Ubuhlungu bamalunga buyingxenye yokuphila kwansuku zonke kwezigidi zabantu , kusukela kulabo ababona ukungakhululeki okuncane lapho bevuka kusofa kuya ezigulini ezinobuhlungu obukhulu obukhawulela cishe konke ukunyakaza. Ngokuvamile buhlotshaniswa nobudala kuphela, kodwa iqiniso liwukuthi bungabonakala kubantu abasha, abantu abadala, kanye nabantu asebekhulile, ngezizathu ezihlukene kakhulu kanye namazinga aguquguqukayo kakhulu okuqina.
Ukuqonda imbangela eyisisekelo yobuhlungu, ukufunda ukuhlukanisa phakathi kwezimpawu ezingavamile nezesabekayo , kanye nokwazi izinketho zamanje zokuxilonga kanye nokwelashwa kubalulekile ekubuyiseleni izinga lempilo. Emashumini eminyaka amuva nje, i-rheumatology, ukuphathwa kobuhlungu, kanye nemithi yokuvuselela kuye kwathuthuka kakhulu, kunikeza ezinye izindlela ezenzelwe wena futhi ezingangenisi kakhulu kunezo ezazitholakala eminyakeni embalwa edlule, njengemithi yemvelo yobuhlungu bamathambo.
Buyini ngempela ubuhlungu bamalunga?
Uma sikhuluma ngobuhlungu bamalunga, sibhekisela emuzweni wokungakhululeki, ingcindezi, ukuhlatshwa, noma ukusha kwelinye ilungu noma ngaphezulu . Lo muzwa ungahlala izinsuku ezimbalwa noma ube yinkinga engapheli ehlala izinyanga noma iminyaka, ethinta umsebenzi, ukuphumula, kanye nokuphila komphakathi.
Amalunga ayizakhiwo eziyinkimbinkimbi ezakhiwe nge- cartilage, ithambo, ulwelwesi lwe-synovial, imisipha, imisipha, imisipha kanye nemisipha . Ubuhlungu bungavela kunoma iyiphi yalezi zingxenye, noma eziningana ngesikhathi esisodwa, ngakho akulula ngaso sonke isikhathi ukuthola umthombo oqondile wenkinga ngokushesha.
Emtholampilo, kuqashelwa ukuthi amadolo yiwona amalunga avame ukuthinteka , kulandelwe umgogodla, izandla, izinqe namahlombe. Kuye ngokuthi ilunga lithintekile, uhlobo lobuhlungu, isikhathi sosuku, kanye nezimo ezenzeka kuzo, uchwepheshe angaqondisa kangcono ukuxilongwa.
Lolu phawu lungasukela koluncane kuya koluphakathi kuya kolunzima . Ngezinye izikhathi luhambisana nokuvuvukala okubonakalayo, ukushisa, ukubomvu, noma ukulinganiselwa okucacile kokunyakaza kwamalunga; ngezinye izikhathi ukubukeka kwangaphandle kuyinto evamile, kodwa umuntu ubona ukungakhululeki okuqhubekayo noma ukuqina okumvimbela ukuthi anyakaze ngokukhululeka.
Kubalulekile ukukhumbula ukuthi ubuhlungu bamalunga bungenye yezimbangela eziphambili zokubonisana nodokotela kanye nokukhubazeka kubantu abadala . Akuyona nje inkinga yomzimba: futhi inomphumela wemizwa, njengoba ukulahlekelwa ukuzimela kanye nomuzwa oqhubekayo wobuhlungu kungathinta isimo sengqondo kanye nenhlalakahle yengqondo.
Izimbangela ezivame kakhulu zobuhlungu bamalunga
Ubuhlungu bamalunga buwuphawu, akusona isifo ngokwaso. Bungabangelwa izinqubo zokuvuvukala, ezonakalisayo, ezithathelwanayo, ezibuhlungu, ezizimele, noma ze-metabolic , phakathi kwezinye. Ukuthola imbangela ethile kuyisinyathelo sokuqala ekwelashweni okuphumelelayo.
