Isazi se-Q & A: Ukwelashwa kwe-Osteoarthritis of the Knee

-Delile

• Ngitholwe ngine-OA yedolo. Yini engingayenza ukubambezela ukuhlinzwa? Yiziphi izinhlobo zezindlela ezingezona ezokuhlinzwa ezisebenzayo?
• Ngabe imijovo ye-cortisone iyasebenza, futhi ngingayithola kangaki?
• Ngabe ukuzivocavoca nokwelashwa ngokomzimba kuyasebenza ekubhekaneni ne-OA yamadolo?
• Kufanele ngiqale nini ukucabanga ngohlobo oluthile lokuhlinzwa esikhundleni samadolo?
• Ingabe iminyaka yobudala iyisici uma kukhulunywa ngokushintshwa kwamadolo?
• Yiziphi izinhlobo zemisebenzi engizokwazi ukuyenza ngemuva kokushintshwa kwedolo? Ngabe ngisazoba nezinhlungu ngemuva kokubuyela emazingeni omsebenzi ajwayelekile?
• Ngimkhetha kanjani udokotela ohlinzayo?
• Ngizwile ngokuhlinzwa kwamadolo okuhlasela kancane. Ngabe ngingumqokeleli walokho?
• Kuthiwani ngokuhlinzwa kwedolo le-arthroscopic, lapho bahlanza khona ilunga? Ingabe kufanele ngizame lokho kuqala?

U-Healthline uxoxisane nodokotela ohlinzayo wamathambo uDkt.Henry A. Finn, MD, FACS, umqondisi wezokwelapha we-Bone and Joint Replacement Centre e-Weiss Memorial Hospital, ukuthola izimpendulo zemibuzo ejwayelekile ephathelene nokwelashwa, imishanguzo nokuhlinzwa kwe-osteoarthritis (OA) idolo. UDkt. Finn, ogxile ekuhlinzweni okuhlanganyelwe ngokuphelele nokuhlinzwa okuyinkimbinkimbi kokulondolozwa kwamalungu, usehole izinqubo ezingaphezu kuka-10 000 zokuhlinzwa. Nakhu obekufanele akusho.

Ngitholwe ngine-OA yedolo. Yini engingayenza ukubambezela ukuhlinzwa? Yiziphi izinhlobo zezindlela ezingezona ezokuhlinzwa ezisebenzayo?

“Ngingancoma ukuthi kuzanywe isibopho se-arthritic off-loader ukusekela idolo kanye / noma umugqa wesithende oqondisa amandla ohlangothini oluncane lwe-arthritic lwejoyinti. Izidakamizwa ezingezona ukuvuvukala (ama-NSAID) ezinjenge-ibuprofen (Motrin, Advil) zingasiza uma isisu sakho singazibekezelela. ”

Ngabe imijovo ye-cortisone iyasebenza, futhi ngingayithola kangaki?

“ICortisone ene-steroid esebenza isikhathi eside futhi esebenza okwesikhashana ingathenga izinyanga ezimbili noma ezintathu zokukhululeka. Kuyinganekwane ukuthi ungaba neyodwa ngonyaka noma eyodwa kuphela empilweni. Uma idolo line-arthritic kakhulu, akukho ukwehla kwe-cortisone. Le mijovo inomthelela omncane emzimbeni. ”

Ngabe ukuzivocavoca nokwelashwa ngokomzimba kuyasebenza ekubhekaneni ne-OA yamadolo?

“Ukuvivinya umzimba okuncane okungabangeli buhlungu kuthuthukisa ama-endorphin futhi kungathuthukisa ukusebenza ngokuhamba kwesikhathi. Ukwelashwa ngokomzimba akunanzuzo ngaphambi kokuhlinzwa. Ukubhukuda kungukuzivocavoca okuhle kakhulu. Uma uzololonga ejimini, sebenzisa umshini okweqanda. Kodwa khumbula ukuthi i-osteoarthritis yisifo esiwohloza umzimba, ngakho-ke kungenzeka ukuthi ekugcineni uzodinga omunye ozongena esikhundleni saso. ”

Kufanele ngiqale nini ukucabanga ngohlobo oluthile lokuhlinzwa esikhundleni samadolo?

