Ukukhululwa Kwezinhlungu Ezihlangene: Ongakwenza Ukuze Uzizwe Ungcono Manje

-Delile

• Kungani amalunga abuhlungu
• Izinketho zokwelashwa zobuhlungu obuhlangene
• Imithi yezinhlungu ezihlangene
• Imithi yomlomo
• Imijovo
• Izihloko
• Ukuhlinzwa
• Ukwelashwa ngokomzimba
• Amakhambi asekhaya
• Ukwelashwa okushisayo nokubandayo
• Izinguquko zokudla
• Ukuzivocavoca umzimba
• Izithasiselo
• Okubalulekile

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

Kungani amalunga abuhlungu

Ubuhlungu emajoyini akho bungaba nezimbangela eziningi ezahlukene. Kubantu abaningi, ubuhlungu bamalunga budalwa isifo samathambo, iqembu lezimo ezimakwe ukuvuvukala emalungeni.

Mayelana nabantu abadala e-United States bane-arthritis, ngokusho kweCenters for Disease Control and Prevention (CDC). I-Osteoarthritis (OA) uhlobo oluvame kakhulu lwe-arthritis. Lolu hlobo lubangelwa ukuwohloka koqwanga njengoba ukhula.

Kwabanye, ubuhlungu obuhlangene bungabangelwa ukulimala noma ukutheleleka kwamalunga, noma esinye isimo, njenge-fibromyalgia noma ngisho nokudangala. Kungaba futhi umphumela wokuma kabi noma isikhathi eside sokungasebenzi.

Kungenzeka ukuthi abantu abane-arthritis basize izimpawu zabo, kepha abaningi abazi ukuthi kanjani. Ukwelapha ubuhlungu bamalunga akuhlali kulula njengokuthatha iphilisi noma ukwenza izivivinyo ezimbalwa, kepha ukungabunaki ubuhlungu ngeke kubuphele.

Ngenhlanhla, kunezindlela eziningi zokwelashwa ezitholakalayo ongazizama. Ngokuya ngesizathu nobukhulu bezinhlungu zakho ezihlangene, ungathola inhlanganisela yokwelashwa okukusebenzelayo.

Izinketho zokwelashwa zobuhlungu obuhlangene

Uma uhlangabezana nobuhlungu bamalunga futhi ungazi ukuthi kungani, yenza isikhathi sokubonana nodokotela ukuthola imbangela.

Kwesinye isikhathi okungazwakala njengobuhlungu bamalunga empeleni kungenxa yesimo esingahlobene namalunga, njengokucindezeleka kwemisipha noma ukuphuka kwethambo.

Kubalulekile ukuthi uthole ukuxilongwa ngaphambi kokuzama ukuzelapha. Ukuxilongwa kokuqala kwe-arthritis, kufaka phakathi i-osteoarthritis, kungakusiza ukuphatha kangcono isimo.

Uma usutholakele, ungafunda ngezinketho zokwelashwa zohlobo oluthile lobuhlungu obuhlangene. Lokhu kungafaka:

• imishanguzo yomlomo, yokujova, noma yama-topical
• izinguquko zokudla
• ukuzivocavoca umzimba
• amakhambi asekhaya
• izakhamzimba
• ukwelashwa ngokomzimba
• ukuhlinzwa

Imithi yezinhlungu ezihlangene

Udokotela wakho angaphakamisa kuqala ukuthi welaphe ubuhlungu obuhlangene obubangelwa yi-arthritis ngemithi elwa nokuvuvukala nobuhlungu. Nazi izibonelo:

Imithi yomlomo

Okuyalelwa udokotela wakho kuzoya ngesizathu esiyimbangela yobuhlungu bakho obuhlangene. I-OA - uhlobo oluvame kakhulu lwe-arthritis - imithi yomlomo ifaka:

• Izidakamizwa zokulwa nokuvuvukala ezingaphezulu kwe-the-counter (OTC) (ama-NSAID), njenge-ibuprofen (i-Motrin, i-Advil) noma i-naproxen (i-Aleve), inciphisa ukuvuvukala futhi yehlise nobuhlungu. Kodwa-ke, ukuthatha ibuprofen isikhathi eside akunconywa ngenxa yengozi yezilonda zesisu. Thenga ama-OTC NSAID.
• Ama-NSAID kadokotela afaka i-diclofenac (i-Voltaren) ne-celecoxib (i-Celebrex).
• Ama-salicylates, afana ne-aspirin, anganciphisa igazi futhi kufanele asetshenziswe ngokucophelela uma uthatha eminye imithi yokuncipha igazi. Thenga i-aspirin.
• I-Acetaminophen (i-Tylenol), ebangwa kakhulu isikhathi eside ingaholela ekulimaleni kwesibindi noma ukwehluleka kwesibindi. Thenga i-acetaminophen.
• Imithi yezinhlungu ze-opioid ifaka phakathi i-hydrocodone (Vicodin) noma i-codeine.
• I-Oral steroids ifaka njenge-prednisone noma i-cortisone.
• I-Duloxetine (i-Cymbalta), okuyi-antidepressant kwesinye isikhathi enikezwa ilebula engekho ku-OA.

