Created at:1/16/2025
I-Arthritis iwukuvuvukala kwelinye noma ngaphezulu kwamalunga akho okuholela ebuhlungwini, ekuqinisweni, nasekunciphekeni kokunyakaza. Empeleni akuyona nje isifo esisodwa kodwa yiqembu lezimimo ezingaphezu kwezingu-100 ezahlukene ezithinta amalunga akho, izicubu ezizungezile, nezinye izicubu ezihlangene emzimbeni wakho.
Lesi simo sithinta izigidi zabantu emhlabeni jikelele, futhi nakuba sivame kakhulu njengoba sikhulile, singathinta noma ubani kunoma yiliphi izinga lokuphila. Izindaba ezinhle ukuthi ngokuqonda okufanele nokuphathwa, abantu abaningi abane-arthritis bangaphila impilo egcwele, esebenzayo.
Isici esivame kakhulu ozoqaphela yilobunhlungu lwamalunga obungase buze buye noma buhlale bukhona. Lobu buhlungu buvame ukuba bukhulu ngemuva kokuba ususebenze noma ekupheleni kosuku lapho amalunga akho esebenze kanzima.
Nazi izimpawu eziyinhloko abantu abaningi abazibonayo:
Abanye abantu nabo baye baba nokuthiwa "ukuqina kwasekuseni" okungase kuqhubeke kusuka emaminithini ambalwa kuya emahoreni amaningana. Lokhu kwenzeka ngoba amalunga akho awazange anyakaze ngesikhathi sokulala, futhi i-synovial fluid ewalubala ibe nzima ebusuku.
Ezimweni ezingavamile, ungase uqaphele izimpawu ngaphandle kwamalunga akho, njengoba kufana nomkhuhlane, ukulahlekelwa isisindo, noma ukushintsha kwesikhumba, ikakhulukazi ngezinhlobo ze-arthritis ezivuvukalayo njenge-rheumatoid arthritis.
Kunezinhlobo ze-arthritis ezingaphezu kwekhulu, kodwa eziningi ziwela ezinhlotsheni ezimbalwa eziyinhloko. Ukuqonda ukuthi yiluphi uhlobo olungaba nalo kusiza ekuholeni indlela yokwelapha engcono kakhulu yesimo sakho esithile.
Izinhlobo ezivame kakhulu zihlanganisa:
Izinhlobo ezingavamile kodwa ezibalulekile zihlanganisa i-ankylosing spondylitis, ethinta ikakhulu umgogodla, ne-arthritis yabantwana, evela kubantwana abaneminyaka engaphansi kwengu-16. Uhlobo ngalunye lunomklamo walo wama-symptom futhi luphendula ngokuhlukile ekwelapheni.
Ezinye izinhlobo ezingavamile zihlanganisa i-arthritis esabela, engase ithuthukiswe ngemva kokutheleleka okuthile, ne-systemic lupus erythematosus, engase ithinte izitho eziningi ngaphandle kwamajozi.
Imbangela ye-arthritis ixhomeke kuhlobo olukhona, futhi ngezinye izikhathi izinto eziningi zisebenza ndawonye ukuze zivuselele lesi simo. Ukuqonda lezi zimbangela kungakusiza ukuthi uqonde ukuthi kungani i-arthritis ithuthukiswe nokuthi yini ongayenza ngayo.
Ngokuqondene ne-osteoarthritis, izimbangela eziyinhloko zihlanganisa:
Izinhlobo ze-inflammatory njenge-rheumatoid arthritis zinazizathu ezahlukene. I-immune system yakho ihlasela ngephutha ama-tissue ase-joint asempilweni, nakuba singaqondi ngokugcwele ukuthi lokhu kwenzeka kanjani. I-genetics idlala indima, kodwa izinto ezingaphandle njengezifo, ukucindezeleka, noma ukubhema kungase kuqalise isimo kubantu abasenesikhathi eside bekhona.
I-Gout ithuthuka uma umzimba wakho ukhulula i-uric acid eningi kakhulu noma awukwazi ukuyisusa kahle. Lokhu kuholela ekwakhekeni kwamakristalu ezinhlanganweni, ikakhulukazi ngezikhathi zokucindezeleka, ukugula, noma ngemuva kokudla ukudla okunama-purines amaningi.