Esinye sezigaba ezinkulu izifo zamalunga ezivuvukalayo , njenge-rheumatoid arthritis noma i-psoriatic arthritis. Kulezi zimo, amasosha omzimba ahlasela ulwelwesi lwe-synovial kanye nezinye izakhiwo zamalunga, okubangela ubuhlungu, ukuvuvukala, ukushisa kwendawo, kanye nokuqina, ikakhulukazi ekuseni noma ngemva kwezinkathi zokuphumula.
Esinye isizathu esiyinhloko ukulimala okukhulu noma okungapheli . Ukuqhekeka, ukudonseka, ukudabuka kwemisipha, ukuqhekeka kwemisipha, noma ukuphuka okuzungeze ilunga kungabangela ubuhlungu obungazelelwe, obuhlala endaweni ethile. Lokhu kuvame kakhulu kwezemidlalo noma ezingozini zansuku zonke, kodwa futhi ngenxa yokunyakaza okungafanele noma ukuwa kubantu abadala.
Ukuthwala ngokweqile kwemishini kungenye imbangela enkulu: ukuphakamisa izinto ezisindayo ngokuphindaphindiwe, ukuchitha amahora amaningi ngezinyawo zakho, ukusebenza ngezindlela ezixakile, noma ukuqeqesha ngaphandle kokuphumula kungacasula izakhiwo zamalunga. Isisindo esiningi sisebenza njengesici sokuthwala ngokweqile, ikakhulukazi emadolweni, ezinqeni, nasemhlane ongezansi, okwandisa ingcindezi lamalunga ayibekezelela nsuku zonke.
Eqenjini lezifo ezizimele, ngaphezu kwe-arthritis yokuvuvukala, izimo ezifana ne- systemic lupus erythematosus kanye ne-ankylosing spondylitis ziyagqama . Kulezi zimo, ubuhlungu bamalunga buvame ukuhambisana nezinye izimpawu ezijwayelekile (ukukhathala okukhulu, umkhuhlane, izinguquko zesikhumba, ukuqina komgogodla, njll.), okudinga ukuhlolwa okuphelele.
Ukutheleleka ngamagciwane noma ngamagciwane nakho kufanele kucatshangelwe . Amanye amagciwane angathinta ngqo amalunga (i-septic arthritis) noma abangele ukusabela kokuvuvukala kwesibili. Isibonelo esaziwayo yisifo se-Lyme, lapho ukutheleleka ngamagciwane athwalwa yizikhaza kungabangela ubuhlungu nokuvuvukala kwamalunga ngezikhathi ezithile.
Izimo zokuguga kanye nokungasebenzi kahle komzimba zigcwalisa uhlu lwezimbangela ezivamile. Lokhu kufaka phakathi i-osteoarthritis, i-osteoporosis (ngenxa yobuthakathaka bethambo elizungeze ilunga), i-gout, kanye nesifo sikaPaget. Uma kwenzeka i-gout, isibonelo, amakristalu e-uric acid afakwa elunganeni, okubangela ukuhlaselwa ubuhlungu obukhulu, ukuvuvukala, kanye nokubomvu, futhi ukudla kungadlala indima (isibonelo, ukudla ama-sardine asemathinini ).
I-Osteoarthritis: lapho ukuguguleka nokuklebhuka kwamalunga kubuhlungu
I-osteoarthritis, ebizwa nangokuthi i-osteoarthritis, yisimo esingapheli nesiwohlokayo esithinta amalunga e-synovial , lawo amathambo ahlangana nge-capsule yamalunga kanye nomgodi ogcwele uketshezi lwe-synovial. Ingenye yezifo zamalunga ezivame kakhulu emhlabeni jikelele.
