Ukuba unamahlombe emadolweni ngenxa ye-osteoarthritis (OA), unokufumana inzuzo yonyango ukuze unciphise intlungu yakho, uphucule intonga yakho yeendonga kunye namandla, kwaye uphucule umsebenzi wakho jikelele. Kodwa kuthekani ukuba imilinganiselo ekhuselekileyo njenge-PT kunye nokuzivocavoca akwanele ukunceda ukuba ubuyele emsebenzini wakho opheleleyo?
Ukuba uqhubeka neentlungu zokuguqa kunye nokunciphisa umsebenzi, kufuneka usebenze ngokuphindaphindiweyo kweedolo ukunceda ukubuyisela umsebenzi wakho wegolo.
Ngamanye amaxesha enye inxalenye yodolo lakho iwonakaliswe yi-osteoarthritis, kwaye ukutshintshwa kwayo yonke into ayimfuneko. Ukuba kunjalo, ugqirha wakho angakhetha ukuba ube nokuhlinzwa okutshintshile kwamadolo .
Utyando oluthile lokuguqula idolo, olubizwa ngokuba yi-hemi-knee esikhundleni okanye ukutshintshwa kwegama elingasigxina, ngokuqhelekileyo lenziwa xa kuphela icala elinye lamadolo akho lonakaliswe yi-OA.
I-Anatomy ye-Knee Joint
Ingxowankulu yakho idityaniswe yintsimbi ehlanganyelwayo ithambo lakho lesithambo elixubusha ngesifuba sakho shin. I-kneecap yakho, okanye i-patella, ithambo elincinci elitshixa kunye neeslayidi ngaphakathi kwedolo. Ukuba unayo i-OA, ngamanye amaxesha ngaphakathi kunye nangaphandle kwendawo, kunye nelo ngaphantsi kwe patella yakho, yonakaliswe.
Ngamanye amaxesha, inxalenye eyodwa yodolo lakho ibonakaliswe yi-OA. Ngokuqhelekileyo, i-medial, okanye yangaphakathi, inxalenye yamadolo akho ibonisa ukugqoka kunye nokukrazula kunye ne-cartilage ehamba ngokubambisana.
Xa kunjalo, yodwa inxalenye edibeneyo yokudibanisa idinga ukutshintshwa, kwaye ukutshintshwa kwamadolo athile kunokuthi kwenziwe endaweni yokuguqula idolo.
Iintlobo zoLwazi lweZinyango
Esibhedlele : Ngosuku lokuqala emva kokuhlinzwa kwakho, unonophelo olunomdla wonyango lomzimba uya kukutyelela esibhedlele ukwenza uvavanyo lokuqala.
Uya kulinganisa i-knee ye-motion ye-motion kunye namandla kwaye uhlole ukuhamba kwakho konke okusebenzayo . I-PT yakho inokulinganisela inani lokuvuvukala emadolweni akho kwaye uhlole ukukhangela kwakho ukukhangela iimpawu zentsholongwane.
Emva kokuhlinzwa, ugqirha wakho unokusebenzisa umatshini oqhubekayo wokunyakaza (CPM) ukuze uncede ukuphucula i-knee ye-motion. I-PT yakho inokukufundisa indlela yokusebenzisa umshini we-CPM.
Umgulana wakho wenyama uza kukufundisa ukusetyenziswa kwamadolo okuqala ukwenza ngexesha lobhedlele. Ezi zifundo zenzelwe ukukunceda ukuphucula i-knee ye-motion ye-motion kunye nokuphucula amandla akho e- quadriceps , ama-hamstrings kunye ne-muscle ye-hip. Qinisekisa ukwenza imisebenzi yakho njengoko uyalelwe kwaye ubuze imibuzo ukuba unayo.
Ngokukhawuleza emva kokutshintshwa kwamadolo akho, ungalindela ukusebenzisa umgcini ohambahambayo okanye umgcini ohambahambayo wokuzikhangela. Umgulana wakho womzimba uya kuqinisekisa ukuba ubukhulu ngokufanelekileyo kwaye akufundise indlela yokusebenzisa umhamba wakho ngokufanelekileyo.
Kufuneka ulindele ukuchitha iintsuku ezi-2 ukuya kwezi-3 esibhedlele, nangona ugqirha wakho angakukhupha ekhaya ngosuku lokuqala ukuba wenza kakuhle. Ukuba unobunzima bokuhamba ngokusemthethweni njengokuhamba, ukuhamba ebhedeni, okanye ukunyuka kwezitebhisi, ugqirha wakho unokuhlala uhlala ezimbalwa iintsuku ezongezelelweyo ukuze ukwandise ukuhamba kwakho kunye nokukhusela ngaphambi kokuya ekhaya.
Ekhaya : Xa usususwe esibhedlele, unokufumana inzuzo yonyango ekhaya ukukunceda uqhubeke nokuvuselelwa kwakho. I-home treatment yonyango ivame ukugcinwa kubantu abangenakuvumela ukuba bahambe kwikhaya labo ukuya kwi-PT. Ukuba uhlala wodwa kwaye awukwazi ukuqhuba, umzekelo, unokufumana inzuzo yokuvuselela ekhaya ngeveki okanye ezimbini ukuya kuthi unakho ukuhamba ngokuphepha ekhaya lakho ukuya kwipilisi yokwelapha.
Ekhaya, unokulindela ukuba umphathiswa wakho wenyama uqhubeke esebenza kwiinkalo zokunyakaza kunye nokuqinisa ukuzisebenzisa ukuze uncede ukuphucula ukuhamba kwakho kokusebenza.
