Iifoto zityhila i-Arthritic Joint Damage and Deformities
Mhlawumbi uye wakuva ukuba ezinye iintlobo ze-arthritis zingakhokelela ekutheni zihlangane. Ukuguqulwa kwesandla ngesifo se-rheumatoid isifo esiqhelekileyo, kuba kukho amajoyina angama-25 anokuthi abe nomonakalo kwisifo. Kodwa oko kuthetha ukuthini oko? Zibukeka njani ezi ziphoso kwaye ziyakuchaphazela njani umsebenzi wezandla zakho kunye nezibonda ngokubangela intlungu kunye nokunciphisa uluhlu lwesinyanzelo ?
Siza kujonga imifanekiso emininzi ebonisa imiphumo ye-arthritis ezandleni, kodwa kubalulekile ukuba uqaphele ukuba ezi ziphoso ziba nzima kakhulu kunyango lokuqala lwe-rheumatoid arthritis kunye nezinye iirmritis ezivuthayo. Ukudibanisa izidakamizwa zokuguqula izifo ( DMARDS ) kunye ne-tumor necrosis factor inhibitors (i- TNF blockers ) inike abantu abaninzi ithuba lokukhusela ezi ngxaki. Ngexesha langoku, kucingelwa ukuba ubuncinane abantu abangama-50 abaphila ne-rheumatoid arthritis baxoxwa.
Njengoko ukhangele le mizobo, unokubona ubungqina benye yeenkcazelo ze-arthritis onokuva, ezinjengeengqungquthela ze- rheumatoid , ukuvuvukala, ukuqhuma kwe-ulnar , izivumelwano kunye nezinye iingxaki.
Njengoko ukhangele le mizekelo, nceda ugcine engqondweni ukuba wonke umntu uhlukile. Ubudala kunye nokukhubazeka okwangoku akusikho umqondiso wento umntu oqhelekileyo angalindela, kwaye iqondo leempawu nawuphi na umntu oza kuvela luyahlukahluka kakhulu. Zininzi zezi ziphoso zihlobene nezifo ezazikho phambi kokuba unyango lwe-arthritis olutsha luvunywe.
Le mifanekiso iya kusetyenziswa ukuchaza ezinye zeengxaki kunye nezigqibo zonyango ezijongene nalabo abaphila ne-arthritis.
Umnyaka omdala oneminyaka engama-48 ene-Rheumatoid Arthritis (Isandla sasekhohlo)
Ifoto: Ibhinqa elineminyaka engama-48 elinesifo sesifo se-rheumatoid iminyaka engama-23 (isandla sasekhohlo).
Lesi sithombe sibonisa ubungqina bomonakalo obangelwa i-rhyumineid arthritis yexesha elide elakho phambi kokuba izidakamizwa ezintsha zokulwa ne-arthritic zifumaneke ngokubanzi.
Ukongeza kwiziyobisi eziguqula izifo, utyando lunokusetyenziswa ukulungisa umonakalo ophazamisana nomsebenzi. Umntu kulo mfanekiso unobungqina bokukhululwa kwe-carpal tunnel .
Umntu omdala oneminyaka engama-59 ubudala kunye ne-Osteoarthritis
Ifoto: Indoda eneminyaka engama-59 ubudala ene-osteoarthritis yezandla zayo iminyaka engama-35.
I-Osteoarthritis , njengenye i-arthritis, ngamanye amaxesha ingabangela ukukhubazeka okukhulu.
Lo mfanekiso ubonisa izivumelwano ezinokuthi zenzeke nge-arthritis ende. Nangona isandla saloo mntu sibonakala sengathi uye wahlinzwa, akasenayo, kwaye izivumelwano zingabonakala ngathi ukuhlinzwa kwenziwa.
Umnyaka oneminyaka eyi-18 ubudala kunye ne-Juvenile Rheumatoid Arthritis (JRA)
Ifoto: Ibhinqa elineminyaka eli-18 elinesifo se-rheumatoid arthritis (JRA) eseneminyaka engama-16.
Lo mfanekiso ungowesandla sowesifazane oneminyaka eyi-18 ubudala ofunyenwe ukuba ene -arthritis ye-rheumatoid yobuncinane kwiminyaka engama-2 (isifo esiyiminyaka eyi-16). Kubalulekile ukuqaphela ukuba kukho iindlela ezahlukeneyo ze-JRA ezingenayo impawu ezahlukileyo. Ngokuqhelekileyo, ukugxekwa kwe-JRA kulungele ngakumbi kunokwama-arthritis kubantu abadala.