Uma uthola ukuxilongwa ngesifo se-systemic noma isimo se-autoimmune, njenge-rheumatoid arthritis (RA), imishanguzo eyaziwa njengezidakamizwa zokuguqula izifo (i-DMARDs) ingasiza ekunciphiseni ukuqhubekela phambili kweRA kanye nokunciphisa ukulimala okuhlangene.

Izidakamizwa ezintsha ezibizwa nge-biologics zinikeza impendulo ebhekiswe kakhulu ekuvukeleni kwabantu abane-RA, futhi ingasiza labo abangaphenduli ekwelashweni ngama-DMARD wendabuko.

Imijovo

Imijovo ingahlinzeka ukukhululeka kobuhlungu futhi yehlise ukuvuvukala. Izibonelo zemijovo yokwelapha ubuhlungu obuhlangene zifaka:

• imijovo ehlangene yama-steroid
• imijovo ye-hyaluronic acid

Imijovo ye-steroid ilusizo ukunciphisa ukuvuvukala ejoyintini, kepha iyaphela ngokuhamba kwesikhathi. Kukhona futhi umkhawulo wokuthi udokotela angakunika amangaki ngonyaka.

Izihloko

Ama-analgesics e-OTC angasiza ekunciphiseni indawo ehlanganisiwe. Thenga ama-analgesics e-OTC.

Udokotela wakho angakunikeza umuthi oyisihloko oqukethe i-diclofenac sodium. Ungabheka futhi okhilimu be-OTC, ama-gel, noma ama-patches aqukethe izithako ezilandelayo:

• I-capsaicin
• i-menthol
• i-salicylate
• i-lidocaine

Ukuhlinzwa

Ukuhlinzwa kubhekwa njengesixazululo sokugcina sokuqeda izinhlungu ezihlangene. Imvamisa kugcinelwe abantu abane-osteoarthritis yamadolo noma ye-hip engaphendulanga kwezinye izinyathelo.

Amacala abucayi angadinga ukufakwa okuhlangene ngokuphelele. Ezimweni ezimbi kakhulu, udokotela angafuna ukuzama i-osteotomy - ukuhlinzwa okubandakanya ukusika nokwakha kabusha amathambo ukunciphisa ingcindezi ejoyinini.

I-osteotomy kwesinye isikhathi isetshenziselwa ukubambezela isidingo sokufakwa ngokuphelele ngokuhlanganyela iminyaka eminingana, kepha hhayi wonke umuntu onobuhlungu obuhlangene ozoba yilungu lezinqubo.

Ukwelashwa ngokomzimba

Ukwelashwa ngokomzimba kuyindlela enhle yokwelapha ubuhlungu obuhlangene ngoba kusiza ekuthuthukiseni uhla lwakho lokunyakaza futhi kuqinise imisipha ezungeze ilunga. Lokhu nakho kusiza ukunciphisa ukuqina nobuhlungu jikelele.

Ngesikhathi sokwelashwa ngokomzimba, uzonikezwa uchungechunge lokuzivocavoca ngokwezifiso nokwelula okwenziwe njalo. Ukwelula kusiza ekuhambeni nasekuhambeni konke kokunyakaza.

Udokotela ongokomzimba futhi angancoma ukuthi ugqoke izicathulo ezihlanganiswe ngensimbi noma ngeplangwe zokuqondisa izinyawo ezibhekene zezinsimbi, ikakhulukazi izinhlungu zamadolo, ukusiza ngokuzinza nokusebenza.

Amakhambi asekhaya

Izimbangela eziningi zobuhlungu obuhlangene zingaphathwa ekhaya ngezinguquko ezimbalwa zendlela yokuphila.

Ukwelashwa okushisayo nokubandayo

Ukunciphisa ukuqina emajoyintini, zama ukushintshanisa amakhaza ngezindlela ezishisayo zokwelapha. Izihlambi ezifudumele noma okugeza kungasiza ekunciphiseni ukuqina kwamalunga akho ekuseni. Ebusuku, ungazama ukulala ngengubo evuthayo kagesi noma iphedi yokushisa.

Ukwelashwa okubandayo nakho kuyasiza ekwehliseni ukuvuvukala emalungeni. Songa iphakethe leqhwa le-gel ngethawula bese ulifaka ezinhlanganisweni ezibuhlungu imizuzu engama-20 ngasikhathi, izikhathi eziningana ngosuku.

Izinguquko zokudla

Ukudla ukudla okunothile okusanhlamvu okuphelele, izithelo nemifino kunganciphisa izimpawu zesifo samathambo.