Isici sayo esiyinhloko ukuwohloka okuqhubekayo kwe-cartilage ye-articular , izicubu eziqinile nezinwebekayo ezimboza ubuso bamathambo futhi zisebenza njengesivikeli sokushaqeka, okuvumela amathambo ukuba ashelele kahle komunye nomunye. Lapho le cartilage iguga, iqhekeka, noma ilahleka, ukuxhumana phakathi kwamathambo akusasheleli.
Njengoba i-cartilage iwohloka, ithambo le-subchondral (ungqimba lwethambo olutholakala ngaphansi kwe-cartilage) liyaqina futhi liqine . Emzamweni wokuqinisa ilunga, umzimba ungase wakhe amahlumela amancane abizwa ngokuthi ama-osteophyte, avame ukwenza ubuhlungu bube bubi kakhulu futhi anciphise ukunyakaza.
Ku-osteoarthritis, kukhona nokulahlekelwa yi-type II collagen kanye ne-proteoglycans ku-cartilage , kanye namazinga ahlukahlukene okuvuvukala kwe-synovial membrane. Konke lokhu kunegalelo ekwandiseni ukuzwela kobuhlungu njengoba ilunga liqina, ikakhulukazi ngemva kwezinkathi zokuphumula noma ukuzikhandla okukhulu. Izakhamzimba ezifana ne -magnesium, ewusizo empilweni yamalunga, zingaba usizo njengesengezo ezimweni ezithile.
Amalunga avame ukuthinteka amadolo, izinqe, izandla, nomgogodla. Umuntu angase aqaphele imisindo yokuqhafaza nokugaya , ubunzima bokukhuphuka nokwehla izitebhisi, ubunzima bokwenza isibhakela esinamandla, noma ubuhlungu obuphansi emhlane obuba bubi kakhulu ngemisebenzi ethile.
ESpain, kulinganiselwa ukuthi abantu abangaphezu kwezigidi ezingu-7 baphila ne-osteoarthritis , futhi kubikezelwa ukuthi, njengoba abantu bekhula kancane kancane, izoba yimbangela ehamba phambili yokukhubazeka nokulahlekelwa ukuzimela. Nakuba ihlotshaniswa nokuguga, iyabonakala nakubantu abasha, ikakhulukazi uma beke balimale ngaphambilini, bekhuluphele ngokweqile, noma benofuzo oluthambekele ekugugeni.
Indlela ebonakala ngayo: izinhlobo zobuhlungu kanye nezimpawu ezihambisanayo
Elinye lamaphuzu abalulekile ekubonisaneni ukuhlukanisa phakathi kobuhlungu bamalunga obuvuvukalayo kanye nobuhlungu bamalunga obusebenza ngomshini . Lo mehluko uqondisa kakhulu ukuxilongwa kanye nokukhetha ukwelashwa.
Ubuhlungu bokuvuvukala buvame ukuba bukhulu kakhulu ekuseni noma ngemva kwesikhathi eside sokungawuvivinyi umzimba . Buhambisana nokuqina kwasekuseni okude, ngezinye izikhathi okuhlala imizuzu engaphezu kwengu-30, futhi buyathuthuka njengoba umuntu eqala ukuhamba noma ukuhambisa ilunga. Kuvamile ezifweni ezifana ne-rheumatoid arthritis noma ezinye izinhlobo ze-spondyloarthritis.
Ngakolunye uhlangothi, ubuhlungu bemishini buyaqina uma kusetshenziswa amalunga kanye nokuthwala izinsimbi . Ekuqaleni komsebenzi, kungase kube nokungakhululeki okube sekuzinzile, kodwa uma umzamo ungaphezu kwamandla (ukuhamba amabanga amade, ukuthwala imithwalo esindayo, ukukhwela izitebhisi eziningi), ubuhlungu buyaqina. Ngokuvamile buthuthuka uma uphumule, yize ezigabeni ezithuthukile ze-osteoarthritis bungabonakala nalapho uphumule noma ebusuku.
