Lapho ikati lethu likhula, umzimba walo uyaguga. Kuyinqubo engokwemvelo engakudalela uchungechunge lwezifo ezifana nokuguga, futhi kunesinye ikakhulukazi esinzima kakhulu ukusithola: i-osteoarthritis.
Lesi silwane siyingcweti ekufihleni izinhlungu, kangangokuthi ukubona i-osteoarthritis emakati singenza into eyodwa kuphela: sikugcine nsuku zonke ukuze thola izinkinga empilweni yekati. Yonke imininingwaneNoma yiluphi ushintsho, kungakhathaliseki ukuthi luncane kangakanani futhi lungabalulekanga, lungaba uphawu lokuthi umngane wethu unenkinga ethile ngamalunga akhe.
Kuyini isifo samathambo?
I-osteoarthritis Kuyisifo esingelapheki okungase kuthinte zonke izilwane ezinomgogodla, okukhiqiza ukuguqulwa okulimazayo kwe-cartilage emalungeni, okwenza isilwane esithintekile sizwe ubuhlungu obukhulu lapho sihamba noma sihambisa imilenze yaso noma, esimweni samakati, izidladla.
Njengoba sazi, amalunga ayizingxenye zohlaka lwamathambo avumela ukuxhumana phakathi kwamathambo amabili. Emaphethelweni ala mathambo kunoqwanga, okuyithishu imicamelo kanye nokuvikelaNokho, njengoba sikhula, nangemva kweminyaka yokusebenzisa amalunga ethu, lesi sicubu sigcina siwohloka.
Kodwa akupheli kanjalo. Ithambo, elalimbozwe uqwanga, manje seliqala ukukhula lisuka emaceleni, okubangela ukuthi deformation ngokuhlanganyela.
Ukuze uqonde kangcono inqubo, kufanelekile ukukhumbula lokho ukuhlangana Yakhiwa i-capsule, imigqa, i-cartilage, ne-synovial fluid, futhi izungezwe ama-tendon nemisipha. I-Synovial fluid lubricate futhi ondle Uqwanga; lapho ukunyakaza kuncipha noma kukhona ukugcwala ngokweqile, umthamo wayo kanye nekhwalithi kuyashintshwa, okwandisa ukungqubuzana nobuhlungu.
I-osteoarthritis akufanele ididaniswe ne-arthritis: isifo samathambo Ukuvuvukala kwe-synovial membrane (ngezinye izikhathi kuhlotshaniswa nezifo noma ezinye izinqubo), kuyilapho i-osteoarthritis ithinta kakhulu uqwanga futhi okuwohlokayoUkuxilongwa kwezilwane kubalulekile ukuhlukanisa phakathi kokubili.
Uvela nini ekatini?
Ikati liyisilwane esikhula ngokushesha futhi esikhula ngokushesha, saso isikhathi sokuphila ngeshwa, uneminyaka engu-20 kuphela ubudala. Uma uhlanganisa iminyaka engu-10, kakade kucatshangwa ukuthi usufinyelele ebudaleni, ngakho kuvamile ngabo ukuba babe nezinkinga ezihlobene nokuguga noma nini, maningi amathuba okuba kusukela eminyakeni engu-12 kuya phambili.
Kodwa, njengoba besisho, ukukubona kunzima kakhulu. Ngomzwelo wemvelo, kuzokwenza fihla ubuhlungu bakho futhi bazoqhubeka nokuphila impilo evamile kuze kube yilapho ukungakhululeki kuba kubi kakhulu kangangokuthi ngeke besakwazi ukukubekezelela. Ngaleso sikhathi, lesi sifo siyobe sesithuthuke kakhulu. Ngalesi sizathu, kubalulekile ukuqapha eduze isilwane sakho.
Ngaphezu kweminyaka, zikhona izici zobungozi okungase kubangele ukubonakala kwayo, ngisho nasemakati amancane: ukuhlukumezeka (ukuphuka, ukuhlukana, izinyembezi ze-ligament), ukukhubazeka noma i-hip dysplasia, ukukhula kwamathambo okungavamile kanye nokuthambekela kofuzo kwezinye izinhlobo. I ngokweqile kwandisa umthwalo emalungeni futhi kusheshise ukuwohloka kwe-cartilage.
Amalunga athinteke kakhulu ngokuvamile izindololwane, izinqe, amadolo futhi ngokuvamile umgogodla. Ezigabeni ezithuthukisiwe, i-crepitation (umsindo wokuqhekeka kancane) kungenzeka lapho ugoba noma unweba isitho.
