Ukuhamba kwanoma yimaphi amalunga emzimbeni kuxhomeke esimweni nasekukhiqizeni izicubu zomzimba, isisombululo kulo. I-osteoarthritis yezandla ingenye yezifo ezivamile phakathi kwabesifazane, okuholela ekuhluphekeni, ukuhamba kahle kweminwe ngisho nokukhubazeka kwesilungu.
Kungani kukhona i-osteoarthritis ye-deforming yezandla?
Izimbangela ze-pathology:
- ukwephula ukuhlinzeka kwezicubu ngegazi;
- ukuhlukumezeka, ukwehlukana, ukuphambuka nokuphambana;
- ukungenelela kokusebenza;
- izifo ze-endocrine;
- izinguquko zonyaka;
- umsebenzi wezobuchwepheshe.
Kunezici ze-idiopathic ezingenayo ubufakazi:
- izakhi zofuzo;
- Isikhathi se-postmenopausal;
- isisindo somzimba ngokweqile.
I-osteoarthritis yamajoyina amancane we-interphalangeal nezandla avela kanjani?
I-symptomatology yalesi sifo ine-intuthuko encane futhi ibonakala kancane kancane, idlula ngezigaba ezintathu:
- I-osteoarthritis yezandla ze-degree elingu-1. Kubonakala ubuhlungu obukhulu emajoyini, ikakhulukazi kusihlwa nangemva kokuzikhandla ngokomzimba, ngokuhamba ngokungahambi kahle. Kunezibonakaliso ezincane kuma-phalanges eminwe (ama-nodules Geberden noBushard), ebonakala ngokucacile;
- I-osteoarthritis yezandla zezinga lesibili. Ubuhlungu be-syndrome bukhona njalo, kepha hhayi ngokunamandla. Amathoni avela emathanjeni (ama-osteophytes), evimba kancane ukuhamba okujwayelekile nokuguquguquka kweminwe. Ngokuhamba kwesikhathi, i-muscle atrophy ivela, ama-joints akhula ngobukhulu, aqhuma uma egobile;
- I-osteoarthritis yezandla zezinga lesithathu. Kuhambisana nokuzwa okubuhlungu obukhulu futhi cishe ukulinganiselwa okuphelele ekuhambeni. Ubukhulu bezinthambo zamathambo buyancipha, ama-osteophyte amaningi akhula. Lezi zicubu zomzimba zisho ukuthi azikho ezingxenyeni, futhi imisipha ayiyona esebenzayo.
Indlela yokuphatha i-osteoarthritis yezandla?
Ukwelapha kuthatha isikhathi eside, njengoba kuhilela ukubuyiselwa komsebenzi ohlangene kanye nokuthuthukiswa kwezicubu zomzimba, okuye kwavunywa izinyanga ezimbalwa.
Indlela yokuqapha inguquko yemisebenzi:
1. I-anesthesia kanye nokunciphisa ekujuleni kwenqubo yokuvuvukala. Izidakamizwa ezilandelayo zisetshenziswa:
- Ibuprofen;
- I-Paracetamol;
- I-Movalis;
- Diclofenac ;
- I-Colchicine;
- Celecoxib.
Kunconywa futhi ukusebenzisa imithi yendawo:
- I-Diklak;
- I-Voltaren;
- I-Nimesulide;
- Indomethacin.
2. Ukusetshenziswa kwe-chondroprotectors, njenge:
- Structum;
- Chondroitin;
- Glucosamine.
Lezi zidakamizwa zisiza ukubuyisela ukukhiqizwa kwezicubu zomzimba, kanye nokukwazi ukugcina umswakama.
.3 I-Physiotherapy:
- umphumela we-wave wave;
- i-phonophoresis enezidakamizwa ezingezona izifo ezivuvukala;
- i-electrophoresis .
4. Ukuzibulala nokuzihlaziya.
5. Ukuzivocavoca okukhethekile.
6. Ukuhambisana nokudla okunomthelela omkhulu wamavithamini nezakhi zokulandelela.
Futhi, ukwelashwa kwe-osteoarthritis yezandla kuhilela ukujova ngqo emgodleni ohlangene we-hyaluronic acid. Lokhu
Ngezinhlobo ezimbi ze-osteoarthritis, kuhlinzekwa ukuhlinza okuhlinzwa, lapho ukukhubazeka kwamathambo kulungiswa khona, ama-osteophyte asuswa.
Ayikho yezindlela ezinikeziwe ezinikeza ukwelashwa okuphelele kwalesi sifo. Kuze kube manje, umuntu angakwazi ukumisa okwesikhashana noma ukunciphisa ukuqhubeka kwe-pathology nokunciphisa ukubonakaliswa kwayo kwemitholampilo.