Ngaphandle kobuhlungu, kuvamile ukuthola ukuvuvukala okubonakalayo, ukushisa kwendawo, umuzwa wokungazinzi, imisindo yokuchofoza noma yokuqhuma, noma ukukhiya kwamalunga . Eqakaleni, isibonelo, ukuklwebheka kwemisipha ye-lateral ligaments kungadala ubuhlungu obukhulu, ukuvuvukala, kanye nobunzima bokuthwala isisindo onyaweni, ngezinye izikhathi okuhlotshaniswa nokuqhekeka uma ukujikijela kwenzeke ngokuzumayo.
Emgogodleni, ubuhlungu bungase buhambisane nokuqina emhlane noma entanyeni engezansi, ubunzima bokugoba noma ukusonta umzimba , futhi, kwezinye izimo, busakazeka ezingalweni noma emilenzeni uma kukhona ukubandakanyeka kwemizwa. Ezandleni naseminweni, i-osteoarthritis ingabangela amaqhubu aqinile emalungeni (amaqhubu), ukukhubazeka, kanye nobunzima bokwenza imisebenzi emihle yemisipha njengokunamathisela izinkinobho zezingubo noma ukuvula amabhodlela.
Lolu hlu lwezimpawu, uma luqhubeka ngokuhamba kwesikhathi, lungathinta kakhulu ikhwalithi yokuphila, ukuzimela komuntu siqu, kanye nenhlalakahle yemizwa . Akuvamile ukuthi izimpawu zokukhungatheka, ukukhathazeka, noma ngisho nokucindezeleka zivele ezigulini ezinobuhlungu obungapheli ezinomuzwa wokuthi impilo yazo yansuku zonke inciphe kakhulu.
Indlela okufundwa ngayo ubuhlungu bamalunga: ukuhlolwa nokuhlolwa
Ukuhlolwa kwesiguli esinobuhlungu bamalunga kuqala njalo ngomlando wezokwelapha oningiliziwe kanye nokuhlolwa ngokomzimba okuphelele . Ngesikhathi sengxoxo, uchwepheshe wezempilo ubuza ngokuqala kobuhlungu, ukuqhubeka kwabo, indawo, isikhathi, izici ezibenza bube bubi noma bube buhlungu, kanye nanoma yiziphi izimpawu ezihambisana nabo.
Ukuhlolwa kwesistimu yemisipha kuhlanganisa ukuhlolwa kwamalunga, ukucaphuna amaphuzu athambile, ukuhlolwa kobubanzi bokunyakaza (okusebenzayo nokungashukumi), kanye nokuhlolwa kwamandla emisipha kanye nokuqina. Ukuma, ukuhamba, kanye nanoma yikuphi ukukhubazeka noma ukungalingani nakho kuyahlaziywa.
Ezimweni eziningi, izivivinyo zezithombe zisetshenziselwa ukwengeza ulwazi lwezokwelapha. Ama-radiograph alula avumela ukubona ngeso lengqondo isikhala samalunga, ukuba khona kwama-osteophyte, ukukhubazeka kwamathambo, kanye nezinguquko ethanjeni le-subchondral . Ziwusizo kakhulu ekuxilongweni nasekuqapheni i-osteoarthritis.
I-ultrasound yemisipha ibaluleke kakhulu ekuboneni ukugeleza kwamalunga, ukuvuvukala kwe-synovial membrane, ukuqhekeka kwemisipha, kanye ne-bursitis , phakathi kwezinye izinkinga zezicubu ezithambile. I-magnetic resonance imaging (MRI), ngakolunye uhlangothi, inikeza isithombe esinemininingwane eminingi se-cartilage, ithambo, kanye nezicubu ezithambile lapho kudingeka idatha enembile kakhulu.