Umfanekiso apha ubonisa ukuvuvukala okukhulu kunye nokukhubazeka okubambeneyo. Eli bhinqa alinaso ukuhlinzwa ngonyango.
Into evezwa yintombi kulo mfanekiso iphinda ibonise ukuba abantu abaninzi baphila ubomi obuzalisayo kunye novuyo kunye neempawu ze-arthritis.
Umntu omdala oneminyaka engama-60 kunye ne-Rheumatoid Arthritis
Ifoto: Inkunzi eneminyaka engama-60 kunye nomonakalo ohlanganyelweyo ukusuka kwi-rheumatoid arthritis.
Umfanekiso apha ubonisa umonakalo odibeneyo ohambelana nesifo sesifo se-rheumatoid kunye nezikrakra ezivela ekutyunjweni kwesandla.
Ukuvuvukala kweetoni ezandleni (i-tenosynovitis) kunokubangela iingxaki ezininzi, ezifana nomnxeba womunwe .
Umnyaka omdala oneminyaka engama-35 kunye ne-Rheumatoid Arthritis (Isandla sasekhohlo)
Ifoto: Umfazi oneminyaka engama-35 ubudala kunye nesifo se-rheumatoid sokuqala.
Lo mfanekiso ubonisa iziphumo eziqhelekileyo kwi-arthritis yokuqala ye-rheumatoid ezithinta izandla. Ukuvuvukala okuphawulekayo kubakho ngaphandle kokukhubazeka okukhulu. (Eli bhinqa ayenakho ukuhlinzwa ngonyango).
Umnyaka omdala oneminyaka engama-35 kunye ne-Rheumatoid Arthritis (Isandla sokunene)
Ifoto: Umfazi oneminyaka engama-35 ubudala ene-arthritis ye-rheumatoid.
Lo mfanekiso uphinde ubonise iziphumo ezihambelana ne-arthritis yokuqala ye-rheumatoid. Ukuvuvukala kubakho kunye nokulimala kwangaphambili. (Lo mntu akazange asebenze ngesandla).
Unyaka oneminyaka engama-47 ubudala I-Arthritis (i-Right Hand)
Ifoto: Umfazi oneminyaka engama-47 ubudala ene-rheumatoid arthritis.
Lo mfanekiso ubonisa ukuvuvukala okungaphantsi kunemifanekiso engenhla yowesifazane ophethe isifo sesifo se-rheumato. Kunoko, kukho ubungqina bomonakalo odibeneyo kunye nezivumelwano ezivela kwisifo sexesha elide. (Eli bhinqa ayenakho ukuhlinzwa ngonyango).
Umnyaka omdala oneminyaka engama-55 kunye ne-Rheumatoid Arthritis (Isandla sasekhohlo)
Ifoto: Umfazi oneminyaka engama-55 ubudala ene-rheumatoid arthritis.
Umfanekiso apha ubonisa umunwe ogqithiseleyo kunye nokukhubazeka kwesandla kunye nezivumelwano ezibangelwa yi-arthritis ye-rheumatoid. Umonakalo obalaseleyo kumalungu e-metacarpophalangeal (amanxulumano e-MCP), amajoyina ephantsi kweminwe. (Lo mntu akazange asebenze ngesandla).
Umnyaka omdala oneminyaka engama-55 kunye ne-Rheumatoid Arthritis (Isandla sasekhohlo)
Ifoto: Umfazi oneminyaka engama-55 ubudala ene-rheumatoid arthritis.
Umfanekiso apha ubonisa imbono yesigqithiso sokukhubazeka kwesandla kunye nezivumelwano ezibangelwa yi-arthritis ye-rheumatoid. Imonakalo ibonakala ingabonakali kakhulu ngale mbono. (Lo mntu akazange asebenze ngesandla).
Umnyaka we-22 ubudala Odala Owesifazana ene-Rheumatoid Arthritis (zombini izandla)
Ifoto: Ibhinqa elineminyaka engama-22 elinesifo se-rheumatoid arthritis.
Umfanekiso apha ubonisa umfazi oneminyaka engama-22 ubudala ohlala ne-rheumatoid arthritis iminyaka engama-6. Ukuvuvukala kuphawulwe kunye nokuqala kokukhubazeka ngokuhlangeneyo ezandleni zakhe zombini. (Lo mntu akazange asebenze ngesandla).
Umnyaka we-22 ubudala Odala Owesifazana ene-Rheumatoid Arthritis (zombini izandla)
Ifoto: Ibhinqa elineminyaka engama-22 elinesifo se-rheumatoid arthritis.
