Umsebenzi womzimba uhlolwe kanjani ezigulini ze- osteoarthritis ? Kunqunywa kanjani ukuthi unomsebenzi okhulayo womzimba nokuthi imisebenzi evamile yansuku zonke iba nzima kuwe?
Odokotela nabacwaningi basebenzisa ama-questionnaires amaningana asungulwe njengamathuluzi athembekile ekuhloleni umsebenzi weziguli ze-osteoarthritis. Ukuhlolwa kuphela akuhlinzeki odokotela ngolwazi mayelana nesimo somsebenzi samanje sesiguli, ukuhlolwa kungalinganiswa ngenhloso yokukhomba ukwehla komsebenzi noma ukuthuthukisa.
Amathuluzi Wokuhlola
Ukuhlolwa okudumile okusetshenziselwa ukunquma ikhono lokusebenza kweziguli ze-osteoarthritis kufaka:
- Index Lequesne Algofunctional: I-Lequesne Index iyinhlolovo yembuzo engu-10 eyinikezwa iziguli ezine- osteoarthritis yamadolo . Inemibuzo emihlanu ephathelene nobuhlungu noma ukunganaki, umbuzo ongu-1 obhekene nokuhamba okuhamba phambili, nemibuzo emine ngemisebenzi yokuphila kwansuku zonke. I-questionnaire yenani eliphelele lilandelwe ngesilinganiso esingu-0 kuya ku-24. Izibalo ezingezansi zibonisa ukuthi kukhona ukukhubazeka okuncane okusebenzayo.
- I-Western Ontario ne-McMaster Amayunivesithi Osteoarthritis Index (WOMAC): I-WOMAC OA Index iqukethe izinto ezingu-24 ezigciniwe ezintathu ezihlola ubuhlungu (imibuzo emihlanu), umsebenzi womzimba (imibuzo engu-17), nokuqina (imibuzo emibili). Funda kabanzi mayelana ne-WOMAC OA Index.
- I-Katz Index of Independence in Imisebenzi Yokuphila Kwansuku zonke: Ukugeza, ukugqoka, ukungena endlini yangasese, ukudlulisa, ukuhamba phambili, nokusondeza kuhlolwa kwi-Katz Index of Independence kwimisebenzi yokuphila kwansuku zonke. Iphuzu elilodwa linikezwa umsebenzi ngamunye ongenziwa ngokuzimela futhi akukho amaphuzu anikezwa uma kudingeka. Amaphesenti ambalwa ukusuka ku-0 kuya ku-6, anesithupha abe ngaphezulu futhi akhombisa ukuzimela. Isiqephu se-zero sibonisa isiguli esincike kakhulu.
- Imisebenti ye-Instrumental yokuphila kwansuku zonke : Imisebenzi ye-Instrumental yokuhlola kwansuku zonke yokuphila ihlola amandla okusebenza kweziguli ezindala. Ucwaningo lusekelwe ezimisweni eziyisikhombisa: ukusetshenziswa kwencwadi yefoni ukudayela, ukuphendula, noma ukuthola inombolo yocingo lomuntu; ukuhamba emotweni noma ukusebenzisa izithuthi zomphakathi; bethenga ukudla noma izingubo; ukupheka; ukwenza imisebenzi yasendlini; ukusebenzisa imithi ngokufanele; nokuphatha imali. Ngayinye yezinkomba eziyisikhombisa zihanjiswe njengezimele, usizo oludingekayo, noma oluxhomekile. Ucwaningo olubili luphelile-olulodwa iziguli kanti omunye ngomhlengikazi, ilunga lomndeni, noma umnakekeli.
- I-Arthritis Impact Measurement Scale: I-Arthritis Impact Measurement Scale (AIMS) inempilo enhle ngokomzimba, ezenhlalakahle nangokomzwelo ngokulingana okwesishiyagalolunye, kufaka phakathi ukuxuba, ukuhamba, ubuhlungu, umsebenzi womzimba nomphakathi, nokucindezeleka nokukhathazeka.
Izivivinyo ezisekelwe ukusebenza
Ngokuhambisana nokuhlola okusetshenziselwa ukunquma isimo sesimo sesiguli, kunezinye izivivinyo ezisekelwe ekusebenzeni ezisetshenziselwa ukuhlola umsebenzi womzimba. Ukuhlolwa kokusebenza kungase kuphumelele nakakhulu, kwezinye izimo, ekubikezelweni ukukhubazeka kwesikhathi esizayo kunokuhlola. Ezinye zezivivinyo zokusebenza zifaka:
- amandla okubamba
- amandla aqinile
- ukuxhunyaniswa kwemisebenzi
- ukuhamba okuhamba kwesikhathi
- eme kusuka esihlalweni
- ibhalansi
- isivinini nokuhamba
- ukuhlolwa kocwaningo
Ukubaluleka kokuHlola okuSebenzayo
Kubaluleke kakhulu ukuba isiguli sithole izimpawu zakhe zokuqala zihlolwe ukuze kutholakale ukuxilongwa okunembile. Kubalulekile ukuqala ukwelashwa okufanele ngokushesha ngangokunokwenzeka, kodwa akumeli lapho. Odokotela neziguli kumele balandele indlela umsebenzi wezinto ezibonakalayo uthinteka ngayo i-osteoarthritis. Yini isiguli esinenkinga, futhi yiziphi izixazululo ezingatholakala? Ukuhlolwa okusebenzayo kubaluleke kakhulu njengokuthola ukuxilongwa nokuphathwa. Ingxenye yokuphila ne-arthritis.
Imithombo:
Imisebenzi ye-Instrumental yokuphila kwansuku zonke. I-Notebook Yomndeni. UScott Moses, MD. 1/13/2008.
Izinyathelo zokuHlola eziSebenzayo. I-osteoarthritis. UJohn Hopkins. UJoan M. Bathon, MD.
Ukulinganisa isimo sezempilo ku-arthritis: I-Arthritis Impact Measurement Scale. I-Meenan RF, uGertman PM, uMason JH. I-arthritis ne-Rheumatism 23, 146-152, 1980.