Ama-Aching Knees: Usizo lwe-Osteoarthritis

-Delile

• Izimpawu zesifo samathambo
• I-OA yedolo itholakala kanjani?
• Imithi yezinhlungu
• Amakhambi asekhaya wezinhlungu ze-OA
• Ukubopha amadolo abuhlungu
• Ukuzivocavoca nsuku zonke
• Ukudla kwe-OA
• Izixazululo zokuhlinza
• Umbono

I-arthritis yamadolo: Isifo esivamile

I-Osteoarthritis (OA) yisimo esidala ukuthi uqwanga phakathi kwamathambo luphele. Uqwanga ludonsa amathambo akho futhi lusize ukuthi uhambise amalunga akho ngokushelela. Ngaphandle koqwanga olwanele, amathambo akho ayahlangana, angadala ubuhlungu, ukuqina nokunyakaza okulinganiselwe. I-osteoarthritis yamadolo iyindlela ejwayelekile kakhulu yamathambo emadolweni, ngokusho kweAmerican Academy of Orthopedic Surgeons (AAOS). Ukwelashwa kwe-OA emadolweni kungabandakanya kokubili izindlela zokwelashwa nezinguquko zendlela yokuphila.

Izimpawu zesifo samathambo

I-arthritis yisifo esiqhubekayo, okusho ukuthi siya ngokuya siba sibi ngokuhamba kwesikhathi. Izimpawu zokuqala zamadolo i-OA zingafaka ukuqina emajoyintini lapho uvuka ekuseni, noma ukuqaqamba ngemuva kokuhamba kakhulu noma ukuzivocavoca umzimba. Ubumnene, ukuvuvukala, nokufudumala emajoyini nakho kuyizimpawu ezivamile zesifo samathambo emadolweni. Abanye abantu bazizwa bebuthakathaka emadolweni, noma bezwe futhi bezwe ukuqhekeka noma ukuchofoza emadolweni. Ekuqaleni, ungahle ube nezimpawu ngemuva kokuzivocavoca umzimba. Kepha njengoba i-OA iqhubeka, ungase uzwe ubuhlungu ngenkathi uphumule.

I-OA yedolo itholakala kanjani?

Udokotela wakho uzoncika kakhulu endabeni yakho ukuze enze ukuxilongwa okunembile kwedolo OA. Tshela umhlinzeki wakho wezokunakekelwa kwempilo ngezimpawu zakho, kufaka phakathi ukuthi uzizwa nini nokuthi isikhathi esingakanani. Udokotela wakho uzobheka ukuvuvukala emajoyintini bese ekucela ukuthi ushintshe futhi unwebe amadolo akho ukuze ubone ukuthi awunamkhawulo wokuhamba. Ama-X-ray angasiza ukuveza uqwanga olugugile lwe-telltale lwe-OA ngokukhombisa ukulahleka kwesikhala phakathi kwamalunga.

Imithi yezinhlungu

Abantu abaningi bathola ukuthi ubuhlungu be-osteoarthritis busabela kahle emithini yezinhlungu ze-over-the-counter (OTC), njenge-ibuprofen, naproxen, ne-acetaminophen.

Uma une-OA elinganiselayo kuya enzima yamadolo, noma kunjalo, imithi ye-OTC kungenzeka ingasebenzi ngokwanele. Udokotela wakho angakunikeza imishanguzo enamandla kakhulu ukunciphisa ukuvuvukala kwakho futhi unikeze ukukhululeka kobuhlungu okuhlala njalo. Uma imithi yomlomo ingasebenzi, ama-corticosteroids anokujova angaba esinye isixazululo.

Le mithi ihanjiswa ngqo edolweni futhi isize ukuqeda ukuvuvukala. Eminye yale mijovo inikezwa kanye kuphela, kanti eminye inganikezwa kathathu noma kane ngonyaka.

Amakhambi asekhaya wezinhlungu ze-OA

Ukuhlanganisa amakhambi asekhaya nokushintsha kwendlela yokuphila nemithi yakho yezinhlungu kungasiza amadolo akho abuhlungu ukuba azizwe engcono. Qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokuzama noma yiluphi uhlobo lokwelashwa kwasekhaya. Bangakusiza wenze uhlelo lwakho luhambisane nezidingo zakho ezithile.

