Uma unamahlombe emadolweni ngenxa ye-osteoarthritis (OA), ungase uzuze ekwelapheni ngokomzimba ukuze unciphise ubuhlungu bakho, uthuthukise ibanga lakho lokuhamba nemandla, futhi uthuthukise umsebenzi wakho jikelele. Kodwa kuthiwani uma izinyathelo zokuzivikela ezifana ne-PT nokuzivocavoca akwanele ukukusiza ukuthi ubuyele emsebenzini wakho ogcwele?
Uma uqhubeka nobuhlungu begciwane futhi wehla umsebenzi, ukusebenza okuphelele kwamadolo kungahle kudingeke ukusiza ukubuyisela umsebenzi wakho wegolo.
Ngesinye isikhathi ingxenye eyodwa nje yedolo lakho ibonakaliswe yi-osteoarthritis, futhi esikhundleni sokujoyina konke akudingekile. Uma kunjalo, udokotela wakho ohlinzayo angakhetha ukuba ube nokuhlinzwa okuhlukile kwamadolo .
Ukuhlinzwa okunye okuguqulwa ngamadolo, okubizwa ngokuthi i-hemi-knee esikhundleni noma ukuguqulwa kwamadolo okungabonakali, ngokuvamile kwenziwa lapho uhlangothi olulodwa lwamadolo akho oluhlangene lonakaliswa yi-OA.
I-Anatomy ye-Knee Joint
Amadolo akho ahlangene ahlangene nesifuba esithinta ithambo lakho lethanga elichaza ngethambo lakho. I-kneecap yakho, noma i-patella, ithambo elincane eliphinde lishaye ama-slide ngaphakathi kwegxoke lakho elihlangene. Uma une-OA, ngezinye izikhathi ingxenye yangaphakathi nangaphandle, kanye ne-underside ye-patella yakho, yonakalisiwe.
Ngezinye izikhathi, ingxenye eyodwa kuphela yamadolo akho yonakaliswa yi-OA. Ngokuvamisekile, i-medial, noma yangaphakathi, ingxenye yamadolo akho ikhombisa ukugqoka nokuqothula i-cartilage eqondisa ukujoyina.
Uma kunjalo, kuphela okumele kubonakale kuhlangene okumele kuhlanganiswe kudingeke kuthathelwe indawo, futhi ukushintshwa kwamadolo okungakapheli kungenziwa esikhundleni sokuguqulwa kwamadolo.
Izinhlobo zokwelapha ngokomzimba
Esibhedlela : Ngosuku lokuqala emva kokuhlinzwa kwakho, ukunakekelwa okunzima kothinta umzimba kuzokuvakashela esibhedlela ukuze wenze ukuhlolwa kokuqala.
Uzolinganisa ukuhamba kwakho kwamadolo kanye namandla futhi uhlole ukuhamba kwakho konke okusebenzayo . I-PT yakho ingase iphinde isilinganise inani lokuvuvukala emadolweni akho bese uhlola ukuchotshozwa kwakho ukuhlola izimpawu zokutheleleka.
Ngemuva kokuhlinzwa, udokotela wakho kungenzeka ukuthi usebenzise umshini oqhubekayo wokunyakaza (CPM) ukusiza ukuthuthukisa ibanga lakho lokuhamba. I-PT yakho ingakufundisa indlela yokusebenzisa umshini we-CPM.
Umhlinzeki wakho wenyama uzokufundisa ukuqeqeshwa kwamadolo ayisisekelo ukwenza ngesikhathi esesibhedlela. Lezi zivivinyo zenzelwe ukusiza ekuthuthukiseni uhambo lwakho lwamadolo futhi uthuthukise amandla we- quadriceps yakho, ama-hamstrings, nama-muscle we-hip. Qinisekisa ukuthi wenza umzimba wakho njengoba ufundiswa futhi ubuze imibuzo uma unayo.
Ngokushesha ngemva kokuguqulwa kwamadolo akho okhethekile, ungalindela ukusebenzisa i- walker ejwayelekile noma uhambahamba ngezinyawo zokuzikhandla. Umhlinzeki wakho womzimba uzoqinisekisa ukuthi ubukhulu ngendlela efanele futhi akufundise ukuthi ungasebenzisa kanjani i-walker yakho ngendlela efanele.
Kufanele ulindele ukuchitha izinsuku ezingaba ngu-2 ukuya kwezingu-3 esibhedlela, nakuba udokotela wakho ohlinzayo angakhipha wena ekhaya ngosuku lokuqala uma wenza kahle. Uma unenkinga yokuhamba okuyisisekelo njengokusebenza, ukuhamba embhedeni, noma ukunyuka izitebhisi, udokotela wakho kungenzeka ukuthi uhlale izinsuku eziningana ukuze ukwandise ukuhamba nokuphepha kwakho ngaphambi kokuba uhambe ekhaya.
Ekhaya : Uma usukhululiwe esibhedlela, ungase uzuze ukwelashwa ngokomzimba ekhaya ukukusiza uqhubeke nokuvuselelwa kwakho. Ukwelashwa kwekhaya ekhaya kuvame ukugcinwa kubantu abangabanikezi izimo zabo ukuthi bangashiyi ikhaya labo ukuze baye esikhungweni sokugula. Uma uhlala wodwa futhi ungakwazi ukushayela, isibonelo, ungazuza ekuvuselelweni kwekhaya ngesonto noma amabili uze ukwazi ukuhamba ngokuphepha ekhaya lakho ukuya emitholampilo yokugula.
