I-Osteoarthritis inokuchaphazela amajoyina kuyo nayiphi na inxalenye yomzimba, kuquka inyawo. Ukuxilongwa kwangaphambili kunye nonyango kunceda abantu ngeenyawo i-osteoarthritis ukulawula iimpawu zabo.
Izizathu
I-Osteoarthritis isifo esihlanganyelweyo. I-cartilage, ekhonza njengekhuselo elikhuselekileyo kunye ne-cushion kwiziphelo zamathambo ezenza umdibaniso, ngokukhawuleza ziwa. Oku kungenxa yokugqoka nokukrazula kumanqaku enyawo.
Ukulimala kunokubangela ukuba i-osteoarthritis ikhule nangona emva kokulimala kwenzeke. Iimpawu eziqhekezayo okanye iintsimbi zingakhokelela kwi-osteoarthritis.
Isakhiwo seenyawo ezingavumelekanga kwaye, ngoko ke, ukulungiswa kwemilenze engavamile kungabangela ukuba i-osteoarthritis iphuhlise. Abantu abaneenyawo eziphambili okanye iindawo eziphakamileyo zisesichengeni esikhulu sokuphucula i-osteoarthritis.
Ukuxilongwa
Xa uhlalutya unyawo lwe-osteoarthritis, ugqirha wakho kufuneka ahlule i-osteoarthritis evela kwezinye iintlobo ze-arthritis . Ugqirha uya kuqwalasela imbali yakho yonyango kunye nenkcazelo yakho yeempawu. Ugqirha uya kubuza imibuzo eya kukunceda ukuba uhlalutyo lwakho, njenge:
- Kwaqala nini intlungu?
- Ngaba intlungu eqhubekayo okanye ifike kwaye ihambe?
- Ngaba ulimaze inyawo? Ukuba ewe, uphathwe nini kwaye njani?
- Ngaba iimpawu zibi kakhulu ebusuku okanye zilandela umsebenzi wokuthwala ubunzima (okt, ukuhamba, ukuqhuba)?
- Ngaba iimpawu ezihambelana nomnye okanye zombini iinyawo?
Ugqirha wakho uya kwenza uvavanyo oluthile. Unyawo lwakho luya kuhlolwa ngenxa yokuvuvukala, ithambo lesifuba okanye ezinye iimeko eziphosakeleyo, ulwahlulo olukhawulelweyo lwenkqonkqo , kunye nentlungu eyenzeka ngokunyakaza. Uhlalutyo lwenzuzo lungenziwa ukuze uhlolisise umda wakho ngelixa uhamba kunye namandla enyawo zakho.
Ekugqibeleni, uvavanyo lokucinga ngethambo lesithintelo luya kwenziwa.
Ubungqina obuvela kwi-x-ray , i-CT, okanye i-MRI ingasetyenziselwa ukunceda ukuxilongwa kwe-foot osteoarthritis.
Iimpawu
Izimpawu eziqhelekileyo ezinxulumene neenyawo ze-osteoarthritis ziquka:
- intlungu kunye nokuqina komlenze ochaphazelekayo
- ukuvuvukala eduze kwendibano echaphazelekayo
- uluhlu oluthile lokuhamba kunye nobunzima bokuhamba
- i-bony protrusions (spurs)
Kukhona amathambo angama-28 kunye namalungu angaphezu kwama-30 kwinqanaba lomntu. Amanyathelo enyawo anesifo esithinteka kakhulu yi-osteoarthritis ziquka:
- i-ankle (i-tibiotalar joint)
- amaqhosha amathathu e-hindfoot (idibene kunye ne-talonavicular joint, joint joint calcaneocuboid)
- i-midfoot (i-metatarsounieform idibene)
- inzwane enkulu (i-metatarsophalangeal joint joint)
Unyango
Izinyango zokwelapha ezinyaweni ze-osteoarthritis zijoliswe ekunciphiseni iimpawu. Kukho ukhetho olungagqirha kunye nophando. Ugqirha wakho uya kucetyiswa enye okanye ngaphezulu ongakhetha ukhetho. Izinketho ezingaphelelwanga ziquka:
- Izidakamizwa ezingabhubhisiyo okanye izigulane (ukuphucula ubuhlungu nokuvuvukala)
- Ukufakwa kwezicathulo (ukufaka inkxaso okanye ukubonelela ngokunyuka)
- I-Orthotics (izicathulo ezenziwe ngamasiko okanye inkxaso)
- Iibhonceshi (ukukhawulela ukunyuswa okanye ukuthintela ukukhubazeka okungaphezulu)
- Ulwaphulo lomzimba okanye uhambo (ukuphucula uluhlu lwezityalo kunye nokuzinza)
- Ii-injection ze-Steroid (ukuhambisa imishanguzo echasayo ukudibanisa ngqo)
- Zondlo
Ukuba ukhetho olungagqirha alusebenzi, ugqirha wakho unokubonisa ukuhlinzwa. Ngokuxhomekeke kwintsebenziswano ebandakanyekayo, i- arthroscopy , i- arthrodesis (i-fusion), okanye i-arthroplasty (ukutshintshwa ngokubambisana) inokuqwalaselwa. Injongo yokuhlinzwa ngenyawo kukunciphisa ubuhlungu nokubuyisela umsebenzi.
Imithombo:
IArthritis yeLinya kunye neAnkle. I-American Academy ye-Orthopedic Surgeons. Julayi 2007.
I-Osteoarthritis yeNyawo ne-Ankle. Ikholeji yaseMelika kunye ne-Ankle Surgeons. Disemba 8, 2005.