Konke Okufanele Ukwazi Nge-Tricompartmental Osteoarthritis

-Delile

• Amaphuzu abalulekile
• Ukubuka konke
• Ziyini izimpawu?
• Izici zobungozi
• Ukuxilongwa
• Izinketho zokwelashwa
• Ukuphathwa kwesisindo nokuvivinya umzimba
• Imishini yezokwelapha
• Amakhambi asekhaya
• Imithi kadokotela
• Ukuhlinzwa
• Ukuphathwa kwendlela yokuphila
• Umbono

Amaphuzu abalulekile

• I-Tricompartmental osteoarthritis uhlobo lwe-osteoarthritis oluthinta lonke idolo.
• Imvamisa uyakwazi ukuphatha izimpawu ekhaya, kepha abanye abantu bangadinga ukuhlinzwa.
• Ukuzivocavoca okunomthelela ophansi nokulahlekelwa isisindo kunganciphisa ukuqhubeka kwalesi simo.

Ukubuka konke

I-Tricompartmental osteoarthritis uhlobo lwe-knee osteoarthritis (OA) oluthinta womathathu amagumbi amadolo.

Lezi izi:

• igumbi elingaphakathi lesifazane-tibial, ngaphakathi kwamadolo
• igumbi le-patellofemoral, elenziwe yi-femur ne-kneecap
• igumbi le-lateral femal-tibial lateral, ngaphandle kwamadolo

I-OA ingathinta noma yiziphi zalezi zingxenye. Uma kwenzeka kuwo womathathu, lokhu yi-tricompartmental osteoarthritis. Umthelela ungaba nzima kakhulu lapho i-OA ithinta amakamelo amathathu kunokuba yodwa.

Ziyini izimpawu?

Izimpawu ze-OA tricompartmental ziyafana nezase-OA engenazindlu, kepha zithinta zonke izingxenye ezintathu zamadolo.

Izimpawu zingafaka:

• ukuvuvukala nokuqina kwedolo
• ubunzima bokugoba nokuqondisa idolo
• ukuvuvukala, ikakhulukazi ngemuva komsebenzi
• ubuhlungu nokuvuvukala okuya kuba kubi ngenkathi ulele noma ekuseni
• ubuhlungu obukhulayo ngemuva kokuhlala noma ukuphumula
• ukuqhuma, ukuchofoza, ukuqhuma, noma ukugaya umsindo ovela emadolweni
• ubuthakathaka noma ukubhoboza emadolweni
• ukungahambi kahle (ukuhamba), imilenze ekhonjiwe noma ingqongqoziwe
• izigaxa ethanjeni
• ukukhiya kokujoyina, ngenxa yezicucu zamathambo nokuguqulwa
• ubunzima bokuhamba ngaphandle kosizo

I-X-ray ingase iveze izingcezu zamathambo ezikhululekile nomonakalo kuqwanga namathambo.

Izici zobungozi

Izici eziningana zandisa ubungozi bokuthuthukisa i-OA, kufaka phakathi i-OA tricompartmental.

Bona:

Ukukhuluphala ngokweqile. Isisindo somzimba esengeziwe sibeka ingcindezi kumajoyini athwala isisindo, njengamadolo. Ochwepheshe beluleka abantu abane-OA kanye nokukhuluphala ngokweqile ukuthi basebenzisane nodokotela wabo ukuthola isisindo esifanele futhi bathuthukise uhlelo lokufinyelela lo mgomo.

Ukuguga. Njengoba ukhula, izingxenye zenhlanganisela yakho zingaguga kancane kancane. Ukuvivinya umzimba njalo nokwelula kungasiza ukubambezela le nqubo. I-OA akuyona ingxenye ezenzakalelayo yokuguga, kepha amathuba okuthi yenzeke ayakhula ngokuguga.

Ucansi. Abesifazane banamathuba amaningi okuthi bahlakulele i-OA kunabesilisa, ikakhulukazi ngemuva kweminyaka yobudala engama-50.

Ukulimala kwelungu. Uma uke walimala edolweni esikhathini esedlule, kungenzeka ukuthi uthuthukise i-OA.

Imisebenzi ethile. Ngokuhamba kwesikhathi, izinhlobo ezithile zomsebenzi womzimba zingacindezela amalunga wamadolo. Izibonelo zifaka ukuphakamisa nokuhambisa izinto ezisindayo njalo, ukwenza imidlalo ethile, nokukhuphuka kwezitebhisi eziningi usuku ngalunye.

Izakhi zofuzo. Uma unelungu lomndeni eliseduze, njengomzali, one-OA, unethuba eliphakeme lokulithuthukisa, futhi.

Ukukhubazeka kwamathambo nezithambile. Abanye abantu bazalwa benamajoyinti amadolo noqwanga athambekele kakhulu ku-OA.

Ukuxilongwa

Udokotela wakho uzokubuza ngezimpawu zakho.

Indlela yokuxilongwa kwe-OA emadolweni ibandakanya ubuhlungu bamadolo kanye nezimpawu ezintathu noma ngaphezulu zalezi ezilandelayo:

• ukuqina ekuseni kuze kube yimizuzu engama-30
• ukuqhekeza noma umuzwa wokugaya emadolweni, owaziwa ngokuthi i-crepitus
• ukukhuliswa kwengxenye yamathambo emadolweni
• isisa samathambo amadolo
• ukufudumala okuncane kujoyini

Udokotela angafuna nokwenza isivivinyo se-imaging, njenge-X-ray.

Imiphumela ingakhombisa imininingwane yesikhala esiphakathi kwamathambo wehlangothini lamadolo. Ukuncipha kwesikhala esihlangene kuphakamisa isifo esibi kakhulu, kufaka phakathi ukuguguleka kwenqwaba.

