Ingabe Imiphumela Yifanele Ingozi?
Ukwelashwa okuhlanganyelwe okuhlanganyelwe , okuvame ukubhekwa njengendlela yokwelashwa okugcina, kunganikeza ukuphulukiswa okukhulu kakhulu kweziguli ezine-arthritis enamandla. Ngenkathi ukuhlinzwa okuhlanganyelwe okuhlangene kunomphumela wokuphumelela ophezulu, ikakhulukazi ezinqulwini namadolo , iqiniso lokuthi ukuhlinzeka okukhulu akufanele lishaywa indiva.
Ukushintshaniswa okuhlangene kuhilela ukususwa kwe- cartilage ezivela zombili izinhlangothi zokuhlangana nokufakwa kwesifungo (i-joint prosthesis entsha iyenziwe ngensimbi noma izakhi zensimbi neziplastiki).
Kulula nje, udokotela ohlinzayo wamazinyo ususa ihlangothini elimele futhi alithathele ngolunye uhlobo.
Ubukhulu bokuhlelwa kwezinhlelo zokwelashwa kwe-arthritis kusikisela ukuthi izinyathelo eziningi ezilula futhi ezizimele zizame futhi ziphelelwe amandla ngaphambi kokuhlinzwa ukucatshangwa. Imithi yokwelapha engase ihlolwe, ihlanganisa:
- izifo ezihlukahlukene ze- arthritis
- ukwelashwa ngokomzimba
- ukuvikelwa okuhlangene
- ukuphumula
- ukuzivocavoca
Ngisho nokuhlinzwa kwesikhashana kuhlinzekwa njengendlela yokwelashwa, udokotela angakhetha izinqubo ezilula, njenge-synovectomy (ukususwa kwe- synovium ) ngaphambi kokujoyina ngokuhlanganyela.
Njengoba ukhethwe ukwelashwa, inhloso ukuthola umphumela ophumelele kakhulu ekulawuleni i-arthritis ngendlela enokuzethemba kakhulu. Yize ukushintshwa okuhlangene kubhekwa njengempumelelo, kubhekwa njengezingxenye zomculo ezinomkhawulo wokuphila. Uma ukuhlinzwa okuhlanganyelwe okunye kuboniswa, imigomo yilezi:
- ukufezekisa impumuzo yobuhlungu
- buyisa umsebenzi
- ukukhubazeka okulungile
- ukuvimbela umonakalo owengeziwe
Abantu Abasha abane-Arthritis
Ku- Journal of Bone and Joint Surgery (2003; 85A: 1090-1094), abacwaningi abavela eMayo Clinic eRochester, Minnesota babika imiphumela emihle kakhulu ekuguqeleni kwamadolo esikhundleni sabantwana kanye nentsha ene- arthritis yezingane , ngenxa yokuhlushwa ubuhlungu nokuthuthukiswa umsebenzi.
Iziguli ezincane eziyishumi nesishiyagalolunye zalandelwa ukulinganisa iminyaka engu-11 emva kokusebenza. Ngaphambi kokuhlinzwa, ababili kwabangu-13 bathi ngeke bakwazi ukuhamba. Abanye bahamba endlini kuphela noma ngebanga elide ngaphandle. Ekupheleni kwesikhathi sokulandelela, iziguli eziyisithupha zibike ukuthi zingakwazi ukuhamba ngamabhuloki angaphezu kwesithupha. Esinye isiguli sasihlala esihlalweni sabakhubazekile. Abacwaningi bangeze ukuthi iziguli ezine ezincane kudingeka zihlinzekwe ngokungeziwe kodwa nezinkinga eziningi ezibhekene nokuhlinzwa.