Ezimweni ezingavamile, i-arthritis ingathuthuka ngemuva kwezifo, ukulimala okuhlukumezayo, noma njengengxenye yezinye izifo zesimiso. Abanye abantu bathuthukisa i-arthritis ngaphandle kwesizathu esicacile, okungase kuzwakale kuyadumaza kodwa empeleni kuyinto evamile.
Kufanele ucabange ukuya kudokotela uma ubuhlungu be-joint buhlala isikhathi esingaphezu kwamalanga ambalwa noma buphazamisa kakhulu imisebenzi yakho yansuku zonke. Ukuxilongwa kwasekuqaleni nokuphathwa kuvame ukuletha imiphumela emihle futhi kungasiza ukuvimbela ukonakala kwe-joint.
Nazi izimo ezithile lapho ukunakekelwa kwezokwelapha kubalulekile:
Kufanele ufuna ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nobuhlungu obukhulu be-joint obuzumayo, ikakhulukazi uma buhambisana nokuqina, noma uma i-joint iba yingxube. Lokhu kungase kubonise ukutheleleka kwe-joint noma enye isimo esinzima esidinga ukwelashwa ngokushesha.
Ungalindi uma ubona izimpawu zokuguquka kwe-joint noma uma imithi yokuhlanza ubuhlungu ayisasisizi. Ukungenelela kwasekuqaleni kungenza umehluko omkhulu empilweni yakho ende ye-joint kanye nekhwalithi yempilo.
Izinto eziningi zingakwandisa amathuba akho okuba ne-arthritis, nakuba ukuba nezinto ezingaholela kuyo akusho ukuthi uzoyithola ngokuqinisekile. Ukuqonda lezi zinto kungakusiza wenze izinqumo ezinolwazi mayelana nempilo yakho.
Iziphethuko ezivame kakhulu zihlanganisa:
Izinto zokuphila nazo ziyabaluleka. Ukubhema kukwandisa ubungozi bakho bokuthola i-rheumatoid arthritis futhi kungenza izimpawu zibe zimbi. Ukudla okunamafutha amaningi e-purine kungaqalisa ukuhlaselwa kwe-gout kubantu abathintekayo.
Ezinye iziphethuko ezingavamile zihlanganisa izimo ezithile ze-autoimmune, ama-genetic markers athile, nokudla izinto eziyingozi emvelo. Noma kunjalo, abantu abaningi abanazo iziphethuko eziningi abazitholi i-arthritis, kuyilapho abanye abangenazo iziphethuko ezicacile bayithola.
Nakuba i-arthritis ikakhulukazi ithinta amajoinyi akho, ingabangela ezinye izinselele zempilo uma ingalashwa noma ingalawulwa kahle. Ukuqonda lezi zinhlelo ezingaba khona kuzokusiza usebenze neqembu lakho lokunakekelwa kwezempilo ukuze uzivimbele.
Izinhlanganisela ezivamile ongahlangana nazo zihlanganisa:
Izinhlobo ze-arthritis ezivuvukalayo ngezinye izikhathi zingathinta ezinye izingxenye zomzimba wakho. I-Rheumatoid arthritis, isibonelo, ingandisa ingozi yakho yesifo senhliziyo, izinkinga zephunga, noma izinkinga zamehlo. Lokhu kwenzeka ngoba ukuvuvukala akuhlali kwamalunga akho kuphela.
Ezimweni ezingavamile, i-arthritis eqinile ingabangela ukuphambuka kwamalunga, ukulahlekelwa ngokuphelele umsebenzi walunga, noma izinkinga zesimiso ezithinta izitho ezifana nenhliziyo, amaphaphu, noma izinso. Noma kunjalo, ngezindlela zokwelapha zanamuhla, lezi zinkinga ezinzima azivamile njengoba zazinjalo ngaphambili.
Izindaba ezinhle ukuthi izinhlungu eziningi zingavikeleka ngokwelashwa okufanele nokuphathwa kwendlela yokuphila. Ukusebenzisana eduze neqembu lakho lokunakekelwa kwezempilo kunciphisa kakhulu ingozi yakho yokuthuthukisa izinkinga ezinzima.
Nakuba ungakwazi ukuvimbela zonke izinhlobo ze-arthritis, ikakhulukazi lezo ezinamahloni amangqamuzana aqinile, izimo eziningi zingavikeleka noma zilimele ngokukhetha impilo enempilo. Ukuthatha izinyathelo ezithuthukile manje kungavikela amalunga akho eminyakeni ezayo.
