Ubuhlungu Bethuzu

Ubuhlungu bethuzu luyinkinga evamile ebangela abantu bazo zonke izigaba zokuphila. Ubuhlungu bethuzu bungaba ngumphumela wokulimalala, njengokuphazamiseka komthambo noma ukukhishwa komthambo. Isimo sezempilo—okuhlanganisa isifo sohudo, isifo segout kanye nezifo—nazo zingabangela ubuhlungu bethuzu.

Izinhlobo eziningi zobuhlungu bethuzu obukhulu ziphendula kahle ezinyaweni zokunakekela kwabanye. Ukwelashwa komzimba kanye nezinqindi zethuzu nawo angasiza ekunciphiseni ubuhlungu. Kodwa-ke, kwezinye izimo, ithuzu lakho lingadinga ukulungiswa ngokusebenza.

Ubuhlungu behlombe buhlala buyahlukahlukana ngendawo nobunzima, kuye ngokuthi yini ebangela inkinga. Izimpawu nezincazelo ezivame ukuhambisana nobuhlungu behlombe zifaka phakathi: Ukukhuluphala nokukhwama Ubomvu nokushisa uma kuthintwa Ubuthakathaka noma ukungazinzi Imisindo yokuphaphama noma yokugquma Ukungenakukwazi ukuqondisela ihlombe ngokuphelele Shaya udokotela wakho uma: Awukwazi ukuphatha isisindo phezu kwehlombe lakho noma uzizwa sengathi ihlombe lakho alizinzi noma liyaphuka Unehlombe elikhuluphale kakhulu Awukwazi ukuqondisela noma ukugoqa ihlombe lakho ngokuphelele Ubona ukungapheleli okuqondile emilenzeni yakho noma ehlombweni Unefivha, ngaphezu kobomvu, ubuhlungu nokukhuluphala ehlombweni Unebuhlungu obukhulu behlombe obuhambisana nokulimala

Shaya udokotela wakho uma:

• Ungakwazi ukuthwala isisindo ngaphezulu kweknee lakho noma uzizwa sengathi iknee lakho alihlali noma liyaphuka
• Unekubola okukhulu kweknee
• Awukwazi ukuqandisa noma ukugoqa iknee lakho ngokuphelele
• Ubona ukungapheleli okuqondile emilenzeni yakho noma eknee
• Unefivha, ngaphezu kokubomvu, ubuhlungu nokubola eknee
• Unobuhlungu obukhulu be-knee obuhambisana nokulimala

Ubuhlungu beqolo lungabangelwa ukulimala, izinkinga zokusebenza komzimba, izinhlobo ze-arthritis nezinye izinkinga.

I-anterior cruciate ligament (ACL) ingenye yezingqamuzana eziyisihluthulelo ezisiza ekunciphiseni i-knee joint. I-ACL ihlanganisa ithambo lomhlane (femur) nethambo lezinyawo (tibia). Iyakhamba kakhulu ngesikhathi semidlalo ehilela ukuyeka okungazelelwe nokushintsha kwezinkomba—njengobhasikithi, ibhola, itennis ne-volleyball.

I-meniscus iyisigamu esiyifomu ye-C se-cartilage eqinile, enhle, esebenza njengesihluthulelo phakathi kwethambo lezinyawo nethambo lomhlane. Ingase iphuke uma uqhumisa iqolo lakho ngokuzumayo ngenkathi uthwala isisindo kulo.

Ukulimala kweqolo kungathinta noma yiziphi izingqamuzana, amathambo noma izikhwama ezigcwele uketshezi (bursae) ezizungezile i-knee joint kanye namathambo, i-cartilage nezingqamuzana ezakha i-joint ngokwayo. Ezinye zezinkinga eziqhelekile zokulimalakqolo zifaka:

