Ukuzivocavoca Ngenye Ingxenye Ye-Arthritis Comprehensive Treatment Plan
Abantu abane-arthritis kufanele baxoxisane njalo nodokotela wabo ngezinhlelo zabo zokuzivocavoca. Isamba nesimo sokuzivocavoca okuphakanyiswa umuntu ngamunye kuzohlukahluka kuye ngokuthi:
- yiziphi amalunga ezihilelekile
- inani lokuvuvukala
- ukuthi amalunga azinzile kangakanani
- kungakhathaliseki ukuthi inqubo yokufakelwa okuhlangene yenziwe
Udokotela onolwazi onolwazi mayelana nezidingo zezokwelapha nokuvuselela abantu abane-arthritis, esebenzisana nodokotela wezinto ezibonakalayo owaziyo nezidingo zabantu abane-arthritis, angayilalisa uhlelo lokuzivocavoca ngesiguli ngasinye.
Ingabe Abantu Abano-Arthritis Ukuzivocavoca?
Ucwaningo lubonise ukuthi ukuzivocavoca kusiza abantu abane-arthritis ngezindlela eziningi. Ukuzivocavoca kunciphisa ubuhlungu obuhlangene nokuqina kanye nokwanda:
- ukuguquguquka
- amandla emisipha
- ukuqina komzimba
- ukukhuthazela
Futhi kusiza ekunciphiseni isisindo futhi kunomthelela ekuthuthukiseni isimo senhlalakahle.
Ukuzivocavoca Kufinyelela Kanjani EkuHlelweni Kwezokwelapha Kwabantu Abanesifo Se-Arthritis?
Ukuzivocavoca ingxenye eyodwa yepulani yokuhlukumeza i-arthritis. Izinhlelo zokulashwa nazo zingafaka:
- ukuphumula nokuphumula
- ukudla okufanele
- imithi
Ukwelashwa nakho kungabandakanya imfundo elandelayo:
- ukusetshenziswa kahle kwamalungu
- izindlela zokugcina amandla
- nezinye izindlela zokusiza izinhlungu
Izinhlobo Zokuzivocavoca Zihamba Kakhulu Kubantu Abaphethwe Amagciwane
- Ukuzivocavoca okuningi (isib. Umdanso) kusiza ukugcina ukunyakaza okuhlangene okujwayelekile nokunciphisa ukuqina. Lolu hlobo lokuvivinya umzimba lusiza ukugcina noma ukwandisa ukuguquguquka.
- Ukuvivinya umzimba (isib. Ukuqeqeshwa kwesisindo) kusiza ukugcina noma ukwandisa amandla omzimba. Imisipha enamandla isekela futhi ivikele ama-joints abathintekayo yi-arthritis.
- Ukuvivinya umzimba nge-aerobic noma ukukhuthazela (isib. Ukugibela ibhayisikili) kuthuthukisa ukuqina komzimba, ukusiza ukulawula isisindo, nokuthuthukisa umsebenzi jikelele.
Ukulawula isisindo kungabalulekile kubantu abane-arthritis ngoba isisindo esingeziwe sibeka ingcindezi eyengeziwe kumajoyini amaningi. Ezinye izifundo zibonisa ukuthi ukuzivocavoca kwe-aerobic kunganciphisa ukuvuvukala kwamanye amalunga.
Iningi lamaqembu ezempilo kanye nezikhungo zomphakathi zinikeza izinhlelo zokuzivocavoca kubantu abanokulinganiselwa ngokomzimba.
Umuntu Ophethe I-Arthritis Uqala Kanjani Uhlelo Lokuzivocavoca?
