Ngaso sonke isikhathi, njengomthetho, ubuhlungu emalungwini buhlala emathanjeni ekhanda, emuva, emilenzeni, nesizungu. Ezimweni eziningi, lezi zinhlungu zihlotshaniswa nokuphulwa kwe-phosphorus-calcium metabolism, ngoba i-calcium ayanele, noma ayilondoloziwe kabi. Phela, kusukela emzimbeni womama ozayo, kunesidingo esikhulu sezakhi ukuze kuthuthukiswe futhi kubelethe ingane enempilo. Ukuntuleka kwe-calcium ne-vitamin D kungakapheli isikhathi eside, ngakho-ke le nkinga yabesifazane abakhulelwe iphatheka kahle ekulungiseni. Kodwa ukuze uqiniseke ukuthi udinga ukuphuza imithi, udinga ukudlulisa ukuhlola igazi kwegazi ukuze ubone ukuthi kukhona yini ukwehlukana kwezici zokulandelela ezifana ne-calcium, i-magnesium, i-phosphorus, i-potassium. Futhi ngemva kwalokhu, ngemuva kokubonisana nodokotela, owesifazane angathatha amalungiselelo e-calcium ne-multivitamin. Futhi-ke, ukudla okunengqondo kuyimfuneko ebalulekile yokuphumelela kokukhulelwa nokulondolozwa kwesistimu ye-musculoskeletal enempilo. Ngakho-ke, kubalulekile ukwazi ukuthi yiziphi izimo amavithamini namaminerali angasiza ukugcina ibhalansi emathanjeni amathambo nokuthi ungabakhipha kuphi. I-Vitamin D igxilisa ukumuncwa kwamanoni e-calcium ne-phosphorus, okwenza kube nesakhiwo esivamile sesithambo. Ingena emzimbeni ngokudla futhi iqukethe inani elibalulekile kwezinye izinhlanzi (i-salmon, i-herring, i-halibut, i-cod, i-tuna), isibindi, isikhupha samaqanda.
Isibonelo, ubuhlungu kunoma iyiphi ingxenye yangemuva kungahlotshaniswa ne-osteochondrosis, i-scoliosis, i-hernia intervertebral, flatfoot. Kungase kubangelwe ukuzama ngokweqile ngokomzimba noma ukuhlala endaweni engakhululekile. Kwenzeka ukuthi ubuhlungu obunzima buvimbela ukwanda okwejwayelekile komgogodla. Kubalulekile ukwazi ukuthi ezimweni ezinjalo kubalulekile ukuvakashela isazi sezinzwa ne-orthopedist. Ngesikhathi sokuhlolwa, udokotela kufanele akhethe ukuxilongwa okufanelekayo kowesifazane okhulelwe futhi anikeze ukwelashwa, unikezwe isimo sempilo nesimo. Ochwepheshe abaningi nodokotela banikeza okulandelayo:
- ukubuyisela ukubuyisela emuva, okuhloswe ukuphumula imisipha;
- sigqoke ibhande lokubeletha elisekela ngaphambi kwesisu bese kunciphisa ukucindezeleka kusuka emthonjeni;
- umkhawulo wokusebenza ngokomzimba ngesikhathi sobuhlungu obukhulu;
- Izidakamizwa ezivimbela ukuvuvukala ezisuselwa ku-paracetamol zenzelwe ukususwa kokuhlaselwa okubuhlungu, ngoba akuthinti kakhulu ingane. Okuthandwayo kunikezwa ngamafutha okugcoba futhi ezimweni ezinzima zokuxilongwa udokotela angasebenzisa i-MRI (imaging magnetic resonance);
- nge-flatfoot kunconywa ukuba ulandele izinsimbi zomzimba zomuntu ngamunye zonyawo lwakho, noma izicathulo zomzimba. Kodwa bonke omama abazayo kudingeka bazi ukuthi ama-X ray ngesikhathi sokukhulelwa ayaphikisana.
I-rheumatism yisifo esibi kakhulu, ukuvela kwezici eziningi ezihola, futhi kubaluleke kakhulu ukuzibona ngesikhathi, ikakhulukazi ngaphambi kokukhulelwa. Okokuqala, kubalulekile ukukhipha lezo zindlela zokutheleleka ezithinta i-agent causative ye-rheumatism - streptococcus. I-tonsillitis engapheli, i-pharyngitis, i-otitis, i-sinusitis, ukubola kwezinyo kunomthelela omubi emzimbeni wonke, inciphise amandla omzimba futhi ngokuvamile iholela esibhedlela nge-rheumatism. Yini okufanele nginakekele? Njengomthetho, yi-triad yezimpawu:
- izifo zokuvuvukala nokuvuvukala ezihambisana nobuhlungu obuhlungu;
- ubuhlungu enhliziyweni.
Mhlawumbe uzoba nesifo esisodwa kuphela, kodwa unganqikazi ukutshela udokotela ngakho, ngoba kungcono ukuqapha kunokunganaki. Abesifazane abakhulelwe abanezinhlungu ezinyaweni nasezinyaweni kufanele bavakashele ekwamukelwa nge-rheumatologist bese behlolwa. Kubalulekile ukuthi udlulise ukuhlolwa okulandelayo: ukuhlolwa kwegazi jikelele, isifo se-rheumatoid, i-ACL-O, i-pro - protein esebenzayo, amaprotheni amaningi. Ngemuva kwalokho, udokotela ukhetha ukuthi angaphila - esibhedlela noma ekhaya, futhi yiliphi isu lokukhetha. Kungcono ukuthatha izinyathelo ezifike ngesikhathi futhi wenze zonke izincomo zesidakamizwa, kunokudlula esigabeni sesiguli esingapheli, ikakhulukazi ngesikhathi sokukhulelwa. Kunoma yikuphi, kungakhathaliseki ukuthi kukhona izinkinga ngamalunga ahlobene nokukhulelwa noma angahlobene, ngalesi sikhathi, ababonisi bakho kanye nabasizi kufanele babe isazi sezinzwa zegazi, i-orthopedist, i-rheumatologist. Ungaphindi ukuvakashela kubo, ngoba izandla, izinyawo kanye nomhlane ziwusizo kuwe. Manje siyazi ukuthi ubuhlungu obuphi emagatsheni ezandla nezinyawo ngesikhathi sokukhulelwa, nokuthi ungabhekana kanjani nabo.