Izinketho Zokuphatha Izinhlungu
Ubuhlungu buchazwe ngokwesayensi njengesipiliyoni esingathandeki, ngokomzwelo nangobuzwa obuhlobene nomonakalo wangempela noma ongase ube khona. Izinhlobo eziningi ze-arthritis zihlotshaniswa nobuhlungu obungahlukaniswa ngezigaba ezimbili ezijwayelekile: ezinzima futhi ezingapheliyo. Ubuhlungu obukhulu buyesikhashana . Ubuhlungu obungapheliyo bubukeka bube bukhulu obukhulu, futhi bukwazi ukugcina amasonto, izinyanga, iminyaka, noma ngisho nokuphila konke.
Ubuhlungu obungapheli bubuhlungu ngoba bubaphatha abantu ngokomzimba, ngokomzwelo, ngokwengqondo nangokwezenhlalo. Kungenza kube nzima ukusebenza nokuqhubeka nemithwalo yemfanelo ekhaya. Kungaba nomthelela omubi kakhulu emkhakheni wokuphila.
Ubuhlungu bungabonakala
Ubuhlungu obungapheliyo kuyinkinga enkulu yezempilo futhi ngoba kungadambisa, kubalulekile ukuqonda ukuthi yini ebangela ubuhlungu kanye nohlobo oluguqukayo lobuhlungu.
Ukuhlola okusebenzayo
Izindlela ezingcono zokuphatha ubuhlungu zilokhu zifunwa njalo. Ngenxa yokuphumula ubuhlungu njengenhloso, iziguli ze-arthritis ngokuvamile zizama amasu ahlukahlukene okuphatha ubuhlungu ngaphambi kokuba zithole ukuthi zisebenza kangcono kubo. Ukuphumelela noma ukuhluleka kokwelapha okuthile kuyedwa. Okusebenza kumuntu oyedwa kungase kungasebenzi komunye.
Imithi Yokuhlunguphaza
Imithi ingasetshenziselwa ukunciphisa ubuhlungu. Imithi yokwelashwa ejwayele ukujwayela ihlanganisa:
- Ama-analgesics (ubuhlungu obukhulu ngaphezu kobuhlungu bokulwa nobuhlungu bezinkinga)
- Ama-NSAID (izidakamizwa ezingezona ukuvuvukala)
Imithi yezinhlungu isiza ukufeza izinga lokududuzeka, kodwa azenzi lutho ukushintsha isimo sesifo. Inani lemithi ebuhlungu elisetshenziswe kumele lilawulwe kusukela kukhona imiphumela emibi . Funda mayelana nama- analgesics , ama-NSAID , kanye nemithi yokwelapha efanelekayo iziguli ze-arthritic .
Ukuzivocavoca
Ukuzivocavoca kungasiza ukugcina umsebenzi nokunciphisa ubuhlungu. Abantu abane-arthritis kufanele baxoxisane njalo nodokotela wabo ngezikhathi zokuzivocavoca. Ukuzivocavoca okunye kungase kungabi nemikhawulo yabantu abanesifo esithile somuthi we-arthritis noma uma amalunga evuvuka futhi evuvukala.
I-Hydrotherapy / Ukwelashwa Kwemanzi Okufudumele
Ukwelashwa kwamanzi afudumele kunganciphisa ubuhlungu nokuqina. Ukusebenzisa echibini, ukubhukuda u-spa, noma ibhubhu elishisayo kungase kube lula ngoba amanzi athola isisindo samalungu angamahloni. Ukushisa nokuhamba ngenhlanganisela kunganciphisa ubuhlungu.
Ukuphumula
Ubuhlungu bungaba yinkomba yokudinga ukuphumula. Kubalulekile ukunaka isignali bese uvumela umzimba ukuba nesikhathi esidingekayo ukuze ulayishe. Ukuvuvukala kwehla ngesikhathi sokuphumula. Kodwa, ukuphumula okuningi kunzima. Kubalulekile ukushaya ibhalansi phakathi kokuphumula nokuzivocavoca.
Ukushisa
Ukwelapha imithi kungase kuvuselele ukukhululeka kobuhlungu, kunciphise imisipha enzima, futhi kunciphise ukuvuvukala nokuvuvukala. Njengoba imisipha ikhululeka futhi isakazwa yanda, ubuhlungu buyancipha.
Ama-TENS Units
I-TENS (i-transcutaneous electrical nerve stimulation) isebenzisa ukuvuselela kwamandla kagesi okuphansi kwamagciwane ukuze kuvinjelwe izibonakaliso zobuhlungu ebuchosheni. Ama-electrode afakwa esikhumbeni futhi akhipha ukushayela kagesi.
Lokhu kusetshenziselwa ngokuyinhloko ubuhlungu obungapheli, ubuzwe obungenakwenzeka.