Abantu abane-arthritis kufanele baxoxe ngokukhetha kokuzivocavoca nodokotela babo nabanye abahlinzeki bezempilo. Odokotela abaningi batusa ukuqeqeshwa kweziguli zabo. Abantu abaningi abane-arthritis baqala ngokuzivocavoca okulula, okuhamba phambili kokuhamba kanye ne-aerobics esebenzayo. Abantu abane-arthritis bangabamba iqhaza ezihlukahlukene, kodwa hhayi zonke, izinhlelo zezemidlalo nokuzivocavoca. Udokotela wakho uzokwazi ukuthi yikuphi, uma ikhona, imidlalo iyimingcele.
Udokotela wakho angase abe neziphakamiso mayelana nokuthi ungaqala kanjani noma angathumela isiguli kumthandi wezinto ezibonakalayo . Kungcono ukuthola umhlengikazi ongokwenyama okwazi ukusebenzisana nabantu abane-arthritis. Uchwepheshe wezokwelapha uzoklama uhlelo olufanele lokuzivocavoca ekhaya futhi afundise amaklayenti mayelana nalokhu:
- izindlela zokusiza ubuhlungu
- imishini yomzimba efanele (ukubekwa komzimba ngomsebenzi owunikeziwe)
- ukuvikelwa okuhlangene
- ukulondoloza amandla
Ungaqala kanjani
- Xoxa ngezinhlelo zokuzivocavoca nodokotela wakho.
- Qala ngokuqondisa kusuka kumthandi womzimba noma umqeqeshi wezemidlalo oqeqeshiwe.
- Faka isicelo sokushisa ngamalungu amanxeba (ngokuzithandela; abantu abaningi abane-arthritis baqala uhlelo lwabo lokuzivocavoca ngale ndlela).
- Sula futhi ufudumeze ngokuzivocavoca okuhamba phambili.
- Qala ukuvivinya umzimba kancane kancane ngezinsimbi ezincane (isisindo esingu-1 noma 2-isisindo singenza umehluko omkhulu).
- Intuthuko kancane kancane.
- Sebenzisa amaphakethe abandayo emva kokuzivocavoca (okukhethwa kukho; abantu abaningi abane-arthritis baqedile ukuzivocavoca kwabo njalo).
- Engeza umsebenzi wokuvivinya umzimba.
- Nciphisa uma amalunga eba buhlungu, ashisa, noma abomvu, futhi usebenze nodokotela wakho ukuze uthole imbangela futhi uyiqede.
- Khetha uhlelo lokuzivocavoca oluthandayo kakhulu futhi wenze umkhuba.
Cabanga ngokuzivocavoca okufaneleko (emva kokwenza ukuhamba okuhamba phambili, ukuqinisa, nokuzivocavoca kwe-aerobic). Ukulimala okuncane kwamalunga aphethwe yi-arthritis kwenzeka ngesikhathi sokuzivocavoca uma kulandelwa ukuhamba-phambili, ukuqinisa, nokuvivinya umzimba okuthola umzimba wakho esimweni esihle kakhulu.
Abantu Abavame Ukuphefumula Ngokuvamile?
- Izenzo zokuhamba phambili zenziwa nsuku zonke futhi kufanele zenziwe okungenani zonke izinsuku.
- Ukuqinisa umzimba kufanele kwenziwe nsuku zonke ngaphandle kokuba ubuhlungu obukhulu noma ukuvuvukala kumalungu akho.
- Ukukhuthazela kufanele kwenziwe emaminithini angu-20 kuya kwangu-30 kathathu ngeviki ngaphandle kokuthi ube nobuhlungu obunzima noma ukuvuvukala emalungwini akho. Ngokusho kwe-American College of Rheumatology, imizila yokuzivocavoca imizuzu engama-20 kuya kwezingama-30 ingenziwa ngezikhathi eziyiminyaka eyishumi phakathi nenkathi yosuku.
Ingabe Abacwaningi Ukufunda I-Arthritis & Ukuzivocavoca?
Abacwaningi baqhubeka befuna futhi bathole izinzuzo zokuzivocavoca iziguli ezine:
- i-arthritis ye-rheumatoid
- spondyloarthropathies
- lupus
- i-fibromyalgia
Abacwaningi bafunda nezinzuzo zokuzivocavoca kubantu asebekhulile.
