Iyini i-osteoarthritis?
Kunezinkinga ezimbalwa ezingafani ezingabangela ukuhlanganyela okungaxhunyiwe noma i-arthritis. Enye yalezi zinkinga ibizwa ngokuthi i-osteoarthritis. Abantu bavame ukubhekisela ku- osteoarthritis ngamanye amagama afana ' nesifo esivumelanayo ,' noma ' isisu sokugqoka nokuphumula .'
Ezinye izimbangela ezingavamile kakhulu zokuvuvukala okuhlangene noma i-arthritis kufaka:
Izimbangela
I-osteoarthritis yinkinga okucatshangwa ukuthi ingenxa yokuthi nje ukugqoka nokudiliza i-cartilage yenhlanganisela. I-osteoarthritis manje yaziwa njengenqubo eyinkimbinkimbi ehilela inqubo esebenzayo yezifo.
Ukufakwa okuvamile okuhlangene kuhlanganiswe ngendwangu ebushelelezi ye-cartilage. Le-cartilage yindawo ebuthakathaka esimweni esibizwa nge-osteoarthritis. Inkinga ebangela i-osteoarthritis ingenxa yokugqoka okungaphezulu (ukubola) nokulungiswa okuncane kwendawo yomzimba. Kukhona kokubili ukugcizelela (ukugqokisa) ingxenye ye-osteoarthritis , kanye ne-biologic (okungavamile okuphilayo okuphilayo) ingxenye yesifo.
Izingozi Zezingozi
Ukucwaninga kule minyaka eyishumi eyedlule kugxile ekutholeni izimbangela eziyinhloko ze-osteoarthritis , nokuthi ukuqonda lezi zimbangela zingase zihlele kanjani ukwelashwa esizayo. Siyazi ukuthi iziguli ezine-osteoarthritis cishe zinengozi eziningi eziye zaholela ekuthuthukiseni kwalesi simo.
Ingxenye yeNqubo Yokuguga?
Kuyaziwa ukuthi i-osteoarthritis ijwayele ukuthinta abantu asebekhulile , kodwa akucaci ukuthi kungani abanye bethuthukisa izinguquko ze-arthritic kuma-40s no-50s, kanti abanye baphila ukuphila okude nezinkinga ezimbalwa ezihlangene.
Abantu babecabanga ukuthi i-osteoarthritis yayivele nje ngenxa yezidingo zomuntu ezibekiwe kumalungu abo kulo lonke impilo.
Abantu abaningi bathi i-arthritis yabo emisebenzini yobusha bayo. Kodwa akuyona leyo elula ngempela. Abantu abaningi abagijima futhi badlale imidlalo yezokuncintisana abanalo izinkinga ngamalunga e-arthritic.
Manje sekuqondakala ukuthi i- osteoarthritis ayiyona into engavinjelwe yokuguga. Kubonakala sengathi inhlanganisela yezinto ezihlukahlukene iholela ekuthuthukiseni i-osteoarthritis kubantu ngabanye. Kubantu abahlukene, izici ezihlukene zingase zibaluleke kakhulu, kodwa akuvamile ukuba nenkinga eyodwa kuphela ebangela i-osteoarthritis.
Ukuze uthole ulwazi mayelana nokuthi i-osteoarthritis ithinta kanjani amalunga athile , bheka ulwazi olulandelayo:
Ucwaningo
Ukuze baphathe kahle i-osteoarthritis , odokotela kumele baqonde kangcono lesi sifo. Ngenkathi i-osteoarthritis yayicatshangwa ukuthi ivalwe emanzini , isaziwa manje ukuthi i-osteoarthritis iyathinta yonke into ebangela ukulahlekelwa kwe-cartilage , ukulimaza amathambo, ukwakheka kwe- bone spurs , nokuvuvukala kwezicubu ezithambile.
Ukwelashwa kwe-osteoarthritis kuhloswe ngezinqubo ezicatshangelwe ukuthi zenze le nkinga. Njengoba kuxoxwa ngaphambili, i-osteoarthritis ingenxa yombili wokugqoka (ukugqoka-ne-izinyembezi) kanye ne-biologic (ukuchithwa nokulungiswa kwe-joint cartilage) izinqubo.