Nawa amasu okuvimbela asebenzayo:
Uma usebenza emsebenzini ofuna ukuphindaphinda izinyathelo, thatha amaphuthe njalo bese usebenzisa amathuluzi asebenzayo uma kungenzeka. Emisebenzini yezemidlalo, ukuqeqeshwa okuhle, ukupholisa, nokusebenzisa izingubo zokulondeka ezifanele kungavimbela ukulimala kwamajozi okungase kubeka ingozi yokuqala kwe-arthritis kamuva.
Ukuvimbela i-gout ngokukhethekile, ukulinganisela ukusetshenziswa kotshwala nokudla okunama-purines amaningi (njengenyamasende ebomvu nezinye izinto zasezulwini) kungasiza. Ukugcina umzimba uthambile futhi kuwusizo ekukhishweni kwe-uric acid ngempumelelo.
Nakuba ungakwazi ukushintsha izinto ezinjengobudala, ubulili, noma i-genetics, ukugxila kulokho ongakulawula kwenza umehluko obalulekile empilweni yamajozi akho ngokuhamba kwesikhathi.
Ukuhlola i-arthritis kuhilela izinyathelo eziningi, futhi udokotela wakho cishe uzosebenzisa ukuxuba kwezindlela ukuze aqonde ukuthi iyiphi uhlobo olukhona. Ayikho i-test eyodwa engakwazi ukuhlola zonke izinhlobo ze-arthritis, ngakho inqubo idinga isineke nokuqonda okuhle.
Udokotela wakho uzoqala ngengxoxo eningiliziwe mayelana nezimpawu zakho, kufaka phakathi ukuthi zaqala nini, yini eyenza zibe ngcono noma zimbi, nokuthi zikuthinta kanjani empilweni yakho yansuku zonke. Bazobabuza futhi ngomlando wakho womndeni, ukulimala kwangaphambili, kanye nemithi oyithatha.
Ukuhlolwa komzimba kugxila emajojweni akho athintekayo, kuhlola oku:
Izivivinyo zegazi zingasiza ekutholeni ama-markers okuvuvukala nama-antibodies athile ahlobene nezinhlobo ezahlukene ze-arthritis. Izivivinyo ezivamile zihlanganisa ukuhlola i-rheumatoid factor, ama-anti-CCP antibodies, nama-markers okuvuvukala afana ne-ESR ne-CRP.
Izifundo zokubonisa izithombe zinikeza umbono ocacile walokho okwenzekayo ngaphakathi kwamajoini akho. Ama-X-ray abonisa ukuguquka kwamafu namakhala amakhala amakhala, kuyilapho i-MRI noma i-ultrasound ingabonisa ukuguquka kwezicubu ezithambile nokuvuvukala kwasekuqaleni okungase kungabonakali yi-X-ray.
Kwezinye izimo, udokotela wakho angase acebise ukuhlaziywa kwezinto ezigeleza emajoyini, lapho isibonelo esincane segeleza sisuswa ejoyini elimele futhi sihlolwe ukubona izimpawu zokutheleleka, ukuvuvukala, noma ukufakwa kwamakristalu.
Ukuphathwa kwe-arthritis kugxile ekunciphiseni ubuhlungu, ukulawula ukuvuvukala, nokukusiza ugcine umsebenzi ngangokunokwenzeka. Indlela engcono kakhulu ngokuvamile ihlanganisa amasu amaningana ahlukene afanele uhlobo lwakho oluthile lwe-arthritis nezidingo zakho zomuntu siqu.
Amakhetho wemithi ahlukahluka kuye ngohlobo lwakho lwe-arthritis:
I-physical therapy idlala indima ebalulekile ekwelapheni. Uchwepheshe we-physical therapy angakufundisa ukuzivocavoca ukuqinisa imisipha ezungezile amajoyini akho, ukuthuthukisa ukuguquguquka, nokugcina ububanzi bomshini. Bayokubonisa futhi ukuthi ungazivikela kanjani amajoyini akho emisebenzini yansuku zonke.
Ezimeni ezinzima lapho ukwelashwa okuqondile kunganelisi, kungenzeka ukuthi kucatshangelwe amakhetho okuhlinzwa. La makhono ahlukahlukene kusuka ekuhlinzweni okuncane ukuhlanza izicubu zejoyini ezilimele kuye ekuguqulweni okuphelele kwejoyini.