Ukuzivocavoca ngezinhlobo ezithile ze-Arthritis
Kunezinhlobo eziningi ze-arthritis. Ukuzivocavoca okusiza kakhulu uhlobo oluthile lwe-arthritis kunganconywa yi:
- odokotela abanolwazi
- abahlinzeki bomzimba
- ochwepheshe bezokwelapha
Odokotela nabahlinzeki bezokwelapha bazi nokuzivocavoca okuqondile kwamajoyini amabuhlungu. Kungase kube nokuzivocavoca okungekho emkhawulweni wabantu abanesifo esithile se-arthritis noma uma amalunga evuvuka futhi evuvukala. Abantu abane-arthritis kufanele baxoxe ngezinhlelo zabo zokuzivocavoca nodokotela. Odokotela abaphatha abantu abane-arthritis bangafaka:
- i-rheumatologists
- odokotela bama-orthopedic
- abasebenza ngokujwayelekile
- odokotela bomndeni
- abaqeqeshi
- ochwepheshe bokuvuselelwa
Yimuphi Uhlobo Lokuqinisa Uhlelo Oluhle?
Lokhu kuyahluka kuye ngokuthandayo, uhlobo lwe-arthritis olubandakanyekile, nokuthi ukuvuvukala kusebenza kangakanani. Ukuqinisa imisipha yakho kungasiza ukuthatha umthwalo emajoyini amabuhlungu. Ukuqeqeshwa kwamandla kungenziwa nge:
- izisindo ezincane
- imishini yokusebenzisa
- isometrics
- ama-elastic bands
- umzimba wokuphuza amanzi
Ukubeka indawo efanele kunzima, ngoba uma kwenziwa ngokungalungile, ukuvivinya umzimba kungabangela:
- izinyembezi zemisipha
- ubuhlungu obuningi
- ukuvuvukala okwengeziwe
Ukuzivocavoca Kakhulu Kangakanani?
Iningi labachwepheshe bayavuma ukuthi uma ukuzivocavoca kubangela ubuhlungu obuhlala isikhathi esingaphezu kwehora elilodwa, luyinkimbinkimbi kakhulu. Abantu abane-arthritis kufanele basebenze nomhlengikazi wabo noma udokotela ukuze balungise uhlelo lwabo lokuzivocavoca uma bebona noma yiziphi izimpawu ezilandelayo zokuzivocavoca okunamandla:
- ukukhathala okungavamile noma okuqhubekayo
- ubuthakathaka obandayo
- uhlu lwezinyathelo ezinciphile
- ukuvuvukala okuhlangene
- ubuhlungu obuqhubekayo (ubuhlungu obungapheli ngaphezu kwehora elilodwa emva kokusebenzisa)
Ingabe Umuntu Ophethe I-Arthritis Ye-Rheumatoyi Kufanele Aqhubeke Nokuzivocavoca Phakathi Nesikhathi Esijwayelekile? Kuthiwani Ngesikhathi Ngesikhumba Esihlangene Sendawo?
Kuhle ukubeka amalunga ngobumnene ngokuhamba kwawo okugcwele kanye nosuku, ngezikhathi zokuphumula, ngesikhathi sokushisa kwe-systemic noma ama-flare ohlangene wendawo.
Iziguli zingakhuluma nodokotela wazo mayelana nokuphumula okungcono kakhulu phakathi kwamahora ajwayelekile noma ahlangene.
Yiziphi Ezinye Ezibuhlungu Izindlela Zokusiza Abantu Abanemishanguzo?
