I-AVN yisimo esiqhubekayo okusho ukuthi ngaphandle kokwelashwa, izolokhu iba yimbi kakhulu.
I-Avascular necrosis (AVN) yisimo sezempilo esenzeka lapho lincane kakhulu, noma lingatholakali igazi ethanjeni lakho. Ngenxa yalokho, izingxenye zezicubu zakho zethambo zingase ziwohloke, zihlukane futhi zife. I-AVN ingathinta noma yiliphi ithambo emzimbeni wakho, kodwa ivame kakhulu emathanjeni aseduze kwamalunga akho futhi ilunga lenyonga liyilunga elivame ukuthinteka.
Izingane kanye nabantu abadala bangathinteka yi-avascular necrosis.
Yini ebangela i-AVN?
Imbangela ye-AVN ukuntuleka kwegazi emathanjeni akho. Ngenxa yalokho, amathambo akho awakutholi umsoco awudingayo ukuze ahlale enempilo noma azilungise, ngakho ayawohloka kancane kancane futhi afe.
Yini eyandisa ingozi yami ye-AVN?
Kunezinto ezahlukene ezingandisa ingozi yakho yokuthuthukisa i-AVN. Ezinye zingase zihlotshaniswe ne-lymphoma yakho, kanti ezinye zingase zingahlobani ngokuphelele ne-lymphoma yakho. Bheka uhlu olungezansi mayelana nezimbangela ze-AVN ezihlobene ne-lymphoma, kanye ne-non-cancer.
Izimbangela ezingenzeka ezihlobene ne-lymphoma ye-AVN
- Ukusetshenziswa isikhathi eside kwe-corticosteroids ephezulu
- Ukwelashwa kwamafutha
- Ukwelashwa ngamakhemikhali
- Ezinye izindlela zokwelapha ezifana umnkantsha wethambo noma ukuxhunyelelwa amathambo.
Ezinye izimbangela ezingenzeka ze-AVN
- Ukuhlukumezeka noma ukulimala ethanjeni elithintekile
- Ukuphuza kakhulu utshwala
- Ukuphazamiseka kokujiya kwegazi
- I-cholesterol ephakeme
- Ukufakelwa izitho zomzimba
- Isifo sokucindezeleka (okuvame ukubizwa ngokuthi "ama-bends")
- Ezinye izimo zezempilo ezifana ne-lupus, i-sickle cell anemia, ne-HIV/AIDS
Izimpawu ze-AVN
Izimpawu ze-AVN zingahluka kusukela ekungabonakali kwezimpawu kuya ebuhlungu obunzima kakhulu nokulahlekelwa ukunyakaza emalungeni athintekile.
Ezinye izimpawu kungase kube nzima ukuzibona ngoba ziqala kancane kancane futhi zibe zimbi nakakhulu ngokuhamba kwesikhathi. Nakuba kwabanye kuwe, izimpawu zingase zenzeke ngokushesha okukhulu.
Uma uke waba nanoma iyiphi yalezi zici ezingenhla zengozi futhi uqaphele:
Ubuhlungu obuzwakala sengathi buphuma emathanjeni noma emalungeni akho, ikakhulukazi uma kuwubuhlungu obunzima ngokuzumayo, noma bulokhu buba bubi nakakhulu.
Ukuqina, noma ubunzima bokunyakazisa amalunga akho (indawo lapho kuhlangana khona amathambo ama-2) okungahlanganisa izinqulu zakho, ihlombe, amadolo, indololwane, amaqupha noma ezinye izindawo.
Ubuthakathaka emisipha noma amalunga obungenza kube nzima, noma kungenzeki ukuhamba, bamba isisindo sakho noma uphakamise izinto uzibambe.
Izinguquko ekumeni kwamalunga akho.
Itholakala kanjani i-AVN?
Ungase utholakale une-AVN ngemva kokuya kudokotela ukuze uthole ubuhlungu noma ukuqina kwamalunga akho noma ngemva kokuskena ngesinye isizathu. Uma udokotela wakho ecabanga ukuthi une-AVN noma esinye isimo esithinta amalunga akho bazo:
- Ikubuze ngomlando wakho wezokwelapha ukuze ubone ukuthi unazo yini izici eziyingozi ze-AVN.
- Yenza ukuhlolwa ngokomzimba kwamalunga akho abuhlungu noma aqinile ukuze uhlole ukuthi ahamba kahle kangakanani, futhi uma ukunyakaza noma ukuthinta kuwenza abe buhlungu kakhulu.
- Oda ukuhlolwa kwesithombe njenge-X-Ray, i-Bone scan, i-CT noma i-MRI scan.
- Inga-oda ukuhlolwa kwegazi.
Yelashwa kanjani i-AVN?
Ukwelashwa kwakho kwe-AVN kuzoncika ekutheni mkhulu kangakanani umonakalo emathanjeni namalunga akho, izimpawu zakho kanye nalokho okuthandayo.
Isigaba sokuqala se-AVN
Uma i-AVN iyisigaba sayo sokuqala esinomonakalo olinganiselwe kuphela ethanjeni lakho ungase welashwe ngalezi:
- I-Physiotherapy ukuthuthukisa ukunyakaza kwakho futhi uqinise imisipha yakho ezungezile namalunga.
- Umuthi wokudambisa noma yibuphi ubuhlungu. Lokhu kungase kuhlanganise i-Panadol osteo noma imithi elwa nokuvuvukala njenge-ibuprofen (Nurofen) noma i-meloxicam.
- Phumula ukuze unciphise isisindo esilinganisweni esithintekile. Isibonelo, kungase kudingeke usebenzise izinduku ukuze ukwazi ukuhamba kodwa ugcine isisindo sisohlangothini oluthintekile.