• Ukulimala kwe-ACL. Ukulimala kwe-ACL kuyiphukile ye-anterior cruciate ligament (ACL)— enye yezingqamuzana ezine ezihlanganisa ithambo lezinyawo nethambo lomhlane. Ukulimala kwe-ACL kuqhelekile kakhulu kubantu abadlala ibhola, ibhola noma ezinye imidlalo edinga ukushintsha okungazelelwe kwezinkomba.
• Ukuphuka. Amathambo eqolo, kuhlanganise ne-kneecap (patella), angaphukile ngesikhathi sokuwa noma ezingoveni. Futhi, abantu abamathambo abo ebuthakathaka ngenxa ye-osteoporosis ngezinye izikhathi bangaphuka iqolo ngokumane nje banyathela kabi.
• I-meniscus ephukile. I-meniscus yi-cartilage eqinile, enhle esebenza njengesihluthulelo phakathi kwethambo lezinyawo nethambo lomhlane. Ingase iphuke uma uqhumisa iqolo lakho ngokuzumayo ngenkathi uthwala isisindo kulo.
• I-knee bursitis. Ezinye izinkinga zeqolo zibangela ukuvuvukala e-bursae, izikhwama ezincane zoketshezi ezicindezela ngaphandle kwe-knee joint ukuze amathambo nezingqamuzana zikwazi ukuhamba kalula phezu kwe-joint.
• I-Patellar tendinitis. I-Tendinitis ibangela ukuvuvukala nokucasuka kwelinye noma ngaphezulu kwamathambo—izicubu ezinzima, ezinobukhulu ezihlanganisa imisipha namathambo. Lokhu kuvuvukala kungenzeka uma kukhona ukulimala e-patellar tendon, ehamba kusuka e-kneecap (patella) kuya ethambo lezinyawo futhi ikuvumela ukuba uqhude, ugijime futhi uqhude. Abagijimi, abagibeli be-ski, abagibeli bebhayisikili, nalabo abahilelekile emidlalweni yokuqhude nemisebenzi bangathuthukisa i-patellar tendinitis.

Ezinye izibonelo zezinkinga zokusebenza komzimba ezingabangela ubuhlungu beqolo zifaka:

• Ukuqina komzimba. Ngezinye izikhathi ukulimala noma ukubola kwamathambo noma i-cartilage kungabangela isigamu sethambo noma i-cartilage ukuphuka nokukhanya endaweni ye-joint. Lokhu kungenzeka kungadali lutho uma umzimba oqine ungaphazami ukunyakaza kwe-knee joint, lapho umphumela ukhona njengopensela obambekile e-hinge yesango.
• I-Iliotibial band syndrome. Lokhu kwenzeka lapho ibhendi eqinile yesicubu esisuka ngaphandle kwe-hip yakho kuya ngaphandle kweqolo lakho (iliotibial band) liba liqinile kangangokuthi liqala ukususa ingxenye yangaphandle yethambo lomhlane wakho. Abagijimi abade nabagibeli bebhayisikili banesihlazo kakhulu se-iliotibial band syndrome.
• I-kneecap ephukile. Lokhu kwenzeka lapho ithambo elingumzingeli elibamba phambi kweqolo lakho (patella) liphuma endaweni, ngokuvamile ngaphandle kweqolo lakho. Kwezinye izimo, i-kneecap ingase ihlale iphukile futhi uzokwazi ukubona ukuphuka.
• Ubuhlungu be-hip noma ubuhlungu bezinyawo. Uma unebuhlungu be-hip noma ubuhlungu bezinyawo, ungashintsha indlela ohamba ngayo ukuze ugcine i-joint yakho ebuhlungu. Kodwa le ndlela yokugijima eguqukile ingase ifake uxinzelelo olukhulu e-knee joint yakho futhi ibangela ubuhlungu beqolo.

Kunezinhlobo ezingaphezu kwe-100 ze-arthritis. Izinhlobo ezivame ukubangela ubuhlungu beqolo zifaka:

