Isenzakalo esivame ukujwayela, esitholakala phakathi kwabantu abasha nabavuthiwe, ukuvuvukala kokuhlanganiswa kwezinzwane ezinkulu. Ukuyeka ukuvakashela udokotela kuleli cala akudingekile, ukuze ugweme ukucindezeleka okukhulu, ngisho nezimpawu zokuqala kufanele ziqale ukwelapha izifo.
Izimpawu zokuvuvukala kwamalungu ezinzwane
Izimpawu zokutheleleka okunjalo zimi kanje:
- ubuhlungu obukhulu ngokuhlanganyela ngesikhathi sokunyakaza;
- ukwehla ukuhamba komunwe;
- ukubonakala kokuvuvukala nokubomvu endaweni yokuvuvukala;
- inani lokushisa lokushisa eliphelele noma langaphakathi.
Izimbangela zokuvuvukala kokuhlanganiswa kwezinzwane ezinkulu:
- ukulimala kwezwane;
- i-supercooling;
- sigqoke izicathulo ezinzima futhi ezingakhululekile;
- Izifo ezihlangene ze-dystrophic (i-arthrosis, i-arthritis, i-gout);
- izinqubo ezithathelwanayo emzimbeni (njengengcindezi ngenxa yomkhuhlane, izifo ezithinta ukuphefumula, njll) njll.
Ukwelashwa kokuvuvukala kwamalungu ezinzwane
Ezimweni eziningi, ngokuvuvukala kokuhlanganiswa kwezinzwane ezinkulu, ukuhlolwa kwangaphandle, i-rayography, futhi ngezinye izikhathi kudingekile ukuba kutholakale ukuhlanganiswa okuhlangene.
Namuhla, kunenqwaba yezidakamizwa zokuvuvukala okuhlangene. Ezimweni eziningi, ukwelapha izidakamizwa kunomkhawulo ekusetshenzisweni kwezidakamizwa ezingezangezobuhlungu zendawo ezingezona ezenza ukuvuvukala ngendlela yamafutha, ama-gel, ama-creams (i-Diclofenac, i-Indomethacin, njll). Lezi zidakamizwa, azibandakanyi nje ekukhipheni ukuvuvukala, kepha nokunciphisa ubuhlungu. Ezimweni ezimbi kakhulu, ukuphathwa ngomlomo kwezidakamizwa eziphikisayo noma umjovo wokuphatha kwabo kunqunywe. Amalungiselelo ama-hormonal angasetshenziswa.
Uma kwenzeka umonakalo we-cartilage, ukusetshenziswa kwe- chondroprotectors (iTeraflex, Chondrovite, Chondroitin, njll.) Kunconywa, okubangela ukutholakala kwayo ngenxa yezingxenye ze-cartilage eziqukethwe kuzo. Uma ukuthuthukiswa kwesibindi kuhlotshaniswa nezinqubo ezithathelwanayo, kunconywa indlela yokwelashwa kwama-antibiotic. Ekupheleni kwesigaba esiyinkimbinkimbi, izindlela zokwelapha zibizwa ngokuthi:
- Ukushisa;
- ukwelashwa kodaka;
- i-balneotherapy, njll.
Kanti futhi i-massage ebizwa ngokuthi i-massage ne-gymnastics yezokwelapha, futhi kamuva kunconywa ukugqoka izicathulo ezikhethekile zomzimba.
Endabeni yokukhubazeka okukhulu kwamajoyina, ukungenelela okuhlinzekwayo kwenziwa, kubandakanya ukushintshwa kokujoyina nge-prosthesis. Kumele kucatshangelwe ukuthi isikhathi sokuvuselela emva kokusebenza isikhathi eside, futhi kungenzeka ukuthi ubuyekeze esikhathini esizayo akukwenziwa.