Yiziphi Izinketho Zokwelapha ze-Hip Arthritis?

-Delile

• Ukubuka konke
• Ukuphathwa kwesisindo
• Imithi
• Imijovo
• Ukuzivocavoca nokwelashwa komzimba
• Ukwelula nokuvumelana nezimo
• Izindlela zokuzinakekela
• Izithasiselo nezinye izindlela zokwelapha
• Ezinye izindlela okufanele uzigweme
• Izinsiza zokuhamba
• Amathiphu wokusebenzisa umoba
• Ukuhlinzwa esikhundleni se-Hip
• Ukudla okudlela endlini
• Ubuhlungu bethambo?

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Uma uthenga okuthile ngesixhumanisi kuleli khasi, singathola ikhomishini encane. Kusebenza kanjani lokhu.

Ukubuka konke

Nge-hip osteoarthritis (OA), uqwanga oluqinisa amalunga akho luyaphela, lubangele ukungqubuzana, ukulimala emathanjeni nokuvuvukala. Ubuhlungu nokuqina kungavela.

Umhlinzeki wakho wezokunakekelwa kwempilo uzoncoma ukwelashwa okususelwa ku:

• impilo yakho yonke
• ubunzima bokubandakanyeka ngokuhlanganyela
• ubunzima bezimpawu
• ukunyakaza nokunyakazisa isisindo
• ezinye izinto ezingazodwana.

Zonke izindlela zokwelashwa kwe-hip osteoarthritis zihlose ukuphatha ubuhlungu nokwenza ngcono ukuhamba, kepha inketho efanele izoncika kumuntu ngamunye. Ukwelashwa kokuqala kungahle kube ukuvivinya umzimba nokunwebeka.

Kodwa-ke, i-osteoarthritis yisifo esiwohlozayo, okusho ukuthi izimpawu zihlala zimbi ngokuhamba kwesikhathi. Uma lokhu kwenzeka, umhlinzeki wakho wezokunakekelwa kwempilo angancoma ukuhlinzwa esikhundleni se-hip.

Funda ukuze ufunde ngezinketho zokwelashwa ezitholakalayo ze-hip arthritis.

Ukuphathwa kwesisindo

Abantu abanenkomba yomzimba ephezulu (BMI) basengozini enkulu ye-osteoarthritis. Isisindo esingeziwe sibeka ubunzima obengeziwe emajoyintini. I-BMI ephakeme, kufaka phakathi ukukhuluphala, nayo ingaba nomthelela ekuvukeleni.

Lezi zinto zingenza izimpawu zibe zimbi kakhulu futhi zibangele ukuthi bathuthuke ngokushesha okukhulu.

Kubantu abanesisindo sokukhuluphala ngokweqile noma ukukhuluphala ngokweqile, ochwepheshe bezokwelapha bancoma ngokuqinile ukunciphisa umzimba.

Umhlinzeki wakho wezokunakekelwa kwempilo angakusiza unqume ukuthi ngabe le nketho ikufanele yini wena futhi, uma kunjalo, indlela engcono kakhulu yokubhekana nokulahlekelwa isisindo.

Kungenzeka batuse izinguquko ekudleni nohlelo lokuzivocavoca umzimba.

Imithi

Imithi yokudambisa izinhlungu ingadlala indima ekuphatheni lesi sifo eceleni kokuzivocavoca nokuphathwa kwesisindo.

Kulabo abanezimpawu ezincane, izidakamizwa zomlomo ezingezona ukuvuvukala zomlomo (ama-NSAID) zingasiza ukuphatha ubuhlungu nokuvuvukala. Lokhu kuyatholakala ngaphezulu kwekhawunta.

Izibonelo zifaka:

• ibuprofen
• acetaminophen
• umabhebhana

Abantu abane-OA elinganiselayo kuya kakhulu kwesinqe bangadinga ukukhululeka kobuhlungu kadokotela, njenge-duloxetine noma i-tramadol.

Ngaphandle kwe-tramadol, ochwepheshe abayincomi eminye imishanguzo ye-opioid, ngoba kunengozi enkulu yokuncika.

Imijovo

Abahlinzeki bezempilo bangahle banikeze imijovo ye-steroid ukunciphisa ubuhlungu obukhulu nokuvuvukala.