• Osteoarthritis. Ngezinye izikhathi kubizwa nge-degenerative arthritis, i-osteoarthritis yilona uhlobo oluqhelekile lwe-arthritis. Iyisimo sokuqina esiqala lapho i-cartilage eqolo yakho ibola ngokusetshenziswa nobudala.
• Rheumatoid arthritis. Uhlobo oluqinisayo kakhulu lwe-arthritis, i-rheumatoid arthritis iyisimo sokuzimela komzimba esingathinta cishe noma iyiphi i-joint emzimbeni wakho, kuhlanganise namaqolo akho. Nakuba i-rheumatoid arthritis iyisifo esiqhubekayo, ithambekele ekuguqukeni ngokukhulu futhi ingase ize ihambe.
• Gout. Lolu hlobo lwe-arthritis luqala lapho ama-crystal acid acid eqoqana e-joint. Nakuba i-gout ivame ukubangela ubuhlungu e-toe enkulu, ingase futhi ibe khona eqolo.
• Pseudogout. Ngokuvamile iphazamiseka yi-gout, i-pseudogout ibangelwa ama-crystal aqukethe i-calcium aqala e-joint fluid. Amaqolo yi-joint eqhelekile ethintekayo yi-pseudogout.
• Septic arthritis. Ngezinye izikhathi i-knee joint yakho ingatheleleka, okubangela ukuvuvukala, ubuhlungu nobomvu. I-Septic arthritis ngokuvamile ivela ngomkhuhlane, futhi ngokuvamile akukho ukulimala ngaphambi kokuba ubuhlungu buqale. I-Septic arthritis ingalimaza ngokushesha i-cartilage eqolo. Uma unebuhlungu beqolo nganoma yiziphi izimpawu ze-septic arthritis, bheka udokotela wakho ngokushesha.

I-Patellofemoral pain syndrome iyibizo eliqhelekile eliqondisa ubuhlungu obuvela phakathi kwe-kneecap nethambo lomhlane olukhulu. Kuqhelekile kubadlali; kubantu abadala abasebancane, ikakhulu labo abane-kneecap engalandeli kahle esigodini sayo; nakubantu abadala, abavame ukuthuthukisa lesi simo ngenxa ye-arthritis ye-kneecap.

Izimbangela eziningi zingandisa ingozi yakho yokuba nezinkinga zezinhlungu, okuhlanganisa:

• Ukukhuluphala. Ukukhuluphala noma ukukhuluphala kakhulu kukhuphula ukucindezeleka ezinhlangothini zezinhlungu zakho, ngisho nasemisebenzini evamile efana nokuhamba noma ukukhuphuka nokwehla izitebhisi. Kwakho kukubeka engozini enkulu ye-osteoarthritis ngokusheshisa ukubhidlika kwe-cartilage yomjikelezo.
• Ukwehluleka komsipha noma amandla. Ukwehluleka kwamandla komsipha noma amandla kungandisa ingozi yokulimaza izinkinga. Imisipha eqinile iyasisiza ukuba siqinisekise futhi sivikele izintambo zethu, futhi ukuguquguquka komsipha kungakusiza ukuba ufinyelele ezingeni eliphelele lokunyakaza.
• Ezemidlalo ethile noma imisebenzi. Ezemidlalo ezithile zifaka ukucindezeleka okukhulu ezinhlungwini zakho kunokunye. Ukugibela isikhwama se-Alpine ngezicathulo ze-ski eziqine kakhulu kanye nethuba lokuwa, ukuqhuma nokujikeleza kwe-basketball, kanye nokugqwala okuphindaphindwayo kwezinhlungu zakho lapho ugijima noma uqhuba konke kukhuphula ingozi yokulimaza izingqinamba. Imisebenzi edinga ukucindezeleka okuphindaphindwayo ezinhlungwini njengokwakha noma ukulima nayo ingakhuphula ingozi yakho.
• Ukulimala kwangaphambili. Ukuba nokulimala kwangaphambili kwezinhlungu kwenza kube lula ukuthi ulimale kabusha izingqinamba.

Akuwona wonke ubuhlungu bethu olukhulu. Kodwa ezinye izikhathi zokulimaza ihlombe nezinye izimo zezokwelapha, njengoba osteoarthritis, zingadala ubuhlungu obukhulu, ukonakala kwamajozi nokukhubazeka uma kungaphathwa. Futhi ukuba nempilo yokulimala kwehlombe - ngisho noma iyincane - kwenza kube lula ukuthi ube nezimo ezifanayo esikhathini esizayo.