Ngazi kanjani ukuthi ikati lami linalo?
Noma yiluphi ushintsho esimisweni sakho kufanele lusikhathaze. Uma ikati lethu esimthandayo likhulile, esimweni sokuhlushwa i-osteoarthritis noma iyiphi inkinga ehlobene namalunga akhe angase acasuke kakhulu futhi sibe nolaka lapho siphulula umhlane noma ngemuva.
Olunye udaba okufanele lusikhathaze yinhlanzeko yabo. Uma besezinhlungwini eziningi, bazogwema ukuya kude nombhede wabo, ngakho kungenzeka azikhulule eduze kwayo. Ngaphezu kwalokho, uzolahlekelwa ukuhamba, okuzobangela ukulahlekelwa kwemisipha.
Ezimweni lapho i-osteoarthritis iqhubekele phambili kakhulu, noma lapho ubuhlungu bukhulu kakhulu, i-feline ingayeka ukuzilungisa kaningi njengangaphambili, ngakho amafindo angase akheke ezinweleni zakho futhi ziba buthuntu.
Emakati amaningi, izimpawu zicashile: ukungabaza ukugxuma ukuphakama okufinyelelwe ngaphambili, ukuqina lapho ukhuphuka ekuphumuleni, ukunyakaza okuqaphelayo, ukuphelelwa amandla ezithweni kanye nokuma okuthe ukugoba. Kungaba khona ukuxhuga okuphakathi (ikakhulukazi ngemva kokuphumula), ukukhubeka ngezikhathi ezithile, kanye nokuncipha okuphawulekayo komsebenzi nokudlala.
Ezinye izinkomba okufanele uzibheke zihlanganisa ukukhothwa ngokuphindaphindiwe kwendawo ebuhlungu, izinzipho ezinde ngenxa yokusebenzisa kancane isiklwebhi, izinguquko ekusetshenzisweni kwebhokisi lesihlabathi (ukungena okunzima uma umphetho uphakeme), isifiso sokudla esishintshashintshayo ngenxa yobuhlungu obungapheli kanye nokunganaki okuthile noma ukuzihlukanisa. Nakuba kungezona zonke lezi zimpawu ezenzeka ngesikhathi esisodwa, inhlanganisela yezimbalwa kufanele ikhuthaze ukuvakashela kudokotela wezilwane.
Itholakala kanjani futhi iyini ukwelashwa?
Uma sisola ukuthi unenkinga ngamalunga akhe, kulula ukuthi simyise kudokotela wezilwane ngokushesha okukhulu. Uma usufikile, Bazothatha i-X-ray kanye nokuhlolwa kwegazi, ngokuvamile okwanele ukuze kuqinisekiswe ukuxilongwa.
Ukuhlolwa komtholampilo kuhlanganisa ukubheka ukuhamba nokushaywa kwamalunga ukuze athambile, ajiye, noma anciphise uhla lokunyakaza. Kwezinye izimo, ukuhlolwa okuthuthukisiwe kwezithombe ezifana i-ultrasound (okwezicubu ezithambile), i-computed tomography noma i-magnetic resonance imaging, esiza ukuhlola izakhiwo ezingabonakali kuma-X ray kanye nokuhlela ukwelashwa.
Ukwelashwa kuzoba nalokhu nikezela ngama-anti-inflammatories, kodwa ekhaya kuzofanele futhi senze izinguquko ezithile.
Ngaphandle kwama-NSAID, udokotela wakho wezilwane angase acabangele ama-analgesics obuhlungu obungapheli (njengezidakamizwa ze-neuromodulatory) kanye ama-antibodies e-monoclonal iqondiswe ngokumelene nabalamuli bobuhlungu (anti-NGF), ababonise ukusebenza kahle nokuphepha kwamakati. Awukho umuthi wokugomela i-osteoarthritis. Imithi yabantu akufanele neze inikezwe ngokuzimela: amakati anjalo uzwela kakhulu emithini eminingi.
Ukuphatha okuphelele kuhlanganisa ukulawula isisindo, izithasiselo ze-chondroprotective (glucosamine, chondroitin), omega-3 fatty acids, uvithamini E, imbaza enezindebe eziluhlaza noma i-rosehip, njalo ngaphansi kwenqubo yezilwane. Izindlela zokwelapha zokuvuselela (i-physiotherapy, massage, i-TENS, i-laser yokwelapha, ne-acupuncture) isiza ukuthuthukisa ukuhamba nokunciphisa ubuhlungu. Ezimweni ezinzima, zasendaweni, ukuhlinzwa (i-arthrodesis noma i-prosthesis) kungase kubhekwe njengento yokugcina.
