Ukusebenza komzimba kuhlolwe njani kwizigulane ze- osteoarthritis ? Uzimisele njani ukuba unobungozi obunzima bokusebenza kwaye imisebenzi eqhelekileyo yimihla iya kuba nzima kuwe?
Oogqirha nabaphandi basebenzisa ii-questionnaires eziliqela eziye zenziwe njengezixhobo ezinokwethenjelwa zokuvavanya umsebenzi wezigulane ze-osteoarthritis. Akunjalo kuphela uvavanyo olubonelela oogqirha ngolwazi malunga nomgangatho okwangoku wegulane lomsebenzi, iimvavanyo zingathelekiswa ngenjongo yokuchonga ukuhla komsebenzi okanye ukuphucula.
Zixhobo zo vavanyo
Uvavanyo oluqhelekileyo olusetyenziselwa ukuchonga amandla okusebenza kwizigulane ze-osteoarthritis ziquka:
- Inkcazo yeLequesne Algofunctional: I-Lequesne Index yi-survey-10 yemibuzo enikwe izigulane ezine- osteoarthritis zamadolo . Inemibuzo emihlanu ephathelele intlungu okanye ukungakhululeki, umbuzo o-1 ojongene nomgama omde ohambahamba kunye nemibuzo emine malunga nemisebenzi yokuphila kwansuku zonke. I-questionnaire epheleleyo ifunyenwe kumlinganiselo we-0 ukuya ku-24. Amanani amaninzi abonisa ukuba kukho ukukhubazeka okungaphantsi komsebenzi.
- I-Ontario ye-Western Ontario ne-McMaster iYunivesithi ye-Osteoarthritis Index (WOMAC): I-WOMAC OA Index iqukethe izinto ezingama-24 kwiintlawulo ezi-3 ezivavanya intlungu (imibuzo emi-5), umsebenzi womzimba (imibuzo engama-17) kunye nokuqina (imibuzo emi-2). Funda kabanzi malunga ne-WOMAC OA Index.
- I-Index ye-Katz yokuzimela kwiZenzo zoBomi bemihla ngemihla: Ukuhlamba, ukugqoka, ukuhlalisa indlu yangasese, ukutshintshela, i-continent kunye nokutya kuyaphononongwa kwi-Katz Index of Independence kwimisebenzi yoBomi bemihla ngemihla. Elinye iphuzu linikezelwa ngamnye msebenzi ongenziwa ngokuzimela kwaye akukho namanqaku anikwa xa kunceda uncedo. Amanqaku avela kwi-0 ukuya kwe-6, kunye ne-6 ibe phezulu kwaye ibonisa ukuzimela. Isiqhamo se-zero sibonisa isigulane esithembele kakhulu.
- ImiSebenzi yokuSebenzayo yoBomi bemihla ngemihla : Imisebenzi ye-Instrumental ye-Daily Living Survey ihlola iimpawu zokusebenza ezisetyenziswayo kwizigulane zabantu abadala. Uphando lusekelwe kwiinkalo ezisixhenxe: ukusetyenziswa kwencwadi yefowuni ukudayela, ukuphendula, okanye ukufumana inombolo yomnxeba womntu; ehamba kwimoto okanye esebenzisa izithuthi zikawonkewonke; ukuyothenga ukutya okanye iimpahla; ukulungiselela ukutya; ukwenza imisebenzi yasekhaya; benzisa imithi ngokufanelekileyo; nokulawula imali. Inye nganye yeendlela ezisixhenxe zixhaswe njengezimeleyo, uncedo olufunekayo, okanye oluxhomekeke kuyo. Uphando olwenziwe lugqityiwe-elinye lulinye izigulane kunye nomnye umongikazi, ilungu lentsapho okanye umgcini.
- I-Arthritis Impact Measurement Scale: I-Arthritis Impact Measurement Scale (AIMS) imilinganiselo yokuphila ngokomzimba, yentlalo, kunye nentlalo kunye nemilinganiselo engama-9, kuquka ukuxhamla, ukuhamba, intlungu, umsebenzi wezentlalo nezentlalontle kunye nokuxinezeleka kunye nokuxhalaba.
ImiSebenzi eSebenzayo
Kanye kunye nophando olusetyenziselwa ukuchaza isimo somsebenzi wesigulane, kukho ezinye iimvavanyo ezisekelwe kwintsebenzo ezisetyenziselwa ukuhlola umsebenzi wenyama. Iimvavanyo zentsebenzo zinokusebenza kakuhle, kwezinye iimeko, ekuchazeni ukukhubazeka kwexesha elizayo kunokuba uphando. Ezinye zeemvavanyo zentsebenzo ziquka:
- amandla
- amandla okunyumba
- dexterity manual
- ukuhamba ngexesha
- emi ngusini
- ukulinganisela
- ukukhawuleza nokuhamba
- uvavanyo lwentsebenzo
Ubaluleka boVavanyo bokuSebenza
Kubaluleke kakhulu isigulane ukuba iimvavanyo zakhe zokuqala zihlolwe ukuba i-diagnostic echanekileyo ingenziwa. Kubalulekile ukuqala unyango olufanelekileyo ngokukhawuleza, kodwa aluyeki apho. Oogqirha kunye nezigulane kufuneka zilandele indlela umsebenzi wenyama ochaphazeleka ngayo i-osteoarthritis. Yintoni isigulane esinenkinga, kwaye ziziphi iisombululo ezinokufumaneka? Uvavanyo olusebenzayo lubaluleke kakhulu njengolu xilongo kunye nonyango. Inxalenye yokuphila ne-arthritis.
Imithombo:
ImiSebenzi yeeNkqubo zoBomi beSuku zonke. Incwadana yoLwazi lweNtsapho. UScott Moses, MD. 1/13/2008.
Iimvavanyo zokuSebenza. Osteoarthritis. Johns Hopkins. UJoan M. Bathon, MD.
Ukulinganisa imeko yezempilo kwi-arthritis: I-Arthritis Impact Measurement Scale. UMeenan RF, uGertman PM, uMason JH. Arthritis & Rheumatism 23, 146-152, 1980.