Udokotela wakho uzophinde afune ukwakheka kwamathambo okuthiwa ama-osteophytes. Ama-osteophyte angumphumela wamathambo ahlikihlanayo.

Ezigabeni zokuqala ze-OA, lezi zinguquko kungenzeka zingabonakali kuma-X-ray. Kodwa-ke, i-tricompartmental OA ivame ukuba nzima kakhulu, futhi lezi zici zivame ukucaca.

Okunye ukuhlolwa kungafaka:

• ukuhlolwa kwelebhu ukukhipha okunye ukuxilongwa
• i-MRI, engadalula ukulimala kwezicubu ezithambile, ezifana noqwanga nemisipha

Izinketho zokwelashwa

Alikho ikhambi le-tricompartmental noma ezinye izinhlobo ze-OA, ngoba akukakenzeki ukufaka uqwanga oselonakele.

Esikhundleni salokho, ukwelashwa kugxile ekuphatheni izimpawu nasekunciphiseni ukuqhubeka kwe-OA.

Ukuphathwa kwesisindo nokuvivinya umzimba

Ukuphathwa kwesisindo nokuvivinya umzimba kudlala indima enkulu ekuphatheni i-OA.

Ukwehla kwesisindo kungasiza ukunciphisa ingcindezi edolweni. Ukuvivinya umzimba kugcina izicubu zamadolo ziqinile futhi kusiza ukuxhasa ukuhlangana kwamadolo.

Udokotela noma owelapha ngokomzimba angancoma ukuthi ushintshe izindlela zokuzivocavoca ezinomthelela omkhulu - njengokugijima - uye kwezinomthelela ophansi, njengokubhukuda namanzi okuvivinya umzimba.

Ezinye izinketho ezifanele zifaka i-tai chi, ukuhamba ngezinyawo, ukuhamba ngebhayisikili nokuzilolonga. Buza udokotela wakho ngezinketho ezikufanele.

Thola amathiphu lapha ngemisebenzi enomthelela ophansi kubantu abane-OA.

Imishini yezokwelapha

Izibonelo zifaka:

• induku yokuhamba noma i-walker
• isibopho noma isigaxa
• i-kinesiotape, uhlobo lokugqoka olusekela ilunga ngenkathi likuvumela ukuba lihambe

Ochwepheshe njengamanje abakhuthazi ukusebenzisa izicathulo eziguquliwe, ngoba alukho ucwaningo olwanele ukukhombisa ukuthi yiluphi uhlobo lokuguqulwa olufanele.

Amakhambi asekhaya

Ukwelashwa kwasekhaya kufaka:

• amaphakethe weqhwa nokushisa
• ngaphezu kwe-counter non-steroidal anti-inflammatory drugs (ama-NSAID)
• okhilimu abaqukethe i-capsaicin noma ama-NSAID

Imithi kadokotela

Uma i-OTC namakhambi asekhaya engakusizi, noma uma izimpawu zithinta impilo yakho yansuku zonke nokuhamba, udokotela wakho angakunikeza imithi yomlomo noma yokujova.

Kubandakanya:

• i-tramadol yokuqeda ubuhlungu
• duloxetine
• ama-corticosteroids anokujova

Ukuhlinzwa

Uma lokho kwelashwa kungasebenzi noma kuyeka ukusebenza, udokotela wakho angancoma ukuhlinzwa.

Ukuhlinzwa kungasiza abantu ababhekene nakho:

• ubuhlungu obukhulu
• ubunzima bokuhamba
• ukuncipha kwekhwalithi yempilo

Udokotela wakho angancoma ukuhlinzwa ngokuphelele kwamadolo uma i-OA yamadolo amathathu ethinta ikhono lakho lokwenza imisebenzi yansuku zonke.

Lo dokotela ohlinzayo uzosusa ithambo elonakele noqwanga bese elifaka esikhundleni selungu lokufakelwa elenziwe ngensimbi noma ngepulasitiki.

Kuze kube ngamaphesenti angama-90 abantu abaguqulwe ngokuphelele ngamadolo bathi kunciphisa amazinga ezinhlungu futhi kwenyusa ukuhamba, ngokusho kweAmerican Academy of Orthopedic Surgeons.

Kodwa-ke, kungathatha izinyanga ezimbalwa ukuthola kabusha ekusebenzeni. Ukulandelela kuzobandakanya imithi nokuvakashelwa nodokotela ohlinzayo wamathambo.

Ukuphathwa kwendlela yokuphila

Uma une-tricompartmental OA, ukuzilawula kwesimo sakho kungasiza ukusivimba ukuthi singabi sibi kakhulu.

Nazi ezinye izindlela zokwenza lokhu:

• gwema ukubhema
• landela ukudla okunempilo
• thola ibhalansi efanelekile phakathi komsebenzi nokuphumula
• setha izindlela zokulala ezivamile
• funda ukuthi ungabhekana kanjani nokucindezeleka

Hlobo luni lokudla okuhle ongakulandela nge-OA? Thola lapha.

Umbono

Idolo OA lithinta abantu abaningi, ikakhulukazi njengoba bekhula. I-Tricompartmental OA ithinta zonke izingxenye zamadolo.

Izindlela ezijwayelekile zokuthuthukisa ubuhlungu nokuhamba zihlanganisa ukuzivocavoca umzimba, namacala abucayi, ukuhlinzwa.

Udokotela wakho angakusiza wenze uhlelo olufanele lokugcina noma ukuthuthukisa ikhwalithi yakho yokuphila ne-OA.