Lo mfanekiso unikezela ngombono olungcono wesandla sangaphambili kunye nokukhubazeka okuhlangeneyo kwesibindi ngokuhambelana nesifo se-rheumatoid arthritis. (Lo mntu akazange asebenze ngesandla).
Umnyaka oneminyaka engama-22 omdala Owesifazana ene-Rheumatoid Arthritis (Isandla sokunene)
Lo mfanekiso uvumela umboniso osondeleyo womonakalo odibeneyo kumfazi omncinci one-arthritis ye-rheumatoid, ebandakanya zombini amajoyina akhe angama-interphalangeal (i-PCP joints), umdibaniso ophakathi phakathi kweminwe, kunye namalungu e-interphalangeal joints (DIP). yeminwe.
Ubonisa ukukhubazeka kwesandla esibangelwa yi-rheumatoid arthritis. Umntu akazange asebenze ngonyango.
Unyaka ongama-50 omdala Owesifazana ene-Rheumatoid Arthritis
Ifoto: Ibhinqa elineminyaka engama-50 kunye nezivumelwano ezivela kwi-rheumatoid arthritis.
Lo mfanekiso ubonisa ukuba abantu abaninzi bayamangaliswa njani ngesifo se-rheumatoid arthritis. I-Rheumatologists kunye noogqirha bagxininisa ngokukodwa kwimisebenzi ehlangeneyo kunokuba kubonakale imboleko , kwaye ngamanye amaxesha umsebenzi olungileyo ukhona kunye nobunzima obunzima (kunye nantoni na).
Abagqirha abathathu bezandla bayela ukuhlinzwa ngenxa yokuba lo mntu wayenayo intlungu kwaye unamandla okubamba nokusebenza.
Umntu omdala oneminyaka engama-44 kunye ne-Rheumatoid Arthritis
Ifoto: Umntu oneminyaka engama-44 ubudala one-arthritis ye-rheumatoid.
Amacandelo amancinci omhlaba wezandla kunye nezibonda zibandakanya i-rheumatoid arthritis, ekhokelela kwizivumelwano kunye nokukhubazeka. Lo mfanekiso ubonisa inani lamalungu ahlukeneyo anokuchaphazelekayo.
Lo mntu une-arthritis yesifo se-rheumatoid kwaye wayenokuhlinzwa-i-synovectomy yesihenqo (ukususwa kweethambo ezinokutsha ) kunye nokudluliselwa kwetoni ezibandakanya zombini izandla.
Unyaka omdala oneminyaka engama-62 ene-Rheumatoid Arthritis
Ifoto: Ibhinqa elineminyaka engama-62 elinesifo se-rheumatoid arthritis.
lo mfanekiso ubonisa umlinganiselo wokulimala kunye nokukhubazeka okuhlanganyelweneyo okubangelwa ukulahlekelwa kwe-cartilage kunye nokukhula kwethambo okuqhelekileyo kwi-arthritis ye-rheumatoid. Olu hlobo lomonakalo luqheleke ngakumbi kwi-arthritis evuthayo (njenge-rheumatoid arthritis) kune-osteoarthritis. (Lo mntu akazange abe nokutyunjwa ngesandla).
Unyaka oneminyaka engama-52 ubudala kunye ne-Rheumatoid Arthritis (Isandla sasekhohlo)
Ifoto: Ibhinqa elineminyaka engama-52 elinesifo se-rheumatoid arthritis.
Lo mfanekiso ubonisa izandla zowesifazane oneminyaka engama-52 ubudala kunye nesifo se-rheumatoid arthritis efuna ukuhlinzwa. Wayesetyenziselwa ukuhlinzwa kwisandla sakhe sobunxele kabini ukukhupha umunwe womnyobo wakhe kunye ne-tenodesis (utyando olulinganisa intsebenziswano ngokubambelela ithenoni kwithambo) lomnwe ongaphakathi osekhohlo. Ukongezelela, wayenogxobhozo esuswe kwisigodlo sokunene nesobunxele kwaye wayesebenzanyiswa ngophahla.
Unyaka Odala Owesibini Owesibini Ophethe I-Rheumatoid Arthritis (Isandla Sokunene)
Ifoto: Ibhinqa elineminyaka engama-52 elinesifo se-rheumatoid arthritis.
Lo mfanekiso ubonisa esinye isandla somntu kwisithombe esandulelayo. Ukongezelela kwiindlela zokuhlinzwa ayeziphethe esandleni sakhe sokunene, wayenogundane lwe-rheumatoid ezisuswe kwisigodlo sokunene kunye nophando lwe-carpal tunnel kumacala omabini.