Nakuba kungekho njalo okungenzeka ukuvimbela ubuhlungu bezinhlungu, iziphakamiso ezilandelayo zingasiza ekugwemeni ukulimala nokubola kwamajozi:

• Gcina ukhuluphala olukhulu. Gcina isisindo esinempilo; yilokhu okukodwa okuhle ongakwenza ngamadolo akho. Wonke umthamo owengeziwe ubeka umthwalo owengeziwe kumajozi akho, kwandisa ingozi yokulimalala ne-osteoarthritis.
• Yiba sembozini ukuze udlale umdlalo wakho. Ukuze ulungiselele imisipha yakho ezidingweni zokubamba iqhaza kwezemidlalo, thatha isikhathi sokulungiselela.
• Qeqesha ngokuphelele. Qiniseka ukuthi ubuchwepheshe kanye nezindlela zokunyakaza ozisebenzisayo emidlalweni yakho noma emisebenzini yakho ziyizona ezingcono kakhulu. Izifundo ezivela kuchwepheshe zingasiza kakhulu.
• Qina, hlala unokuguquguquka. Imisipha ebuthakathaka iyimbangela ehamba phambili yokulimalala kwamadolo. Uzokuzuza ngokwakha ama-quadriceps nama-hamstrings akho, imisipha engaphambili nangasemva kwamaphaphu akho asisiza ekusekeleni amadolo akho. Ukuqeqeshwa kokulinganisela nokuzinza kusiza imisipha ezungezile amadolo akho ukusebenza ndawonye ngokuphumelelayo. Futhi ngoba imisipha eqinile nayo ingase ibe nomthelela ekwenzeni ukulimala, ukuqina kubalulekile. Zama ukufaka imisebenzi yokuguquguquka emisebenzini yakho yokuzivocavoca.
• Yiba uhlakaniphile ngokuqeqeshwa komzimba. Uma une-osteoarthritis, ubuhlungu obungapheli bezinhlungu noma ukulimala okuphindaphindayo, kungadingeka ushintshe indlela oqeqesha ngayo umzimba. Cabanga ukushintshela ekugezeni, e-aerobics yamanzi noma eminye imisebenzi ephansi yempembelelo - okungenani izinsuku ezimbalwa ngesonto. Ngezinye izikhathi ukulinganisela imisebenzi ephakeme yempembelelo kuzonikeza impumuzo. Qina, hlala unokuguquguquka. Imisipha ebuthakathaka iyimbangela ehamba phambili yokulimalala kwamadolo. Uzokuzuza ngokwakha ama-quadriceps nama-hamstrings akho, imisipha engaphambili nangasemva kwamaphaphu akho asisiza ekusekeleni amadolo akho. Ukuqeqeshwa kokulinganisela nokuzinza kusiza imisipha ezungezile amadolo akho ukusebenza ndawonye ngokuphumelelayo. Futhi ngoba imisipha eqinile nayo ingase ibe nomthelela ekwenzeni ukulimala, ukuqina kubalulekile. Zama ukufaka imisebenzi yokuguquguquka emisebenzini yakho yokuzivocavoca.

Ngesikhathi sokuxilongwa komzimba, udokotela wakho cishe uzokwenza lokhu okulandelayo:

• Ukubheka ihlombe lakho ukuze abone ukuqimba, ubuhlungu, ukuhlunguluka, ukushisa nokuqhuma okubonakalayo
• Ukubheka ukuthi ungayisusa kangakanani imilenze yakho ngezindlela ezahlukene
• Ukuthinta noma ukuhudula ijoyinti ukuze ahlole ubuqotho bezakhiwo ehlombeni lakho

Kwezinye izimo, udokotela wakho angase asikisele ukuhlolwa okunjengokulandelayo:

• I-X-ray. Udokotela wakho angase aqale ngokukukhuthaza ukuthi wenze i-X-ray, engasiza ekubeni ubone ukwephulwa kwama-bone nesifo sejoyinti esonakalayo.
• I-Computerized tomography (CT) scan. I-CT scanners ihlanganisa i-X-rays ethathiwe emakhoneni amaningi ukuze idale izithombe zesigaba sokuqhelelana ngaphakathi komzimba wakho. I-CT scans ingasiza ekuxilongeni izinkinga zama-bone nokwephulwa okuncane. Uhlobo oluhlukile lwe-CT scan lungakwazi ukubona kahle isifo se-gout ngisho noma ijoyinti ingaqimbi.
• I-Ultrasound. Lobuchwepheshe busebenzisa amaza omsindo ukuze benze izithombe zesikhathi sangempela zezakhiwo zezicubu ezithambile ezingaphakathi nakumahlombe akho. Udokotela wakho angase afune ukuhambisa ihlombe lakho ezindaweni ezahlukene ngesikhathi se-ultrasound ukuze ahlole izinkinga ezithile.
• I-Magnetic resonance imaging (MRI). I-MRI isebenzisa amaza omsakazo ne-magnet enamandla ukuze idale izithombe ze-3D ngaphakathi kwehlombe lakho. Lovivinyo lubaluleke kakhulu ekuboneni ukulimala kwezicubu ezithambile njenge-ligaments, ama-tendons, i-cartilage nama-muscles.

