yeGonarthrosis

Ukwelashwa kwe-gonarthrosis ngomzimba kufanele kwenziwe ngakunye, ngoba lokho okukhonjisiwe esigulini esisodwa akulungele ngaso sonke isikhathi kwesinye. Kepha ezinye izinsiza ezingasetshenziswa yi-TENS, i-ultrasound ne-infrared, ngaphezu kwezikhwama zamanzi afudumele noma abandayo kanye nokuzivocavoca okukhonjiswe yi-physiotherapist.

Amasu wokuhlanganisa kanye nokukhwabanisa nawo akhonjisiwe ngoba andisa ukukhiqizwa koketshezi lwe-synovial olunisela ngaphakathi ilunga futhi linciphise ubuhlungu obungapheli. Lapho umuntu enezinguquko ezinjengokungalingani, ukuma okungafanele kanye nokuphambuka kwamadolo ngaphakathi noma ngaphandle, izivivinyo ezithuthukisa ukuma nokulungisa lokhu kuphambuka zingasetshenziswa, njengokufundiswa kabusha komhlaba ngemuva, ngokwesibonelo.

Ukuzivocavoca okukhonjiswe kakhulu yilokho kokuqiniswa kwemisipha ngamateyipu okunwebeka noma izinsimbi ezingahluka kusuka ku-0.5 kuye ku-5 kg, kuya ngezinga lamandla umuntu anawo. Isisindo esincane nokuphindaphinda okukhulu kuhle ekunciphiseni ukuqina kwemisipha futhi kungenziwa ukuqinisa ngaphambili, emuva nasemaceleni ethanga. Ekugcineni, ukwelula ithanga kungenziwa. Bona ezinye izibonelo zokuzivocavoca kwe-arthrosis yamadolo.

Ukusiza umuntu ukuthi ahambe futhi azulazule endlini, izinduku noma izinduku zinganconywa ukuthi zisabalalise kangcono isisindo somzimba, kunciphise ingcindezi emadolweni.

Ingabe i-gonarthrosis ibangela ukukhubazeka?

Abantu abane-gonarthrosis yebanga lesi-3 noma lesi-4 bangakuthola kunzima ukusebenza ngenxa yezinhlungu ezihlala zikhona nokungakwazi ukuma nokubamba isisindo, ngakho-ke lapho ukwelashwa nge-physiotherapy, imishanguzo kanye nokuhlinzwa kunganele ukubuyisa ikhwalithi yempilo nokwenza umsebenzi lowo muntu sekuvele kwenziwe, umuntu angathathwa njengongekho emthethweni futhi athathe umhlalaphansi. Kepha imvamisa lawa ma-degree egonthrosisi enzeka kuphela kubantu abaneminyaka engaphezu kwengama-65, lapho esethathe umhlalaphansi.

Ubani osengozini enkulu yokuba

Abesifazane bavame ukuthinteka ngemuva kweminyaka yobudala engama-45 nabesilisa ngemuva kweminyaka engama-50, kepha cishe bonke abantu asebekhulile abaneminyaka engaphezu kwengama-75 bahlushwa yi-knee arthrosis. Kukholelwa ukuthi i-arthrosis edolweni ingavela ekuqaleni, ngaphambi kweminyaka yobudala engama-65 kulezi zimo ezilandelayo:

• Abesifazane besikhathi sokuya esikhathini;
• Abantu abane-osteoporosis;
• Uma kwenzeka kushoda uvithamini C no-D;
• Abantu abakhuluphele ngokweqile;
• Abantu abanesifo sikashukela noma i-cholesterol ephezulu;
• Abantu abanemisipha yamathanga ebuthakathaka kakhulu;
• Uma kwenzeka ukuqhuma kwe-anterior cruciate ligament noma ukuphuka kwe-meniscus emadolweni;
• Izinguquko ezinjenge-genovaro noma i-genovalgo, yilapho amadolo aphendukela ngaphakathi noma ngaphandle.

Izimpawu zobuhlungu bamadolo nokuqhekeka kungavela ngemuva kokuwa nedolo phansi, isibonelo. Ubuhlungu buvame ukuvela lapho wenza umzamo othile noma wenza umsebenzi womzimba, kepha ezimweni eziphambili kakhulu bungahlala cishe usuku lonke.

Kubantu abaneminyaka engaphezu kwengama-65 ubudala, ukuba khona kwama-osteophyte amancane, angabonakala ku-X-ray yamadolo, kungakhombisa ukuqina okukhulu kwezimpawu kanye nesidingo sokwelashwa nge-physiotherapy, futhi ezimeni ezinzima kakhulu ukuhlinzwa ukuze kufakwe isitho sokufakelwa kungakhonjiswa idolo.