Izinga likaHeberden zibonakaliso lweklinikhi ye-osteoarthritis
I-heberden's nodes i-bony bwellings of joint joint to the fingertip, eyaziwa nangokuthi i-DIP ehlangeneyo okanye i-distal interphalangeal joint, ehlangene phantsi kwe-fingernail.
I-heberden i-node iyakwenza okanye ayiyi kuba yintlungu, kuxhomekeke kwisigaba sabo ekuphuhlisweni, kwaye xa sele iqulunqwe ngokupheleleyo, abantu baninzi bababheka njengento engathandekiyo.
Ngobukeka babo obungathandekiyo kunye nobukho obungabunzima, masiqwalasele ngokuthe ngqo ukuba zeziphi izibonda eziqinileyo ezibonisa, kwaye zilawulwa njani.
Ukuphuhliswa kweeNode zeHeberden
Uphando lubonisa ukudibanisa phakathi kobukho beenombolo zeHeberden kunye nobukho beenguqu ze-osteoarthritis kwiminwe. Ngamanye amagama, iingxaki ze-x-ray ezibonisa iimpawu ze-OA (umzekelo, indawo edibeneyo yokunciphisa) iphezulu kumnwe onomsoco kaHeberden kunomunwe ongekho.
Ngaloo nto, kunelungelo lokuthetha ukuba iinombolo zikaHeberden zibonakaliso lweklasi lwesandla se-osteoarthritis .
Ngesandla se-osteoarthritis, i-cartilage emathanjeni eminwe iphela. Njengoko i-cartilage ihlaziya, iba nzima, ngoko amathambo ayikwazi ukuhamba ngokugqithiseleyo.
Xa i-cartilage igqityiwe ngokwaneleyo, amathambo axubana xa idibeneyo iguquguquka, kwaye oku kuholele ekulahlekelweni kwethambo. Umzimba emva koko uphendule ukulahlekelwa ithambo ngokukhula kwethambo elitsha.
Kodwa ngokudibanisa ukuphazamiseka, ukukhula kwethambo olutsha kufakwe njengesiqhelo esingaphandle kwethambo lokuqala, kwaye oku kubangela ukuba i-bony bump ye-node ye-developing development.
Iimpawu zeehedi zeHeberden
Iimpawu zokuphuhlisa i-node ye-Heberden ngokuqhelekileyo iqala ngokukhawuleza ukuphuma komntu kubafazi okanye ubudala obuphakathi kwamadoda. Lezi zimpawu ziquka intlungu, ukuqina, kunye neloluhlu oluthile lwenkqantosi enye okanye ngaphezulu kweminye yomnwe. Ngamanye amaxesha, umntu unokubona kwakhona iimpawu zokuvuvukala njengokufudumala nokuvuvukala.
Ngethuba leeminyaka embalwa, nangona kunjalo, intlungu kunye nemiqondiso yokuvuvukala ngokubanzi iyancipha, kwaye zonke ezishiywe yi-bony ezingenasiphelo-ezibizwa ngokuba yi-node ye-Heberden (i -node kaBuchard yinto efanayo kodwa ikhula phakathi komnwe ophakathi) .
Ukongeza kwinqanaba elincinci lokunyakaza, amanxeba omunwe anamaHebri ka-Heberden ngamanye amaxesha ayaphambukela (umzekelo, isalathisi somnwe nge-node ye-Heberden ingasondela kumnwe ophakathi)
Unyango lweeNode zeHeberden
Ngexesha lophuhliso olubuhlungu lwama-node ka-Heberden, unyango lubandakanya ukuphumla kunye namaxesha ahlukeneyo, kunye neentlungu zokunciphisa, ezifana ne-antisteroidal anti-inflammatories (i-NSAIDs), kunye nokushisa okanye i-icerapy.
Ulwaphulo lomzimba okanye olusebenzayo lunokuba luncedo, njengoko umntu efunda indlela yokunciphisa intlungu kunye / okanye ukusebenzisa umnwe (okanye) ochaphazelekayo owanqandekileyo kwisithintelo saso ngenxa yesimo se-Heberden.
Ngokuqhelekileyo, utyando lunokwenziwa, kodwa ngokugqithiseleyo kuphela ukuba iimpawu ziyaqhubeka okanye umntu akakwazi ukusebenzisa umnwe. Omnye umzekelo wokuhlinzwa emnwe kuya kuba kukutshintsha okanye ukufakela iqhagamshelo elichaphazelekayo.
Iindaba ezilungileyo kukuba xa i-bony node iyenzile, umntu akabi na buhlungu. Kule nqanaba, i-node ingaba yinkxalabo yezonyango. Ngelishwa, akukho nhlobo indlela yokuphucula ukubonakala kwendibano.
Ukubaluleka kweeNode zeHeberden
Kuyathakazelisa ukuqaphela ukuba iindawo ze-Heberden ziqhelekileyo kubasetyhini kwaye zifumaneka ngokuqhelekileyo kwisandla esiphezulu somntu. Ziye zixhaphake kakhulu kwi-index finger.
Ukongezelela, uphando lubonisa ukuba kukho imfuza yokuvelisa izixhobo zokuhlakulela izakhi ze-Heberden, apho i-gene edibeneyo ilawulwa ngabasetyhini kunye nokugqithisa kwamadoda. Oku kuthetha ukuba ukuba unyoko unama-heodden ka-Heberden, mhlawumbi unobungozi obukhulu ukufumana ukuba uhlakulela isandla se-osteoarthritis.
ILizwi
I-tidbit yokugqibela kukuba iimpawu ezibonakalayo ze- osteoarthritis , njengama-node ka-Heberden, zibaluleke xa isifo sifumaneka.
Oku kuhambelani nezinye iintlobo ze-arthritis, njenge- rheumatoid arthritis kunye ne-gout, esoloko ixhomekeke kakhulu kwiimvavanyo zebhubhoratri.
Ukuba ukrokrela i-heode ye-Heberden kunye / okanye isandla se-osteoarthritis, nceda ubone ugqirha wakho ukuze ufumane unyango olufanelekileyo. Kukho ezinye iimeko zempilo ezinokuthi zilingane nento yesifo se-osteoarthritis okanye nokuba ne-bump eminwe. Qinisekisa ukuba uhlalutyo olufanelekileyo, ngoko ke unokwenziwa ngeplani yokwenza ngempumelelo.
> Imithombo:
Bernstein RA. I-Arthritis yesigodlo kunye neenombolo: iingcamango zangoku. I-Instr Course Lect. 2015; 64: 281-94.
U-Doherty M, u-Abhishek A. (2017). Imbonakalo yezonyango kunye nokuxilongwa kwe-osteoarthritis. Hunter D, ed. Isemgangathweno. Waltham, MA: UpToDate Inc.
> Dunkin MA. (nd). I-Arthritis Foundation: "Oko Kuthetha Ngezandla Zakho Ngempilo Yakho".
> Rees F et al. Ukusabalaliswa kwamanqatha eminwe kunye nokudibanisa kwabo kunye neenkcukacha zobunjani be-osteoarthritis. I-Arthritis Care Res (i-Hoboken). 2012 kuMeyi; 64 (4): 533-8.