Uma udokotela wakho engathí ukhona ukutheleleka noma ukuqimba, cishe uzoba nezivivinyo zegazi futhi ngezinye izikhathi inqubo ebizwa ngokuthi yi-arthrocentesis, lapho inani elincane le-fluid lisuswa ngaphakathi kwejoyinti yakho yehlombe ngenhlanzi bese lithunyelwa elabhoratri ukuze lihlolwe.

Ukwelapha kuzohlukahluka, kuye ngokuthi yini ngempela ebangela ubuhlungu bethu olukhulu. Imithi Udokotela wakho angase alotshe imithi ezosiza ekuqedeni ubuhlungu nasekulwelapheni izimo ezingela ubuhlungu bethu olukhulu, njengokugula kwe-rheumatoid noma i-gout. Ukwelapha Ukuqinisa imisipha eduze kwethu olukhulu kuzokwenza kube lula. Udokotela wakho angase akukhuthaze ukwelashwa ngokomzimba noma izinhlobo ezahlukene zokuzivocavoca okuqinisa imisipha ngokuya ngesimo esithile esibangela ubuhlungu. Uma usebenza ngokomzimba noma udlala umdlalo, ungase udinga ukuzivocavoca ukuze ulungise izindlela zokunyakaza ezingase zithinte amadolo akho futhi uqalise indlela efanele ngesikhathi somdlalo wakho noma umsebenzi. Ukuzivocavoca okuthuthukisa ukuguquguquka kwakho nokuqina nakho kubalulekile. Ukusekela kwama-arch, ngezinye izikhathi ngama-wedge ngakwesinye uhlangothi lwesithende, kungasiza ekuhambiseni ukucindezela kude nohlangothi lwethu olukhulu oluthinteka kakhulu yi-osteoarthritis. Kwizimo ezithile, izinhlobo ezahlukene zama-braces zingase zisetshenziswe ekusizeni ukuvikela nokusekela ijoyinti yethu olukhulu. Ukugonywa Ezimweni ezithile, udokotela wakho angase akuphakamise ukugonywa kwemithi noma ezinye izinto ngqo ejoyintini yakho. Isibonelo sifaka: I-Corticosteroids. Ukugonywa kwemithi ye-corticosteroid ejoyintini yethu olukhulu kungasiza ekuqedeni izimpawu zokugula kwe-arthritis futhi kunikeze ukukhululeka ebuhlungwini okungase kuqhubeke izinyanga ezimbalwa. Lokhu kugonywa akusebenzi kizo zonke izimo. I-Hyaluronic acid. I-fluid ebukhulu, efana ne-fluid ehlanza ngokwemvelo amajoyinti, i-hyaluronic acid ingagonywa emadolweni akho ukuthuthukisa ukunyakaza nokunciphisa ubuhlungu. Nakuba imiphumela yocwaningo ihlangene mayelana nokuphumelela kwalokhu kwelashwa, ukukhululeka okuvela esigonyweni esisodwa noma oluchungechunge lwezigonyo kungase kuqhubeke isikhathi eside njengezinyanga eziyisithupha. I-Platelet-rich plasma (PRP). I-PRP iqukethe ukugxila kwezinhlangothi eziningi ezahlukene zokukhula ezibonakala zinciphisa ukuvuvukala nokukhuthaza ukululama. Amanye ama-study athole ukuthi i-PRP ingase izuzise abantu abathile abane-osteoarthritis, kodwa kudingeka okuningi. Ukuhlinzwa Uma une-injury engase idinge ukuhlinzwa, ngokuvamile akudingeki ukwenza ukusebenza ngokushesha. Ngaphambi kokwenza isinqumo, cabanga ngezinzuzo nezingozi zokuvuselelwa okungeyona ukuhlinzwa nokubuyiselwa kokusebenza kokuhinzwa ngokuqondene nalokho okubalulekile kuwe. Uma ukhetha ukuhlinzwa, izinketho zakho zingafaka: