Ifomu Ebuhlungu Neyoqhelekileyo ye-Osteoarthritis
I-Osteoarthritis inokuchaphazela amajoyina kunoma iyiphi nayinye inxalenye yomzimba, kuquka iminwe. I-osteoarthritis yefayili yinto eqhelekileyo phakathi kwabafazi be-postmenopausal.
Sivame ukuthatha iminwe kunye nezandla zethu. Ngethuba lemihla, qaphela ukuba umsebenzi omninzi uxhomekeke kwishukumo sokuhamba. Qaphela ukubunzima kwentshukumo nganye kunye nokuba nzima kangakanani kwimisebenzi yemihla ngemihla kubantu abaphila ngeminwe ye-osteoarthritis.
I-Anatomy yeeNweba zakho
Ubunzima beminwe bunzima. Ukuze uqonde ngokucacileyo indlela i-osteoarthritis inokuchaphazela ngayo iminwe yakho, yinto efanelekileyo ukwazi okuthile ngamathambo kunye namalungu angasichaphazelekayo. Oku kunokukunceda ukuba uthethe nodokotela wakho malunga neempawu zakho kunye neyeza.
Amathambo entendeni yesandla abizwa ngamathambo e-metacarpal. Elinye i-metacarpal lidibanisa ngomnwe ngamnye kunye nesithupha. Umnwe ngamnye wenziwe ngamathambo amancinci amancinci, abizwa ngokuthi i-phalanges. Amalungu angama-knuckle asondele kunesandla (i-metacarpophalangeal okanye i-MCP joints) yenziwe ngoxhumano lwe-phalanges ukuya kwi-metacarpals. Imisebenzi ehlangeneyo ye-MCP njengengqungquthela xa iminwe ifakwe okanye iqondiswe.
Amathambo amathathu eminwe nganye ayahlukana ngamalungu amaninzi, abizwa ngokuba ngama-interphalangeal okanye ama-IP. Omnye osondele kwi-MCP ubizwa ngokuba yi-interphalangeal okanye iPIP. Umdibaniso osondele ekupheleni komnwe kuthiwa yi-distal interphalangeal okanye i-DIP ngokubambisana.
Amalungu e-IP asebenza njengama-joint joints.
Iingxaki zeFinger Osteoarthritis
I-Osteoarthritis isifo esihlanganyelweyo . Ngolu hlobo lwesifo se-arthritis, i- cartilage - into enzima, kodwa eguquguqukayo ehlanganisa iipuphu zamathambo abumba i-joint - igqoke kancane kancane.
Ukulimala kwi-joint efana ne-sprain okanye i-fracture inokulimaza i-cartilage.
Nangona ukulimala kungabangela ukuba kubekho umonakalo we-cartilage, kunokuchaphazela indlela osebenza ngayo. Amalungu angasetyenziswa kakubi emva kokuphilisa kwingozi. Ukungaqhelekanga okunjalo kunokunyanzelisa umdibaniselwano, ongonakalisa i-cartilage kamva.
I-Osteoarthritis ifunyenwe njani?
Ukuxilongwa kweminwe ye-osteoarthritis ngokuqhelekileyo kuqala ngembali yonyango eya kubandakanya nayiphi na inzakalo eyayibangele imeko.
Uvavanyo lomzimba lugqirha ugqirha ukuvavanya uluhlu lwezityholo ezinxulumene nomnxeba ochaphazelekayo kwaye ziphi ukunyakaza okuvelisa ubuhlungu. Ukubonakala kweempawu eziqhelekileyo (i-Bouchard's okanye i-Heberden's nodes) kunokukunceda nokuxilongwa komzimba we-osteoarthritis.
I-ray-ray idla ngokuyalelwa ukuba ugqirha abone imifanekiso yomonakalo odibeneyo. Oku kunceda bazise ukuba i-cartilage ihlala nini okanye ukuba idibeneyo ithambo-ithambo xa kwenzeka ukuba i-cartilage iphele.
Iimpawu zeFinger Osteoarthritis
Iimpawu ezinxulumene nomnwe we-osteoarthritis ziquka intlungu, ukuqina, nokuvuvukala. Ukongezelela, ukuphuhliswa kwamacandelo angacatshulwa kwaye unokuba ufumana ukukhawuleza kokuhamba okanye ukuncipha amandla.
Ngokuqhelekileyo, intlungu ye-osteoarthritis ivakalelwa ekuqaleni komsebenzi, ngoko iyancipha njengoko umsebenzi uqhubeka.
Emva kokuba umsebenzi uyekile kwaye ngexesha lokuphumla, intlungu kunye nokuqina zivame ukubuya. Nge-osteoarthritis ephezulu, intlungu inokuvakalelwa nakwiindawo zokuphumla.
Izinketho Zonyango Eziqhelekileyo
Ubuhlungu buvame ukuba yimpawu ebangela ukuba izigulana zifune unyango . Uphulo lwangokokuqala lunokukunceda ukulawula i-osteoarthritis yomnwe, ngoko yinto efanelekileyo yokubona ugqirha ngokukhawuleza.
Amanyathelo enyango olulondolozo lwentsebenzo ayahlolwa kuqala kwaye oku angaquka naluphi na olu lulandelayo:
- Imithi echasayo yokuvuvukala njenge-aspirin okanye i- NSAID
- Ukunciphisa amanqanaba omsebenzi
- Ukutshintsha imisebenzi okanye imisebenzi efuna ukunyuswa kwesandla somunwe
- Injini yeCortisone kwidibeneyo
- Ulwaphulo oluthile olubandakanya ukuhamba kweendlela kunye nokuziqinisa
- Unyango
- Ukutyhila
- Iingqungquthela zemixholo
- Isicelo sobushushu
Xa unyango olulondolozayo luhluleka ukuvelisa uncedo olwanelisayo, utyando lunokuba lukhetho lokugqibela lokunyanga. Ugqirha luboniswa kwizigulane ezinentlungu engalawulwayo echaphazela umsebenzi wesandla oqhelekileyo. Izinketho zokupanda nge-osteoarthritis yomnxeba ziquka i- arthrodesis (fusion) okanye ukutshintshwa ngokubambisana , kuxhomekeke kwintsebenziswano echaphazelekayo.
> Umthombo:
> Hochberg MC, et al. Ikholeji yaseRamerika yeRheumatology 2012 Iziphakamiso zokusetyenziswa kwee-Nonpharmacological and Pharmacologic Therapies kwi-Osteoarthritis ye-Hand, Hip, ne-Knee. Ukunyamekela kweArthritis noPhando (Hoboken). 2012; 64 (4): 465-74.
> Osteras N, et al. Ukuzivocavoca kwe-Hand Osteoarthritis. I-Cochrane Database yeeNkqubo eziPhezulu. > 2017; 1: CD010388.
> Vansteenkiste S, Reneman MF, van der Eerden PJ, Soer R, Dijkstra PU, van der Sluis CK. Ulungelelwano oluphezulu lweMisebenzi yeZakhono zokuSebenza kwezigulane kunye ne-Osteoarthritis yeeNzandla: IsiFundo seSigqeba. I-Journal of Hand Treatment. 2017; i-pii: S0894-1130 (17) 30007-8.