Idolo elivuvukele

Ilunga lomzimba elivame ukulimala kakhulu - idolo - lingavuvuka ngenxa yezizathu ezihlukahlukene, kusukela ekulimaleni okuncane kuya ezimeni zezempilo ezimbi kakhulu. Odokotela bachaza lokhu kunqwabelana koketshezi oluningi ngaphakathi noma eduze kwelunga ledolo njengokuphuma kwamanzi. Isinyathelo sokuqala sokuthola usizo kanye nokwelashwa okufanele siqala ngokuqonda ukuthi yini eyenza idolo lakho livuvukale.

Idolo elivuvukele liletha ukungakhululeki ngezindlela eziningi. Idolo lakho lingase lizizwe libuhlungu, liqinile, futhi liqinile. Ungase uqaphele ukubomvu nokufudumala endaweni ethintekile. Imbangela ingaba yinoma yini kusukela ekulimaleni okubuhlungu kuya esifweni esiwumshoshaphansi. Ukuthola ukuxilongwa okufanele kufakazela ukuthi kubalulekile ukwenza ukwelashwa kwakho kusebenze. Lesi sihloko sizophendula umbuzo ovame ukubuzwa: kungani idolo lami livuvukala noma yini ebangela amadolo avuvukele? Abafundi bazofunda nezindlela zokuyixilonga kanye nezinketho zokwelapha.

Kuyini Idolo Elivuvukele?

Ukunqwabelana koketshezi oluningi ngaphakathi noma eduze kwelunga ledolo kubangela ukuvuvukala kwedolo. Odokotela babiza lesi simo ukuthi i-knee effusion noma "amanzi edolweni." Ilunga lomzimba wethu elikhulu neliyinkimbinkimbi kakhulu liqukethe uketshezi. Izinkinga ziqala lapho lolu ketshezi lwanda kakhulu.

Izimpawu Zokuvuvuka Kwedolo

Abantu abanokuvuvukala kwamadolo ngokuvamile bayaqaphela:

• Ukukhukhumala okubonakalayo eduze kwe-kneecap
• Ubuhlungu obuhamba ngokuqina
• Ukuqina noma ukunyakaza okulinganiselwe
• Ubomvu nokufudumala endaweni ethintekile
• Inkinga yokuthwala isisindo emlenzeni

Idolo lizwa "squishy" noma njengebhaluni lamanzi ukuze ulithinte. Abanye abantu bezwa imisindo eklabalasayo njengoba benyakaza. Izinqubo ezibangela ukuvuvukala zinquma ukuthi lezi zimpawu ziba nzima kangakanani.

Izimbangela Zokuvuvuka Kwedolo

• Ukulimala okubuhlungu noma izimo zempilo ziholela ekuvuvukeni kwamadolo. 
• Ukulimala kwezemidlalo kuholela ekuvakasheni okuningi kwegumbi lezimo eziphuthumayo minyaka yonke emhlabeni jikelele. 
• Izinyembezi ze-Ligament, ukulimala kwe-meniscus, nokuphuka yizimbangela ezivamile ezibuhlungu. 
• Izizathu ezingezona ezesabekayo zihlanganisa:
  • Isifo Sokuqaqamba Kwamalunga (kokubili i-osteoarthritis ne-rheumatoid)
  • Izifo
  • sifo
  • I-Pseudogout
  • I-Bursitis

Ingozi Yokuvuvuka Kwedolo

Amathuba akho okuthuthukisa ukuvuvukala kwamadolo akhuphuka ngezinto ezithile: 

• Iminyaka yobudala idlala indima enkulu, kanti ingozi ikhula kakhulu ngemva kweminyaka engama-50. 
• Imidlalo ehlanganisa ukunyakaza okusontayo ibeka ingcindezi eyengeziwe emalungeni. 
• Abantu abathwele isisindo esengeziwe babhekana nezingozi eziphakeme ngoba ukukhuluphala kugcizelela ukwakheka kwamadolo.