Ukuphila okulinganiselwe kwama-prostheses kusikisela ukuthi ukuhlinzwa okubukeziwe kuyodingeka esikhathini esizayo ukulungisa ukuhluleka kwabo. Ukuhlinza ngalunye okulandelayo kuyinkimbinkimbi kunendlela eyandulele. Ukuqaphela ukuthi iziguli ezincane zizodinga ukubuyekezwa okwengeziwe kudonsa odokotela abathile ukuba baqede iziguli zabo. Endabeni yeziguli ezincane zamathambo, izinzuzo nezingozi zokuhlinzekwa kufanele zicutshungulwe ngokucophelela.
Ukucabangela
I-Duke University Medical Center Book of Arthritis iphakamisa ukuthi le mibuzo elandelayo ingacatshangwa yinoma yimuphi umuntu onquma ngokuhlinzwa:
Izinga lobuhlungu
Ingabe ubuhlungu bakho abuvunyelwe? Ubuhlungu obunjalo obungaphenduli komunye ukwelashwa kugcina uphapheme ebusuku, futhi kuphazamisa umsebenzi noma imisebenzi enzima ngokwanele ukuze udinga ukuhlinzwa.
Ama-Painkillers
Udinga ukuhlukunyezwa kobuhlungu be-narcotic? Uma udinga imithi yansuku zonke ngokulingana okugcwele okuvunyelwe ukulawula ubuhlungu, ukuhlinzwa kungaboniswa.
Ukuphathwa kobuhlungu
Uke wazama zonke ezinye izinketho ukuze uthole ukukhululeka kobuhlungu? Uma ukusetshenziswa kwemithi ye-arthritis, ukwelashwa ngokomzimba, ukuphumula, ukuvivinya umzimba, ukuvikelwa okuhlangene, ama-agent okuphefumula, kanye nokujola kwe-steroid kuye kwaveza imiphumela enganelisayo, ukuhlinzwa kungase kube ukukhetha okulungile.
Ukuvuselelwa
Ingabe ulungele ukulandela umqondo ngokuzikhandla umgomo wokuvuselela? Kumele ulungiselelwe ngokwengqondo izinyanga zokuzivocavoca kanye nokwelapha ngokomzimba ukuze ubuyisele umsebenzi ohlanganyelwe emva kokuhlinzwa okuhlanganyelwe kokujoyina.
Isimo somzimba / Izinhloso ezingokoqobo
Ingabe usesimweni esihle? Ingozi yezinkinga izoba yilapho isimo sakho somzimba sonke sihle. Ingabe imigomo yakho ingokoqobo? Inqubo yokuvuselela kanye nomphumela okulindelekile wokuhlinzwa kufanele ubhekwe ngokuqondile. Ukuhlinzwa okuhlanganyelwe esikhundleni akuyona impiliso, kodwa kufanele inikeze induduzo ebuyisiwe kanye nomsebenzi.
Izingozi Vs. Ikhwalithi Yokuphila
Ezinye iziguli ziphela ngezihlalo zabakhubazekile njengoba zilindele ukuba zikhule ngokwanele ukuze zibhekwe njengomuntu ozokhethwa ukuhlinzwa ngokuhlanganyela. Ukuhlinzwa kungase kubambezele abanye odokotela ngenxa yezinkinga ezilindeleke. Noma kunjalo, umbono ohlukile uqhutshwa abanye odokotela abaqaphela ukuthi ukuqina kwesifo nokulahlekelwa umsebenzi kuqinisekisa ukuthi ukuhlinzeka kungakhathaliseki ubudala. Iba yizinga eliphezulu lokuphila ngokuzuzisa izinga eliphakeme lokuphila elilinganiselwe nobungozi obungenzeka. Ukuthuthukiswa ekwakhiweni kwe-prostheses ehlangene kuholela emiphumeleni engcono yesikhathi esigcwele, okungase kuxazululwe ukuxazulula le nkinga.
> Imithombo:
> Journal of Bone and Joint Surgery, 2003; 85A: 1090-1094
> I-Duke University Medical Center Incwadi Ye-Arthritis, uDavid S. Pisetsky, MD, Ph.D., 1992