Kunezindlela ezikhona zokusiza ukuyeka ubuhlungu ngezikhathi ezincane. Lokhu kukhululwa okwesikhashana kungenza kube lula kubantu abane-arthritis ukuba bavame ukuzivocavoca. Udokotela wakho noma uchwepheshe wezempilo angasikisela indlela engcono kakhulu isiguli ngasinye. Lezi zindlela ziye zasebenza kubantu abaningi:
Ukushisa Okumanzi
Ukushisa okumanzi okuhlinzekwa ngamathawula afudumele, amaphakethe ashisayo , ibhuku lokugeza noma i-shower kungasetshenziswa ekhaya imizuzu engu-15 kuya kwangu-20 kathathu ngosuku ukuze kunciphise izimpawu.
Ukushisa Okujulile
Uchwepheshe wezezempilo anganikeza ukushisa okujulile ezindaweni ezingekho emthethweni ngokuhlanganyela:
- amaza afushane
- ama-microwave
- i-ultrasound
Ukushisa okujulile akunconywa iziguli ezinezingxube ezivuthayo. Ukushisa okujulile kuvame ukusetshenziselwa nxazonke zehlombe ukuze uphumule izintambo eziqinile ngaphambi kokulula umzimba.
Cold
Ikhukhu elihlinzekwa ngesikhwama seqhwa noma imifino efriziwe ehlanganiswe ithawula itsiza ukumisa ubuhlungu futhi unciphise ukuvuvukala uma isetshenziselwa imizuzu engu-10 kuya kwemizuzu ngesikhathi. Kuvame ukusetshenziselwa amajoyinti acwecwe kakhulu. Abantu abanemiphumela kaRaynaud akufanele basebenzise le ndlela.
Hydrotherapy
I-Hydrotherapy (ukwelapha kwamanzi) kunganciphisa ubuhlungu nokuqina. Ukusebenzisa echibini elikhulu kungase kube lula ngoba amanzi athatha isisindo kumajoyini abuhlungu . Izikhungo eziningi zomphakathi zinezigaba zokuzivocavoca kwamanzi ezenzelwe abantu abane-arthritis. Ezinye iziguli nazo zithola ukukhululeka ekushiseni nasekunyameni okuhlinzekwa yi-whirlpool.
Ukugqugquzela
Imithi yokwelapha ihlanganisa:
- ukudonsa (ukuzithoba, ukudonsa okuqinile)
- ukusikhipha
- ukuxhaphaza (ukusebenzisa izandla ukubuyisela ukunyakaza okujwayelekile kumalungu agxilile )
Uma kwenziwa ochwepheshe abaqeqeshwe, lezi zindlela zingasiza ukulawula ubuhlungu futhi ukwandise ukuhamba okuhlangene kanye nokuguquguquka kwemisipha ne- tendon .
Ama-TENS Units
I-TENS (i-transcutaneous electrical nerve stimulation) ingase inikeze ukuphumula komunye ubuhlungu. E-TENS, ukushaqeka kagesi kudluliselwa ngamagesi abeka phezu kwesikhumba. Iziguli zingagqoka i-TENS iyunithi emini bese uyivala futhi iqhubeke njengoba kudingekile ukulawula ubuhlungu.
I-Biofeedback
I-Biofeedback ingasiza ukuphumula imisipha futhi ulawule izimpendulo zakho ebuhlungu.
Ukuphumula
Ukwelashwa kokuphumula kuyasiza ekunciphiseni ubuhlungu. Iziguli zingafunda ukukhulula ukungezwani emisipha yabo ukuze kunciphise ubuhlungu. Abahlinzeki bangase bakwazi ukufundisa amasu okuphumula.
Ukwakhiwa kwe-Acupress / Acupressure
Ukwakhiwa kwe-Acupuncture kuyindlela yamaShayina yokusiza ubuhlungu. Abacwaningi bakholelwa ukuthi izinaliti zivuselela izinzwa ezijulile ezitshela ubuchopho ukuthi bukhulule izidakamizwa zemvelo.
Ukuphefumula kufana nokukhwabanisa, kepha usebenzisa ingcindezi esikhundleni sokusebenzisa izinaliti.
Umthombo:
I-NIH Publication No. 01-4855