Ekhaya, ungalindela ukuthi umhlengikazi wakho womzimba aqhubeke esebenza ngezinyathelo zokuhamba nokuqinisa umzimba ukuze usize ukuthuthukisa ukuhamba kwakho kokusebenza.
Uma unezitebhisi ekhaya lakho, kungenzeka ukuthi ujwayele ukugibela izitebhisi ukuze ukwandise ukuphepha kwakho ezitebhisini.
Uma ufika ekhaya usuka esibhedlela, usengase usebenzise i-walker ukuze uzungeze indlu yakho. Umhlinzeki wakho womzimba angakusiza ngokuqeqesha, futhi angakwazi ukuhlola uma sekuyisikhathi sokuthuthuka ukusebenzisa imichilo noma umoba ojwayelekile wokuhamba.
Uma ukuchotshozwa kwakho kokuhlinzwa kuphulukisiwe, ikhaya lakho PT lingase lihlole izicubu ezibomvu eziye zavela njengomphumela wokuhlinzwa. Angase enze izicubu zokulahla izicubu nokugqugquzela . I-PT yakho ingabuye ikufundise ukuthi ungenza kanjani u-massage we-scar ukuze uqinisekise ukuthi isikhumba nezicubu ezingaphansi zihamba kahle. Ungalindela ukukhishwa kwakho kokuguqulwa kwamadolo okuncane ukuba kube mncane kune-incision yenombolo yokuguqula indawo.
Uma uhamba ngokuzimela futhi ukwazi ukuhamba ngokuphepha ekhaya lakho, umhlengikazi wakho wezempilo uzoyeka ukuhlala ekhaya, futhi ungaya emtholampilo ophulukisiwe.
Esikliniki Sokuphulukisa Umzimba : Ungalindela ukuvakashela kwakho okokuqala kumtholampilo wezokwelapha ophuthumayo ukuze ube ukuhlolwa kokuqala. Isifo sakho somzimba sizoxoxa nawe ukuze uthole ulwazi mayelana nesimo sakho samanje futhi ufunde ngezinga lakho langaphambili lomsebenzi kanye nemigomo yakho yokwelashwa ngokomzimba.
Umhlinzeki wakho wenyama uzolinganisa ibanga lakho lokuguqa namandla, hlola ukuvuvukala emadolweni akho, futhi uhlole ukuhamba kwakho konke. Ukuhlaziywa kwe-gait kungenziwa ukuze kuhlolwe indlela ohamba ngayo.
Umhlinzeki wakho womzimba angabuye ahlole amandla ezinqunu zakho ngoba ukuqina kwesisindo somzimba kubalulekile ekuhambeni okufanele nokugcina amadolo enempilo. Ukuzivocavoca okukhethekile okukhethekile kungenziwa kunqunywe ukusiza ugcine izinyathelo zakho ziqinile.
Umtholampilo ophuthumayo ophuthumayo ungase ube nemishini ekhethekile yokusiza ukuthuthukisa amandla emilenzeni yakho nasemadolweni akho. Ukuhamba ngebhayisikili kungase kube yingxenye yendlela yakho yokubuyisela emuva yokuguqula amadolo , ngoba lokhu kungasiza ukwandisa ukuhamba kwakho kwamadolo nokukhuthazela kwemisipha.
Ngezinye izikhathi izindlela ezithile zokwelashwa ezifana nokushisa noma iqhwa zingasetshenziswa ukusiza ukulawula ubuhlungu bakho nokunciphisa ukuvuvukala. Uhlobo oluthile lokuvuselela kagesi olubizwa ngokuthi i-neuromuscular stimulation stimulation (NMES) lungasetshenziswa ukusiza ukuthuthukisa ukukhishwa kwemisipha yakho ye-quadriceps.
Ukuqeqesha okumele kuqhubeke kufanele kuqhubeke ukugxila ekubuyiseleni kwakho emva kokuhlinzwa okutshenziselwa ukuguqulwa kwamadolo. Umhlinzeki wakho wenyama angakusiza ukuba uthuthuke ekuhambeni ngenduku ukuze ukwazi ukuhamba ngaphandle kwedivayisi yokusiza.
Ngokuvamile, ukugxila okuyinhloko kokwelashwa ngokomzimba emva kokuhlinzwa okuyingxenye yokuguqulwa kwamadolo ukunciphisa ubuhlungu bakho emadolweni, ubuyisele ubude obukhulu bokuhamba namandla, futhi kukusize ubuyele ezingeni lakho langaphambilini lomsebenzi.
Ubude Bokwelashwa
Ungalindela ukuvuselelwa emva kokuhlinzwa kwakho kokuguqulwa kwamadolo okuhlala isikhathi eside kuze kube izinyanga ezimbili kuya kwezingu-3. Wonke umuntu uphulukisa amazinga ahlukene, futhi isimo somuntu ngamunye sihlukile, ngakho ukuvuselelwa kwakho kungase kufushane noma isikhathi eside kuye ngezimo zakho ezithile. Qinisekisa ukuthi usebenza eduze nodokotela wakho kanye nodokotela wezempilo ukuze uqonde intuthuko yakho emva kokuhlinzwa.
Ukushintshwa kwamadolo okuyingxenye kungase kudingeke uma une-OA engxenyeni ethile ehlangene yamadolo akho. Ngemuva kokuhlinzwa kwakho, ungase uhlangane nodokotela ongokwenyama esibhedlela, ekhaya, nasemtholampilo ophulukisiwe. Ukwelashwa ngokwemvelo ngemva kokuguqulwa kwamadolo okungakusiza kungakusiza ngokushesha futhi uphinde ubuyele ezingeni lakho langaphambilini lomsebenzi.