Ucwaningo lukhombisa ukuthi ukudla okunothe ku-omega-3 fatty acids kanye nama-antioxidants kungasiza ekuvimbeleni ukuvuvukala. Lokhu kudla kufaka:

• Ukudla okune-omega-3-rich, njengama-walnuts, imbewu ye-chia, ifilakisi nezinhlanzi ezinamafutha njenge-salmon, i-tuna, ne-mackerel
• ukudla okune-antioxidant, okufana nezithelo nemifino enemibala, ubhontshisi, amantongomane, iwayini elibomvu, noshokoledi omnyama

Ngaphezu kokufaka okunye kwalokhu kudla ekudleni kwakho, qiniseka ukuthi usike nama-carbohydrate asetshenzisiwe kanye namafutha agcwele noma we-trans.

Ukuzivocavoca umzimba

Ukuvivinya umzimba, njengokuhamba noma ukubhukuda, akukwazi ukunciphisa izinhlungu kuphela, kepha futhi kungathuthukisa imizwa yakho nekhwalithi yempilo. I-CDC iphakamisa ukuthi abantu abane-arthritis kufanele bazame ukuthola okungenani ukuvivinya umzimba isonto ngalinye.

Qiniseka ukuthi uvikela izinto ezingadala ukulimala ngokuhlanganyela, njengokuvivinya umzimba okunomthelela omkhulu njenge-tennis noma ukugijima.

I-Tai chi ne-yoga yimisebenzi emihle kakhulu yabantu abanezinhlungu ezihlangene. Omunye oshicilelwe wathola ukuthi i-tai chi ibinomthelela omuhle ebuhlungwini, ekusebenzeni komzimba, ekucindezelekeni, nasezingeni lempilo kubantu abane-OA yamadolo.

Uma ukhuluphele ngokweqile, unganciphisa ubuhlungu obuhlangene nezimpawu zesifo samathambo ngokugcina isisindo esinempilo. Isisindo esingeziwe sibeka ingcindezi enkulu emajoyintini akho, ikakhulukazi amadolo akho, izinqe, nezinyawo.

Uma unenkinga yokwehlisa isisindo, udokotela angakudlulisela kuchwepheshe wezokudla ukuze aqale ohambweni lwakho lokwehlisa isisindo.

Izithasiselo

Izithako zokudla zingasiza ekunciphiseni izimpawu ezifana nokuvuvukala nobuhlungu obuhlangene. Asikho isengezo sokudla esibonise izinzuzo ezicacile zokusikwa kobuhlungu obuhlangene, kodwa kunobunye ubufakazi bokuthi izithako ezimbalwa ezingasiza.

Izibonelo zifaka:

• uwoyela wezinhlanzi, okhonjiswe ukuthi usiza ukuqeda amajoyini amathenda nokuqina kwentsha kubantu abane-RA
• ujinja, okhonjiswe ukuthi unomphumela wokulwa nokuvuvukala ezifundweni zaselebhu nokunciphisa ubuhlungu nokukhubazeka kubantu abane-OA
• i-glucosamine ne-chondroitin sulfate zingasiza abantu abanezinhlungu zamadolo ezilinganiselayo kuya kwezinzima

Khumbula ukuthi uma izinhlungu zakho ezihlangene zibangelwa esinye isimo, njenge-RA, amakhambi asekhaya njengezithasiselo akumele nanini angene esikhundleni sokwelashwa.

Ngenkathi ukwazi ukuphatha izinhlungu ezihlangene ezihlangene ekhaya, qiniseka ukubona udokotela ngokushesha uma uhlangabezana nalezi zimpawu ezilandelayo kanye nobuhlungu obuhlangene:

• imfiva
• amalunga avuvukele kakhulu
• amalunga abomvu, athambile, noma afudumele ukuthintwa
• ukuba ndikindiki okungazelelwe
• ilunga linganyakazi ngokuphelele
• ukungakwazi ukusebenza usuku nosuku ngenxa yobuhlungu bakho obuhlangene

Okubalulekile

Kunezinketho eziningi zokwelashwa kobuhlungu obuhlangene, kusuka emithini yokwelashwa kanye nokwelashwa ngokomzimba kuya kuzinguquko zokudla kanye namakhambi asekhaya. Ukwelashwa ekugcineni kuzoxhomeka kumsuka oyimbangela yobuhlungu bakho obuhlangene.

Uma uhlangabezana nobuhlungu obuhlangene, vakashela udokotela wakho ukuthola uhlelo lokuxilongwa nokwelashwa. Ngokusho kwe-CDC, abantu abane-arthritis yokuvuvukala, njenge-RA, banempilo engcono uma bethola ukuxilongwa kusenesikhathi, bathola ukwelashwa, futhi bafunde ukuphatha kahle isimo sabo.