“Umthetho ojwayelekile [ukucabangela ukuhlinzwa] lapho ubuhlungu buqhubeka, bungasabeli kwezinye izindlela zokulondoloza, futhi kuphazamisa kakhulu impilo yansuku zonke kanye nezinga lempilo yakho. Uma unezinhlungu ekuphumuleni noma ezinhlungwini ebusuku, lokho kuyisibonakaliso esisodwa esinamandla sokuthi sekuyisikhathi sokushintsha. Awungeke uhambe nje nge-X-ray, noma kunjalo. AmaX-ray abanye abantu abukeka kabi, kodwa izinga lobuhlungu nokusebenza kwabo kwanele. ”

Ingabe iminyaka yobudala iyisici uma kukhulunywa ngokushintshwa kwamadolo?

“Okuxakayo ukuthi uma umncane futhi usebenza ngokwengeziwe, mancane amathuba okuthi waneliswe ngokushintshwa kwedolo. Iziguli ezisencane zinolindelo oluphakeme. Ngokuvamile, abantu abadala asebekhulile abanandaba nokudlala ithenisi. Bafuna nje ukukhululeka kobuhlungu futhi bakwazi ukuzungeza. Kulula nakubantu abadala asebekhulile nangezinye izindlela. Abantu abadala abezwa buhlungu obukhulu ekululameni. Futhi, uma umdala, kungenzeka ukuthi idolo lakho lihlale impilo yakho yonke. Umuntu osebenzayo oneminyaka engama-40 ubudala mhlawumbe uzodinga omunye umuntu ozovala isikhala sakhe ekugcineni. ”

Yiziphi izinhlobo zemisebenzi engizokwazi ukuyenza ngemuva kokushintshwa kwedolo? Ngabe ngisazoba nezinhlungu ngemuva kokubuyela emazingeni omsebenzi ajwayelekile?

“Ungahamba konke okufunayo, igalofu, udlale imidlalo efana nethenisi engaphazamiseki ephindwe kabili - {textend} kodwa kungadonswa amabhola noma kugijinywe kuyo yonke inkantolo. Ngikhubaza ezemidlalo ezinomthelela omkhulu ezibandakanya ukusonta noma ukuphenduka, njengokushushuluza noma i-basketball. Umuntu osebenza engadini onentshisekelo uzoba nesikhathi esinzima ngoba kunzima ukuguqa ngamadolo esikhundleni sakhe. Khumbula ukuthi ukucindezela okuncane okufaka emadolweni, kuzothatha isikhathi eside. ”

Ngimkhetha kanjani udokotela ohlinzayo?

“Buza udokotela ohlinzayo ukuthi mangaki amadolo awenzayo ngonyaka. Kufanele enze amakhulu ambalwa. Izinga lakhe lokutheleleka kufanele libe ngaphansi kwephesenti elilodwa. Buza ngemiphumela yakhe ejwayelekile, nokuthi uyayilandela noma cha imiphumela, kufaka phakathi ububanzi bokunyakaza nezinga lokukhulula. Izitatimende ezinjengokuthi 'iziguli zethu zenza kahle' azanele ngokwanele. ”

Ngizwile ngokuhlinzwa kwamadolo okuhlasela kancane. Ngabe ngingumqokeleli walokho?

“Ukuhlasela okuncane kuyigama okungelona igama. Noma ngabe ukusika kuncane kangakanani, kusamele ubhole futhi usike ithambo. Akukho nzuzo ekusikekeni okuncane, kepha kukhona okubi. Kuthatha isikhathi eside, futhi kunengozi eyengeziwe ethanjeni noma emithanjeni yegazi. Ukuqina kwensimbi kunciphile ngoba awukwazi ukuyifaka futhi, futhi awukwazi ukusebenzisa amadivayisi anezinto ezinde. Futhi, kungenziwa kuphela ngabantu abancane. Akukho mehluko enanini lokuphuma kwegazi noma kwesikhathi sokutakula. Ngisho imbobo ifushane nge-intshi kuphela. Akufanele neze. ”

Kuthiwani ngokuhlinzwa kwedolo le-arthroscopic, lapho bahlanza khona ilunga? Ingabe kufanele ngizame lokho kuqala?

“I-Journal of the American Medical Association isanda kushicilela udaba oluthi akukho nzuzo kulo.Akungcono kunemijovo ye-cortisone, futhi iyahlasela kakhulu. ”