Izindlela zokwelapha ezintsha zihlanganisa imithi ye-biological ekuqondiswe ngqo ezingxenyeni ezithile zesimiso somzimba sokuvikela emikhakheni ye-arthritis. Lezi ziguqule indlela yokwelapha kwabaningi abanezinhlungu ezinjengaleyo ye-rheumatoid arthritis.
Ezimweni ezingavamile ze-arthritis eqinile kakhulu, izindlela zokwelapha ezinzima kakhulu ezinjengomuthi ocindezela isimiso somzimba sokuvikela noma izindlela zokwelapha ezilindelekile zingacatshangelwa, njalo kuqondiswe ukulinganisa izinzuzo ezingaba khona nezingozi.
Izindlela zokulawula ekhaya zingathuthukisa kakhulu induduzo yakho nokusebenza phakathi nokubonisana nodokotela. Lezi zindlela zisebenza kangcono uma zidibene nokwelashwa kwakho okunikezwe ngudokotela, hhayi njengokushintsha kwakho.
Amathuluzi okulawula ubuhlungu nokuqina kuhlanganisa:
Ukushintsha kokudla kungasiza futhi, ikakhulukazi ngezinhlobo ze-arthritis ezivuvukayo. Gxila ekudleni okulwa nokuvuvukala njengezinhlanzi ezinamanoni, imifino eluhlaza, kanye nemifino nemithi yemibala ehlukahlukene. Khawukhawuleli ukudla okucutshunguliwe, ushukela omningi, kanye nokudla okubonakala kuqalisa izimpawu zakho.
Ukudala indawo efanelekile ye-arthritis ekhaya kwenza imisebenzi yansuku zonke ibe lula. Lokhu kungase kuhlanganise ukufaka ama-grab bars, ukusebenzisa abavuli be-jar, noma ukuhlela izinto ezisetshenziswa njalo emazingeni aphezulu alula ukufinyelela kuwo.
Gcina ulandelela izimpawu zakho, uqaphele ukuthi yini esiza futhi yini eyenza zibe zimbi. Ulwazi lolu lubalulekile eqenjini lakho lokukhathalela impilo futhi lukusiza ukuthi ubone izindlela esimweni sakho.
Ukulungiselela i-aphoyintimenti yakho kuzokusiza ukuthi uthole okuningi ngesikhathi sakho nodokotela wakho futhi kuqinisekise ukuthi uthola ulwazi kanye nokunakekelwa okudingayo. Ukulungiselela kancane kungenza umehluko omkhulu ezingeni lokuvakasha kwakho.
Ngaphambi kwe-aphoyintimenti yakho, buza ulwazi olubalulekile:
Cabanga ngezibonelo ezithile zendlela isifo se-arthritis esithinta ngayo impilo yakho. Esikhundleni sokuthi "Ngibuhlungu," chaza ukuthi "Nginenkinga yokuvula amabhodlela ekuseni" noma "Angikwazi ukuhamba ngezitebhisi ngaphandle kokuma ukuphumula." Lezi zibonelo ezicacile zisiza udokotela wakho ukuthi aqonde kangcono isipiliyoni sakho.
Lungela ukuxoxa ngezinhloso zakho zokwelashwa. Ingabe ufuna ukunciphisa ubuhlungu, uthuthukise ukuhamba, noma ugcine izinga lakho lamanje lomsebenzi? Ukwabelana ngezinto ozikhethayo kusiza udokotela wakho ukuba ancomele uhlelo lokwelapha olufanele kakhulu.
Ungangabazi ukubuza imibuzo mayelana nanoma yini ongayiqondi. Udokotela wakho ufuna ukukusiza uzizwe unolwazi futhi uqiniseke ngohlelo lwakho lokunakekelwa.
I-Arthritis iyisimo esilawuleka esingadingi ukuchaza impilo yakho noma ukulinganisela kakhulu imisebenzi yakho. Nakuba kungaba inselele, izigidi zabantu abane-arthritis ziyaqhubeka ziphila impilo egcwele, esebenzayo ngokusetshenziswa okulungile kokunakekelwa kwezokwelapha nezinqubo zokuzilawula.
Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukutholakala kwesikhathi sokuqala nokuphathwa kwenza umehluko omkhulu emiphumeleni yakho yesikhathi eside. Ungayideli inhlungu ehlala njalo yokuhlangana noma ubunzima, ucabanga ukuthi izohamba yodwa noma ukuthi iyinqobo nje yokuguga.