Kuye ngomongo, ukuhlolwa kwegazi, izifundo ze-immunological, noma ukuhlolwa okuthile kungacelwa ukuze kukhishwe izifo ezibangelwa ukuzivikela komzimba, izifo, noma ukuphazamiseka kwe-metabolic. Lolu lwazi oluphelele luvumela ukuxilongwa okuhlukile kanye nokwakhiwa kohlelo lokwelapha oluqondiswe kumbangela yobuhlungu.
Izindlela zokwelapha ezivamile zokuqeda ubuhlungu bamalunga
Uma imbangela isitholakele, umgomo wokwelashwa ukunciphisa ubuhlungu, ukuthuthukisa ukusebenza kwamalunga, kanye nokunciphisa ukuqhubeka komonakalo ngangokunokwenzeka . Akwenzeki njalo "ukwelapha" isifo esiyisisekelo, kodwa indlela ebanzi ingathuthukisa kakhulu ikhwalithi yokuphila.
Emkhakheni wezokwelapha , imithi yokwelapha ubuhlungu kanye nemithi engeyona eye-steroidal anti-inflammatory (NSAIDs) ivame ukusetshenziswa ukulawula ubuhlungu nokuvuvukala. Ezimweni ezithile, ama-opioid abuthakathaka anganikezwa isikhathi esifushane, njalo ehlola ibhalansi phakathi kwezinzuzo nemiphumela emibi engaba khona.
Ama-corticosteroids noma ama-corticosteroids ajovwe ngqo emalungeni agcinelwe ukuvuvukala okukhulu noma izimo ezibuhlungu kakhulu lapho kudingeka khona ukukhululeka okusheshayo. Nakuba angasebenza kahle kakhulu esikhathini esifushane, ukusetshenziswa kwawo kufanele kube komuntu ngamunye futhi kunqunyelwe ukugwema izinkinga zesikhathi eside.
Eminyakeni yamuva nje, imijovo ye-hyaluronic acid iye yathandwa kakhulu . Le nhlanganisela isebenza njengesithambisi esinamathelayo ngaphakathi kwamalunga, ithuthukisa ukushelela kwezindawo futhi inciphise ukungqubuzana. Ku-knee osteoarthritis, isibonelo, ingasiza ekunciphiseni ubuhlungu futhi ithuthukise ukuhamba izinyanga.
Enye indlela iwukujova nge -plasma (PRP) ecebile ngama-platelet , etholakala egazini lesiguli. Le plasma, egxile ezintweni ezikhulisayo, ijovwa emalungeni noma ezindaweni eziseduze ukuze kukhuthazwe izinqubo zokulungisa nokuvuselela izicubu, ngenhloso yokunciphisa ukuqhubeka komonakalo emalungeni.
Ukuvuselelwa kanye nokwelashwa nge-physiotherapy kudlala indima ebalulekile cishe kuzo zonke izimo zobuhlungu obungapheli bamalunga. Ngokusebenzisa izivivinyo ezithile, ukwelashwa ngesandla, amasu okuqinisa imisipha, kanye nokulungiswa kwesimo somzimba, inhloso ukugcina noma ukuthuthukisa ukuhamba, ukuzinzisa amalunga, nokunciphisa ukungakhululeki; inqubo yokuqeqesha amandla eklanywe kahle yabantu abadala ingaba usizo kakhulu kulokhu.
Uma ukuwohloka kwamalunga sekuthuthuke kakhulu futhi izinyathelo zokulondoloza zinganikezi impumuzo eyanele, kucatshangelwa ukuhlinzwa kokufakelwa . Kulezi zimo, ilunga elonakele lithathelwa indawo ngokwengxenye noma ngokuphelele nge-prosthesis (isibonelo, edolweni noma esinqeni), okungaholela ekubuyiselweni okukhulu kokusebenza kanye nokuncipha okuphawulekayo kobuhlungu.
