I-AVN yimeko eqhubela phambili ethetha ukuba ngaphandle konyango, iya kuhlala isiba mandundu.
I-Avascular necrosis (AVN) yimeko yonyango eyenzekayo xa kuncinci kakhulu, okanye akukho kunikezelwa kwegazi kwithambo lakho. Ngenxa yoko, iinxalenye zethambo lakho zinokonakala, ziqhekeke kwaye zife. I-AVN inokuchaphazela naliphi na ithambo emzimbeni wakho, kodwa ixhaphake kakhulu emathanjeni akufutshane namalungu akho kwaye i-hip joint lelona lungu lixhaphakileyo lichaphazelekayo.
Abantwana kunye nabantu abadala banokuchaphazeleka nge-avascular necrosis.
Yintoni ebangela i-AVN?
Unobangela we-AVN kukungabikho kwegazi emathanjeni akho. Ngenxa yoko, amathambo akho akakufumani izondlo ezifunekayo ukuze ahlale esempilweni okanye azilungise, ngoko ke awonakala aze afe.
Yintoni eyandisa ingozi yam ye-AVN?
Kukho izinto ezahlukeneyo ezinokunyusa umngcipheko wakho wokuphuhlisa i-AVN. Abanye banokunxulumana ne-lymphoma yakho, kwaye abanye banokungahambelani ngokupheleleyo ne-lymphoma yakho. Jonga uluhlu olungezantsi malunga ne-lymphoma, kunye noonobangela abanxulumene nomhlaza we-AVN.
Izizathu ezinokubakho ezinxulumene ne-lymphoma ye-AVN
- Ukusetyenziswa kwexesha elide le-corticosteroids ephezulu
- Unyango lwe-radiation
- Chemotherapy
- Unyango oluthile njenge Umongo wethambo okanye ukuxhunyelelwa amathambo.
Ezinye izinto ezinokubangela i-AVN
- Ukwenzakala okanye ukwenzakala kwithambo elichaphazelekayo
- Ukusela kakhulu utswala
- Iziphazamiso zokujiya kwegazi
- Cholesterol ephezulu
- Ukutshintshwa kwamalungu
- Isigulo soxinzelelo (esaziwa ngokuba yi "bends")
- Ezinye iimeko zonyango ezifana ne-lupus, i-sickle cell anemia, kunye ne-HIV / AIDS
Iimpawu ze-AVN
Iimpawu ze-AVN zinokuvela kwiimpawu ezingabonakaliyo kwiintlungu ezibuhlungu kakhulu kunye nokulahlekelwa kwentshukumo kumalungu achaphazelekayo.
Ezinye iimpawu kunokuba nzima ukuziqaphela kuba zivela kancinane kwaye ngokuthe ngcembe ziba mandundu ekuhambeni kwexesha. Ngelixa kwabanye kuwe, iimpawu zinokwenzeka ngokukhawuleza.
Ukuba ukhe waba nayo nayiphi na kwezi zinto zingasentla zomngcipheko kwaye uqaphele:
Iintlungu ezivakala ngathi ziphuma emathanjeni okanye kumalungu akho, ngakumbi ukuba ziintlungu eziqatha ngesiquphe, okanye ziqhubeka ziba mandundu.
Ukuqina, okanye ubunzima bokuhambisa amalunga akho (indawo apho amathambo e-2 adibana khona) angabandakanya umlenze wakho, ihlombe, amadolo, i-elbow, i-knuckles okanye ezinye iindawo.
Ubuthathaka kwizihlunu okanye amalungu akho anokwenza kube nzima, okanye kungenzeki ukuhamba, bambe ubunzima bakho okanye uchole izinto uzibambe.
Utshintsho kwimilo yamalungu akho.
Ifunyaniswa njani i-AVN?
Usenokufunyaniswa ukuba une-AVN emva kokuba uye kugqirha ngenxa yeentlungu okanye ukuqina kwamalungu akho okanye emva kokuba uskene ngesinye isizathu. Ukuba ugqirha wakho ucinga ukuba une-AVN okanye enye imeko echaphazela amalungu akho baya:
- Buza ngembali yakho yonyango ukuze ubone ukuba unayo nayiphi na imingcipheko ye-AVN.
- Yenza uvavanyo lomzimba lwamalungu akho abuhlungu okanye aqinile ukujonga ukuba ahamba kakuhle kangakanani, kwaye ukuba nayiphi na intshukumo okanye ukubamba kubenza babe buhlungu ngakumbi.
- Oda iimvavanyo zokucinga ezifana ne-X-Ray, i-Bone scan, i-CT okanye i-MRI scan.
- Unokuodola uvavanyo lwegazi.
Iphathwa njani i-AVN?
Unyango lwakho lwe-AVN luya kuxhomekeka ekubeni ungakanani umonakalo kumathambo namalungu akho, iimpawu zakho kunye nokukhethwa kwakho.
Inqanaba lokuqala i-AVN
Ukuba i-AVN ingamanqanaba ayo okuqala kunye nomonakalo omncinci kuphela kwithambo lakho unokunyangwa:
- I-Physiotherapy ukuphucula ukuhamba kwakho kunye nokuqinisa imisipha yakho ejikelezileyo kunye namalungu.
- Iyeza lokunciphisa nayiphi na intlungu. Oku kunokubandakanya i-Panadol osteo okanye iyeza elichasayo lokudumba njenge-ibuprofen (Nurofen) okanye i-meloxicam.