I-Steroids ingasiza ukuphatha ubuhlungu ngokunciphisa ukuvuvukala. Kodwa-ke, banikeza kuphela ukukhululeka kobuhlungu kwesikhashana. Ukusetshenziswa kwesikhathi eside kungaholela emiphumeleni emibi.

Ukuzivocavoca nokwelashwa komzimba

Ukuzivocavoca umzimba kubalulekile ekunciphiseni ubungozi be-osteoarthritis nokunciphisa intuthuko yayo. Ukuzivocavoca akusizi kuphela ukuphatha isisindo sakho, kodwa futhi kuthuthukisa amandla, ukuguquguquka, nokuhamba.

Ukuzivocavoca okunomthelela ophansi mancane amathuba okuthi kubangele ubunzima kwilunga elonakele. Ochwepheshe batusa ngokuqinile i-tai chi kubantu abane-hip osteoarthritis.

Ezinye izinketho zifaka:

• i-yoga
• ukuhamba ngebhayisikili noma ukusebenzisa ibhayisikili elimile
• ukubhukuda noma ukuvivinya amanzi
• ukuqinisa umzimba
• ukuhamba

Uma ungazange uvivinye isikhashana, buza umhlinzeki wakho wezokunakekelwa kwezempilo noma owelapha ngokomzimba ngeziphakamiso. Bangakusiza ukuthi wakhe uhlelo oluzokufanela futhi linciphise nethuba lokulimala.

Ukugqugquzela kubalulekile lapho uzivocavoca impilo.

I-American College of Rheumatology kanye ne-Arthritis Foundation (ACR / AF) incoma ukuzivocavoca nomunye umuntu noma umqeqeshi nokukhetha umsebenzi owuthandayo.

Thenga ku-inthanethi ngamabhayisikili amile.

Ukwelula nokuvumelana nezimo

Ukwelula njalo kungasiza ukukhulula amalunga aqinile, achy, noma abuhlungu. Nawa amanye amathiphu wokukusiza welule ngokuphepha:

• Qala ngokubuza kumelaphi ngokomzimba iziphakamiso nokuholwa.
• Ingabe konke kunwebeka ngobumnene futhi wakhe ukuguquguquka kancane.
• Yima uma uzwa ubuhlungu.
• Khulisa umfutho kancane.

Uma ungabuzwa ubuhlungu ngemuva kwezinsuku ezimbalwa zokuqala zomsebenzi, kancane kancane chitha isikhathi esithe xaxa kukho. Ekuqaleni, ungakuthola kunzima ukwelula kude kakhulu, kepha ukuguquguquka kwakho kuzokwanda ngokuhamba kwesikhathi, njengoba uzijwayeza.

Nazi izindlela ezimbalwa ezikhona:

Phambili phinda

Qala ngezinyawo zakho ububanzi behlombe noma uhlale esihlalweni. Ncika phambili kancane, ugcine umzimba wakho ongaphezulu ukhululekile. Kufanele uzwe ukunwetshwa ezinqulwini naseqolo.

Ukudonsa amadolo

Lala ngomhlane. Donsa amadolo akho agobile abheke esifubeni sakho uze uzizwe unwebeka. Uma umzimba wakho ukuvumela, sebenzisa omunye umlenze wakho ukujulisa ukwelula.

Ibhalansi yomlenze enwetshiwe

Lokhu kungukuzivocavoca okufanayo nokudonsa kwamadolo, kepha uqala usuka endaweni yokuma. Beka isandla esisodwa odongeni ukuze uthole ukusekelwa.

Imfezi

Qala ngokulala ngobuso phansi. Izintende zezandla zakho kufanele zibe phansi phansi ehlombe noma esifubeni ukuphakama. Phusha ngokumelene nezintende zezandla zakho ukuze uphakamise isifuba sakho phansi. Yizwa ukuzelula emhlane wakho ophansi nasezinqeni. Bamba lesi sikhundla imizuzwana eyi-10. Khulula. Phinda kabili noma kathathu.

Nazi ezinye izindlela ongazibuza umhlinzeki wakho wezokunakekelwa kwempilo mayelana:

• emi hip flexors
• ukuhlala elula
• ukuma kwe-engeli eseceleni
• kuhlezi umgogodla womgogodla

Buza umhlinzeki wakho wezokunakekelwa kwempilo ngaphambi kokuqala noma yikuphi ukunweba noma ukuzivocavoca okhalweni lwakho.

