I-osteoarthritis ingathinta amalunga kunoma iyiphi ingxenye yomzimba, kufaka phakathi unyawo. Ukuxilongwa kokuqala kanye nokwelashwa kusiza abantu abanonya nge-osteoarthritis ukuphatha izimpawu zabo.
Izimbangela
I-osteoarthritis yisifo esihlangene esinesifo esibi. I-cartilage, ekhonza njengesembozo esivikelayo kanye nomkhumbi emaphethelweni wamathambo akha inhlanganiso, kancane kancane igqoke phansi. Lokhu kubangelwa ukugqoka nokukhipha ama mechanical on the joints of the foot.
Ukulimala kungabangela futhi i-osteoarthritis ukuthuthukisa ngisho neminyaka ngemuva kokulimala. I-sprains noma i-fractures enamandla ingaholela osteoarthritis.
Isakhiwo sezinyawo ezingavamile futhi, ngenxa yalokho, ukuhamba ngezinyawo ezingavamile nakho kungabangela ukuba i-osteoarthritis ithuthuke. Abantu abanezinyawo eziphansi noma amatshe aphezulu basengozini enkulu yokukhula kwe-osteoarthritis.
Ukuxilongwa
Lapho uhlola i-foot osteoarthritis, udokotela wakho kufanele ahlukanise i-osteoarthritis evela kwezinye izinhlobo ze-arthritis . Udokotela uzocabangela umlando wakho wezokwelapha kanye nencazelo yakho yezimpawu. Udokotela uzobuza imibuzo ezosiza ekwakheni ukuxilongwa kwakho, njengokuthi:
- Ubuhlungu buqala nini?
- Ingabe ubuhlungu buqhubeka noma buya futhi buya?
- Uke walimala unyawo? Uma yebo, bekaphi futhi kanjani?
- Ingabe izimpawu zimbi nakakhulu ebusuku noma zilandela umsebenzi wokuthwala isisindo (ie, ukuhamba, ukugijima)?
- Ingabe izimpawu zihambisana nomunye noma zombili izinyawo?
Udokotela wakho uzophinde ahlole. Unyawo lwakho luzohlolwa ngenxa yokuvuvukala, i- bones spurs noma ezinye izimo ezikhubazayo, uhla olulinganiselwe lokunyakaza , nobuhlungu obwenzeka ngokunyakaza. Ukuhlaziywa kwe-gait kungenziwa ukuze kuhlolwe umthamo wakho ngenkathi uhamba futhi unamandla ezinyawo zakho.
Okokugcina, ukucubungula iziqu zesakhiwo samathambo ezinyawo ezithintekayo cishe kuzokwenziwa.
Ubufakazi obuvela kuma-x-ray , CT scan, noma i-MRI ingasetshenziswa ukusiza ukuxilonga izinyawo ze-osteoarthritis.
Izimpawu
Izimpawu ezijwayelekile ezihambisana ne-foot osteoarthritis zifaka:
- ubuhlungu nokuqina kozinyawo ezithintekayo
- ukuvuvukala eduze kwesigungu esithintekile
- uhla olunqunyelwe lokunyakaza kanye nobunzima bokuhamba
- ama-bony protrusions (ama-spurs)
Kukhona amathambo angu-28 namalungu angaphezu kuka-30 ezinyaweni zomuntu. Amalungu ezinyawo ezithinteka kakhulu yi-osteoarthritis zihlanganisa:
- i-ankle (i-tibiotalar joint)
- amajoyina amathathu we-hindfoot (ukuhlanganiswa kwe-talocalcaneal, ukujoyina kwe-talonavicular, ukuhlanganiswa kwe-calcaneocuboid)
- i-midfoot (i-metatarsounieform ihlangene)
- inzwane enkulu (umhlanganisi wokuqala we-metatarsophalangeal)
Ukwelapha
Izinketho zokwelashwa zonyawo lwe-osteoarthritis zihloswe ekunciphiseni izimpawu. Kunezinketho ezingezona zokuhlinza nokuhlinzwa. Udokotela wakho mhlawumbe angancoma kuqala noma okunye okungeyona ongakhetha kukho okukhethwa kuqala. Izinketho ezingezona zokuhlinzwa zifaka:
- Izidakamizwa ezingezona ukuvuvukala noma ama- analgesics (ukukhulula ubuhlungu nokuvuvukala)
- Ukufaka izicathulo (ukwengeza ukwesekwa noma ukuhlinzeka ngokukhishwa okunye)
- I-Orthotics (izicathulo ezenziwe ngokwezifiso noma izesekeli)
- Ama-braces (ukuvimbela ukuhamba noma ukuvimbela ukukhubazeka okuningi)
- Ukwelapha ngokomzimba noma ukuzivocavoca (ukuthuthukisa ukuhamba nokuzinza)
- Imithi ye-steroid (ukuletha imithi elwa nokuvuvukala ngokuhlanganyela ngokuqondile)
- Izithako zokudla
Uma izinketho ezingekho zokuhlinzwa zingasebenzi, udokotela wakho angase asikisele ukuhlinzwa. Kuye ngokuhlanganyela okubandakanyekayo, i- arthroscopy , i- arthrodesis (i-fusion), noma i-arthroplasty (ukushintshwa okuhlangene) ingacatshangwa. Umgomo wokuhlinzwa ngezinyawo ukukhulula ubuhlungu nokubuyisela umsebenzi.
Imithombo:
I-arthritis ye-Foot ne-Ankle. I-American Academy Yabahlinzeki Bama-Orthopedic. Julayi 2007.
I-osteoarthritis ye-Foot and Ankle. I-American College of Foot and Ankle Abahlinzayo. NgoDisemba 8, 2005.