Umuthi wokuvuselela kanye nokuguqulwa kwemizwa: ezinye izindlela ezintsha
Intuthuko kwezokwelapha ubuhlungu ivule ithuba lokwelashwa okwenzelwe wena futhi okungadingi ukungenelela okukhulu , ikakhulukazi ezigulini ezine-osteoarthritis ephakathi noma ethuthukile, ukulimala kwe-cartilage, noma ubuhlungu obungapheli bamalunga obumelana nokwelashwa okuvamile.
Phakathi kwezinketho zokwelapha zokuvuselela, imijovo yangaphakathi kwethambo kanye neyangaphansi kwethambo ivelele . Lezi zindlela zihilela ukufaka izinto zokwelapha ngqo ethanjeni le-subchondral, okungukuthi, ungqimba lwethambo olutholakala ngaphansi kwe-cartilage eyonakele, kusetshenziswa isiqondiso sesithombe.
Ngokugxila kule ndawo ebalulekile ye-biomechanics yamalunga, inhloso ukuthuthukisa indawo yemvelo ye-cartilage, ukunciphisa ubuhlungu, kanye nokubambezela isidingo sokuhlinzwa . Lezi zinqubo ezingangenisi kakhulu, ezenziwa ngokunemba okukhulu, ziya ngokuya ziba ithuluzi eliwusizo ekwelapheni i-osteoarthritis.
Enye indlela ethakazelisa kakhulu ukwelashwa ngamaseli e-mesenchymal stem atholakala kumongo wethambo (owaziwa ngokuthi i-BMAC). Umongo wethambo ukhishwa esigulini, ucutshungulwe ukuze ugxilise amaseli, bese ufakwa ejoyintini elonakele.
Lawa maseli anamandla okulawula ukuvuvukala nokukhuthaza izinqubo zokulungisa i-cartilage , ngakho-ke acatshangelwa ukusetshenziswa ezimweni ze-osteoarthritis ethuthukile, izilonda ze-cartilage ezigxile emathanjeni, noma i-osteonecrosis. Nakuba imiphumela yawo yesikhathi eside isacwaningwa, amelela indlela ethembisayo emkhakheni wokuvuselelwa kwamalunga.
Emkhakheni wokuguqula imizwa yobuhlungu, amasu anjenge -cryoanalgesia kanye ne-radiofrequency ablation ayagqama . I-Cryoanalgesia isebenzisa umkhuhlane omkhulu ukuvimba ukudluliselwa kobuhlungu ngendlela elawulwayo ngemizwa ethile ezungeze ilunga, okubonakala kuwusizo emalungeni amakhulu noma ezimweni zokuqaqamba.
Imvamisa yomsakazo, kungaba i-pulsed noma i-thermal, isebenza ezinzwa ezibangela ubuhlungu obungapheli bamalunga , iguqule ikhono lazo lokudlulisa izimpawu zobuhlungu ohlelweni lwezinzwa oluphakathi. Imiphumela yayo ingahlala izinyanga, inikeze ithuba lokukhululeka isikhathi eside ezigulini ezikhethiwe.
Izincomo zokubhekana kangcono nobuhlungu bamalunga
Ngaphandle kokwelashwa kwezokwelapha, impilo yansuku zonke ithonywa kakhulu yimikhuba yokuphila kanye nendlela amalunga anakekelwa ngayo . Ukwamukela imikhuba ethile kungenza umehluko omkhulu endleleni ubuhlungu obubonakala ngayo kanye nezinga lokuzimela.
Esinye sezici ezibalulekile ukugcina isisindo esinempilo . Ikhilogremu ngayinye eyengeziwe yandisa umthwalo emadolweni, ezinqeni, nasemgogodleni, okusheshisa ukuguguleka nokudabuka futhi kufake isandla ekuqalweni noma ekubhebhethekeni kwe-osteoarthritis. Ukudla okunempilo (ukugwema, ngangokunokwenzeka, ukudla okuqinisa umzimba ) nokukuhlanganisa nokuzivocavoca okufanele kuyisu elibalulekile.