Umnyaka omdala oneminyaka engama-38 kunye ne-Rheumatoid Arthritis (Isandla sokunene)
Ifoto: Umfazi waseJapan oneminyaka engama-38 onesifo se-rheumatoid arthritis.
Iimbali ze-Arthritis kunye neengcamango eziphosakeleyo ziqhelekileyo eJapan, nazo. Abantu abaninzi bakholelwa ukuba sisifo esithinta abantu abadala kuphela. Kukho abantu abangaphezu kwama-700,000 abane-arthritis ye-rheumatoid eJapan.
Lo mfanekiso wesandla sakhe sokunene kunye neesalathisi kubonisa ukukhubazeka kunye kunye nezivumelwano, kodwa akazange asebenze ngolu hlobo.
Umnyaka omdala oneminyaka engama-38 kunye ne-Rheumatoid Arthritis (Isandla sasekhohlo)
Ifoto: Umfazi waseJapan oneminyaka engama-38 onesifo se-rheumatoid arthritis.
Lo mfanekiso ubonisa isandla sokhohlo sowesifazane ofanayo ngaphezulu. Nangona ukuphoxeka kwakhe kunye nezivumelwano zakhe zinzima kakhulu (ukusuka kwimbono yokubonakala) esandleni sakhe sokunene, kwakungowesandla sakhe sokunxele esasidinga ukuhlinzwa ukuze kwandiswe umsebenzi.
Unyaka ongama-50 omdala Owesifazana ene-Rheumatoid Arthritis
Ifoto: Ibhinqa elineminyaka engama-50 elinesifo se-rheumatoid arthritis.
Lo mfanekiso ubonakalisa umonakalo odibeneyo wesandla okhoyo kwintokazi efunyaniswayo eneminyaka engama-45 ene-rheumatoid arthritis engama-50. Akazange ahlinzekwe ngesandla.
Umntu omdala oneminyaka engama-44 kunye ne-Rheumatoid Arthritis (Isandla sokunene)
Ifoto: Ibhungu elineminyaka engama-44 elinesifo se-rheumatoid arthritis.
Lo mfanekiso ubonisa enye yomonakalo kwizandla zomlenze kunye namanxeba aqhelekileyo kwi-arthritis ye-rheumatoid.
Umntu omdala oneminyaka engama-44 kunye ne-Rheumatoid Arthritis (Isandla sasekhohlo)
Ifoto: Ibhungu elineminyaka engama-44 elinesifo se-rheumatoid arthritis.
Lo mfanekiso ubonisa "esinye isandla" somntu onesifo se-rheumatoid arthritis. Isandla sakhe sobunxele nasi umzekelo we-ulnar drift, ukukhubazeka okuqhelekileyo okuhambelana ne-rheumatoid arthritis.
Ukuvuvukala kwi-4th kunye ne-5 metatarsals (amathambo esandla) kwandisa ingozi yokuphuhlisa i-ulnar ukuqhuma ngenxa yokunyuka kwama-joints.
Umntwana oneminyaka eli-7 ubudala kunye ne-Polyarticular Juvenile Rheumatoid Arthritis
Ifoto: Intombazana eneminyaka engama-7 kunye ne-polyarticular ye-rheumatoid arthritis.
Lo mfanekiso ubonisa umonakalo umonakalo ezandleni zentombazana eneminyaka engama-7 ubudala eyayifumene i-rhyumineid arthritis nge-biopsy kwiinyanga ezili-10. Isithomo sibonisa indlela ithambo lakhe kwidijithi echaphazelekayo likhulu kunamanye amathambo.
Lo mntwana wayenophethiloli ehlukeneyo ukuze akhulule izicubu ezibomvu ezenza isivumelwano.
Umntwana oneminyaka eli-7 ubudala kunye ne-Polyarticular Juvenile Rheumatoid Arthritis
Ifoto: Intombazana eneminyaka engama-7 kunye ne-polyarticular ye-rheumatoid arthritis.
Lo mfanekiso ubonisa ngomunwe ngesigxina se-rheumatoid esakhutshwa ngumntwana ofanayo kunye ne-JRA.
Unyaka omdala oneminyaka engama-61 kunye ne-Rheumatoid Arthritis
Ifoto: Umfazi oneminyaka engama-61 ubudala ene-rheumatoid arthritis.
Abantu abane-arthritis ye-rheumatoid banamaqondo ahlukeneyo okuvuvukala kunye nezifo zabo. Ingaba yinto ephawulekayo njengolu mzekelo. Lo mntu une-carpal opervical operation ekhohlo.