- Amaphakethe abandayo noma ashisayo okududuza nokukhulula ubuhlungu.
- Umuthi wokusula noma yimaphi amahlule egazi athinta ukugeleza kwegazi emathanjeni akho.
- Ukuvuselela ugesi okungenziwa i-physiotherapist kungase kusize ukuthuthukisa ukugeleza kwegazi emathanjeni akho.
- Imithi nokudla ukuze wehlise i-cholesterol yakho uma kucatshangwa ukuthi i-cholesterol ephezulu ibangela, noma ukwenza i-AVN yakho ibe yimbi kakhulu.
Isiteji esiphezulu se-AVN
Uma i-AVN yakho isithuthuke kakhulu, noma izindlela zokwelapha ezingenhla zingasebenzi ukuze uthuthukise izimpawu zakho ungase udinge umuthi wezinhlungu onamandla nokuhlinzwa. Cishe uzothunyelwa kudokotela ohlinza amathambo, ongudokotela ohlinza amathambo. Ungase futhi udluliselwe kudokotela ohlinza imithambo ongudokotela ogxile ekwenzeni ukuhlinzwa okuhilela imithambo yegazi.
Izinhlobo zokuhlinza
Uhlobo lokuhlinzwa onalo luzoncika ezimweni zakho ngabanye kodwa lungase luhlanganise ukushintshwa kwelunga elithintekile noma ukuxhunyelelwa kwethambo, lapho ithambo lakho likhishwa khona futhi kufakwe ithambo lokunikela noma ithambo lokwenziwa. Udokotela wakho ohlinzayo uzokwazi ukukuchazela uhlobo olungcono kakhulu lokuhlinza.
Uma kunokuvaleka emithanjeni yakho yegazi okuvimba igazi ukuthi lingafiki emathanjeni akho, ungase uhlinzwe ukuze usule ukuvaleka.
Ukuphumula ubuhlungu
Ngaphambi kokuhlinzwa kungase kudingeke ube nemithi eqinile yezinhlungu ukuze ikusize ubhekane nesimo lapho usalinde ukuhlinzwa. Lokhu kungase kuhlanganise imithi ye-opioid efana ne-oxycodone noma i-tapentadol. Le mithi ingase idingeke isikhathi esifushane ngemva kokuhlinzwa.
I-physiotherapy eqhubekayo
Ngaphambili, futhi ngemva kokuhlinzwa kufanele ubone i-physiotherapist. Bazokwazi ukukusiza ngokuhamba kwakho ngaphambi nangemuva kokuhlinzwa.
Yikuphi okunye ukwesekwa okukhona?
Ungase udinge ukwesekwa okwengeziwe uma i-AVN yakho ikwenza kube nzima ukuthi uyiphathe ekhaya noma emsebenzini.
Uchwepheshe wezomsebenzi
Cela udokotela wangakini (GP) ukuthi enze uhlelo lokuphatha lukaGP ukuze abheke ukuthi zingaba yini izidingo zakho, futhi akuxhumanise nezinsiza ezahlukene ezitholakala endaweni yangakini. Umelaphi wemisebenzi angavakashela ikhaya lakho kanye/noma asebenze ukuze abone ukuthi yiziphi izinguquko ezingase zenze kube lula kuwe ukwenza izinto ozidingayo kuyilapho uvikela amalunga akho athintwe i-AVN futhi uvimbele noma ukhawulele ubuhlungu ngaleyo misebenzi. Bangaphinde bakusize ngokukutholela okokusebenza okukhethekile ukukusiza ukuthi uhlale uzimele ngangokunokwenzeka.
Ochwepheshe bezinhlungu
Ochwepheshe bezinhlungu odokotela, abahlengikazi kanye nabanye ochwepheshe bezempilo abanakekela iziguli ezinobuhlungu obuyinkimbinkimbi futhi obunzima bokwelapha. Zingase zibe usizo kuwe, uma ubuhlungu bakho bungathuthuki. Udokotela wakho angakudlulisela enkonzweni yezinhlungu.
Izinhlangano zomphakathi
Izinhlangano zomphakathi zingase zikwazi ukusiza ngokuphatha umsebenzi wasendlini, ukulima, ukuyothenga kanye neminye imisebenzi odonsa kanzima ngayo ngenxa ye-AVN yakho. Udokotela wakho angakudlulisela kulezi zinsizakalo njengengxenye yohlelo lokuphatha lukadokotela.
Isifinyezo
- I-Avascular necrosis (AVN) iyinkinga engavamile engenzeka ngemva kokwelashwa kwe-lymphoma, noma uma unezinye izici eziyingozi.
- I-AVN ingasuka ebuhlungwini obuncane kuya kobunzima kanye nokulahlekelwa ukunyakaza emathanjeni namalunga athintekile.
- I-Physiotherapy ingakusiza ukuba uthuthukise noma ugcine ukunyakaza ezindaweni ezithintekile kuyilapho ukwelapha emsebenzini kungabheka indlela yokwenza ikhaya lakho noma indawo yokusebenza ibe lula kuwe ukuthi usebenze noma uhlale kuyo.
- Uma unobuhlungu obukhulu noma ukukhubazeka okuvela ku-AVN, kungase kudingeke ukuthi udluliselwe kuchwepheshe wezinhlungu noma udokotela ohlinzayo ukuze uthole ukuphathwa nokwelashwa okwengeziwe.
- Cela udokotela wakho ukuthi enze uhlelo lokuphatha luka-GP ukusiza ukuhlanganisa konke ukunakekelwa ongase ukudinge ngokuphatha noma ukwelapha i-AVN.