Izinqubo ze-biologic
I-cartilage ibhekene nomjikelezo ovamile wokuphazamiseka nokulungiswa, kodwa esimweni se-osteoarthritis , isifo sofuba asisetshenziswanga ngokuphumelelayo, futhi ekugcineni umshini ohlangene ugobile. Inkinga eyinhloko ye-osteoarthritis icatshangwa ukuthi ukungalingani phakathi kokukhiqizwa kwe-cartilage entsha, nokulimala kwemvelo.
Njengoba ubuso obuhlangene buhamba, umzimba uzama ukulungisa inkinga. Umzimba wakho uzoqala impendulo yokuvuvukala ekuhlanganyeleni, okwenza ukuvuvukala. Kutholakale amathambo amasha njengesimo se- bone spurs ekwandiseni indawo ehlangene. Ngeshwa, umzimba wakho awukwazi ukukhokhela i-cartilage elahlekile, futhi isimo esibuhlungu se-osteoarthritis ngumphumela.
Ukwelashwa Ukuvuvukala
Ukwelashwa kwe-osteoarthritis kuqondiswa ekulawuleni impendulo yokuvuvukala nokukhulisa ikhono lomzimba wakho ukubuyisela ukuhlanganiswa okonakalisiwe.
Ezinye zezokwelapha ezihlose ukulawula lokhu ukuvuvukala kwi-osteoarthritis yilokhu:
- Imithi Yokulwa Nezivunguvungu
Imithi elwa nokuvuvukala , ebizwa nangokuthi i-NSAID, imithi yomlomo esiza ukulawula umjikelezo wokuvuvukala. Le mithi ithengiswa ngaphansi kwegama elithi Trade Motrin, Naprosyn, Celebrex, nabanye. Le mithi isiza ukunciphisa inqubo yokuvuvukala futhi isize ukunciphisa ubuhlungu. - I-Cortisone Injections
Ama-injection e-Cortisone nawo asiza ukulawula ukuvuvukala. I-Cortisone ingumuthi owenziwe ngokwemvelo emzimbeni wakho nge-grenal adrenal. Umjovo we-cortisone wokusebenza ungasiza ekuhlinzekeni imithi ephakeme kakhulu yemithi elwa nokuvuvukala ngqo ekuhlanganyeleni okuhlangene.
Ukwelashwa Kweminye Izimpawu
Kunezinhlobo eziningana zokwelapha iziguli eziningi ezithola ziwusizo kakhulu futhi zingasiza ukulawula izimpawu ze-osteoarthritis ngaphandle kokucabangela ukuhlinzwa:
- Ukwelashwa Kwemvelo
Ukwelashwa ngokwemvelo kusetshenziselwa ukuqinisa imisipha ezungeze ukuhlanganyela okuthintekile yi-osteoarthritis. Ngokwenza kanjalo, imisipha ingakwazi ukusekela okuningi kwamandla azungeze ukujoyina, ukufaka umthwalo ongaphansi kwe-cartilage ne-bone. - Ukulahlekelwa kwesisindo
Ukulahlekelwa kwesisindo uma kunzima kakhulu, kodwa kungaba yisinyathelo esiphezulu kakhulu ekulawuleni ubuhlungu obuhambisana ne-arthritis. Ukulahlekelwa kwesisindo kunciphisa umthwalo ohlangene kumele uwenze, ikakhulukazi ngeziqhwa, amadolo nezinyawo. Iziguli ezine- osteoarthritis yomkhawulo ophansi ongakwazi ukulahlekelwa isisindo cishe zihlale zinezibonakaliso zokuphumula. - Ukuguqulwa komsebenzi
Ukunciphisa imisebenzi ethile kungadingeka, futhi ukufunda izindlela ezintsha zokuvivinya umzimba kungasiza. Ukuzivocavoca kwe-Aquatic kuyindlela enhle kakhulu yeziguli ezinezinkinga zokuzivocavoca. - Ukudla
Umphumela wokuguqula ukudla akuqondakali kahle, kodwa kwaziwa ukuthi ukukhuluphala kuyisici esiyingozi ekuthuthukiseni i-osteoarthritis , futhi lapho abantu abane-osteoarthritis isisindo esibucayi bahlangabezana nokuthuthukiswa okuphawulekayo kwezimpawu zomtholampilo.Ukudla okukhethekile kuye kwacutshungulwa, kodwa okuncane kuye kwafakazelwa. Ezifundweni ezincane, i-antioxidants iye yaboniswa ukunciphisa ukuqhubekela phambili kwe-osteoarthritis , kodwa ayizange iboniswe ngezifundo ezinde, futhi azibonwanga ukuthi zishintshe isifo se-osteoarthritis. I-Vitamin D nayo ibonisiwe ukunciphisa ukuqhubeka kwe-osteoarthritis. Le datha ibonisa ukuthi ukudla kungabalulekile ekuvimbeleni ukuqhubeka kwesifo, kodwa ezinye izici zingase zibaluleke kakhulu ekuvimbeleni okuyisisekelo.