Umnyaka omdala oneminyaka engama-61 ubudala kunye ne-rheumatoid arthritis
Ifoto: Ibhinqa elineminyaka engama-61 elinesifo se-rheumatoid arthritis.
Lo mfanekiso ubonisa kwakhona ukuvuvukala okuhlangeneyo kulo mfazi nge-arthritis ye-rheumatoid.
Unyaka omdala oneminyaka engama-27 kunye ne-Rheumatoid Arthritis (Isandla sokunene)
Ifoto: Umfazi oneminyaka engama-27 ubudala ene-rheumatoid arthritis.
Umfanekiso apha uphinde ubonise ukuvuvukala kunye nokulimala okuqhelekileyo okuhambelana nesifo se-rheumatoid arthritis. Lo mntu akanakho ukuhlinzwa ngonyango.
Umnyaka omdala oneminyaka engama-49 ubudala kunye ne-Rheumatoid Arthritis
Ifoto: Ibhinqa elineminyaka engama-47 elinesifo se-rheumatoid arthritis.
Njengemifanekiso emininzi apha, lo mfanekiso ubonisa ukukhubazeka kunye nokudibanisa okuqhelekileyo kubantu abane-arthritis ye-rheumatoid.
Ukunyangwa kwangaphambili kwe-rheumatoid arthritis yindlela efanelekileyo yokulawula isifo nokukhusela ukukhubazeka. Ubuhlungu kunye nokuqina kubambene ne-rheumatoid arthritis yezandla kwaye kufuneka kulawulwe.
ILizwi
Izandla zethu zibaluleke kakhulu kwizinto ezininzi esizenzayo, ukususela ezintweni izinto ezichaphazelayo ukubamba izinto. Sisebenzisa izandla zethu ukupheka, ukucoceka, ukuzilungisa, ukudlala nabantwana bethu, ukubhala, ukudala, nokunye okuninzi.
Ukuphonononga le mizobo ye-arthritis ibuhlungu, kodwa kuyisikhumbuzo esibonakalayo sokuba simele sikhusele njani izandla zethu xa sinesifo samathambo. Ukwelashwa kwasekuqaleni kunye nobudlova kwe-arthritis evuthayo kungenza umehluko kungekuphela kwintlungu nobunzima namhlanje, kodwa ukukwazi kwethu ukwenza okuthandayo ukukwenza ngezandla zethu kusasa.
Ukuba uhlala ne-arthritis, thatha kwi-rheumatologist yakho malunga neendlela zokukhusela ezihlangeneyo . Gcina ukhumbule ukuba ukusetyenziswa ngokweqile (nangona kungekho ntlungu) kudibene nomngcipheko ophezulu wokudibana.
Thetha malunga neendlela ezifanelekileyo zokunyanga ukuphucisa ukuqhubela phambili kwesi sifo, kwaye kwakhona, ukunciphisa umngcipheko wokukhubazeka okuhlangeneyo. I-Ultrasound yindlela enye yokufumanisa i-synovitis, eyaziwa ngokuthi "ukutshatyalaliswa kwangasese" kwamalungu.
Ukuhlinzwa ngokutsha kunokunceda abanye abantu, kwaye xa kwenziwa ngokufanelekileyo, kunokuphucula umgangatho wobomi. Oku kuthetha, kubalulekile ukuba uphando lujoliswe ekuphuculeni umsebenzi wedwa, kunokugxila kwiziphumo zokuziqhenqa.
Ngaphandle komonakalo odibeneyo, abantu abaninzi banako ukuhlala ubomi obukhululekile kunye novelisayo. Kodwa ukuba usebenza kwaye ube ngummeli wakho ekufumaneni ukunakekelwa okusemandleni akho kunokuphakamisa amathuba akho okuzonwabisa ngekamva lakho kunye neentlungu ezincinane kunye nokuhamba kangangoko kunokwenzeka.
> Imithombo:
> Chung, K., no S. Kotsis. Uhambo lweNyaka eyi-16 kwiSifundo seSifo seNtloko soHlelo lwe-Rheumatoid. Uphulo lwePlastiki kunye noKhuseleko . 2017. 140 (1): 109-115.
> Ishikawa, H. I-Latest Treatment ye-Rheumatoid Hand Deformity. I-Journal ye-Orthopedic Science. 2017. 22 (4): 583-592.
> Selvaag, A., Kirkhus, E., Tornquist, L. et al. Ukulimala kweRadioographic kwiiNtloko kunye nezigulane zezigulane kunye ne-Juvenile Idiopathic Arthritis Emva kweminyaka engama-29 yezifo. I-Rheumatology Online Journal . 2017. 15 (1): 20.