Izindlela zokuzinakekela

Ochwepheshe bathi ukuzilawula kubalulekile ekwelapheni i-osteoarthritis.

Lokhu kufaka:

• ukufunda okuningi ngangokunokwenzeka ngesimo sakho
• ukwazi ukuthi yiziphi izinketho zakho zokwelashwa
• ukubamba iqhaza elibonakalayo ekuphatheni ubuhlungu bakho nezinye izimpawu
• ukuxoxa ngokufanele wena nomhlinzeki wakho wezokunakekelwa kwempilo
• ukuzinakekela maqondana nokudla kanye nokudla okunempilo, ukulala okubuyisayo, nokuvivinya umzimba okufanele

Izici zokuphila ezingaba nesandla ekuqedeni i-arthritis zifaka:

• ukukhetha kokudla
• uhlobo kanye nezinga lomsebenzi womzimba
• ukusetshenziswa kukagwayi notshwala
• ukuthola ukunakekelwa okufanele kwezinye izimo zempilo yengqondo nengokwenyama
• ukusungula imikhuba yokulala enempilo

I-osteoarthritis nayo ingathinta impilo yengqondo yomuntu. Ukuhlala usebenza futhi wenze ukukhetha okuhle ngendlela yokuphila kungasiza ekunciphiseni ubungozi bokudangala nokukhathazeka nge-osteoarthritis.

Nawa amanye amathiphu wokuzinakekela angakunikeza usizo:

• Phumula ngokwanele. Yenza imikhuba yokulala njalo uphumule lapho izimpawu zizizwa zimbi kakhulu kunokujwayelekile.
• Lawula ukucindezeleka. Ukuzivocavoca umzimba, ukuzindla nokulalela umculo kungakusiza uphumule, ugweme ukucindezeleka futhi uvuselele imizwa yakho.
• Landela ukudla okunempilo. Ukudla okunothe ngezithelo nemifino emisha kanye noshukela omningi ongeziwe kanye namafutha kungakusiza uzizwe ungcono futhi ugcine isisindo esinempilo. Khetha ukudla okusha, okuphelele kunokucutshunguliwe.
• Hlala usithinta. Ukuhlangana nabangane, mhlawumbe ukuzivocavoca umzimba, kungasiza ekunciphiseni ukucindezeleka futhi kukugcine uphilile.
• Gwema ugwayi futhi ubeke umkhawulo otshwaleni. Lokhu kungeza ezinkingeni zezempilo zizonke futhi kungakhulisa ukuvuvukala.

Izithasiselo nezinye izindlela zokwelapha

Abanye abantu baphinde bazama ukusebenzisa izindlela zokwelapha zemvelo ukwelapha i-hip arthritis. Kunobunye ubufakazi bokuthi okulandelayo kungasiza:

• ukutshopa
• ukwelashwa kokuziphatha kwengqondo (CBT)
• ukusetshenziswa kwamaphakethe wokushisa
• usebenzisa amafutha okugcoba afaka indawo, njenge-capsaicin

Ezinye izindlela okufanele uzigweme

Abanye abantu basebenzisa i-glucosamine, uwoyela wezinhlanzi, uvithamini D, noma izithasiselo ze-chondroitin sulfate, kodwa abukho ubufakazi obanele bokuthi lezi ziphephile futhi ziyasebenza.

Uma ukhetha izithasiselo, khuluma njalo nomhlinzeki wakho wezokunakekelwa kwempilo kuqala. Ezinye izithasiselo zingaveza imiphumela emibi noma zisebenzisane neminye imithi.

I-ACR / AF ayincomi okulandelayo ku-OA okhalweni:

• ukwelashwa kwezandla
• ukwelashwa kokubhucungwa
• i-transcutaneous electrical nerve stimulation (TENS)
• ukwelashwa kwe-stem cell
• botox

Abukho ubufakazi obanele bokuthi lezi zinketho zizosiza.

Abanye abahlinzeki bezempilo banikela nge-botox noma i-stem cell therapy ye-OA, kepha abukho ukwelashwa okujwayelekile kwalezi zinketho futhi abukho ubufakazi obenele bokukhombisa ukuthi baphephile futhi bayasebenza. Ochwepheshe bayeluleka ngokumelene nabo.

Izinsiza zokuhamba

Usizo lokuhamba lungasusa ingcindezi ezinqeni futhi lunikeze ukusekelwa okwengeziwe emajoyintini. Kunganciphisa nengozi yokuwa kwakho ngokukusiza ugcine ukuzinza nokulinganisela.