Inkinga Yokuvuvuka Kwedolo

• Amadolo avuvukele angalashwa angadala izinkinga ezinkulu. 
• Ukwakhiwa koketshezi lwesikhathi eside kungase kubangele ukulahlekelwa kwemisipha endaweni yethanga. 
• I-cyst ye-Baker ingakheka ngemuva kwedolo 
• Ukuqhuma kwedolo okuqhubekayo kungabangela:
  • Ukulimala okuhlangene okuhlala njalo
  • Ukuwohloka kwe-cartilage
  • Secondary osteoarthritis

Ukuxilongwa Kwedolo Elivuvukele

Udokotela wakho uzoqala ngokuhlola okuningiliziwe ngokomzimba kwamadolo. Ukuhlolwa kwesithombe okwengeziwe:

• Ama-X-ray angathola ukuphuka noma izimpawu ze-arthritis
• Izikena ze-MRI zembula noma yimuphi umonakalo ezicutshini ezithambile njengama-tendon nemigqa. 
• Odokotela basebenzisa i-ultrasound ukuze babone ukunqwabelana koketshezi eduze kwelunga.
• I-Arthrocentesis: Udokotela wakho ususa uketshezi ngenaliti ukuze ahlole:
  • Igazi (ukuphakamisa ukulimala)
  • Amagciwane (ekhombisa ukutheleleka)
  • Amakristalu (akhomba i-gout noma i-pseudogout)

Ukwelashwa Kwedolo Elivuvukele 

• Ukwelashwa kokuqala kuvame ukulandela indlela ye-RICE:
  • Ukuphumula - gwema imisebenzi ebangela ubuhlungu
  • Iqhwa - sebenzisa amaphakethe abandayo imizuzu engu-15-20 izikhathi eziningana ngosuku
  • Ukucindezela - ukugoqa idolo nge-bandage elastic
  • Ukuphakama - gcina idolo lakho liphakeme ngaphezu kwezinga lenhliziyo
• Imithi:
  • Imithi yobuhlungu etholakala ngaphandle kwe-counter inciphisa ukuvuvukala nokungakhululeki. 
  • Imijovo ye-Corticosteroid yehlisa ukuvuvukala okukhulu noma ubuhlungu obuqhubekayo.
• Ukwelapha ngokomzimba: Ukuzivocavoca ukuzelula namandla kusiza ukubuyisela ukunyakaza kanye nokusiza ukululama.
• I-Arthroscopy: Odokotela abahlinzayo benza lokhu kuhlinzwa okuncane kakhulu ukulungisa izicubu ezilimele lapho ezinye izindlela zingaphumeleli.

Nini Ukubona udokotela

Udinga usizo lwezokwelapha ngokushesha uma idolo lakho:

• Ibonisa ukuvuvukala okukhulu noma ubuhlungu
• Ayikwazi ukuthwala isisindo
• Ibonakala ibomvu, izizwa ifudumele, noma ibukeka ikhubazekile
• Iza imfiva noma amakhaza (izimpawu zokutheleleka okungenzeka)
• Amalokhi noma ukubamba ngesikhathi sokunyakaza

Ukuvimbela Ukuvuvuka Kwedolo

Ungavikela amadolo akho ngoku:

• Zilolonge kaningi ukuze wakhe amandla emisipha ezungezile 
• Zifudumeze kahle futhi ugqoke izinto zokuzivikela ezifanele ngaphambi kokuzivocavoca umzimba.
• Gcina isisindo esinempilo ukuze wehlise ingcindezi emadolweni akho.
• Gwema noma yikuphi ukunyakaza okudlulele nokuzumayo okungalimaza amadolo akho.
• Khetha izicathulo ezilingana futhi zinikeze ukusekela okuhle.
• Phuza amanzi amaningi noketshezi ukuze usekele impilo yamalunga.
• Naka ukulimala okuncane ngoba kungaphenduka izinkinga ezinkulu kamuva.

Isiphetho

Amadolo avuvukele athinta izigidi emhlabeni jikelele, futhi ukwazi lesi simo kuyisinyathelo sokuqala sokululama. Ilunga lomzimba wethu elimele kakhulu idolo, okwenza ukunakekelwa okufanele kubaluleke kakhulu ekuhambeni kwesikhathi eside. Ukutholwa ngokushesha kokuphuma kwedolo kuthuthukisa kakhulu imiphumela yokwelashwa. Amakhambi alula asekhaya afana nendlela ye-RICE asebenza kahle ezimweni eziningi, nakuba izimpawu ezinzima zidinga nje ukunakekelwa kochwepheshe.