Uma une-OA flare-up, into yokuqala okufanele uyenze ukuphumula. Noma ukunyakaza nokuzivocavoca kusiza ukugcina ukuguquguquka, udinga ukuvumela amalunga akho avuvukile ukuba ehlise umoya kancane lapho belimala. Ezinye izinguquko zokuphila ezinganciphisa ubuhlungu besifo samathambo zifaka:

• ukufaka ukushisa noma amakhaza emadolweni akho
• ukuncipha lapho kudingeka, njengoba isisindo esiningi sibeka ingcindezi eyengeziwe emadolweni akho
• ukufaka imigoqo yokubamba noma amanye amadivayisi asebenzayo ekhaya
• ukugqoka izindwangu zamadolo ukusiza ukuxhasa ukujoyina

Ukubopha amadolo abuhlungu

I-arthritis yamadolo ingadala ubuhlungu obukhulu nobuthakathaka njengoba isimo siqhubeka. Amalunga abuthakathaka adinga ukuxhaswa okwengeziwe njengoba wenza inqubo yakho yansuku zonke. Ama-brace nama-splints enzelwe ukuxhasa amadolo akho womabili ngenkathi uphumule naphakathi nomsebenzi. Ezinye izinhlobo zezinsimbi zizinzisa amadolo akho ngaphandle kokunciphisa umkhawulo wokuhamba kwakho, kuyilapho ezinye zikuvimba ekuhambeni ngezindlela ezingadala ubuhlungu. Qiniseka ukuthi ugqoka kuphela izicathulo ezihlanganiswe ngensimbi noma ngeplangwe zokuqondisa izinyawo ezibhekene nodokotela wakho. Ukugqoka idivayisi engakulungele kungenza isimo sakho sibe sibi kakhulu.

Ukuzivocavoca nsuku zonke

Kuyiqiniso ukuthi kufanele uphumule amalunga akho ngesikhathi sokuqhuma okusebenzayo, kepha ukuzivocavoca empeleni kungenye yezindlela ezingcono kakhulu zokulwa nezimpawu ze-arthritis. Ukuqina okuhlangene kuvame kakhulu ngemuva kwesikhathi sokungasebenzi. Uma ungasebenzi isikhathi eside, amadolo akho angakhiya, anciphise ukuhamba kwakho okugcwele. Ukuzivocavoca okunomthelela ophansi njengokuhamba noma ukubhukuda kugcina amalunga akho ehamba ngokushelela futhi kugcina ukuguquguquka, okubalulekile lapho ubhekene namandla okuhamba okulinganiselwe. Udokotela wakho noma owelapha ngokomzimba angakunika ukuguquguquka nokwelula izivivinyo zamadolo eziklanyelwe iziguli ze-arthritis ngqo.

Ukudla kwe-OA

Ukulandela ukudla okunempilo, okunamafutha amancane kukusiza ukuphatha isisindo sakho-into ebalulekile kunoma ngubani one-arthritis-futhi ikunikeze wonke amavithamini namaminerali owadingayo ukuze uhlale uphilile. Gxila enyameni engenamafutha, imikhiqizo yobisi enamafutha amancane, okusanhlamvu okuphelele, kanye nemikhiqizo eminingi emisha, ngenkathi kukhawulwa i-sodium namafutha. Abantu abane-OA yamadolo bangafuna futhi ukukhulisa okuqukethwe kwe-omega-3 kanye ne-flavonoid ekudleni kwabo ngokudla okufana nalokhu:

• ama-apula abomvu
• amajikijolo
• u-anyanisi obomvu
• uhlobo lwenhlanzi
• ama-walnuts
• imikhiqizo yefilakisi
• izithelo zothando

ukuthi lezi zakhi zomzimba zingakwazi, ukuqina, nokuwohloka koqwanga oluhambisana ne-OA.

Izixazululo zokuhlinza

Ngeshwa, abanye abantu abane-OA yamadolo kungenzeka bangaphenduli kahle emithini yokwelashwa, yokudla, noma yezindlela zokuphila. Kulezi ziguli, ukuhlinzwa kuyindlela yokugcina yokubhekana nezinkinga zobuhlungu nokuhamba kwe-OA. Izixazululo zokuhlinza nge-knee arthritis zifaka:

• i-arthroscopy: inqubo ehlasela kancane elungisa uqwanga oludabukile futhi isuse izicubu ezibomvu nenye imfucumfucu
• i-osteotomy: iqondisa kabusha ukuhlangana kwamadolo ukuze kuthuthukiswe ukuhamba
• uqwanga uxhunyelelwa: ingena esikhundleni se-cartilage elahlekile ngezicubu ezithambile ezivunwe emzimbeni wakho
• ukushintshwa ngokuphelele kwamadolo: ingena esikhundleni samathambo nezicubu ezilimele ngenhlanganisela yamadolo okufakelwa

Umbono

Isifo samathambo asinakho ukwelashwa, futhi kufanele silawulwe ngokucophelela ukuze sinciphise ukuqhubeka kwesifo. Uma ucabanga ukuthi ungaba ne-OA yamadolo, ungalibali. Xhumana nodokotela wakho ngokushesha okukhulu ukuze uhlanganise uhlelo lokwelashwa. Ukwelashwa kusenesikhathi kungasiza kakhulu ekukugcineni uphilile futhi usebenza.