Izindlela zokwelapha isifo se-arthritis zanamuhla ziphumelela kakhulu kunangaphambili. Kusukela emithi eyenziwe ngendlela ephambili engaphansi ukuqhubeka kwesifo kuya ezindleleni zokucathulwa ezingenasici, unezinketho eziningi zokusiza ekulawuleni isimo sakho ngempumelelo.
Ukuhlanganyela kwakho okusebenzayo ekunakekelweni kwakho kwenza umehluko omkhulu. Lokhu kuhlanganisa ukuthatha imithi njengoba kuqokiwe, ukuhlala usebenza ngokomzimba ngaphakathi kwemingcele yakho, ukugcina indlela yokuphila enempilo, nokusebenzisana eduze neqembu lakho lokunakekelwa kwezempilo ukuze ulungise uhlelo lwakho lokwelapha njengoba kudingeka.
I-genetics idlala indima ezinhlotsheni eziningi ze-arthritis, kodwa ukuba nomlando womndeni akusho ukuthi uzophulaphula lesi simo. Uma i-arthritis ikhona emndenini wakho, ungase ube nobungozi obukhulu, kodwa izici zokuphila nezici zezimo ezingaphandle nazo zithinta ukuthi uqala yini ukukhula lesi sifo. Abantu abaningi abanokuthambekela kwe-genetic abaphuli i-arthritis, kanti abanye abangenayo imlando yomndeni bayenza.
Abantu abaningi abane-arthritis babika ukuthi izimpawu zabo ziba zimbi kakhulu ngaphansi kwezimo zezulu ezithile, ikakhulukazi ngaphambi kwezulu noma ngesikhathi sezulu esibandayo, esimanzi. Nakuba ososayensi bangaqondi ngokuphelele ukuthi lokhu kwenzeka kanjani, ukushintsha kwezingcindezi ze-barometric kungathinta izicubu ezizungezile amajoyinti. Okubalulekile ukuthi uma isimo sezulu sithinta izimpawu zakho, ungahlela kusengaphambili ngamathuluzi engeziwe okulawula ubuhlungu phakathi nezinkathi zezulu ezinzima.
Abantu abaningi abane-arthritis baqondisa isimo sabo ngempumelelo ngaphandle kokuhlinzwa. Ukuhlinzwa kuvame ukucatshangelwa kuphela lapho ukwelashwa okuqondisiwe njengomuthi, ukuqeqeshwa komzimba, nokushintsha indlela yokuphila kungabi nakusiza ngokwanele, noma lapho amajoyinti alimale kakhulu. Ngisho noma kunjalo, izinqubo eziningi zokucathulwa namuhla azinasici futhi zingathuthukisa kakhulu ubuhlungu nokusebenza.
Empeleni ukuzivocavoca kungenye yezinto ezinhle ongayenza ngoluhlupho lwe-arthritis, yize kungase kudingeke uguqule imisebenzi yakho. Ukuzivocavoca okungathinti kakhulu njengokubhukuda, ukuhamba, ukujika ibhayisikili, ne-tai chi kungasiza ekunciphiseni ubuhlungu, ukuthuthukisa ukusebenza kwamajozi, nokwenza amandla emisipha esekela amajozi akho. Udokotela wakho noma umhlengikazi wokuzivocavoca angakusiza ukuba wenze uhlelo lokuzivocavoca oluphephile, oluphumelelayo olusebenza esimweni sakho esithile.
Nakuba kungekho "ukudla kwe-arthritis" olujwayelekile, abanye abantu bathola ukuthi ukudla okuthile kubangela izimpawu zabo. Izinto ezivame ukubangela izimpawu zihlanganisa ukudla okucutshunguliwe, ushukela omningi, nokudla okune-omega-6 fatty acids eningi. Ngokuqondene ne-gout ngokukhethekile, ukulinganisela ukudla okune-purine eningi njengenyamasende ebomvu nezinye izinto zasezulwini kungasiza. Gxila ekudleni okulwa nokuvuvukala njengezinhlanzi, imifino eluhlaza, nemifino nemithi yemifino enezimbala. Gcina idayari yokudla ukuze ubone noma yiziphi izinto ezibangela izimpawu zakho, bese uxoxa ngezinguquko zokudla nodokotela wakho.