Ukucwaninga kuqhubeka njalo ukuze kuqondwe kangcono inqubo ye-osteoarthritis kanye nokusiza ukuthuthukisa amasu omuthi wokwelashwa kwalesi simo esivamile. Ezinye zezokwelapha zakamuva eziye zaheha ukunakwa yocwaningo zihlanganisa okulandelayo:
- I-Glucosamine ne-Chondroitin
Umthelela wokuthatha i-glucosamine ne-chondroitin kufundiswa, kepha akuqondwa kahle. Njengoba kushiwo ngaphambilini, i-osteoarthritis icatshangwa ukuthi ingenxa yenkinga ye- cartilage entsha engakhiwa ngokwanele ukuze ithathe indawo yokugaya isifo esidala . I-Glucosamine ne-chondroitin zingenye "zezakhi zokwakha" ze-cartilage, kanti abanye abantu bakholelwa ukuthi ukuthatha lezi zithako kungasiza ukudala uqwanga.Kube nomdlandla omkhulu, ngokuyinhloko ngendlela yokwazisa kanye nokukhangisa, kulolu hlobo lwezokwelapha, kodwa kukhona ucwaningo oluncane lokusekela izimangalo ze- 'arthritis cure . ' Ukuvumelanisa ngokujwayelekile kochwepheshe bezokwelapha ngalesi sikhathi ukuthi kungase kube nomthelela wokuthatha lezi zithako, kodwa akuqondwa kahle. Ziyaziwa ukuthi ziphephile futhi zingaba nesevisi ethile ekwelapheni i-osteoarthritis .
- I-Synvisc
I-Synvisc yinto ebizwa ngokuthi i-hyaluronic acid, iphrotheni ehlanganiswe ngamaseli enqamuzana. Lezi zinto zifihliwe ekuhlanganyeleni, futhi zisiza ukunikeza umthamo wakho ohlangene umkhwalithi othumayo, noma owenzela i-viscous, ikhwalithi. Ngokujova le nto emadolweni, abanye abantu bakholelwa ukuthi ubeka esikhundleni salesi sici esibalulekile samanzi ahlangene .Izifundo zesikhathi eside azange zibonise noma iyiphi inzuzo ecacile yeS Synvisc , kodwa iziguli eziningi zikholelwa emiphumeleni yayo. Okuye kwaboniswa, ukuthi iziguli eziphathwa nge-Synvisc cishe zinesikhathi esiningi kuze kube yilapho kudingeka ukuguqulwa kwamadolo , okusho ukuthi i-Synvisc iyasiza ekubambezeni ukwelashwa kokuhlinzwa kwe-osteoarthritis. Ngenxa yezinkinga zokwenza ukuhlinzwa kwamadolo esikhundleni sabantu abakhulile , lokhu kungaba inzuzo enkulu.
Alternative Treatment
Kuziguli ezifuna ukwelashwa okunye noma ezinye izindlela ezintsha zokuphathwa kwe-osteoarthritis, ngizokukhuthaza ukuthi ufunde ngezinsiza ezilandelayo:
Kubuye kube nesithakazelo sakamuva ku-cartilage resurfacing kanye ne- cartilage techniques yokufakelwa kwe-cartilage . Lezi zinqubo zivame ukusetshenziselwa iziguli ezine- arthritis yamadolo . Ngeshwa, lezi zindlela zibonise imiphumela emihle ezigulini ezinezindawo ezincane zokwelashwa kwesifo samathambo, kunokuba zigqoke izigqoko ze-cartilage ezivame ukubonakala ezigulini ezine-osteoarthritis.