Izibonelo zifaka:

• induku
• ifreyimu yokuhamba

Amathiphu wokusebenzisa umoba

Lapho usebenzisa uswazi, khumbula izeluleko ezilandelayo:

• Qinisekisa ukuthi induku ayide kakhulu noma imfushane. Akufanele uxegise noma uwele lapho usebenzisa uswazi. Ukuphakama kwayo kufanele kufike phezulu esihlakaleni sakho.
• Sebenzisa udondolo ohlangothini lwakho “oluqinile”. Uma inqulu yakho ethintekile ingeyakho yangakwesokudla, bamba umoba ngesandla sakho sobunxele. Uma uqhubekela phambili ngomlenze wakho wangakwesokudla, umoba uzohlinzeka ngokusekelwa. Prakthiza ukuhambisa umlenze wakho othintekile kanye nenduku ngasikhathi sinye.
• Dlulisela phambili umoba ebangeni elifanele. Hambisa umoba cishe ngamasentimitha ama-2 uye phambili noma eceleni kwakho. Uma kukude kakhulu emzimbeni wakho, ungalahlekelwa ibhalansi.

Umelaphi angakusiza ukuthi wakhe inqubo ephephile.

Inkampani yakho yomshuwalense ingakhokhela izindleko zalezi zinsiza. Umhlinzeki wakho wezokunakekelwa kwempilo angabhala incwadi kadokotela yalezi zinsiza zokuhamba ukusiza kwinqubo yokubuyiselwa kwemali.

Thenga ku-inthanethi ngezinduku.

Ukuhlinzwa esikhundleni se-Hip

Uma ukuzivocavoca umzimba, ukunciphisa umzimba, nezindlela zokuphila kungasasebenzi, noma uma i-OA ithinta ukuhamba kwakho noma izinga lempilo, umhlinzeki wakho wezokunakekelwa kwempilo angancoma ukuhlinzwa.

Izinketho zifaka:

• Ukuvuka kabusha kweHip. Udokotela ohlinzayo usika ithambo elonakele noqwanga bese ewagoqa ngegobolondo lensimbi, elenza indawo yokufakelwa.
• Ingqikithi yokushintshwa kwenqulu. Udokotela ohlinzayo ungene esikhundleni sesokhethi nenhloko yesifazane ngenhlanganisela yokufakelwa.

Ukuhlinzwa okufakwa esikhundleni se-Hip kungakhuphula izinga lempilo yakho ngoku:

• ukuthuthukisa amazinga ezinhlungu
• ukuhamba okwandayo
• ukwehlisa ubungozi bezinkinga, njengokukhishwa kwesinqe

Umhlinzeki wezokunakekelwa kwempilo angakusiza uqonde ubuhle nobubi bokuhlinzwa kwe-hip futhi akusize unqume ukuthi ngabe le kuyindlela efanelekile ongayilungiselela.

Ukudla okudlela endlini

Alikho ikhambi le-OA okhalweni, kodwa kunezindlela zokwehlisa inqubekela phambili yalo nokuphatha izimpawu.

Izinketho zendlela yokuphila zibandakanya ukuphathwa kwesisindo, ukuzivocavoca umzimba, ukugwema ukucindezeleka, nokulandela ukudla okunempilo.

Izinketho zezokwelapha zibandakanya imishanguzo etafuleni nemithi kadokotela. Uma lezi zinketho zingenakusiza ngamazinga ezinhlungu nezinkinga zokuhamba, umhlinzeki wezokunakekelwa kwempilo angancoma ukuhlinzwa.

Uma uqala ukubona izimpawu, ezifana nobuhlungu nokuqina, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo. Ukuqala ukwelashwa kusenesikhathi kungasiza ekuthuthukiseni umbono wakho, futhi kungaqeda isidingo sokuhlinzwa.

Ubuhlungu bethambo?

I-OA ingadala ukuqhuma kwamathambo, okuyizilinganiso ezincane zamathambo ezizungeze amalunga akho. I-Bone spurs ingadala ubuhlungu noma inyuse ukunyakaza. Ukwelashwa kwama-bone spurs kungahle kusuka ekunciphiseni ubuhlungu kuye ekususweni kokuhlinzwa, kuhlanganiswe nezinye izinqubo, njengokufakwa okuhlangene ngokuphelele.