Ukuhlinzwa
Ngokuvamile kubhekwa njengendlela yokugcina yokukhetha, ukuhlinzwa kungenziwa ngenhloso yokuqeda ubuhlungu ekuhlanganyeleni okuthile. Ukuhlinzwa okuhlanganyelwe kokuhlanganyela sekuye kwavame kakhulu phakathi neminyaka futhi kubhekwa njengendlela enamandla uma ukwelashwa okulindelekile kuhlulekile. Ukuhlanganyela okulimazayo nokubuhlungu kususwe futhi kufakwe esikhundleni se-prosthesis. Ezinye izinketho zokuhlinzwa zihlanganisa:
- i-arthrodesis (i-fusion)
- i-synovectomy
- isigaba esisha
- i-arthroscopy
Ukuzindla / Ukuphumula
Ukuzindla nokuphumula kunganciphisa ukungezwani kwemisipha futhi kusize ukulwa nokukhathala. Amasu wokuphumula anganciphisa:
- ukucindezeleka
- ukukhathazeka
- ukucindezeleka
- izinkinga zokulala
Ukuphefumula okujulile
Ukuphefumula okujulile kuhilela ukususa ingqondo ngokuphefumulela ngaphakathi nangaphandle, kancane kancane, ngokujulile, futhi ngokwemigomo. Faka ngaphakathi ekhaleni bese uphumelela emlonyeni, ukhulule ukungezwani.
Ukuphumula okuqhubekayo / Ukufanekisa Okubalulekile
Ukuphumula okuqhubekayo kuhilela ukubuyela emuva ukuze uhleleke kahle futhi uphumule ingxenye ngayinye yomzimba wakho. Ukuphumula kusebenza ekulawuleni ubuhlungu. Ukulandela ukuphumula okuqhubekayo, ingqondo ingenziwa ekucabangeni isimo esimnandi. Njengoba ingqondo ihlala endaweni yesehlakalo, amazinga okucindezeleka ayanciphisa, njengamazinga obuhlungu.
I-Biofeedback
I-Biofeedback isebenzisa inhlanganisela yokuphumula, ukubukeka, nempawu ezisuka emshinini ukuze zithole ukulawula ubuhlungu. Njengoba unamathiselwe ngama-electrode kumshini, ufundiswa ukulawula ukucindezeleka kwegazi, ukucindezeleka kwemisipha, izinga lokushaya kwenhliziyo, nokushisa.
Ukwelapha Umsebenzi
Ukwelapha emsebenzini kuncike emithini yemithi, ukugula kwengqondo nokuziphatha kwengqondo. Izinhloso zelashwa lomsebenzi yizi:
- ukusiza isiguli esibuhlungu ukubona ukuthi yimiphi imisebenzi noma ukuziphatha okuqinisa ubuhlungu
- fundisa izindlela zokunciphisa isikhathi esithile ebuhlungu
- sebenzisa amasu ukunciphisa ubuhlungu obukhulu
- sisiza iziguli ukuba zisebenze ngokwengeziwe emisebenzini yansuku zonke nasemsebenzini
- ukwethula indlela yokuphila esekelwe imikhuba emihle yezempilo
Amasu okuphatha ubuhlungu asetshenziswe angafaka:
- imizimba yomzimba
- ukuvikelwa okuhlangene
- ukulondoloza amandla
- ukuzivocavoca
- ukuthuthukisa ukugxila emakhono kunokuba kunciphise
- usebenzisa imishini eguquguqukayo kanye namadivaysi okusiza
- amasu okuphumula
Ukushisa
Ukuqina kosuku lokuvuthwa kuvame ukukhululeka ngokusebenzisa ukushisa okushisa noma okugeza. Umfudumalo wamanzi ukhulula imisipha futhi unciphisa ukuqina. Okunye okuzuzisayo kukhona amadivaysi okusiza kanye nemishini efana nalokhu:
- amaphakethe ashisayo
- izingubo zokugesi
- Ukushisa kwamapayipi
- ama-saunas
Amabhishi e-parafini wax wezandla, izinyawo, nama-elbows nawo asetshenziselwe ukuphathwa kobuhlungu.
Cold
Ukwelashwa okubandayo, owaziwa nangokuthi cryotherapy, kuyindlela yokwelashwa eyenziwe ngabanye abantu ngokumelene nokwelapha ukushisa. Umkhuhlane usebenza ekunciphiseni ubuhlungu ngokuphazamisa ukuphela kwezinzwa ezindaweni ezingathintekile zomzimba. Liphinde linciphise umsebenzi wamangqamuzana omzimba futhi linciphise ukugeleza kwegazi, okuholela ekunciphiseni ukuvuvukala. Ukucindezeleka kwamazinyo, ukufaka isikhwama seplastiki esigcwele ama-cubes e-ice, noma amaphakethe we-gel efriziwe angasetshenziswa endaweni yangakini. Abantu abanemiphumela kaRaynaud kumele bagweme le ndlela.
Imitholampilo Yezinhlungu
Inhloso yomtholampilo wezinhlungu ukuhlinzeka ukuphathwa kobuhlungu kubantu abanobuhlungu obude abangakwazi ukusizwa ngezinketho zokwelapha zokwelashwa nezokuhlinzwa. Umgomo ukunciphisa ubuhlungu ngangokunokwenzeka futhi ukwandise ikhwalithi yokuphila ngaphakathi kokulinganiselwa kwesiguli. Le ndlela ivame ukuhambisana futhi ingahlanganisa:
- ukuphathwa kwezidakamizwa
- amabhuloho enzwa
- ukwelashwa ngokomzimba
- ukuphumula
- ukululekwa
Imithombo:
Izincwadi ze-NIH No. 01-4855, No. 01-4856