Ingqikithi Yokuguquka Konke

I-Osteoarthritis (OA) iwuhlobo oluvame kakhulu lwesifo samathambo edolweni futhi ingaholela ebuhlungwini obukhulu nokukhubazeka. Izimpawu zivame ukuba zimbi kakhulu ngokuthwala isisindo, futhi ezimeni ezithuthukile, ngisho nemisebenzi yansuku zonke ingaba inselele.

Lapho ukunyakaza kanye namazinga obuhlungu eba mkhulu kakhulu, ukuhlinzwa esikhundleni samadolo kungase kube inketho.
 

Kuyini ukushintshwa kwedolo?

Abantu abangaphezu kwamaphesenti angu-90 abahlinzwa esikhundleni samadolo bathi kuthuthukisa ubuhlungu babo.

Kunezinhlobo ezahlukene zokushintshwa kwamadolo. Izinketho zifaka:

• ukushintshwa kwamadolo okuphelele: idolo lonke liyashintshwa
• ukushintshwa kwamadolo okuyingxenye: ingxenye ethintekile kuphela yedolo ithathelwa indawo
• ukushintshwa kwamadolo amabili: womabili amadolo ashintshwa ngesikhathi esisodwa

Ezimweni eziningi, abantu bahlinzwa esikhundleni samadolo ngoba bane-OA. Ukushintshwa kwamadolo ngokuphelele kuwumsebenzi ovame ukwenziwa.
 

Kwenzekani phakathi nenqubo?

Ukuhlinzwa okuningi kokubuyisela amadolo kwenziwa ngaphansi kwenhlanganisela ye-anesthesia ejwayelekile, izinzwa ze-peripheral nerve blocks, kanye nezinzwa zomgogodla (epidural). Uzothola okungenani umthamo owodwa wama-antibiotic ukuze unciphise ingozi yokutheleleka.

Phakathi nenqubo, udokotela ohlinzayo uzosusa ithambo ne-cartilage egulayo lapho ithambo lakho lethanga (i-femur) ne-shin bone (tibia) lihlangana khona emadolweni akho.

Lezo zindawo zibe sezishintshwa ngokufakelwa kwensimbi. Ucezu lwepulasitiki olukhethekile luvame ukusetshenziselwa ukufaka esikhundleni sengemuva le-kneecap futhi ekugcineni, le nto efanayo yepulasitiki ifakwa phakathi kwezingxenye ezimbili zensimbi.

Lokhu kunikeza amathambo womabili wejoyinti lakho indawo ebushelelezi futhi ukuze akwazi ukugoba ngokukhululeka nangokungenabuhlungu.
 

Ukubuyiselwa okuphelele kokushintshwa kwamadolo

Iningi lokululama kwakho kanye nokuvuselelwa kuyoba sekhaya ngemva kokuphuma esibhedlela. Abanye abantu badinga ukunakekelwa kwezempilo ekhaya noma usizo.

Udokotela wakho cishe uzokunikeza ukwelashwa ngokomzimba emtholampilo wendawo ukuze uqhubeke nokuhlunyeleliswa. Umelaphi womzimba kulo mtholampilo uzophakamisa izivivinyo ongayenza ekhaya.

Wonke umuntu uyalulama ngendlela ehlukile, kodwa abantu abaningi bavunyelwe ukuthi babuyele ekushayeleni ekupheleni kwamaviki angu-4.

Kungaba umqondo omuhle ukulungiselela ikhaya lakho ukuze ubuye ngaphambi kokuhlinzwa.
 

Ukuzivocavoca

Ukuzivocavoca kunendima ebalulekile ekuvimbeleni ukulimala kwamadolo, ukusekela idolo ngesikhathi sokwelashwa, nokululama.

Ukuzivocavoca kungasiza ekuvimbeleni ukulimala kwamalunga ngokuthi:

• ukuqinisa imisipha ezungeze idolo
• ikusiza ukuthi ugcine isisindo esinempilo

Lokhu kuyiqiniso ngaphambi nangemva kokuhlinzwa, kungakhathaliseki ukuthi idolo lemvelo noma elokwenziwa.

Ubuhlungu obungapheli kanye nezindaba zokuhamba zingandisa ingozi yokuhlukaniswa nomphakathi. Ukujoyina ikilasi lokuzivocavoca kungase kube indlela enhle yokuxhumana nabanye abantu, abanye babo okungenzeka babe nezinkinga zempilo ezifanayo.

Ukuzivocavoca umzimba kungakusiza futhi uzizwe ungcono futhi kunciphise ingozi yokukhathazeka nokudangala.
 

Yiziphi izivivinyo?

Imihlahlandlela evela e-American College of Rheumatology/Arthritis Foundation itusa kakhulu ukuzivocavoca ukuze ulawule i-OA yamadolo.
 