Kungcono ukugwema, ngangokunokwenzeka, ukuhamba isikhathi eside endaweni engalingani, emithambekeni emide, noma ukukhuphuka izitebhisi eziningi , ikakhulukazi uma usuvele unezinkinga zamalunga. Ukukhetha izindlela ezithambile nokusabalalisa umzamo wakho usuku lonke kungasiza ekuvimbeleni ukufaka umthwalo omkhulu emalungeni akho.
Izicathulo nazo zibalulekile: kunconywa ukugqoka izicathulo ezikhululekile ezinesekelo elihle kanye nesoli eqinile , ugweme izithende eziphakeme noma izicathulo ezisicaba kakhulu ngaphandle kokubopha. Ukusekela izinyawo okungekuhle kungalungisa amadolo, izinqe kanye nomhlane ngendlela engafanele, okwandisa ubuhlungu.
Elinye icebiso eliwusizo ukugwema ukuma unganyakazi noma amadolo akho agobile isikhathi eside . Ukuthatha ikhefu elifushane usuku lonke ukuze welule imilenze yakho, ushintshe isikhundla, futhi uhambise amalunga akho ngobumnene kusiza ekunciphiseni ukuqina nokuqina.
Ngokuphathelene nohlobo lomsebenzi womzimba, kunconywa kakhulu ukuvivinya umzimba okungenawo umthelela omkhulu , njengokubhukuda, ukugibela ibhayisikili kancane, noma ukuhamba endaweni eqondile ngesivinini esimaphakathi. Le misebenzi igcina amalunga ehamba, iqinisa imisipha esekelayo, futhi ithuthukise ukujikeleza kwegazi ngaphandle kokufaka izakhiwo zamalunga emiphumeleni ephindaphindayo.
Kubalulekile futhi ukugwema ukuphakamisa izinto ezisindayo ngokuzumayo noma ezindaweni ezingajwayelekile. Ukusabalalisa isisindo, usebenzisa amadivayisi okusiza (izinqola, izikhwama ezilungisiwe kahle), kanye nokucela usizo lapho kudingeka kungavimbela amacala amaningi okulayisha ngokweqile.
Kubantu abanobuhlungu obuphansi emhlane noma izinkinga ezinyaweni zabo, ezinqeni, noma emadolweni, ukuhlaziywa kokuhamba ngezinyawo ngudokotela wezinyawo kungaba usizo kakhulu . Uma kuboniswe, ukusetshenziswa kwe-orthotics yangokwezifiso kungalungisa ukungalungi kahle futhi kunciphise ukucindezeleka komshini emalungeni athile.
Ubukhulu bemizwa yobuhlungu obungapheli akufanele bunganakwa. Ukufuna ukwesekwa kochwepheshe, ukwabelana ngolwazi nomndeni nabangane , nokufunda amasu okulawula ukucindezeleka kungathuthukisa ukuqonda ubuhlungu futhi kube lula ukunamathela ekwelashweni.
Ubuhlungu bamalunga, kungakhathaliseki ukuthi bubangelwa yi-osteoarthritis, ukulimala, izifo zokuvuvukala, izifo, noma ukuphazamiseka kwe-metabolic, luwuphawu oluyinkimbinkimbi oludlula kakhulu ukungakhululeki okudlulayo. Ukuqonda imvelaphi yalo , ukuhlukanisa amaphethini alo ahlukene, ukusebenzisa izinketho zamanje zokuxilonga nokwelapha—kusukela emithini yokwelapha ubuhlungu kanye ne-physiotherapy kuya emithini yokuvuselela kanye nokuguqulwa kwemizwa—nokuguqula imikhuba yansuku zonke ngokwesisindo, ukunyakaza, izicathulo, kanye nomthwalo womzimba kukuvumela ukuthi uphinde uthole ithuba lokunyakaza, uvikele amalunga akho esikhathini eside, futhi uthuthukise kakhulu ikhwalithi yokuphila kwakho naphezu kokuba khona kobuhlungu.