- Ukuphumla ukunciphisa ubunzima kwi-joint echaphazelekayo. Umzekelo, unokufuna ukusebenzisa iintonga ukuze ukwazi ukuhamba kodwa ugcine ubunzima kwicala elichaphazelekayo.
- Iipakethe ezibandayo okanye ezishushu zokuthuthuzela kunye nokunciphisa intlungu.
- Iyeza lokucoca nawaphi na amahlwili egazi achaphazela ukuhamba kwegazi emathanjeni akho.
- Ukuvuselela kombane okunokwenziwa yiphysiotherapist kunokunceda ukuphucula ukuhamba kwegazi emathanjeni akho.
- Iyeza kunye nokutya ukunciphisa i-cholesterol yakho ukuba i-cholesterol ephezulu kucingelwa ukuba ibangela, okanye yenza i-AVN yakho ibe mandundu.
Inqanaba eliphezulu AVN
Ukuba i-AVN yakho ihambele phambili kakhulu, okanye unyango olungentla alusebenzi ukuphucula iimpawu zakho unokufuna iyeza leentlungu eziqinileyo kunye noqhaqho. Mhlawumbi uya kuthunyelwa kugqirha wamathambo, ongugqirha oyincutshe ekwenzeni utyando olubandakanya amathambo. Ungaphinda uthunyelwe kugqirha otyandayo ongugqirha owenza utyando olubandakanya imithambo yegazi.
Iintlobo zotyando
Uhlobo lotyando onalo luya kuxhomekeka kwiimeko zakho kodwa lunokubandakanya ukutshintshwa kwejoyinti elichaphazelekayo okanye i-bone graft, apho ithambo lakho lisuswa kwaye lithatyathelwe ithambo lomnikezeli okanye ithambo elenziwe. Ugqirha wakho wotyando uya kuba nakho ukukuchazela olona hlobo lotyando lungcono kuwe.
Ukuba kukho ukuvaleka kwimithambo yegazi enqanda igazi ukuba lingafiki emathanjeni akho, unokwenza utyando ukuze ucime ukuvaleka.
Uncedo lweentlungu
Ngaphambi kotyando unokufuna ukuba ube neyeza elinamandla leentlungu ukukunceda ukuba umelane nokulinda utyando. Oku kunokubandakanya amayeza e-opioid afana ne-oxycodone okanye i-tapentadol. La mayeza angafuneka kwakhona ixeshana elifutshane emva kotyando.
I-physiotherapy eqhubekayo
Ukukhokelela, kwaye emva kokuhlinzwa kufuneka ubone i-physiotherapist. Baya kuba nako ukukunceda ngentshukumo yakho phambi nasemva kotyando.
Yeyiphi enye inkxaso ekhoyo?
Unokufuna inkxaso eyongezelelweyo ukuba i-AVN yakho yenza kube nzima kuwe ukulawula ekhaya okanye emsebenzini.
Unyango emsebenzini
Cela ugqirha wengingqi yakho (GP) ukuba enze isicwangciso solawulo lukaGqirha ukuze ajonge ukuba ziyintoni na iimfuno zakho, kwaye akunxulumanise neenkonzo ezahlukeneyo ezikhoyo kwindawo yakho. Umgulana osebenza emsebenzini unokutyelela ikhaya lakho kunye / okanye asebenze ukuze abone ukuba zeziphi iinguqu ezinokuthi zenze kube lula kuwe ukwenza izinto ozifunayo ngelixa ukhusela amalungu akho achaphazelekayo yi-AVN kunye nokuthintela okanye ukunciphisa intlungu ngaloo misebenzi. Basenokukunceda ekufumaneni izixhobo ezikhethekileyo zokukunceda uhlale uzimele kangangoko.
Iingcali zeentlungu
Iingcali zentlungu ngoogqirha, abahlengikazi kunye nabanye abaqeqeshi bezempilo abajonga izigulane ezinobunzima kunye nobunzima bokunyanga iintlungu. Zinokuba luncedo kuwe, ukuba intlungu yakho ayiphucukanga. Ugqirha wakho unokukuthumela kwinkonzo yeentlungu.
Imibutho yasekuhlaleni
Imibutho yasekuhlaleni ingakwazi ukukunceda ngokulawula umsebenzi wasekhaya, ukulima, ukuthenga kunye neminye imisebenzi osokolayo ngenxa ye-AVN yakho. Ugqirha wakho angakuthumela kwezi nkonzo njengenxalenye yesicwangciso solawulo lukaGqirha.
isishwankathelo
- I-Avascular necrosis (AVN) yingxaki enqabileyo enokuthi yenzeke emva kwonyango lwe-lymphoma, okanye ukuba uneminye imingcipheko.
- I-AVN inokuvela kwiintlungu ezincinci ukuya kwiintlungu ezinzima kunye nokulahleka kokunyakaza kumathambo kunye namalungu achaphazelekayo.
- I-Physiotherapy inokukunceda uphucule okanye ugcine ukunyakaza kwiindawo ezichaphazelekayo ngelixa unyango lomsebenzi lunokujonga indlela yokwenza ikhaya lakho okanye indawo yomsebenzi ibe lula ukuba usebenze okanye uhlale kuyo.
- Ukuba unentlungu ebuhlungu okanye ukukhubazeka kwi-AVN, unokufuna ukuthunyelwa kwingcali yeentlungu okanye ugqirha wotyando ukuze ufumane ulawulo kunye nonyango olongezelelweyo.
- Cela ugqirha wakho ukuba enze isicwangciso solawulo lwe-GP ukunceda ukulungelelanisa lonke ukhathalelo onokulufuna ngokulawula okanye ukunyanga i-AVN.
