Amanqatha eBouchard angathatha iminyaka ukuphuhlisa
Iinqununu zikaBouchard zabizwa ngokuba ngumntu odumile waseFransi, uCharles-Joseph Bouchard, owayefunda izigulane ze-arthritis ekhulwini le-19.
Ezi node zenzelwe ukuphakanyiswa kwamacandelo aphakathi kweminwe, eyaziwa njengamajoyina e-PIP okanye amajoyina angama-interphalangeal. Ukubambisana kwe-PIP ngumbutho oqalayo ngaphezulu apho ungayigqoba ingcongolo, enye inzima kunazo zonke ukufumana ikhefu elidlulileyo xa uyichitha okanye ukhupha.
Kusenokwenzeka ukuba uye wakuva malunga neendleko ze- Heberden , ezifana ne-bony bwellings eqhubekela phambili kwi-interallangeal joint joint, okanye i-DIP point, eyona mdibaniselwano esiseduze nakwi-fingertips. Ngokuqhelekileyo, iinombolo zeBourdrd zibhekwa njengezona ziqhelekileyo kunezixhobo zeHeberden.
Isizathu seNode zeBourdrd
Iimpawu zeBuchard zibonakaliso lweklasi lwesandla se-osteoarthritis , okanye i-OA isandla, kwaye isandla sisithathu esithintekayo ngokubambisana kwi-OA, emva kweedolo kunye ne-hip. Kwi-OA yesandla, i- carticlage ye-articular in the joints is worn away. Ekubeni i-cartilage ivame ukubonelela i-cushion phakathi kwamathambo edibeneyo, njengoko i-cartilage ihamba, umntu unokuqala ukuva ubunzima nokuqina.
Ukongeza kokugqithisa, i-cartilage iyaba yinto engabonakaliyo kwaye ayisabonakaliyo ukuze amathambo aphulukane. Xa i-cartilage igqithiseleyo ngokwaneleyo, amathambo axubana ngomnye nomnye, onokuba buhlungu kakhulu.
Njengoko ukuxubha okuqhubekayo, ithambo elikhoyo lingatshatyalaliswa. Umzimba wakho uzama ukulungisa le ntlungu. Kodwa esikhundleni sokuba wenze indawo ehamba phambili, i-bony node ikhula ecaleni kwethambo elikhoyo lomnwe we-finger kwaye yile ndlela i-node yaseBouchard ikhula ngayo.
Ukubaluleka kweeNode zeBourdrd
Amanqatha eBouchard, njengama-node kaHeberden, anokuthi okanye angabi buhlungu, kodwa ngokuqhelekileyo ahambelana nokunyanzeliswa okuncinci kweqela elichaphazelekayo.
Iingcambu zineentsapho eziqinileyo (zithetha ukuba zizuze ilifa), kwaye abaninzi abaphandi bakholelwa ukuba babangelwa yi- osteophytes , nangona abanye bengavumelani. Nangona kunjalo, i-genetics idlala indima eyodwa ekubunjweni kwe-OA, njengoko ngokubanzi i-OA ithathwa njengokuba ivela kwi-wear-and-tear-in-tear with aging. I-OA ingaphinda ilandele ukulimala kwendibano echaphazelekayo.
Kufanelekile ukuba uqaphele ukuba ukubonakala kwimiba yeBourdrd kunye neendleko zeHeberden esandleni sakhe kunceda kakhulu ekufumaneni i-OA.
Oku kwathiwa, ngelixesha ubona i-node entsha yeBuchard, umonakalo omkhulu uye wenziwa ngokubambisana ngomunwe. Ngamanye amazwi, i-osteoarthritis iye yaqhubela phambili kwaye yathabatha inkokhelo yayo kwidibeneyo.
Unyango lweeNode zeBourdrd
Unyango lwee-nodes zikaBouchard zifana ne-OA yesandla ngaphandle kweendawo. Oku kubandakanya ukuphumla umdibaniselwano, mhlawumbi usebenzisa ubuqaqawuli ukuze ungagqithisi kakhulu, iintlungu zixhaswa njenge-antisteroidal anti-inflammories ( NSAIDs ), kunye nokushisa kunye nokunyanga kweqhwa. Ezi zonyango zenziwa xa i-node isesigaba sokwakheka.
Emva kokuba i-node iqulunqwe, abaninzi abantu abanalo intlungu, nangona bahlala bebike umqobo wokuhamba kunye nomsebenzi, kwaye umnwe ungabonakala uphazamisekile okanye ungasebenzi.
Kule nqanaba, ngenxa yokuqina okuhlangeneyo kunye nokulahleka kwenkqubo yokunyakaza, kufuneka unyango oluthile okanye lomsebenzi. Kwiimeko ezinzima, utyando lunokwenziwa ukuba lutshintshe okanye lufake iqhosha lokudibanisa, kodwa oku akunqabile.
Ekugqibeleni, kubalulekile ukuba uqaphele ukuba ngelixa iindawo zeBourdrd zingabonakali, ukuhlinzwa akukwenziwe ngeenjongo zokuzicoca. Idibeneyo isele ihlaziyeke ngexesha le-node ibonakala, kwaye ukutshintshwa okanye ukuxuba kuyadingeka kunokuba kususwe i-bump.
ILizwi
Ekugqibeleni, i-node ye-Bouchard ithathwa njengesibonakaliso esibonakalayo se- osteoarthritis , esinokukunceda ukuxilongwa. Oku akufani nezinye iintlobo ze-arthritis, njenge-gout okanye i- rheumatoid arthritis , enokuthembela ngakumbi kwiimvavanyo zelabhoratri zokuxilongwa.
Oko kwathiwa, kukho impawu ebonakalayo ezandleni zabanye abantu abane-rheumatoid arthritis kunye ne-gout. Ngokomzekelo, i-rubbery bumps (ebizwa ngokuthi iigunyudi ze-rheumatoid) ingabonwa kwizontathu kunye neenkukuma kubantu abane-rheumatoid arthritis. Ngokufanayo, abantu abahlakulela ukuhlaselwa kwamaxesha amaninzi kwiminyaka emininzi banokuhlakulela i-tophi ngeminwe (tophi iindawo ezinzima ezizaliswe ngama-crystals e-uric acid afakwe kwindawo edibeneyo).
Iindaba ezilungileyo kukuba ugqirha unokukwazi ukwahlula ngokucacileyo le miqondiso kuleyo yabonwa kwi-osteoarthritis.
> Imithombo:
> Doherty M, 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".
> Leung GJ, uRainsford KD, uKean WF. I-osteoarthritis yesandla I: > i-etiology > kunye ne-pathogenesis, iziphumo zobungozi, uphando kunye nokuxilongwa. J Pharm Pharmacol. 2014 Mar; 66 (3): 339-46.
> 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.