Ukuqonda Uqwanga, Amalunga, kanye Nenqubo Yokuguga

-Delile

• Ukwakheka kokuhlanganiswa
• Umzimba osugugile
• Izici zobungozi ze-OA
• Isisindo
• Umlando womndeni
• Ucansi
• Umsebenzi
• Ukwelashwa
• Imithi
• Imijovo
• Ukuhlinzwa
• Izindlela zokuphila nezasekhaya
• Ukuzivocavoca umzimba
• Ukwelashwa ngokushisa / ukubanda
• Amadivayisi okusiza
• Phumula
• Ukwehla kwesisindo
• Umbono

Yini i-osteoarthritis?

Ukuhamba impilo yonke, ukuzivocavoca nokunyakaza kungalimaza uqwanga lwakho - izicubu ezihlangene, ezinenjoloba ezihlanganisa ukuphela kwamathambo. Ukonakala koqwanga kungadala ukuvuvukala okungapheli emalungeni, okungaholela ekutheni kube nesifo samathambo.

I-Osteoarthritis (OA) iyindlela ejwayelekile kakhulu ye-arthritis. I-OA yaziwa nangokuthi isifo samalunga esiwohlokayo. Ngokusho kwe-, cishe abantu abadala abayizigidi ezingama-30 e-United States bane-OA. Lokho kwenza i-OA ibe yimbangela ehamba phambili yokukhubazeka kubantu abadala.

Ukwakheka kokuhlanganiswa

Amajoyini ama-cartilage ama-joint futhi abasize bahambe kahle futhi kalula. Ulwelwesi olubizwa ngokuthi i-synovium lukhiqiza uketshezi olujiyile olusiza ukugcina uqwanga luphilile. I-synovium ingavutha futhi iqine njengoba kuguga nokudwengula kuqwanga kwenzeka. Lokhu kungaholela ekuvukeleni, okukhiqiza uketshezi oluthe xaxa ngaphakathi kwejoyinti, okuholele ekufukuleni-futhi mhlawumbe nasekuthuthukisweni kwe-OA.

Amalunga avame ukuthintwa yi-OA yile:

• izandla
• izinyawo
• umgogodla
• okhalweni
• amadolo

Njengoba uqwanga luya ngokuya luwohloka, amathambo aseduze kungenzeka angabi nokugcotshwa okwanele okuvela ku-synovial fluid nokugobhoza kusuka ku-cartilage. Lapho nje amathambo ehlangana ngqo, kubangela ubuhlungu obengeziwe nokuvuvukala kwezicubu ezizungezile.

Njengoba amathambo eqhubeka ehlangana ndawonye, ​​angaba mkhulu futhi aqale ukukhula ama-osteophyte, noma ama-bone spurs.

Umzimba osugugile

Lapho uthola ukuba mdala, kuvame kakhulu ukuzwa ukukhathazeka okuncane noma ukuqaqamba lapho umile, ukhuphuka izitebhisi noma uzivocavoca umzimba. Umzimba awululami ngokushesha njengoba kwenzeka eminyakeni emincane.

Futhi, uqwanga luwohloka ngokwemvelo, okungadala ukuqaqamba. Izicubu ezibushelelezi ezihlanganisa amalunga futhi zizisize zihambe kalula ngokunyamalala ngokuguga. Ama-absorber absorber wemvelo agugile. Ngakho-ke uqala ukuzwa ukukhokha komzimba wakho.

Ubuye ulahlekelwe yithoni yemisipha namandla amathambo lapho ukhulile. Lokho kungenza imisebenzi enzima ngokomzimba ibe nzima kakhulu futhi ifake intela emzimbeni.

Izici zobungozi ze-OA

Ingozi ejwayelekile yokuthola i-OA iminyaka. Abantu abaningi abane-OA bangaphezu kweminyaka engama-55. Ezinye izinto zandisa amathuba omuntu okuba nesifo. Lokhu kufaka phakathi:

Isisindo

Ukukhuluphala ngokweqile kufaka ingcindezi eyengeziwe emajoyini, uqwanga namathambo, ikakhulukazi emadolweni nasesinqeni. Kusho nokuthi mancane amathuba okuthi usebenze ngokomzimba. Ukuvivinya umzimba njalo, njengokuhamba nsuku zonke, kunganciphisa kakhulu amathuba okuba ne-OA.

Umlando womndeni

Izakhi zofuzo zingenza umuntu abe sethubeni lokuthola i-OA. Uma unamalungu omndeni analesi sifo, ungahle ube sengcupheni yokuthola i-OA.

Ucansi

Ngaphambi kweminyaka yobudala engama-45, amadoda asethubeni lokuthuthukisa i-OA. Ngemuva kweminyaka engama-50, abesifazane basemathubeni amaningi okuthuthukisa i-OA kunabesilisa. Amathuba okuba ne-OA kwabobulili bobabili acishe abe cishe eminyakeni yobudala engama-80.

Umsebenzi

Imisebenzi ethile ikhulisa ubungozi bomuntu bokuthuthukisa i-OA, njenge:

• ukwakhiwa
• ukulima
• ukuhlanza
• okudayisa

Abantu abakule misebenzi basebenzisa imizimba yabo ngamandla njengengxenye yomsebenzi wabo. Lokhu kusho ukuwohloka okungaphezulu kwamalunga abo, kubangele ukuvuvukala okwengeziwe.

Abantu abancane, abakhuthele ngokwengeziwe nabo bangathuthukisa i-OA. Kodwa-ke, kuvame ukuba ngumphumela wokuhlukumezeka, njengokulimala kwezemidlalo noma ingozi. Umlando wokulimala ngokomzimba noma izingozi ungakhuphula amathuba omuntu okuthi kamuva abe ne-OA.

