Ukunciphisa Umthwalo Oyingxowanisiweyo Mhlawumbi Uncedo lweKnee Osteoarthritis
Umthwalo osisigxina yixesha elidla ngokuphindaphindiweyo kwizifundo ze-osteoarthritis, ngakumbi ezo zibhekise kwi- knee osteoarthritis . Umthwalo ohlangeneyo ubhekisele kumandla afakwa kwi-joint-bear bearing or bearing-bearing joint ngexesha lo msebenzi. Abaphandi bazama ukufumana impembelelo yomthwalo ohlangeneyo kwi-pathology okanye ukuqhubela phambili kwe-osteoarthritis. Ngamanye amazwi, ngaba ukunciphisa umthwalo ohlanganyelweyo wokunyuka kwenyusa kwe- osteoarthritis ?
Yintoni enokunceda ukunciphisa umthwalo ohlangeneyo?
Umthwalo ohlangeneyo kunye ne-Knee Osteoarthritis
Makhe sijonge kwi-knee osteoarthritis ukususela emadolweni yintsebenziswano echaphazelekayo isifo; Kwakhona inxalenye ethwele isisindo. Igulo lakho, xa lihambelana ngokugqibeleleyo, linomxhasi walo ophethe umthwalo kumgca ochanekileyo owela emlanjeni, emadolweni nasemagxeni. Ukuba idolo lakho lilungelelaniswe ngenxa yokukhubazeka ehambelana nomonakalo we- cartilage , amandla angavumelekanga asetyenziswa kwiindawo ezithile zeedolo.
Amandla angavumelekanga asetyenziswa emadolweni angabangela intlungu eyongezelelweyo kunye nezinye iimpawu. Abaphandi baye badibanisa ukulayishwa okuhlanganyelweyo kwamadolo ukuqhubela phambili kwe-osteoarthritis. Into ebizwa ngokuba ngumzuzwana wokuguqa ngamadolo (i-torque) yinto ehambelana nokusasazwa komthwalo phakathi (ngaphakathi) kunye ne-lateral (yangaphandle) i-plateaus ye-knee joint. Umzuzwana wokugqithiswa kwamadolo, owona mthwalo ohlangeneyo ohlangeneyo owenziwe ngexesha lokuhamba (ngokusebenzisa uhlalutyo lwe-gait), lukhulu kubantu abanama-knee osteoarthritis kunabangenalo isifo.
Amanyathelo amanyathelo athathwe ngokuhlalutya, njengamaxesha kunye nemikhosi, ziyahlukahluka ngokuxhomekeke kwimisebenzi eyenziwe. Ucwaningo luye lucinga ukuba amandla amaninzi okuxhaswa kwamadolo adibeneyo abe ngamawaka amane ukuya kwe-4.5 amaxesha omzimba ngexesha lomsebenzi. Ngexesha lokuhamba kwinqanaba, ezinye izifundo ziqikelele nenani eliphezulu.
Ukuhla kwezitebhisi kuhambela amandla ukuya kwisithandathu somzimba; ukuhla kwehla ukuhamba ukunyathela amandla ukuya kwezihlandlo ezisibhozo ubunzima bomzimba; kwaye ukuxhuma kufaka umthwalo ohlangeneyo ngamaxesha angama-20 ubukhulu bomzimba. Ulungele ukusho, idolo libetha ixesha. Ezi ngqikelelo azithethi nje kuphela imfuno yokunciphisa umthwalo ohlanganyelweyo, kodwa nazo ziqulunqwe ekuqulunqeni ama- prostheses ahlala ngonaphakade.
Ukunyusa umthwalo ohlangeneyo
Abaphandi baye bavavanya umphumo weengubo, ukusetyenziswa kwebhanqa kunye nokulahleka kwesisindo kumthwalo ohlangeneyo kwi-knee osteoarthritis. Ngayinye into eyenza ukuhluka. Izicathulo ozikhethayo zinokuchaphazela umthwalo ohlangeneyo emadolweni. Funda oko abaphandi baphetha emva kokuqhathanisa izicathulo eziphezulu, izicathulo ezithendekileyo, i-arch isekela kwaye ihamba ihamba. Iziphumo zazivoti ngokucacileyo ezichasene nezithende eziphakamileyo kunye neesithendeleli ezilinganiselweyo zabasetyhini.
Ingxaki yokuthwala ubunzima obunzima ibonakala. Ukugqithisa okanye ukugqithisa kukunyusa uxinzelelo kumalunga amaninzi. Ngaba wayesazi ukuba abantu abagqithiseleyo banamaxesha angama amane umngcipheko wokwenza i-knee osteoarthritis ifaniswe nabantu abagcina ubunzima bomzimba babo obuhle? Khawucinge nje ukuba ukunyamezela kunjani kumalungu athe awonakaliswa yi-osteoarthritis.
I-lateral-wedge insoles kunye namabhodolo ngamadolo zikhetho zokuncedisa ukunciphisa umthwalo ohlangeneyo wegolo. I-lateral-wedge insoles iguqula i-mechanics yamadolo ngokunciphisa i-varus torque (ukuphikisa idolo ngaphakathi xa uhamba). Ngokubhekiselele kumabhokhwe emadolo, "ukukhulula" i-knee brace yenzelwe ngokukodwa ukukhulula uxinzelelo ukusuka emadolweni.
Inqaku eliphantsi kwiMithwalo yoXanduva
Kucacisa ukuba ukunciphisa umthwalo ohlangeneyo kunenzuzo kwizigulane ze-osteoarthritis. Ngokuxhomekeke kwizihlanganisi ezichaphazelekayo kwiimeko zakho, xubusha zakho iinketho ngogqirha wakho.
> Imithombo:
> Ukunciphisa Ukuhlanganiswa Okuhlangeneyo kwi-Medial Knee Osteoarthritis. Kemp G. et al. Arthritis & Rheumatism. Meyi 2008.
> Ubuhlungu Bomzimba kunye nokudibanisa okuhlangeneyo kwiZifundo kunye ne-Osteoarthritis ye-Knee. Umbhalo woPhando lwe-Orthopedic . Hurwitz DE et al. Julayi 2000.
> Ukubambisana okuHlangeneyo kweeNkcitho kwi-Total Knee Replacement. Kuster MS et al. Umbhalo we-Bone and Joint Surgery uJanuwari 1997.
> Ukungaqhelekanga kunye nokuPhepha okuPhezulu kwi-Knee Osteoarthritis. Medscape. Maly MR. Oktobha 1, 2008.