Ukuba unezitebhisi ekhaya lakho, unokuthi usebenzise ukunyuka kwezitepsi ukwenzela ukuba ukhusele ukhuseleko lwakho kwizitepsi.
Xa ufika ekhaya esivela esibhedlele, usenokuba usebenzisa umhambahamba ukuze ujikeleze indlu yakho. Ingcali yakho yomzimba ingakunceda ngokuqeqesha, kwaye unokuvavanya xa kufike ixesha lokuqhubela phambili ekusebenziseni iintonga okanye umhondi oqhelekileyo wokuhamba.
Ukuba ugqirha lwakho olugqityiweyo luye lwaphulukiswa, ikhaya lakho PT linokuvavanya ityhubhu ebomvu eyenziwe njengesiphumo sokuhlinzwa. Unako ukwenza i-massage yesisundu kunye nokuhlanganiswa . I-PT yakho inokukufundisa nendlela yokwenza i-massage ebomvu kuwe ukuqinisekisa ukuba ulusu kunye nezicubu eziphantsi zihamba kakuhle. Unokulindela ukuba isiqalo sakho sokuguqula idolo sibe sincinci ngaphezu kwesicatshulwa sokuguqula idolo.
Emva kokuba uhamba ngokuzimela kwaye unako ukuhamba ngokukhuselekileyo kwikhaya lakho, unyango lwakho lomzimba luya kuphelisa i-rehab ekhaya, kwaye unako ukuya kwipilisi kwiklinikhi yokugula.
KwiKlinikhi yokuPhalalisa : Unokulindela ukutyelela kwakho kokuqala kwiklinikhi yokwelapha yonyango ukuba ube luvavanyo lokuqala. Umgqirha wakho wenyama uza kudliwano-ndlebe nawe ukuba ufumane ulwazi malunga nemo yakho yangoku kwaye ufunde ngezinga lakho langaphambili lomsebenzi kunye neenjongo zakho zonyango lomzimba.
Umgqirha wakho womzimba uya kulinganisa i-knee ye-knee ye-motion kunye namandla, uvavanye ukuvuvukala emadolweni akho kunye nokuhlola ukuhamba kwakho konke. Uhlalutyo lwenzuzo lungenziwa ukuze kuhlolwe indlela ohamba ngayo.
Umgulana wakho womzimba unokuvavanya amandla akho ezinqeni ngenxa yokuba ukunyuka kwamandla emisipha kubalulekile ekuhambeni okufanelekileyo nokugcina amagodlo enempilo. Ukusetyenziswa okusemthethweni kwe-hip kunokumiselwa ukuba uncede uhlale unamandla.
Iiklinikhi ephilileyo elinezixhobo ezinokuzilungelelanisa ingaba noomatshini abathile ukuba bancede ukuphucula amandla emilenzeni yakho nasemadolweni akho. Ukuhamba ngebhayisikili ingaba yinxalenye yenkqubo yakho yokubuyisela indawo yokuguqula idolo , njengokuba oku kunokunceda ukwandisa ukuhamba kweendolo zakho kunye nokunyamezela kwemisipha.
Ngamanye amaxesha iindlela ezithile zokwelapha ezifana nokushisa okanye iqhwa zingasetyenziselwa ukulawula intlungu yakho nokunciphisa ukuvuvukala. Uhlobo lokuvuselela ugesi olubizwa ngokuba yi-neuromuscular stimulation stimulation (NMES) lungasetyenziselwa ukuphucula ukuqhekeka kwe-muscle yakho ye-quadriceps.
Uqeqesho loqeqesho kufuneka luqhubeke nokujoliswa kwe-rehab yakho emva kokuhlinzwa okutshintshile kwamadolo. Ingcali yakho yomzimba ingakunceda ukuba uqhube phambili ukuhamba kunye nenqanawa ukuze ukwazi ukuhamba ngaphandle kwesixhobo sokuncedisa.
Ngokubanzi, ugxininiso oluphambili lwonyango lomzimba emva kokuhlinzwa okutshintshile kwamadolo kukunciphisa ubuhlungu bentolo, ubuyisele ubude bendoda yesigxina kunye namandla, kwaye kukunceda ubuyele kwinqanaba langaphambili lomsebenzi.
Ubude bonyango
Unokulindela ukuvuselelwa emva kokuhlinzwa okutshintshile kwamadolo ukuhlala kwiinyanga ezi-2 ukuya kwezi-3. Wonke umntu uphulukisa amazinga ahlukeneyo, kwaye imeko ekhethekileyo yomntu wonke iyahluke, ngoko ukuvuselelwa kwakho kungenziwa mfutshane okanye ixesha elide kuxhomekeke kwiimeko zakho ezithile. Qiniseka ukuba usebenze ngokusondeleyo kunye nogqirha wakho kunye nomzimba wenyama ukuze uqonde inkqubela yakho emva kokuhlinzwa.
Ukutshintshelwa kwamadolo okuncinci kunokuba kuyimfuneko ukuba unayo i-OA kwinxalenye ethile yexolo lakho. Emva kokuhlinzwa kwakho, unokuhlangabezana nesifo somzimba esibhedlele, ekhaya, nakwiklinikhi yokugula. Ulwaphulo lomzimba emva kokutshintshwa kwegama lokuguqa lunokukunceda ngokukhawuleza kwaye ukhusele ngokusemgangathweni kwinqanaba langaphambili lomsebenzi.