Ukwelashwa

I-OA ayinayo ikhambi. Esikhundleni salokho, inhloso yokwelashwa ukuphatha izinhlungu, bese kunciphisa izimbangela ezenza izimpawu ze-OA zibe zimbi kakhulu. Isinyathelo sokuqala ekwelapheni i-OA ukwehlisa ubuhlungu. Lokhu kuvame ukwenziwa ngenhlanganisela yemithi, ukuvivinya umzimba, kanye nokwelashwa ngokomzimba.

Ukwelashwa kwe-OA kuvame ukwenzelwa indlela yokuphila yomuntu nokuthi yini ebangela ubuhlungu nobuhlungu. Kunezinhlobo eziningi zezindlela zokwelashwa ezikhona. Lokhu kufaka phakathi:

Imithi

Ukudambisa izinhlungu e-over-the-counter (OTC) imvamisa bonke abantu abane-OA badinga ukwelapha izinhlungu. Izibonelo zifaka phakathi izidakamizwa ezingezona ukuvuvukala (ama-NSAID) - njenge-aspirin (iBufferin) ne-ibuprofen (Advil, Motrin IB) - noma i-acetaminophen (iTylenol).

Kodwa-ke, uma ubuhlungu buba bukhulu noma imishanguzo ye-OTC ingasebenzi, imishanguzo enamandla yezinhlungu ingadingeka.

Imijovo

I-Hyaluronic acid nemijovo ye-corticosteroid ingasiza ekunciphiseni ubuhlungu emajoyintini athintekile. Kodwa-ke, imijovo ye-steroid ngokuvamile ayisetshenziswa ngokuphindaphindiwe ngoba ingadala umonakalo owengeziwe ngokuhlanganyela ngokuhamba kwesikhathi.

Imijovo ye-Hyaluronic acid kanye ne-corticosteroid triamcinolone acetonide (iZilretta) kuvunyelwe kuphela emadolweni. Eminye imijovo efana ne-PRP (iprotheni ecebile nge-plasma) nemijovo yama-stem cell iyasetshenziswa ekuhlolweni.

Ukuhlinzwa

Ukuhlinzwa kuvame ukubekelwa abantu abane-OA enamandla nekhubazayo.

I-osteotomy inqubo yokususa enganciphisa usayizi wamathambo uma iphazamisa ukuhamba ngokuhlanganyela. I-Osteotomy nayo iyindlela engeyona engatheni yokuhlasela abantu abafuna ukugwema ukuhlinzwa okuhlanganyelwe okuhlanganyelwe.

Uma i-osteotomy kungeyona inketho noma ingasebenzi, udokotela wakho angancoma ukuhlangana kwamathambo (i-arthrodesis) ukwelapha amalunga abolile kakhulu. I-Arthrodesis yesinqe noma idolo ayivamile ukwenziwa, kepha ingenziwa kwamanye amalunga njengeminwe noma izihlakala.

Ngamajoyini we-hip kanye namadolo, indawo yokugcina ingukushintshwa okuhlangene okuhlangene (i-arthroplasty).

Izindlela zokuphila nezasekhaya

Ukusiza ukuphatha ubuhlungu bakho nokunciphisa izimpawu zakho, ungahle uthande ukuzama ukulungisa impilo yakho ukwenza izinto zibe lula kumajoyinti akho nasemathanjeni akho. Lokhu kulungiswa kungathuthukisa ukusebenza kanye nekhwalithi yakho yokuphila. Izinketho zifaka:

Ukuzivocavoca umzimba

Ukuzivocavoca okunomthelela ophansi kungasiza ekuqiniseni imisipha nokugcina amathambo eqinile. Ukuzivocavoca umzimba kuthuthukisa ukuhamba ngokuhlanganyela.

Yeka ukuzivocavoca okunomthelela osindayo, njenge-tennis ne-baseball, bese uqala ukwenza izivivinyo ezinomthelela ophansi kakhulu. Igalofu, ukubhukuda, i-yoga, nokuhamba ngebhayisikili konke kulula emajoyintini.

Ukwelashwa ngokushisa / ukubanda

Faka amakhompiyutha afudumele noma amaphakethe abandayo emajoyintini lapho ebuhlungu noma ebuhlungu. Lokhu kungasiza ekunciphiseni ubuhlungu futhi kunciphise ukuvuvukala.

Amadivayisi okusiza

Ukusebenzisa amadivayisi afana nezinsimbi, izihlinzana, nezinduku kungasiza umzimba wakho ukusekela amalunga abuthakathaka.

Phumula

Ukunikeza amalunga abuhlungu, obuhlungu ukuphumula okwanele kunganciphisa ubuhlungu futhi kwehlise ukuvuvukala.

Ukwehla kwesisindo

Ukwehla ngamakhilogremu ama-5 kungasiza ekunciphiseni izimpawu ze-OA, ikakhulukazi emajoyintini amakhulu afana nezinqulu namadolo.

Umbono

Kuyinto ejwayelekile ukuthi njengoba ukhula uzozwa ukuqaqamba nokuqaqamba kwamalunga akho - ikakhulukazi lapho umile, ukhuphuka izitebhisi, noma uzivocavoca umzimba. Futhi kungenzeka ukuthi ngokuhamba kwesikhathi, ukonakala kwe-cartilage kungaholela ekuvukeleni nase-OA.

Kodwa-ke, kukhona kokubili ukwelashwa kanye nezinguquko zendlela yokuphila ongayenza ukunciphisa izinhlungu nokuphatha ezinye izimpawu. Uma une-OA, khuluma nodokotela futhi uhlole izinketho zakho zokwelashwa.