Impilo yedolo lakho incike kakhulu ekukhetheni indlela yokuphila. Ukulawula isisindo kususa ubunzima obungeziwe emalungeni, kuyilapho ukuvivinya umzimba ngendlela efanele kuqinisa imisipha esekelayo.

Qaphela ukuthi ukuvuvukala kwamadolo kuthinta umuntu ngamunye ngendlela ehlukile ngokusekelwe ezindleleni zomsebenzi. Iziguli ze-arthritis zibhekana nezinselele ezahlukene kunalezo zokwelapha ekulimaleni kwezemidlalo. Izinhlelo zokwelapha ezenziwe ngokwezifiso ziletha imiphumela engcono kakhulu. Ukunakekelwa kwamadolo kwanamuhla kuvimbela izinkinga zokuhamba zakusasa. Ukuthatha izinyathelo ezincane kungathuthukisa izinga lakho lempilo eminyakeni ezayo.

Imibuzo Evame Ukubuzwa

1. Ingabe idolo elivuvukele liyelapheka?

Ukwelashwa okufanele kusiza amadolo amaningi avuvukele abe ngcono. Ukululama kwakho kuncike kakhulu ekutheni yini ebangele ukuvuvukala. Ngokuvamile ukulimala kuphola ngokuphelele. I-arthritis ingase idinge ukuphathwa okuqhubekayo ukuze kugcinwe izimpawu zilawulwa.

2. Idolo elivuvukele lihlala isikhathi esingakanani?

Ukuvuvukala kokulimala okuncane kuvame ukuba ngcono ezinsukwini ezi-1-3. Ukuvuvukala kungathatha amasonto ambalwa kuya ezinyangeni ngaphandle kokunakekelwa okufanele. Izimo ezinjenge-arthritis zingabangela ukuvuvukala okuhlala isikhathi eside kuze kube yilapho uxazulula imbangela.

3. Idolo elivuvukele libonisani?

Idolo lakho elivuvukele libonisa uketshezi olwandayo ngaphakathi kwelunga. Izimo eziningana zingabangela lokhu:

• Ukulimala
• Isifo Sokuqaqamba Kwamalunga
• sifo
• Ukutheleleka
• I-Bursitis. 

Umzimba wakho usebenzisa ukuvuvukala ukuze uvikele futhi uphulukise indawo ethintekile.

4. Uzikhathaza nini ngobuhlungu bedolo obuvuvukele?

Udinga ukunakwa ngokushesha uma:

• Idolo lakho lizizwa lifudumele, libukeka libomvu, futhi libuhlungu kakhulu
• Awukwazi ukusekela isisindo
• Unayo imfiva. 

Lezi zimpawu zingakhomba ukutheleleka noma ukulimala okubi okudinga ukwelashwa ngokushesha.

5. Ungalala kanjani ngedolo elivuvukele?

Ukulala ngomhlane ngomcamelo ngaphansi kwamadolo kusiza ukunciphisa ukucindezela kwamalunga. Umcamelo oqinile phakathi kwamadolo akho usebenza kangcono uma ulala eceleni. Ukwelashwa kweqhwa noma ukushisa ngaphambi kokulala kungakwenza ukhululeke kakhudlwana.

6. Yini okungafanele uyenze ngedolo elivuvukele?

Imisebenzi enomthelela omkhulu njengokugijima noma ukugxuma kufanele igwenywe. Ukuphumula kakhulu kungenza imisipha yakho ibe buthaka, ngakho-ke nakho akukuhle. Ama-squats ajulile namaphaphu akunconywa. Ungalokothi uzibe izimpawu ezihlala njalo noma uzame ukudlula ezinhlungwini.

7. Kungani idolo lami lizizwa liqinile futhi livuvukele?

Uketshezi oluthe xaxa ekuhambeni kwemikhawulo yamalunga futhi kudala ukucinana. Ukuvuvukala kubeka ingcindezi edolweni futhi kunciphisa isikhala ngaphakathi kwakho. Lokhu kuvame ukwenzeka ngemuva kokuthi uzilimaze noma unezimo ezifana nesifo samathambo.

UDkt. Ravi Chandra Vattipalli

MBBS, DNB Ortho
Izibhedlela ze-CARE, Idolobha Lezempilo, i-Arilova, Izibhedlela ze-CARE, i-Ramnagar, i-Visakhapatnam

Ukuze Ubhukhe Isikhathi, shayela:

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