Ukunakekela ikati eline-osteoarthritis
Ukudla
Kuyinto elula ukumnika ukudla okusezingeni eliphakeme, okuyi iqukethe ama-fatty acids abalulekile kanye nama-antioxidants, futhi ayinakho okusanhlamvu nemikhiqizo ekhiqizwayo, njengaleyo evela ku-Acana, Orijen, Taste of the Wild, True Instinct High Meat, phakathi kokunye.
Ngaphezu kwalokho, kuyisihluthulelo sokugcina a isisindo esifaneleUma isiguli sikhuluphele, udokotela wezilwane angase anikeze ukudla okukhethekile okune-fiber eyengeziwe kanye ne-caloric density ephansi. Ama-Chondroprotectors ekudleni noma ekuhlanganiseni asiza vikela uqwanga; bheka imithamo nemihlahlandlela ukuze ugweme ukugqagqana.
Umbhede
Uma kuze kube manje besinombhede wohlobo lomcamelo endaweni ephezulu, ukwenza impilo ibe lula Kunconywa kakhulu ukuthenga i-orthopedic noma thayipha igloo bese uyibeka phansi ukuze ungagxumi.
Faka amarampu noma izinyathelo Ukuze ufinyelele kusofa, beka izindawo ezingashibiliki futhi usebenzise amabhokisi kadoti angena kancane. Beka izitsha zokudla namanzi ekuphakameni kwazo (ngaphandle kokuziphoqa ukuba zilule) futhi unikeze amaphuzu amaningana okunisela kuyo yonke indlu.
Ukuhlanzeka
Ikati eligulayo lingayeka ukuzilungisa. Uma umngane wethu eyeka ukukwenza, kuzomele sizinakekele thina ukuyixubha nsuku zonke, kanye nokugcina amehlo nezindlebe zayo kuhlanzekile ngokusebenzisa i-gauze ehlanzekile nokugwema ukujula kakhulu.
Hlola izipikili kaningi: njengoba zihamba kancane, zigqoka kancane. Gcina ibhokisi likadoti lihlanzekile futhi lifinyeleleka ukuze ugweme izingozi ngaphandle kwethreyi.
I-Darling
Uthando lubalulekile ukuze insikazi ifune ukuqhubekela phambili futhi ibe namandla okwenza kanjalo. Ikati eline-osteoarthritis ikati eligulayo elidinga, manje kunanini ngaphambili, inkampani nothando lomndeni walo. Yebo, kuzodingeka ugweme ukuphulula izindawo ezibuhlungu, kodwa lokho akusho ukuthi ngeke sikwazi ukuqabula, njengoba besilokhu senza kuze kube manje, isibonelo.
Ngeke akwazi ukudlala, kodwa usazoba njalo yethu enoboya, umngane wethu.
Ukuzivocavoca nokuvuselela
Ukuzivocavoca okumnene, okuvamile kuyasiza gcina ukuhamba nesisindo somzimba. Dlala ngamaseshini amafushane, alawulwayo, ngaphandle kokugxuma okuphezulu. Ukwelashwa ngokomzimba kanye nokubhucungwa kukhulula imisipha esebenza ngokweqile ebangelwa ukunxeshezelwa kwe-postural futhi kunganciphisa ubuhlungu.
Imvelo kanye nenhlalakahle
Nciphisa ukucindezeleka ngezinqubo ezibikezelwayo, ukunothisa indawo efanele (izikhala eziphansi zokuklwebha, amashalofu afinyelelekayo), nezindawo zokuphumula ezifudumele. Indawo ezolile iyakhuthaza ukuphathwa kobuhlungu kanye nenhlalakahle jikelele.
I-osteoarthritis emakati yisifo esivamile kulabo asebekhulile. Njengabanakekeli, kuwumthwalo wethu ukubanikeza okuncono ukuze bahlale bejabule ngakithi kuze kube sekupheleni kwezinsuku zabo. Ngokuxilonga kusenesikhathi, ukwelashwa kwe-multimodal kanye nekhaya eliguquliwe, amakati amaningi angajabulela a izinga lempilo elihle kakhulu isikhathi eside.