Ukuhlinzwa kwe-Arthroscopic. Kuye nge-injury yakho, udokotela wakho angase akwazi ukuhlola nokulungisa umonakalo wejoyinti yakho usebenzisa ikhamera ye-fiber-optic namathuluzi amade, amancane afakwe ngezinsiza ezimbalwa ezincane eduze kwethu olukhulu. I-Arthroscopy ingase isetshenziswe ekuqedeni izinto eziphumile ejoyintini yethu olukhulu, ukususa noma ukulungisa i-cartilage eyonakele (ikakhulukazi uma ibingela ubuhlungu bakho ukubopha), nokubuyisela ama-ligaments ashabalale. Ukuhlinzwa kokufaka indawo yethu olukhulu. Kulolu hlelo, udokotela wakho uthatha kuphela ingxenye eyonakele kakhulu yethu olukhulu ngezinto ezenziwe ngensimbi nepulasitiki. Ukuhlinzwa ngokuvamile kungenziwa ngezinsiza ezincane, ngakho-ke cishe uzophola ngokushesha kunokuba uhlinzwe ukufaka indawo yonke ithu olukhulu. Ukufakwa kwendawo yonke yethu olukhulu. Kulolu hlelo, udokotela wakho uqeda ithambo ne-cartilage eyonakele emathangeni akho, emathangeni akho nasekhanda lethu olukhulu, bese uyifaka indawo ngejoyinti yemvelo eyenziwe nge-alloys yensimbi, ipulasitiki eliphezulu kanye nama-polymers. I-Osteotomy. Lolu hlelo luhilela ukususa ithambo emathangeni noma emathangeni ukuze kuhambisane kangcono ithu olukhulu futhi kunciphisa ubuhlungu be-arthritis. Lolu hlelo lungakusiza ekulibaziseni noma ukugwema ukuhlinzwa kokufaka indawo yonke yethu olukhulu. Ulwazi Olwengeziwe I-Arthroscopy Ukufakwa kwendawo yethu olukhulu Cela i-appointment Kukhona inkinga ngolwazi oluvezwe ngezansi bese uthumela kabusha ifomu. Kusuka eMayo Clinic kuya ebhokisini lakho leposi Bhalisa mahhala futhi uhlale usesikhathini ngokuthuthuka kocwaningo, amathiphu empilo, izihloko zempilo zamanje, kanye nobuchwepheshe ekuphatheni impilo. Chofoza lapha ukuze uthole i-preview ye-imeyili. Ikheli le-imeyili 1 Iphutha Ibhokisi le-imeyili liyadingeka Iphutha Faka ikheli le-imeyili elifanele Funda kabanzi ngokusetshenziswa kwe-Mayo Clinic idatha. Ukuze sikunikeze ulwazi olufanele kakhulu nolusizo, nokuqonda ukuthi yiluphi ulwazi oluzuzisayo, singase sihlanganise i-imeyili yakho nolwazi lokusetshenziswa kwewebhusayithi nezinye izinto esinazo nguwe. Uma ungumguli we-Mayo Clinic, lokhu kungafaka ulwazi oluvikelwe lwempilo. Uma sihlanganisa lolu lwazi nolwazi lwakho oluvikelwe lwempilo, sizophatha yonke leyo mininingwane njengolwazi oluvikelwe lwempilo futhi sizosebenzisa noma sizokwembula leyo mininingwane kuphela njengoba kuchazwe esazisweni sethu semikhuba yobumfihlo. Ungase ukhethe ukungatholi ukuxhumana nge-imeyili nganoma yisiphi isikhathi ngokuqhafaza isixhumanisi sokuyeka ukubhalisa kwi-imeyili. Bhalisa! Siyabonga ngokubhalisa! Ngokushesha uzoba uqala ukwamukela ulwazi lwakamuva lwempilo ye-Mayo Clinic olucelile ebhokisini lakho leposi. Uxolo, kukhona okuphuthumayo ngokubhalisa kwakho Sicela uzame futhi ngemizuzu embalwa Yizame futhi