Imisebenzi engase ibe usizo ihlanganisa:

• ehamba
• ekubuyiseleni
• ukuqinisa umzimba
• ukuzivocavoca kwamanzi
• tai chi
• yoga

Ngokuhambisana nokuzivocavoca, isisindo sibalulekile ekulawuleni i-OA yamadolo

Ngemva kokushintshwa kwamadolo, i-physiotherapist yakho cishe iyoba ne-protocol yokuzivocavoca ongayilandela.

Lokhu kuzobandakanya ukubuyela ezinyaweni zakho ngokushesha ngangokunokwenzeka ngemva kokuhlinzwa nokuhamba kancane kancane nsuku zonke.

Lezi zivivinyo zizosiza ukuqinisa idolo lakho futhi kusheshise ukuphulukiswa kwakho.

Kubalulekile ukulandela imiyalelo ngokucophelela ukuze ukululama kwakho kuhlale endleleni. Kuzokusiza ukuthi ubuyele emisebenzini yakho evamile yansuku zonke ngokushesha ngangokunokwenzeka.

Kuzokusiza futhi ukuthi usungule isimiso esingakwazi ukusekela impilo yakho ngokuqhubekayo.
 

Izinkinga

Konke ukuhlinzwa kungabandakanya izinkinga. Ngemva kokuhlinzwa esikhundleni samadolo, kungase kube nengozi yoku:

• ukutheleleka
• amahlule igazi
• ubuhlungu obuqhubekayo, ngisho nalapho ukuhlinzwa kuphumelela
• ukuqina

Abantu abaningi abanazo izinkinga ezinzima futhi bajabule kakhulu ngokuthi bashintshwe idolo. Ithimba lokunakekelwa kwezempilo lizosebenzisana nawe ukuqinisekisa ukuthi ubungozi buphansi ngangokunokwenzeka.
 

Ubani okufanele acabangele ukuhlinzwa kwedolo?

I-osteoarthritis yisizathu esivame kakhulu sokuthi abantu bahlinzwe ngamadolo kodwa kungase kudingeke ukuhlinzwa kubantu abane:

• ukulimala kwamadolo okufana nokukhala kwe-ligament noma i-meniscus izinyembezi
• ukukhubazeka kwedolo abazalwa nakho
• rheumatoid arthritis

Abantu abaningi abanezinhlungu zamadolo abakaze badinge ukuhlinzwa futhi bangelashwa ngaphandle kokuhlinzwa. Udokotela wakho angase asikisele:

• ukulahlekelwa isisindo
• ukuzivocavoca okwengeziwe noma ukulandela uhlelo oluthile lokuzivocavoca
• ukusebenzisa i-over-the-counter noma eminye imithi
• imijovo
   

Ukwenza isinqumo

Udokotela angase enze ezinye izivivinyo ukuze abone ukuthi udinga yini ukuhlinzwa, futhi uyoba nethuba lokubuza imibuzo.

Ezimweni eziningi, ukushintshwa kwamadolo okuphelele kunciphisa ubuhlungu futhi kuthuthukisa ukuhamba. Nokho, ukuhlinzwa kungase kubize, kungathatha amasonto noma izinyanga ezimbalwa ukululama, futhi kunengozi encane yokuba nezinkinga.
 

Ukushintshwa kwedolo ngokwengxenye

Esikhundleni sokushintshwa kwedolo, udokotela ohlinzayo uthatha kuphela ingxenye yedolo lakho elimele.

Uma kuqhathaniswa nokushintshwa kwedolo okuphelele, le nqubo inezinzuzo ezilandelayo:

• Idinga ukusika okuncane.
• Kuncane ukulahleka kwethambo negazi.
• Ukululama ngokuvamile kuyashesha futhi akubuhlungu kangako.

Kodwa-ke, uma unokuguqulwa kwamadolo okuyingxenye, ungase udinge ukuhlinzwa okwengeziwe esikhathini esizayo uma isifo samathambo sikhula ezingxenyeni zamadolo ezingashintshiwe.
 

Ukushintshwa kwamadolo amabili

Ekuhlinzweni kokubuyisela amadolo amabili noma kabili, udokotela ohlinzayo ushintsha amadolo womabili ngesikhathi esisodwa.

Uma une-OA kuwo womabili amadolo, lokhu kungaba inketho enhle, njengoba kusho ukuthi kufanele udlule inqubo kanye nenqubo yokululama kanye.

Kodwa-ke, ukubuyisela esimweni kungase kuthathe isikhathi eside futhi cishe uzodinga usizo olwengeziwe ngesikhathi sokululama.
 

Apollo Noida

Udokotela ohlinza amadolo e-Noida kanye nodokotela ohlinzayo ongcono wamadolo e-Noida